As of the July, 2022, release via CMS

OUR LADY OF THE LAKE RMC

CMS id: 190064
5000 HENNESSY BLVD, BATON ROUGE LA 70808. County: EAST BATON ROUGE PARISH
System: FRANCISCAN MISSIONARIES OF OUR LADY
CBSA: Baton Rouge, LA

The 930-bed, acute-care hospital had $-327,468,048 in net service to patients*, with a total profit margin of 38.99846% in fiscal year 2021, the latest year available.
It spent 1.34% of its operating expenses on uncompensated care and reported $33,809,898 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	624 118	605 118	660 119.5	559 118	616 119
Total beds Median	834 162	815 162	876 162	978 162	930 163.5
FTEs Median	4,587.69 788.06	4,424.59 793.42	4,390.21 806.03	5,352.83 787.61	5,367.37 804.34

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	908,542,149 150,932,746	976,220,975 158,950,878	1,034,880,408 168,696,998	1,140,319,133 163,454,693	1,244,613,583 186,589,412
Operating expenses Median	907,072,103 149,311,209	1,226,263,941 156,110,414	966,385,379 164,890,568	1,192,705,476 166,516,854	1,572,081,631 180,120,888
Net income from service 2 patients (NS2P) ? Median	1,470,046 -964,173	-250,042,966 -643,601.5	68,495,029 -116,254	-52,386,343 -5,025,862	-327,468,048 -1,284,564
NS2P margin ? Median	0.16% -0.62	-25.61% -0.29	6.62% 0.18	-4.59% -5.07	-26.31% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for OUR LADY OF THE LAKE RMC 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	124,051,392 5,089,215	362,664,426 4,572,541	363,691,002 5,268,134	136,973,836 13,092,619	1,273,590,440 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	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ 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	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	0	0	0	0	0
⊳ 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	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ 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	124,051,392	362,664,426	363,691,002	136,973,836	1,273,590,440
Total income ? Median	125,521,438 6,586,430	112,621,460 6,767,106	432,186,031 8,419,950	84,587,493 8,094,175	946,122,392 15,162,888
Non-operating expenses Median	19,958,909 146,289.5	19,577,414 164,857	346,055,425 89,880.5	12,099,543 106,761	-35,938,338 31,473.5
Net income Median	105,562,529 6,043,842	93,044,046 5,845,112	86,130,606 7,606,259	72,487,950 7,283,041	982,060,730 14,957,241
Net margin Median	10.22305% 4.62%	6.94937% 4.42%	6.15847% 5.16%	5.67512% 5.2%	38.99846% 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 OUR LADY OF THE LAKE RMC 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	114,040,235 23,241,334	118,329,620 23,709,545	120,343,914 24,248,380	131,398,291 22,858,541	123,821,634 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	108,599,230 21,577,146	112,721,900 22,041,594	115,603,151 22,722,063	126,115,513 21,570,441	118,400,729 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	2,083,770 1,845,420	2,325,811 1,757,392	2,089,795 1,738,842	1,957,301 1,510,463	1,235,424 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,357,235 3,535,627	3,281,909 3,746,588	2,650,968 3,782,288	3,325,477 3,865,578	4,185,481 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	48,574,133 11,160,864	53,110,634 11,987,345	57,915,279 12,926,866	58,264,310 11,884,480	59,009,865 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	48,574,133 10,918,923	53,110,634 11,706,976	57,915,279 12,615,917	58,264,310 11,458,116	59,009,865 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	14,053,395 3,284,314	14,473,994 3,250,551	15,066,688 3,386,837	15,148,535 3,360,806	14,780,422 3,508,953
Disproportionate-share hospital (DSH) Median	3,569,413 594,888	4,137,868 595,761	4,093,300 577,894	4,531,156 542,168	4,283,647 549,667
Outlier Median	6,032,115 582,572	5,408,967 538,116	3,283,893 212,434	636,120 126,559	671,597 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	2,820,578 3,730,911	8,340,531 4,081,319	17,993,266 4,643,908	33,809,898 4,389,147
Charity care Median	19,856,817 2,654,636	4,430,409 2,940,659	6,494,530 3,380,215	7,561,878 3,488,738	7,708,241 3,233,405
Uncompensated care (UCC) Median	39,233,213 5,147,790	25,503,154 5,337,617	23,753,195 5,711,082	34,625,758 5,923,418	21,132,410 5,508,107
UCC as a % of operating expenses Median	4.33% 3.24	2.08% 3.12	2.46% 3.21	2.90% 3.3	1.34% 2.86
Total shortfall/UCC Median	39,233,213 9,489,989	28,323,732 9,424,297	32,093,726 10,120,158	52,619,024 11,171,337	54,942,308 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	239,893,915 52,142,039	239,258,356 54,485,252	250,865,661 57,395,589	284,576,076 58,830,919	315,817,576 61,722,907
Salaries as a % of operating expenses Median	20.99 36.68	19.51 36.56	19.11 36.37	19.05 35.93	20.09 35.24
Intern, resident salaries* Median	1,280,770 2,598,592	1,373,137 2,686,824	1,505,500 2,753,773	1,419,159 2,937,156	1,479,587 2,909,848
Contract intern, resident salaries* Median	7,467,603 1,251,927	27,610,149 1,186,494	7,751,249 1,204,885	7,929,578 1,279,653	8,606,730 1,469,317
Contract adjusted salaries, direct-care Median	17,914,289 1,449,244	12,650,575 1,475,986	18,987,848 1,563,078	20,839,837 1,721,954	21,775,630 2,991,828
Contract hours, direct-care Median	546,415.00 22,725	159,326.00 23,018.5	622,604.00 24,503.48	543,239.00 25,026.5	201,291.00 33,786
Contract wages, direct-care Median	32.79 64.67	79.40 64.53	30.50 65.06	38.36 68.97	108.18 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.