As of the July, 2022, release via CMS


JOHN C. FREMONT HEALTHCARE DISTRICT


  • CMS id: 051304
  • 5189 HOSPITAL ROAD, MARIPOSA CA 95338. County: MARIPOSA
  • System: --
  • CBSA: Rural California

The 35-bed, CAH hospital had $-8,369,955 in net service to patients*, with a total profit margin of -15.25247% in fiscal year 2021, the latest year available.
It spent 4.23% of its operating expenses on uncompensated care and reported $0 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.


Note: Medians are from CAH 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
gov gov gov gov gov
Acute beds
Median
18
23
18
23
18
23
18
23
18
23
Total beds
Median
35
25
35
25
35
25
35
25
35
25
FTEs
Median
186.71
149.18
195.83
151.6
199.15
151.58
208.65
152.78
202.89
151.99

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

2017 2018 2019 2020 2021
Net patient revenue ?
Median
19,442,487
19,395,819
22,095,840
19,790,685
22,663,519
20,891,573
22,199,588
20,752,910
20,524,495
22,925,976
Operating expenses
Median
22,624,651
21,082,256
24,608,171
21,740,728
25,532,843
22,449,917
27,969,156
23,028,561
28,894,450
24,906,213
Net income from service 2 patients (NS2P) ?
Median
-3,182,164
-1,166,928
-2,512,331
-1,178,891
-2,869,324
-1,189,234
-5,769,568
-1,989,193
-8,369,955
-1,175,562
NS2P margin ?
Median
-16.37%
-6.37
-11.37%
-6.47
-12.66%
-6.58
-25.99%
-10.52
-40.78%
-5.81

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for JOHN C. FREMONT HEALTHCARE DISTRICT compared to all** CAH 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 CAH hospitals available to calculate medians:

2017 2018 2019 2020 2021
1,314 1,322 1,316 1,319 1,132

2017 2018 2019 2020 2021
Other income*
Median
Click here to show/hide details
4,169,848
1,517,926
5,450,841
1,554,100
5,241,698
1,708,825
4,576,474
3,606,354
4,546,075
4,946,640
Total income ?
Median
987,684
445,049
2,938,510
379,292
2,372,374
655,032
-1,193,094
1,453,054
-3,823,880
3,734,026
Non-operating expenses
Median
0
56,329
0
45,230
0
61,507
0
80,747
0
39,130
Net income
Median
987,684
309,249
2,938,510
305,537
2,372,374
515,321.5
-1,193,094
1,282,423
-3,823,880
3,678,491
Net margin
Median
4.18292%
1.7%
10.66738%
1.61%
8.50154%
2.36%
-4.45582%
5.41%
-15.25247%
13.38%

* 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 JOHN C. FREMONT HEALTHCARE DISTRICT compared to all** CAH hospitals, from CMS cost reports.
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 CAH hospitals available to calculate medians:

2017 2018 2019 2020 2021
1,314 1,322 1,316 1,319 1,132


Medicare revenue

Inpatient and outpatient revenue

2017 2018 2019 2020 2021
All inpatient revenue
Median
Click here to show/hide details
1,084,670
1,512,374
1,298,261
1,478,094
1,476,015
1,365,460
2,527,348
1,289,169
2,781,061
1,354,214
All outpatient revenue
Median
Click here to show/hide details
5,995,836
4,108,627
6,430,501
4,367,646
6,263,109
4,566,928
5,978,507
4,517,324
4,880,754
4,554,272

Other payments

Item 2017 2018 2019 2020 2021
Graduate Medical Education (GME)
Median
0
--
0
--
0
--
0
--
0
--
Disproportionate-share hospital (DSH)
Median
0
--
0
--
0
--
0
--
0
--
Outlier
Median
986
4,679
1,208
5,256
1,565
5,165.5
4,514
6,341
1,540
5,998

Uncompensated care

Item 2017 2018 2019 2020 2021
Medicaid shortfall
Median
1,909,311
553,475.5
0
567,149
0
599,174.5
0
641,417
0
631,057
Charity care
Median
125,171
190,496
164,689
225,101
140,584
238,624
60,004
260,478.5
12,828
225,887
Uncompensated care (UCC)
Median
689,670
860,218.5
895,782
933,428
999,071
986,290
1,057,233
998,939
1,223,234
871,713
UCC as a %
of operating expenses
Median
3.05%
3.77
3.64%
3.82
3.91%
3.7
3.78%
3.74
4.23%
3.04
Total shortfall/UCC
Median
2,598,981
1,405,482
895,782
1,525,979
999,071
1,576,055
1,057,233
1,691,815
1,223,234
1,476,802

Labor costs

2017 2018 2019 2020 2021
Total salaries
Median
10,714,858
8,521,101
11,481,407
8,786,419
12,318,046
9,086,354
13,016,448
9,512,636
13,805,906
9,933,360
Salaries as a % of operating expenses
Median
47.36
42.53
46.66
42.58
48.24
42.62
46.54
42.72
47.78
42.27
Intern, resident salaries*
Median
0
--
0
--
0
--
0
--
0
--
Contract intern, resident salaries*
Median
0
--
0
--
0
--
0
--
0
--
Contract adjusted salaries, direct-care
Median
0
--
0
--
0
--
0
--
0
--
Contract hours, direct-care
Median
0.00
--
0.00
--
0.00
--
0.00
--
0.00
--
Contract wages, direct-care
Median
0.00
--
0.00
--
0.00
--
0.00
--
0.00
--

* 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.