As of the July, 2022, release via CMS

FROEDTERT MEM. LUTHERAN HOSPT.

CMS id: 520177
9200 WEST WISCONSIN AVENUE, MILWAUKEE WI 53226. County: MILWAUKEE
System: --
CBSA: Milwaukee-Waukesha, WI

The 702-bed, acute-care hospital had $191,246,587 in net service to patients*, with a total profit margin of 11.08264% in fiscal year 2021, the latest year available.
It spent 1.20% of its operating expenses on uncompensated care and reported $42,762,359 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	439 118	471 118	474 119.5	562 118	570 119
Total beds Median	553 162	604 162	607 162	689 162	702 163.5
FTEs Median	4,859.95 788.06	5,255.48 793.42	5,618.18 806.03	5,891.71 787.61	6,008.21 804.34

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	1,517,068,898 150,932,746	1,650,503,918 158,950,878	1,785,702,475 168,696,998	1,827,811,746 163,454,693	2,123,588,424 186,589,412
Operating expenses Median	1,426,520,044 149,311,209	1,547,472,221 156,110,414	1,704,374,765 164,890,568	1,769,395,302 166,516,854	1,932,341,837 180,120,888
Net income from service 2 patients (NS2P) ? Median	90,548,854 -964,173	103,031,697 -643,601.5	81,327,710 -116,254	58,416,444 -5,025,862	191,246,587 -1,284,564
NS2P margin ? Median	5.97% -0.62	6.24% -0.29	4.55% 0.18	3.20% -5.07	9.01% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for FROEDTERT MEM. LUTHERAN HOSPT. 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	30,245,842 5,089,215	31,096,865 4,572,541	0 5,268,134	80,821,282 13,092,619	49,600,104 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	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	0	0	0	0	0
⊳ 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	0	0
⊳ 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	30,245,842	31,096,865	--	80,821,282	49,600,104
Total income ? Median	120,794,696 6,586,430	134,128,562 6,767,106	81,327,710 8,419,950	139,237,726 8,094,175	240,846,691 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	120,794,696 6,043,842	134,128,562 5,845,112	81,327,710 7,606,259	139,237,726 7,283,041	240,846,691 14,957,241
Net margin Median	7.80673% 4.62%	7.97624% 4.42%	4.55438% 5.16%	7.29515% 5.2%	11.08264% 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 FROEDTERT MEM. LUTHERAN HOSPT. 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	167,964,693 23,241,334	174,152,176 23,709,545	195,608,655 24,248,380	202,894,504 22,858,541	213,568,779 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	164,427,112 21,577,146	170,728,533 22,041,594	191,834,317 22,722,063	199,623,451 21,570,441	209,184,119 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	3,537,581 3,535,627	3,423,643 3,746,588	3,774,338 3,782,288	3,271,053 3,865,578	4,384,660 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	112,231,760 11,160,864	117,699,254 11,987,345	118,487,798 12,926,866	111,228,802 11,884,480	114,256,374 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	112,231,760 10,918,923	117,699,254 11,706,976	118,487,798 12,615,917	111,228,802 11,458,116	114,256,374 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	32,125,674 3,284,314	33,739,578 3,250,551	36,221,931 3,386,837	38,868,710 3,360,806	39,144,427 3,508,953
Disproportionate-share hospital (DSH) Median	3,134,152 594,888	3,257,605 595,761	3,740,736 577,894	3,773,504 542,168	4,413,635 549,667
Outlier Median	16,017,486 582,572	15,859,335 538,116	17,087,998 212,434	838,762 126,559	1,145,673 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	26,899,043 3,662,910	33,009,223 3,730,911	43,793,472 4,081,319	51,745,951 4,643,908	42,762,359 4,389,147
Charity care Median	6,876,949 2,654,636	10,619,490 2,940,659	10,421,685 3,380,215	8,870,160 3,488,738	10,616,174 3,233,405
Uncompensated care (UCC) Median	20,975,568 5,147,790	22,728,095 5,337,617	25,725,450 5,711,082	25,916,452 5,923,418	23,192,011 5,508,107
UCC as a % of operating expenses Median	1.47% 3.24	1.47% 3.12	1.51% 3.21	1.46% 3.3	1.20% 2.86
Total shortfall/UCC Median	47,874,611 9,489,989	55,737,318 9,424,297	69,518,922 10,120,158	77,662,403 11,171,337	65,954,370 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	343,464,154 52,142,039	365,607,681 54,485,252	410,643,111 57,395,589	426,448,427 58,830,919	459,688,822 61,722,907
Salaries as a % of operating expenses Median	24.08 36.68	23.63 36.56	24.09 36.37	24.10 35.93	23.79 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	26,731,720 1,251,927	27,124,333 1,186,494	27,239,860 1,204,885	28,511,030 1,279,653	29,036,092 1,469,317
Contract adjusted salaries, direct-care Median	31,074,516 1,449,244	33,128,682 1,475,986	35,489,262 1,563,078	33,710,417 1,721,954	38,202,313 2,991,828
Contract hours, direct-care Median	754,005.17 22,725	778,688.86 23,018.5	811,123.85 24,503.48	815,986.40 25,026.5	900,798.00 33,786
Contract wages, direct-care Median	41.21 64.67	42.54 64.53	43.75 65.06	41.31 68.97	42.41 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.