As of the July, 2022, release via CMS

DESOTO REGIONAL HEALTH SYSTEM

CMS id: 190118
207 JEFFERSON STREET, MANSFIELD LA 71052. County: DE SOTO PARISH
System: --
CBSA: Shreveport-Bossier City, LA

The 34-bed, acute-care hospital had $-3,412,092 in net service to patients*, with a total profit margin of 9.85406% in fiscal year 2021, the latest year available.
It spent 3.22% 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	365	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	34 118	34 118	34 119.5	34 118	34 119
Total beds Median	34 162	34 162	34 162	34 162	34 163.5
FTEs Median	235.34 788.06	182.28 793.42	187.83 806.03	197.86 787.61	198.32 804.34

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	17,271,886 150,932,746	19,292,467 158,950,878	20,448,349 168,696,998	19,507,464 163,454,693	21,858,426 186,589,412
Operating expenses Median	19,658,325 149,311,209	21,054,857 156,110,414	22,502,306 164,890,568	23,770,283 166,516,854	25,270,518 180,120,888
Net income from service 2 patients (NS2P) ? Median	-2,386,439 -964,173	-1,762,390 -643,601.5	-2,053,957 -116,254	-4,262,819 -5,025,862	-3,412,092 -1,284,564
NS2P margin ? Median	-13.82% -0.62	-9.14% -0.29	-10.04% 0.18	-21.85% -5.07	-15.61% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for DESOTO REGIONAL HEALTH SYSTEM 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	2,576,516 5,089,215	2,217,009 4,572,541	2,417,136 5,268,134	9,859,583 13,092,619	6,174,469 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	182,350 224,999	100,000 199,009	339,101 206,870.5	100,000 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	9,893 299,524	10,029 188,688.5	10,013 370,813	39,546 309,361.5	42,857 375,329
⊳ 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	299,809	298,983	300,443	169,612	265,986
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	133	270	112	433	144
⊳ Line 17: Revenue from sale of drugs to other than patients	1,334,472	1,214,639	1,221,520	1,609,097	1,092,464
⊳ Line 18: Revenue from sale of medical records and abstracts	7,276	6,937	8,132	8,689	8,887
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	11,659	10,704	10,638	6,795	9,413
⊳ Line 21: Rental of vending machines	2,535	2,286	2,122	1,634	1,527
⊳ Line 22: Rental of hospital space	34,119	21,148	16,882	13,464	15,289
⊳ 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	694,270	552,013	508,173	7,910,313	4,737,902
Total income ? Median	190,077 6,586,430	454,619 6,767,106	363,179 8,419,950	5,596,764 8,094,175	2,762,377 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	23,967 89,880.5	56,474 106,761	0 31,473.5
Net income Median	190,077 6,043,842	454,619 5,845,112	339,212 7,606,259	5,540,290 7,283,041	2,762,377 14,957,241
Net margin Median	0.95764% 4.62%	2.11358% 4.42%	1.48351% 5.16%	18.86567% 5.2%	9.85406% 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 DESOTO REGIONAL HEALTH SYSTEM 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	1,645,386 23,241,334	1,727,299 23,709,545	1,970,162 24,248,380	1,929,210 22,858,541	1,761,535 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	1,645,386 21,577,146	1,727,299 22,041,594	1,970,162 22,722,063	1,929,210 21,570,441	1,761,535 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	3,734,773 11,160,864	3,836,222 11,987,345	4,112,226 12,926,866	3,634,423 11,884,480	3,000,532 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	2,515,220 10,918,923	2,188,695 11,706,976	2,272,188 12,615,917	1,782,598 11,458,116	1,611,389 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	1,219,553 618,038	1,647,527 697,279	1,840,038 690,232	1,851,825 684,010	1,389,143 670,558
⊳ 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	34,562 594,888	32,883 595,761	36,156 577,894	30,615 542,168	32,143 549,667
Outlier Median	0 582,572	0 538,116	0 212,434	0 126,559	4,027 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	8,116 2,654,636	7,621 2,940,659	5,769 3,380,215	78,105 3,488,738	26,715 3,233,405
Uncompensated care (UCC) Median	873,522 5,147,790	845,000 5,337,617	634,084 5,711,082	1,083,619 5,923,418	812,995 5,508,107
UCC as a % of operating expenses Median	4.44% 3.24	4.01% 3.12	2.82% 3.21	4.56% 3.3	3.22% 2.86
Total shortfall/UCC Median	873,522 9,489,989	845,000 9,424,297	634,084 10,120,158	1,083,619 11,171,337	812,995 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	8,577,626 52,142,039	9,243,116 54,485,252	9,904,425 57,395,589	10,878,362 58,830,919	11,316,842 61,722,907
Salaries as a % of operating expenses Median	43.63 36.68	43.90 36.56	44.02 36.37	45.76 35.93	44.78 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	555,155 1,449,244	623,328 1,475,986	613,704 1,563,078	491,260 1,721,954	477,114 2,991,828
Contract hours, direct-care Median	7,672.00 22,725	8,672.00 23,018.5	8,305.00 24,503.48	6,958.00 25,026.5	6,583.00 33,786
Contract wages, direct-care Median	72.36 64.67	71.88 64.53	73.90 65.06	70.60 68.97	72.48 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.