As of the July, 2022, release via CMS

THE MEDICAL CENTER OF AURORA

CMS id: 060100
1501 SOUTH POTOMAC ST, AURORA CO 80012. County: ARAPAHOE
System: HCA
CBSA: Denver-Aurora-Lakewood, CO

The 395-bed, acute-care hospital had $64,322,832 in net service to patients*, with a total profit margin of 16.11085% in fiscal year 2021, the latest year available.
It spent 4.57% of its operating expenses on uncompensated care and reported $30,455,251 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	248 118	250 118	246 119.5	265 118	291 119
Total beds Median	328 162	329 162	326 162	365 162	395 163.5
FTEs Median	1,397.82 788.06	1,417.31 793.42	1,380.84 806.03	1,350.01 787.61	1,459.69 804.34

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	346,583,925 150,932,746	379,884,737 158,950,878	361,954,994 168,696,998	348,514,721 163,454,693	424,867,741 186,589,412
Operating expenses Median	243,146,084 149,311,209	240,525,591 156,110,414	321,374,534 164,890,568	311,247,996 166,516,854	360,544,909 180,120,888
Net income from service 2 patients (NS2P) ? Median	103,437,841 -964,173	139,359,146 -643,601.5	40,580,460 -116,254	37,266,725 -5,025,862	64,322,832 -1,284,564
NS2P margin ? Median	29.84% -0.62	36.68% -0.29	11.21% 0.18	10.69% -5.07	15.14% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for THE MEDICAL CENTER OF AURORA 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	4,838,041 5,089,215	4,506,844 4,572,541	4,225,166 5,268,134	4,260,955 13,092,619	4,919,567 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	2,300	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	798,818	753,268	760,838	488,558	625,835
⊳ 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	653,602	2,750,953	2,799,798	3,186,724
⊳ Line 18: Revenue from sale of medical records and abstracts	0	65	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	7,218	4,836	1,491	0
⊳ Line 21: Rental of vending machines	8,950	6,320	6,172	3,762	3,354
⊳ Line 22: Rental of hospital space	30,251	692,882	731,165	892,938	795,069
⊳ 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	3,997,722	2,393,489	-28,798	74,408	308,585
Total income ? Median	108,275,882 6,586,430	143,865,990 6,767,106	44,805,626 8,419,950	41,527,680 8,094,175	69,242,399 15,162,888
Non-operating expenses Median	3 146,289.5	7 164,857	10 89,880.5	-7 106,761	3 31,473.5
Net income Median	108,275,879 6,043,842	143,865,983 5,845,112	44,805,616 7,606,259	41,527,687 7,283,041	69,242,396 14,957,241
Net margin Median	30.81079% 4.62%	37.42693% 4.42%	12.23595% 5.16%	11.77170% 5.2%	16.11085% 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 THE MEDICAL CENTER OF AURORA 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	53,293,700 23,241,334	56,014,966 23,709,545	52,392,826 24,248,380	51,284,713 22,858,541	55,071,366 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	50,533,971 21,577,146	52,910,863 22,041,594	48,941,621 22,722,063	47,563,677 21,570,441	51,276,334 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	2,759,729 1,845,420	3,104,103 1,757,392	3,451,205 1,738,842	3,721,036 1,510,463	3,795,032 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	14,044,739 11,160,864	14,146,782 11,987,345	14,691,185 12,926,866	11,904,755 11,884,480	14,583,543 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	14,044,739 10,918,923	14,146,782 11,706,976	14,691,185 12,615,917	11,904,755 11,458,116	14,583,543 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	254,982 3,284,314	336,076 3,250,551	1,252,457 3,386,837	2,353,265 3,360,806	3,282,205 3,508,953
Disproportionate-share hospital (DSH) Median	2,235,930 594,888	2,357,245 595,761	1,995,185 577,894	2,004,782 542,168	1,998,426 549,667
Outlier Median	2,251,239 582,572	2,715,003 538,116	178,609 212,434	193,409 126,559	311,925 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	32,376,449 3,662,910	31,802,265 3,730,911	19,780,760 4,081,319	23,066,067 4,643,908	30,455,251 4,389,147
Charity care Median	10,715,687 2,654,636	12,522,500 2,940,659	14,517,243 3,380,215	14,116,894 3,488,738	14,655,804 3,233,405
Uncompensated care (UCC) Median	13,737,875 5,147,790	14,472,774 5,337,617	16,706,833 5,711,082	16,320,086 5,923,418	16,473,989 5,508,107
UCC as a % of operating expenses Median	5.65% 3.24	6.02% 3.12	5.20% 3.21	5.24% 3.3	4.57% 2.86
Total shortfall/UCC Median	46,114,324 9,489,989	46,275,039 9,424,297	36,487,593 10,120,158	39,386,153 11,171,337	46,929,240 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	101,896,798 52,142,039	106,501,001 54,485,252	105,968,671 57,395,589	103,572,621 58,830,919	115,671,866 61,722,907
Salaries as a % of operating expenses Median	41.84 36.68	44.21 36.56	32.95 36.37	33.21 35.93	32.03 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	2,736,592 1,449,244	1,734,221 1,475,986	2,002,013 1,563,078	3,497,908 1,721,954	0 2,991,828
Contract hours, direct-care Median	49,060.96 22,725	28,555.61 23,018.5	39,710.00 24,503.48	54,615.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	55.78 64.67	60.73 64.53	50.42 65.06	64.05 68.97	0.00 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.