Aurora's care management impact and financial stewardship

Aurora Health Care is a national leader in developing and implementing best practices in clinical improvement and disease management. In 2008, Aurora analyzed the effect of 27 initiatives involving more than 800 Aurora physicians and documented the following impact:

Lives benefited	1,004,951
Deaths prevented	1,368

Medical Expense Savings for Patients, Employers and Other Payers

Influenza vaccination for high-risk patients	$17.7 million
Cholesterol management for coronary artery disease patients	$3.4 million
Antibiotic treatment for pneumonia patients	$6.6 million
Other	$400,000
Total medical expense savings for the communities Aurora serves	$28.1 million

The People of Aurora Health Care

Total employees	28,822
Registered nurses	5,434
Physicians on staff	3,575
Employed physicians	800
Residents and fellows	145

Charity Care
Aurora provides a large amount of charity care for people who are uninsured or are otherwise unable to pay for the care they need. In 2008, Aurora's costs for providing this care totaled $35.3 million.

Charity care charges	$92,072,000
Charity care costs	$35,369,000

Other unreimbursed care

Bad debt charges

$141,972,000

Service Statistics

Inpatient discharges	96,432
Inpatient days	411,807
Length of stay (days)	4.27
Births	12,423
Surgical procedures	93,834
Ambulatory care visits	3,449,751
Emergency care visits	232,111
Hospital outpatient visits	1,345,310
Home care nursing visits	235,482
Family service visits	62,502
Hospice benefit days	82,310
Home-delivered meals	397,138
Retail pharmacy prescriptions	5,547,933
Web site visits:	8,348,483

Community Outreach
Every year Aurora provides, without charge, a variety of services in communities throughout eastern Wisconsin. The total value of these services in 2008 was $32 million.

Health Education & Outreach	$3,667,547
Transportation	336,161
In-Kind Services, Community Partnerships, Community Benefit Operations	11,254,021
Counseling	1,424,359
Free and Community Clinics	7,951,651
Health Screenings, Evaluations and Immunizations	1,110,524
Support Groups & Self Help	247,742
Health Professions Education	6,464,490
Total	$32,456,495

Financial Summary
Aurora's total net service revenue grew from $3.2 billion in 2007 to $3.5 billion in 2008. Revenue from inpatient services decreased 2.1% while revenue from outpatient hospital visits and visits to clinics rose 25.5%.

Aurora is Not-for-Profit
Aurora Health Care is a not-for-profit charitable organization. All revenues in excess of expenses are reinvested in improving health care services.

Sources of Funds

Inpatient services	$1,091,897,206
Outpatient and ambulatory services	2,033,523,024
Other services	409,264,000
Total net service revenue*	3,534,684,230
Other sources	242,247,000
Total	$3,776,931,230

* Total net service revenue is net after subtraction of charity care, other uncompensated care, and Medicare, Medicaid and other government shortfalls.

Uses of Funds

Salaries, fees and fringe benefits	$1,936,942,000
Net building, equipment and working capital	249,445,230
Other payments	84,356,000
Supplies	754,959,000
Maintenance, rental, insurance, utilities and other business expenses	751,229,000
Total	$3,776,931,230