As of the July, 2022, release via CMS

TACOMA GENERAL ALLENMORE HOSPITAL

CMS id: 500129
315 SOUTH MLK JR. WAY, TACOMA WA 98415. County: PIERCE
System: MULTICARE HEALTH SYSTEM
CBSA: Seattle-Tacoma-Bellevue, WA

The 401-bed, acute-care hospital had $501,628,516 in net service to patients*, with a total profit margin of 34.34484% in fiscal year 2021, the latest year available.
It spent 3.40% of its operating expenses on uncompensated care and reported $0 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	204 118	235 118	247 119.5	246 118	256 119
Total beds Median	376 162	380 162	392 162	391 162	401 163.5
FTEs Median	2,856.91 788.06	2,956.11 793.42	3,139.25 806.03	3,227.21 787.61	3,243.90 804.34

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	1,041,249,425 150,932,746	1,134,524,460 158,950,878	1,237,723,163 168,696,998	1,167,697,757 163,454,693	1,594,433,266 186,589,412
Operating expenses Median	797,651,257 149,311,209	857,893,446 156,110,414	948,940,314 164,890,568	972,564,258 166,516,854	1,092,804,750 180,120,888
Net income from service 2 patients (NS2P) ? Median	243,598,168 -964,173	276,631,014 -643,601.5	288,782,849 -116,254	195,133,499 -5,025,862	501,628,516 -1,284,564
NS2P margin ? Median	23.39% -0.62	24.38% -0.29	23.33% 0.18	16.71% -5.07	31.46% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for TACOMA GENERAL ALLENMORE HOSPITAL 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	10,580,686 5,089,215	11,705,605 4,572,541	20,320,368 5,268,134	33,665,780 13,092,619	70,027,966 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ 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	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	0	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	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	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ 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	10,580,686	11,705,605	20,320,368	33,665,780	70,027,966
Total income ? Median	254,178,854 6,586,430	288,336,619 6,767,106	309,103,217 8,419,950	228,799,279 8,094,175	571,656,482 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	254,178,854 6,043,842	288,336,619 5,845,112	309,103,217 7,606,259	228,799,279 7,283,041	571,656,482 14,957,241
Net margin Median	24.16539% 4.62%	25.15521% 4.42%	24.57015% 5.16%	19.04497% 5.2%	34.34484% 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 TACOMA GENERAL ALLENMORE HOSPITAL 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	91,876,209 23,241,334	91,829,053 23,709,545	98,113,046 24,248,380	96,975,254 22,858,541	102,816,399 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	91,876,209 21,577,146	91,829,053 22,041,594	98,113,046 22,722,063	96,975,254 21,570,441	102,816,399 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	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	72,969,982 11,160,864	79,741,756 11,987,345	85,269,537 12,926,866	78,366,784 11,884,480	83,677,351 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	66,520,186 10,918,923	73,026,490 11,706,976	79,482,581 12,615,917	73,669,985 11,458,116	79,724,277 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	6,449,796 1,282,808	6,715,266 1,407,728	5,786,956 1,341,512	4,696,799 1,407,046	3,953,074 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	2,527,371 3,284,314	2,409,308 3,250,551	2,585,137 3,386,837	2,581,746 3,360,806	2,690,247 3,508,953
Disproportionate-share hospital (DSH) Median	5,118,719 594,888	5,470,488 595,761	5,466,654 577,894	5,324,904 542,168	5,408,874 549,667
Outlier Median	5,836,447 582,572	3,483,029 538,116	553,550 212,434	581,425 126,559	494,789 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	16,810,224 3,662,910	24,482,294 3,730,911	34,983,601 4,081,319	34,067,343 4,643,908	0 4,389,147
Charity care Median	25,410,201 2,654,636	23,742,472 2,940,659	24,472,127 3,380,215	31,282,635 3,488,738	30,795,309 3,233,405
Uncompensated care (UCC) Median	28,096,308 5,147,790	28,516,230 5,337,617	30,021,801 5,711,082	36,413,718 5,923,418	37,188,715 5,508,107
UCC as a % of operating expenses Median	3.52% 3.24	3.32% 3.12	3.16% 3.21	3.74% 3.3	3.40% 2.86
Total shortfall/UCC Median	44,906,532 9,489,989	52,998,524 9,424,297	65,005,402 10,120,158	70,481,061 11,171,337	37,188,715 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	291,199,220 52,142,039	307,039,957 54,485,252	331,298,026 57,395,589	352,523,736 58,830,919	369,625,100 61,722,907
Salaries as a % of operating expenses Median	36.51 36.68	35.79 36.56	34.91 36.37	36.25 35.93	33.82 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	10,121,606 1,449,244	16,076,036 1,475,986	20,908,472 1,563,078	19,265,096 1,721,954	38,772,623 2,991,828
Contract hours, direct-care Median	147,173.00 22,725	213,514.00 23,018.5	294,390.00 24,503.48	260,309.00 25,026.5	353,736.00 33,786
Contract wages, direct-care Median	68.77 64.67	75.29 64.53	71.02 65.06	74.01 68.97	109.61 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.