As of the July, 2022, release via CMS

NORTH OAKS MEDICAL CENTER

CMS id: 190015
15790 PAUL VEGA MD DRIVE, HAMMOND LA 70403. County: TANGIPAHOA PARISH
System: HOSPITAL SERVICE DISTRICT #1 OF TANG
CBSA: Hammond, LA

The 344-bed, acute-care hospital had $59,447,319 in net service to patients*, with a total profit margin of 33.39888% in fiscal year 2021, the latest year available.
It spent 2.25% of its operating expenses on uncompensated care and reported $9,330,601 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	270 118	270 118	270 119.5	270 118	270 119
Total beds Median	344 162	344 162	344 162	344 162	344 163.5
FTEs Median	1,430.65 788.06	1,425.49 793.42	1,578.02 806.03	1,576.84 787.61	1,560.00 804.34

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	231,751,213 150,932,746	228,174,344 158,950,878	234,095,769 168,696,998	249,668,747 163,454,693	271,042,608 186,589,412
Operating expenses Median	184,137,022 149,311,209	182,804,096 156,110,414	201,556,520 164,890,568	212,299,598 166,516,854	211,595,289 180,120,888
Net income from service 2 patients (NS2P) ? Median	47,614,191 -964,173	45,370,248 -643,601.5	32,539,249 -116,254	37,369,149 -5,025,862	59,447,319 -1,284,564
NS2P margin ? Median	20.55% -0.62	19.88% -0.29	13.90% 0.18	14.97% -5.07	21.93% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NORTH OAKS 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	35,279,978 5,089,215	24,308,848 4,572,541	-449,937,379 5,268,134	59,342,028 13,092,619	46,662,707 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	24,999 206,870.5	49,998 194,343	91,234 249,496
⊳ Line 7: Investments ? ⊳ Median	265,951 299,524	277,394 188,688.5	270,184 370,813	70,860 309,361.5	57,531 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	15,026	12,769	19,673	7,727	18,621
⊳ 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	1,076,229	1,129,554	344,321	320,913	5,058
⊳ 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	2,358,851	3,677,480
⊳ Line 18: Revenue from sale of medical records and abstracts	438,357	494,253	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	164,828	157,600	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	226,113	221,036	0	2,189	0
⊳ Line 21: Rental of vending machines	73,214	71,424	69,142	84,444	122,238
⊳ Line 22: Rental of hospital space	0	0	0	0	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	33,020,260	21,944,818	-450,665,698	56,447,046	42,690,545
Total income ? Median	82,894,169 6,586,430	69,679,096 6,767,106	-417,398,130 8,419,950	96,711,177 8,094,175	106,110,026 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	82,894,169 6,043,842	69,679,096 5,845,112	-417,398,130 7,606,259	96,711,177 7,283,041	106,110,026 14,957,241
Net margin Median	31.04288% 4.62%	27.59752% 4.42%	193.38168% 5.16%	31.29702% 5.2%	33.39888% 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 NORTH OAKS 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	40,325,348 23,241,334	39,503,298 23,709,545	39,394,830 24,248,380	37,415,440 22,858,541	36,568,087 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	40,325,348 21,577,146	39,503,298 22,041,594	39,394,830 22,722,063	37,415,440 21,570,441	36,568,087 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	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	16,344,288 11,160,864	15,846,073 11,987,345	17,864,573 12,926,866	15,449,483 11,884,480	16,082,115 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	16,344,288 10,918,923	15,846,073 11,706,976	17,864,573 12,615,917	15,449,483 11,458,116	16,082,115 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	2,046,711 594,888	2,050,157 595,761	1,680,223 577,894	1,767,269 542,168	1,687,381 549,667
Outlier Median	1,207,327 582,572	948,544 538,116	694,053 212,434	77,802 126,559	160,228 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	11,663,523 3,662,910	8,069,199 3,730,911	9,060,074 4,081,319	13,763,815 4,643,908	9,330,601 4,389,147
Charity care Median	1,329,211 2,654,636	3,901,532 2,940,659	688,216 3,380,215	68,222 3,488,738	174,638 3,233,405
Uncompensated care (UCC) Median	11,622,448 5,147,790	9,932,874 5,337,617	7,062,773 5,711,082	6,315,182 5,923,418	4,763,915 5,508,107
UCC as a % of operating expenses Median	6.31% 3.24	5.43% 3.12	3.50% 3.21	2.97% 3.3	2.25% 2.86
Total shortfall/UCC Median	23,285,971 9,489,989	18,002,073 9,424,297	16,122,847 10,120,158	20,078,997 11,171,337	14,094,516 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	100,720,219 52,142,039	101,930,201 54,485,252	109,563,242 57,395,589	115,187,470 58,830,919	117,620,153 61,722,907
Salaries as a % of operating expenses Median	53.09 36.68	54.13 36.56	54.35 36.37	54.26 35.93	55.59 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	966,890 1,449,244	1,701,019 1,475,986	3,409,334 1,563,078	4,457,600 1,721,954	1,738,921 2,991,828
Contract hours, direct-care Median	16,373.25 22,725	30,340.50 23,018.5	54,613.41 24,503.48	64,183.05 25,026.5	20,824.03 33,786
Contract wages, direct-care Median	59.05 64.67	56.06 64.53	62.43 65.06	69.45 68.97	83.51 88.94

* in an approved program

Return to top

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.