As of the July, 2022, release via CMS

PEACEHEALTH SOUTHWEST MEDICAL CENTER

CMS id: 500050
400 MOTHER JOSEPH PLACE, VANCOUVER WA 98664. County: CLARK
System: PEACEHEALTH
CBSA: Portland-Vancouver-Hillsboro, OR-WA

The 429-bed, acute-care hospital had $-54,212,237 in net service to patients*, with a total profit margin of -9.73886% in fiscal year 2021, the latest year available.
It spent 3.43% of its operating expenses on uncompensated care and reported $21,920,837 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	338 118	338 118	329 119.5	311 118	309 119
Total beds Median	426 162	426 162	417 162	399 162	429 163.5
FTEs Median	2,265.98 788.06	2,362.13 793.42	2,359.82 806.03	4,049.13 787.61	2,828.00 804.34

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	534,558,342 150,932,746	568,435,010 158,950,878	596,222,453 168,696,998	607,995,127 163,454,693	684,335,982 186,589,412
Operating expenses Median	564,493,859 149,311,209	575,179,237 156,110,414	598,333,375 164,890,568	689,404,219 166,516,854	738,548,219 180,120,888
Net income from service 2 patients (NS2P) ? Median	-29,935,517 -964,173	-6,744,227 -643,601.5	-2,110,922 -116,254	-81,409,092 -5,025,862	-54,212,237 -1,284,564
NS2P margin ? Median	-5.60% -0.62	-1.19% -0.29	-0.35% 0.18	-13.39% -5.07	-7.92% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for PEACEHEALTH SOUTHWEST 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	64,666,959 5,089,215	-33,861,054 4,572,541	-8,130,744 5,268,134	32,420,529 13,092,619	14,051,355 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	2,078,640 224,999	5,685,462 199,009	-1,757,130 206,870.5	2,147,069 194,343	652,738 249,496
⊳ Line 7: Investments ? ⊳ Median	27,689,471 299,524	302,323 188,688.5	170,780 370,813	170,135 309,361.5	198,648 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	-3,854	16,915	-12,441	0	23
⊳ Line 11: Rebates and refunds of expenses	1,842,999	2,019,930	2,441,503	0	0
⊳ Line 12: Parking lot receipts	63,582	73,192	58,794	82,280	64,137
⊳ 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	3,751	4,282	2,525	100	0
⊳ Line 17: Revenue from sale of drugs to other than patients	2,584,650	3,977,474	2,880,962	3,674,897	7,488,824
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	33,057	32,670	39,724	42,626	35,300
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	206,023	241,364	286,410	233,723	130,413
⊳ Line 21: Rental of vending machines	19,596	15,737	13,482	0	0
⊳ Line 22: Rental of hospital space	388,092	408,265	509,148	599,904	578,826
⊳ Line 23: Gov appropriations ? ⊳ Median	1,379,102 1,017,693	1,588,447 983,261.5	1,637,968 1,173,286	42,919,011 1,987,202	2,056,930 1,597,664
⊳ Sum Line 24	28,381,850	-48,227,115	-14,402,469	-17,449,216	2,845,516
Total income ? Median	34,731,442 6,586,430	-40,605,281 6,767,106	-10,241,666 8,419,950	-48,988,563 8,094,175	-40,160,882 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	27,854,116 31,473.5
Net income Median	34,731,442 6,043,842	-40,605,281 5,845,112	-10,241,666 7,606,259	-48,988,563 7,283,041	-68,014,998 14,957,241
Net margin Median	5.79606% 4.62%	-7.59582% 4.42%	-1.74151% 5.16%	-7.64949% 5.2%	-9.73886% 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 PEACEHEALTH SOUTHWEST 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	81,823,106 23,241,334	82,766,956 23,709,545	89,659,755 24,248,380	83,087,291 22,858,541	81,155,774 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	80,039,622 21,577,146	80,128,331 22,041,594	87,453,281 22,722,063	80,671,732 21,570,441	78,443,127 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	1,783,484 3,535,627	2,638,625 3,746,588	2,206,474 3,782,288	2,415,559 3,865,578	2,712,647 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	35,824,433 11,160,864	38,396,076 11,987,345	38,952,332 12,926,866	38,051,127 11,884,480	39,615,118 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	32,982,868 10,918,923	35,587,962 11,706,976	36,144,997 12,615,917	35,147,765 11,458,116	36,092,912 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,841,565 1,282,808	2,808,114 1,407,728	2,807,335 1,341,512	2,903,362 1,407,046	3,522,206 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	2,541,163 3,284,314	2,574,651 3,250,551	2,759,417 3,386,837	2,658,583 3,360,806	2,541,661 3,508,953
Disproportionate-share hospital (DSH) Median	3,183,161 594,888	2,805,665 595,761	2,916,980 577,894	2,422,234 542,168	2,418,062 549,667
Outlier Median	3,181,264 582,572	3,537,595 538,116	3,416,389 212,434	1,373,461 126,559	1,611,195 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	30,714,453 3,662,910	0 3,730,911	32,435,644 4,081,319	26,537,503 4,643,908	21,920,837 4,389,147
Charity care Median	10,246,338 2,654,636	7,098,937 2,940,659	15,220,285 3,380,215	19,094,537 3,488,738	19,761,572 3,233,405
Uncompensated care (UCC) Median	11,666,583 5,147,790	13,473,392 5,337,617	22,247,601 5,711,082	24,446,084 5,923,418	25,364,420 5,508,107
UCC as a % of operating expenses Median	2.07% 3.24	2.34% 3.12	3.72% 3.21	3.55% 3.3	3.43% 2.86
Total shortfall/UCC Median	42,381,036 9,489,989	13,473,392 9,424,297	54,683,245 10,120,158	50,983,587 11,171,337	47,285,257 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	191,870,705 52,142,039	207,750,146 54,485,252	217,772,217 57,395,589	271,502,546 58,830,919	289,411,965 61,722,907
Salaries as a % of operating expenses Median	33.99 36.68	36.12 36.56	36.40 36.37	39.38 35.93	39.19 35.24
Intern, resident salaries* Median	3,475,998 2,598,592	4,159,739 2,686,824	4,821,456 2,753,773	4,685,785 2,937,156	4,563,723 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	13,218,397 1,449,244	5,011,557 1,475,986	3,461,637 1,563,078	2,288,569 1,721,954	2,680,047 2,991,828
Contract hours, direct-care Median	163,959.00 22,725	52,705.00 23,018.5	45,360.00 24,503.48	27,513.97 25,026.5	35,504.77 33,786
Contract wages, direct-care Median	80.62 64.67	95.09 64.53	76.31 65.06	83.18 68.97	75.48 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.