As of the July, 2022, release via CMS

TUALITY HEALTHCARE

CMS id: 380021
335 S. E. 8TH AVE, HILLSBORO OR 97123. County: WASHINGTON
System: --
CBSA: Portland-Vancouver-Hillsboro, OR-WA

The 127-bed, acute-care hospital had $-24,023,267 in net service to patients*, with a total profit margin of 12.62837% in fiscal year 2021, the latest year available.
It spent 3.12% of its operating expenses on uncompensated care and reported $4,428,713 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	165 118	165 118	91 119.5	88 118	88 119
Total beds Median	215 162	215 162	101 162	127 162	127 163.5
FTEs Median	958.99 788.06	953.89 793.42	937.05 806.03	1,019.25 787.61	995.64 804.34

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	169,771,902 150,932,746	195,253,981 158,950,878	188,750,725 168,696,998	191,924,961 163,454,693	224,946,085 186,589,412
Operating expenses Median	190,615,130 149,311,209	193,886,899 156,110,414	208,921,216 164,890,568	231,353,420 166,516,854	248,969,352 180,120,888
Net income from service 2 patients (NS2P) ? Median	-20,843,228 -964,173	1,367,082 -643,601.5	-20,170,491 -116,254	-39,428,459 -5,025,862	-24,023,267 -1,284,564
NS2P margin ? Median	-12.28% -0.62	0.70% -0.29	-10.69% 0.18	-20.54% -5.07	-10.68% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for TUALITY HEALTHCARE 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	29,001,266 5,089,215	21,294,019 4,572,541	22,438,203 5,268,134	44,526,330 13,092,619	36,184,699 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	447,279 224,999	225,563 199,009	269,307 206,870.5	256,988 194,343	196,566 249,496
⊳ Line 7: Investments ? ⊳ Median	5,464,585 299,524	4,159,550 188,688.5	4,142,052 370,813	5,355,199 309,361.5	9,989,894 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	3,190	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	759,010	768,010	807,198	678,781	428,852
⊳ 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	242	294	279	59	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	153,392	130,996	120,962	61,292	97
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	398,999	413,945	332,916	170,534	120,224
⊳ 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	21,774,569	15,595,661	16,765,489	38,003,477	25,449,066
Total income ? Median	8,158,038 6,586,430	22,661,101 6,767,106	2,267,712 8,419,950	5,097,871 8,094,175	12,161,432 15,162,888
Non-operating expenses Median	-4,288,700 146,289.5	-35,000 164,857	17,050,844 89,880.5	20,099,148 106,761	-20,815,118 31,473.5
Net income Median	12,446,738 6,043,842	22,696,101 5,845,112	-14,783,132 7,606,259	-15,001,277 7,283,041	32,976,550 14,957,241
Net margin Median	6.26178% 4.62%	10.48086% 4.42%	-6.99996% 5.16%	-6.34434% 5.2%	12.62837% 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 TUALITY HEALTHCARE 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	14,113,247 23,241,334	15,268,538 23,709,545	14,568,491 24,248,380	15,701,091 22,858,541	18,564,585 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	11,023,702 21,577,146	12,989,702 22,041,594	14,568,491 22,722,063	13,988,304 21,570,441	16,032,411 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	3,089,545 1,845,420	2,278,836 1,757,392	0 1,738,842	1,712,787 1,510,463	2,532,174 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	11,161,583 11,160,864	11,590,612 11,987,345	13,374,455 12,926,866	11,206,371 11,884,480	12,555,176 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	10,382,059 10,918,923	10,686,170 11,706,976	12,362,059 12,615,917	11,206,371 11,458,116	11,152,085 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	779,524 1,282,808	904,442 1,407,728	1,012,396 1,341,512	0 1,407,046	1,403,091 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	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	392,368 594,888	427,151 595,761	338,749 577,894	317,162 542,168	510,474 549,667
Outlier Median	426,997 582,572	672,292 538,116	790,392 212,434	129,469 126,559	404,548 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	9,950,896 3,662,910	7,611,822 3,730,911	12,237,761 4,081,319	10,279,050 4,643,908	4,428,713 4,389,147
Charity care Median	4,325,632 2,654,636	5,933,934 2,940,659	4,844,991 3,380,215	6,460,176 3,488,738	7,747,057 3,233,405
Uncompensated care (UCC) Median	8,544,440 5,147,790	8,711,900 5,337,617	7,317,670 5,711,082	6,661,237 5,923,418	7,769,232 5,508,107
UCC as a % of operating expenses Median	4.48% 3.24	4.49% 3.12	3.50% 3.21	2.88% 3.3	3.12% 2.86
Total shortfall/UCC Median	18,495,336 9,489,989	16,323,722 9,424,297	19,555,431 10,120,158	16,940,287 11,171,337	12,197,945 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	92,183,567 52,142,039	84,945,355 54,485,252	84,554,694 57,395,589	86,668,495 58,830,919	89,627,878 61,722,907
Salaries as a % of operating expenses Median	48.36 36.68	43.81 36.56	40.47 36.37	37.46 35.93	36.00 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	0 1,251,927	0 1,186,494	0 1,204,885	93,164 1,279,653	99,407 1,469,317
Contract adjusted salaries, direct-care Median	274,711 1,449,244	615,773 1,475,986	1,408,706 1,563,078	1,184,611 1,721,954	4,084,694 2,991,828
Contract hours, direct-care Median	4,453.00 22,725	8,474.37 23,018.5	19,306.00 24,503.48	14,350.60 25,026.5	40,966.34 33,786
Contract wages, direct-care Median	61.69 64.67	72.66 64.53	72.97 65.06	82.55 68.97	99.71 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.