As of the July, 2022, release via CMS

UOFL HEALTH - LOUISVILLE

CMS id: 180040
217 EAST CHESTNUT, LOUISVILLE KY 40202. County: JEFFERSON
System: --
CBSA: Louisville/Jefferson County, KY-IN

The 821-bed, acute-care hospital had $97,925,808 in net service to patients*, with a total profit margin of 17.45120% in fiscal year 2021, the latest year available.
It spent 1.77% of its operating expenses on uncompensated care and reported $0 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.

Note: Medians are from acute-care hospitals with "complete" fiscal years. For more about how we calculated medians and cost reports in general, please click here.

Details

	2017	2018	2019	2020	2021
# of days in fyear	365	365	365	243	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	439 118	423 118	423 119.5	423 118	423 119
Total beds Median	817 162	820 162	821 162	821 162	821 163.5
FTEs Median	3,878.92 788.06	3,675.75 793.42	3,637.16 806.03	2,204.51 787.61	3,510.46 804.34

Finances As they appear in worksheet G3 of the cost reports.

Note: Net Patient Revenue is considered operating revenue, which means Net Service to Patients is considered operating profit. Click here for more about cost report financials

Hospital cost reports are an enormously complicated dataset. There are whole organizations and an offical CMS vendor dedicated to helping researchers work with the data.
It's important to understand that hospital financials in cost reports are not organized in the same as other sources such as annual financial reports to bond holders.

The biggest difference is the concept of operating revenue and profit. Net Service to patients (NS2P), which is the sum of net patient revenue minus operating expenses, is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

That would make Net Patient Revenue = operating revenue.

All this makes things challenging when comparing what's reported in cost reports to other sources. It becomes clearer when you consider that, beyond the purpose of reimbursement, cost reports are a tool for policymakers trying to understand the financial situation of a hospital doing the tasks specific to hospitals.

In other words, while a facility with a division that formulates drugs might include earnings from that as operating revenue in their corporate annual result, this is not central to the operations of a hospital caring for patients and so it is counted as "other income." (See below the financials section for more on "other income")

The healthcare consulting firm HMP, in a former partnership with Modern Healthcare, did develop a formula for estimating operating revenue closer to what one might find in other sources. We no longer use this for the following reasons:

The measure was not widely used beyond HMP and Modern Healthcare. Many hospitals had their own internal estimates of operating revenue and profit.
Because of this, there was confusion when reporting operating results for individual hospitals. There was often pushback when a facility's internal numbers did not match what Modern Healthcare was reporting.
The formula includes revenue from portions of the "other income" section, which may also include non-operating revenue. HMP themselves point out in a caveat on their site that they cannot exclude all non-operating revenue from their measure.

HMP's operating measure has proven problematic in the past for our reporting and the partnership with them ended years ago. It's best to not use a measure that we alone cannot defend.

	2017	2018	2019	2020	2021
Net patient revenue ? Median	741,159,604 150,932,746	700,771,478 158,950,878	688,081,479 168,696,998	478,380,106 163,454,693	880,823,896 186,589,412
Operating expenses Median	821,839,739 149,311,209	755,865,414 156,110,414	742,730,821 164,890,568	424,183,601 166,516,854	782,898,088 180,120,888
Net income from service 2 patients (NS2P) ? Median	-80,680,135 -964,173	-55,093,936 -643,601.5	-54,649,342 -116,254	54,196,505 -5,025,862	97,925,808 -1,284,564
NS2P margin ? Median	-10.89% -0.62	-7.86% -0.29	-7.94% 0.18	11.33% -5.07	11.12% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UOFL HEALTH - LOUISVILLE compared to all** acute-care hospitals, from CMS cost reports.
Note: NS2P is considered operating margin by MACPAC. The chart below is interactive: click or touch to see more.

* Data range does not show outliers, which fall beyond the minimum and maximum of the range.
** From cost reports with complete fiscal years. Number of acute-care hospitals available to calculate medians:

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	79,909,563 5,089,215	81,586,979 4,572,541	66,584,458 5,268,134	99,364,041 13,092,619	67,582,543 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,494,907 224,999	3,266,456 199,009	1,015,512 206,870.5	15,502,404 194,343	10,662,936 249,496
⊳ Line 7: Investments ? ⊳ Median	664,842 299,524	1,259,419 188,688.5	-1,283,067 370,813	113,264,418 309,361.5	100,000 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	0	0
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	61,706,448	56,404,522	52,398,911	0	59,478
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	240,827	225,226	207,315	66,502	80,355
⊳ Line 21: Rental of vending machines	3,449	0	0	0	0
⊳ Line 22: Rental of hospital space	4,363,967	3,840,030	2,967,371	1,897,100	3,286,223
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	11,435,123	16,591,326	11,278,416	-31,366,383	53,393,551
Total income ? Median	-770,572 6,586,430	26,493,043 6,767,106	11,935,116 8,419,950	153,560,546 8,094,175	165,508,351 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	-770,572 6,043,842	26,493,043 5,845,112	11,935,116 7,606,259	153,560,546 7,283,041	165,508,351 14,957,241
Net margin Median	-0.09385% 4.62%	3.38630% 4.42%	1.58151% 5.16%	26.57933% 5.2%	17.45120% 9.25%

* About "Other income": Other income, or line 25 in worksheet G3, is the sum of lines 6 through 24. It includes three lines that are considered non-operating revenue - contributions, investments and government appropriations. Medians are included for these three lines. It also contains items that are not central to providing healthcare, such as revenue from parking or gift shops.
"Sum Line 24" is a special case. Called "Other (specify)" in the cost reports, CMS allows for this line to be "subscripted," or divided into sublines like 002400, 002401, 002402. And hospitals do that, up to 100 lines, to detail income (and sometimes negative returns) that are otherwise not covered in the previous "other" lines. Therefore, "Sum Line 24" is the sum of all the lines 24.

Range* of total profit (loss) margins

= Total margin for UOFL HEALTH - LOUISVILLE compared to all** acute-care hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	156,832,461 23,241,334	149,714,532 23,709,545	127,372,281 24,248,380	60,226,950 22,858,541	105,427,316 23,620,613
"All inpatient revenue" is made up of any Medicare payments for routine inpatient, swingbed SNFs, TEFRA, IPF, IRF, inpatient long-term care, CAH and inpatient SNF facilities. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine inpatient revenue ⊳ Median	143,947,400 21,577,146	135,638,060 22,041,594	115,039,319 22,722,063	51,422,075 21,570,441	91,625,877 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	12,885,061 3,535,627	14,076,472 3,746,588	12,332,962 3,782,288	8,804,875 3,865,578	13,801,439 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	51,467,703 11,160,864	43,905,855 11,987,345	40,913,164 12,926,866	16,433,752 11,884,480	32,414,403 13,145,163
"All outpatient revenue" is made up of any payments for routine outpatient, HHA, CMHC, rural health and other federally-qualified health clinics. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine outpatient revenue ⊳ Median	51,467,703 10,918,923	43,905,855 11,706,976	40,913,164 12,615,917	16,433,752 11,458,116	32,414,403 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	0 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	3,636,359 3,284,314	3,273,061 3,250,551	2,831,717 3,386,837	1,313,362 3,360,806	2,250,525 3,508,953
Disproportionate-share hospital (DSH) Median	8,602,785 594,888	8,653,013 595,761	7,128,967 577,894	3,053,014 542,168	5,029,763 549,667
Outlier Median	6,348,875 582,572	7,514,783 538,116	9,272,237 212,434	507,758 126,559	1,119,614 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	10,538,967 3,662,910	9,804,315 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	5,181,133 2,654,636	12,178,584 2,940,659	13,963,843 3,380,215	6,893,004 3,488,738	8,863,128 3,233,405
Uncompensated care (UCC) Median	14,797,830 5,147,790	22,793,617 5,337,617	23,573,536 5,711,082	12,447,548 5,923,418	13,887,722 5,508,107
UCC as a % of operating expenses Median	1.80% 3.24	3.02% 3.12	3.17% 3.21	2.93% 3.3	1.77% 2.86
Total shortfall/UCC Median	25,336,797 9,489,989	32,597,932 9,424,297	23,573,536 10,120,158	12,447,548 11,171,337	13,887,722 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	236,997,012 52,142,039	224,125,486 54,485,252	224,052,637 57,395,589	138,451,441 58,830,919	231,779,720 61,722,907
Salaries as a % of operating expenses Median	28.84 36.68	29.65 36.56	30.17 36.37	32.64 35.93	29.61 35.24
Intern, resident salaries* Median	529,246 2,598,592	492,542 2,686,824	613,411 2,753,773	112,804 2,937,156	163 2,909,848
Contract intern, resident salaries* Median	3,825,814 1,251,927	3,796,989 1,186,494	3,684,174 1,204,885	3,273,089 1,279,653	5,804,269 1,469,317
Contract adjusted salaries, direct-care Median	17,365,648 1,449,244	18,230,620 1,475,986	13,106,768 1,563,078	7,881,948 1,721,954	45,762,294 2,991,828
Contract hours, direct-care Median	298,288.49 22,725	403,092.00 23,018.5	238,726.40 24,503.48	180,991.00 25,026.5	559,432.00 33,786
Contract wages, direct-care Median	58.22 64.67	45.23 64.53	54.90 65.06	43.55 68.97	81.80 88.94

* in an approved program

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Cost reports are self-reported by the facility, are subject to revision and should be considered preliminary.

* Net Service to patients (NS2P) equals net patient revenue minus operating expenses. NS2P is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

About medians

Medians are calculated from reports with "complete" fiscal years, or reports with fiscal years of at least 300 days and no more than 420 days.

In cases where there are fewer than 50 values reported, medians are not calculated. For childrens' hospitals, it's when fewer than 20 are reported.

Web app by Tim Broderick | email.