As of the July, 2022, release via CMS

OPELOUSAS GENERAL HOSPITAL

CMS id: 190017
539 E PRUDHOMME STREET, OPELOUSAS LA 70570. County: ST. LANDRY PARISH
System: --
CBSA: Opelousas, LA

The 197-bed, acute-care hospital had $-35,719,112 in net service to patients*, with a total profit margin of 1.30069% in fiscal year 2021, the latest year available.
It spent 2.09% of its operating expenses on uncompensated care and reported $17,301,229 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	135 118	135 118	129 119.5	129 118	129 119
Total beds Median	197 162	197 162	197 162	197 162	197 163.5
FTEs Median	829.67 788.06	844.59 793.42	905.63 806.03	941.38 787.61	988.32 804.34

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	126,004,876 150,932,746	128,850,533 158,950,878	140,011,716 168,696,998	126,743,067 163,454,693	138,839,197 186,589,412
Operating expenses Median	130,283,571 149,311,209	137,734,629 156,110,414	150,516,667 164,890,568	163,043,838 166,516,854	174,558,309 180,120,888
Net income from service 2 patients (NS2P) ? Median	-4,278,695 -964,173	-8,884,096 -643,601.5	-10,504,951 -116,254	-36,300,771 -5,025,862	-35,719,112 -1,284,564
NS2P margin ? Median	-3.40% -0.62	-6.89% -0.29	-7.50% 0.18	-28.64% -5.07	-25.73% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for OPELOUSAS GENERAL HOSPITAL 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	9,739,616 5,089,215	13,515,199 4,572,541	12,414,516 5,268,134	37,515,063 13,092,619	38,019,488 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	75,993 299,524	254,775 188,688.5	1,206,357 370,813	1,002,629 309,361.5	12,559,487 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	64	54	4	40	429
⊳ 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	216,967	148,767	184,914	203,946	194,971
⊳ Line 14: Revenue from meals sold to emplyees and guests	794,572	793,581	880,035	827,338	905,391
⊳ Line 15: Revenue from rental of living quarters	720	390	30	60	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	10,113	7,971	6,876	6,734	5,528
⊳ 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	34,848	24,027	16,022	10,757	8,196
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	264,928	258,317	269,858	200,821	113,104
⊳ Line 21: Rental of vending machines	61,607	51,593	53,773	43,944	23,984
⊳ Line 22: Rental of hospital space	1,269,727	1,055,671	1,029,941	923,721	1,008,061
⊳ 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	7,010,077	10,920,053	8,766,706	34,295,073	23,200,337
Total income ? Median	5,460,921 6,586,430	4,631,103 6,767,106	1,909,565 8,419,950	1,214,292 8,094,175	2,300,376 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	5,460,921 6,043,842	4,631,103 5,845,112	1,909,565 7,606,259	1,214,292 7,283,041	2,300,376 14,957,241
Net margin Median	4.02294% 4.62%	3.25296% 4.42%	1.25278% 5.16%	0.73926% 5.2%	1.30069% 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 OPELOUSAS GENERAL HOSPITAL 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	30,602,972 23,241,334	31,749,285 23,709,545	33,520,609 24,248,380	29,743,389 22,858,541	24,356,625 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	23,084,609 21,577,146	24,628,101 22,041,594	25,808,820 22,722,063	23,645,062 21,570,441	20,665,167 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	4,345,807 1,845,420	4,182,610 1,757,392	4,717,653 1,738,842	4,184,583 1,510,463	1,772,096 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,172,556 3,535,627	2,938,574 3,746,588	2,994,136 3,782,288	1,913,744 3,865,578	1,919,362 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	20,171,316 11,160,864	22,314,535 11,987,345	23,869,636 12,926,866	23,215,331 11,884,480	20,550,889 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	20,171,316 10,918,923	22,314,535 11,706,976	23,869,636 12,615,917	23,215,331 11,458,116	20,550,889 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	1,354,844 594,888	1,415,658 595,761	1,452,773 577,894	1,278,759 542,168	1,167,876 549,667
Outlier Median	579,635 582,572	1,107,130 538,116	1,744,037 212,434	194,931 126,559	197,856 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	6,822,594 3,662,910	8,305,526 3,730,911	11,952,759 4,081,319	20,154,917 4,643,908	17,301,229 4,389,147
Charity care Median	612,792 2,654,636	132,947 2,940,659	113,859 3,380,215	871,657 3,488,738	1,512,991 3,233,405
Uncompensated care (UCC) Median	4,522,987 5,147,790	4,153,817 5,337,617	6,652,171 5,711,082	4,847,020 5,923,418	3,641,046 5,508,107
UCC as a % of operating expenses Median	3.47% 3.24	3.02% 3.12	4.42% 3.21	2.97% 3.3	2.09% 2.86
Total shortfall/UCC Median	11,345,581 9,489,989	12,459,343 9,424,297	18,604,930 10,120,158	25,001,937 11,171,337	20,942,275 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	44,083,578 52,142,039	47,099,876 54,485,252	51,738,829 57,395,589	56,452,845 58,830,919	63,240,516 61,722,907
Salaries as a % of operating expenses Median	33.84 36.68	34.20 36.56	34.37 36.37	34.62 35.93	36.23 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	5,509,127 1,449,244	5,771,655 1,475,986	5,326,390 1,563,078	5,042,671 1,721,954	5,511,269 2,991,828
Contract hours, direct-care Median	87,427.15 22,725	91,000.78 23,018.5	83,497.00 24,503.48	81,184.32 25,026.5	76,475.25 33,786
Contract wages, direct-care Median	63.01 64.67	63.42 64.53	63.79 65.06	62.11 68.97	72.07 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.