As of the July, 2022, release via CMS

PROVIDENCE ST. VINCENT MEDICAL CTR

CMS id: 380004
9205 SW BARNES RD, PORTLAND OR 97225. County: WASHINGTON
System: PROVIDENCE HEALTH & SERVICES
CBSA: Portland-Vancouver-Hillsboro, OR-WA

The 536-bed, acute-care hospital had $47,213,638 in net service to patients*, with a total profit margin of 9.82373% in fiscal year 2021, the latest year available.
It spent 2.11% of its operating expenses on uncompensated care and reported $48,884,862 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	379 118	367 118	406 119.5	409 118	425 119
Total beds Median	474 162	462 162	501 162	520 162	536 163.5
FTEs Median	2,752.00 788.06	2,917.00 793.42	2,917.91 806.03	2,936.70 787.61	3,056.26 804.34

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	906,433,816 150,932,746	941,278,993 158,950,878	996,893,382 168,696,998	917,217,748 163,454,693	1,011,516,203 186,589,412
Operating expenses Median	855,850,216 149,311,209	933,594,418 156,110,414	895,238,877 164,890,568	878,779,974 166,516,854	964,302,565 180,120,888
Net income from service 2 patients (NS2P) ? Median	50,583,600 -964,173	7,684,575 -643,601.5	101,654,505 -116,254	38,437,774 -5,025,862	47,213,638 -1,284,564
NS2P margin ? Median	5.58% -0.62	0.82% -0.29	10.20% 0.18	4.19% -5.07	4.67% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PROVIDENCE ST. VINCENT MEDICAL CTR 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	39,541,984 5,089,215	9,318,056 4,572,541	43,911,801 5,268,134	102,696,438 13,092,619	57,836,667 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	31,085,975 224,999	-7,549,156 199,009	21,530,340 206,870.5	31,590,901 194,343	26,849,972 249,496
⊳ Line 7: Investments ? ⊳ Median	403,779 299,524	113,929 188,688.5	58,704 370,813	-8,756 309,361.5	41,801 375,329
⊳ 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	0	0	0	0	0
⊳ 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	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	759,811	728,515	810,695	725,607	806,476
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	7,292,419	16,024,768	21,512,062	70,388,686	30,138,418
Total income ? Median	90,125,584 6,586,430	17,002,631 6,767,106	145,566,306 8,419,950	141,134,212 8,094,175	105,050,305 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	90,125,584 6,043,842	17,002,631 5,845,112	145,566,306 7,606,259	141,134,212 7,283,041	105,050,305 14,957,241
Net margin Median	9.52726% 4.62%	1.78863% 4.42%	13.98593% 5.16%	13.83785% 5.2%	9.82373% 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 PROVIDENCE ST. VINCENT MEDICAL CTR 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	103,821,835 23,241,334	104,959,134 23,709,545	109,796,614 24,248,380	100,624,820 22,858,541	106,831,978 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	103,821,835 21,577,146	104,959,134 22,041,594	109,796,614 22,722,063	100,624,820 21,570,441	106,831,978 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	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 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	36,523,033 11,160,864	37,975,129 11,987,345	40,559,309 12,926,866	36,420,693 11,884,480	41,907,474 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	36,523,033 10,918,923	37,975,129 11,706,976	40,559,309 12,615,917	36,420,693 11,458,116	41,907,474 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	5,186,423 3,284,314	5,459,037 3,250,551	5,917,359 3,386,837	5,466,727 3,360,806	5,763,068 3,508,953
Disproportionate-share hospital (DSH) Median	2,786,692 594,888	2,657,899 595,761	2,675,964 577,894	2,687,210 542,168	2,998,532 549,667
Outlier Median	5,688,585 582,572	5,800,419 538,116	310,174 212,434	351,792 126,559	363,722 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	25,863,762 3,662,910	42,972,535 3,730,911	40,831,896 4,081,319	45,091,203 4,643,908	48,884,862 4,389,147
Charity care Median	13,759,584 2,654,636	15,959,607 2,940,659	19,320,882 3,380,215	20,792,950 3,488,738	19,677,344 3,233,405
Uncompensated care (UCC) Median	17,254,293 5,147,790	19,188,325 5,337,617	21,202,521 5,711,082	21,913,724 5,923,418	20,340,155 5,508,107
UCC as a % of operating expenses Median	2.02% 3.24	2.06% 3.12	2.37% 3.21	2.49% 3.3	2.11% 2.86
Total shortfall/UCC Median	43,118,055 9,489,989	62,160,860 9,424,297	62,034,417 10,120,158	67,004,927 11,171,337	69,225,017 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	236,667,655 52,142,039	253,249,827 54,485,252	264,389,066 57,395,589	270,991,181 58,830,919	296,098,970 61,722,907
Salaries as a % of operating expenses Median	42.75 36.68	42.83 36.56	43.00 36.37	43.86 35.93	43.78 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	1,116,997 1,251,927	1,363,940 1,186,494	1,180,876 1,204,885	1,102,440 1,279,653	1,334,081 1,469,317
Contract adjusted salaries, direct-care Median	2,669,407 1,449,244	4,647,439 1,475,986	2,751,342 1,563,078	3,117,588 1,721,954	8,637,986 2,991,828
Contract hours, direct-care Median	71,368.00 22,725	110,377.00 23,018.5	71,337.00 24,503.48	69,203.00 25,026.5	107,500.00 33,786
Contract wages, direct-care Median	37.40 64.67	42.11 64.53	38.57 65.06	45.05 68.97	80.35 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.