Madera Community Hospital

Madera, CA

106

Beds

1,874

Inpatient discharges a year

$43.2M

Net patient revenue a year

In-network payers

About this hospital

Madera Community Hospital is a 106-bed hospital in Madera, CA. Below you'll find publicly disclosed negotiated rates and facility details, including 8 in-network payers and 2 disclosed rate categories.

CCN: 050568
NPI: 1669673646
Medicare contractor: Jurisdiction E, Noridian Healthcare Solutions (01011)

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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Payer	Category	Code Type & Group	Contract Type	vs. State Average
BCBS	Outpatient	CPT Medicine Services and Procedures Range: 90281 - 99607	Per Diem	Very Low
BCBS	Outpatient	HCPCS Durable Medical Equipment Range: E0100 - E8002	Per Diem	Very Low

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

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Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Ameri HealthKaiser PermanenteMagnaCareMedicaMedical MutualModa Health

More about this hospital

Finances
$43.2M net patient revenue
- Operating margin on patient care -73.3%
- $23.1M unreimbursed and uncompensated care
- -$27.8M net income
See finances
Ownership and leadership
Karen Paolinelli, chief executive
See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Madera Community Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)	Plans and networks listing it	Organization NPIs
23-7429117Madera Community Hospital	22Aspirus Health Plan, Asuris Northwest Health, BCBS, Dean Health Plan, Denver Health Medical Plan and 17 more	1669673646 Madera Community Hospital1174503114 Madera Community Hospital1720286750 Madera Community Hospitaland 3 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

Madera, CA

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Size and patient volume

What Madera Community Hospital reported to Medicare in its latest cost report, covering Jul 1, 2022 to Jan 9, 2023.

1,874
Inpatient discharges
Medicare 19%, Medicaid 9%
7,667
Inpatient days
37% of available bed days used
298
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 828068). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Madera Community Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	2,092	822	4,753	7,667
Discharges	348	166	1,360	1,874
Average length of stay	6.0 days	5.0 days	3.5 days	4.1 days
Average daily census	10.8	4.3	24.6	39.7

838
Medicare Advantage days
143 discharges
2,750
Medicaid managed care days
919 discharges

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	96	6,215	1,726	34%
Intensive care unit	10	889	366	46%
Nursery		563

Source: CMS cost report (HCRIS, Form 2552-10), report 828068, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Income statement

Revenue, expenses and income Madera Community Hospital reported to Medicare for Jul 1, 2022 to Jan 9, 2023. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$106.2M	245.7%
Inpatient	$45.3M	104.7%
Outpatient	$60.9M	140.9%
Contractual allowances and discounts	-$63M	-145.7%
Net patient revenue	$43.2M	100.0%
Operating expenses	-$74.9M	-173.3%
Operating income from patient care	-$31.7M	-73.3%
Other income	$3.9M	9.0%
Contributions and donations	$400,000	0.9%
Investment income	$20,708	0.0%
COVID-19 relief funding	$1.4M	3.2%
Other	$2.1M	4.9%
Net income	-$27.8M	-64.3%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$17M	16.0%
Medicaid (including managed care)	$51.6M	48.6%
Other payers and self-pay	$37.6M	35.4%
Total charges	$106.2M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 828068, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.

Financial ratios

Computed from Madera Community Hospital's latest cost report, which covers 193 days; income and expense figures are scaled to a year.

-73.3%
Operating margin
Operating income from patient care / net patient revenue
-59.0%
Total margin
Net income / net patient revenue plus other income
-53.8%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
38% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$30.76
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-128.3%
Return on assets
Net income for a year / total assets
-167.5%
Return on equity
Net income for a year / fund balance
0.53
Current ratio
Current assets / current liabilities
0.37
Quick ratio
Cash, temporary investments and net receivables / current liabilities
9 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
0 days
Days in patient receivables
Net patient receivables / daily net patient revenue
26 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.18
Asset turnover
Total revenue for a year / total assets
15.6 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 828068, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Madera Community Hospital owned and owed at the end of its reporting period (Jan 2023), across all fund types: $40.9M in total assets and a $31.4M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Cash and temporary investments	$3.5M	8.6%
Patient receivables, net	-$1	-0.0%
Inventory	$1.1M	2.8%
Total current assets	$5.1M	12.4%
Property and equipment, net of depreciation	$28.5M	69.7%
Investments and other assets	$7.3M	17.9%
Total assets	$40.9M	100.0%
Current liabilities	$9.6M	23.4%
Total liabilities	$9.6M	23.4%
Fund balance (net assets)	$31.4M	76.6%

Source: CMS cost report (HCRIS, Form 2552-10), report 828068, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Charity care and uncompensated care

Care Madera Community Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.

$104,597
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$2.1M
Bad debt
Patient bills written off as uncollectible, at charges
$21.7M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$23.1M
Total unreimbursed and uncompensated care
30.8% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)

Source: CMS cost report (HCRIS, Form 2552-10), report 828068, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Madera Community Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 3 years

Fiscal year ending	Jun 2020	Jun 2021	Jun 2022
Net patient revenue	$85M	$96.5M	$95.8M
Operating expenses	$91.3M	$104.3M	$116M
Operating margin	-7.5%	-8.1%	-21.2%
Net income	-$1.1M	-$2.4M	-$11.6M
Total assets	$93.6M	$91M	$82M
Discharges	3,262	3,128	3,205
Inpatient days	14,813	18,096	19,787
Medicare Advantage days	997	1,727	2,065
Beds	106	106	106
Employees (FTE)	562	574	596

Source: CMS cost report (HCRIS, Form 2552-10), report 828068, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Madera Community Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 36 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Emergency	$2.2M	$10.8M	$12.7M	0.85	11,357
Operating room	$1.6M	$6M	$16M	0.38	13,048
Drugs charged to patients		$5.5M	$16.4M	0.33
Medical supplies charged to patient		$5.4M	$9M	0.60
Rural health clinic	$1.3M	$4.2M	$2.4M	1.70	7,200
Laboratory	$1.1M	$4.1M	$11.4M	0.36	1,734
Radiology-diagnostic	$813,363	$3M	$4.5M	0.66	7,855
Delivery room & labor room	$900,845	$2.8M	$1.7M	1.63	4,468
Respiratory therapy	$661,339	$1.4M	$3.4M	0.42	250
Ultrasound	$565,357	$1.2M	$2.9M	0.40	95
Rural health clinic ii	$338,962	$1.2M	$648,551	1.81	2,800
Rural health clinic iii	$338,641	$1.1M	$326,924	3.24	2,500
Ct scan	$257,016	$957,882	$9.5M	0.10	720
Physical therapy	$143,231	$287,480	$407,379	0.71	393
Whole blood & packed red blood cell		$14,032	$318,867	0.04

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$4M	$15.2M	$11.4M	1.33	23,595
Intensive care unit	$782,716	$5M	$3M	1.66	4,770
Nursery	$894,422	$1.5M	$15,158	99.89	612

Overhead (general service) departments

Department	Salaries	Direct cost	Paid hours	Average hourly wage	Square feet
Other administrative and general	$2.2M	$15.9M			2,976
Operation of plant	$500,554	$3.5M	22,148	$22.60	18,220
Cap rel costs-bldg & fixt		$2.4M			125,466
Data processing	$468,711	$2M			325
Housekeeping	$851,493	$1.3M	47,044	$18.10	500
Pharmacy	$768,388	$1.2M	14,993	$51.25	1,004
Cafeteria	$32,951	$924,933	25,758	$18.76	600
Medical records & library	$650,442	$888,289	62,482	$10.41	3,900
Nursing administration	$619,754	$760,226	10,476	$59.16	1,627
Employee benefits department	$48,841	$733,473	1,555	$31.41	200
Nonpatient telephones	$101,056	$561,560			4,274
Admitting	$291,254	$382,100			1,200
Dietary	$862,988	$333,245	21,907	$18.84	2,368
Purchasing receiving and stores	$152,416	$257,228			3,000
Cashiering/accounts receivable	$68,822	$232,627			1,915
Laundry & linen service		$168,410			750
Cap rel costs-mvble equip		$66,269
Central services & supply	$170,366	-$214,708	5,619	$30.32	602

Source: CMS cost report (HCRIS, Form 2552-10), report 828068, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Leadership

The officers and board members on Madera Community Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.

Officers and key employees (IRS Form 990, tax year 2022)

Name	Title
Karen Paolinelli	Exec Director/ceo
Mark J Foote	Vice President - Finance
Jeanine Gillmeister	Chief Nursing Officer

Board members: Mohammad Arain, Jon Basila, Deirdre daSilva, Anita Eden, Stell Manfredi, Jay Mahil, Aftab Naz, Wally Nishimoto, Bruce Norten, Monte Pistoresi, Robert Poythress, Cyril Rebel, Don Warnock, Jan Zitek.

Source: IRS Form 990 Part VII filed by Madera Community Hospital (EIN 23-7429117), via the IRS e-file data. A health system's return can cover several hospitals.

Programs and facilities

340B drug pricing program
Not participating
340B ID DSH050568, registered as a disproportionate share hospital. Authorizing official: Mark Foote, VP Finance/cfo.
Source: HRSA 340B Office of Pharmacy Affairs Information System.

Hospital-based units

Hospital-based units with their own Medicare certification

Madera community hospital
CCN 053990, certified 1992, Medicare cost reimbursed
Chowchilla medical center
CCN 058639, certified 2008, Medicare cost reimbursed
Family health services mendota
CCN 058715, certified 2020, Medicare cost reimbursed

Source: Worksheet S-2 Part I of Madera Community Hospital's latest Medicare cost report (HCRIS).

Frequently asked questions

About Madera Community Hospital's rates and hospital price transparency.

How many patients does Madera Community Hospital admit?

Madera Community Hospital reported 1,874 inpatient discharges and 7,667 inpatient days from Jul 1, 2022 to Jan 9, 2023.

How many employees does Madera Community Hospital have?

Madera Community Hospital reported 298 full-time-equivalent employees on payroll from Jul 1, 2022 to Jan 9, 2023.

How much revenue does Madera Community Hospital make?

Madera Community Hospital reported $43.2M in net patient revenue on $106.2M of gross charges for Jul 1, 2022 to Jan 9, 2023, an operating margin of -73.3%, and net income of -$27.8M.

How much charity and uncompensated care does Madera Community Hospital provide?

Madera Community Hospital reported $23.1M of unreimbursed and uncompensated care for Jul 1, 2022 to Jan 9, 2023, including $104,597 of charity care at cost.

Who is the CEO of Madera Community Hospital?

Madera Community Hospital's 2022 IRS Form 990 lists Karen Paolinelli as Exec Director/ceo.

What is Madera Community Hospital's tax ID (EIN)?

Insurers' price transparency files list Madera Community Hospital under employer identification number 23-7429117 (Madera Community Hospital). 22 health plans and networks list 23-7429117 for it.

Does Madera Community Hospital participate in the 340B drug pricing program?

HRSA's 340B database lists Madera Community Hospital (340B ID DSH050568) as no longer participating since 2023.

How many beds does Madera Community Hospital have?

Madera Community Hospital has 106 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report.

Where is Madera Community Hospital and what is its phone number?

Madera Community Hospital is located at Madera, CA.

What is Madera Community Hospital's CCN (Medicare provider number)?

Madera Community Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 050568.

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{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
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        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}

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About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Tax IDs and NPIs insurers list

Location

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Charity care and uncompensated care

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Leadership

Officers and key employees (IRS Form 990, tax year 2022)

Programs and facilities

Hospital-based units

Hospital-based units with their own Medicare certification

Nearby hospitals

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts