As of the July, 2022, release via CMS

WHEATON FRANCISCAN HEALTHCARE - ALL

CMS id: 520096
3801 SPRING STREET, RACINE WI 53405. County: RACINE
System: ASCENSION WISCONSIN
CBSA: Racine, WI

The 271-bed, acute-care hospital had $50,386,143 in net service to patients*, with a total profit margin of 34.23603% in fiscal year 2021, the latest year available.
It spent 4.53% of its operating expenses on uncompensated care and reported $0 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	224 118	228 118	208 119.5	244 118	216 119
Total beds Median	329 162	333 162	263 162	299 162	271 163.5
FTEs Median	1,837.41 788.06	1,358.60 793.42	1,407.11 806.03	1,566.76 787.61	1,251.34 804.34

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	353,533,841 150,932,746	342,425,283 158,950,878	334,963,404 168,696,998	313,158,682 163,454,693	309,822,434 186,589,412
Operating expenses Median	337,599,318 149,311,209	268,655,484 156,110,414	244,505,513 164,890,568	334,516,025 166,516,854	259,436,291 180,120,888
Net income from service 2 patients (NS2P) ? Median	15,934,523 -964,173	73,769,799 -643,601.5	90,457,891 -116,254	-21,357,343 -5,025,862	50,386,143 -1,284,564
NS2P margin ? Median	4.51% -0.62	21.54% -0.29	27.01% 0.18	-6.82% -5.07	16.26% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for WHEATON FRANCISCAN HEALTHCARE - ALL 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	41,243,090 5,089,215	37,208,914 4,572,541	37,786,448 5,268,134	51,744,366 13,092,619	84,923,639 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	22,043 224,999	-336,918 199,009	73,687 206,870.5	62,509 194,343	358,405 249,496
⊳ Line 7: Investments ? ⊳ Median	62,973 299,524	5,077 188,688.5	18,022 370,813	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	1,192,464	1,147,266	1,052,941	937,149	729,516
⊳ 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	2,137,840	11,984,737	11,493,465	11,083,600	10,327,492
⊳ 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	-2,803	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	6,809	5,583	4,100	3,419	107,693
⊳ Line 22: Rental of hospital space	484,618	477,773	505,511	446,223	578,795
⊳ Line 23: Gov appropriations ? ⊳ Median	420 1,017,693	0 983,261.5	60,449 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	37,335,923	23,928,199	24,578,273	39,211,466	72,821,738
Total income ? Median	57,177,613 6,586,430	110,978,713 6,767,106	128,244,339 8,419,950	30,387,023 8,094,175	135,309,782 15,162,888
Non-operating expenses Median	2,161,656 146,289.5	80,980,297 164,857	73,394,712 89,880.5	56,584 106,761	164,390 31,473.5
Net income Median	55,015,957 6,043,842	29,998,416 5,845,112	54,849,627 7,606,259	30,330,439 7,283,041	135,145,392 14,957,241
Net margin Median	13.93596% 4.62%	7.90193% 4.42%	14.71486% 5.16%	8.31192% 5.2%	34.23603% 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 WHEATON FRANCISCAN HEALTHCARE - ALL 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	45,976,071 23,241,334	41,162,603 23,709,545	40,404,079 24,248,380	40,464,239 22,858,541	38,081,588 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	39,407,770 21,577,146	35,425,171 22,041,594	35,958,944 22,722,063	36,212,109 21,570,441	34,151,585 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	5,252,072 3,535,627	4,457,634 3,746,588	4,445,135 3,782,288	4,252,130 3,865,578	3,930,003 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	1,316,229 1,203,033	1,279,798 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	36,258,481 11,160,864	33,859,710 11,987,345	30,170,904 12,926,866	24,942,706 11,884,480	23,529,619 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	36,258,481 10,918,923	33,859,710 11,706,976	30,170,904 12,615,917	24,942,706 11,458,116	23,529,619 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	360,674 3,284,314	530,354 3,250,551	878,723 3,386,837	946,372 3,360,806	1,003,739 3,508,953
Disproportionate-share hospital (DSH) Median	1,659,862 594,888	1,447,962 595,761	1,478,394 577,894	1,369,092 542,168	1,357,550 549,667
Outlier Median	4,861,029 582,572	2,429,533 538,116	761,582 212,434	213,922 126,559	207,650 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	577,535 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	7,720,592 2,654,636	8,330,987 2,940,659	9,761,983 3,380,215	11,835,324 3,488,738	7,512,791 3,233,405
Uncompensated care (UCC) Median	12,918,173 5,147,790	14,641,441 5,337,617	13,847,067 5,711,082	16,797,036 5,923,418	11,748,566 5,508,107
UCC as a % of operating expenses Median	3.83% 3.24	5.45% 3.12	5.66% 3.21	5.02% 3.3	4.53% 2.86
Total shortfall/UCC Median	13,495,708 9,489,989	14,641,441 9,424,297	13,847,067 10,120,158	16,797,036 11,171,337	11,748,566 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	97,317,034 52,142,039	86,991,051 54,485,252	86,171,233 57,395,589	87,568,332 58,830,919	82,970,896 61,722,907
Salaries as a % of operating expenses Median	28.83 36.68	32.38 36.56	35.24 36.37	34.21 35.93	31.98 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	1,366,731 1,251,927	2,301,143 1,186,494	2,201,214 1,204,885	2,205,385 1,279,653	2,637,022 1,469,317
Contract adjusted salaries, direct-care Median	4,829,376 1,449,244	4,813,186 1,475,986	5,971,925 1,563,078	2,999,168 1,721,954	5,123,178 2,991,828
Contract hours, direct-care Median	82,984.50 22,725	90,398.00 23,018.5	111,131.00 24,503.48	69,983.00 25,026.5	81,904.00 33,786
Contract wages, direct-care Median	58.20 64.67	53.24 64.53	53.74 65.06	42.86 68.97	62.55 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.