• See column headings for cost reporting periods. / Definitions
Sample Hospital
Louisville, KY  11111
CMS Certification Number: 000000

Sample Report | Order Information

Balance Sheet

Period ending date 12/31/2015 12/31/2014 12/31/2013 12/31/2012 12/31/2011
Number of months in period 12 12 12 12 12
Cost report status As Submitted Settled Without Audit Settled Without Audit Settled Without Audit Reopened
Assets          
Current Assets $265,779,336 $243,718,788 $217,141,619 $223,579,480 $197,141,667
Fixed Assets $596,166,511 $616,350,881 $595,730,396 $512,767,047 $508,765,419
Other Assets $854,785,820 $580,542,351 $425,717,892 $382,566,446 $270,584,786
Total Assets $1,716,731,667 $1,440,612,020 $1,238,589,907 $1,118,912,973 $976,491,872
Liabilities and Fund Balances          
Current Liabilities $120,159,373 $101,785,629 $96,551,519 $66,089,816 $52,917,296
Long-Term Liabilities $0 $0 $0 $0 $0
Total Liabilities $120,159,373 $101,785,629 $96,551,519 $66,089,816 $52,917,296
Total Fund Balances $1,596,572,294 $1,338,826,391 $1,142,038,388 $1,052,823,157 $923,574,576
Total Liabilities & Fund Balances $1,716,731,667 $1,440,612,020 $1,238,589,907 $1,118,912,973 $976,491,872

Income Statement

  • Data are annualized for periods other than twelve months.
Period ending date 12/31/2015 12/31/2014 12/31/2013 12/31/2012 12/31/2011
Number of months in period 12 12 12 12 12
Cost report status As Submitted Settled Without Audit Settled Without Audit Settled Without Audit Reopened
           
Inpatient Revenue $3,352,814,176 $3,047,442,262 $2,663,867,539 $2,675,161,960 $2,427,740,493
Outpatient Revenue $2,963,849,688 $2,694,689,636 $2,287,032,586 $2,244,979,664 $1,853,091,968
Total Patient Revenue $6,316,663,864 $5,742,131,898 $4,950,900,125 $4,920,141,624 $4,280,832,461
Contractual Allowance (Discounts) $4,604,460,855 $4,156,055,065 $3,484,066,505 $3,378,946,746 $2,859,953,931
Net Patient Revenues $1,712,203,009 $1,586,076,833 $1,466,833,620 $1,541,194,878 $1,420,878,530
Total Operating Expense1 $1,596,004,262 $1,399,901,765 $1,365,798,200 $1,355,376,824 $1,264,744,556
Operating Income $116,198,747 $186,175,068 $101,035,420 $185,818,054 $156,133,974
Other Income (Contributions, Bequests, etc.) $6,891,214 $7,499,339 $5,558,043 $4,493,004 $1,679,910
Income from Investments $1,744,466 $0 $0 $8,064 $8,411
Governmental Appropriations $0 $0 $0 $0 $0
Miscellaneous Non-Patient Revenue $12,528,126 $16,355,528 $25,630,081 $24,284,201 $14,407,769
Total Non-Patient Revenue $21,163,806 $23,854,867 $31,188,124 $28,785,269 $16,096,090
Total Other Expenses $0 $22,672,312 $593,063 $1,189,446 $77,393
Net Income or (Loss) $137,362,553 $187,357,623 $131,630,481 $213,413,877 $172,152,671
____________          
1 Depreciation Expense (included above) $59,292,107 $62,375,167 $61,718,179 $60,114,081 $65,355,889
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 12/31/2015
Bad Debt Expense $54,315,739
  Revenue Estimated Cost
Medicaid $1,501,182,792 $310,267,462
State Children's Health Insurance Program (SCHIP) $0 $0
State and local indigent care programs $1,221,766 $252,517
TOTAL Governmental Programs $1,502,404,558 $310,519,979
     
Other uncompensated care $34,778,443 $7,188,078
Restricted grants $0 N/A
Unrestricted grants $0 N/A