• The hospital's most recent cost reporting period is for their period ending 12/31/2017.
  • Data from other sources and their effective periods are identified within report headers.
 Sample Hospital
Louisville, KY  11111
CMS Certification Number: 000000

Sample Report | Order Information

Cost Center Statistics

Inpatient Routine Service Cost Centers

  Beds Square
Feet		 Gross
Salaries		 Total
Costs		 IP
Charges		 Ratio
Cost/Chg		 Days Cost/Day
General Med/Surg 1,058 476,824 $111,794,795 $260,030,231 $438,631,824 0.5928 265,640 $979
Intensive Care Unit 161 94,941 $37,180,290 $80,795,768 $160,001,705 0.5050 48,184 $1,677
Coronary Care Unit 0 0 $0 $0 $0 0.0000 0 $0
Burn ICU 0 0 $0 $0 $0 0.0000 0 $0
Surgical ICU 0 0 $0 $0 $0 0.0000 0 $0
Psychiatric ICU 0 0 $0 $0 $0 0.0000 0 $0
Pediatric ICU 0 0 $0 $0 $0 0.0000 0 $0
Neonatal ICU 145 69,467 $23,090,978 $54,290,244 $184,716,671 0.2939 45,988 $1,181
Trauma ICU 0 0 $0 $0 $0 0.0000 0 $0
Detox ICU 0 0 $0 $0 $0 0.0000 0 $0
Premature ICU 0 0 $0 $0 $0 0.0000 0 $0
Psych Subprovider 0 0 $0 $0 $0 0.0000 0 $0
Rehab Subprovider 0 0 $0 $0 $0 0.0000 0 $0
Other Subprovider 0 0 $0 $0 $0 0.0000 0 $0
Nursery   1,628 $1,056,172 $2,732,550 $14,228,440 0.1920 15,456 $177
Skilled Nursing (SNF) 0 0 $0 $0 $0 0.0000 0 $0
Nursing Facility 0 0 $0 $0 $0 0.0000 0 $0
Other Long Term Care 0 0 $0 $0 $0 0.0000 0 $0
TOTAL 1,364 642,860 $173,122,235 $397,848,793 $797,578,640 0.4988 375,268 $1,060

Ancillary Service Cost Centers

  Square
Feet		 Gross
Salaries		 Total
 Costs		 IP
Charges		 OP
Charges		 Ratio
Cost/Chg
Operating Room 354,530 $48,433,438 $148,557,749 $439,736,920 $416,344,122 0.1735
Recovery Room 34,433 $7,095,095 $15,044,989 $26,485,492 $30,317,377 0.2649
Delivery Room / Labor Room 39,625 $8,020,497 $17,584,517 $61,709,794 $259,861 0.2838
Anesthesiology 0 $0 $0 $0 $0 0.0000
Radiology - Diagnostic 107,892 $18,284,574 $41,947,969 $103,128,310 $202,100,054 0.1374
Radiology - Therapeutic 0 $0 $0 $0 $0 0.0000
Radioisotope 0 $0 $0 $0 $0 0.0000
Computed Tomography (CT) Scan 9,833 $4,057,711 $11,822,969 $128,436,034 $293,980,771 0.0280
Magnetic Resonance Imaging (MRI) 20,607 $3,514,165 $9,460,691 $45,320,316 $155,026,032 0.0472
Cardiac Catheterization 15,540 $7,027,893 $17,181,448 $92,059,889 $102,262,400 0.0884
Laboratory 53,444 $19,056,384 $55,612,074 $449,663,683 $405,104,030 0.0651
PBP Clinical Lab Services 0 $0 $0 $0 $0 0.0000
Whole Blood / Packed RBC 2,683 $1,282,615 $2,989,664 $54,112,476 $28,013,189 0.0364
Blood Stor, Process, Trans 0 $0 $0 $0 $0 0.0000
IV Therapy 0 $0 $0 $0 $0 0.0000
Respiratory Therapy 18,158 $14,344,319 $26,970,342 $178,818,260 $11,974,947 0.1414
Physical Therapy 31,932 $4,430,739 $11,732,867 $35,980,575 $14,691,780 0.2315
Occupational Therapy 0 $1,585,321 $2,636,739 $11,122,932 $3,234,787 0.1836
Speech Pathology 1,006 $824,418 $2,311,713 $9,317,212 $3,337,030 0.1827
Electrocardiology 47,836 $7,114,271 $16,092,997 $81,628,502 $147,747,235 0.0702
Electroencephalography 5,060 $1,692,170 $4,295,041 $7,505,168 $12,804,332 0.2115
Medical Supplies (charged) 0 $0 $120,293,665 $218,221,311 $154,681,432 0.3226
Implantable Devices (charged) 0 $0 $140,982,612 $535,780,160 $216,980,649 0.1873
Drugs (charged) 0 $0 $203,418,507 $244,379,952 $704,332,240 0.2144
Renal Dialysis 0 $0 $0 $0 $0 0.0000
ASC (non-distinct part) 0 $0 $0 $0 $0 0.0000
Other 34,114 $4,826,973 $18,518,871 $12,272,372 $58,625,197 0.2612
TOTAL 776,693 $151,590,583 $867,455,424 $2,735,679,358 $2,961,817,465 0.1523

Outpatient Service Cost Centers

  Square
Feet		 Gross
Salaries		 Total
 Costs		 IP
Charges		 OP
Charges		 Ratio
Cost/Chg
Clinic 7,319 $1,380,027 $2,746,377 $94,764 $5,037,974 0.5351
Emergency 105,182 $25,676,075 $56,284,042 $64,151,886 $197,363,632 0.2152
Observation Beds 0 $0 $30,545,423 $4,089,226 $44,143,015 0.6333
Other 176,914 $48,022,049 $54,999,654 $2,285,615 $121,170,426 0.4455
TOTAL 289,415 $75,078,151 $144,575,496 $70,621,491 $367,715,047 0.3298

Other Reimbursable Cost Centers

  Square
Feet		 Gross
Salaries		 Total
 Costs		 IP
Charges		 OP
Charges		 Ratio
Cost/Chg
Home Program Dialysis 0 $0 $0 $0 $0 0.0000
Ambulance Services 3,473 $2,006,999 $3,729,505 $344 $2,324,047 1.6045
Durable Medical Equipment - rented 0 $0 $0 $0 $0 0.0000
Durable Medical Equipment - sold 0 $0 $0 $0 $0 0.0000
Other Reimbursable 0 $0 $0 $0 $0 0.0000
TOTAL 3,473 $2,006,999 $3,729,505 $344 $2,324,047 1.6045

Overall Cost to Charge Ratio

  Total
Costs		 Total
Charges		 Ratio
Cost/Chg
Inpatient Routine Services $397,848,793 $797,578,640 0.4988
Ancillary Services $867,455,424 $5,697,496,823 0.1523
Outpatient Services $144,575,496 $438,336,538 0.3298
Other Reimbursable Cost Centers $3,729,505 $2,324,391 1.6045
TOTAL $1,413,609,218 $6,935,736,392 0.2038

General Service Costs

Salaries and Other Costs

  Direct
Salaries		 Other
Costs		 Total
Costs		 Paid
Hours		 Average
Hourly
Employee Benefits $0 $40,706 $40,706 0 $0.00
Administrative and General $26,326,669 $395,879,548 $422,206,217 885,866 $29.72
Maintenance and Repairs $0 $0 $0 0 $0.00
Operation of Plant $17,863,800 $26,594,530 $44,458,330 973,080 $18.36
Laundry and Linen Service $330,519 $333,581 $664,100 21,099 $15.67
Housekeeping $0 $0 $0 0 $0.00
Dietary $7,075,017 $6,848,767 $13,923,784 454,733 $15.56
Cafeteria $0 $0 $0 0 $0.00
Maintenance of Personnel $0 $0 $0 0 $0.00
Nursing Administration $22,833,245 $3,908,518 $26,741,763 656,249 $34.79
Central Services and Supply $6,185,845 $-1,369,939 $4,815,906 289,326 $21.38
Pharmacy $17,818,274 $54,888,649 $72,706,923 387,645 $45.97
Medical Records $7,381,738 $2,276,304 $9,658,042 245,622 $30.05
Social Service $0 $0 $0 0 $0.00
Other General Service $0 $0 $0 0 $0.00

Staffing
  • Provider of Services file for cutoff 12/31/2018 / Definitions
Positions FTEs
Certified Registered Nurse Anesthetists (CRNAs): 0
Dieticians: 0
Inhalation Therapists: 126
Licensed Practical Nurses (LPNs): 2,158
Occupational Therapists: 6
Pharmacists: 54
Physical Therapists: 8
Physician Assistants: 6
Registered Nurses (RNs): 0
Speech Pathologists, Audiologists: 3
Social Workers: 21
Other Personnel: 5,364