As of the July, 2022, release via CMS

HARRISON MEDICAL CENTER

CMS id: 500039
2520 CHERRY AVENUE, BREMERTON WA 98310. County: KITSAP
System: CATHOLIC HEALTH INITIATIVES
CBSA: Bremerton-Silverdale-Port Orchard, WA

The 238-bed, acute-care hospital had $49,220,308 in net service to patients*, with a total profit margin of 22.04008% in fiscal year 2021, the latest year available.
It spent 1.53% of its operating expenses on uncompensated care and reported $34,089,000 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	234 118	251 118	278 119.5	278 118	214 119
Total beds Median	254 162	271 162	298 162	298 162	238 163.5
FTEs Median	1,528.20 788.06	1,542.72 793.42	1,584.02 806.03	1,586.09 787.61	1,572.79 804.34

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	484,914,787 150,932,746	511,564,381 158,950,878	570,718,125 168,696,998	575,780,689 163,454,693	600,980,863 186,589,412
Operating expenses Median	406,727,507 149,311,209	427,309,686 156,110,414	463,676,935 164,890,568	480,984,684 166,516,854	551,760,555 180,120,888
Net income from service 2 patients (NS2P) ? Median	78,187,280 -964,173	84,254,695 -643,601.5	107,041,190 -116,254	94,796,005 -5,025,862	49,220,308 -1,284,564
NS2P margin ? Median	16.12% -0.62	16.47% -0.29	18.76% 0.18	16.46% -5.07	8.19% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HARRISON 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	31,891,179 5,089,215	31,659,866 4,572,541	19,594,671 5,268,134	31,042,478 13,092,619	106,768,177 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	800,329 224,999	1,052,352 199,009	336,394 206,870.5	374,155 194,343	7,141 249,496
⊳ Line 7: Investments ? ⊳ Median	27,228,283 299,524	20,589,572 188,688.5	18,020,460 370,813	9,648,734 309,361.5	85,867,466 375,329
⊳ 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	2,237,481	1,768,700	1,761,230	1,746,010	1,045,989
⊳ 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.)	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	4,045	15,262	12,845	15,348	3,422
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ 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	1,621,041	8,233,980	-536,258	19,258,231	19,844,159
Total income ? Median	110,078,459 6,586,430	115,914,561 6,767,106	126,635,861 8,419,950	125,838,483 8,094,175	155,988,485 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	110,078,459 6,043,842	115,914,561 5,845,112	126,635,861 7,606,259	125,838,483 7,283,041	155,988,485 14,957,241
Net margin Median	21.29977% 4.62%	21.33825% 4.42%	21.45233% 5.16%	20.73726% 5.2%	22.04008% 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 HARRISON 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	81,878,581 23,241,334	84,059,227 23,709,545	88,701,470 24,248,380	88,577,676 22,858,541	85,350,841 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	81,878,581 21,577,146	84,059,227 22,041,594	88,701,470 22,722,063	88,577,676 21,570,441	85,350,841 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	60,508,373 11,160,864	67,961,623 11,987,345	74,749,769 12,926,866	75,497,078 11,884,480	77,712,478 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	60,470,118 10,918,923	67,961,623 11,706,976	74,749,769 12,615,917	75,497,078 11,458,116	77,712,478 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	38,255 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	1,558,586 3,386,837	2,945,787 3,360,806	4,065,691 3,508,953
Disproportionate-share hospital (DSH) Median	1,900,958 594,888	1,935,460 595,761	1,832,941 577,894	1,658,426 542,168	1,526,352 549,667
Outlier Median	10,421,306 582,572	9,824,065 538,116	10,052,535 212,434	1,158,242 126,559	1,475,454 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	15,323,239 3,662,910	27,181,598 3,730,911	28,006,518 4,081,319	27,240,008 4,643,908	34,089,000 4,389,147
Charity care Median	4,614,482 2,654,636	6,105,428 2,940,659	6,773,028 3,380,215	7,288,113 3,488,738	6,452,249 3,233,405
Uncompensated care (UCC) Median	6,469,393 5,147,790	9,081,553 5,337,617	9,835,112 5,711,082	9,546,270 5,923,418	8,416,144 5,508,107
UCC as a % of operating expenses Median	1.59% 3.24	2.13% 3.12	2.12% 3.21	1.98% 3.3	1.53% 2.86
Total shortfall/UCC Median	21,792,632 9,489,989	36,263,151 9,424,297	37,841,630 10,120,158	36,786,278 11,171,337	42,505,144 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	116,848,461 52,142,039	121,719,416 54,485,252	127,486,285 57,395,589	134,294,762 58,830,919	141,646,897 61,722,907
Salaries as a % of operating expenses Median	28.69 36.68	28.49 36.56	27.49 36.37	27.10 35.93	25.31 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	4,569,184 1,449,244	11,280,422 1,475,986	11,583,991 1,563,078	15,328,484 1,721,954	16,074,836 2,991,828
Contract hours, direct-care Median	54,166.00 22,725	132,703.00 23,018.5	147,341.00 24,503.48	186,069.00 25,026.5	200,796.00 33,786
Contract wages, direct-care Median	84.36 64.67	85.01 64.53	78.62 65.06	82.38 68.97	80.06 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.