As of the July, 2022, release via CMS

PROV REGL MED CENTER EVERETT

CMS id: 500014
1321 COLBY AVENUE, EVERETT WA 98201. County: SNOHOMISH
System: PROVIDENCE HEALTH & SERVICES
CBSA: Seattle-Tacoma-Bellevue, WA

The 538-bed, acute-care hospital had $-118,963,038 in net service to patients*, with a total profit margin of -9.12055% in fiscal year 2021, the latest year available.
It spent 1.90% of its operating expenses on uncompensated care and reported $44,479,076 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	390 118	417 118	417 119.5	417 118	441 119
Total beds Median	487 162	514 162	514 162	514 162	538 163.5
FTEs Median	3,081.51 788.06	3,150.53 793.42	3,188.86 806.03	3,149.93 787.61	3,203.25 804.34

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	721,677,263 150,932,746	745,329,660 158,950,878	760,372,171 168,696,998	740,412,901 163,454,693	825,339,728 186,589,412
Operating expenses Median	748,448,410 149,311,209	789,114,879 156,110,414	771,796,906 164,890,568	797,059,356 166,516,854	944,302,766 180,120,888
Net income from service 2 patients (NS2P) ? Median	-26,771,147 -964,173	-43,785,219 -643,601.5	-11,424,735 -116,254	-56,646,455 -5,025,862	-118,963,038 -1,284,564
NS2P margin ? Median	-3.71% -0.62	-5.87% -0.29	-1.50% 0.18	-7.65% -5.07	-14.41% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PROV REGL MED CENTER EVERETT 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	30,830,742 5,089,215	19,282,627 4,572,541	21,305,577 5,268,134	54,096,857 13,092,619	40,035,975 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	4,035,662 224,999	5,063,737 199,009	5,773,511 206,870.5	10,568,642 194,343	14,077,064 249,496
⊳ Line 7: Investments ? ⊳ Median	2,720,047 299,524	-1,178,489 188,688.5	2,075,777 370,813	2,294,877 309,361.5	2,418,101 375,329
⊳ 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.)	563,430	661,661	553,622	262,374	300,445
⊳ 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	1,756,454	2,105,464	1,636,907	1,674,529	1,874,166
⊳ 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	21,755,149	12,630,254	11,265,760	39,296,435	21,366,199
Total income ? Median	4,059,595 6,586,430	-24,502,592 6,767,106	9,880,842 8,419,950	-2,549,598 8,094,175	-78,927,063 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	4,059,595 6,043,842	-24,502,592 5,845,112	9,880,842 7,606,259	-2,549,598 7,283,041	-78,927,063 14,957,241
Net margin Median	0.53948% 4.62%	-3.20458% 4.42%	1.26406% 5.16%	-0.32090% 5.2%	-9.12055% 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 PROV REGL MED CENTER EVERETT 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	90,552,354 23,241,334	88,015,192 23,709,545	95,092,781 24,248,380	87,313,248 22,858,541	96,438,747 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	87,365,385 21,577,146	84,764,165 22,041,594	91,542,128 22,722,063	83,679,088 21,570,441	92,454,858 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	3,186,969 3,535,627	3,251,027 3,746,588	3,550,653 3,782,288	3,634,160 3,865,578	3,983,889 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	29,892,285 11,160,864	33,466,908 11,987,345	34,021,539 12,926,866	30,067,694 11,884,480	33,675,345 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	29,892,285 10,918,923	33,466,908 11,706,976	34,021,539 12,615,917	30,067,694 11,458,116	33,675,345 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	215,049 3,284,314	1,030,062 3,250,551	1,905,421 3,386,837	2,135,269 3,360,806	3,595,134 3,508,953
Disproportionate-share hospital (DSH) Median	2,705,369 594,888	2,655,421 595,761	2,790,674 577,894	2,714,337 542,168	2,861,946 549,667
Outlier Median	5,643,902 582,572	3,858,488 538,116	723,036 212,434	655,995 126,559	687,732 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	19,863,220 3,662,910	21,492,032 3,730,911	22,158,277 4,081,319	37,688,592 4,643,908	44,479,076 4,389,147
Charity care Median	15,767,869 2,654,636	16,518,935 2,940,659	19,457,254 3,380,215	11,753,244 3,488,738	12,461,591 3,233,405
Uncompensated care (UCC) Median	18,722,057 5,147,790	19,512,148 5,337,617	23,115,464 5,711,082	12,663,072 5,923,418	17,903,974 5,508,107
UCC as a % of operating expenses Median	2.50% 3.24	2.47% 3.12	3.00% 3.21	1.59% 3.3	1.90% 2.86
Total shortfall/UCC Median	38,585,277 9,489,989	41,004,180 9,424,297	45,273,741 10,120,158	50,351,664 11,171,337	62,383,050 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	247,874,606 52,142,039	257,238,229 54,485,252	266,997,927 57,395,589	275,020,880 58,830,919	312,077,427 61,722,907
Salaries as a % of operating expenses Median	43.90 36.68	43.67 36.56	46.12 36.37	46.59 35.93	45.45 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	330,000 1,251,927	996,000 1,186,494	1,248,800 1,204,885	1,970,250 1,279,653	1,642,469 1,469,317
Contract adjusted salaries, direct-care Median	2,611,195 1,449,244	3,910,422 1,475,986	6,234,166 1,563,078	7,882,480 1,721,954	17,008,788 2,991,828
Contract hours, direct-care Median	40,516.00 22,725	57,824.00 23,018.5	80,975.00 24,503.48	105,498.00 25,026.5	194,154.00 33,786
Contract wages, direct-care Median	64.45 64.67	67.63 64.53	76.99 65.06	74.72 68.97	87.60 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.