HCRIS
Cost Report · CCN 051332 · FY 2024

MARK TWAIN MEDICAL CENTER

SAN ANDREAS, CA 95249 · Fiscal year ending 2024-12-31

Critical Access Hospitals225 beds⚠ Distress flagged340B · CAHSystem: mark twain
CSV Excel Raw worksheets · Solo+
$86.8M
TOTAL REVENUES
−$463K
NET INCOME
-0.5%
OPERATING MARGIN
667
DISCHARGES
01 — FINANCIAL

Financial summary

Total revenues
$86.8M
Total costs
$88.9M
Net income
−$463K
Operating margin
-0.5%
Total charges
$191.5M
Medicare charges
Medicaid charges
Charity care charges
$4.1M
Uncompensated care
$5.3M
Bad debt
Total assets
$87.7M
Total liabilities
$38.5M
Fund balance
$49.2M
02 — UTILIZATION

Utilization

Total beds
25
Bed days available
9,150
Total inpatient days
2,739
Medicare inpatient days
1,235
Medicaid inpatient days
137
Total outpatient visits
Total discharges
667
Total FTEs
Inpatient residents
Outpatient residents
03 — HISTORY

Latest filing

Fiscal yearDischargesRevenueNet incomeMargin
2024-12-31667$86.8M−$463K-0.5%
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03b — TREND CHART

Revenue, costs, and net income by fiscal year

Multi-year P&L chart — visualize revenue, costs, and net income side-by-side across every filing.See Solo · $499/yr
DISTRESS RADAR

Risk signals detected

Auto-flagged from 3-year trend on margin, volume, and bad debt

This hospital tripped 1 distress signal. Upgrade to see which signals fired and the underlying numbers.See Solo · $499/yr
04 — PEER BENCHMARK

Peer cohort — CA Critical Access Hospitals

36 hospitals filing FY2024

Median operating margin
3.5%
25th percentile margin
-0.3%
75th percentile margin
10.7%
Median discharges
351
Median net income
$2.2M
Median bed count
25
05 — QUALITY (CMS CARE COMPARE)

CMS Care Compare quality measures

Sourced from data.cms.gov · refreshed monthly. CMS publishes these — we surface them.

Overall rating
3 / 5
Emergency services
No
Mortality vs national avg
Same as the national average
Safety vs national avg
Readmissions vs national avg
Below the national average
Patient experience vs national avg
Timely & effective vs national avg
07 — MARKET (HSAF)

Top patient-origin ZIPs

Catchment based on CMS Hospital Service Area File (PY2019)

ZIPCasesBed days
95252158560
95252155454
95252150658
95252149551
95252148540
95249121455
95249114392
95249111338
95249104388
95252104342
08 — 340B DRUG PRICING

340B Covered Entity

HRSA Office of Pharmacy Affairs — this hospital participates in the 340B Drug Pricing Program

Entity type
CAH
Covered entity ID
CAH051332-05
Entity name
Mark Twain Medical Center
Match method
NPI match
Parent entity ID
CAH051332-00

340B hospitals purchase outpatient drugs at discounted prices from manufacturers. Entity types: DSH = Disproportionate Share Hospital, CAH = Critical Access, FQHC = Federally Qualified Health Center, PED = Pediatric, SCH = Sole Community Hospital.

CROSS-REFERENCE

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Published negotiated rates, payer mix, and compliance grade from this hospital's machine-readable file.
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