As of the July, 2022, release via CMS

PROVIDENCE ST. PETER HOSPITAL

CMS id: 500024
413 LILLY ROAD, OLYMPIA WA 98506. County: THURSTON
System: PROVIDENCE HEALTH & SERVICES
CBSA: Olympia-Lacey-Tumwater, WA

The 325-bed, acute-care hospital had $-57,122,276 in net service to patients*, with a total profit margin of 1.56972% in fiscal year 2021, the latest year available.
It spent 1.69% of its operating expenses on uncompensated care and reported $19,762,520 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	256 118	262 118	265 119.5	265 118	265 119
Total beds Median	306 162	322 162	325 162	325 162	325 163.5
FTEs Median	2,116.10 788.06	2,181.32 793.42	2,306.72 806.03	2,266.66 787.61	2,293.04 804.34

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	482,006,470 150,932,746	501,228,019 158,950,878	520,253,711 168,696,998	498,356,850 163,454,693	540,600,626 186,589,412
Operating expenses Median	502,903,874 149,311,209	535,442,261 156,110,414	542,386,125 164,890,568	557,808,725 166,516,854	597,722,902 180,120,888
Net income from service 2 patients (NS2P) ? Median	-20,897,404 -964,173	-34,214,242 -643,601.5	-22,132,414 -116,254	-59,451,875 -5,025,862	-57,122,276 -1,284,564
NS2P margin ? Median	-4.34% -0.62	-6.83% -0.29	-4.25% 0.18	-11.93% -5.07	-10.57% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PROVIDENCE ST. PETER HOSPITAL 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	45,564,652 5,089,215	204,889 4,572,541	20,022,016 5,268,134	38,728,768 13,092,619	66,654,475 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	31,780,669 224,999	-3,022,983 199,009	4,841,243 206,870.5	3,328,225 194,343	5,442,223 249,496
⊳ Line 7: Investments ? ⊳ Median	4,855,842 299,524	-1,720,913 188,688.5	7,531,974 370,813	6,342,731 309,361.5	6,885,647 375,329
⊳ 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	105,272	56,938	93,876	92,515	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.)	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	0	0	0	0	0
⊳ Line 22: Rental of hospital space	261,994	246,150	120,926	7,615	23,074
⊳ 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	8,560,875	4,645,697	7,433,997	28,957,682	54,303,531
Total income ? Median	24,667,248 6,586,430	-34,009,353 6,767,106	-2,110,398 8,419,950	-20,723,107 8,094,175	9,532,199 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	24,667,248 6,043,842	-34,009,353 5,845,112	-2,110,398 7,606,259	-20,723,107 7,283,041	9,532,199 14,957,241
Net margin Median	4.67563% 4.62%	-6.78243% 4.42%	-0.39061% 5.16%	-3.85844% 5.2%	1.56972% 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 ST. PETER HOSPITAL 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	105,942,693 23,241,334	105,713,333 23,709,545	106,243,552 24,248,380	95,415,691 22,858,541	92,179,128 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	101,336,953 21,577,146	104,745,607 22,041,594	105,126,861 22,722,063	94,310,177 21,570,441	91,274,581 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	1,238,575 1,845,420	967,726 1,757,392	1,116,691 1,738,842	1,105,514 1,510,463	904,547 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,367,165 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	30,855,581 11,160,864	35,496,990 11,987,345	38,144,538 12,926,866	33,796,789 11,884,480	36,050,772 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	30,855,581 10,918,923	35,496,990 11,706,976	38,144,538 12,615,917	33,796,789 11,458,116	36,050,772 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	3,971,956 3,284,314	4,602,186 3,250,551	4,942,220 3,386,837	4,905,133 3,360,806	4,719,114 3,508,953
Disproportionate-share hospital (DSH) Median	2,123,443 594,888	2,217,606 595,761	2,034,397 577,894	1,758,462 542,168	1,910,784 549,667
Outlier Median	4,478,400 582,572	3,669,229 538,116	292,765 212,434	262,363 126,559	314,960 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	10,813,278 3,662,910	11,570,929 3,730,911	0 4,081,319	19,626,604 4,643,908	19,762,520 4,389,147
Charity care Median	9,014,412 2,654,636	10,213,964 2,940,659	11,030,415 3,380,215	7,872,255 3,488,738	7,512,424 3,233,405
Uncompensated care (UCC) Median	10,429,465 5,147,790	11,813,705 5,337,617	12,886,538 5,711,082	10,857,765 5,923,418	10,126,034 5,508,107
UCC as a % of operating expenses Median	2.07% 3.24	2.21% 3.12	2.38% 3.21	1.95% 3.3	1.69% 2.86
Total shortfall/UCC Median	21,242,743 9,489,989	23,384,634 9,424,297	12,886,538 10,120,158	30,484,369 11,171,337	29,888,554 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	175,228,637 52,142,039	183,182,386 54,485,252	191,160,217 57,395,589	200,050,349 58,830,919	218,678,899 61,722,907
Salaries as a % of operating expenses Median	48.85 36.68	48.74 36.56	49.03 36.37	49.23 35.93	51.00 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	1,477,806 1,251,927	1,590,034 1,186,494	1,732,774 1,204,885	1,420,378 1,279,653	1,704,068 1,469,317
Contract adjusted salaries, direct-care Median	3,256,473 1,449,244	2,753,952 1,475,986	4,007,557 1,563,078	3,986,104 1,721,954	6,151,545 2,991,828
Contract hours, direct-care Median	77,947.00 22,725	71,709.00 23,018.5	88,362.90 24,503.48	80,649.00 25,026.5	116,552.00 33,786
Contract wages, direct-care Median	41.78 64.67	38.40 64.53	45.35 65.06	49.43 68.97	52.78 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.