Financial (sample)

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Balance Sheet

Period ending date 9/30/2006 9/30/2005 9/30/2004 9/30/2003 9/30/2002
Number of months in period 12 12 12 12 12
Cost report status As Submitted As Submitted As Submitted As Submitted As Submitted
Assets          
Current Assets $143,344,153 $126,404,033 $68,578,797 $85,942,854 $80,691,940
Fixed Assets $138,596,499 $113,279,623 $96,505,162 $100,108,043 $94,336,888
Other Assets $17,503,584 $14,329,673 $8,276,648 $7,831,378 $10,305,863
Total Assets $299,444,236 $254,013,329 $173,360,607 $193,882,275 $185,334,691
Liabilities and Fund Balances          
Current Liabilities $36,233,115 $40,318,862 $44,782,378 $38,027,889 $34,465,772
Long-Term Liabilities $27,357,504 $35,524,492 $19,893,892 $24,384,354 $19,658,675
Total Liabilities $63,590,619 $75,843,354 $64,676,270 $62,412,243 $54,124,447
Total Fund Balances $235,853,617 $178,169,975 $108,684,337 $131,470,032 $131,210,244
Total Liabilities & Fund Balances $299,444,236 $254,013,329 $173,360,607 $193,882,275 $185,334,691

Income Statement

Data are annualized for periods other than twelve months.

Period ending date 9/30/2006 9/30/2005 9/30/2004 9/30/2003 9/30/2002
Number of months in period 12 12 12 12 12
Cost report status As Submitted As Submitted As Submitted As Submitted As Submitted
         
Inpatient Revenue $790,426,314 $746,500,638 $631,567,916 $594,548,128 $513,164,489
Outpatient Revenue $522,715,014 $321,079,606 $251,496,243 $224,768,521 $186,795,005
Total Patient Revenue $1,313,141,328 $1,067,580,244 $883,064,159 $819,316,649 $699,959,494
Contractual Allowance (Discounts) $832,353,052 $653,576,476 $521,953,971 $487,703,508 $397,725,491
Net Patient Revenues $480,788,276 $414,003,768 $361,110,188 $331,613,141 $302,234,003
Total Operating Expense1 $490,625,481 $416,508,254 $365,424,808 $337,549,141 $311,697,108
Operating Income $-9,837,205 $-2,504,486 $-4,314,620 $-5,936,000 $-9,463,105
Other Income (Contributions, Bequests, etc.) $5,798,663 $561,115 $92,181 $52,217 $1,452,418
Income from Investments $0 $15,205 $16,146 $271,525 $0
Governmental Appropriations $0 $0 $0 $0 $0
Miscellaneous Non-Patient Revenue $13,387,752 $12,905,622 $11,660,443 $9,134,175 $11,092,116
Total Non-Patient Revenue $19,186,415 $13,481,942 $11,768,770 $9,457,917 $12,544,534
Total Other Expenses $0 $0 $319,173 $0 $41,098
Net Income or (Loss) $9,349,210 $10,977,456 $7,134,977 $3,521,917 $3,040,331
____________          
1 Depreciation Expense (included above) $4,178,917 $4,178,917 $4,178,917 $4,178,917 $4,178,917
Please note:
Hospitals receiving 100% Federal prospective payment for capital were not required to complete Parts III - IV of Worksheet A-7 for cost reports beginning on or after October 1, 2001 and ending before February 29, 2004.  All other hospitals must complete Parts III and IV for all cost reporting periods ending on or after April 30, 2005.  This worksheet is the source of interest, depreciation, and amortization expense.

Uncompensated Care
This hospital's most recent cost reporting period is for the period ending 09/30/2006
Data are annualized for periods other than twelve months.

  Revenue Estimated Cost
Medicaid $73,265,528 $104,439,198
State Children's Health Insurance Program (SCHIP) $0 $0
State and local indigent care programs $0 $0
TOTAL Governmental Programs $73,265,528 $104,439,198
     
Other uncompensated care $114,262,000 $17,426,651
Restricted grants $0 N/A
Unrestricted grants $0 N/A