As of the July, 2022, release via CMS

TULANE UNIVERSITY HOSPITAL & CLINICS

CMS id: 190176
1415 TULANE AVENUE, NEW ORLEANS LA 70112. County: ORLEANS PARISH
System: HCA
CBSA: New Orleans-Metairie, LA

The 472-bed, acute-care hospital had $-80,897,554 in net service to patients*, with a total profit margin of -15.72953% in fiscal year 2021, the latest year available.
It spent 1.55% 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	364 118	393 118	402 119.5	378 118	347 119
Total beds Median	500 162	518 162	533 162	511 162	472 163.5
FTEs Median	1,745.72 788.06	1,884.10 793.42	1,799.22 806.03	1,682.73 787.61	1,757.24 804.34

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	460,410,316 150,932,746	496,807,679 158,950,878	488,545,876 168,696,998	447,623,576 163,454,693	473,617,210 186,589,412
Operating expenses Median	486,335,399 149,311,209	520,347,435 156,110,414	519,130,966 164,890,568	497,529,127 166,516,854	554,514,764 180,120,888
Net income from service 2 patients (NS2P) ? Median	-25,925,083 -964,173	-23,539,756 -643,601.5	-30,585,090 -116,254	-49,905,551 -5,025,862	-80,897,554 -1,284,564
NS2P margin ? Median	-5.63% -0.62	-4.74% -0.29	-6.26% 0.18	-11.15% -5.07	-17.08% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for TULANE UNIVERSITY HOSPITAL & CLINICS 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	1,461,189 5,089,215	1,453,635 4,572,541	1,710,225 5,268,134	45,861,828 13,092,619	5,529,976 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	12,666	133,005	4,615	3,537	4,723
⊳ 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	1,028,057	0	1,038,889	833,859	858,935
⊳ 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	128	116	1,128	1,448	1,713
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	2,167	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	28,990	0	0	0	0
⊳ Line 21: Rental of vending machines	45,462	7,107	4,001	57,616	110,728
⊳ 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	345,886	1,311,240	661,592	44,965,368	4,553,877
Total income ? Median	-24,463,894 6,586,430	-22,086,121 6,767,106	-28,874,865 8,419,950	-4,043,723 8,094,175	-75,367,578 15,162,888
Non-operating expenses Median	-31 146,289.5	0 164,857	24 89,880.5	8 106,761	1 31,473.5
Net income Median	-24,463,863 6,043,842	-22,086,121 5,845,112	-28,874,889 7,606,259	-4,043,731 7,283,041	-75,367,579 14,957,241
Net margin Median	-5.29668% 4.62%	-4.43264% 4.42%	-5.88976% 5.16%	-0.81942% 5.2%	-15.72953% 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 TULANE UNIVERSITY HOSPITAL & CLINICS 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	78,542,935 23,241,334	94,485,075 23,709,545	94,712,795 24,248,380	81,275,358 22,858,541	82,291,406 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	75,948,619 21,577,146	90,123,386 22,041,594	89,899,109 22,722,063	77,053,996 21,570,441	78,787,284 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	1,547,132 1,845,420	2,982,537 1,757,392	2,914,314 1,738,842	1,980,748 1,510,463	1,756,841 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	1,047,184 3,535,627	1,379,152 3,746,588	1,899,372 3,782,288	2,240,614 3,865,578	1,747,281 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	26,652,019 11,160,864	31,182,971 11,987,345	30,277,813 12,926,866	28,929,061 11,884,480	31,184,387 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	26,652,019 10,918,923	31,182,971 11,706,976	30,277,813 12,615,917	28,929,061 11,458,116	31,184,387 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	16,049,007 3,284,314	18,927,330 3,250,551	18,962,076 3,386,837	16,642,214 3,360,806	17,086,886 3,508,953
Disproportionate-share hospital (DSH) Median	3,247,060 594,888	3,398,450 595,761	3,144,410 577,894	2,571,591 542,168	2,649,422 549,667
Outlier Median	4,418,035 582,572	5,022,267 538,116	891,464 212,434	796,401 126,559	1,043,110 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	66,680 3,662,910	0 3,730,911	5,454,781 4,081,319	10,206,221 4,643,908	0 4,389,147
Charity care Median	6,287,702 2,654,636	7,610,322 2,940,659	9,398,471 3,380,215	8,565,191 3,488,738	6,697,496 3,233,405
Uncompensated care (UCC) Median	9,324,292 5,147,790	10,458,060 5,337,617	12,121,676 5,711,082	10,741,858 5,923,418	8,572,650 5,508,107
UCC as a % of operating expenses Median	1.92% 3.24	2.01% 3.12	2.33% 3.21	2.16% 3.3	1.55% 2.86
Total shortfall/UCC Median	9,390,972 9,489,989	10,458,060 9,424,297	17,576,457 10,120,158	20,948,079 11,171,337	8,572,650 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	123,013,013 52,142,039	136,398,941 54,485,252	131,952,815 57,395,589	123,415,120 58,830,919	136,857,779 61,722,907
Salaries as a % of operating expenses Median	25.28 36.68	26.20 36.56	25.40 36.37	24.78 35.93	24.67 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	11,886,505 1,251,927	10,394,822 1,186,494	12,698,639 1,204,885	12,289,027 1,279,653	12,529,632 1,469,317
Contract adjusted salaries, direct-care Median	25,470,688 1,449,244	21,250,236 1,475,986	23,436,551 1,563,078	25,852,429 1,721,954	19,992,400 2,991,828
Contract hours, direct-care Median	609,547.40 22,725	510,739.60 23,018.5	565,168.65 24,503.48	513,309.28 25,026.5	660,835.31 33,786
Contract wages, direct-care Median	41.79 64.67	41.61 64.53	41.47 65.06	50.36 68.97	30.25 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.