As of the July, 2022, release via CMS

ASPIRUS RIVERVIEW HOSPITAL & CLINICS

CMS id: 520033
410 DEWEY STREET, WISCONSIN RAPIDS WI 54495. County: WOOD
System: ASPIRUS INC
CBSA: Wisconsin Rapids-Marshfield, WI

The 43-bed, acute-care hospital had $17,078,438 in net service to patients*, with a total profit margin of 23.28503% in fiscal year 2021, the latest year available.
It spent 1.81% of its operating expenses on uncompensated care and reported $5,398,244 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.

Note: Medians are from acute-care hospitals with "complete" fiscal years. For more about how we calculated medians and cost reports in general, please click here.

Details

	2017	2018	2019	2020	2021
# of days in fyear	365	365	365	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	41 118	41 118	41 119.5	41 118	38 119
Total beds Median	45 162	45 162	45 162	45 162	43 163.5
FTEs Median	438.00 788.06	548.97 793.42	577.42 806.03	577.41 787.61	549.38 804.34

Finances As they appear in worksheet G3 of the cost reports.

Note: Net Patient Revenue is considered operating revenue, which means Net Service to Patients is considered operating profit. Click here for more about cost report financials

Hospital cost reports are an enormously complicated dataset. There are whole organizations and an offical CMS vendor dedicated to helping researchers work with the data.
It's important to understand that hospital financials in cost reports are not organized in the same as other sources such as annual financial reports to bond holders.

The biggest difference is the concept of operating revenue and profit. Net Service to patients (NS2P), which is the sum of net patient revenue minus operating expenses, is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

That would make Net Patient Revenue = operating revenue.

All this makes things challenging when comparing what's reported in cost reports to other sources. It becomes clearer when you consider that, beyond the purpose of reimbursement, cost reports are a tool for policymakers trying to understand the financial situation of a hospital doing the tasks specific to hospitals.

In other words, while a facility with a division that formulates drugs might include earnings from that as operating revenue in their corporate annual result, this is not central to the operations of a hospital caring for patients and so it is counted as "other income." (See below the financials section for more on "other income")

The healthcare consulting firm HMP, in a former partnership with Modern Healthcare, did develop a formula for estimating operating revenue closer to what one might find in other sources. We no longer use this for the following reasons:

The measure was not widely used beyond HMP and Modern Healthcare. Many hospitals had their own internal estimates of operating revenue and profit.
Because of this, there was confusion when reporting operating results for individual hospitals. There was often pushback when a facility's internal numbers did not match what Modern Healthcare was reporting.
The formula includes revenue from portions of the "other income" section, which may also include non-operating revenue. HMP themselves point out in a caveat on their site that they cannot exclude all non-operating revenue from their measure.

HMP's operating measure has proven problematic in the past for our reporting and the partnership with them ended years ago. It's best to not use a measure that we alone cannot defend.

	2017	2018	2019	2020	2021
Net patient revenue ? Median	117,849,693 150,932,746	134,814,394 158,950,878	143,202,877 168,696,998	145,171,640 163,454,693	151,425,827 186,589,412
Operating expenses Median	105,320,664 149,311,209	120,153,353 156,110,414	127,390,187 164,890,568	130,331,262 166,516,854	134,347,389 180,120,888
Net income from service 2 patients (NS2P) ? Median	12,529,029 -964,173	14,661,041 -643,601.5	15,812,690 -116,254	14,840,378 -5,025,862	17,078,438 -1,284,564
NS2P margin ? Median	10.63% -0.62	10.87% -0.29	11.04% 0.18	10.22% -5.07	11.28% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ASPIRUS RIVERVIEW HOSPITAL & CLINICS compared to all** acute-care hospitals, from CMS cost reports.
Note: NS2P is considered operating margin by MACPAC. The chart below is interactive: click or touch to see more.

* Data range does not show outliers, which fall beyond the minimum and maximum of the range.
** From cost reports with complete fiscal years. Number of acute-care hospitals available to calculate medians:

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	8,938,979 5,089,215	6,199,355 4,572,541	6,372,623 5,268,134	9,285,686 13,092,619	23,699,550 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	526 224,999	12,838 199,009	106,904 206,870.5	67,720 194,343	343,117 249,496
⊳ Line 7: Investments ? ⊳ Median	2,488,046 299,524	3,216,777 188,688.5	4,857,909 370,813	3,078,880 309,361.5	5,997,740 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	27,303	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	374,182	380,630	349,848	337,403	238,753
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	47,016	23,884	14,581	1,182	52
⊳ Line 17: Revenue from sale of drugs to other than patients	33,714	22,276	23,019	50,386	4,476
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	5,968,192	2,542,950	1,020,362	5,750,115	17,115,412
Total income ? Median	21,468,008 6,586,430	20,860,396 6,767,106	22,185,313 8,419,950	24,126,064 8,094,175	40,777,988 15,162,888
Non-operating expenses Median	1,643,847 146,289.5	0 164,857	792,396 89,880.5	1,697,601 106,761	0 31,473.5
Net income Median	19,824,161 6,043,842	20,860,396 5,845,112	21,392,917 7,606,259	22,428,463 7,283,041	40,777,988 14,957,241
Net margin Median	15.63559% 4.62%	14.79316% 4.42%	14.30242% 5.16%	14.52082% 5.2%	23.28503% 9.25%

* About "Other income": Other income, or line 25 in worksheet G3, is the sum of lines 6 through 24. It includes three lines that are considered non-operating revenue - contributions, investments and government appropriations. Medians are included for these three lines. It also contains items that are not central to providing healthcare, such as revenue from parking or gift shops.
"Sum Line 24" is a special case. Called "Other (specify)" in the cost reports, CMS allows for this line to be "subscripted," or divided into sublines like 002400, 002401, 002402. And hospitals do that, up to 100 lines, to detail income (and sometimes negative returns) that are otherwise not covered in the previous "other" lines. Therefore, "Sum Line 24" is the sum of all the lines 24.

Range* of total profit (loss) margins

= Total margin for ASPIRUS RIVERVIEW HOSPITAL & CLINICS compared to all** acute-care hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	8,580,795 23,241,334	9,175,285 23,709,545	10,144,456 24,248,380	10,182,144 22,858,541	7,694,166 23,620,613
"All inpatient revenue" is made up of any Medicare payments for routine inpatient, swingbed SNFs, TEFRA, IPF, IRF, inpatient long-term care, CAH and inpatient SNF facilities. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine inpatient revenue ⊳ Median	8,580,795 21,577,146	9,175,285 22,041,594	10,144,456 22,722,063	10,182,144 21,570,441	7,694,166 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	9,462,255 11,160,864	12,999,618 11,987,345	13,710,265 12,926,866	13,124,806 11,884,480	13,129,735 13,145,163
"All outpatient revenue" is made up of any payments for routine outpatient, HHA, CMHC, rural health and other federally-qualified health clinics. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine outpatient revenue ⊳ Median	9,462,255 10,918,923	8,962,050 11,706,976	8,362,639 12,615,917	8,327,006 11,458,116	8,563,145 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 618,038	4,037,568 697,279	5,347,626 690,232	4,797,800 684,010	4,566,590 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	70,433 594,888	132,861 595,761	76,014 577,894	98,118 542,168	91,106 549,667
Outlier Median	115,188 582,572	137,309 538,116	187,146 212,434	83,503 126,559	93,121 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	5,045,525 3,662,910	4,892,053 3,730,911	7,174,824 4,081,319	5,970,267 4,643,908	5,398,244 4,389,147
Charity care Median	1,925,987 2,654,636	1,639,422 2,940,659	1,158,397 3,380,215	1,800,771 3,488,738	1,775,598 3,233,405
Uncompensated care (UCC) Median	2,919,372 5,147,790	2,833,730 5,337,617	2,200,310 5,711,082	2,855,956 5,923,418	2,433,686 5,508,107
UCC as a % of operating expenses Median	2.77% 3.24	2.36% 3.12	1.73% 3.21	2.19% 3.3	1.81% 2.86
Total shortfall/UCC Median	7,964,897 9,489,989	7,725,783 9,424,297	9,375,134 10,120,158	8,826,223 11,171,337	7,831,930 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	38,103,109 52,142,039	44,653,824 54,485,252	46,756,258 57,395,589	47,142,075 58,830,919	46,808,234 61,722,907
Salaries as a % of operating expenses Median	36.18 36.68	37.16 36.56	36.70 36.37	36.17 35.93	34.84 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	197,499 1,449,244	360,143 1,475,986	107,825 1,563,078	497,482 1,721,954	707,729 2,991,828
Contract hours, direct-care Median	2,493.00 22,725	5,406.00 23,018.5	1,519.00 24,503.48	7,734.00 25,026.5	5,849.00 33,786
Contract wages, direct-care Median	79.22 64.67	66.62 64.53	70.98 65.06	64.32 68.97	121.00 88.94

* in an approved program

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Cost reports are self-reported by the facility, are subject to revision and should be considered preliminary.

* Net Service to patients (NS2P) equals net patient revenue minus operating expenses. NS2P is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

About medians

Medians are calculated from reports with "complete" fiscal years, or reports with fiscal years of at least 300 days and no more than 420 days.

In cases where there are fewer than 50 values reported, medians are not calculated. For childrens' hospitals, it's when fewer than 20 are reported.

Web app by Tim Broderick | email.