How to read these pages

Public registries, as they were filed.

Each page here is built from one public file. The file is named at the foot of the page, together with the date its publisher stamped inside it — not the date we happened to read it, which is usually a day later and would date every fact on the page wrongly.

Where the file prints a value, this site prints the same value. Where the file prints nothing, this site shows nothing: no estimate, and no number carried in from somewhere else to fill the space.

A record’s history is the difference between one day’s file and the next. These pages show what changed and the date of the file that first showed it. They do not show when the change was made inside the publisher’s own system, because the file does not say.

Nothing here is an opinion about the 340B Drug Pricing Program, its rules, or anyone taking part in it. The figures are the record; the reader draws the conclusions.

What each page shows

A record page carries the identity as filed, participation and the dates attached to it, the identifiers the register holds, the locations registered under the record, and the pharmacy contracts filed against it. Underneath, every change the report has shown since this site began reading it.

Where the file prints a value, the page prints the same value and names the file it came from. Where the file prints nothing, the page shows nothing.

Two dates that are not the same

Every date on this site is the one the publisher stamped inside the file. The report is generated overnight and served unchanged for the rest of the day, so the day a file is read is usually the day after the date it carries. Dating a fact by the reading would move it by a day for no reason.

Participation, and dates in the future

The participation flag is the state as at the file’s own date, and the two date columns beside it may point into the future. A record can read as participating and carry a termination date, which means a termination already scheduled; and it can read as not participating with no termination date, which means a registration that has not started. Neither is a contradiction, and both are printed as filed.

Nursing facility records

A facility page carries what CMS’s own files hold for one certification number: the Medicare cost reports it filed, each figure with the worksheet, line and column of form CMS-2540 it was read from; the inspections, deficiencies and penalties Care Compare publishes; and the ownership on file. Net income is printed apart from the other figures, with what the form’s own arithmetic shows about it: on the current form it follows from the lines above it on every report that files them, and the page says so; on the older form a handful do not reconcile, and there the figure is printed beside what the form’s own lines leave unaccounted for — or is not shown at all.

Ownership comes from two CMS files, and each block is dated by its file. Care Compare publishes an ownership file; Medicare enrollment publishes another, reached through the enrollment record. Each block says which file it is from and the date CMS stamped on it, and each owner’s own association date is printed as the file prints it. Where a field is empty, the page says so in CMS’s own terms: the expanded disclosure on Form CMS-855A was paused in guidance dated December 11, 2025.

Nurse staffing is never printed beside a margin or a net-income figure. Payroll-Based Journal hours live on the facility’s own staffing page, and in the report they are a section of their own on their own page.

No facility is scored or given a percentile. The one comparison this desk draws for a facility is in its report: five facilities in the same state whose certified bed counts are nearest that facility’s, all filing for the same fiscal year, listed by name and never ordered by a figure. No page here puts facilities in an order of its own, and no facility appears in another facility’s alert or letter.

Hospital finances: what is copied, and what is calculated

Where a hospital files a Medicare cost report, its record carries the figures from that report: net patient revenue, operating expenses, income from service to patients, charity care at charges and at cost, bad debt, uncompensated care, the cost-to-charge ratio and the bed count. Each is printed as the form printed it, with the worksheet, line and column beside it.

Every dollar figure, ratio and date is copied from the filing that printed it, and every count is a count of the rows those filings hold. Three shares are divided, each by net patient revenue from the same filing: charity care, uncompensated care and income from service to patients. Positions and distributions — a hospital’s percentile, a median, a middle half, a tenth-to-ninetieth range — are counted over a set of hospitals that each one names. One year is set against another: an as-submitted year’s net patient revenue against the same hospital’s prior filed year, printed as a factor where it is more than 2. Nothing else is calculated.

The three shares are each two figures from the same filing, shown only where the filing carries both and net patient revenue is a positive number. They appear where hospitals are read next to each other — the table of hospital finances, the state pages and the benchmarks — and not on a single hospital’s own page or in its report, which carry the two filed figures and not the division.

A year filed as submitted can be marked, and left out of the comparisons. A cost report arrives as submitted before any settled review. Where such a year’s net patient revenue differs from the same hospital’s prior filed year by a factor of more than 2, the year is marked beside its figures — “as submitted; differs from prior filing by N×” — and it is left out of the national distributions and the peer tables until a settled, amended or reopened version of that year posts. The hospital pages lead with the latest year that is not so marked. A settled year with the same movement is a reviewed figure and is never marked.

A benchmark is a distribution, not an order. Where this site gives a midpoint, a middle half, or a tenth-to-ninetieth range, it is describing a population of hospitals: how many were counted, and what the cost-report years were. Those figures are computed once, written down with the population they were taken over, and read from there — they are never worked out on the page. A cut covering fewer than eight hospitals is not published at all, because a quartile over three hospitals describes those three hospitals and nothing else.

A percentile is a position, not a grade. Where a hospital’s own page or its own report places it at a percentile, the line names the figure and the hospitals it was placed among: hospitals in the same state, of the same facility class and the same bed-size band, each on its latest filed year, on that one figure as filed — dollars, beds or the ratio. Where fewer than eight such hospitals carry the figure, no position is given. The record page and the report print the same position. No page lists hospitals in order of it, and this site attaches no word to it.

Figures are not ordered for you. Every table here can be ordered by any of its columns in either direction, and nothing on this site presents hospitals in a fixed order of its own. Where a table runs to more than one page, the order is applied to the whole set before it is divided into pages — ordering a page at a time gives pages that each look sorted and a table that is not.

The figures that cite this page

Each one states a single query, the rules it counts under, the date its data is at, how many rows are behind it, and a list you can download and count yourself.

Corrections

If a figure here does not match the file it cites, write to hello@velarionrecords.com with the 340B identifier. See Corrections.

Velarion Records takes no position on the 340B Drug Pricing Program, its rules, or anyone taking part in it.