As of the July, 2022, release via CMS

TAYLOR REGIONAL HOSPITAL

CMS id: 180087
1700 OLD LEBANON ROAD, CAMPBELLSVILLE KY 42718. County: TAYLOR
System: --
CBSA: Campbellsville, KY

The 90-bed, acute-care hospital had $-2,681,804 in net service to patients*, with a total profit margin of 4.34672% in fiscal year 2021, the latest year available.
It spent 1.41% of its operating expenses on uncompensated care and reported $82,476 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	366	365
Ownership	gov	gov	gov	gov	gov
Acute beds Median	82 118	82 118	82 119.5	82 118	82 119
Total beds Median	90 162	90 162	90 162	90 162	90 163.5
FTEs Median	524.68 788.06	530.52 793.42	522.12 806.03	514.86 787.61	501.49 804.34

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	78,981,491 150,932,746	77,736,025 158,950,878	83,825,920 168,696,998	80,847,277 163,454,693	88,179,395 186,589,412
Operating expenses Median	79,186,590 149,311,209	82,617,002 156,110,414	83,975,193 164,890,568	87,233,241 166,516,854	90,861,199 180,120,888
Net income from service 2 patients (NS2P) ? Median	-205,099 -964,173	-4,880,977 -643,601.5	-149,273 -116,254	-6,385,964 -5,025,862	-2,681,804 -1,284,564
NS2P margin ? Median	-0.26% -0.62	-6.28% -0.29	-0.18% 0.18	-7.90% -5.07	-3.04% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for TAYLOR REGIONAL HOSPITAL 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	1,817,964 5,089,215	2,402,282 4,572,541	4,677,105 5,268,134	12,096,760 13,092,619	6,810,762 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	3,682 224,999	4,655 199,009	2,750 206,870.5	48,083 194,343	1,790 249,496
⊳ Line 7: Investments ? ⊳ Median	-107,134 299,524	185,026 188,688.5	2,124,612 370,813	2,424,241 309,361.5	2,132,026 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	9,935	6,952	7,992	13,657	6,990
⊳ Line 11: Rebates and refunds of expenses	58,756	56,031	50,283	65,478	58,185
⊳ 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	552,637	530,212	524,490	461,932	372,874
⊳ 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	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	1,162	1,544	809	561	646
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	25,296	27,758	29,080	26,647	28,351
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	35,461	30,883	5,974	0	0
⊳ Line 22: Rental of hospital space	195,560	194,883	175,986	135,444	141,187
⊳ 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	1,042,609	1,364,338	1,755,129	8,920,717	4,068,713
Total income ? Median	1,612,865 6,586,430	-2,478,695 6,767,106	4,527,832 8,419,950	5,710,796 8,094,175	4,128,958 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	1,612,865 6,043,842	-2,478,695 5,845,112	4,527,832 7,606,259	5,710,796 7,283,041	4,128,958 14,957,241
Net margin Median	1.99613% 4.62%	-3.09302% 4.42%	5.11602% 5.16%	6.14434% 5.2%	4.34672% 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 TAYLOR REGIONAL HOSPITAL 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	10,008,521 23,241,334	9,478,846 23,709,545	9,973,742 24,248,380	8,011,874 22,858,541	8,160,237 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	10,008,521 21,577,146	9,478,846 22,041,594	9,973,742 22,722,063	8,011,874 21,570,441	8,160,237 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	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 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	11,686,514 11,160,864	12,697,699 11,987,345	11,880,051 12,926,866	11,394,622 11,884,480	10,779,645 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	11,686,514 10,918,923	12,697,699 11,706,976	11,880,051 12,615,917	11,394,622 11,458,116	10,779,645 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	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	308,171 594,888	312,048 595,761	274,847 577,894	224,198 542,168	310,899 549,667
Outlier Median	42,064 582,572	104,087 538,116	46,057 212,434	6,590 126,559	3,274 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,055,680 3,662,910	1,583,513 3,730,911	643,680 4,081,319	1,041,899 4,643,908	82,476 4,389,147
Charity care Median	572,447 2,654,636	116,758 2,940,659	157,187 3,380,215	169,614 3,488,738	154,551 3,233,405
Uncompensated care (UCC) Median	1,647,146 5,147,790	1,320,797 5,337,617	1,113,352 5,711,082	1,327,738 5,923,418	1,279,273 5,508,107
UCC as a % of operating expenses Median	2.08% 3.24	1.60% 3.12	1.33% 3.21	1.52% 3.3	1.41% 2.86
Total shortfall/UCC Median	2,702,826 9,489,989	2,904,310 9,424,297	1,757,032 10,120,158	2,369,637 11,171,337	1,361,749 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	35,083,525 52,142,039	36,487,177 54,485,252	36,951,576 57,395,589	38,016,316 58,830,919	38,794,802 61,722,907
Salaries as a % of operating expenses Median	44.30 36.68	44.16 36.56	44.00 36.37	43.43 35.93	42.70 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	0 1,449,244	0 1,475,986	0 1,563,078	0 1,721,954	0 2,991,828
Contract hours, direct-care Median	0.00 22,725	0.00 23,018.5	0.00 24,503.48	0.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	0.00 64.67	0.00 64.53	0.00 65.06	0.00 68.97	0.00 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.