As of the July, 2022, release via CMS

OCHSNER LSU HEALTH SHREVEPORT

CMS id: 190098
1501 KINGS HIGHWAY, SHREVEPORT LA 71130. County: CADDO PARISH
System: OCHSNER LSU HOSPITALS
CBSA: Shreveport-Bossier City, LA

The 345-bed, acute-care hospital had $-320,439,352 in net service to patients*, with a total profit margin of 0.66998% in fiscal year 2021, the latest year available.
It spent 3.65% of its operating expenses on uncompensated care and reported $0 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	273	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	320 118	320 118	285 119.5	283 118	189 119
Total beds Median	461 162	461 162	406 162	402 162	345 163.5
FTEs Median	2,589.83 788.06	2,622.57 793.42	1,764.92 806.03	3,984.19 787.61	3,847.57 804.34

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	465,953,595 150,932,746	505,745,320 158,950,878	231,040,149 168,696,998	336,154,623 163,454,693	350,677,788 186,589,412
Operating expenses Median	494,303,197 149,311,209	487,297,933 156,110,414	476,316,359 164,890,568	626,219,099 166,516,854	671,117,140 180,120,888
Net income from service 2 patients (NS2P) ? Median	-28,349,602 -964,173	18,447,387 -643,601.5	-245,276,210 -116,254	-290,064,476 -5,025,862	-320,439,352 -1,284,564
NS2P margin ? Median	-6.08% -0.62	3.65% -0.29	-106.16% 0.18	-86.29% -5.07	-91.38% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for OCHSNER LSU HEALTH SHREVEPORT 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	14,708,214 5,089,215	14,116,556 4,572,541	286,125,513 5,268,134	307,937,758 13,092,619	325,098,919 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	531,973 224,999	11,301 199,009	3,357 206,870.5	10,345,597 194,343	566,034 249,496
⊳ Line 7: Investments ? ⊳ Median	71 299,524	1,196 188,688.5	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	1,249,090	1,782,719	689,273	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	7,694,139	5,217,800	4,531,533	6,838,723	3,942,556
⊳ Line 18: Revenue from sale of medical records and abstracts	55	49,726	119,359	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	94,197	68,362	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	91,999	0	0	0	23,891
⊳ 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	5,046,690	6,985,452	280,781,991	290,753,438	320,566,438
Total income ? Median	-13,641,388 6,586,430	32,563,943 6,767,106	40,849,303 8,419,950	17,873,282 8,094,175	4,659,567 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	6,934,703 89,880.5	15,042 106,761	131,998 31,473.5
Net income Median	-13,641,388 6,043,842	32,563,943 5,845,112	33,914,600 7,606,259	17,858,240 7,283,041	4,527,569 14,957,241
Net margin Median	-2.83804% 4.62%	6.26396% 4.42%	6.55778% 5.16%	2.77262% 5.2%	0.66998% 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 OCHSNER LSU HEALTH SHREVEPORT 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	67,567,347 23,241,334	75,727,840 23,709,545	64,722,535 24,248,380	84,989,743 22,858,541	78,865,374 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	65,522,002 21,577,146	73,268,140 22,041,594	63,113,395 22,722,063	82,862,538 21,570,441	77,766,509 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	2,045,345 1,845,420	2,459,700 1,757,392	1,609,140 1,738,842	2,127,205 1,510,463	1,098,865 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	35,894,441 11,160,864	35,382,170 11,987,345	26,038,861 12,926,866	31,297,168 11,884,480	30,301,637 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	35,894,441 10,918,923	35,382,170 11,706,976	26,038,861 12,615,917	31,297,168 11,458,116	30,301,637 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	13,048,606 3,284,314	13,936,611 3,250,551	11,990,878 3,386,837	15,679,193 3,360,806	17,052,847 3,508,953
Disproportionate-share hospital (DSH) Median	4,392,709 594,888	4,737,922 595,761	3,405,622 577,894	4,186,735 542,168	3,511,523 549,667
Outlier Median	5,469,541 582,572	2,565,154 538,116	543,005 212,434	794,993 126,559	1,159,706 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	11,888,999 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	17,438,116 2,654,636	13,422,478 2,940,659	8,774,975 3,380,215	16,296,250 3,488,738	16,764,825 3,233,405
Uncompensated care (UCC) Median	33,890,215 5,147,790	22,325,449 5,337,617	20,459,841 5,711,082	22,936,203 5,923,418	24,519,477 5,508,107
UCC as a % of operating expenses Median	6.86% 3.24	4.58% 3.12	4.30% 3.21	3.66% 3.3	3.65% 2.86
Total shortfall/UCC Median	45,779,214 9,489,989	22,325,449 9,424,297	20,459,841 10,120,158	22,936,203 11,171,337	24,519,477 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	136,335,410 52,142,039	148,073,390 54,485,252	117,294,079 57,395,589	175,220,873 58,830,919	160,247,192 61,722,907
Salaries as a % of operating expenses Median	27.58 36.68	30.39 36.56	24.63 36.37	27.98 35.93	23.88 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	22,074,306 1,251,927	20,931,061 1,186,494	22,307,168 1,204,885	27,054,040 1,279,653	25,397,932 1,469,317
Contract adjusted salaries, direct-care Median	23,860,410 1,449,244	22,664,195 1,475,986	3,094,777 1,563,078	41,346,646 1,721,954	43,051,709 2,991,828
Contract hours, direct-care Median	785,088.00 22,725	771,051.95 23,018.5	45,358.00 24,503.48	1,071,557.91 25,026.5	1,065,232.75 33,786
Contract wages, direct-care Median	30.39 64.67	29.39 64.53	68.23 65.06	38.59 68.97	40.42 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.