Per Patient Day MCP
An MCP server providing skilled nursing facility (SNF) operating benchmarks derived from CMS Medicare cost reports, including state-level metrics on occupancy, revenue, and expenses per patient day. It also offers a valuation calculator tool to compute EBITDAR, NOI, property value, and debt service coverage ratios based on user-provided census and financial inputs.
Endpoint and access
No sign-in to connect and list tools. Individual tools may still need a vendor account, credentials, or permissions; check the documented prerequisites.
https://fhaskillednursing.loan/mcpWhat you can do with it
- Retrieve state-level SNF occupancy and revenue benchmarks from CMS cost reports
- Calculate EBITDAR, NOI, and DSCR for a specific skilled nursing facility
- Compare a facility's performance against state medians and payer mix data
- Access valuation estimates using cap rates and HUD 232/223(f) assumptions
Source and maintenance
Protocol and capabilities
- Server
- per-patient-day 1.0.0
- MCP protocol
- 2025-06-18
- Tools
- 2 advertised
- Resources
- Not advertised
- Resource templates
- Not advertised
- Prompts
- Not advertised
{
"tools": {
"listChanged": false
}
}Server-provided instructions
Untrusted server output shown for inspection. It is not Koskamo guidance and is excluded from knowledge search.
Tools
2 advertised
state_benchmarks — Skilled nursing benchmarks for a state
Medicare cost-report benchmarks for skilled nursing facilities in one state (or the US, or a national ownership or size group): 25th percentile, median and 75th percentile occupancy, net patient revenue and operating expense per patient day, reported operating margin, Medicare/Medicaid/other share of days, Medicare PPS payment per Medicare day, contract labor share and beds, with the US median, the prior-year medians and the report count.
{
"type": "object",
"properties": {
"state": {
"type": "string",
"maxLength": 30,
"minLength": 2,
"description": "Two-letter state code or state name, e.g. TX or Texas. \"US\" (the default) for the national figures."
},
"national_group": {
"enum": [
"For-profit",
"Nonprofit",
"Government",
"Under 60 beds",
"60 to 99 beds",
"100 to 149 beds",
"150 beds or more"
],
"type": "string",
"description": "Optional, with state US only: a national ownership (type of control) or bed-size group instead of all facilities."
}
},
"additionalProperties": false
}{
"title": "Skilled nursing benchmarks for a state",
"readOnlyHint": true,
"openWorldHint": false,
"idempotentHint": true,
"destructiveHint": false
}snf_valuation — SNF valuation and debt coverage
The Per Patient Day valuation calculator: from beds, occupancy and revenue and operating expense per patient day, returns patient days, EBITDARM, EBITDAR, rent coverage, NOI, value and value per bed at your cap rate, DSCR and loan to value on a loan you give, a HUD 232/223(f) loan estimate, and where your occupancy and revenue per day fall against the state's cost-report quartiles.
{
"type": "object",
"required": [
"beds",
"occupancy_pct",
"revenue_ppd",
"expense_ppd",
"cap_rate_pct"
],
"properties": {
"beds": {
"type": "integer",
"maximum": 2000,
"minimum": 1,
"description": "Licensed beds, e.g. 120."
},
"state": {
"type": "string",
"maxLength": 30,
"minLength": 2,
"description": "State to compare against: two-letter code or name, e.g. TX. Default \"US\"."
},
"annual_rent": {
"type": "number",
"default": 0,
"maximum": 1000000000,
"minimum": 0,
"description": "Annual rent in dollars if the operator leases the building; 0 if owned."
},
"expense_ppd": {
"type": "number",
"maximum": 5000,
"minimum": 0,
"description": "Operating expense per patient day in dollars, before rent, interest, depreciation and the management fee, e.g. 300."
},
"loan_amount": {
"type": "number",
"default": 0,
"maximum": 10000000000,
"minimum": 0,
"description": "Loan amount in dollars to test DSCR and loan to value; 0 to see only what the building supports."
},
"revenue_ppd": {
"type": "number",
"maximum": 5000,
"minimum": 0,
"description": "Net revenue per patient day in dollars, all payers, after contractual allowances, e.g. 350."
},
"cap_rate_pct": {
"type": "number",
"maximum": 30,
"minimum": 1,
"description": "Cap rate in percent: your assumption or your broker's (no public source sets it), e.g. 12."
},
"mgmt_fee_pct": {
"type": "number",
"default": 5,
"maximum": 15,
"minimum": 0,
"description": "Management fee, percent of revenue. Default 5 (the calculator's example input)."
},
"occupancy_pct": {
"type": "number",
"maximum": 100,
"minimum": 1,
"description": "Occupancy in percent, e.g. 85."
},
"reserve_per_bed": {
"type": "number",
"default": 400,
"maximum": 10000,
"minimum": 0,
"description": "Replacement reserve, dollars per bed per year. Default 400 (the calculator's example input)."
},
"interest_rate_pct": {
"type": "number",
"default": 6,
"maximum": 15,
"minimum": 0.5,
"description": "Interest rate in percent. Default 6 (the calculator's example input, not a quote)."
},
"amortization_years": {
"type": "integer",
"default": 35,
"maximum": 40,
"minimum": 5,
"description": "Amortization in years. Default 35."
}
},
"additionalProperties": false
}{
"title": "SNF valuation and debt coverage",
"readOnlyHint": true,
"openWorldHint": false,
"idempotentHint": true,
"destructiveHint": false
}Prompts
Not advertised
Resources
Not advertised
30-day availability
Aggregated from read-only remote checks; this is not a tool-execution or security guarantee.
- Successful checks
- 1 of 1 (100%)
- Average latency
- 327 ms
- 95th percentile latency
- 327 ms
Maintenance history
Public check and source-refresh events. Editorial and ownership records remain private.
- · probe · passed · 327 ms · metadata changed · 2 tool(s)
Connect from your client
Each snippet registers the same endpoint; pick the client you use.
Claude Code
claude mcp add --transport http per-patient-day-mcp https://fhaskillednursing.loan/mcpCodex
codex mcp add per-patient-day-mcp --url https://fhaskillednursing.loan/mcpCursor
{
"mcpServers": {
"per-patient-day-mcp": {
"url": "https://fhaskillednursing.loan/mcp"
}
}
}Cline
{
"mcpServers": {
"per-patient-day-mcp": {
"type": "streamableHttp",
"url": "https://fhaskillednursing.loan/mcp",
"disabled": false
}
}
}VS Code
{
"servers": {
"per-patient-day-mcp": {
"type": "http",
"url": "https://fhaskillednursing.loan/mcp"
}
}
}Gemini CLI
gemini mcp add --transport http per-patient-day-mcp https://fhaskillednursing.loan/mcpClaude Desktop
{
"mcpServers": {
"per-patient-day-mcp": {
"url": "https://fhaskillednursing.loan/mcp"
}
}
}Windsurf
{
"mcpServers": {
"per-patient-day-mcp": {
"serverUrl": "https://fhaskillednursing.loan/mcp"
}
}
}Let your agent find its tools
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