As of the July, 2022, release via CMS

NORTHBAY HOSPITAL GROUP

CMS id: 050367
1200 B. GALE WILSON BLVD, FAIRFIELD CA 94533. County: SOLANO
System: --
CBSA: Vallejo, CA

The 204-bed, acute-care hospital had $-32,054,373 in net service to patients*, with a total profit margin of 0.59702% in fiscal year 2021, the latest year available.
It spent 1.05% of its operating expenses on uncompensated care and reported $109,056,979 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	142 118	142 118	136 119.5	136 118	158 119
Total beds Median	182 162	182 162	182 162	182 162	204 163.5
FTEs Median	2,067.02 788.06	2,000.22 793.42	1,652.24 806.03	1,659.98 787.61	1,570.55 804.34

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	530,869,115 150,932,746	584,734,823 158,950,878	645,514,554 168,696,998	585,987,094 163,454,693	660,267,812 186,589,412
Operating expenses Median	563,696,323 149,311,209	622,256,366 156,110,414	623,043,086 164,890,568	627,081,743 166,516,854	692,322,185 180,120,888
Net income from service 2 patients (NS2P) ? Median	-32,827,208 -964,173	-37,521,543 -643,601.5	22,471,468 -116,254	-41,094,649 -5,025,862	-32,054,373 -1,284,564
NS2P margin ? Median	-6.18% -0.62	-6.42% -0.29	3.48% 0.18	-7.01% -5.07	-4.85% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NORTHBAY HOSPITAL GROUP 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	28,046,348 5,089,215	8,056,711 4,572,541	46,469,545 5,268,134	73,574,620 13,092,619	36,212,533 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	796,824 224,999	921,595 199,009	3,214,856 206,870.5	424,357 194,343	281,949 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	46,718	49,179	-23,827	24,489	25,225
⊳ Line 11: Rebates and refunds of expenses	1,421,924	962,058	4,963,692	3,602,771	4,748,312
⊳ 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	996,896	961,236	1,044,481	790,430	848,879
⊳ 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	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	59,347	54,469	30,407	21,398	22,296
⊳ 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	17,186	16,417	13,728	5,507	1,037
⊳ Line 22: Rental of hospital space	175,133	110,091	119,271	110,091	119,329
⊳ 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	24,532,320	4,981,666	37,106,937	68,595,577	30,165,506
Total income ? Median	-4,780,860 6,586,430	-29,464,832 6,767,106	68,941,013 8,419,950	32,479,971 8,094,175	4,158,160 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	-4,780,860 6,043,842	-29,464,832 5,845,112	68,941,013 7,606,259	32,479,971 7,283,041	4,158,160 14,957,241
Net margin Median	-0.85538% 4.62%	-4.97052% 4.42%	9.96280% 5.16%	4.92448% 5.2%	0.59702% 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 NORTHBAY HOSPITAL GROUP 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	68,581,357 23,241,334	76,829,442 23,709,545	84,348,744 24,248,380	82,803,003 22,858,541	83,877,721 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	68,581,357 21,577,146	76,829,442 22,041,594	84,348,744 22,722,063	82,803,003 21,570,441	83,877,721 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	34,336,559 11,160,864	34,166,405 11,987,345	36,746,389 12,926,866	37,225,198 11,884,480	36,601,495 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	30,586,702 10,918,923	30,683,373 11,706,976	33,477,648 12,615,917	33,974,820 11,458,116	34,388,251 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	3,749,857 1,282,808	3,483,032 1,407,728	3,268,741 1,341,512	3,250,378 1,407,046	2,213,244 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	0 670,558
⊳ 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	4,006,874 594,888	4,116,338 595,761	3,926,878 577,894	4,300,827 542,168	4,610,266 549,667
Outlier Median	14,692,711 582,572	16,391,164 538,116	4,273,095 212,434	3,602,259 126,559	4,596,019 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	72,366,396 3,662,910	0 3,730,911	0 4,081,319	104,559,915 4,643,908	109,056,979 4,389,147
Charity care Median	10,372,200 2,654,636	4,429,189 2,940,659	4,439,041 3,380,215	6,851,168 3,488,738	5,502,223 3,233,405
Uncompensated care (UCC) Median	12,565,881 5,147,790	9,471,239 5,337,617	8,408,759 5,711,082	9,202,022 5,923,418	7,254,582 5,508,107
UCC as a % of operating expenses Median	2.23% 3.24	1.52% 3.12	1.35% 3.21	1.47% 3.3	1.05% 2.86
Total shortfall/UCC Median	84,932,277 9,489,989	9,471,239 9,424,297	8,408,759 10,120,158	113,761,937 11,171,337	116,311,561 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	250,426,983 52,142,039	236,729,331 54,485,252	227,208,314 57,395,589	227,585,001 58,830,919	232,522,085 61,722,907
Salaries as a % of operating expenses Median	44.30 36.68	38.04 36.56	36.47 36.37	36.29 35.93	33.59 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	1,711,423 1,449,244	1,277,562 1,475,986	3,353,614 1,563,078	1,799,160 1,721,954	7,209,410 2,991,828
Contract hours, direct-care Median	25,574.27 22,725	17,494.00 23,018.5	38,595.35 24,503.48	20,609.25 25,026.5	37,474.46 33,786
Contract wages, direct-care Median	66.92 64.67	73.03 64.53	86.89 65.06	87.30 68.97	192.38 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.