Astrelis
Rural PPS hospital · Two Rivers, WI

AURORA MEDICAL CTR MANITOWOC COUNTY

CCN 520034MANITOWOC CountyVoluntary non-profit - PrivateRural (USDA RUCC)57 bedsLatest FY 2024
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
Financial anchor year: FY24. Margin and revenue are as filed for FY24. Balance-sheet measures (current ratio, equity financing, days in A/R) use FY22, the latest filing whose balance sheet reconciled as filed. Every tile below states its own fiscal year; nothing is carried forward or estimated.
The read

A hospital in Two Rivers, WI. It ran an operating surplus of 23.2% in FY24 on $106.3M of operating revenue. It held 1,440 days of cash on hand (100th percentile among Rural PPS hospitals on liquidity). Operating margin improved from 19.9% in FY20 to 23.2% in FY24, though it fell 1.6 points in the most recent year.

Operating margin · FY24
+23.2%
1.6 pts vs FY23
vs Rural PPS hospitals94th pctl of 387 (FY24)
Days cash on hand · FY24
1,440d
all sources
21.4 days vs FY23
vs Rural PPS hospitals100th pctl of 376 (FY24)
Total operating revenue · FY24
$106.3M
4.5 $M vs FY23
vs Rural PPS hospitals54th pctl of 393 (FY24)
Total margin · incl. nonoperating · FY24
+23.4%
1.4 pts vs FY23
vs Rural PPS hospitals95th pctl of 387 (FY24)
One point of operating margin at AURORA MEDICAL CTR MANITOWOC COUNTY is about $1.1M per year (1% of FY24 total operating revenue).

Where AURORA MEDICAL CTR sits among Rural PPS hospitals

Operating margin · FY24 pool · n = 387 of 418 filed

Each point is one Rural PPS hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Rural PPS hospital median is -0.9%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Rural PPS hospital median -0.8727424997636124%AURORA MEDICAL +23.15301617886699%-20%0%+20%Rural PPS hospital median -0.8727424997636124%AURORA MEDICAL +23.15301617886699%
One rural pps hospitalAURORA MEDICALRural PPS hospital median

The money

$ thousands · HCRIS cost-report basis · as filed, QA-gated

Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.

Operating margin
+23.2% (FY24)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+23.4% (FY24)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
1440d (FY24)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
19.84× (FY22)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
95% (FY22)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
57d (FY22)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY22FY23FY24
Patient revenue96,189100,535105,773
Other operating revenue1,268514
Total operating revenue96,189101,803106,287
Total operating expenses74,67676,55881,678
Operating income21,51325,24524,609
Operating margin %+22.4%+24.8%+23.2%
Other non-operating, net2560302
Net income21,76925,24524,911
Net income %+22.6%+24.8%+23.4%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY24 · where other operating income is not reported, total operating revenue reflects net patient revenue alone · FY20–21 may include COVID-era relief funding in nonoperating income

How it operates

quality & operational context · CMS public reporting

A 57-bed hospital at 23% occupancy 79% of patient revenue is outpatient.

The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.

Scale and flow
Occupancy
23.0%
Verified fact2024
HCRIS WS S-3
Average daily census
13.15
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
57
Verified fact2024
HCRIS WS S-3
Annual discharges
2,056
Verified fact2024
HCRIS WS S-3
Average length of stay
2.3d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
79.1%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
317.50
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
22.9%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$6.8M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.358
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.8%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.85
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.951541
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
+19.9%+25.4%+22.4%+24.8%+23.2%FY20FY21FY22FY23FY24
Days cash on hand
1,237 days1,277 days1,321 days1,462 days1,440 daysFY20FY21FY22FY23FY24

The county this hospital serves

MANITOWOC County, WI · nonmetro, urban 20K+, metro-adjacent
Median household income
$68.6K
vs $82.1K US · $59.7K rural median
Poverty rate
9.8%
vs 12.5% US · 14.3% rural median
Uninsured
4.4%
vs 8.6% US · 8.4% rural median
Age 65+
21.7%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.8%
self-reported, adults · CDC PLACES
Primary-care shortage
Not designated
HRSA HPSA
Economic context: 9.4% of county personal income is Medicare/Medicaid medical benefits; 23.2% arrives as government transfers (BEA, 2022).

What this hospital means to Manitowoc County

economic contribution · FY24 cost report
Direct annual spending
$81.7M
total operating expense · reported
Total economic output
$187.9M
× 2.30 output multiplier · upper-bound estimate, upper bound for rural
Share of county employment
0.9%
of all county jobs
Method: NCRHW 2016 study of critical access hospitals (IMPLAN Type II), employment × 1.34, earnings × 1.19; output × 2.30 (AHA national, upper bound for rural). This hospital is not a critical access hospital. No published multiplier specific to its type was used, so the CAH ratios are applied unchanged and every multiplied figure here should be read as an upper-bound estimate, not a measurement of this facility. Direct figures are reported values from the facility's HCRIS cost report; multiplied figures are estimates.

Rural PPS Performance Benchmark$2,500Founding Edition

Where this facility is underperforming its matched peer cohort and what that gap is worth, measure by measure. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.

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