As of the July, 2022, release via CMS


EASTERN STATE HOSPITAL


  • CMS id: 184004
  • 1350 BULL LEA ROAD, LEXINGTON KY 40511. County: FAYETTE
  • System: --
  • CBSA: Lexington-Fayette, KY

The 195-bed, psychiatric hospital had $-27,041,585 in net service to patients*, with a total profit margin of -14.26822% in fiscal year 2021, the latest year available.
It spent 0.00% 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 psychiatric 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
195
83
195
84
195
84
195
85
195
88
Total beds
Median
195
96
195
96.5
195
96
195
96
195
100
FTEs
Median
515.75
204.44
500.08
205.2
467.50
206.46
448.91
199.56
480.30
208.47

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

2017 2018 2019 2020 2021
Net patient revenue ?
Median
12,966,379
19,094,228
9,640,193
20,093,478
34,371,585
19,114,759
30,346,457
19,054,171
19,744,536
19,976,728
Operating expenses
Median
46,939,662
22,368,136
47,959,563
22,538,274
44,540,920
22,655,883
45,329,246
22,467,732
46,786,121
24,450,962
Net income from service 2 patients (NS2P) ?
Median
-33,973,283
-538,630
-38,319,370
-644,522
-10,169,335
-819,986.5
-14,982,789
-1,004,176
-27,041,585
-1,218,079
NS2P margin ?
Median
-262.01%
0.79
-397.50%
0.82
-29.59%
-0.22
-49.37%
-1.48
-136.96%
-1.2

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for EASTERN STATE HOSPITAL compared to all** psychiatric 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 psychiatric hospitals available to calculate medians:

2017 2018 2019 2020 2021
449 452 462 475 440

2017 2018 2019 2020 2021
Other income*
Median
Click here to show/hide details
32,460,268
166,725
40,770,578
126,511
27,367,341
134,364.5
16,397,518
776,618
21,199,589
580,680
Total income ?
Median
-1,513,015
578,359
2,451,208
348,012
17,198,006
178,732
1,414,729
492,827
-5,841,996
422,509
Non-operating expenses
Median
0
122,784
0
624,616.5
0
319.5
0
259,907
0
833.5
Net income
Median
-1,513,015
517,528.5
2,451,208
164,060.5
17,198,006
115,032
1,414,729
398,047
-5,841,996
410,908
Net margin
Median
-3.33068%
5.4%
4.86247%
4.03%
27.85602%
4.12%
3.02655%
5.46%
-14.26822%
6.71%

* 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 EASTERN STATE HOSPITAL compared to all** psychiatric hospitals, from CMS cost reports.
Note: Psychiatric hospitals have a wider range of total margins than other hospital types. This is partially due to the number of government-run psychiatric facilities
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 psychiatric hospitals available to calculate medians:

2017 2018 2019 2020 2021
449 452 462 475 440


Medicare revenue

Inpatient and outpatient revenue

2017 2018 2019 2020 2021
All inpatient revenue
Median
Click here to show/hide details
5,439,308
2,436,300
4,393,081
2,301,272
3,671,724
2,153,673
3,372,013
1,781,018
2,125,476
1,472,860
All outpatient revenue
Median
Click here to show/hide details
1,971
219,092
2,377
204,721
1,501
180,741
1,399
138,813
52
122,013

Other payments

Item 2017 2018 2019 2020 2021
Graduate Medical Education (GME)
Median
0
--
0
--
0
--
0
--
0
--
Disproportionate-share hospital (DSH)
Median
0
--
0
--
0
--
0
--
0
--
Outlier
Median
179,450
27,233
5,080
24,592
1,385
20,418
80,809
31,943
47,390
17,524.5

Uncompensated care

Item 2017 2018 2019 2020 2021
Medicaid shortfall
Median
0
--
0
--
0
--
0
--
0
--
Charity care
Median
0
--
0
--
0
--
0
--
0
--
Uncompensated care (UCC)
Median
0
--
0
--
0
--
0
--
0
--
UCC as a %
of operating expenses
Median
0.00%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
0
Total shortfall/UCC
Median
0
--
0
--
0
--
0
--
0
--

Labor costs

2017 2018 2019 2020 2021
Total salaries
Median
31,948,286
11,335,590
32,470,478
11,783,703
30,628,803
12,149,513
31,395,514
12,312,807
32,432,496
13,307,259
Salaries as a % of operating expenses
Median
68.06
50.99
67.70
51.26
68.77
50.77
69.26
50.92
69.32
50.8
Intern, resident salaries*
Median
0
--
0
--
0
--
0
--
0
--
Contract intern, resident salaries*
Median
0
--
0
--
0
--
0
--
0
--
Contract adjusted salaries, direct-care
Median
0
--
0
--
0
--
0
--
0
--
Contract hours, direct-care
Median
0.00
--
0.00
--
0.00
--
0.00
--
0.00
--
Contract wages, direct-care
Median
0.00
--
0.00
--
0.00
--
0.00
--
0.00
--

* 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.