As of the July, 2022, release via CMS

LEGACY EMANUEL HOSPITAL & HEALTH CTR

CMS id: 380007
2801 N. GANTBEIN, PORTLAND OR 97227. County: MULTNOMAH
System: LEGACY HEALTH
CBSA: Portland-Vancouver-Hillsboro, OR-WA

The 493-bed, acute-care hospital had $-168,979,151 in net service to patients*, with a total profit margin of -5.35601% in fiscal year 2021, the latest year available.
It spent 3.22% of its operating expenses on uncompensated care and reported $93,534,756 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	276 118	264 118	263 119.5	279 118	265 119
Total beds Median	431 162	487 162	485 162	507 162	493 163.5
FTEs Median	3,730.02 788.06	4,124.38 793.42	4,002.29 806.03	4,036.75 787.61	3,902.73 804.34

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	778,184,483 150,932,746	834,516,789 158,950,878	845,005,370 168,696,998	888,187,517 163,454,693	840,473,335 186,589,412
Operating expenses Median	848,616,074 149,311,209	941,373,806 156,110,414	969,955,116 164,890,568	1,002,843,936 166,516,854	1,009,452,486 180,120,888
Net income from service 2 patients (NS2P) ? Median	-70,431,591 -964,173	-106,857,017 -643,601.5	-124,949,746 -116,254	-114,656,419 -5,025,862	-168,979,151 -1,284,564
NS2P margin ? Median	-9.05% -0.62	-12.80% -0.29	-14.79% 0.18	-12.91% -5.07	-20.11% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for LEGACY EMANUEL HOSPITAL & HEALTH 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	58,302,209 5,089,215	65,513,626 4,572,541	60,214,988 5,268,134	59,079,948 13,092,619	117,661,341 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	4,782,298 299,524	9,358,602 188,688.5	356,030 370,813	-170,785 309,361.5	-40,894 375,329
⊳ 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	0	0	0	0	0
⊳ 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	53,519,911	56,155,024	59,858,958	59,250,733	117,702,235
Total income ? Median	-12,129,382 6,586,430	-41,343,391 6,767,106	-64,734,758 8,419,950	-55,576,471 8,094,175	-51,317,810 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	-12,129,382 6,043,842	-41,343,391 5,845,112	-64,734,758 7,606,259	-55,576,471 7,283,041	-51,317,810 14,957,241
Net margin Median	-1.45004% 4.62%	-4.59355% 4.42%	-7.15127% 5.16%	-5.86703% 5.2%	-5.35601% 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 LEGACY EMANUEL HOSPITAL & HEALTH 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	57,429,335 23,241,334	64,691,598 23,709,545	58,370,561 24,248,380	67,202,425 22,858,541	62,248,735 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	55,973,795 21,577,146	58,266,500 22,041,594	53,406,734 22,722,063	61,785,611 21,570,441	57,135,913 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	1,455,540 1,845,420	6,425,098 1,757,392	4,963,827 1,738,842	5,416,814 1,510,463	5,112,822 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	11,414,628 11,160,864	11,473,458 11,987,345	12,157,971 12,926,866	12,861,644 11,884,480	10,800,381 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	11,414,628 10,918,923	11,473,458 11,706,976	12,157,971 12,615,917	12,861,644 11,458,116	10,800,381 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	3,117,208 3,284,314	3,500,386 3,250,551	3,471,106 3,386,837	3,861,339 3,360,806	3,621,992 3,508,953
Disproportionate-share hospital (DSH) Median	3,108,211 594,888	3,088,156 595,761	2,775,208 577,894	3,153,129 542,168	3,061,572 549,667
Outlier Median	7,477,593 582,572	9,782,280 538,116	6,660,327 212,434	1,279,326 126,559	1,199,950 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	78,272,873 3,662,910	94,243,842 3,730,911	87,885,297 4,081,319	96,683,271 4,643,908	93,534,756 4,389,147
Charity care Median	20,898,502 2,654,636	21,684,345 2,940,659	19,202,094 3,380,215	20,342,748 3,488,738	26,011,724 3,233,405
Uncompensated care (UCC) Median	21,893,819 5,147,790	26,216,965 5,337,617	25,280,333 5,711,082	25,243,766 5,923,418	32,463,851 5,508,107
UCC as a % of operating expenses Median	2.58% 3.24	2.78% 3.12	2.61% 3.21	2.52% 3.3	3.22% 2.86
Total shortfall/UCC Median	100,166,692 9,489,989	120,460,807 9,424,297	113,165,630 10,120,158	121,927,037 11,171,337	125,998,607 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	397,040,590 52,142,039	442,669,006 54,485,252	464,981,887 57,395,589	487,129,283 58,830,919	487,270,347 61,722,907
Salaries as a % of operating expenses Median	46.79 36.68	47.02 36.56	47.94 36.37	48.57 35.93	48.27 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	2,378,325 1,251,927	2,158,159 1,186,494	2,479,342 1,204,885	2,161,134 1,279,653	3,101,499 1,469,317
Contract adjusted salaries, direct-care Median	5,379,088 1,449,244	5,415,046 1,475,986	5,147,084 1,563,078	5,311,617 1,721,954	6,565,802 2,991,828
Contract hours, direct-care Median	92,388.03 22,725	91,046.64 23,018.5	89,504.74 24,503.48	107,528.80 25,026.5	96,576.28 33,786
Contract wages, direct-care Median	58.22 64.67	59.48 64.53	57.51 65.06	49.40 68.97	67.99 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.