• 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 12/31/2018 12/31/2017 12/31/2016 12/31/2015 12/31/2014
Number of months in period 12 12 12 12 12
Cost report status As Submitted Settled With Audit Reopened Reopened Reopened
Assets          
Current Assets $268,217,357 $278,774,000 $269,105,915 $265,779,336 $243,718,788
Fixed Assets $750,527,376 $673,568,489 $609,333,448 $596,166,511 $616,350,881
Other Assets $1,532,263,018 $1,319,727,628 $1,107,747,068 $854,785,820 $580,542,351
Total Assets $2,551,007,751 $2,272,070,117 $1,986,186,431 $1,716,731,667 $1,440,612,020
Liabilities and Fund Balances          
Current Liabilities $156,881,955 $130,550,044 $129,728,662 $120,159,373 $101,785,629
Long-Term Liabilities $0 $0 $0 $0 $0
Total Liabilities $156,881,955 $130,550,044 $129,728,662 $120,159,373 $101,785,629
Total Fund Balances $2,394,125,796 $2,141,520,073 $1,856,457,769 $1,596,572,294 $1,338,826,391
Total Liabilities & Fund Balances $2,551,007,751 $2,272,070,117 $1,986,186,431 $1,716,731,667 $1,440,612,020

Income Statement
  • Data are annualized for periods other than twelve months.
Period ending date 12/31/2018 12/31/2017 12/31/2016 12/31/2015 12/31/2014
Number of months in period 12 12 12 12 12
Cost report status As Submitted Settled With Audit Reopened Reopened Reopened
           
Inpatient Revenue $3,883,854,899 $3,533,270,451 $3,481,722,376 $3,352,814,176 $3,047,442,262
Outpatient Revenue $4,172,324,931 $3,374,428,298 $3,120,295,809 $2,963,849,688 $2,694,689,636
Total Patient Revenue $8,056,179,830 $6,907,698,749 $6,602,018,185 $6,316,663,864 $5,742,131,898
Contractual Allowance (Discounts) $6,107,849,547 $5,047,424,463 $4,823,329,569 $4,604,460,855 $4,156,055,065
Net Patient Revenues $1,948,330,283 $1,860,274,286 $1,778,688,616 $1,712,203,009 $1,586,076,833
Total Operating Expense1 $1,789,194,255 $1,714,865,230 $1,661,137,264 $1,596,004,262 $1,399,901,765
Operating Income $159,136,028 $145,409,056 $117,551,352 $116,198,747 $186,175,068
Other Income (Contributions, Bequests, etc.) $4,932,262 $7,672,388 $4,603,337 $6,891,214 $7,499,339
Income from Investments $2,472,357 $2,556,512 $2,111,255 $1,744,466 $0
Governmental Appropriations $0 $0 $0 $0 $0
Miscellaneous Non-Patient Revenue $0 $0 $7,088,134 $12,528,126 $16,355,528
Total Non-Patient Revenue $7,404,619 $10,228,900 $13,802,726 $21,163,806 $23,854,867
Total Other Expenses $0 $0 $0 $0 $22,672,312
Net Income or (Loss) $166,540,647 $155,637,956 $131,354,078 $137,362,553 $187,357,623
____________          
1 Depreciation Expense (included above) $62,734,862 $57,568,409 $62,087,783 $59,292,107 $62,375,167
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 12/31/2018
Bad Debt Expense $46,094,646
  Revenue Estimated Cost
Medicaid $1,886,862,555 $339,382,420
State Children's Health Insurance Program (SCHIP) $0 $0
State and local indigent care programs $2,666,037 $479,529
TOTAL Governmental Programs $1,889,528,592 $339,861,949
     
Other uncompensated care $52,287,948 $18,246,962
Restricted grants $0 N/A
Unrestricted grants $0 N/A