As of the July, 2022, release via CMS

TERREBONNE GENERAL MEDICAL CENTER

CMS id: 190008
8166 MAIN STREET, HOUMA LA 70360. County: TERREBONNE PARISH
System: --
CBSA: Houma-Thibodaux, LA

The 210-bed, acute-care hospital had $-10,327,816 in net service to patients*, with a total profit margin of 6.77172% in fiscal year 2021, the latest year available.
It spent 0.99% of its operating expenses on uncompensated care and reported $1,252,981 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	gov	gov
Acute beds Median	160 118	162 118	162 119.5	162 118	158 119
Total beds Median	210 162	210 162	210 162	210 162	210 163.5
FTEs Median	1,377.18 788.06	1,341.84 793.42	1,319.84 806.03	1,368.48 787.61	1,365.30 804.34

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	185,389,990 150,932,746	179,625,096 158,950,878	192,889,261 168,696,998	215,607,691 163,454,693	211,172,870 186,589,412
Operating expenses Median	193,280,438 149,311,209	191,885,580 156,110,414	197,880,930 164,890,568	214,404,854 166,516,854	221,500,686 180,120,888
Net income from service 2 patients (NS2P) ? Median	-7,890,448 -964,173	-12,260,484 -643,601.5	-4,991,669 -116,254	1,202,837 -5,025,862	-10,327,816 -1,284,564
NS2P margin ? Median	-4.26% -0.62	-6.83% -0.29	-2.59% 0.18	0.56% -5.07	-4.89% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for TERREBONNE GENERAL MEDICAL CENTER 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	6,625,621 5,089,215	6,615,511 4,572,541	12,871,058 5,268,134	19,332,521 13,092,619	26,830,327 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	10,633 224,999	0 199,009	0 206,870.5	0 194,343	31,500 249,496
⊳ Line 7: Investments ? ⊳ Median	723,230 299,524	1,290,400 188,688.5	6,874,337 370,813	11,675,542 309,361.5	2,499,916 375,329
⊳ 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	368,269	356,847	342,300	385,073	370,814
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	2,783	2,422
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,480,500	1,416,861	1,366,925	1,459,804	1,085,871
⊳ Line 15: Revenue from rental of living quarters	23,608	25,137	12,033	20,666	150
⊳ Line 16: Revenue from sale of medical and surgical supplies	286	2,785	1,693	150	309
⊳ 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	4,087	1,481	120	242	28
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	10,821	9,918	9,847	14,003	11,410
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	481,431	426,174	449,098	437,847	247,251
⊳ Line 21: Rental of vending machines	179,214	93,892	81,596	102,109	43,406
⊳ Line 22: Rental of hospital space	2,387,644	2,314,238	2,342,161	2,309,998	1,677,106
⊳ 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	955,898	677,778	1,390,948	2,924,304	20,860,144
Total income ? Median	-1,264,827 6,586,430	-5,644,973 6,767,106	7,879,389 8,419,950	20,535,358 8,094,175	16,502,511 15,162,888
Non-operating expenses Median	1,786,596 146,289.5	594,640 164,857	444,382 89,880.5	548,727 106,761	385,602 31,473.5
Net income Median	-3,051,423 6,043,842	-6,239,613 5,845,112	7,435,007 7,606,259	19,986,631 7,283,041	16,116,909 14,957,241
Net margin Median	-1.58915% 4.62%	-3.35030% 4.42%	3.61343% 5.16%	8.50711% 5.2%	6.77172% 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 TERREBONNE GENERAL MEDICAL CENTER 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	44,234,656 23,241,334	37,711,143 23,709,545	37,296,141 24,248,380	36,188,931 22,858,541	34,035,840 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	41,102,439 21,577,146	35,083,404 22,041,594	34,705,178 22,722,063	33,864,794 21,570,441	31,748,208 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	2,586,101 3,535,627	2,140,458 3,746,588	2,176,864 3,782,288	2,005,094 3,865,578	1,994,376 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	546,116 1,203,033	487,281 1,215,295	414,099 1,313,657	319,043 1,365,298	293,256 1,179,746
All outpatient revenue Median Click here to show/hide details	25,170,839 11,160,864	25,370,934 11,987,345	28,082,128 12,926,866	26,199,344 11,884,480	23,354,098 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	25,170,839 10,918,923	25,370,934 11,706,976	28,082,128 12,615,917	26,199,344 11,458,116	23,354,098 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	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	1,517,486 594,888	1,153,496 595,761	1,120,649 577,894	1,185,350 542,168	1,227,334 549,667
Outlier Median	1,173,161 582,572	1,326,715 538,116	965,105 212,434	277,078 126,559	245,527 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,571,564 3,662,910	589,239 3,730,911	0 4,081,319	0 4,643,908	1,252,981 4,389,147
Charity care Median	374,452 2,654,636	883,843 2,940,659	850,761 3,380,215	957,547 3,488,738	655,506 3,233,405
Uncompensated care (UCC) Median	4,224,076 5,147,790	3,519,254 5,337,617	2,330,580 5,711,082	2,814,012 5,923,418	2,189,568 5,508,107
UCC as a % of operating expenses Median	2.19% 3.24	1.83% 3.12	1.18% 3.21	1.31% 3.3	0.99% 2.86
Total shortfall/UCC Median	5,795,640 9,489,989	4,108,493 9,424,297	2,330,580 10,120,158	2,814,012 11,171,337	3,442,549 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	72,660,808 52,142,039	69,579,241 54,485,252	68,979,552 57,395,589	79,939,365 58,830,919	83,423,183 61,722,907
Salaries as a % of operating expenses Median	37.59 36.68	36.26 36.56	34.86 36.37	37.28 35.93	37.66 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	1,514,868 1,449,244	3,355,718 1,475,986	4,913,143 1,563,078	5,554,047 1,721,954	5,383,833 2,991,828
Contract hours, direct-care Median	21,231.41 22,725	48,955.29 23,018.5	70,403.31 24,503.48	77,115.75 25,026.5	67,459.06 33,786
Contract wages, direct-care Median	71.35 64.67	68.55 64.53	69.79 65.06	72.02 68.97	79.81 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.