• 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 12/31/2017 12/31/2016 12/31/2015 12/31/2014 12/31/2013
Number of months in period 12 12 12 12 12
Cost report status As Submitted Amended Settled Without Audit Reopened Reopened
Assets          
Current Assets $278,774,000 $269,105,915 $265,779,336 $243,718,788 $217,141,619
Fixed Assets $673,568,489 $609,333,448 $596,166,511 $616,350,881 $595,730,396
Other Assets $1,319,727,628 $1,107,747,068 $854,785,820 $580,542,351 $425,717,892
Total Assets $2,272,070,117 $1,986,186,431 $1,716,731,667 $1,440,612,020 $1,238,589,907
Liabilities and Fund Balances          
Current Liabilities $130,550,044 $129,728,662 $120,159,373 $101,785,629 $96,551,519
Long-Term Liabilities $0 $0 $0 $0 $0
Total Liabilities $130,550,044 $129,728,662 $120,159,373 $101,785,629 $96,551,519
Total Fund Balances $2,141,520,073 $1,856,457,769 $1,596,572,294 $1,338,826,391 $1,142,038,388
Total Liabilities & Fund Balances $2,272,070,117 $1,986,186,431 $1,716,731,667 $1,440,612,020 $1,238,589,907

Income Statement

  • Data are annualized for periods other than twelve months.
Period ending date 12/31/2017 12/31/2016 12/31/2015 12/31/2014 12/31/2013
Number of months in period 12 12 12 12 12
Cost report status As Submitted Amended Settled Without Audit Reopened Reopened
           
Inpatient Revenue $3,533,270,451 $3,481,722,376 $3,352,814,176 $3,047,442,262 $2,663,867,539
Outpatient Revenue $3,374,428,298 $3,120,295,809 $2,963,849,688 $2,694,689,636 $2,287,032,586
Total Patient Revenue $6,907,698,749 $6,602,018,185 $6,316,663,864 $5,742,131,898 $4,950,900,125
Contractual Allowance (Discounts) $5,047,424,463 $4,823,329,569 $4,604,460,855 $4,156,055,065 $3,484,066,505
Net Patient Revenues $1,860,274,286 $1,778,688,616 $1,712,203,009 $1,586,076,833 $1,466,833,620
Total Operating Expense1 $1,714,865,230 $1,661,137,264 $1,596,004,262 $1,399,901,765 $1,365,798,200
Operating Income $145,409,056 $117,551,352 $116,198,747 $186,175,068 $101,035,420
Other Income (Contributions, Bequests, etc.) $7,672,388 $4,603,337 $6,891,214 $7,499,339 $5,558,043
Income from Investments $2,556,512 $2,111,255 $1,744,466 $0 $0
Governmental Appropriations $0 $0 $0 $0 $0
Miscellaneous Non-Patient Revenue $0 $7,088,134 $12,528,126 $16,355,528 $25,630,081
Total Non-Patient Revenue $10,228,900 $13,802,726 $21,163,806 $23,854,867 $31,188,124
Total Other Expenses $0 $0 $0 $22,672,312 $593,063
Net Income or (Loss) $155,637,956 $131,354,078 $137,362,553 $187,357,623 $131,630,481
____________          
1 Depreciation Expense (included above) $57,568,409 $62,087,783 $59,292,107 $62,375,167 $61,718,179
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 12/31/2017
Bad Debt Expense $52,994,670
  Revenue Estimated Cost
Medicaid $1,617,455,930 $322,606,438
State Children's Health Insurance Program (SCHIP) $0 $0
State and local indigent care programs $2,284,784 $455,707
TOTAL Governmental Programs $1,619,740,714 $323,062,145
     
Other uncompensated care $41,813,024 $17,751,117
Restricted grants $0 N/A
Unrestricted grants $0 N/A