As of the July, 2022, release via CMS

UNIVERSITY OF WASHINGTON MED CTR

CMS id: 500008
1959 NE PACIFIC ST, SEATTLE WA 98195. County: KING
System: --
CBSA: Seattle-Tacoma-Bellevue, WA

The 630-bed, acute-care hospital had $-142,271,901 in net service to patients*, with a total profit margin of 7.89262% in fiscal year 2021, the latest year available.
It spent 1.05% of its operating expenses on uncompensated care and reported $1,489,789 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	209 118	209 118	237 119.5	383 118	373 119
Total beds Median	442 162	442 162	470 162	657 162	630 163.5
FTEs Median	4,428.37 788.06	4,395.40 793.42	4,493.25 806.03	5,809.46 787.61	6,357.41 804.34

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	1,126,039,867 150,932,746	1,194,326,803 158,950,878	1,319,149,264 168,696,998	1,419,261,941 163,454,693	1,725,110,673 186,589,412
Operating expenses Median	1,216,465,393 149,311,209	1,267,014,521 156,110,414	1,334,501,887 164,890,568	1,593,635,778 166,516,854	1,867,382,574 180,120,888
Net income from service 2 patients (NS2P) ? Median	-90,425,526 -964,173	-72,687,718 -643,601.5	-15,352,623 -116,254	-174,373,837 -5,025,862	-142,271,901 -1,284,564
NS2P margin ? Median	-8.03% -0.62	-6.09% -0.29	-1.16% 0.18	-12.29% -5.07	-8.25% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UNIVERSITY OF WASHINGTON MED 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	56,816,333 5,089,215	66,384,135 4,572,541	93,774,483 5,268,134	194,483,302 13,092,619	181,918,121 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	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ 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	2,540,240	0	0
⊳ Line 12: Parking lot receipts	2,726,337	2,591,394	0	3,131,060	4,796,868
⊳ Line 13: Revenue from laundry and linen service	0	0	7,669,190	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	6,146,493	7,383,961	0	7,069,182	5,962,491
⊳ 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	5,618,252	5,499,302
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	159	93
⊳ 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	82,521	95,257	46,863	53,741	59,848
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	6,640,778 1,017,693	6,688,446 983,261.5	6,746,154 1,173,286	9,313,576 1,987,202	0 1,597,664
⊳ Sum Line 24	41,220,204	49,625,077	76,772,036	169,297,332	165,599,519
Total income ? Median	-33,609,193 6,586,430	-6,303,583 6,767,106	78,421,860 8,419,950	20,109,465 8,094,175	39,646,220 15,162,888
Non-operating expenses Median	12,953,933 146,289.5	11,814,590 164,857	3,116,707 89,880.5	-15,686,982 106,761	-110,868,309 31,473.5
Net income Median	-46,563,126 6,043,842	-18,118,173 5,845,112	75,305,153 7,606,259	35,796,447 7,283,041	150,514,529 14,957,241
Net margin Median	-3.93650% 4.62%	-1.43714% 4.42%	5.32974% 5.16%	2.21822% 5.2%	7.89262% 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 UNIVERSITY OF WASHINGTON MED 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	163,834,054 23,241,334	158,685,196 23,709,545	161,388,607 24,248,380	178,194,876 22,858,541	223,381,807 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	160,605,060 21,577,146	155,792,445 22,041,594	158,230,918 22,722,063	172,521,402 21,570,441	216,025,997 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	590,426 1,845,420	658,829 1,757,392	481,508 1,738,842	2,576,277 1,510,463	4,115,912 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,638,568 3,535,627	2,233,922 3,746,588	2,676,181 3,782,288	3,097,197 3,865,578	3,239,898 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	66,692,206 11,160,864	73,420,765 11,987,345	79,830,372 12,926,866	83,887,436 11,884,480	100,289,672 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	66,692,206 10,918,923	73,420,765 11,706,976	79,830,372 12,615,917	83,887,436 11,458,116	100,289,672 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	31,343,352 3,284,314	30,260,117 3,250,551	30,244,821 3,386,837	31,829,988 3,360,806	38,049,225 3,508,953
Disproportionate-share hospital (DSH) Median	4,285,682 594,888	3,818,849 595,761	3,679,846 577,894	3,695,403 542,168	4,761,203 549,667
Outlier Median	16,301,052 582,572	14,233,223 538,116	13,609,659 212,434	1,349,706 126,559	2,213,664 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	9,719,907 3,662,910	9,112,798 3,730,911	0 4,081,319	7,278,525 4,643,908	1,489,789 4,389,147
Charity care Median	27,850,887 2,654,636	11,704,916 2,940,659	10,696,587 3,380,215	9,885,108 3,488,738	15,848,058 3,233,405
Uncompensated care (UCC) Median	31,997,494 5,147,790	15,309,056 5,337,617	13,835,601 5,711,082	13,510,424 5,923,418	19,694,840 5,508,107
UCC as a % of operating expenses Median	2.63% 3.24	1.21% 3.12	1.04% 3.21	0.85% 3.3	1.05% 2.86
Total shortfall/UCC Median	41,717,401 9,489,989	24,421,854 9,424,297	13,835,601 10,120,158	20,788,949 11,171,337	21,184,629 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	363,663,194 52,142,039	376,655,891 54,485,252	404,830,774 57,395,589	494,824,039 58,830,919	593,124,014 61,722,907
Salaries as a % of operating expenses Median	29.90 36.68	29.73 36.56	30.34 36.37	31.05 35.93	31.76 35.24
Intern, resident salaries* Median	192,637 2,598,592	196,439 2,686,824	203,324 2,753,773	206,397 2,937,156	220,295 2,909,848
Contract intern, resident salaries* Median	31,511,155 1,251,927	34,432,888 1,186,494	35,496,719 1,204,885	37,164,755 1,279,653	40,308,944 1,469,317
Contract adjusted salaries, direct-care Median	41,610,574 1,449,244	42,800,945 1,475,986	49,592,831 1,563,078	56,670,332 1,721,954	72,916,455 2,991,828
Contract hours, direct-care Median	871,083.00 22,725	843,086.00 23,018.5	980,760.00 24,503.48	1,079,728.00 25,026.5	1,238,307.00 33,786
Contract wages, direct-care Median	47.77 64.67	50.77 64.53	50.57 65.06	52.49 68.97	58.88 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.