As of the July, 2022, release via CMS

UNIVERSITY OF LOUISVILLE HOSPITAL

CMS id: 180141
530 SOUTH JACKSON STREET, LOUISVILLE KY 40202. County: JEFFERSON
System: UOFL HEALTH INC.
CBSA: Louisville/Jefferson County, KY-IN

The 333-bed, acute-care hospital had $-52,806,534 in net service to patients*, with a total profit margin of 2.34686% in fiscal year 2021, the latest year available.
It spent 2.25% 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	244 118	242 118	242 119.5	242 118	227 119
Total beds Median	333 162	331 162	348 162	348 162	333 163.5
FTEs Median	1,910.48 788.06	2,350.73 793.42	2,618.14 806.03	2,605.47 787.61	2,488.69 804.34

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	488,194,224 150,932,746	472,841,367 158,950,878	559,794,046 168,696,998	561,811,718 163,454,693	644,021,301 186,589,412
Operating expenses Median	506,369,945 149,311,209	555,186,730 156,110,414	579,545,427 164,890,568	607,960,979 166,516,854	696,827,835 180,120,888
Net income from service 2 patients (NS2P) ? Median	-18,175,721 -964,173	-82,345,363 -643,601.5	-19,751,381 -116,254	-46,149,261 -5,025,862	-52,806,534 -1,284,564
NS2P margin ? Median	-3.72% -0.62	-17.42% -0.29	-3.53% 0.18	-8.21% -5.07	-8.20% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UNIVERSITY OF LOUISVILLE 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	26,900,526 5,089,215	36,853,514 4,572,541	47,509,474 5,268,134	80,724,867 13,092,619	69,553,103 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	162,669 199,009	411,370 206,870.5	304,819 194,343	440,671 249,496
⊳ 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	126,677	102,336	100,785	69,583	2,478
⊳ 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	17,354,844	20,871,212	30,095,226	37,315,706	45,612,478
⊳ Line 18: Revenue from sale of medical records and abstracts	52,255	268	2,990	14,819	6,686
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	-5,542	-53,427	35,740	40,708	-7,732
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	79,940	0	883	16,412	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	157,409	297,269	321,085	219,574	122,254
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	13,714,280 1,597,664
⊳ Sum Line 24	9,132,243	15,472,737	16,538,695	42,740,996	9,658,838
Total income ? Median	8,724,805 6,586,430	-45,491,849 6,767,106	27,758,093 8,419,950	34,575,606 8,094,175	16,746,569 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	8,724,805 6,043,842	-45,491,849 5,845,112	27,758,093 7,606,259	34,575,606 7,283,041	16,746,569 14,957,241
Net margin Median	1.69383% 4.62%	-8.92531% 4.42%	4.57071% 5.16%	5.38111% 5.2%	2.34686% 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 UNIVERSITY OF LOUISVILLE 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	68,501,378 23,241,334	65,176,597 23,709,545	71,145,635 24,248,380	64,666,849 22,858,541	69,184,857 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	68,501,378 21,577,146	65,176,597 22,041,594	71,145,635 22,722,063	64,666,849 21,570,441	69,184,857 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	34,232,631 11,160,864	36,888,988 11,987,345	38,203,434 12,926,866	41,972,945 11,884,480	46,190,314 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	34,232,631 10,918,923	36,888,988 11,706,976	38,203,434 12,615,917	41,972,945 11,458,116	46,190,314 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	16,174,217 3,284,314	15,479,787 3,250,551	17,296,690 3,386,837	16,218,028 3,360,806	16,662,548 3,508,953
Disproportionate-share hospital (DSH) Median	3,182,435 594,888	2,939,210 595,761	3,262,536 577,894	2,797,736 542,168	2,961,821 549,667
Outlier Median	2,125,934 582,572	2,983,183 538,116	3,275,320 212,434	782,860 126,559	693,300 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,119,849 3,662,910	2,857,015 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	14,198,324 2,654,636	11,091,633 2,940,659	12,615,451 3,380,215	11,971,020 3,488,738	9,112,183 3,233,405
Uncompensated care (UCC) Median	21,330,280 5,147,790	20,775,382 5,337,617	17,665,645 5,711,082	15,607,870 5,923,418	15,677,559 5,508,107
UCC as a % of operating expenses Median	4.21% 3.24	3.74% 3.12	3.05% 3.21	2.57% 3.3	2.25% 2.86
Total shortfall/UCC Median	25,450,129 9,489,989	23,632,397 9,424,297	17,665,645 10,120,158	15,607,870 11,171,337	15,677,559 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	126,129,369 52,142,039	153,567,224 54,485,252	174,169,041 57,395,589	176,843,945 58,830,919	172,103,859 61,722,907
Salaries as a % of operating expenses Median	24.91 36.68	27.66 36.56	30.05 36.37	29.09 35.93	24.70 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	17,078,263 1,251,927	18,426,450 1,186,494	19,870,595 1,204,885	22,724,288 1,279,653	25,931,764 1,469,317
Contract adjusted salaries, direct-care Median	31,515,108 1,449,244	22,645,598 1,475,986	22,253,139 1,563,078	26,315,618 1,721,954	35,508,970 2,991,828
Contract hours, direct-care Median	772,470.86 22,725	679,065.06 23,018.5	640,478.41 24,503.48	701,468.34 25,026.5	781,712.43 33,786
Contract wages, direct-care Median	40.80 64.67	33.35 64.53	34.74 65.06	37.52 68.97	45.42 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.