As of the July, 2022, release via CMS

VALLEYWISE HEALTH MEDICAL CENTER

CMS id: 030022
2601 EAST ROOSEVELT STREET, PHOENIX AZ 85008. County: MARICOPA
System: --
CBSA: Phoenix-Mesa-Chandler, AZ

The 739-bed, acute-care hospital had $-282,325,081 in net service to patients*, with a total profit margin of -1.14255% in fiscal year 2021, the latest year available.
It spent 8.35% of its operating expenses on uncompensated care and reported $112,117,247 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.

Note: Medians are from acute-care hospitals with "complete" fiscal years. For more about how we calculated medians and cost reports in general, please click here.

Details

	2017	2018	2019	2020	2021
# of days in fyear	365	365	365	366	365
Ownership	gov	gov	gov	gov	gov
Acute beds Median	211 118	211 118	211 119.5	211 118	212 119
Total beds Median	542 162	564 162	612 162	756 162	739 163.5
FTEs Median	3,043.95 788.06	3,320.26 793.42	3,399.34 806.03	3,749.42 787.61	3,730.02 804.34

Finances As they appear in worksheet G3 of the cost reports.

Note: Net Patient Revenue is considered operating revenue, which means Net Service to Patients is considered operating profit. Click here for more about cost report financials

Hospital cost reports are an enormously complicated dataset. There are whole organizations and an offical CMS vendor dedicated to helping researchers work with the data.
It's important to understand that hospital financials in cost reports are not organized in the same as other sources such as annual financial reports to bond holders.

The biggest difference is the concept of operating revenue and profit. Net Service to patients (NS2P), which is the sum of net patient revenue minus operating expenses, is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

That would make Net Patient Revenue = operating revenue.

All this makes things challenging when comparing what's reported in cost reports to other sources. It becomes clearer when you consider that, beyond the purpose of reimbursement, cost reports are a tool for policymakers trying to understand the financial situation of a hospital doing the tasks specific to hospitals.

In other words, while a facility with a division that formulates drugs might include earnings from that as operating revenue in their corporate annual result, this is not central to the operations of a hospital caring for patients and so it is counted as "other income." (See below the financials section for more on "other income")

The healthcare consulting firm HMP, in a former partnership with Modern Healthcare, did develop a formula for estimating operating revenue closer to what one might find in other sources. We no longer use this for the following reasons:

The measure was not widely used beyond HMP and Modern Healthcare. Many hospitals had their own internal estimates of operating revenue and profit.
Because of this, there was confusion when reporting operating results for individual hospitals. There was often pushback when a facility's internal numbers did not match what Modern Healthcare was reporting.
The formula includes revenue from portions of the "other income" section, which may also include non-operating revenue. HMP themselves point out in a caveat on their site that they cannot exclude all non-operating revenue from their measure.

HMP's operating measure has proven problematic in the past for our reporting and the partnership with them ended years ago. It's best to not use a measure that we alone cannot defend.

	2017	2018	2019	2020	2021
Net patient revenue ? Median	613,107,831 150,932,746	436,045,875 158,950,878	429,852,934 168,696,998	456,425,702 163,454,693	489,209,495 186,589,412
Operating expenses Median	649,518,890 149,311,209	536,711,067 156,110,414	588,284,732 164,890,568	683,749,646 166,516,854	771,534,576 180,120,888
Net income from service 2 patients (NS2P) ? Median	-36,411,059 -964,173	-100,665,192 -643,601.5	-158,431,798 -116,254	-227,323,944 -5,025,862	-282,325,081 -1,284,564
NS2P margin ? Median	-5.94% -0.62	-23.09% -0.29	-36.86% 0.18	-49.81% -5.07	-57.71% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for VALLEYWISE HEALTH MEDICAL CENTER compared to all** acute-care hospitals, from CMS cost reports.
Note: NS2P is considered operating margin by MACPAC. The chart below is interactive: click or touch to see more.

* Data range does not show outliers, which fall beyond the minimum and maximum of the range.
** From cost reports with complete fiscal years. Number of acute-care hospitals available to calculate medians:

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	157,016,949 5,089,215	183,456,021 4,572,541	209,540,632 5,268,134	247,173,955 13,092,619	274,304,369 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	77,690 224,999	57,732 199,009	55,771 206,870.5	8,050 194,343	28,708 249,496
⊳ Line 7: Investments ? ⊳ Median	665,716 299,524	2,360,139 188,688.5	13,758,096 370,813	7,412,009 309,361.5	1,878,539 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	2,561,795	2,598,309	2,675,121	2,618,166	2,204,617
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	4,425	5,923	1,791	4,498	29,903
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	271,882	244,896	239,696	177,452	86,733
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	585,550	542,855	590,214	593,374	586,725
⊳ Line 23: Gov appropriations ? ⊳ Median	110,524,141 1,017,693	113,702,828 983,261.5	119,074,910 1,173,286	143,303,021 1,987,202	139,606,198 1,597,664
⊳ Sum Line 24	42,325,750	63,943,339	73,145,033	93,057,385	129,882,946
Total income ? Median	120,605,890 6,586,430	82,790,829 6,767,106	51,108,834 8,419,950	19,850,011 8,094,175	-8,020,712 15,162,888
Non-operating expenses Median	0 146,289.5	-1,482,977 164,857	24,786 89,880.5	263,987 106,761	702,815 31,473.5
Net income Median	120,605,890 6,043,842	84,273,806 5,845,112	51,084,048 7,606,259	19,586,024 7,283,041	-8,723,527 14,957,241
Net margin Median	15.66056% 4.62%	13.60348% 4.42%	7.98945% 5.16%	2.78369% 5.2%	-1.14255% 9.25%

* About "Other income": Other income, or line 25 in worksheet G3, is the sum of lines 6 through 24. It includes three lines that are considered non-operating revenue - contributions, investments and government appropriations. Medians are included for these three lines. It also contains items that are not central to providing healthcare, such as revenue from parking or gift shops.
"Sum Line 24" is a special case. Called "Other (specify)" in the cost reports, CMS allows for this line to be "subscripted," or divided into sublines like 002400, 002401, 002402. And hospitals do that, up to 100 lines, to detail income (and sometimes negative returns) that are otherwise not covered in the previous "other" lines. Therefore, "Sum Line 24" is the sum of all the lines 24.

Range* of total profit (loss) margins

= Total margin for VALLEYWISE HEALTH MEDICAL CENTER compared to all** acute-care hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	36,548,265 23,241,334	40,487,249 23,709,545	42,993,456 24,248,380	48,865,523 22,858,541	48,297,521 23,620,613
"All inpatient revenue" is made up of any Medicare payments for routine inpatient, swingbed SNFs, TEFRA, IPF, IRF, inpatient long-term care, CAH and inpatient SNF facilities. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine inpatient revenue ⊳ Median	26,769,825 21,577,146	30,056,270 22,041,594	31,830,245 22,722,063	37,877,075 21,570,441	36,940,821 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	9,778,440 1,845,420	10,430,979 1,757,392	11,163,211 1,738,842	10,988,448 1,510,463	11,356,700 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	8,692,481 11,160,864	8,934,072 11,987,345	7,185,394 12,926,866	5,882,622 11,884,480	4,731,347 13,145,163
"All outpatient revenue" is made up of any payments for routine outpatient, HHA, CMHC, rural health and other federally-qualified health clinics. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine outpatient revenue ⊳ Median	8,692,481 10,918,923	8,934,072 11,706,976	7,185,394 12,615,917	5,882,622 11,458,116	4,731,347 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	0 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	8,790,099 3,284,314	8,693,816 3,250,551	8,549,024 3,386,837	8,521,790 3,360,806	7,947,289 3,508,953
Disproportionate-share hospital (DSH) Median	1,290,694 594,888	1,206,899 595,761	1,079,266 577,894	1,302,856 542,168	1,319,587 549,667
Outlier Median	1,399,226 582,572	2,097,843 538,116	1,693,464 212,434	294,918 126,559	833,167 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	52,292,992 3,662,910	36,246,122 3,730,911	50,557,050 4,081,319	96,517,042 4,643,908	112,117,247 4,389,147
Charity care Median	30,653,398 2,654,636	36,498,211 2,940,659	41,000,329 3,380,215	48,093,520 3,488,738	57,099,082 3,233,405
Uncompensated care (UCC) Median	37,800,875 5,147,790	41,948,664 5,337,617	47,947,369 5,711,082	56,248,397 5,923,418	64,421,856 5,508,107
UCC as a % of operating expenses Median	5.82% 3.24	7.82% 3.12	8.15% 3.21	8.23% 3.3	8.35% 2.86
Total shortfall/UCC Median	90,093,867 9,489,989	78,194,786 9,424,297	98,504,419 10,120,158	152,765,439 11,171,337	176,539,103 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	206,635,312 52,142,039	225,686,438 54,485,252	243,807,723 57,395,589	269,552,841 58,830,919	281,325,514 61,722,907
Salaries as a % of operating expenses Median	31.81 36.68	42.05 36.56	41.44 36.37	39.42 35.93	36.46 35.24
Intern, resident salaries* Median	10,360,378 2,598,592	11,050,796 2,686,824	11,749,329 2,753,773	12,063,686 2,937,156	12,479,306 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	1,595,134 1,449,244	2,510,607 1,475,986	2,201,009 1,563,078	4,757,125 1,721,954	5,074,173 2,991,828
Contract hours, direct-care Median	21,546.00 22,725	37,788.00 23,018.5	34,011.00 24,503.48	72,566.00 25,026.5	47,485.00 33,786
Contract wages, direct-care Median	74.03 64.67	66.44 64.53	64.71 65.06	65.56 68.97	106.86 88.94

* in an approved program

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Cost reports are self-reported by the facility, are subject to revision and should be considered preliminary.

* Net Service to patients (NS2P) equals net patient revenue minus operating expenses. NS2P is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

About medians

Medians are calculated from reports with "complete" fiscal years, or reports with fiscal years of at least 300 days and no more than 420 days.

In cases where there are fewer than 50 values reported, medians are not calculated. For childrens' hospitals, it's when fewer than 20 are reported.

Web app by Tim Broderick | email.