As of the July, 2022, release via CMS

SLIDELL MEMORIAL HOSPITAL

CMS id: 190040
1001 GAUSE BLVD, SLIDELL LA 70458. County: ST. TAMMANY PARISH
System: --
CBSA: New Orleans-Metairie, LA

The 231-bed, acute-care hospital had $-37,944,401 in net service to patients*, with a total profit margin of 1.46681% in fiscal year 2021, the latest year available.
It spent 2.07% of its operating expenses on uncompensated care and reported $7,880,424 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	123 118	123 118	123 119.5	123 118	123 119
Total beds Median	231 162	231 162	231 162	231 162	231 163.5
FTEs Median	1,138.10 788.06	1,171.70 793.42	1,179.00 806.03	1,133.00 787.61	1,075.00 804.34

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	184,383,797 150,932,746	193,786,404 158,950,878	191,197,318 168,696,998	172,883,207 163,454,693	190,927,749 186,589,412
Operating expenses Median	186,557,281 149,311,209	195,546,808 156,110,414	201,457,603 164,890,568	220,339,102 166,516,854	228,872,150 180,120,888
Net income from service 2 patients (NS2P) ? Median	-2,173,484 -964,173	-1,760,404 -643,601.5	-10,260,285 -116,254	-47,455,895 -5,025,862	-37,944,401 -1,284,564
NS2P margin ? Median	-1.18% -0.62	-0.91% -0.29	-5.37% 0.18	-27.45% -5.07	-19.87% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SLIDELL MEMORIAL 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	8,807,865 5,089,215	9,517,394 4,572,541	12,908,410 5,268,134	58,021,062 13,092,619	41,351,496 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	500 224,999	126,631 199,009	146,858 206,870.5	149,324 194,343	159,674 249,496
⊳ Line 7: Investments ? ⊳ Median	986,366 299,524	1,488,255 188,688.5	1,715,473 370,813	444,906 309,361.5	214,136 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	144,796	231,433	347,613	109,095	211,569
⊳ 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	748,944	824,503	816,232	661,492	754,133
⊳ 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	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	99,367	140,888	201,666	181,345	199,349
⊳ Line 21: Rental of vending machines	61,734	53,448	46,169	19,606	44,954
⊳ Line 22: Rental of hospital space	1,589,329	1,503,439	1,365,294	1,480,145	1,415,123
⊳ 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	5,176,829	5,148,797	8,269,105	54,975,149	38,352,558
Total income ? Median	6,634,381 6,586,430	7,756,990 6,767,106	2,648,125 8,419,950	10,565,167 8,094,175	3,407,095 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	6,634,381 6,043,842	7,756,990 5,845,112	2,648,125 7,606,259	10,565,167 7,283,041	3,407,095 14,957,241
Net margin Median	3.43409% 4.62%	3.81547% 4.42%	1.29743% 5.16%	4.57556% 5.2%	1.46681% 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 SLIDELL MEMORIAL 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	24,480,451 23,241,334	24,417,651 23,709,545	21,528,006 24,248,380	21,219,625 22,858,541	20,644,397 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	24,480,451 21,577,146	24,417,651 22,041,594	21,528,006 22,722,063	21,219,625 21,570,441	20,644,397 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	18,677,819 11,160,864	20,543,041 11,987,345	19,763,371 12,926,866	18,806,646 11,884,480	18,678,470 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	18,677,819 10,918,923	20,543,041 11,706,976	19,763,371 12,615,917	18,806,646 11,458,116	18,678,470 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	136,042 3,284,314	144,746 3,250,551	117,250 3,386,837	103,189 3,360,806	110,647 3,508,953
Disproportionate-share hospital (DSH) Median	875,131 594,888	844,101 595,761	740,862 577,894	743,517 542,168	739,841 549,667
Outlier Median	415,781 582,572	281,535 538,116	42,772 212,434	24,958 126,559	23,787 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	6,979,301 3,662,910	6,120,735 3,730,911	4,881,603 4,081,319	5,944,231 4,643,908	7,880,424 4,389,147
Charity care Median	307,482 2,654,636	259,302 2,940,659	319,902 3,380,215	89,586 3,488,738	2,770,650 3,233,405
Uncompensated care (UCC) Median	3,287,940 5,147,790	2,825,716 5,337,617	3,031,153 5,711,082	1,879,206 5,923,418	4,733,876 5,508,107
UCC as a % of operating expenses Median	1.76% 3.24	1.45% 3.12	1.50% 3.21	0.85% 3.3	2.07% 2.86
Total shortfall/UCC Median	10,267,241 9,489,989	8,946,451 9,424,297	7,912,756 10,120,158	7,823,437 11,171,337	12,614,300 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	71,537,541 52,142,039	76,288,106 54,485,252	80,350,115 57,395,589	78,260,666 58,830,919	83,288,379 61,722,907
Salaries as a % of operating expenses Median	38.35 36.68	39.01 36.56	39.88 36.37	35.52 35.93	36.39 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	118,800 1,251,927	136,706 1,186,494	118,844 1,204,885	106,275 1,279,653	108,469 1,469,317
Contract adjusted salaries, direct-care Median	1,293,218 1,449,244	2,535,282 1,475,986	3,241,184 1,563,078	2,672,674 1,721,954	4,110,534 2,991,828
Contract hours, direct-care Median	23,797.00 22,725	45,938.00 23,018.5	54,887.27 24,503.48	45,251.00 25,026.5	58,817.00 33,786
Contract wages, direct-care Median	54.34 64.67	55.19 64.53	59.05 65.06	59.06 68.97	69.89 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.