As of the July, 2022, release via CMS

AURORA HEALTH CARE METRO INC.

CMS id: 520138
2900 WEST OKLAHOMA AVENUE, MILWAUKEE WI 53215. County: MILWAUKEE
System: AURORA HEALTH CARE
CBSA: Milwaukee-Waukesha, WI

The 951-bed, acute-care hospital had $72,864,540 in net service to patients*, with a total profit margin of 12.97567% in fiscal year 2021, the latest year available.
It spent 1.56% of its operating expenses on uncompensated care and reported $99,577,399 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	685 118	675 118	693 119.5	734 118	722 119
Total beds Median	919 162	933 162	931 162	951 162	951 163.5
FTEs Median	6,107.84 788.06	6,234.53 793.42	6,277.50 806.03	5,742.82 787.61	5,694.75 804.34

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	1,428,003,637 150,932,746	1,475,360,828 158,950,878	1,556,054,527 168,696,998	1,508,748,652 163,454,693	1,694,640,505 186,589,412
Operating expenses Median	1,400,324,758 149,311,209	1,432,705,380 156,110,414	1,521,098,462 164,890,568	1,548,591,438 166,516,854	1,621,775,965 180,120,888
Net income from service 2 patients (NS2P) ? Median	27,678,879 -964,173	42,655,448 -643,601.5	34,956,065 -116,254	-39,842,786 -5,025,862	72,864,540 -1,284,564
NS2P margin ? Median	1.94% -0.62	2.89% -0.29	2.25% 0.18	-2.64% -5.07	4.30% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for AURORA HEALTH CARE METRO 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	113,366,152 5,089,215	121,672,149 4,572,541	152,043,453 5,268,134	227,414,159 13,092,619	168,284,165 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	4,322,914 224,999	2,185,799 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	361,464 299,524	316,976 188,688.5	156,638 370,813	100,442 309,361.5	205,952 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	73	73	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	10,558	10,717	10,717	1,248	150
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	6,464,994	6,961,969	7,267,139	5,404,727	5,850,941
⊳ 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	62,069,094	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	16,412	1,829	1,021	1,209
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	683,871	509,794	519,175	531,573	562,451
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	412,182	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	3,544,792	4,240,957	3,794,346	3,731,758	3,345,161
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	1,403,118 983,261.5	1,343,705 1,173,286	1,051,709 1,987,202	676,877 1,597,664
⊳ Sum Line 24	35,194,242	105,736,062	138,708,237	216,430,068	157,490,224
Total income ? Median	141,045,031 6,586,430	164,327,597 6,767,106	186,999,518 8,419,950	187,571,373 8,094,175	241,148,705 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	-868,519 89,880.5	-1,104,936 106,761	-578,305 31,473.5
Net income Median	141,045,031 6,043,842	164,327,597 5,845,112	187,868,037 7,606,259	188,676,309 7,283,041	241,727,010 14,957,241
Net margin Median	9.15063% 4.62%	10.28956% 4.42%	10.99867% 5.16%	10.86743% 5.2%	12.97567% 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 HEALTH CARE METRO 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	209,121,949 23,241,334	198,500,731 23,709,545	197,835,669 24,248,380	187,775,019 22,858,541	190,294,272 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	198,698,758 21,577,146	187,029,529 22,041,594	188,492,100 22,722,063	179,338,541 21,570,441	181,966,213 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	10,423,191 3,535,627	11,471,202 3,746,588	9,343,569 3,782,288	8,436,478 3,865,578	8,328,059 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	93,731,480 11,160,864	110,681,364 11,987,345	125,435,984 12,926,866	107,847,469 11,884,480	114,325,068 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	93,731,480 10,918,923	110,681,364 11,706,976	125,435,984 12,615,917	107,847,469 11,458,116	114,325,068 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	18,702,235 3,284,314	18,922,175 3,250,551	21,021,724 3,386,837	20,996,705 3,360,806	21,419,477 3,508,953
Disproportionate-share hospital (DSH) Median	6,690,095 594,888	5,767,887 595,761	5,907,984 577,894	5,248,133 542,168	5,490,804 549,667
Outlier Median	10,778,997 582,572	12,389,952 538,116	2,272,758 212,434	1,608,617 126,559	1,154,654 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	53,255,723 3,662,910	113,483,210 3,730,911	74,820,640 4,081,319	51,644,293 4,643,908	99,577,399 4,389,147
Charity care Median	17,725,718 2,654,636	17,871,760 2,940,659	19,784,290 3,380,215	13,542,818 3,488,738	16,497,248 3,233,405
Uncompensated care (UCC) Median	26,738,516 5,147,790	26,767,010 5,337,617	28,918,899 5,711,082	24,714,491 5,923,418	25,225,660 5,508,107
UCC as a % of operating expenses Median	1.91% 3.24	1.87% 3.12	1.90% 3.21	1.60% 3.3	1.56% 2.86
Total shortfall/UCC Median	79,994,239 9,489,989	140,250,220 9,424,297	103,739,539 10,120,158	76,358,784 11,171,337	124,803,059 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	416,269,941 52,142,039	433,027,837 54,485,252	451,572,276 57,395,589	454,914,580 58,830,919	457,948,811 61,722,907
Salaries as a % of operating expenses Median	29.73 36.68	30.22 36.56	29.69 36.37	29.38 35.93	28.24 35.24
Intern, resident salaries* Median	9,527,183 2,598,592	9,911,667 2,686,824	10,043,472 2,753,773	10,480,357 2,937,156	10,947,937 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	443,046 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	443,046 1,475,986	0 1,563,078	0 1,721,954	3,533,454 2,991,828
Contract hours, direct-care Median	0.00 22,725	9,905.00 23,018.5	0.00 24,503.48	0.00 25,026.5	23,052.00 33,786
Contract wages, direct-care Median	0.00 64.67	44.73 64.53	0.00 65.06	0.00 68.97	153.28 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.