As of the July, 2022, release via CMS

PROVIDENCE PORTLAND MEDICAL CENTER

CMS id: 380061
4805 NE GLISAN, PORTLAND OR 97213. County: MULTNOMAH
System: PROVIDENCE HEALTH & SERVICES
CBSA: Portland-Vancouver-Hillsboro, OR-WA

The 418-bed, acute-care hospital had $-135,016,359 in net service to patients*, with a total profit margin of 3.08691% in fiscal year 2021, the latest year available.
It spent 1.76% of its operating expenses on uncompensated care and reported $53,001,838 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	289 118	289 118	315 119.5	306 118	314 119
Total beds Median	390 162	391 162	419 162	408 162	418 163.5
FTEs Median	2,853.69 788.06	2,913.63 793.42	2,967.63 806.03	2,926.58 787.61	3,015.79 804.34

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	757,863,763 150,932,746	793,830,310 158,950,878	814,151,106 168,696,998	805,314,412 163,454,693	895,888,790 186,589,412
Operating expenses Median	838,636,351 149,311,209	919,634,073 156,110,414	878,633,855 164,890,568	913,399,539 166,516,854	1,030,905,149 180,120,888
Net income from service 2 patients (NS2P) ? Median	-80,772,588 -964,173	-125,803,763 -643,601.5	-64,482,749 -116,254	-108,085,127 -5,025,862	-135,016,359 -1,284,564
NS2P margin ? Median	-10.66% -0.62	-15.85% -0.29	-7.92% 0.18	-13.42% -5.07	-15.07% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PROVIDENCE PORTLAND 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	79,067,108 5,089,215	102,881,894 4,572,541	113,843,321 5,268,134	175,978,147 13,092,619	167,853,146 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	30,681,312 224,999	25,322,059 199,009	37,424,737 206,870.5	42,256,590 194,343	50,175,342 249,496
⊳ Line 7: Investments ? ⊳ Median	57,257 299,524	52,439 188,688.5	22,358 370,813	6,467 309,361.5	13,162 375,329
⊳ 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.)	1,223,051	1,193,715	1,221,009	956,171	1,125,951
⊳ 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	1,520,327	1,336,622	770,422	945,308	1,205,541
⊳ 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	45,585,161	74,977,059	74,404,795	131,813,611	115,333,150
Total income ? Median	-1,705,480 6,586,430	-22,921,869 6,767,106	49,360,572 8,419,950	67,893,020 8,094,175	32,836,787 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	-1,705,480 6,043,842	-22,921,869 5,845,112	49,360,572 7,606,259	67,893,020 7,283,041	32,836,787 14,957,241
Net margin Median	-0.20378% 4.62%	-2.55621% 4.42%	5.31906% 5.16%	6.91873% 5.2%	3.08691% 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 PORTLAND 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	69,793,765 23,241,334	72,562,702 23,709,545	74,123,500 24,248,380	71,026,823 22,858,541	67,840,712 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	65,480,736 21,577,146	67,716,031 22,041,594	68,591,474 22,722,063	65,913,324 21,570,441	63,379,573 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	2,098,667 1,845,420	2,573,100 1,757,392	2,491,153 1,738,842	2,449,439 1,510,463	2,248,878 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,214,362 3,535,627	2,273,571 3,746,588	3,040,873 3,782,288	2,664,060 3,865,578	2,212,261 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	39,795,929 11,160,864	43,863,094 11,987,345	49,252,089 12,926,866	48,457,452 11,884,480	53,252,948 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	39,795,929 10,918,923	43,863,094 11,706,976	49,252,089 12,615,917	48,457,452 11,458,116	53,252,948 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	3,767,749 3,284,314	3,731,523 3,250,551	3,888,631 3,386,837	3,706,583 3,360,806	3,504,402 3,508,953
Disproportionate-share hospital (DSH) Median	2,253,344 594,888	2,250,167 595,761	2,337,479 577,894	2,127,462 542,168	2,246,350 549,667
Outlier Median	6,099,579 582,572	6,158,787 538,116	1,225,409 212,434	1,032,401 126,559	922,612 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	27,818,221 3,662,910	39,740,062 3,730,911	39,382,436 4,081,319	48,983,468 4,643,908	53,001,838 4,389,147
Charity care Median	12,963,971 2,654,636	15,680,139 2,940,659	17,731,821 3,380,215	18,409,296 3,488,738	17,508,963 3,233,405
Uncompensated care (UCC) Median	16,177,940 5,147,790	19,116,299 5,337,617	19,884,108 5,711,082	19,446,895 5,923,418	18,166,830 5,508,107
UCC as a % of operating expenses Median	1.93% 3.24	2.08% 3.12	2.26% 3.21	2.13% 3.3	1.76% 2.86
Total shortfall/UCC Median	43,996,161 9,489,989	58,856,361 9,424,297	59,266,544 10,120,158	68,430,363 11,171,337	71,168,668 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	235,590,662 52,142,039	246,063,242 54,485,252	257,044,127 57,395,589	265,689,143 58,830,919	287,764,118 61,722,907
Salaries as a % of operating expenses Median	42.62 36.68	41.71 36.56	41.85 36.37	40.17 35.93	39.59 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	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	970,781 1,449,244	2,206,401 1,475,986	2,608,878 1,563,078	1,872,523 1,721,954	6,411,435 2,991,828
Contract hours, direct-care Median	18,302.00 22,725	38,866.00 23,018.5	47,741.00 24,503.48	28,313.00 25,026.5	55,772.00 33,786
Contract wages, direct-care Median	53.04 64.67	56.77 64.53	54.65 65.06	66.14 68.97	114.96 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.