As of the July, 2022, release via CMS

LAKE CUMBERLAND REGIONAL HOSP

CMS id: 180132
305 LANGDON ST, SOMERSET KY 42501. County: PULASKI
System: LIFEPOINT HEALTH
CBSA: Somerset, KY

The 216-bed, acute-care hospital had $41,265,117 in net service to patients*, with a total profit margin of 15.08897% in fiscal year 2021, the latest year available.
It spent 1.19% 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	366	365
Ownership	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	201 118	192 118	190 119.5	145 118	145 119
Total beds Median	295 162	267 162	265 162	216 162	216 163.5
FTEs Median	1,233.85 788.06	1,248.47 793.42	1,154.67 806.03	1,176.02 787.61	1,060.65 804.34

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	235,431,876 150,932,746	242,487,166 158,950,878	246,299,919 168,696,998	244,960,859 163,454,693	289,789,688 186,589,412
Operating expenses Median	209,458,692 149,311,209	216,334,361 156,110,414	220,697,427 164,890,568	216,574,387 166,516,854	248,524,571 180,120,888
Net income from service 2 patients (NS2P) ? Median	25,973,184 -964,173	26,152,805 -643,601.5	25,602,492 -116,254	28,386,472 -5,025,862	41,265,117 -1,284,564
NS2P margin ? Median	11.03% -0.62	10.79% -0.29	10.39% 0.18	11.59% -5.07	14.24% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for LAKE CUMBERLAND REGIONAL HOSP 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	0 5,089,215	964,849 4,572,541	1,268,882 5,268,134	14,453,243 13,092,619	2,898,505 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ 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	0	0	0	0	0
⊳ 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	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ 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	--	964,849	1,268,882	14,453,243	2,898,505
Total income ? Median	25,973,184 6,586,430	27,117,654 6,767,106	26,871,374 8,419,950	42,839,715 8,094,175	44,163,622 15,162,888
Non-operating expenses Median	1,243,886 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	24,729,298 6,043,842	27,117,654 5,845,112	26,871,374 7,606,259	42,839,715 7,283,041	44,163,622 14,957,241
Net margin Median	10.50380% 4.62%	11.13881% 4.42%	10.85410% 5.16%	16.51403% 5.2%	15.08897% 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 LAKE CUMBERLAND REGIONAL HOSP 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	48,851,476 23,241,334	49,546,436 23,709,545	47,375,758 24,248,380	37,217,759 22,858,541	35,850,537 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	44,144,735 21,577,146	44,406,576 22,041,594	41,978,671 22,722,063	33,140,132 21,570,441	31,438,693 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	1,241,991 1,845,420	1,417,310 1,757,392	1,438,637 1,738,842	1,104,158 1,510,463	522,089 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,527,101 3,535,627	2,665,503 3,746,588	2,856,181 3,782,288	1,936,543 3,865,578	2,946,290 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	937,649 1,203,033	1,057,047 1,215,295	1,102,269 1,313,657	1,036,926 1,365,298	943,465 1,179,746
All outpatient revenue Median Click here to show/hide details	23,110,997 11,160,864	24,727,111 11,987,345	25,870,479 12,926,866	18,969,226 11,884,480	20,975,257 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	20,554,604 10,918,923	22,164,671 11,706,976	23,461,355 12,615,917	18,721,271 11,458,116	18,998,715 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	2,556,393 618,038	2,562,440 697,279	2,409,124 690,232	247,955 684,010	1,976,542 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	3,317,747 3,284,314	4,047,154 3,250,551	4,417,551 3,386,837	3,647,681 3,360,806	3,846,730 3,508,953
Disproportionate-share hospital (DSH) Median	2,433,370 594,888	2,340,124 595,761	2,201,085 577,894	1,521,450 542,168	1,457,957 549,667
Outlier Median	708,877 582,572	160,775 538,116	35,925 212,434	77,600 126,559	61,638 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	46,984 2,654,636	56,436 2,940,659	117,598 3,380,215	570,598 3,488,738	777,833 3,233,405
Uncompensated care (UCC) Median	2,641,876 5,147,790	2,172,912 5,337,617	2,343,038 5,711,082	2,499,675 5,923,418	2,968,001 5,508,107
UCC as a % of operating expenses Median	1.26% 3.24	1.00% 3.12	1.06% 3.21	1.15% 3.3	1.19% 2.86
Total shortfall/UCC Median	2,641,876 9,489,989	2,172,912 9,424,297	2,343,038 10,120,158	2,499,675 11,171,337	2,968,001 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	76,064,270 52,142,039	80,992,321 54,485,252	81,125,831 57,395,589	77,712,805 58,830,919	80,711,222 61,722,907
Salaries as a % of operating expenses Median	39.28 36.68	39.73 36.56	38.93 36.37	37.87 35.93	34.09 35.24
Intern, resident salaries* Median	1,694,301 2,598,592	2,198,173 2,686,824	2,259,584 2,753,773	2,514,558 2,937,156	2,861,489 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	1,441,165 1,449,244	1,155,322 1,475,986	1,837,419 1,563,078	3,748,114 1,721,954	16,128,940 2,991,828
Contract hours, direct-care Median	26,099.00 22,725	21,480.00 23,018.5	32,134.00 24,503.48	46,849.00 25,026.5	142,566.00 33,786
Contract wages, direct-care Median	55.22 64.67	53.79 64.53	57.18 65.06	80.00 68.97	113.13 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.