As of the July, 2022, release via CMS

MAD RIVER COMMUNITY HOSPITAL

CMS id: 050028
3800 JANES ROAD, ARCATA CA 95521. County: HUMBOLDT
System: --
CBSA: Eureka-Arcata, CA

The 49-bed, acute-care hospital had $-8,925,756 in net service to patients*, with a total profit margin of 11.71756% in fiscal year 2021, the latest year available.
It spent 3.46% of its operating expenses on uncompensated care and reported $3,930,177 in Medicaid shortfall.

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

Note: Medians are from acute-care 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	70 118	70 118	41 119.5	41 118	41 119
Total beds Median	78 162	78 162	49 162	49 162	49 163.5
FTEs Median	469.65 788.06	454.56 793.42	453.28 806.03	418.42 787.61	374.97 804.34

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

Hospital cost reports are an enormously complicated dataset. There are whole organizations and an offical CMS vendor dedicated to helping researchers work with the data.
It's important to understand that hospital financials in cost reports are not organized in the same as other sources such as annual financial reports to bond holders.

The biggest difference is the concept of operating revenue and profit. Net Service to patients (NS2P), which is the sum of net patient revenue minus operating expenses, 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).

That would make Net Patient Revenue = operating revenue.

All this makes things challenging when comparing what's reported in cost reports to other sources. It becomes clearer when you consider that, beyond the purpose of reimbursement, cost reports are a tool for policymakers trying to understand the financial situation of a hospital doing the tasks specific to hospitals.

In other words, while a facility with a division that formulates drugs might include earnings from that as operating revenue in their corporate annual result, this is not central to the operations of a hospital caring for patients and so it is counted as "other income." (See below the financials section for more on "other income")

The healthcare consulting firm HMP, in a former partnership with Modern Healthcare, did develop a formula for estimating operating revenue closer to what one might find in other sources. We no longer use this for the following reasons:

The measure was not widely used beyond HMP and Modern Healthcare. Many hospitals had their own internal estimates of operating revenue and profit.
Because of this, there was confusion when reporting operating results for individual hospitals. There was often pushback when a facility's internal numbers did not match what Modern Healthcare was reporting.
The formula includes revenue from portions of the "other income" section, which may also include non-operating revenue. HMP themselves point out in a caveat on their site that they cannot exclude all non-operating revenue from their measure.

HMP's operating measure has proven problematic in the past for our reporting and the partnership with them ended years ago. It's best to not use a measure that we alone cannot defend.

	2017	2018	2019	2020	2021
Net patient revenue ? Median	62,592,496 150,932,746	58,877,779 158,950,878	58,783,812 168,696,998	48,249,721 163,454,693	44,692,542 186,589,412
Operating expenses Median	62,843,702 149,311,209	62,786,833 156,110,414	63,241,405 164,890,568	62,645,593 166,516,854	53,618,298 180,120,888
Net income from service 2 patients (NS2P) ? Median	-251,206 -964,173	-3,909,054 -643,601.5	-4,457,593 -116,254	-14,395,872 -5,025,862	-8,925,756 -1,284,564
NS2P margin ? Median	-0.40% -0.62	-6.64% -0.29	-7.58% 0.18	-29.84% -5.07	-19.97% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MAD RIVER COMMUNITY HOSPITAL compared to all** acute-care 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 acute-care hospitals available to calculate medians:

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	1,487,731 5,089,215	4,737,521 4,572,541	4,770,378 5,268,134	14,905,980 13,092,619	16,042,408 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	10,137 299,524	9,123 188,688.5	0 370,813	0 309,361.5	9,496 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	664	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	306,767	327,210	361,445	317,477	206,163
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	24,000
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	13,144	19,619	17,246	19,966	15,315
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	4,078	0	0	3,016	1,623
⊳ Line 22: Rental of hospital space	107,251	125,251	113,184	113,460	108,341
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	1,045,690	4,256,318	4,278,503	14,452,061	15,677,470
Total income ? Median	1,236,525 6,586,430	828,467 6,767,106	312,785 8,419,950	510,108 8,094,175	7,116,652 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	1,236,525 6,043,842	828,467 5,845,112	312,785 7,606,259	510,108 7,283,041	7,116,652 14,957,241
Net margin Median	1.92965% 4.62%	1.30231% 4.42%	0.49215% 5.16%	0.80770% 5.2%	11.71756% 9.25%

* 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 MAD RIVER COMMUNITY HOSPITAL compared to all** acute-care hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	5,803,481 23,241,334	6,515,209 23,709,545	6,897,246 24,248,380	6,595,972 22,858,541	6,202,468 23,620,613
"All inpatient revenue" is made up of any Medicare payments for routine inpatient, swingbed SNFs, TEFRA, IPF, IRF, inpatient long-term care, CAH and inpatient SNF facilities. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine inpatient revenue ⊳ Median	5,803,481 21,577,146	6,515,209 22,041,594	6,897,246 22,722,063	6,595,972 21,570,441	6,202,468 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	9,026,604 11,160,864	9,318,944 11,987,345	9,668,903 12,926,866	10,121,119 11,884,480	8,750,333 13,145,163
"All outpatient revenue" is made up of any payments for routine outpatient, HHA, CMHC, rural health and other federally-qualified health clinics. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine outpatient revenue ⊳ Median	5,734,738 10,918,923	5,570,902 11,706,976	5,531,994 12,615,917	5,297,898 11,458,116	5,175,827 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,868,788 1,282,808	3,045,653 1,407,728	2,843,869 1,341,512	3,471,024 1,407,046	2,756,356 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	423,078 618,038	702,389 697,279	1,293,040 690,232	1,352,197 684,010	818,150 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	142,317 594,888	151,633 595,761	167,505 577,894	159,620 542,168	146,347 549,667
Outlier Median	188,277 582,572	586,451 538,116	324,071 212,434	40,481 126,559	24,531 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	6,569,957 3,662,910	3,565,568 3,730,911	5,697,309 4,081,319	5,752,550 4,643,908	3,930,177 4,389,147
Charity care Median	93,482 2,654,636	69,311 2,940,659	116,194 3,380,215	69,384 3,488,738	162,811 3,233,405
Uncompensated care (UCC) Median	1,391,761 5,147,790	1,390,728 5,337,617	1,600,720 5,711,082	1,700,418 5,923,418	1,857,807 5,508,107
UCC as a % of operating expenses Median	2.21% 3.24	2.21% 3.12	2.53% 3.21	2.71% 3.3	3.46% 2.86
Total shortfall/UCC Median	7,961,718 9,489,989	4,956,296 9,424,297	7,298,029 10,120,158	7,452,968 11,171,337	5,787,984 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	24,910,806 52,142,039	25,556,046 54,485,252	25,738,819 57,395,589	24,947,119 58,830,919	24,400,971 61,722,907
Salaries as a % of operating expenses Median	39.64 36.68	37.85 36.56	39.28 36.37	39.82 35.93	43.16 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	3,173,820 1,449,244	3,520,843 1,475,986	3,708,416 1,563,078	3,179,680 1,721,954	3,300,153 2,991,828
Contract hours, direct-care Median	32,848.00 22,725	35,028.00 23,018.5	41,205.00 24,503.48	36,615.00 25,026.5	34,606.00 33,786
Contract wages, direct-care Median	96.62 64.67	100.52 64.53	90.00 65.06	86.84 68.97	95.36 88.94

* 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.