As of the July, 2022, release via CMS

AURORA MED CTR OF MANITOWOC COUNTY

CMS id: 520034
5000 MEMORIAL DRIVE, TWO RIVERS WI 54241. County: MANITOWOC
System: AURORA HEALTH CARE
CBSA: Manitowoc, WI

The 69-bed, acute-care hospital had $24,161,340 in net service to patients*, with a total profit margin of 25.81214% in fiscal year 2021, the latest year available.
It spent 1.66% of its operating expenses on uncompensated care and reported $2,187,322 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	nfp	nfp	nfp	nfp
Acute beds Median	63 118	63 118	63 119.5	63 118	63 119
Total beds Median	69 162	69 162	69 162	69 162	69 163.5
FTEs Median	300.12 788.06	295.54 793.42	287.88 806.03	226.14 787.61	247.43 804.34

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	80,819,364 150,932,746	81,143,457 158,950,878	88,071,143 168,696,998	83,542,292 163,454,693	95,836,775 186,589,412
Operating expenses Median	63,198,042 149,311,209	64,170,606 156,110,414	64,540,777 164,890,568	67,190,153 166,516,854	71,675,435 180,120,888
Net income from service 2 patients (NS2P) ? Median	17,621,322 -964,173	16,972,851 -643,601.5	23,530,366 -116,254	16,352,139 -5,025,862	24,161,340 -1,284,564
NS2P margin ? Median	21.80% -0.62	20.92% -0.29	26.72% 0.18	19.57% -5.07	25.21% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for AURORA MED CTR OF MANITOWOC COUNTY 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	488,430 5,089,215	491,909 4,572,541	589,535 5,268,134	7,106,740 13,092,619	786,203 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	5,331 249,496
⊳ 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	318,366	310,159	306,055	188,032	219,632
⊳ 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	5,921
⊳ Line 21: Rental of vending machines	0	0	0	1,144	532
⊳ 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	170,064	181,750	283,480	6,917,564	554,787
Total income ? Median	18,109,752 6,586,430	17,464,760 6,767,106	24,119,901 8,419,950	23,458,879 8,094,175	24,947,543 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	7,500 106,761	7,080 31,473.5
Net income Median	18,109,752 6,043,842	17,464,760 5,845,112	24,119,901 7,606,259	23,451,379 7,283,041	24,940,463 14,957,241
Net margin Median	22.27308% 4.62%	21.39362% 4.42%	27.20473% 5.16%	25.87052% 5.2%	25.81214% 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 AURORA MED CTR OF MANITOWOC COUNTY 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	8,391,646 23,241,334	7,400,717 23,709,545	7,022,318 24,248,380	6,927,949 22,858,541	7,277,104 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	8,391,646 21,577,146	7,400,717 22,041,594	7,022,318 22,722,063	6,927,949 21,570,441	7,277,104 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	4,709,995 11,160,864	5,429,274 11,987,345	5,376,881 12,926,866	4,653,291 11,884,480	5,471,487 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	4,709,995 10,918,923	5,429,274 11,706,976	5,376,881 12,615,917	4,653,291 11,458,116	5,471,487 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	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	77,592 594,888	101,522 595,761	104,141 577,894	78,179 542,168	71,399 549,667
Outlier Median	15,340 582,572	13,294 538,116	1,714 212,434	4,198 126,559	8,887 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,698,502 3,662,910	2,662,496 3,730,911	1,023,865 4,081,319	1,504,829 4,643,908	2,187,322 4,389,147
Charity care Median	690,797 2,654,636	638,565 2,940,659	644,270 3,380,215	477,150 3,488,738	628,548 3,233,405
Uncompensated care (UCC) Median	1,286,114 5,147,790	1,283,117 5,337,617	1,252,538 5,711,082	1,243,657 5,923,418	1,191,738 5,508,107
UCC as a % of operating expenses Median	2.04% 3.24	2.00% 3.12	1.94% 3.21	1.85% 3.3	1.66% 2.86
Total shortfall/UCC Median	3,984,616 9,489,989	3,945,613 9,424,297	2,276,403 10,120,158	2,748,486 11,171,337	3,379,060 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	18,769,578 52,142,039	19,032,550 54,485,252	18,756,064 57,395,589	17,401,128 58,830,919	19,229,989 61,722,907
Salaries as a % of operating expenses Median	29.70 36.68	29.66 36.56	29.06 36.37	25.90 35.93	26.83 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	0 1,449,244	0 1,475,986	0 1,563,078	0 1,721,954	400,700 2,991,828
Contract hours, direct-care Median	0.00 22,725	0.00 23,018.5	0.00 24,503.48	0.00 25,026.5	3,199.00 33,786
Contract wages, direct-care Median	0.00 64.67	0.00 64.53	0.00 65.06	0.00 68.97	125.26 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.