As of the July, 2022, release via CMS

CLEARFIELD HOSPITAL

CMS id: 390052
809 TURNPIKE AVENUE, CLEARFIELD PA 16830. County: CLEARFIELD
System: PENN HIGHLANDS HEALTHCARE INC
CBSA: DuBois, PA

The 50-bed, acute-care hospital had $-1,127,051 in net service to patients*, with a total profit margin of 12.16729% in fiscal year 2021, the latest year available.
It spent 2.35% of its operating expenses on uncompensated care and reported $2,181,654 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	40 118	40 118	40 119.5	40 118	40 119
Total beds Median	50 162	50 162	50 162	50 162	50 163.5
FTEs Median	331.10 788.06	283.75 793.42	248.52 806.03	228.35 787.61	218.24 804.34

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	41,361,435 150,932,746	37,508,025 158,950,878	40,223,959 168,696,998	38,665,267 163,454,693	42,696,463 186,589,412
Operating expenses Median	47,755,536 149,311,209	45,641,979 156,110,414	44,215,791 164,890,568	42,133,940 166,516,854	43,823,514 180,120,888
Net income from service 2 patients (NS2P) ? Median	-6,394,101 -964,173	-8,133,954 -643,601.5	-3,991,832 -116,254	-3,468,673 -5,025,862	-1,127,051 -1,284,564
NS2P margin ? Median	-15.46% -0.62	-21.69% -0.29	-9.92% 0.18	-8.97% -5.07	-2.64% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CLEARFIELD 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	4,677,242 5,089,215	3,571,528 4,572,541	2,871,172 5,268,134	3,684,365 13,092,619	7,197,836 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	63,934 224,999	539,787 199,009	29,198 206,870.5	247,047 194,343	34,570 249,496
⊳ Line 7: Investments ? ⊳ Median	74,456 299,524	368,906 188,688.5	365,677 370,813	491,197 309,361.5	911,028 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	46,633	292	0	0	4,556
⊳ Line 11: Rebates and refunds of expenses	0	3,805	216	0	728
⊳ 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	131,936	126,960	137,801	115,642	88,688
⊳ 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	99,036	99,499	87,678	74,808	72,904
⊳ Line 18: Revenue from sale of medical records and abstracts	21,872	20,215	22,237	15,812	12,466
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	10,455	8,322	6,034	-4,909
⊳ Line 21: Rental of vending machines	0	3,032	2,076	5,150	97
⊳ Line 22: Rental of hospital space	593,345	790,317	805,125	901,307	918,143
⊳ 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	3,646,030	1,608,260	1,412,842	1,827,368	5,159,565
Total income ? Median	-1,716,859 6,586,430	-4,562,426 6,767,106	-1,120,660 8,419,950	215,692 8,094,175	6,070,785 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	-1,716,859 6,043,842	-4,562,426 5,845,112	-1,120,660 7,606,259	215,692 7,283,041	6,070,785 14,957,241
Net margin Median	-3.72917% 4.62%	-11.10632% 4.42%	-2.60043% 5.16%	0.50931% 5.2%	12.16729% 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 CLEARFIELD 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	6,636,844 23,241,334	5,708,864 23,709,545	5,269,038 24,248,380	5,340,128 22,858,541	5,613,423 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	5,607,757 21,577,146	4,783,880 22,041,594	4,020,520 22,722,063	3,790,323 21,570,441	4,240,210 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	1,029,087 1,845,420	924,984 1,757,392	1,248,518 1,738,842	1,549,805 1,510,463	1,373,213 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	7,301,832 11,160,864	5,283,618 11,987,345	5,073,761 12,926,866	4,786,268 11,884,480	4,613,622 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	5,250,667 10,918,923	5,283,618 11,706,976	5,073,761 12,615,917	4,786,268 11,458,116	4,613,622 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,051,165 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	33,874 594,888	0 595,761	19,853 577,894	32,252 542,168	0 549,667
Outlier Median	20,270 582,572	18,597 538,116	26,881 212,434	17,828 126,559	5,735 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,807,065 3,662,910	3,359,367 3,730,911	2,730,289 4,081,319	1,691,259 4,643,908	2,181,654 4,389,147
Charity care Median	221,204 2,654,636	235,945 2,940,659	418,649 3,380,215	588,300 3,488,738	388,468 3,233,405
Uncompensated care (UCC) Median	1,113,966 5,147,790	992,288 5,337,617	1,060,956 5,711,082	1,300,349 5,923,418	1,031,080 5,508,107
UCC as a % of operating expenses Median	2.33% 3.24	2.17% 3.12	2.40% 3.21	3.09% 3.3	2.35% 2.86
Total shortfall/UCC Median	4,921,031 9,489,989	4,351,655 9,424,297	3,791,245 10,120,158	2,991,608 11,171,337	3,212,734 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	17,133,649 52,142,039	17,160,757 54,485,252	15,103,974 57,395,589	14,260,272 58,830,919	14,737,176 61,722,907
Salaries as a % of operating expenses Median	35.88 36.68	37.60 36.56	34.16 36.37	33.85 35.93	33.63 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	282,329 1,449,244	897,470 1,475,986	850,248 1,563,078	1,966,216 1,721,954	623,623 2,991,828
Contract hours, direct-care Median	4,476.77 22,725	12,619.44 23,018.5	13,540.76 24,503.48	22,120.00 25,026.5	11,945.92 33,786
Contract wages, direct-care Median	63.07 64.67	71.12 64.53	62.79 65.06	88.89 68.97	52.20 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.