As of the July, 2022, release via CMS

THIBODAUX REGIONAL HEALTH SYSTEM

CMS id: 190004
602 NORTH ACADIA ROAD, THIBODAUX LA 70302. County: LAFOURCHE PARISH
System: --
CBSA: Rural Louisiana

The 194-bed, acute-care hospital had $3,836,398 in net service to patients*, with a total profit margin of 15.18852% in fiscal year 2021, the latest year available.
It spent 0.80% 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	gov	gov	gov	nfp	nfp
Acute beds Median	129 118	114 118	114 119.5	118 118	118 119
Total beds Median	175 162	160 162	160 162	194 162	194 163.5
FTEs Median	1,021.11 788.06	1,014.03 793.42	989.73 806.03	1,026.98 787.61	1,117.49 804.34

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	173,155,077 150,932,746	177,725,704 158,950,878	183,907,416 168,696,998	193,016,282 163,454,693	228,561,642 186,589,412
Operating expenses Median	172,101,583 149,311,209	178,460,525 156,110,414	185,635,315 164,890,568	191,375,172 166,516,854	224,725,244 180,120,888
Net income from service 2 patients (NS2P) ? Median	1,053,494 -964,173	-734,821 -643,601.5	-1,727,899 -116,254	1,641,110 -5,025,862	3,836,398 -1,284,564
NS2P margin ? Median	0.61% -0.62	-0.41% -0.29	-0.94% 0.18	0.85% -5.07	1.68% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for THIBODAUX REGIONAL HEALTH SYSTEM 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	7,310,194 5,089,215	9,502,473 4,572,541	10,333,070 5,268,134	76,426,752 13,092,619	57,528,215 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	49,870 224,999	32,393 199,009	5,872 206,870.5	51,770,215 194,343	47,432,988 249,496
⊳ 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	4,125	4,231	5,004	3,697	6,021
⊳ Line 11: Rebates and refunds of expenses	0	0	0	2,467	2,026
⊳ 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	766,025	724,767	713,816	638,663	750,402
⊳ 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	278	998	1,061	691
⊳ 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	12,683	10,532	14,520	8,851	10,507
⊳ Line 22: Rental of hospital space	1,415,704	1,410,318	1,405,257	1,518,677	1,563,103
⊳ 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	5,061,787	7,319,954	8,187,603	22,483,121	7,762,477
Total income ? Median	8,363,688 6,586,430	8,767,652 6,767,106	8,605,171 8,419,950	78,067,862 8,094,175	61,364,613 15,162,888
Non-operating expenses Median	224,315 146,289.5	2,555,352 164,857	-2,916,312 89,880.5	13,143,280 106,761	17,911,795 31,473.5
Net income Median	8,139,373 6,043,842	6,212,300 5,845,112	11,521,483 7,606,259	64,924,582 7,283,041	43,452,818 14,957,241
Net margin Median	4.51022% 4.62%	3.31804% 4.42%	5.93156% 5.16%	24.09585% 5.2%	15.18852% 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 THIBODAUX REGIONAL HEALTH SYSTEM 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	29,572,399 23,241,334	26,712,925 23,709,545	23,037,093 24,248,380	22,196,364 22,858,541	22,318,288 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	25,531,998 21,577,146	22,902,589 22,041,594	19,669,953 22,722,063	19,346,726 21,570,441	18,318,886 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	1,245,450 1,845,420	922,006 1,757,392	851,770 1,738,842	263,824 1,510,463	353,974 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,794,951 3,535,627	2,888,330 3,746,588	2,515,370 3,782,288	2,585,814 3,865,578	3,645,428 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	23,396,837 11,160,864	24,404,855 11,987,345	24,680,371 12,926,866	24,577,950 11,884,480	24,621,764 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	21,501,284 10,918,923	22,624,440 11,706,976	22,944,900 12,615,917	22,717,123 11,458,116	22,819,001 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,895,553 1,282,808	1,780,415 1,407,728	1,735,471 1,341,512	1,860,827 1,407,046	1,802,763 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	653,364 594,888	657,974 595,761	512,716 577,894	474,505 542,168	486,659 549,667
Outlier Median	637,106 582,572	500,350 538,116	502,213 212,434	409,556 126,559	946,099 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,781,132 3,662,910	1,523,774 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	295,821 2,654,636	59,143 2,940,659	540,728 3,380,215	361,356 3,488,738	402,524 3,233,405
Uncompensated care (UCC) Median	2,388,013 5,147,790	2,465,719 5,337,617	2,834,955 5,711,082	2,276,660 5,923,418	1,793,694 5,508,107
UCC as a % of operating expenses Median	1.39% 3.24	1.38% 3.12	1.53% 3.21	1.19% 3.3	0.80% 2.86
Total shortfall/UCC Median	4,169,145 9,489,989	3,989,493 9,424,297	2,834,955 10,120,158	2,276,660 11,171,337	1,793,694 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	66,689,063 52,142,039	68,360,276 54,485,252	70,481,872 57,395,589	76,897,976 58,830,919	89,515,873 61,722,907
Salaries as a % of operating expenses Median	38.75 36.68	38.31 36.56	37.97 36.37	40.18 35.93	39.83 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	1,986,405 1,449,244	977,017 1,475,986	2,268,974 1,563,078	866,967 1,721,954	1,482,738 2,991,828
Contract hours, direct-care Median	37,759.90 22,725	14,662.90 23,018.5	32,998.67 24,503.48	12,067.60 25,026.5	16,795.75 33,786
Contract wages, direct-care Median	52.61 64.67	66.63 64.53	68.76 65.06	71.84 68.97	88.28 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.