As of the July, 2022, release via CMS


HOWARD MEMORIAL HOSPITA


  • CMS id: 051310
  • ONE MARCELLA DRIVE, WILLITS CA 95490. County: MENDOCINO
  • System: ADVENTIST HEALTH
  • CBSA: Ukiah, CA

The 25-bed, CAH hospital had $-783,546 in net service to patients*, with a total profit margin of 11.04723% in fiscal year 2021, the latest year available.
It spent 2.18% of its operating expenses on uncompensated care and reported $13,412,549 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
nfp nfp nfp nfp nfp
Acute beds
Median
21
23
21
23
21
23
21
23
21
23
Total beds
Median
25
25
25
25
25
25
25
25
25
25
FTEs
Median
247.69
149.18
234.94
151.6
251.19
151.58
238.72
152.78
240.53
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
58,137,798
19,395,819
57,457,681
19,790,685
70,173,777
20,891,573
70,628,065
20,752,910
84,635,475
22,925,976
Operating expenses
Median
62,050,452
21,082,256
65,805,722
21,740,728
76,255,329
22,449,917
80,564,617
23,028,561
85,419,021
24,906,213
Net income from service 2 patients (NS2P) ?
Median
-3,912,654
-1,166,928
-8,348,041
-1,178,891
-6,081,552
-1,189,234
-9,936,552
-1,989,193
-783,546
-1,175,562
NS2P margin ?
Median
-6.73%
-6.37
-14.53%
-6.47
-8.67%
-6.58
-14.07%
-10.52
-0.93%
-5.81

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HOWARD MEMORIAL HOSPITA 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
7,209,809
1,517,926
7,887,940
1,554,100
9,577,467
1,708,825
15,876,663
3,606,354
11,394,602
4,946,640
Total income ?
Median
3,297,155
445,049
-460,101
379,292
3,495,915
655,032
5,940,111
1,453,054
10,611,056
3,734,026
Non-operating expenses
Median
-342,186
56,329
-1,296,165
45,230
-252,061
61,507
29,431
80,747
2,392
39,130
Net income
Median
3,639,341
309,249
836,064
305,537
3,747,976
515,321.5
5,910,680
1,282,423
10,608,664
3,678,491
Net margin
Median
5.56920%
1.7%
1.27945%
1.61%
4.69958%
2.36%
6.83278%
5.41%
11.04723%
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 HOWARD MEMORIAL HOSPITA 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
17,223,189
1,512,374
16,538,006
1,478,094
19,454,408
1,365,460
21,388,425
1,289,169
22,419,305
1,354,214
All outpatient revenue
Median
Click here to show/hide details
7,995,141
4,108,627
9,484,060
4,367,646
10,550,468
4,566,928
10,798,396
4,517,324
11,903,534
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
0
4,679
0
5,256
0
5,165.5
0
6,341
0
5,998

Uncompensated care

Item 2017 2018 2019 2020 2021
Medicaid shortfall
Median
9,291,636
553,475.5
11,430,053
567,149
2,781,452
599,174.5
2,042,458
641,417
13,412,549
631,057
Charity care
Median
2,481,036
190,496
1,978,243
225,101
20,530,817
238,624
1,223,897
260,478.5
418,866
225,887
Uncompensated care (UCC)
Median
3,479,817
860,218.5
2,995,430
933,428
21,950,890
986,290
2,193,085
998,939
1,864,917
871,713
UCC as a %
of operating expenses
Median
5.61%
3.77
4.55%
3.82
28.79%
3.7
2.72%
3.74
2.18%
3.04
Total shortfall/UCC
Median
12,771,453
1,405,482
14,425,483
1,525,979
24,732,342
1,576,055
4,235,543
1,691,815
15,277,466
1,476,802

Labor costs

2017 2018 2019 2020 2021
Total salaries
Median
21,882,303
8,521,101
23,186,351
8,786,419
24,943,595
9,086,354
25,557,214
9,512,636
27,011,585
9,933,360
Salaries as a % of operating expenses
Median
35.27
42.53
35.23
42.58
32.71
42.62
31.72
42.72
31.62
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.