As of the July, 2022, release via CMS

FRANCISCAN HEALTH LAFAYETTE

CMS id: 150109
1701 SOUTH CREASY LANE, LAFAYETTE IN 47905. County: TIPPECANOE
System: FRANCISCAN ALLIANCE INC.
CBSA: Lafayette-West Lafayette, IN

The 199-bed, acute-care hospital had $29,006,301 in net service to patients*, with a total profit margin of 12.94748% in fiscal year 2021, the latest year available.
It spent 3.37% 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	138 118	158 118	153 119.5	153 118	153 119
Total beds Median	186 162	203 162	199 162	199 162	199 163.5
FTEs Median	1,416.07 788.06	1,457.02 793.42	1,529.60 806.03	1,467.10 787.61	1,443.00 804.34

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	327,920,116 150,932,746	342,865,343 158,950,878	367,924,565 168,696,998	341,622,504 163,454,693	380,231,650 186,589,412
Operating expenses Median	303,367,094 149,311,209	309,609,560 156,110,414	324,616,156 164,890,568	331,545,181 166,516,854	351,225,349 180,120,888
Net income from service 2 patients (NS2P) ? Median	24,553,022 -964,173	33,255,783 -643,601.5	43,308,409 -116,254	10,077,323 -5,025,862	29,006,301 -1,284,564
NS2P margin ? Median	7.49% -0.62	9.70% -0.29	11.77% 0.18	2.95% -5.07	7.63% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for FRANCISCAN HEALTH LAFAYETTE 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	14,490,464 5,089,215	7,723,712 4,572,541	8,350,881 5,268,134	22,367,170 13,092,619	23,232,108 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	68,431 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	799,703 309,361.5	280,007 375,329
⊳ 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	1,272,101	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	819,566	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	103,213	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	897	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	2,487,690	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	188,350	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	14,490,464	7,723,712	8,350,881	16,627,219	22,952,101
Total income ? Median	39,043,486 6,586,430	40,979,495 6,767,106	51,659,290 8,419,950	32,444,493 8,094,175	52,238,409 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	25,503,433 89,880.5	58,543,376 106,761	0 31,473.5
Net income Median	39,043,486 6,043,842	40,979,495 5,845,112	26,155,857 7,606,259	-26,098,883 7,283,041	52,238,409 14,957,241
Net margin Median	11.40253% 4.62%	11.68875% 4.42%	6.95125% 5.16%	-7.17023% 5.2%	12.94748% 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 FRANCISCAN HEALTH LAFAYETTE 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	56,538,672 23,241,334	57,330,233 23,709,545	60,375,576 24,248,380	52,794,530 22,858,541	48,935,989 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	53,778,314 21,577,146	54,053,758 22,041,594	56,826,909 22,722,063	49,692,586 21,570,441	46,636,429 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	2,760,358 3,535,627	3,276,475 3,746,588	3,548,667 3,782,288	3,101,944 3,865,578	2,299,560 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	22,228,155 11,160,864	24,577,568 11,987,345	22,916,491 12,926,866	21,606,051 11,884,480	24,608,240 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	20,900,889 10,918,923	22,767,242 11,706,976	20,767,523 12,615,917	18,682,076 11,458,116	22,183,606 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,327,266 1,282,808	1,810,326 1,407,728	2,148,968 1,341,512	2,923,975 1,407,046	2,424,634 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	1,378,986 594,888	1,425,917 595,761	1,182,900 577,894	1,132,789 542,168	1,225,785 549,667
Outlier Median	2,292,880 582,572	1,795,401 538,116	513,093 212,434	487,890 126,559	575,869 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	14,762,214 2,654,636	14,508,264 2,940,659	16,640,936 3,380,215	14,397,728 3,488,738	7,794,186 3,233,405
Uncompensated care (UCC) Median	18,886,709 5,147,790	18,573,055 5,337,617	20,399,529 5,711,082	18,240,349 5,923,418	11,837,474 5,508,107
UCC as a % of operating expenses Median	6.23% 3.24	6.00% 3.12	6.28% 3.21	5.50% 3.3	3.37% 2.86
Total shortfall/UCC Median	18,886,709 9,489,989	18,573,055 9,424,297	20,399,529 10,120,158	18,240,349 11,171,337	11,837,474 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	94,501,844 52,142,039	114,229,927 54,485,252	121,118,652 57,395,589	126,321,518 58,830,919	136,180,164 61,722,907
Salaries as a % of operating expenses Median	31.15 36.68	36.89 36.56	37.31 36.37	38.10 35.93	38.77 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	2,124,012 1,449,244	3,692,280 1,475,986	4,514,630 1,563,078	4,016,604 1,721,954	3,818,278 2,991,828
Contract hours, direct-care Median	29,011.69 22,725	66,579.09 23,018.5	76,501.81 24,503.48	71,792.10 25,026.5	37,413.75 33,786
Contract wages, direct-care Median	73.21 64.67	55.46 64.53	59.01 65.06	55.95 68.97	102.06 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.