As of the July, 2022, release via CMS

TRIOS HEALTH

CMS id: 500053
900 SOUTH AUBURN ST, KENNEWICK WA 99336. County: BENTON
System: LIFEPOINT HEALTH INC.
CBSA: Kennewick-Richland, WA

The 111-bed, acute-care hospital had $-22,067,746 in net service to patients*, with a total profit margin of -6.25856% in fiscal year 2020, the latest year available.
It spent 2.25% of its operating expenses on uncompensated care and reported $14,254,479 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	215	365	366	--
Ownership	gov	gov	gov	gov	--
Acute beds Median	87 118	87 118	87 119.5	87 118	-- 119
Total beds Median	111 162	111 162	111 162	111 162	-- 163.5
FTEs Median	948.54 788.06	534.57 793.42	776.17 806.03	748.34 787.61	-- 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	160,908,573 150,932,746	87,113,833 158,950,878	147,136,464 168,696,998	149,269,483 163,454,693	-- 186,589,412
Operating expenses Median	200,559,900 149,311,209	113,224,486 156,110,414	168,704,254 164,890,568	171,337,229 166,516,854	-- 180,120,888
Net income from service 2 patients (NS2P) ? Median	-39,651,327 -964,173	-26,110,653 -643,601.5	-21,567,790 -116,254	-22,067,746 -5,025,862	-- -1,284,564
NS2P margin ? Median	-24.64% -0.62	-29.97% -0.29	-14.66% 0.18	-14.78% -5.07	--% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for TRIOS HEALTH 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	9,529,409 5,089,215	3,698,253 4,572,541	2,867,036 5,268,134	11,976,102 13,092,619	-- 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	212,163 224,999	135,349 199,009	0 206,870.5	0 194,343	-- 249,496
⊳ Line 7: Investments ? ⊳ Median	-14,188 299,524	-21,744 188,688.5	12,033 370,813	9,192,477 309,361.5	-- 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	167,027	41,013	0	580,732	--
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	--
⊳ Line 12: Parking lot receipts	0	0	0	0	--
⊳ Line 13: Revenue from laundry and linen service	0	0	0	31,800	--
⊳ Line 14: Revenue from meals sold to emplyees and guests	634,022	296,559	0	330,409	--
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	--
⊳ Line 16: Revenue from sale of medical and surgical supplies	18,710	12,712	0	0	--
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	--
⊳ Line 18: Revenue from sale of medical records and abstracts	5,233	2,617	0	0	--
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	--
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	--
⊳ Line 21: Rental of vending machines	0	0	0	0	--
⊳ Line 22: Rental of hospital space	0	0	0	0	--
⊳ Line 23: Gov appropriations ? ⊳ Median	1,471,683 1,017,693	806,526 983,261.5	0 1,173,286	0 1,987,202	-- 1,597,664
⊳ Sum Line 24	7,034,759	2,425,221	2,855,003	1,840,684	--
Total income ? Median	-30,121,918 6,586,430	-22,412,400 6,767,106	-18,700,754 8,419,950	-10,091,644 8,094,175	-- 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	-- 31,473.5
Net income Median	-30,121,918 6,043,842	-22,412,400 5,845,112	-18,700,754 7,606,259	-10,091,644 7,283,041	-- 14,957,241
Net margin Median	-17.67324% 4.62%	-24.67997% 4.42%	-12.46688% 5.16%	-6.25856% 5.2%	--% 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 TRIOS HEALTH 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	28,602,647 23,241,334	15,876,899 23,709,545	28,469,514 24,248,380	28,025,169 22,858,541	-- 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	28,602,647 21,577,146	15,876,899 22,041,594	28,469,514 22,722,063	28,025,169 21,570,441	-- 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	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	-- 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	-- 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Critical-access hospitals ⊳ Median	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	-- 1,179,746
All outpatient revenue Median Click here to show/hide details	23,506,927 11,160,864	12,841,836 11,987,345	22,277,127 12,926,866	20,331,978 11,884,480	-- 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	22,213,497 10,918,923	12,215,016 11,706,976	22,277,127 12,615,917	20,331,978 11,458,116	-- 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,293,430 1,282,808	626,820 1,407,728	0 1,341,512	0 1,407,046	-- 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	-- --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	-- 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	-- --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	3,140,879 3,284,314	2,050,625 3,250,551	3,327,564 3,386,837	3,481,506 3,360,806	-- 3,508,953
Disproportionate-share hospital (DSH) Median	1,136,650 594,888	706,633 595,761	1,053,215 577,894	1,017,870 542,168	-- 549,667
Outlier Median	386,496 582,572	248,805 538,116	750,963 212,434	503,041 126,559	-- 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	30,011,585 3,662,910	6,738,659 3,730,911	16,345,339 4,081,319	14,254,479 4,643,908	-- 4,389,147
Charity care Median	777,395 2,654,636	378,776 2,940,659	922,507 3,380,215	3,370,277 3,488,738	-- 3,233,405
Uncompensated care (UCC) Median	3,533,341 5,147,790	1,797,868 5,337,617	2,138,949 5,711,082	3,849,365 5,923,418	-- 5,508,107
UCC as a % of operating expenses Median	1.76% 3.24	1.59% 3.12	1.27% 3.21	2.25% 3.3	--% 2.86
Total shortfall/UCC Median	33,544,926 9,489,989	8,536,527 9,424,297	18,484,288 10,120,158	18,103,844 11,171,337	-- 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	81,026,251 52,142,039	44,557,065 54,485,252	70,381,677 57,395,589	70,874,129 58,830,919	-- 61,722,907
Salaries as a % of operating expenses Median	40.40 36.68	39.35 36.56	41.72 36.37	41.37 35.93	-- 35.24
Intern, resident salaries* Median	2,041,297 2,598,592	1,146,329 2,686,824	0 2,753,773	0 2,937,156	-- 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	-- 1,469,317
Contract adjusted salaries, direct-care Median	1,662,546 1,449,244	746,017 1,475,986	2,066,558 1,563,078	2,519,232 1,721,954	-- 2,991,828
Contract hours, direct-care Median	17,855.00 22,725	9,125.00 23,018.5	25,067.00 24,503.48	25,431.00 25,026.5	-- 33,786
Contract wages, direct-care Median	93.11 64.67	81.76 64.53	82.44 65.06	99.06 68.97	-- 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.