• 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 12/31/2016 12/31/2015 12/31/2014 12/31/2013 12/31/2012
Number of months in period 12 12 12 12 12
Cost report status As Submitted Amended Settled Without Audit Settled Without Audit Settled Without Audit
Assets          
Current Assets $269,105,915 $265,779,336 $243,718,788 $217,141,619 $223,579,480
Fixed Assets $609,333,448 $596,166,511 $616,350,881 $595,730,396 $512,767,047
Other Assets $1,107,747,068 $854,785,820 $580,542,351 $425,717,892 $382,566,446
Total Assets $1,986,186,431 $1,716,731,667 $1,440,612,020 $1,238,589,907 $1,118,912,973
Liabilities and Fund Balances          
Current Liabilities $129,728,662 $120,159,373 $101,785,629 $96,551,519 $66,089,816
Long-Term Liabilities $0 $0 $0 $0 $0
Total Liabilities $129,728,662 $120,159,373 $101,785,629 $96,551,519 $66,089,816
Total Fund Balances $1,856,457,769 $1,596,572,294 $1,338,826,391 $1,142,038,388 $1,052,823,157
Total Liabilities & Fund Balances $1,986,186,431 $1,716,731,667 $1,440,612,020 $1,238,589,907 $1,118,912,973

Income Statement

  • Data are annualized for periods other than twelve months.
Period ending date 12/31/2016 12/31/2015 12/31/2014 12/31/2013 12/31/2012
Number of months in period 12 12 12 12 12
Cost report status As Submitted Amended Settled Without Audit Settled Without Audit Settled Without Audit
           
Inpatient Revenue $3,481,722,376 $3,352,814,176 $3,047,442,262 $2,663,867,539 $2,675,161,960
Outpatient Revenue $3,120,295,809 $2,963,849,688 $2,694,689,636 $2,287,032,586 $2,244,979,664
Total Patient Revenue $6,602,018,185 $6,316,663,864 $5,742,131,898 $4,950,900,125 $4,920,141,624
Contractual Allowance (Discounts) $4,823,329,569 $4,604,460,855 $4,156,055,065 $3,484,066,505 $3,378,946,746
Net Patient Revenues $1,778,688,616 $1,712,203,009 $1,586,076,833 $1,466,833,620 $1,541,194,878
Total Operating Expense1 $1,661,137,264 $1,596,004,262 $1,399,901,765 $1,365,798,200 $1,355,376,824
Operating Income $117,551,352 $116,198,747 $186,175,068 $101,035,420 $185,818,054
Other Income (Contributions, Bequests, etc.) $4,603,337 $6,891,214 $7,499,339 $5,558,043 $4,493,004
Income from Investments $2,111,255 $1,744,466 $0 $0 $8,064
Governmental Appropriations $0 $0 $0 $0 $0
Miscellaneous Non-Patient Revenue $7,088,134 $12,528,126 $16,355,528 $25,630,081 $24,284,201
Total Non-Patient Revenue $13,802,726 $21,163,806 $23,854,867 $31,188,124 $28,785,269
Total Other Expenses $0 $0 $22,672,312 $593,063 $1,189,446
Net Income or (Loss) $131,354,078 $137,362,553 $187,357,623 $131,630,481 $213,413,877
____________          
1 Depreciation Expense (included above) $62,087,783 $59,292,107 $62,375,167 $61,718,179 $60,114,081
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 12/31/2016
Bad Debt Expense $54,916,368
  Revenue Estimated Cost
Medicaid $1,586,996,063 $319,671,791
State Children's Health Insurance Program (SCHIP) $0 $0
State and local indigent care programs $3,145,101 $633,524
TOTAL Governmental Programs $1,590,141,164 $320,305,315
     
Other uncompensated care $43,674,087 $8,797,359
Restricted grants $0 N/A
Unrestricted grants $0 N/A