As of the July, 2022, release via CMS

HARBORVIEW MEDICAL CENTER

CMS id: 500064
325 9TH AVENUE, SEATTLE WA 98104. County: KING
System: --
CBSA: Seattle-Tacoma-Bellevue, WA

The 413-bed, acute-care hospital had $-123,397,834 in net service to patients*, with a total profit margin of 0.51365% in fiscal year 2021, the latest year available.
It spent 3.06% of its operating expenses on uncompensated care and reported $26,370,605 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	gov	gov	gov	gov	gov
Acute beds Median	243 118	243 118	232 119.5	232 118	232 119
Total beds Median	424 162	422 162	413 162	413 162	413 163.5
FTEs Median	4,366.12 788.06	4,428.51 793.42	4,378.95 806.03	4,346.38 787.61	4,502.55 804.34

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	918,904,301 150,932,746	942,622,653 158,950,878	958,892,510 168,696,998	933,035,130 163,454,693	1,016,271,396 186,589,412
Operating expenses Median	974,637,403 149,311,209	1,018,154,825 156,110,414	1,027,074,718 164,890,568	1,043,223,891 166,516,854	1,139,669,230 180,120,888
Net income from service 2 patients (NS2P) ? Median	-55,733,102 -964,173	-75,532,172 -643,601.5	-68,182,208 -116,254	-110,188,761 -5,025,862	-123,397,834 -1,284,564
NS2P margin ? Median	-6.07% -0.62	-8.01% -0.29	-7.11% 0.18	-11.81% -5.07	-12.14% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HARBORVIEW 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	62,314,284 5,089,215	85,839,427 4,572,541	107,503,518 5,268,134	146,850,847 13,092,619	148,421,380 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	272,704 224,999	235,868 199,009	339,714 206,870.5	380,954 194,343	541,389 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	138,179	122,730	66,510	144,244
⊳ Line 11: Rebates and refunds of expenses	348,565	591,191	989,832	1,545,644	1,249,208
⊳ Line 12: Parking lot receipts	6,418,743	6,212,515	5,990,757	5,398,555	5,626,089
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	4,565,085	4,856,437	4,896,586	3,986,499	3,364,123
⊳ 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	9,549,584	15,393,598	34,022,264	37,419,337	34,188,021
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	25	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	57,813	63,296	59,775	48,526	33,430
⊳ Line 22: Rental of hospital space	11,719,542	12,520,724	11,932,332	14,957,166	14,517,193
⊳ Line 23: Gov appropriations ? ⊳ Median	6,388,742 1,017,693	6,470,021 983,261.5	6,582,494 1,173,286	9,192,466 1,987,202	8,947,974 1,597,664
⊳ Sum Line 24	22,993,506	39,357,598	42,567,034	73,855,165	79,809,709
Total income ? Median	6,581,182 6,586,430	10,307,255 6,767,106	39,321,310 8,419,950	36,662,086 8,094,175	25,023,546 15,162,888
Non-operating expenses Median	0 146,289.5	16,897,644 164,857	14,630,576 89,880.5	9,614,578 106,761	19,041,149 31,473.5
Net income Median	6,581,182 6,043,842	-6,590,389 5,845,112	24,690,734 7,606,259	27,047,508 7,283,041	5,982,397 14,957,241
Net margin Median	0.67072% 4.62%	-0.64080% 4.42%	2.31534% 5.16%	2.50466% 5.2%	0.51365% 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 HARBORVIEW 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	120,034,828 23,241,334	119,224,878 23,709,545	125,859,782 24,248,380	120,230,334 22,858,541	119,470,008 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	108,445,470 21,577,146	110,269,003 22,041,594	115,917,132 22,722,063	110,891,175 21,570,441	110,749,368 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	8,531,796 1,845,420	6,811,426 1,757,392	6,853,710 1,738,842	5,707,300 1,510,463	4,779,210 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,057,562 3,535,627	2,144,449 3,746,588	3,088,940 3,782,288	3,631,859 3,865,578	3,941,430 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	29,728,551 11,160,864	30,601,282 11,987,345	28,701,457 12,926,866	24,906,804 11,884,480	24,641,862 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	29,728,551 10,918,923	30,601,282 11,706,976	28,701,457 12,615,917	24,906,804 11,458,116	24,641,862 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	20,772,364 3,284,314	20,965,663 3,250,551	21,305,439 3,386,837	21,327,822 3,360,806	20,375,482 3,508,953
Disproportionate-share hospital (DSH) Median	5,128,611 594,888	4,852,859 595,761	4,750,003 577,894	4,751,422 542,168	4,182,936 549,667
Outlier Median	17,484,809 582,572	16,558,249 538,116	19,344,764 212,434	3,018,130 126,559	2,850,106 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	43,731,277 3,662,910	51,063,718 3,730,911	33,902,087 4,081,319	48,503,094 4,643,908	26,370,605 4,389,147
Charity care Median	33,467,250 2,654,636	30,643,079 2,940,659	30,266,993 3,380,215	29,271,590 3,488,738	26,313,453 3,233,405
Uncompensated care (UCC) Median	39,902,498 5,147,790	38,512,223 5,337,617	36,669,301 5,711,082	36,481,482 5,923,418	34,844,359 5,508,107
UCC as a % of operating expenses Median	4.09% 3.24	3.78% 3.12	3.57% 3.21	3.50% 3.3	3.06% 2.86
Total shortfall/UCC Median	83,633,775 9,489,989	89,575,941 9,424,297	70,571,388 10,120,158	84,984,576 11,171,337	61,214,964 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	357,411,870 52,142,039	370,741,793 54,485,252	379,639,680 57,395,589	395,109,038 58,830,919	410,206,747 61,722,907
Salaries as a % of operating expenses Median	36.67 36.68	36.41 36.56	36.96 36.37	37.87 35.93	35.99 35.24
Intern, resident salaries* Median	128,033 2,598,592	199,946 2,686,824	202,503 2,753,773	205,982 2,937,156	220,943 2,909,848
Contract intern, resident salaries* Median	24,512,854 1,251,927	26,286,040 1,186,494	26,271,891 1,204,885	26,923,522 1,279,653	28,644,070 1,469,317
Contract adjusted salaries, direct-care Median	33,393,520 1,449,244	26,286,040 1,475,986	34,905,642 1,563,078	40,056,244 1,721,954	63,880,120 2,991,828
Contract hours, direct-care Median	836,930.00 22,725	706,101.60 23,018.5	821,316.71 24,503.48	872,934.40 25,026.5	1,028,676.13 33,786
Contract wages, direct-care Median	39.90 64.67	37.23 64.53	42.50 65.06	45.89 68.97	62.10 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.