As of the July, 2022, release via CMS

OHSU HOSPITAL AND CLINICS

CMS id: 380009
3181 SW SAM JACKSON PARK ROAD, PORTLAND OR 97239. County: MULTNOMAH
System: --
CBSA: Portland-Vancouver-Hillsboro, OR-WA

The 549-bed, acute-care hospital had $-74,501,079 in net service to patients*, with a total profit margin of 13.53390% in fiscal year 2021, the latest year available.
It spent 1.97% of its operating expenses on uncompensated care and reported $68,539,363 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	417 118	417 118	417 119.5	404 118	404 119
Total beds Median	556 162	556 162	562 162	549 162	549 163.5
FTEs Median	7,228.08 788.06	8,065.00 793.42	8,065.00 806.03	8,128.17 787.61	8,314.56 804.34

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	1,647,025,791 150,932,746	1,671,698,909 158,950,878	1,747,504,392 168,696,998	1,891,264,025 163,454,693	2,095,415,273 186,589,412
Operating expenses Median	1,672,671,679 149,311,209	1,712,829,281 156,110,414	1,792,773,011 164,890,568	2,163,512,271 166,516,854	2,169,916,352 180,120,888
Net income from service 2 patients (NS2P) ? Median	-25,645,888 -964,173	-41,130,372 -643,601.5	-45,268,619 -116,254	-272,248,246 -5,025,862	-74,501,079 -1,284,564
NS2P margin ? Median	-1.56% -0.62	-2.46% -0.29	-2.59% 0.18	-14.40% -5.07	-3.56% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for OHSU HOSPITAL AND CLINICS 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	121,965,637 5,089,215	139,805,955 4,572,541	182,937,673 5,268,134	292,420,944 13,092,619	414,142,003 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	18,754,819 299,524	15,758,451 188,688.5	54,904,391 370,813	44,985,954 309,361.5	100,825,832 375,329
⊳ 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	1,274,310 1,017,693	1,326,556 983,261.5	1,326,556 1,173,286	1,382,272 1,987,202	1,382,271 1,597,664
⊳ Sum Line 24	101,936,508	122,720,948	126,706,726	246,052,718	311,933,900
Total income ? Median	96,319,749 6,586,430	98,675,583 6,767,106	137,669,054 8,419,950	20,172,698 8,094,175	339,640,924 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	96,319,749 6,043,842	98,675,583 5,845,112	137,669,054 7,606,259	20,172,698 7,283,041	339,640,924 14,957,241
Net margin Median	5.44490% 4.62%	5.44716% 4.42%	7.13148% 5.16%	0.92379% 5.2%	13.53390% 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 OHSU HOSPITAL AND CLINICS 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	172,991,257 23,241,334	179,925,375 23,709,545	195,460,414 24,248,380	176,910,448 22,858,541	175,024,923 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	172,991,257 21,577,146	179,925,375 22,041,594	195,460,414 22,722,063	176,910,448 21,570,441	175,024,923 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	98,131,637 11,160,864	111,686,839 11,987,345	120,977,043 12,926,866	115,939,591 11,884,480	124,783,068 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	98,131,637 10,918,923	111,686,839 11,706,976	120,977,043 12,615,917	115,939,591 11,458,116	124,783,068 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	30,238,580 3,284,314	31,815,718 3,250,551	33,989,446 3,386,837	32,050,573 3,360,806	31,094,526 3,508,953
Disproportionate-share hospital (DSH) Median	6,092,592 594,888	6,534,570 595,761	6,950,695 577,894	5,755,583 542,168	5,799,689 549,667
Outlier Median	21,393,316 582,572	19,988,995 538,116	25,498,904 212,434	3,360,073 126,559	3,023,083 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	6,264,243 3,662,910	49,317,921 3,730,911	70,253,257 4,081,319	104,433,966 4,643,908	68,539,363 4,389,147
Charity care Median	18,293,027 2,654,636	14,893,903 2,940,659	24,726,707 3,380,215	36,051,921 3,488,738	34,078,021 3,233,405
Uncompensated care (UCC) Median	23,692,722 5,147,790	19,662,780 5,337,617	29,290,546 5,711,082	41,613,604 5,923,418	42,786,144 5,508,107
UCC as a % of operating expenses Median	1.42% 3.24	1.15% 3.12	1.63% 3.21	1.92% 3.3	1.97% 2.86
Total shortfall/UCC Median	29,956,965 9,489,989	68,980,701 9,424,297	99,543,803 10,120,158	146,047,570 11,171,337	111,325,507 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	556,058,831 52,142,039	603,995,417 54,485,252	656,645,733 57,395,589	698,588,630 58,830,919	747,986,665 61,722,907
Salaries as a % of operating expenses Median	30.68 36.68	33.03 36.56	34.35 36.37	32.29 35.93	34.47 35.24
Intern, resident salaries* Median	46,224,576 2,598,592	47,768,741 2,686,824	49,037,584 2,753,773	50,820,822 2,937,156	54,362,494 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	9,251,779 1,449,244	6,479,492 1,475,986	9,830,755 1,563,078	9,884,035 1,721,954	15,674,470 2,991,828
Contract hours, direct-care Median	111,994.77 22,725	71,669.96 23,018.5	119,935.00 24,503.48	129,845.23 25,026.5	148,557.00 33,786
Contract wages, direct-care Median	82.61 64.67	90.41 64.53	81.97 65.06	76.12 68.97	105.51 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.