As of the July, 2022, release via CMS

AURORA MEDICAL CENTER - BAY AREA

CMS id: 520113
3003 UNIVERSITY DRIVE, MARINETTE WI 54143. County: MARINETTE
System: AURORA HEALTH CARE INC.
CBSA: Marinette, WI-MI

The 55-bed, acute-care hospital had $2,036,150 in net service to patients*, with a total profit margin of 6.14551% in fiscal year 2021, the latest year available.
It spent 2.00% of its operating expenses on uncompensated care and reported $6,838,726 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	88 118	45 118	45 119.5	45 118	45 119
Total beds Median	99 162	55 162	55 162	55 162	55 163.5
FTEs Median	541.12 788.06	539.58 793.42	492.44 806.03	403.29 787.61	416.22 804.34

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	94,916,467 150,932,746	106,972,987 158,950,878	111,781,440 168,696,998	98,074,216 163,454,693	112,357,559 186,589,412
Operating expenses Median	119,232,417 149,311,209	117,256,520 156,110,414	123,298,087 164,890,568	104,542,244 166,516,854	110,321,409 180,120,888
Net income from service 2 patients (NS2P) ? Median	-24,315,950 -964,173	-10,283,533 -643,601.5	-11,516,647 -116,254	-6,468,028 -5,025,862	2,036,150 -1,284,564
NS2P margin ? Median	-25.62% -0.62	-9.61% -0.29	-10.30% 0.18	-6.60% -5.07	1.81% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for AURORA MEDICAL CENTER - BAY AREA 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	27,776,326 5,089,215	24,746,066 4,572,541	20,924,443 5,268,134	12,868,542 13,092,619	5,190,263 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	56,228 224,999	180,805 199,009	-66,173 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	3,210,118 299,524	1,579,756 188,688.5	286,981 370,813	42,278 309,361.5	4,278 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	14,214	42,954	891	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	318,237	334,107	342,348	202,630	246,533
⊳ 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	83,235	26,740	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	113	175	493	5,400	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	8,971	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	3,172	4,138
⊳ Line 22: Rental of hospital space	0	0	1,062,049	885,554	542,262
⊳ 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	24,094,181	22,581,529	19,288,883	11,729,508	4,393,052
Total income ? Median	3,460,376 6,586,430	14,462,533 6,767,106	9,407,796 8,419,950	6,400,514 8,094,175	7,226,413 15,162,888
Non-operating expenses Median	309,345 146,289.5	16,329,801 164,857	2,257,937 89,880.5	1,333,876 106,761	2,500 31,473.5
Net income Median	3,151,031 6,043,842	-1,867,268 5,845,112	7,149,859 7,606,259	5,066,638 7,283,041	7,223,913 14,957,241
Net margin Median	2.56823% 4.62%	-1.41761% 4.42%	5.38775% 5.16%	4.56689% 5.2%	6.14551% 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 MEDICAL CENTER - BAY AREA 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	11,133,232 23,241,334	11,657,684 23,709,545	10,438,549 24,248,380	10,738,314 22,858,541	9,290,514 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	11,133,232 21,577,146	11,657,684 22,041,594	10,438,549 22,722,063	10,738,314 21,570,441	9,290,514 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	11,297,251 11,160,864	14,850,236 11,987,345	15,777,192 12,926,866	11,674,001 11,884,480	13,393,986 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	11,297,251 10,918,923	14,850,236 11,706,976	15,777,192 12,615,917	11,674,001 11,458,116	13,393,986 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	96,076 594,888	103,048 595,761	0 577,894	0 542,168	65,853 549,667
Outlier Median	212,853 582,572	153,695 538,116	92,603 212,434	130,298 126,559	152,807 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,186,463 3,662,910	4,647,813 3,730,911	5,531,009 4,081,319	7,031,106 4,643,908	6,838,726 4,389,147
Charity care Median	673,272 2,654,636	956,040 2,940,659	1,119,917 3,380,215	714,887 3,488,738	1,038,177 3,233,405
Uncompensated care (UCC) Median	1,487,045 5,147,790	2,237,865 5,337,617	2,723,821 5,711,082	1,584,186 5,923,418	2,205,916 5,508,107
UCC as a % of operating expenses Median	1.25% 3.24	1.91% 3.12	2.21% 3.21	1.52% 3.3	2.00% 2.86
Total shortfall/UCC Median	2,673,508 9,489,989	6,885,678 9,424,297	8,254,830 10,120,158	8,615,292 11,171,337	9,044,642 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	46,564,399 52,142,039	44,237,642 54,485,252	39,388,326 57,395,589	29,412,334 58,830,919	33,957,521 61,722,907
Salaries as a % of operating expenses Median	39.92 36.68	39.24 36.56	33.41 36.37	29.13 35.93	32.69 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	802,568 1,449,244	532,103 1,475,986	372,726 1,563,078	563,289 1,721,954	1,250,259 2,991,828
Contract hours, direct-care Median	11,422.00 22,725	9,330.00 23,018.5	5,250.00 24,503.48	7,755.00 25,026.5	9,275.00 33,786
Contract wages, direct-care Median	70.27 64.67	57.03 64.53	71.00 65.06	72.64 68.97	134.80 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.