As of the July, 2022, release via CMS

ASCENSION SE WISCONSIN HOSPITAL INC

CMS id: 520136
5000 WEST CHAMBERS STREET, MILWAUKEE WI 53210. County: MILWAUKEE
System: ASCENSION WISCONSIN
CBSA: Milwaukee-Waukesha, WI

The 323-bed, acute-care hospital had $36,184,162 in net service to patients*, with a total profit margin of 15.35186% in fiscal year 2021, the latest year available.
It spent 2.48% 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	213 118	239 118	237 119.5	219 118	219 119
Total beds Median	302 162	336 162	334 162	316 162	323 163.5
FTEs Median	1,843.98 788.06	1,470.61 793.42	1,563.67 806.03	1,450.14 787.61	1,410.18 804.34

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	353,757,067 150,932,746	339,619,634 158,950,878	411,494,551 168,696,998	373,229,003 163,454,693	401,890,098 186,589,412
Operating expenses Median	364,100,696 149,311,209	271,773,521 156,110,414	301,269,737 164,890,568	379,855,163 166,516,854	365,705,936 180,120,888
Net income from service 2 patients (NS2P) ? Median	-10,343,629 -964,173	67,846,113 -643,601.5	110,224,814 -116,254	-6,626,160 -5,025,862	36,184,162 -1,284,564
NS2P margin ? Median	-2.92% -0.62	19.98% -0.29	26.79% 0.18	-1.78% -5.07	9.00% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ASCENSION SE WISCONSIN HOSPITAL INC 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	6,768,143 5,089,215	3,675,104 4,572,541	19,672,484 5,268,134	13,813,693 13,092,619	30,140,563 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,019,501 224,999	334,473 199,009	282,195 206,870.5	-124,002 194,343	103,040 249,496
⊳ Line 7: Investments ? ⊳ Median	60,770 299,524	16,078 188,688.5	0 370,813	7 309,361.5	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	1,571,951	1,454,009	1,619,469	1,297,430	1,011,700
⊳ 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	241	0	2,524,393	1,484,252
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	256,468	213,237	217,091	189,553	159,647
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	6,540	102,691	85,456	4,326
⊳ Line 21: Rental of vending machines	28,060	25,106	20,367	19,215	77,134
⊳ Line 22: Rental of hospital space	1,288,517	1,012,341	1,114,992	1,030,626	1,068,301
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	13,005 983,261.5	27,023 1,173,286	649 1,987,202	0 1,597,664
⊳ Sum Line 24	2,542,692	599,401	16,288,656	8,790,366	26,232,163
Total income ? Median	-3,575,486 6,586,430	71,521,217 6,767,106	129,897,298 8,419,950	7,187,533 8,094,175	66,324,725 15,162,888
Non-operating expenses Median	0 146,289.5	83,646,760 164,857	90,953,220 89,880.5	0 106,761	0 31,473.5
Net income Median	-3,575,486 6,043,842	-12,125,543 5,845,112	38,944,078 7,606,259	7,187,533 7,283,041	66,324,725 14,957,241
Net margin Median	-0.99174% 4.62%	-3.53211% 4.42%	9.03225% 5.16%	1.85704% 5.2%	15.35186% 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 SE WISCONSIN HOSPITAL INC 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	43,947,746 23,241,334	41,480,530 23,709,545	46,202,856 24,248,380	40,809,990 22,858,541	39,383,438 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	41,807,509 21,577,146	39,719,474 22,041,594	43,973,678 22,722,063	39,020,856 21,570,441	38,245,757 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	2,140,237 3,535,627	1,761,056 3,746,588	2,229,178 3,782,288	1,789,134 3,865,578	1,137,681 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	22,442,402 11,160,864	21,777,879 11,987,345	24,845,368 12,926,866	21,308,718 11,884,480	21,587,309 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	22,442,402 10,918,923	21,777,879 11,706,976	24,845,368 12,615,917	21,308,718 11,458,116	21,587,309 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	5,104,562 3,284,314	5,044,826 3,250,551	5,318,579 3,386,837	4,531,030 3,360,806	4,094,413 3,508,953
Disproportionate-share hospital (DSH) Median	2,172,822 594,888	2,067,206 595,761	1,957,659 577,894	1,504,094 542,168	1,571,451 549,667
Outlier Median	2,793,086 582,572	1,779,357 538,116	2,046,872 212,434	1,057,606 126,559	501,297 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	788,522 3,730,911	220,644 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	5,603,947 2,654,636	7,327,504 2,940,659	9,077,223 3,380,215	9,752,200 3,488,738	5,129,886 3,233,405
Uncompensated care (UCC) Median	9,716,820 5,147,790	13,296,881 5,337,617	13,945,955 5,711,082	14,785,480 5,923,418	9,054,783 5,508,107
UCC as a % of operating expenses Median	2.67% 3.24	4.89% 3.12	4.63% 3.21	3.89% 3.3	2.48% 2.86
Total shortfall/UCC Median	9,716,820 9,489,989	14,085,403 9,424,297	14,166,599 10,120,158	14,785,480 11,171,337	9,054,783 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	112,048,812 52,142,039	99,320,073 54,485,252	114,670,633 57,395,589	111,076,777 58,830,919	109,046,012 61,722,907
Salaries as a % of operating expenses Median	31.15 36.68	36.55 36.56	38.06 36.37	38.96 35.93	36.90 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	4,093,369 1,251,927	5,506,227 1,186,494	5,733,407 1,204,885	4,051,760 1,279,653	2,467,710 1,469,317
Contract adjusted salaries, direct-care Median	6,005,321 1,449,244	7,663,644 1,475,986	7,643,108 1,563,078	5,106,093 1,721,954	4,668,903 2,991,828
Contract hours, direct-care Median	178,741.00 22,725	180,762.00 23,018.5	181,462.00 24,503.48	125,309.00 25,026.5	83,663.00 33,786
Contract wages, direct-care Median	33.60 64.67	42.40 64.53	42.12 65.06	40.75 68.97	55.81 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.