As of the July, 2022, release via CMS

OVERLAKE HOSPITAL MEDICAL CENTER

CMS id: 500051
1035 116TH AVENUE NE, BELLEVUE WA 98004. County: KING
System: --
CBSA: Seattle-Tacoma-Bellevue, WA

The 300-bed, acute-care hospital had $-38,376,558 in net service to patients*, with a total profit margin of 11.81241% in fiscal year 2021, the latest year available.
It spent 1.48% of its operating expenses on uncompensated care and reported $13,118,076 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	237 118	237 118	237 119.5	237 118	237 119
Total beds Median	300 162	300 162	300 162	300 162	300 163.5
FTEs Median	2,283.00 788.06	2,312.00 793.42	2,441.00 806.03	2,458.83 787.61	2,554.64 804.34

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	504,923,752 150,932,746	540,109,461 158,950,878	570,949,720 168,696,998	545,011,044 163,454,693	586,512,542 186,589,412
Operating expenses Median	521,937,535 149,311,209	539,636,676 156,110,414	569,893,623 164,890,568	599,736,519 166,516,854	624,889,100 180,120,888
Net income from service 2 patients (NS2P) ? Median	-17,013,783 -964,173	472,785 -643,601.5	1,056,097 -116,254	-54,725,475 -5,025,862	-38,376,558 -1,284,564
NS2P margin ? Median	-3.37% -0.62	0.09% -0.29	0.18% 0.18	-10.04% -5.07	-6.54% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for OVERLAKE HOSPITAL 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	35,973,935 5,089,215	29,005,779 4,572,541	21,222,624 5,268,134	58,674,309 13,092,619	122,078,175 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,878,226 224,999	2,190,273 199,009	3,167,467 206,870.5	7,570,109 194,343	11,126,829 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	-37,452 370,813	19,642,353 309,361.5	95,044,066 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	173,030	180,001	158,185	217,653	129,662
⊳ Line 11: Rebates and refunds of expenses	0	0	0	1,093,493	1,169,458
⊳ Line 12: Parking lot receipts	390,894	410,437	389,424	311,440	229,087
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	2,826,585	2,765,198	2,793,044	2,271,474	1,698,362
⊳ 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	767	812	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	548	14	1,097	279	63
⊳ 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	9,347	9,253
⊳ Line 22: Rental of hospital space	0	0	0	432,735	590,795
⊳ 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	30,703,885	23,459,044	14,750,859	27,125,426	12,080,600
Total income ? Median	18,960,152 6,586,430	29,478,564 6,767,106	22,278,721 8,419,950	3,948,834 8,094,175	83,701,617 15,162,888
Non-operating expenses Median	0 146,289.5	10 164,857	13,090,034 89,880.5	1 106,761	0 31,473.5
Net income Median	18,960,152 6,043,842	29,478,554 5,845,112	9,188,687 7,606,259	3,948,833 7,283,041	83,701,617 14,957,241
Net margin Median	3.50531% 4.62%	5.17972% 4.42%	1.55169% 5.16%	0.65412% 5.2%	11.81241% 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 OVERLAKE HOSPITAL 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	49,007,546 23,241,334	49,941,707 23,709,545	48,559,480 24,248,380	44,570,550 22,858,541	43,639,099 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	48,615,642 21,577,146	49,530,946 22,041,594	48,283,569 22,722,063	44,332,377 21,570,441	43,526,363 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	391,904 1,845,420	410,761 1,757,392	275,911 1,738,842	238,173 1,510,463	112,736 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	28,614,814 11,160,864	31,397,808 11,987,345	34,518,954 12,926,866	32,653,043 11,884,480	31,737,977 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	28,614,814 10,918,923	31,397,808 11,706,976	34,518,954 12,615,917	32,653,043 11,458,116	31,737,977 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	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	284,830 594,888	320,406 595,761	530,501 577,894	384,131 542,168	266,248 549,667
Outlier Median	2,102,442 582,572	1,900,665 538,116	2,318,845 212,434	512,762 126,559	859,042 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	23,456,463 3,662,910	20,271,777 3,730,911	12,016,863 4,081,319	15,138,394 4,643,908	13,118,076 4,389,147
Charity care Median	7,911,386 2,654,636	9,043,662 2,940,659	6,468,745 3,380,215	6,938,630 3,488,738	6,466,517 3,233,405
Uncompensated care (UCC) Median	10,058,171 5,147,790	11,457,894 5,337,617	8,717,010 5,711,082	10,941,776 5,923,418	9,269,195 5,508,107
UCC as a % of operating expenses Median	1.93% 3.24	2.12% 3.12	1.53% 3.21	1.82% 3.3	1.48% 2.86
Total shortfall/UCC Median	33,514,634 9,489,989	31,729,671 9,424,297	20,733,873 10,120,158	26,080,170 11,171,337	22,387,271 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	219,178,187 52,142,039	231,373,512 54,485,252	247,016,235 57,395,589	264,285,784 58,830,919	282,452,256 61,722,907
Salaries as a % of operating expenses Median	42.71 36.68	43.77 36.56	44.22 36.37	44.07 35.93	45.20 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	6,428,740 1,449,244	5,586,200 1,475,986	7,485,127 1,563,078	0 1,721,954	14,179,201 2,991,828
Contract hours, direct-care Median	95,418.00 22,725	75,074.00 23,018.5	89,606.00 24,503.48	0.00 25,026.5	141,296.00 33,786
Contract wages, direct-care Median	67.37 64.67	74.41 64.53	83.53 65.06	0.00 68.97	100.35 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.