As of the July, 2022, release via CMS

OROVILLE HOSPITAL

CMS id: 050030
2767 OLIVE HIGHWAY, OROVILLE CA 95965. County: BUTTE
System: --
CBSA: Chico, CA

The 279-bed, acute-care hospital had $-13,913,210 in net service to patients*, with a total profit margin of 3.95755% in fiscal year 2021, the latest year available.
It spent 1.40% of its operating expenses on uncompensated care and reported $23,128,199 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	123 118	123 118	141 119.5	141 118	141 119
Total beds Median	133 162	133 162	153 162	153 162	279 163.5
FTEs Median	1,298.57 788.06	1,394.77 793.42	1,472.63 806.03	1,498.39 787.61	1,582.56 804.34

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	260,923,058 150,932,746	295,541,066 158,950,878	316,518,129 168,696,998	306,757,478 163,454,693	347,274,293 186,589,412
Operating expenses Median	257,077,645 149,311,209	289,474,587 156,110,414	317,634,627 164,890,568	328,741,040 166,516,854	361,187,503 180,120,888
Net income from service 2 patients (NS2P) ? Median	3,845,413 -964,173	6,066,479 -643,601.5	-1,116,498 -116,254	-21,983,562 -5,025,862	-13,913,210 -1,284,564
NS2P margin ? Median	1.47% -0.62	2.05% -0.29	-0.35% 0.18	-7.17% -5.07	-4.01% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for OROVILLE 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	12,105,055 5,089,215	11,014,958 4,572,541	16,742,883 5,268,134	37,040,906 13,092,619	29,759,456 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	105 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	962,339 188,688.5	1,514,191 370,813	2,658,345 309,361.5	1,549,740 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	3,004	2,118	111,225	70,619	103,400
⊳ Line 11: Rebates and refunds of expenses	1,038,981	1,050,386	1,660,729	1,504,758	1,004,036
⊳ 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	417,516	480,291	550,614	456,421	462,513
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ 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	7,229	75,891	52,216	57,394	14,390
⊳ Line 18: Revenue from sale of medical records and abstracts	20,275	20,336	19,284	38,506	32,958
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	116,868	160,193	182,221	143,195	51,660
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	73,716	76,035	59,676	44,487	23,215
⊳ 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	10,427,466	8,187,369	12,592,727	32,067,076	26,517,544
Total income ? Median	15,950,468 6,586,430	17,081,437 6,767,106	15,626,385 8,419,950	15,057,344 8,094,175	15,846,246 15,162,888
Non-operating expenses Median	64,106 146,289.5	69,635 164,857	189,689 89,880.5	673,002 106,761	924,959 31,473.5
Net income Median	15,886,362 6,043,842	17,011,802 5,845,112	15,436,696 7,606,259	14,384,342 7,283,041	14,921,287 14,957,241
Net margin Median	5.81858% 4.62%	5.54933% 4.42%	4.63201% 5.16%	4.18395% 5.2%	3.95755% 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 OROVILLE 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	69,741,350 23,241,334	72,190,538 23,709,545	75,182,543 24,248,380	70,176,555 22,858,541	67,835,487 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	69,741,350 21,577,146	72,190,538 22,041,594	75,182,543 22,722,063	70,176,555 21,570,441	67,831,799 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	3,688 1,179,746
All outpatient revenue Median Click here to show/hide details	20,340,342 11,160,864	23,138,227 11,987,345	28,650,382 12,926,866	26,354,584 11,884,480	27,930,331 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	16,127,670 10,918,923	18,171,661 11,706,976	22,117,742 12,615,917	21,111,964 11,458,116	23,204,579 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,290,732 1,282,808	1,227,911 1,407,728	1,072,800 1,341,512	621,574 1,407,046	166,878 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	2,921,940 618,038	3,738,655 697,279	5,459,840 690,232	4,621,046 684,010	4,558,874 670,558
⊳ 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	4,828,941 594,888	4,950,649 595,761	4,969,258 577,894	4,778,016 542,168	4,389,298 549,667
Outlier Median	182,410 582,572	620,538 538,116	16,742 212,434	11,862 126,559	23,400 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	28,853,270 3,662,910	16,750,671 3,730,911	19,170,107 4,081,319	22,563,622 4,643,908	23,128,199 4,389,147
Charity care Median	3,658,458 2,654,636	3,226,758 2,940,659	5,156,409 3,380,215	8,628,637 3,488,738	3,108,788 3,233,405
Uncompensated care (UCC) Median	5,567,128 5,147,790	5,727,450 5,337,617	7,668,679 5,711,082	11,469,835 5,923,418	5,072,429 5,508,107
UCC as a % of operating expenses Median	2.17% 3.24	1.98% 3.12	2.41% 3.21	3.49% 3.3	1.40% 2.86
Total shortfall/UCC Median	34,420,398 9,489,989	22,478,121 9,424,297	26,838,786 10,120,158	34,033,457 11,171,337	28,200,628 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	101,223,928 52,142,039	110,424,237 54,485,252	118,666,229 57,395,589	128,442,485 58,830,919	138,961,386 61,722,907
Salaries as a % of operating expenses Median	39.37 36.68	38.15 36.56	37.36 36.37	39.07 35.93	38.47 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	2,129,898 1,449,244	3,823,094 1,475,986	5,620,681 1,563,078	5,911,863 1,721,954	3,775,405 2,991,828
Contract hours, direct-care Median	28,537.00 22,725	50,627.00 23,018.5	107,914.00 24,503.48	71,221.00 25,026.5	48,346.00 33,786
Contract wages, direct-care Median	74.64 64.67	75.51 64.53	52.08 65.06	83.01 68.97	78.09 88.94

* in an approved program

Return to top

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.