As of the July, 2022, release via CMS

BAY AREA HOSPITAL

CMS id: 380090
1775 THOMPSON ROAD, COOS BAY OR 97420. County: COOS
System: --
CBSA: Coos Bay, OR

The 134-bed, acute-care hospital had $-10,846,928 in net service to patients*, with a total profit margin of 0.05904% in fiscal year 2021, the latest year available.
It spent 1.45% of its operating expenses on uncompensated care and reported $14,415,780 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	gov	gov	gov	gov	gov
Acute beds Median	118 118	118 118	118 119.5	122 118	122 119
Total beds Median	130 162	130 162	130 162	134 162	134 163.5
FTEs Median	772.80 788.06	777.80 793.42	888.69 806.03	898.49 787.61	906.10 804.34

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	180,569,622 150,932,746	183,617,633 158,950,878	185,362,616 168,696,998	188,732,715 163,454,693	209,689,411 186,589,412
Operating expenses Median	172,699,527 149,311,209	177,059,004 156,110,414	180,794,668 164,890,568	190,017,992 166,516,854	220,536,339 180,120,888
Net income from service 2 patients (NS2P) ? Median	7,870,095 -964,173	6,558,629 -643,601.5	4,567,948 -116,254	-1,285,277 -5,025,862	-10,846,928 -1,284,564
NS2P margin ? Median	4.36% -0.62	3.57% -0.29	2.46% 0.18	-0.68% -5.07	-5.17% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BAY AREA 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	3,543,729 5,089,215	1,939,618 4,572,541	6,979,553 5,268,134	8,049,234 13,092,619	10,977,213 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	412,385 224,999	813,822 199,009	516,205 206,870.5	856,229 194,343	11,493 249,496
⊳ Line 7: Investments ? ⊳ Median	-170,821 299,524	-1,906,217 188,688.5	4,613,390 370,813	4,925,217 309,361.5	-697,980 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	487,077	658,680	372,289	475,403	319,984
⊳ 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	1,187,151	1,252,023	1,231,427	1,107,502	905,099
⊳ 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	4,744
⊳ 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	129	2,021	4,339	2,769	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	27,065	30,824	19,654	28,568	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	10,007	7,493	13,495	20,621	26,616
⊳ 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	1,590,741	1,080,972	208,754	632,925	10,407,257
Total income ? Median	11,413,824 6,586,430	8,498,247 6,767,106	11,547,501 8,419,950	6,763,957 8,094,175	130,285 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	11,413,824 6,043,842	8,498,247 5,845,112	11,547,501 7,606,259	6,763,957 7,283,041	130,285 14,957,241
Net margin Median	6.19935% 4.62%	4.57985% 4.42%	6.00362% 5.16%	3.43729% 5.2%	0.05904% 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 BAY AREA 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	40,767,230 23,241,334	40,491,482 23,709,545	39,093,118 24,248,380	35,199,633 22,858,541	38,317,159 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	40,767,230 21,577,146	40,491,482 22,041,594	39,093,118 22,722,063	35,199,633 21,570,441	38,317,159 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	28,009,517 11,160,864	31,223,927 11,987,345	33,615,261 12,926,866	34,198,116 11,884,480	37,160,617 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	26,493,171 10,918,923	29,568,430 11,706,976	31,944,335 12,615,917	32,147,829 11,458,116	34,936,943 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,516,346 1,282,808	1,655,497 1,407,728	1,670,926 1,341,512	2,050,287 1,407,046	2,223,674 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	319,955 3,284,314	333,497 3,250,551	403,362 3,386,837	515,783 3,360,806	586,884 3,508,953
Disproportionate-share hospital (DSH) Median	1,234,965 594,888	1,305,883 595,761	1,076,391 577,894	1,103,829 542,168	1,181,202 549,667
Outlier Median	1,165,256 582,572	1,023,338 538,116	1,125,546 212,434	208,660 126,559	272,903 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	11,289,336 3,662,910	12,192,978 3,730,911	9,122,030 4,081,319	10,734,186 4,643,908	14,415,780 4,389,147
Charity care Median	1,473,997 2,654,636	2,133,821 2,940,659	1,567,463 3,380,215	1,389,129 3,488,738	2,247,362 3,233,405
Uncompensated care (UCC) Median	7,878,097 5,147,790	7,621,553 5,337,617	3,104,611 5,711,082	2,980,573 5,923,418	3,199,674 5,508,107
UCC as a % of operating expenses Median	4.56% 3.24	4.30% 3.12	1.72% 3.21	1.57% 3.3	1.45% 2.86
Total shortfall/UCC Median	19,167,433 9,489,989	19,814,531 9,424,297	12,226,641 10,120,158	13,714,759 11,171,337	17,615,454 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	66,898,113 52,142,039	69,644,264 54,485,252	75,541,774 57,395,589	74,207,078 58,830,919	79,372,891 61,722,907
Salaries as a % of operating expenses Median	38.74 36.68	39.33 36.56	41.78 36.37	39.05 35.93	35.99 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	3,197,478 1,449,244	4,425,424 1,475,986	3,492,801 1,563,078	3,451,555 1,721,954	5,698,506 2,991,828
Contract hours, direct-care Median	30,832.00 22,725	81,907.61 23,018.5	37,042.00 24,503.48	29,814.65 25,026.5	46,502.97 33,786
Contract wages, direct-care Median	103.71 64.67	54.03 64.53	94.29 65.06	115.77 68.97	122.54 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.