As of the July, 2022, release via CMS

AVITA ONTARIO HOSPITAL

CMS id: 360365
715 RICHLAND MALL, ONTARIO OH 44906. County: RICHLAND
System: AVITA
CBSA: Mansfield, OH

The 26-bed, acute-care hospital had $21,243,767 in net service to patients*, with a total profit margin of 26.25762% in fiscal year 2021, the latest year available.
It spent 3.45% of its operating expenses on uncompensated care and reported $8,511,963 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	102	365	365	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	19 118	19 118	19 119.5	19 118	19 119
Total beds Median	26 162	26 162	26 162	26 162	26 163.5
FTEs Median	72.67 788.06	314.27 793.42	397.43 806.03	390.41 787.61	452.78 804.34

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	12,921,726 150,932,746	56,055,577 158,950,878	74,426,724 168,696,998	74,919,196 163,454,693	93,171,148 186,589,412
Operating expenses Median	14,407,817 149,311,209	37,839,160 156,110,414	58,402,658 164,890,568	63,126,955 166,516,854	71,927,381 180,120,888
Net income from service 2 patients (NS2P) ? Median	-1,486,091 -964,173	18,216,417 -643,601.5	16,024,066 -116,254	11,792,241 -5,025,862	21,243,767 -1,284,564
NS2P margin ? Median	-11.50% -0.62	32.50% -0.29	21.53% 0.18	15.74% -5.07	22.80% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for AVITA ONTARIO 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	682,942 5,089,215	1,814,361 4,572,541	2,133,055 5,268,134	4,075,469 13,092,619	4,367,585 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	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	46,790	-34,733	-20,059	-6,522	-5,718
⊳ Line 11: Rebates and refunds of expenses	721	3,012	0	9,604	1,152
⊳ 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	77,115	267,406	313,961	342,144	295,808
⊳ 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	555,409	1,579,447	1,830,654	2,224,178	3,464,459
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ 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	0	0	0	0	0
⊳ Line 22: Rental of hospital space	2,907	3,029	22	0	0
⊳ 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	--	-3,800	8,477	1,506,065	611,884
Total income ? Median	-803,149 6,586,430	20,030,778 6,767,106	18,157,121 8,419,950	15,867,710 8,094,175	25,611,352 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	22,440,666 89,880.5	0 106,761	0 31,473.5
Net income Median	-803,149 6,043,842	20,030,778 5,845,112	-4,283,545 7,606,259	15,867,710 7,283,041	25,611,352 14,957,241
Net margin Median	-5.90348% 4.62%	34.61344% 4.42%	-5.59503% 5.16%	20.08707% 5.2%	26.25762% 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 AVITA ONTARIO 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	780,879 23,241,334	4,871,447 23,709,545	7,242,348 24,248,380	6,366,210 22,858,541	7,738,605 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	780,879 21,577,146	4,871,447 22,041,594	7,242,348 22,722,063	6,366,210 21,570,441	7,738,605 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	942,613 11,160,864	5,009,751 11,987,345	7,093,300 12,926,866	7,001,302 11,884,480	9,196,396 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	942,613 10,918,923	5,009,751 11,706,976	7,093,300 12,615,917	7,001,302 11,458,116	9,196,396 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 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	0 594,888	0 595,761	50,125 577,894	32,205 542,168	48,590 549,667
Outlier Median	176,334 582,572	890,498 538,116	2,447,864 212,434	46,868 126,559	33,088 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	796,679 3,662,910	8,634,458 3,730,911	11,044,856 4,081,319	8,702,339 4,643,908	8,511,963 4,389,147
Charity care Median	443,851 2,654,636	13,934,156 2,940,659	1,315,583 3,380,215	1,135,937 3,488,738	1,023,815 3,233,405
Uncompensated care (UCC) Median	446,827 5,147,790	15,250,705 5,337,617	3,115,904 5,711,082	3,065,293 5,923,418	2,482,499 5,508,107
UCC as a % of operating expenses Median	3.10% 3.24	40.30% 3.12	5.34% 3.21	4.86% 3.3	3.45% 2.86
Total shortfall/UCC Median	1,243,506 9,489,989	23,885,163 9,424,297	14,160,760 10,120,158	11,767,632 11,171,337	10,994,462 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	5,091,079 52,142,039	17,590,864 54,485,252	31,025,159 57,395,589	33,355,252 58,830,919	35,651,607 61,722,907
Salaries as a % of operating expenses Median	35.34 36.68	46.49 36.56	53.12 36.37	52.84 35.93	49.57 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	73,791 1,449,244	0 1,475,986	605,959 1,563,078	314,416 1,721,954	314,416 2,991,828
Contract hours, direct-care Median	2,148.00 22,725	0.00 23,018.5	11,653.05 24,503.48	5,513.00 25,026.5	5,513.00 33,786
Contract wages, direct-care Median	34.35 64.67	0.00 64.53	52.00 65.06	57.03 68.97	57.03 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.