As of the July, 2022, release via CMS

AURORA MEDICAL CENTER GRAFTON

CMS id: 520207
975 PORT WASHINGTON ROAD, GRAFTON WI 53024. County: OZAUKEE
System: ADVOCATE AURORA HEALTH
CBSA: Milwaukee-Waukesha, WI

The 132-bed, acute-care hospital had $58,036,875 in net service to patients*, with a total profit margin of 20.02432% in fiscal year 2021, the latest year available.
It spent 1.06% of its operating expenses on uncompensated care and reported $11,912,163 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	102 118	102 118	102 119.5	104 118	104 119
Total beds Median	127 162	126 162	126 162	132 162	132 163.5
FTEs Median	784.47 788.06	853.61 793.42	914.74 806.03	836.75 787.61	857.72 804.34

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	242,803,080 150,932,746	253,544,566 158,950,878	261,916,252 168,696,998	246,474,780 163,454,693	293,459,635 186,589,412
Operating expenses Median	198,202,307 149,311,209	198,802,583 156,110,414	213,970,073 164,890,568	222,732,518 166,516,854	235,422,760 180,120,888
Net income from service 2 patients (NS2P) ? Median	44,600,773 -964,173	54,741,983 -643,601.5	47,946,179 -116,254	23,742,262 -5,025,862	58,036,875 -1,284,564
NS2P margin ? Median	18.37% -0.62	21.59% -0.29	18.31% 0.18	9.63% -5.07	19.78% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for AURORA MEDICAL CENTER GRAFTON 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	1,021,255 5,089,215	1,011,919 4,572,541	1,053,232 5,268,134	18,358,404 13,092,619	965,292 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	72,376 199,009	23,155 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	48,680 188,688.5	111,969 370,813	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	660	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	27,136	28,311	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	798,915	821,819	538,573	560,454
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	1,446	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	33,879	31,501	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	17,256	21,263
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	72	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	3,250 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	1,021,255	28,755	33,227	17,802,575	383,575
Total income ? Median	45,622,028 6,586,430	55,753,902 6,767,106	48,999,411 8,419,950	42,100,666 8,094,175	59,002,167 15,162,888
Non-operating expenses Median	1,787,736 146,289.5	86,126 164,857	57,629 89,880.5	12,000 106,761	45,590 31,473.5
Net income Median	43,834,292 6,043,842	55,667,776 5,845,112	48,941,782 7,606,259	42,088,666 7,283,041	58,956,577 14,957,241
Net margin Median	17.97782% 4.62%	21.86854% 4.42%	18.61120% 5.16%	15.89252% 5.2%	20.02432% 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 GRAFTON 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	24,940,216 23,241,334	24,512,590 23,709,545	22,100,142 24,248,380	23,154,618 22,858,541	22,102,051 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	24,940,216 21,577,146	24,512,590 22,041,594	22,100,142 22,722,063	23,154,618 21,570,441	22,102,051 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	14,603,277 11,160,864	16,773,828 11,987,345	16,990,910 12,926,866	16,604,328 11,884,480	19,074,885 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	14,603,277 10,918,923	16,773,828 11,706,976	16,990,910 12,615,917	16,604,328 11,458,116	19,074,885 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	41,229 3,386,837	73,824 3,360,806	102,284 3,508,953
Disproportionate-share hospital (DSH) Median	0 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	762,524 582,572	504,501 538,116	133,944 212,434	186,245 126,559	169,990 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	7,109,608 3,662,910	10,488,810 3,730,911	10,828,549 4,081,319	11,244,694 4,643,908	11,912,163 4,389,147
Charity care Median	1,243,559 2,654,636	682,885 2,940,659	1,398,591 3,380,215	1,109,147 3,488,738	1,129,337 3,233,405
Uncompensated care (UCC) Median	2,545,921 5,147,790	1,674,623 5,337,617	2,925,583 5,711,082	2,670,981 5,923,418	2,486,163 5,508,107
UCC as a % of operating expenses Median	1.28% 3.24	0.84% 3.12	1.37% 3.21	1.20% 3.3	1.06% 2.86
Total shortfall/UCC Median	9,655,529 9,489,989	12,163,433 9,424,297	13,754,132 10,120,158	13,915,675 11,171,337	14,398,326 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	55,727,051 52,142,039	58,263,293 54,485,252	66,088,191 57,395,589	67,667,536 58,830,919	71,635,821 61,722,907
Salaries as a % of operating expenses Median	28.12 36.68	29.31 36.56	30.89 36.37	30.38 35.93	30.43 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	132,830 1,186,494	131,329 1,204,885	123,666 1,279,653	57,851 1,469,317
Contract adjusted salaries, direct-care Median	0 1,449,244	132,830 1,475,986	131,329 1,563,078	123,666 1,721,954	1,447,633 2,991,828
Contract hours, direct-care Median	0.00 22,725	1,934.00 23,018.5	2,063.98 24,503.48	1,892.80 25,026.5	8,631.66 33,786
Contract wages, direct-care Median	0.00 64.67	68.68 64.53	63.63 65.06	65.33 68.97	167.71 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.