As of the July, 2022, release via CMS

UNIVERSITY MEDICAL CTR. AT NEW ORLEA

CMS id: 190005
2000 CANAL STREET, NEW ORLEANS LA 70112. County: ORLEANS PARISH
System: LCMC HEALTH
CBSA: New Orleans-Metairie, LA

The 370-bed, acute-care hospital had $-108,345,998 in net service to patients*, with a total profit margin of -0.41952% in fiscal year 2021, the latest year available.
It spent 7.20% 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	forprofit	nfp	nfp	nfp	nfp
Acute beds Median	188 118	208 118	242 119.5	246 118	246 119
Total beds Median	286 162	324 162	366 162	370 162	370 163.5
FTEs Median	2,043.00 788.06	1,803.03 793.42	2,362.36 806.03	2,419.92 787.61	2,407.99 804.34

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	512,733,236 150,932,746	590,983,641 158,950,878	654,520,281 168,696,998	701,440,878 163,454,693	688,817,365 186,589,412
Operating expenses Median	598,611,705 149,311,209	675,912,702 156,110,414	723,414,721 164,890,568	763,064,862 166,516,854	797,163,363 180,120,888
Net income from service 2 patients (NS2P) ? Median	-85,878,469 -964,173	-84,929,061 -643,601.5	-68,894,440 -116,254	-61,623,984 -5,025,862	-108,345,998 -1,284,564
NS2P margin ? Median	-16.75% -0.62	-14.37% -0.29	-10.53% 0.18	-8.79% -5.07	-15.73% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UNIVERSITY MEDICAL CTR. AT NEW ORLEA 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	85,937,262 5,089,215	84,920,205 4,572,541	35,069,521 5,268,134	40,142,331 13,092,619	65,897,268 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	45,699,727 199,009	0 206,870.5	37,198 194,343	15,188,608 249,496
⊳ Line 7: Investments ? ⊳ Median	54,818,345 299,524	0 188,688.5	0 370,813	0 309,361.5	-341,327 375,329
⊳ 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	1,231,933	1,387,024	1,484,081	1,253,441	1,268,327
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	2,580,319	3,128,227	3,694,643	2,742,058	2,865,063
⊳ 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	26,945	12,365	3,963	200	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	2,347,625	2,474,701	2,456,369	2,631,477	2,594,237
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	2,841,045 1,987,202	0 1,597,664
⊳ Sum Line 24	24,932,095	32,218,161	27,430,465	30,636,912	44,322,360
Total income ? Median	58,793 6,586,430	-8,856 6,767,106	-33,824,919 8,419,950	-21,481,653 8,094,175	-42,448,730 15,162,888
Non-operating expenses Median	2 146,289.5	791 164,857	-39,337,578 89,880.5	-37,708,656 106,761	-39,282,522 31,473.5
Net income Median	58,791 6,043,842	-9,647 5,845,112	5,512,659 7,606,259	16,227,003 7,283,041	-3,166,208 14,957,241
Net margin Median	0.00982% 4.62%	-0.00143% 4.42%	0.79941% 5.16%	2.18816% 5.2%	-0.41952% 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 UNIVERSITY MEDICAL CTR. AT NEW ORLEA 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	47,139,275 23,241,334	65,116,270 23,709,545	76,313,995 24,248,380	85,436,570 22,858,541	61,871,476 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	43,234,017 21,577,146	61,899,732 22,041,594	73,490,482 22,722,063	83,131,849 21,570,441	59,903,170 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	3,905,258 1,845,420	3,216,538 1,757,392	2,823,513 1,738,842	2,304,721 1,510,463	1,968,306 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	17,518,076 11,160,864	20,175,213 11,987,345	20,680,155 12,926,866	18,098,101 11,884,480	16,084,971 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	17,518,076 10,918,923	20,175,213 11,706,976	20,680,155 12,615,917	18,098,101 11,458,116	16,084,971 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 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	14,262,258 3,284,314	15,257,587 3,250,551	15,861,680 3,386,837	17,098,793 3,360,806	15,616,710 3,508,953
Disproportionate-share hospital (DSH) Median	2,030,055 594,888	2,303,368 595,761	2,521,195 577,894	2,709,233 542,168	2,141,831 549,667
Outlier Median	3,162,583 582,572	6,661,650 538,116	2,012,885 212,434	1,891,507 126,559	1,822,281 139,139

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	35,015,305 2,654,636	45,197,189 2,940,659	36,590,864 3,380,215	45,992,771 3,488,738	50,265,006 3,233,405
Uncompensated care (UCC) Median	51,265,164 5,147,790	51,502,185 5,337,617	42,991,177 5,711,082	52,912,318 5,923,418	57,412,180 5,508,107
UCC as a % of operating expenses Median	8.56% 3.24	7.62% 3.12	5.94% 3.21	6.93% 3.3	7.20% 2.86
Total shortfall/UCC Median	51,265,164 9,489,989	51,502,185 9,424,297	42,991,177 10,120,158	52,912,318 11,171,337	57,412,180 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	129,173,729 52,142,039	142,290,792 54,485,252	152,707,461 57,395,589	161,904,744 58,830,919	170,140,547 61,722,907
Salaries as a % of operating expenses Median	21.58 36.68	21.05 36.56	21.11 36.37	21.23 35.93	21.34 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	24,590,011 1,251,927	26,827,608 1,186,494	30,913,517 1,204,885	33,682,434 1,279,653	31,252,096 1,469,317
Contract adjusted salaries, direct-care Median	29,774,827 1,449,244	37,941,582 1,475,986	42,029,456 1,563,078	39,957,893 1,721,954	47,636,829 2,991,828
Contract hours, direct-care Median	838,625.00 22,725	902,869.00 23,018.5	1,030,325.00 24,503.48	942,810.00 25,026.5	1,007,914.00 33,786
Contract wages, direct-care Median	35.50 64.67	42.02 64.53	40.79 65.06	42.38 68.97	47.26 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.