As of the July, 2022, release via CMS

ASCENSION COLUMBIA ST MARYS MILWAUKE

CMS id: 520051
2323 NORTH LAKE DRIVE, MILWAUKEE WI 53211. County: MILWAUKEE
System: ASCENSION WISCONSIN
CBSA: Milwaukee-Waukesha, WI

The 273-bed, acute-care hospital had $-78,629,763 in net service to patients*, with a total profit margin of -8.98810% in fiscal year 2021, the latest year available.
It spent 2.33% of its operating expenses on uncompensated care and reported $7,415,880 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	190 118	190 118	190 119.5	206 118	200 119
Total beds Median	263 162	263 162	263 162	279 162	273 163.5
FTEs Median	2,060.28 788.06	2,157.83 793.42	2,153.87 806.03	2,307.73 787.61	2,319.85 804.34

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	452,325,873 150,932,746	467,903,456 158,950,878	463,039,249 168,696,998	454,045,296 163,454,693	492,970,682 186,589,412
Operating expenses Median	493,318,747 149,311,209	430,490,248 156,110,414	426,356,435 164,890,568	550,435,181 166,516,854	571,600,445 180,120,888
Net income from service 2 patients (NS2P) ? Median	-40,992,874 -964,173	37,413,208 -643,601.5	36,682,814 -116,254	-96,389,885 -5,025,862	-78,629,763 -1,284,564
NS2P margin ? Median	-9.06% -0.62	8.00% -0.29	7.92% 0.18	-21.23% -5.07	-15.95% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ASCENSION COLUMBIA ST MARYS MILWAUKE 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	19,129,412 5,089,215	53,885,090 4,572,541	32,152,684 5,268,134	79,316,873 13,092,619	43,101,549 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	741,102 224,999	692,676 199,009	999,493 206,870.5	1,775,592 194,343	1,307,225 249,496
⊳ Line 7: Investments ? ⊳ Median	120,974 299,524	78,222 188,688.5	54,365 370,813	34,988 309,361.5	39,551 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	762	4,290	1,307	2,685	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	832,177	851,722	921,841	880,111	772,087
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	73	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	5,833,656	18,795,910	17,006,679	22,459,318	20,324,809
⊳ Line 18: Revenue from sale of medical records and abstracts	26,940	30,459	22,427	4,186	5,072
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	29,897	28,025	8,538	0	0
⊳ Line 21: Rental of vending machines	209,237	219,873	220,740	188,227	148,079
⊳ Line 22: Rental of hospital space	726,348	745,531	760,352	811,997	728,531
⊳ Line 23: Gov appropriations ? ⊳ Median	817,218 1,017,693	1,020,721 983,261.5	749,798 1,173,286	718,354 1,987,202	273,979 1,597,664
⊳ Sum Line 24	9,791,028	31,417,661	11,407,144	52,441,415	19,502,216
Total income ? Median	-21,863,462 6,586,430	91,298,298 6,767,106	68,835,498 8,419,950	-17,073,012 8,094,175	-35,528,214 15,162,888
Non-operating expenses Median	13,528,209 146,289.5	96,201,660 164,857	96,282,591 89,880.5	12,615,046 106,761	12,654,475 31,473.5
Net income Median	-35,391,671 6,043,842	-4,903,362 5,845,112	-27,447,093 7,606,259	-29,688,058 7,283,041	-48,182,689 14,957,241
Net margin Median	-7.50690% 4.62%	-0.93972% 4.42%	-5.54272% 5.16%	-5.56621% 5.2%	-8.98810% 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 ASCENSION COLUMBIA ST MARYS MILWAUKE 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	39,042,833 23,241,334	40,289,385 23,709,545	40,447,573 24,248,380	41,671,836 22,858,541	45,577,015 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	39,042,833 21,577,146	40,289,385 22,041,594	40,447,573 22,722,063	41,671,836 21,570,441	45,577,015 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	27,840,749 11,160,864	27,809,152 11,987,345	26,414,065 12,926,866	23,271,312 11,884,480	24,538,285 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	27,840,749 10,918,923	27,809,152 11,706,976	26,414,065 12,615,917	23,271,312 11,458,116	24,538,285 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	0 697,279	0 690,232	0 684,010	0 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	3,928,610 3,284,314	4,179,269 3,250,551	4,517,542 3,386,837	4,720,660 3,360,806	5,081,118 3,508,953
Disproportionate-share hospital (DSH) Median	1,790,558 594,888	2,033,297 595,761	1,896,746 577,894	1,998,224 542,168	1,853,540 549,667
Outlier Median	5,118,186 582,572	4,515,071 538,116	4,341,300 212,434	634,499 126,559	715,757 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	17,935,709 3,662,910	12,378,162 3,730,911	8,268,391 4,081,319	3,609,937 4,643,908	7,415,880 4,389,147
Charity care Median	6,158,737 2,654,636	6,707,931 2,940,659	6,484,862 3,380,215	7,147,239 3,488,738	6,964,194 3,233,405
Uncompensated care (UCC) Median	11,977,757 5,147,790	12,792,578 5,337,617	12,911,742 5,711,082	14,034,050 5,923,418	13,331,742 5,508,107
UCC as a % of operating expenses Median	2.43% 3.24	2.97% 3.12	3.03% 3.21	2.55% 3.3	2.33% 2.86
Total shortfall/UCC Median	29,913,466 9,489,989	25,170,740 9,424,297	21,180,133 10,120,158	17,643,987 11,171,337	20,747,622 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	177,339,124 52,142,039	194,350,645 54,485,252	199,707,685 57,395,589	225,632,147 58,830,919	234,005,918 61,722,907
Salaries as a % of operating expenses Median	35.95 36.68	45.15 36.56	46.84 36.37	49.99 35.93	45.72 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	3,069,885 1,251,927	3,155,799 1,186,494	3,118,396 1,204,885	3,148,504 1,279,653	3,228,268 1,469,317
Contract adjusted salaries, direct-care Median	7,061,906 1,449,244	9,031,417 1,475,986	5,010,348 1,563,078	3,430,210 1,721,954	6,463,810 2,991,828
Contract hours, direct-care Median	166,502.00 22,725	174,400.00 23,018.5	113,555.00 24,503.48	85,658.00 25,026.5	108,624.00 33,786
Contract wages, direct-care Median	42.41 64.67	51.79 64.53	44.12 65.06	40.05 68.97	59.51 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.