As of the July, 2022, release via CMS

CLARION HOSPITAL

CMS id: 390093
ONE HOSPITAL DRIVE, CLARION PA 16214. County: CLARION
System: --
CBSA: Rural Pennsylvania

The 65-bed, acute-care hospital had $-1,623,817 in net service to patients*, with a total profit margin of 7.49763% in fiscal year 2021, the latest year available.
It spent 1.99% of its operating expenses on uncompensated care and reported $2,330,985 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	51 118	51 118	50 119.5	50 118	50 119
Total beds Median	66 162	66 162	65 162	65 162	65 163.5
FTEs Median	440.90 788.06	409.16 793.42	387.35 806.03	369.00 787.61	340.39 804.34

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	48,523,203 150,932,746	49,787,928 158,950,878	50,530,076 168,696,998	48,610,678 163,454,693	48,569,110 186,589,412
Operating expenses Median	51,913,583 149,311,209	51,450,428 156,110,414	51,361,046 164,890,568	52,258,098 166,516,854	50,192,927 180,120,888
Net income from service 2 patients (NS2P) ? Median	-3,390,380 -964,173	-1,662,500 -643,601.5	-830,970 -116,254	-3,647,420 -5,025,862	-1,623,817 -1,284,564
NS2P margin ? Median	-6.99% -0.62	-3.34% -0.29	-1.64% 0.18	-7.50% -5.07	-3.34% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CLARION 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	2,334,103 5,089,215	2,187,870 4,572,541	1,556,301 5,268,134	4,586,979 13,092,619	5,692,124 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	170,276 224,999	118,765 199,009	117,351 206,870.5	0 194,343	19,636 249,496
⊳ Line 7: Investments ? ⊳ Median	1,209,661 299,524	1,066,540 188,688.5	640,309 370,813	148,252 309,361.5	1,110,512 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ 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	361,508	338,015	320,823	288,320	201,977
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	4,326	428	1,639	107	8
⊳ Line 17: Revenue from sale of drugs to other than patients	6,867	9,006	8,637	5,959	1,237
⊳ Line 18: Revenue from sale of medical records and abstracts	1,757	1,651	1,108	1,155	1,805
⊳ 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	974	645	279	278	2,615
⊳ Line 22: Rental of hospital space	103,262	136,263	138,691	123,570	117,075
⊳ 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	475,472	516,557	327,464	4,019,338	4,237,259
Total income ? Median	-1,056,277 6,586,430	525,370 6,767,106	725,331 8,419,950	939,559 8,094,175	4,068,307 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	-1,056,277 6,043,842	525,370 5,845,112	725,331 7,606,259	939,559 7,283,041	4,068,307 14,957,241
Net margin Median	-2.07694% 4.62%	1.01080% 4.42%	1.39255% 5.16%	1.76617% 5.2%	7.49763% 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 CLARION 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	8,298,128 23,241,334	7,581,922 23,709,545	7,530,852 24,248,380	6,796,500 22,858,541	6,927,914 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	7,368,903 21,577,146	6,765,380 22,041,594	6,472,454 22,722,063	5,616,909 21,570,441	6,313,420 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	929,225 3,535,627	816,542 3,746,588	1,058,398 3,782,288	1,179,591 3,865,578	614,494 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	9,469,967 11,160,864	10,079,211 11,987,345	9,866,930 12,926,866	8,378,371 11,884,480	7,571,207 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	9,469,967 10,918,923	10,079,211 11,706,976	9,866,930 12,615,917	8,378,371 11,458,116	7,571,207 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	1,045,809 3,284,314	898,108 3,250,551	1,062,846 3,386,837	985,891 3,360,806	1,012,814 3,508,953
Disproportionate-share hospital (DSH) Median	61,782 594,888	62,213 595,761	47,246 577,894	49,011 542,168	56,871 549,667
Outlier Median	95,362 582,572	84,195 538,116	298,505 212,434	247,547 126,559	56,380 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,486,305 3,662,910	2,345,697 3,730,911	2,516,256 4,081,319	2,594,156 4,643,908	2,330,985 4,389,147
Charity care Median	79,488 2,654,636	690,210 2,940,659	696,086 3,380,215	673,141 3,488,738	448,478 3,233,405
Uncompensated care (UCC) Median	655,914 5,147,790	960,292 5,337,617	969,635 5,711,082	1,168,035 5,923,418	997,903 5,508,107
UCC as a % of operating expenses Median	1.26% 3.24	1.87% 3.12	1.89% 3.21	2.24% 3.3	1.99% 2.86
Total shortfall/UCC Median	3,142,219 9,489,989	3,305,989 9,424,297	3,485,891 10,120,158	3,762,191 11,171,337	3,328,888 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	18,977,140 52,142,039	17,779,431 54,485,252	17,531,353 57,395,589	17,903,821 58,830,919	17,460,967 61,722,907
Salaries as a % of operating expenses Median	36.56 36.68	34.56 36.56	34.13 36.37	34.26 35.93	34.79 35.24
Intern, resident salaries* Median	679,741 2,598,592	520,659 2,686,824	699,245 2,753,773	845,138 2,937,156	929,981 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	1,929,205 1,449,244	1,750,349 1,475,986	2,013,987 1,563,078	1,748,611 1,721,954	1,860,023 2,991,828
Contract hours, direct-care Median	47,965.00 22,725	46,517.00 23,018.5	52,755.00 24,503.48	42,896.00 25,026.5	47,623.00 33,786
Contract wages, direct-care Median	40.22 64.67	37.63 64.53	38.18 65.06	40.76 68.97	39.06 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.