As of the July, 2022, release via CMS

ASCENSION ST. FRANCIS HOSPITAL

CMS id: 520078
3237 SOUTH 16TH STREET, MILWAUKEE WI 53215. County: MILWAUKEE
System: ASCENSION WISCONSIN
CBSA: Milwaukee-Waukesha, WI

The 154-bed, acute-care hospital had $-17,474,155 in net service to patients*, with a total profit margin of 3.76032% in fiscal year 2021, the latest year available.
It spent 5.13% of its operating expenses on uncompensated care and reported $9,214,409 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	135 118	135 118	133 119.5	134 118	134 119
Total beds Median	155 162	155 162	153 162	154 162	154 163.5
FTEs Median	998.69 788.06	781.52 793.42	681.81 806.03	581.91 787.61	503.86 804.34

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	187,490,235 150,932,746	171,189,741 158,950,878	158,235,305 168,696,998	150,137,517 163,454,693	135,004,985 186,589,412
Operating expenses Median	172,496,624 149,311,209	134,776,732 156,110,414	128,784,091 164,890,568	173,485,159 166,516,854	152,479,140 180,120,888
Net income from service 2 patients (NS2P) ? Median	14,993,611 -964,173	36,413,009 -643,601.5	29,451,214 -116,254	-23,347,642 -5,025,862	-17,474,155 -1,284,564
NS2P margin ? Median	8.00% -0.62	21.27% -0.29	18.61% 0.18	-15.55% -5.07	-12.94% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ASCENSION ST. FRANCIS HOSPITAL 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	2,645,542 5,089,215	2,415,397 4,572,541	1,944,773 5,268,134	20,561,363 13,092,619	23,431,889 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	-53,679 224,999	14,035 199,009	-99,517 206,870.5	-423,526 194,343	455,536 249,496
⊳ Line 7: Investments ? ⊳ Median	34,313 299,524	3,590 188,688.5	-1,562 370,813	0 309,361.5	0 375,329
⊳ 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	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	817,141	791,983	711,018	581,687	428,337
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	8,818,553	9,453,407
⊳ Line 18: Revenue from sale of medical records and abstracts	170,443	123,165	101,924	114,467	87,438
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	83,501	96,336	88,848	71,823	20,261
⊳ Line 21: Rental of vending machines	9,985	0	0	0	0
⊳ Line 22: Rental of hospital space	826,397	1,250,025	1,089,771	1,115,844	1,109,867
⊳ 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	757,441	136,263	54,291	10,282,515	11,877,043
Total income ? Median	17,639,153 6,586,430	38,828,406 6,767,106	31,395,987 8,419,950	-2,786,279 8,094,175	5,957,734 15,162,888
Non-operating expenses Median	2,859,069 146,289.5	43,294,105 164,857	34,344,822 89,880.5	0 106,761	0 31,473.5
Net income Median	14,780,084 6,043,842	-4,465,699 5,845,112	-2,948,835 7,606,259	-2,786,279 7,283,041	5,957,734 14,957,241
Net margin Median	7.77344% 4.62%	-2.57233% 4.42%	-1.84095% 5.16%	-1.63228% 5.2%	3.76032% 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 ST. FRANCIS HOSPITAL 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	21,263,579 23,241,334	19,435,620 23,709,545	14,708,667 24,248,380	13,730,209 22,858,541	11,918,761 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	21,263,579 21,577,146	19,435,620 22,041,594	14,708,667 22,722,063	13,730,209 21,570,441	11,918,761 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	18,998,505 11,160,864	17,852,349 11,987,345	16,892,532 12,926,866	15,188,863 11,884,480	13,022,285 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	18,998,505 10,918,923	17,852,349 11,706,976	16,892,532 12,615,917	15,188,863 11,458,116	13,022,285 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	13,634 3,284,314	7,964 3,250,551	7,045 3,386,837	12,863 3,360,806	17,509 3,508,953
Disproportionate-share hospital (DSH) Median	911,216 594,888	948,598 595,761	757,926 577,894	575,799 542,168	493,544 549,667
Outlier Median	2,604,464 582,572	1,689,712 538,116	676,157 212,434	147,114 126,559	100,442 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,068,239 3,662,910	1,042,765 3,730,911	5,597,373 4,081,319	4,847,102 4,643,908	9,214,409 4,389,147
Charity care Median	4,478,142 2,654,636	6,441,393 2,940,659	6,272,606 3,380,215	7,551,265 3,488,738	5,469,788 3,233,405
Uncompensated care (UCC) Median	6,441,576 5,147,790	9,689,733 5,337,617	8,651,198 5,711,082	10,324,241 5,923,418	7,825,275 5,508,107
UCC as a % of operating expenses Median	3.73% 3.24	7.19% 3.12	6.72% 3.21	5.95% 3.3	5.13% 2.86
Total shortfall/UCC Median	8,509,815 9,489,989	10,732,498 9,424,297	14,248,571 10,120,158	15,171,343 11,171,337	17,039,684 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	58,105,465 52,142,039	50,920,886 54,485,252	45,572,205 57,395,589	42,261,450 58,830,919	36,846,824 61,722,907
Salaries as a % of operating expenses Median	33.68 36.68	37.78 36.56	35.39 36.37	31.87 35.93	30.81 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	864,529 1,449,244	1,190,057 1,475,986	1,007,774 1,563,078	1,532,252 1,721,954	2,362,854 2,991,828
Contract hours, direct-care Median	14,873.00 22,725	17,370.00 23,018.5	12,807.00 24,503.48	19,553.00 25,026.5	16,464.00 33,786
Contract wages, direct-care Median	58.13 64.67	68.51 64.53	78.69 65.06	78.36 68.97	143.52 88.94

* in an approved program

Return to top

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.