As of the July, 2022, release via CMS

SHMC-RIVERBEND

CMS id: 380102
3333 RIVERBEND DRIVE, SPRINGFIELD OR 97477. County: LANE
System: PEACEHEALTH
CBSA: Eugene-Springfield, OR

The 385-bed, acute-care hospital had $8,832,775 in net service to patients*, with a total profit margin of 1.76111% in fiscal year 2021, the latest year available.
It spent 3.19% of its operating expenses on uncompensated care and reported $33,524,669 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	301 118	301 118	301 119.5	301 118	301 119
Total beds Median	379 162	379 162	383 162	383 162	385 163.5
FTEs Median	2,157.98 788.06	2,290.53 793.42	2,293.76 806.03	2,319.37 787.61	2,546.00 804.34

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	648,221,856 150,932,746	690,241,156 158,950,878	741,832,153 168,696,998	715,281,006 163,454,693	767,835,761 186,589,412
Operating expenses Median	602,996,228 149,311,209	626,491,079 156,110,414	695,011,750 164,890,568	708,695,753 166,516,854	759,002,986 180,120,888
Net income from service 2 patients (NS2P) ? Median	45,225,628 -964,173	63,750,077 -643,601.5	46,820,403 -116,254	6,585,253 -5,025,862	8,832,775 -1,284,564
NS2P margin ? Median	6.98% -0.62	9.24% -0.29	6.31% 0.18	0.92% -5.07	1.15% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SHMC-RIVERBEND 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	31,606,737 5,089,215	-56,645,537 4,572,541	-6,797,217 5,268,134	28,216,583 13,092,619	10,286,416 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	5,548,812 224,999	2,285,038 199,009	609,738 206,870.5	1,620,679 194,343	1,110,318 249,496
⊳ Line 7: Investments ? ⊳ Median	13,100,798 299,524	500,935 188,688.5	523,980 370,813	570,707 309,361.5	415,259 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	5,980	-1,885	-6,617	-129	0
⊳ Line 11: Rebates and refunds of expenses	1,111,128	729,278	946,732	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	3,080,976	2,852,212	2,630,433	2,909,889	2,455,297
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	-17,380	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	9,380	82,392	108,902	1,364,900
⊳ Line 18: Revenue from sale of medical records and abstracts	427	0	1,830	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	52,509	26,551	81,622	52,870	32,590
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	-2,000	0	0	0	0
⊳ Line 21: Rental of vending machines	28,375	26,840	13,255	8,783	3,718
⊳ Line 22: Rental of hospital space	6,736,852	2,200,064	2,792,874	2,818,963	3,204,283
⊳ Line 23: Gov appropriations ? ⊳ Median	181,742 1,017,693	143,920 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	1,778,518	-65,417,870	-14,473,456	20,125,919	1,700,051
Total income ? Median	76,832,365 6,586,430	7,104,540 6,767,106	40,023,186 8,419,950	34,801,836 8,094,175	19,119,191 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	5,415,621 31,473.5
Net income Median	76,832,365 6,043,842	7,104,540 5,845,112	40,023,186 7,606,259	34,801,836 7,283,041	13,703,570 14,957,241
Net margin Median	11.30173% 4.62%	1.12131% 4.42%	5.44507% 5.16%	4.68083% 5.2%	1.76111% 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 SHMC-RIVERBEND 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	98,920,552 23,241,334	114,735,578 23,709,545	105,839,940 24,248,380	95,129,127 22,858,541	94,133,222 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	98,920,552 21,577,146	114,735,578 22,041,594	105,839,940 22,722,063	95,129,127 21,570,441	94,133,222 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	24,652,794 11,160,864	28,970,758 11,987,345	36,664,677 12,926,866	38,073,743 11,884,480	41,597,400 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	24,652,794 10,918,923	28,970,758 11,706,976	36,664,677 12,615,917	38,073,743 11,458,116	41,597,400 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	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	3,360,532 594,888	3,678,132 595,761	3,484,199 577,894	3,459,497 542,168	3,789,013 549,667
Outlier Median	7,306,135 582,572	9,631,152 538,116	3,973,563 212,434	867,374 126,559	425,957 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	14,899,943 3,662,910	0 3,730,911	25,162,209 4,081,319	28,268,748 4,643,908	33,524,669 4,389,147
Charity care Median	3,795,032 2,654,636	7,622,763 2,940,659	15,168,778 3,380,215	19,503,667 3,488,738	21,017,092 3,233,405
Uncompensated care (UCC) Median	8,074,031 5,147,790	11,072,925 5,337,617	18,836,022 5,711,082	22,391,939 5,923,418	24,208,182 5,508,107
UCC as a % of operating expenses Median	1.34% 3.24	1.77% 3.12	2.71% 3.21	3.16% 3.3	3.19% 2.86
Total shortfall/UCC Median	22,973,974 9,489,989	11,072,925 9,424,297	43,998,231 10,120,158	50,660,687 11,171,337	57,732,851 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	183,228,306 52,142,039	203,620,502 54,485,252	218,311,127 57,395,589	224,157,630 58,830,919	248,608,487 61,722,907
Salaries as a % of operating expenses Median	33.39 36.68	40.20 36.56	39.79 36.37	40.61 35.93	38.20 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	21,510,905 1,449,244	8,196,862 1,475,986	14,267,456 1,563,078	10,063,068 1,721,954	10,063,068 2,991,828
Contract hours, direct-care Median	251,469.00 22,725	87,508.88 23,018.5	152,854.00 24,503.48	113,768.00 25,026.5	113,767.54 33,786
Contract wages, direct-care Median	85.54 64.67	93.67 64.53	93.34 65.06	88.45 68.97	88.45 88.94

* in an approved program

Return to top

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.