A hospital in Elkhorn, WI. It ran an operating surplus of 18.2% in FY24 on $93.0M of operating revenue. It held 1,259 days of cash on hand (99th percentile among Rural PPS hospitals on liquidity). Operating margin improved from 10.3% in FY20 to 18.2% in FY24.
Operating margin · FY24
+18.2%
▲ 2.3 pts vs FY23
vs Rural PPS hospitals91st pctl of 387 (FY24)
Days cash on hand · FY24
1,259d
all sources
▼ 56.4 days vs FY23
vs Rural PPS hospitals99th pctl of 376 (FY24)
Total operating revenue · FY24
$93.0M
▲ 5.9 $M vs FY23
vs Rural PPS hospitals48th pctl of 393 (FY24)
Total margin · incl. nonoperating · FY24
+18.6%
▲ 1.3 pts vs FY23
vs Rural PPS hospitals90th pctl of 387 (FY24)
One point of operating margin at AURORA LAKELAND MEDICAL CENTER is about $930K per year (1% of FY24 total operating revenue).
Where AURORA LAKELAND MEDICAL 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.
One rural pps hospitalAURORA LAKELANDRural 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.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY22
FY23
FY24
Patient revenue
83,602
87,021
92,905
Other operating revenue
24
28
49
Total operating revenue
83,626
87,049
92,954
Total operating expenses
73,465
73,180
75,993
Operating income
10,161
13,869
16,961
Operating margin %
+12.2%
+15.9%
+18.2%
Grants & contributions
—
213
84
Other non-operating, net
199
1,266
372
Net income
10,360
15,348
17,417
Net income %
+12.4%
+17.3%
+18.6%
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 50-bed hospital at 37% occupancy 66% 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
36.8%
Verified fact2024
HCRIS WS S-3
Average daily census
18.45
Verified fact2024
HCRIS WS S-3
Staffed beds (acute)
50
Verified fact2024
HCRIS WS S-3
Annual discharges
3,108
Verified fact2024
HCRIS WS S-3
Average length of stay
2.2d
Verified fact2024
HCRIS WS S-3
Outpatient share of patient revenue
66.1%
Verified fact2024
HCRIS WS G-2 L28
Total FTEs
341.30
Verified fact2024
HCRIS WS S-3 Pt II
Contract labor share of labor cost
21.5%
Verified fact2024
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$7.3M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.566
No Different than National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.9%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.84
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
0.890047
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
WALWORTH County, WI · nonmetro, urban 20K+, metro-adjacent
Median household income
$77.4K
vs $82.1K US · $59.7K rural median
Poverty rate
9.7%
vs 12.5% US · 14.3% rural median
Uninsured
5.7%
vs 8.6% US · 8.4% rural median
Age 65+
19.2%
vs 16.8% US · 20.6% rural median
Fair or poor health
16.3%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 6.6% of county personal income is Medicare/Medicaid medical benefits; 17.1% arrives as government transfers (BEA, 2022).
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.
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