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Sample Hospital Louisville, KY 11111 CMS Certification Number: 000000 |
Sample Report | Order Information
Departments
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 | 1,137 | 492,464 | $116,341,752 | $275,485,573 | $441,622,019 | 0.6238 | 274,075 | $1,005 |
| Intensive Care Unit | 165 | 110,502 | $38,949,137 | $88,548,161 | $176,354,494 | 0.5021 | 53,477 | $1,656 |
| 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 | 152 | 67,966 | $21,667,010 | $52,553,546 | $190,465,472 | 0.2759 | 40,595 | $1,295 |
| 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 | $376,102 | $1,970,781 | $15,264,376 | 0.1291 | 15,149 | $130 | |
| 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 | 1,454 | 672,560 | $177,334,001 | $418,558,061 | $823,706,361 | 0.5081 | 383,296 | $1,092 |
Ancillary Service Cost Centers
| Square Feet |
Gross Salaries |
Total Costs |
IP Charges |
OP Charges |
Ratio Cost/Chg |
|
|---|---|---|---|---|---|---|
| Operating Room | 356,122 | $47,864,927 | $164,919,106 | $484,385,530 | $509,652,362 | 0.1659 |
| Recovery Room | 34,470 | $7,515,667 | $16,530,880 | $32,538,716 | $38,465,943 | 0.2328 |
| Delivery Room / Labor Room | 39,930 | $9,059,251 | $21,461,682 | $67,503,203 | $238,685 | 0.3168 |
| Anesthesiology | 0 | $0 | $0 | $0 | $0 | 0.0000 |
| Radiology - Diagnostic | 117,277 | $19,529,610 | $48,289,621 | $110,181,658 | $244,272,735 | 0.1362 |
| Radiology - Therapeutic | 0 | $0 | $0 | $0 | $0 | 0.0000 |
| Radioisotope | 0 | $0 | $0 | $0 | $0 | 0.0000 |
| Computed Tomography (CT) Scan | 11,455 | $4,750,205 | $14,827,938 | $154,500,121 | $378,105,381 | 0.0278 |
| Magnetic Resonance Imaging (MRI) | 23,267 | $4,108,811 | $12,332,472 | $50,062,378 | $188,621,469 | 0.0517 |
| Cardiac Catheterization | 15,540 | $6,918,952 | $18,303,205 | $106,549,892 | $115,650,517 | 0.0824 |
| Laboratory | 54,851 | $19,628,226 | $57,914,389 | $488,736,713 | $359,106,682 | 0.0683 |
| PBP Clinical Lab Services | 0 | $0 | $0 | $0 | $0 | 0.0000 |
| Whole Blood / Packed RBC | 2,683 | $1,266,197 | $3,088,621 | $53,497,756 | $26,667,358 | 0.0385 |
| Blood Stor, Process, Trans | 0 | $0 | $0 | $0 | $0 | 0.0000 |
| IV Therapy | 0 | $0 | $0 | $0 | $0 | 0.0000 |
| Respiratory Therapy | 21,867 | $14,761,903 | $29,968,649 | $258,168,813 | $20,071,234 | 0.1077 |
| Physical Therapy | 31,911 | $6,834,478 | $13,158,839 | $37,857,618 | $13,682,852 | 0.2553 |
| Occupational Therapy | 0 | $2,112,896 | $3,347,395 | $14,255,205 | $3,868,550 | 0.1847 |
| Speech Pathology | 1,086 | $1,440,958 | $2,401,283 | $9,959,201 | $4,089,006 | 0.1709 |
| Electrocardiology | 48,033 | $7,228,723 | $18,046,190 | $111,848,825 | $193,833,372 | 0.0590 |
| Electroencephalography | 5,060 | $1,951,759 | $5,554,601 | $12,159,289 | $19,123,602 | 0.1776 |
| Medical Supplies (charged) | 0 | $0 | $138,066,243 | $222,446,942 | $185,344,434 | 0.3386 |
| Implantable Devices (charged) | 0 | $0 | $170,281,922 | $648,203,415 | $309,421,277 | 0.1778 |
| Drugs (charged) | 0 | $0 | $265,403,183 | $215,635,201 | $955,156,877 | 0.2267 |
| Renal Dialysis | 0 | $0 | $0 | $0 | $0 | 0.0000 |
| ASC (non-distinct part) | 0 | $0 | $0 | $0 | $0 | 0.0000 |
| Other | 34,114 | $5,180,710 | $20,589,483 | $14,998,662 | $69,126,867 | 0.2447 |
| TOTAL | 797,666 | $160,153,273 | $1,024,485,702 | $3,093,489,138 | $3,634,499,203 | 0.1523 |
Outpatient Service Cost Centers
| Square Feet |
Gross Salaries |
Total Costs |
IP Charges |
OP Charges |
Ratio Cost/Chg |
|
|---|---|---|---|---|---|---|
| Clinic | 6,970 | $1,625,265 | $3,699,321 | $79,356 | $5,845,802 | 0.6243 |
| Emergency | 109,677 | $26,883,778 | $63,413,730 | $88,150,153 | $350,997,831 | 0.1444 |
| Observation Beds | 0 | $0 | $35,983,807 | $5,786,233 | $57,534,716 | 0.5683 |
| Other | 204,910 | $54,865,335 | $65,353,814 | $3,069,075 | $150,806,822 | 0.4247 |
| TOTAL | 321,557 | $83,374,378 | $168,450,672 | $97,084,817 | $565,185,171 | 0.2544 |
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 | $2,397,368 | $4,338,181 | $0 | $2,855,041 | 1.5195 |
| 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 | $2,397,368 | $4,338,181 | $0 | $2,855,041 | 1.5195 |
Overall Cost to Charge Ratio
| Total Costs |
Total Charges |
Ratio Cost/Chg |
|
|---|---|---|---|
| Inpatient Routine Services | $418,558,061 | $823,706,361 | 0.5081 |
| Ancillary Services | $1,024,485,702 | $6,727,988,341 | 0.1523 |
| Outpatient Services | $168,450,672 | $662,269,988 | 0.2544 |
| Other Reimbursable Cost Centers | $4,338,181 | $2,855,041 | 1.5195 |
| TOTAL | $1,615,832,616 | $8,216,819,731 | 0.1966 |
General Service Costs
Salaries and Other Costs
| Square Feet |
Direct Salaries |
Other Costs |
Total Costs |
Paid Hours |
Average Hourly |
|
|---|---|---|---|---|---|---|
| Employee Benefits | 7,271 | $2,318 | $1,549 | $3,867 | 0 | $0.00 |
| Administrative and General | 148,866 | $20,239,430 | $549,298,195 | $569,537,625 | 629,586 | $32.15 |
| Maintenance and Repairs | 0 | $0 | $0 | $0 | 0 | $0.00 |
| Operation of Plant | 932,932 | $22,802,305 | $29,037,876 | $51,840,181 | 1,096,236 | $20.80 |
| Laundry and Linen Service | 6,622 | $383,768 | $654,030 | $1,037,798 | 22,529 | $17.03 |
| Housekeeping | 0 | $0 | $0 | $0 | 0 | $0.00 |
| Dietary | 90,785 | $7,904,889 | $6,845,896 | $14,750,785 | 435,346 | $18.16 |
| Cafeteria | 0 | $0 | $0 | $0 | 0 | $0.00 |
| Maintenance of Personnel | 0 | $0 | $0 | $0 | 0 | $0.00 |
| Nursing Administration | 47,667 | $22,424,771 | $5,789,162 | $28,213,933 | 640,496 | $35.01 |
| Central Services and Supply | 42,343 | $7,005,082 | $2,398,333 | $9,403,415 | 319,304 | $21.94 |
| Pharmacy | 23,757 | $19,516,099 | $61,381,188 | $80,897,287 | 415,457 | $46.98 |
| Medical Records | 26,209 | $2,594,113 | $778,289 | $3,372,402 | 70,094 | $37.01 |
| Social Service | 0 | $0 | $0 | $0 | 0 | $0.00 |
| Other General Service | 0 | $0 | $0 | $0 | 0 | $0.00 |
Staffing
- Provider of Services file for cutoff 09/30/2020 / 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 |