As of the July, 2022, release via CMS

WILLIS-KNIGHTON HEALTH SYSTEMS

CMS id: 190111
2600 GREENWOOD ROAD, SHREVEPORT LA 32600. County: CADDO PARISH
System: --
CBSA: Shreveport-Bossier City, LA

The 889-bed, acute-care hospital had $251,233,071 in net service to patients*, with a total profit margin of 44.01511% in fiscal year 2021, the latest year available.
It spent 2.84% of its operating expenses on uncompensated care and reported $7,026,128 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	461 118	579 118	632 119.5	625 118	649 119
Total beds Median	665 162	799 162	850 162	857 162	889 163.5
FTEs Median	4,073.34 788.06	4,704.35 793.42	4,742.60 806.03	4,613.87 787.61	4,657.86 804.34

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	723,475,556 150,932,746	893,297,553 158,950,878	905,052,772 168,696,998	819,733,486 163,454,693	926,991,144 186,589,412
Operating expenses Median	597,841,838 149,311,209	743,656,968 156,110,414	959,791,216 164,890,568	863,962,422 166,516,854	675,758,073 180,120,888
Net income from service 2 patients (NS2P) ? Median	125,633,718 -964,173	149,640,585 -643,601.5	-54,738,444 -116,254	-44,228,936 -5,025,862	251,233,071 -1,284,564
NS2P margin ? Median	17.37% -0.62	16.75% -0.29	-6.05% 0.18	-5.40% -5.07	27.10% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for WILLIS-KNIGHTON HEALTH SYSTEMS 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	42,124,457 5,089,215	48,523,506 4,572,541	81,033,564 5,268,134	200,329,466 13,092,619	280,045,426 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	18,020 224,999	5,290 199,009	4,580 206,870.5	1,040 194,343	7,497 249,496
⊳ Line 7: Investments ? ⊳ Median	9,916,242 299,524	16,850,621 188,688.5	18,306,370 370,813	78,051,099 309,361.5	224,739,327 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	3,136,992	3,222,606	4,419,860	4,987,621	5,872,647
⊳ 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	3,440,204	40,562	211,398	155,576	139,233
⊳ Line 14: Revenue from meals sold to emplyees and guests	3,950,781	3,815,342	3,772,705	2,870,752	3,370,264
⊳ 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	2,167	191,797	349,406	263,081	248,222
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	100,957	195,830	216,834	108,191	88,126
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	9,281,037	12,077,888	11,406,950	11,511,710	11,436,994
⊳ 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	12,233,310	12,078,798	42,300,689	102,336,324	34,098,344
Total income ? Median	167,758,175 6,586,430	198,164,091 6,767,106	26,295,120 8,419,950	156,100,530 8,094,175	531,278,497 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	167,758,175 6,043,842	198,164,091 5,845,112	26,295,120 7,606,259	156,100,530 7,283,041	531,278,497 14,957,241
Net margin Median	21.91199% 4.62%	21.04052% 4.42%	2.66661% 5.16%	15.30303% 5.2%	44.01511% 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 WILLIS-KNIGHTON HEALTH SYSTEMS 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	144,720,875 23,241,334	158,377,857 23,709,545	159,211,649 24,248,380	151,630,818 22,858,541	142,562,908 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	134,477,899 21,577,146	147,422,497 22,041,594	150,294,760 22,722,063	142,459,446 21,570,441	132,739,719 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	2,138,563 1,845,420	2,550,635 1,757,392	1,224,688 1,738,842	1,191,533 1,510,463	1,331,214 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	5,756,490 3,535,627	6,365,714 3,746,588	5,759,592 3,782,288	6,515,758 3,865,578	7,204,014 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	2,347,923 1,203,033	2,039,011 1,215,295	1,932,609 1,313,657	1,464,081 1,365,298	1,287,961 1,179,746
All outpatient revenue Median Click here to show/hide details	74,023,811 11,160,864	85,257,499 11,987,345	87,886,166 12,926,866	84,748,377 11,884,480	83,804,827 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	71,310,809 10,918,923	82,754,063 11,706,976	85,510,678 12,615,917	81,974,156 11,458,116	81,621,143 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,713,002 1,282,808	2,503,436 1,407,728	2,375,488 1,341,512	2,774,221 1,407,046	2,183,684 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	2,149,213 3,284,314	2,071,170 3,250,551	1,994,251 3,386,837	1,772,248 3,360,806	1,683,407 3,508,953
Disproportionate-share hospital (DSH) Median	3,877,058 594,888	4,445,109 595,761	4,426,564 577,894	4,075,060 542,168	4,091,946 549,667
Outlier Median	4,431,837 582,572	4,273,932 538,116	994,286 212,434	1,609,232 126,559	791,806 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	27,547,758 3,662,910	22,379,733 3,730,911	806,413 4,081,319	35,635,839 4,643,908	7,026,128 4,389,147
Charity care Median	9,584,460 2,654,636	13,178,473 2,940,659	16,125,346 3,380,215	15,031,034 3,488,738	9,357,995 3,233,405
Uncompensated care (UCC) Median	16,900,079 5,147,790	25,215,689 5,337,617	23,289,428 5,711,082	24,202,904 5,923,418	19,184,852 5,508,107
UCC as a % of operating expenses Median	2.83% 3.24	3.39% 3.12	2.43% 3.21	2.80% 3.3	2.84% 2.86
Total shortfall/UCC Median	44,447,837 9,489,989	47,595,422 9,424,297	24,095,841 10,120,158	59,838,743 11,171,337	26,210,980 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	240,609,909 52,142,039	274,941,168 54,485,252	288,510,170 57,395,589	295,348,048 58,830,919	305,011,101 61,722,907
Salaries as a % of operating expenses Median	40.25 36.68	36.97 36.56	30.06 36.37	34.19 35.93	45.14 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	1,953,829 1,251,927	2,014,670 1,186,494	1,746,429 1,204,885	674,508 1,279,653	425,466 1,469,317
Contract adjusted salaries, direct-care Median	11,309,857 1,449,244	12,064,906 1,475,986	13,926,287 1,563,078	12,008,753 1,721,954	16,927,658 2,991,828
Contract hours, direct-care Median	199,148.00 22,725	218,857.00 23,018.5	240,337.00 24,503.48	223,730.00 25,026.5	251,377.00 33,786
Contract wages, direct-care Median	56.79 64.67	55.13 64.53	57.94 65.06	53.68 68.97	67.34 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.