As of the July, 2022, release via CMS


TOWNER COUNTY MEDICAL CENTER


  • CMS id: 351331
  • HWY 281 NORTH, CANDO ND 58324. County: TOWNER
  • System: --
  • CBSA: Rural North Dakota

The 55-bed, CAH hospital had $-410,462 in net service to patients*, with a total profit margin of 17.57107% in fiscal year 2021, the latest year available.
It spent 0.44% 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
nfp nfp nfp nfp nfp
Acute beds
Median
20
23
20
23
20
23
20
23
20
23
Total beds
Median
55
25
55
25
55
25
55
25
55
25
FTEs
Median
96.80
149.18
97.19
151.6
98.95
151.58
94.86
152.78
94.12
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
10,400,133
19,395,819
10,173,251
19,790,685
10,266,684
20,891,573
11,323,400
20,752,910
11,132,628
22,925,976
Operating expenses
Median
10,185,419
21,082,256
10,421,409
21,740,728
10,719,234
22,449,917
10,933,110
23,028,561
11,543,090
24,906,213
Net income from service 2 patients (NS2P) ?
Median
214,714
-1,166,928
-248,158
-1,178,891
-452,550
-1,189,234
390,290
-1,989,193
-410,462
-1,175,562
NS2P margin ?
Median
2.06%
-6.37
-2.44%
-6.47
-4.41%
-6.58
3.45%
-10.52
-3.69%
-5.81

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for TOWNER COUNTY MEDICAL CENTER 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
739,042
1,517,926
646,278
1,554,100
776,875
1,708,825
815,301
3,606,354
2,871,059
4,946,640
Total income ?
Median
953,756
445,049
398,120
379,292
324,325
655,032
1,205,591
1,453,054
2,460,597
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
953,756
309,249
398,120
305,537
324,325
515,321.5
1,205,591
1,282,423
2,460,597
3,678,491
Net margin
Median
8.56218%
1.7%
3.67964%
1.61%
2.93678%
2.36%
9.93180%
5.41%
17.57107%
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 TOWNER COUNTY MEDICAL CENTER 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
615,678
1,512,374
450,699
1,478,094
509,625
1,365,460
466,052
1,289,169
661,066
1,354,214
All outpatient revenue
Median
Click here to show/hide details
2,301,981
4,108,627
2,432,110
4,367,646
2,548,549
4,566,928
2,821,204
4,517,324
2,503,617
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
0
553,475.5
0
567,149
0
599,174.5
0
641,417
0
631,057
Charity care
Median
34,580
190,496
22,488
225,101
12,575
238,624
29,075
260,478.5
17,820
225,887
Uncompensated care (UCC)
Median
151,308
860,218.5
137,642
933,428
124,354
986,290
101,165
998,939
51,017
871,713
UCC as a %
of operating expenses
Median
1.49%
3.77
1.32%
3.82
1.16%
3.7
0.93%
3.74
0.44%
3.04
Total shortfall/UCC
Median
151,308
1,405,482
137,642
1,525,979
124,354
1,576,055
101,165
1,691,815
51,017
1,476,802

Labor costs

2017 2018 2019 2020 2021
Total salaries
Median
4,669,175
8,521,101
4,986,987
8,786,419
5,181,088
9,086,354
5,286,561
9,512,636
5,710,453
9,933,360
Salaries as a % of operating expenses
Median
45.84
42.53
47.85
42.58
48.33
42.62
48.35
42.72
49.47
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.