As of the July, 2022, release via CMS

EVERGREEN HEALTHCARE

CMS id: 500124
12040 NE 128TH STREET, KIRKLAND WA 98034. County: KING
System: --
CBSA: Seattle-Tacoma-Bellevue, WA

The 333-bed, acute-care hospital had $-66,542,873 in net service to patients*, with a total profit margin of 1.29643% in fiscal year 2021, the latest year available.
It spent 1.29% of its operating expenses on uncompensated care and reported $18,676,317 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	241 118	241 118	241 119.5	241 118	241 119
Total beds Median	333 162	333 162	333 162	333 162	333 163.5
FTEs Median	3,772.93 788.06	3,669.64 793.42	3,728.95 806.03	3,691.44 787.61	3,852.69 804.34

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	627,359,545 150,932,746	664,805,109 158,950,878	698,348,282 168,696,998	664,008,428 163,454,693	768,532,613 186,589,412
Operating expenses Median	673,616,245 149,311,209	696,671,671 156,110,414	741,845,183 164,890,568	753,852,505 166,516,854	835,075,486 180,120,888
Net income from service 2 patients (NS2P) ? Median	-46,256,700 -964,173	-31,866,562 -643,601.5	-43,496,901 -116,254	-89,844,077 -5,025,862	-66,542,873 -1,284,564
NS2P margin ? Median	-7.37% -0.62	-4.79% -0.29	-6.23% 0.18	-13.53% -5.07	-8.66% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for EVERGREEN HEALTHCARE 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	41,905,701 5,089,215	35,920,054 4,572,541	42,767,746 5,268,134	47,001,114 13,092,619	52,999,502 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	3,937,188 224,999	5,967,005 199,009	4,160,895 206,870.5	5,711,900 194,343	7,378,398 249,496
⊳ 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	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	2,119,290	1,986,677	2,066,340	1,413,950	1,572,959
⊳ 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	5,594,411	5,195,350	5,744,143	6,047,869	8,247,328
⊳ Line 18: Revenue from sale of medical records and abstracts	5,402	300	1,027	22	899
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	443,010	402,636	347,675	130,299	151,101
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	788,248	714,428	647,656	458,883	423,082
⊳ Line 21: Rental of vending machines	24,781	29,482	26,682	28,959	25,947
⊳ Line 22: Rental of hospital space	6,572,455	7,308,591	7,656,463	7,676,781	7,699,049
⊳ Line 23: Gov appropriations ? ⊳ Median	797,857 1,017,693	69,460 983,261.5	659,079 1,173,286	1,632,000 1,987,202	1,010,523 1,597,664
⊳ Sum Line 24	21,131,734	13,756,039	20,998,190	23,595,935	26,233,917
Total income ? Median	-4,350,999 6,586,430	4,053,492 6,767,106	-729,155 8,419,950	-42,842,963 8,094,175	-13,543,371 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	-25,997,955 89,880.5	-65,834,256 106,761	-24,193,949 31,473.5
Net income Median	-4,350,999 6,043,842	4,053,492 5,845,112	25,268,800 7,606,259	22,991,293 7,283,041	10,650,578 14,957,241
Net margin Median	-0.65012% 4.62%	0.57847% 4.42%	3.40956% 5.16%	3.23361% 5.2%	1.29643% 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 EVERGREEN HEALTHCARE 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	49,566,374 23,241,334	47,739,442 23,709,545	53,530,963 24,248,380	48,113,463 22,858,541	48,007,210 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	46,360,966 21,577,146	44,992,115 22,041,594	50,370,223 22,722,063	44,970,195 21,570,441	45,187,153 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	3,205,408 3,535,627	2,747,327 3,746,588	3,160,740 3,782,288	3,143,268 3,865,578	2,820,057 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	54,411,653 11,160,864	60,661,293 11,987,345	63,108,054 12,926,866	59,468,761 11,884,480	64,245,277 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	33,518,359 10,918,923	39,134,260 11,706,976	41,124,103 12,615,917	36,568,664 11,458,116	40,518,994 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	20,893,294 1,282,808	21,527,033 1,407,728	21,983,951 1,341,512	22,900,097 1,407,046	23,726,283 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	792,146 594,888	635,869 595,761	602,117 577,894	635,928 542,168	654,626 549,667
Outlier Median	2,857,190 582,572	2,087,645 538,116	544,764 212,434	452,753 126,559	307,886 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	15,116,643 3,662,910	14,193,034 3,730,911	14,432,756 4,081,319	18,450,142 4,643,908	18,676,317 4,389,147
Charity care Median	3,698,447 2,654,636	3,198,630 2,940,659	3,979,658 3,380,215	4,945,306 3,488,738	4,737,478 3,233,405
Uncompensated care (UCC) Median	9,845,897 5,147,790	9,663,146 5,337,617	9,005,839 5,711,082	9,782,571 5,923,418	10,750,409 5,508,107
UCC as a % of operating expenses Median	1.46% 3.24	1.39% 3.12	1.21% 3.21	1.30% 3.3	1.29% 2.86
Total shortfall/UCC Median	24,962,540 9,489,989	23,856,180 9,424,297	23,438,595 10,120,158	28,232,713 11,171,337	29,426,726 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	352,531,716 52,142,039	365,023,579 54,485,252	384,993,274 57,395,589	383,618,528 58,830,919	429,600,533 61,722,907
Salaries as a % of operating expenses Median	52.33 36.68	52.40 36.56	51.90 36.37	50.89 35.93	51.44 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	5,994,323 1,449,244	7,904,369 1,475,986	11,028,363 1,563,078	7,730,342 1,721,954	17,556,445 2,991,828
Contract hours, direct-care Median	78,744.00 22,725	105,481.00 23,018.5	139,357.00 24,503.48	92,663.00 25,026.5	157,291.00 33,786
Contract wages, direct-care Median	76.12 64.67	74.94 64.53	79.14 65.06	83.42 68.97	111.62 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.