Astrelis
Urban PPS hospital · Portland, OR

LEGACY EMANUEL MEDICAL CENTER

CCN 380007MULTNOMAH CountyVoluntary non-profit - PrivateUrban (USDA RUCC)267 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in Portland, OR. It ran an operating loss of 14.8% in FY25 on $1152.7M of operating revenue. It held 4 days of cash on hand (36th percentile among Urban PPS hospitals on liquidity). Operating margin declined from -9.4% in FY21 to -14.8% in FY25.

Operating margin · FY25
-14.8%
vs Urban PPS hospitals15th pctl of 1,475 (FY25)
Days cash on hand · FY25
4d
all sources
vs Urban PPS hospitals36th pctl of 1,386 (FY25)
Total operating revenue · FY25
$1.15B
vs Urban PPS hospitals90th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
-14.8%
vs Urban PPS hospitals6th pctl of 1,475 (FY25)
One point of operating margin at LEGACY EMANUEL MEDICAL CENTER is about $11.5M per year (1% of FY25 total operating revenue).

Where LEGACY EMANUEL MEDICAL sits among Urban PPS hospitals

Operating margin · FY25 pool · n = 1,475 of 2,681 filed

Each point is one Urban PPS hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.

-20%-10%0%+10%+20%Urban PPS hospital median +1.3311360264910879%LEGACY EMANUEL -14.809524718325253%-20%0%+20%Urban PPS hospital median +1.3311360264910879%LEGACY EMANUEL -14.809524718325253%
One urban pps hospitalLEGACY EMANUELUrban PPS hospital median

The money

$ thousands · HCRIS cost-report basis · as filed, QA-gated

Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.

Operating margin
-14.8% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
-14.8% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
4d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
Not shown, balance sheet did not reconcile as filed
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
Not shown, balance sheet did not reconcile as filed
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
Not shown, balance sheet did not reconcile as filed
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue983,1681,077,3481,096,844
Other operating revenue68,550159,34055,904
Total operating revenue1,051,7181,236,6881,152,748
Total operating expenses1,211,1091,253,6481,323,465
Operating income(159,391)(16,960)(170,716)
Operating margin %-15.2%-1.4%-14.8%
Investment income3301,04032
Other non-operating, net4,6790(1)
Net income(154,382)(15,920)(170,685)
Net income %-14.6%-1.3%-14.8%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY21, FY22, FY23 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).

How it operates

quality & operational context · CMS public reporting

A 267-bed hospital at 80% occupancy 44% of patient revenue is outpatient.

The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.

Scale and flow
Occupancy
80.1%
Verified fact2025
HCRIS WS S-3
Average daily census
214.34
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
267
Verified fact2025
HCRIS WS S-3
Annual discharges
19,346
Verified fact2025
HCRIS WS S-3
Average length of stay
4.0d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
43.7%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
6,078
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
18.6%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
0.441
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.7%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.97
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.0911
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 5 reporting years
Operating margin
-9.4%-7.5%-15.2%-1.4%-14.8%FY21FY22FY23FY24FY25
Days cash on hand
0 days4 daysFY21FY22FY23FY24FY25

The county this hospital serves

MULTNOMAH County, OR
Median household income
$86.2K
vs $82.1K US · $59.7K rural median
Poverty rate
12.5%
vs 12.5% US · 14.3% rural median
Uninsured
5.9%
vs 8.6% US · 8.4% rural median
Age 65+
14.4%
vs 16.8% US · 20.6% rural median
Fair or poor health
17.1%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.5% of county personal income is Medicare/Medicaid medical benefits; 15.6% arrives as government transfers (BEA, 2022).

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