{
  "name": "per-patient-day",
  "title": "Per Patient Day: SNF benchmarks and valuation math",
  "description": "Free, read-only MCP server for skilled nursing facility operating benchmarks and valuation math. State, US, ownership and bed-size quartiles of occupancy, net patient revenue and operating expense per patient day, reported margin, payer mix, Medicare PPS payment per Medicare day and contract labor share, from CMS Skilled Nursing Facility Cost Report data, plus the site's valuation calculator (EBITDAR, NOI, value at your cap rate, DSCR, HUD 232/223(f) estimate). Every result cites CMS and a fhaskillednursing.loan page. No authentication.",
  "registryDescription": "Skilled nursing benchmarks by state from CMS cost reports, plus SNF valuation and DSCR math.",
  "version": "1.0.0",
  "url": "https://fhaskillednursing.loan/mcp",
  "transport": {
    "type": "streamable-http",
    "url": "https://fhaskillednursing.loan/mcp"
  },
  "remotes": [
    {
      "type": "streamable-http",
      "url": "https://fhaskillednursing.loan/mcp"
    }
  ],
  "authentication": {
    "type": "none",
    "required": false
  },
  "protocolVersions": [
    "2026-07-28",
    "2025-11-25",
    "2025-06-18",
    "2025-03-26",
    "2024-11-05"
  ],
  "capabilities": {
    "tools": {
      "listChanged": false
    }
  },
  "tools": [
    {
      "name": "state_benchmarks",
      "title": "Skilled nursing benchmarks for a state",
      "description": "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.",
      "readOnly": true
    },
    {
      "name": "snf_valuation",
      "title": "SNF valuation and debt coverage",
      "description": "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.",
      "readOnly": true
    }
  ],
  "documentation": "https://fhaskillednursing.loan/developers/",
  "websiteUrl": "https://fhaskillednursing.loan/developers/",
  "publisher": {
    "name": "Per Patient Day (Janover Capital LLC)",
    "url": "https://fhaskillednursing.loan/",
    "contact": "hello@fhaskillednursing.loan"
  },
  "privacyPolicy": "https://fhaskillednursing.loan/privacy/",
  "termsOfService": "https://fhaskillednursing.loan/terms/",
  "license": "CMS cost report data is public domain; the compilation is CC BY 4.0 (credit \"Data: Per Patient Day (fhaskillednursing.loan)\" with a link)",
  "icon": "https://fhaskillednursing.loan/icon-512.png"
}
