As of the July, 2022, release via CMS

CARDINAL HILL REHABILITATION HOSPITA

CMS id: 183026
2050 VERSAILLES RD, LEXINGTON KY 40504. County: FAYETTE
System: ENCOMPASS HEALTH CORPORATION
CBSA: Lexington-Fayette, KY

The 232-bed, rehabilitation hospital had $2,678,782 in net service to patients*, with a total profit margin of 8.64165% 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 rehabilitation 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	158 58.5	158 60	158 57	158 58	158 58
Total beds Median	198 60	198 60	232 59	232 60	232 60
FTEs Median	512.75 143.45	539.97 142.59	558.83 143.01	531.54 142.37	522.25 142.26

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	62,642,148 22,034,646	75,133,479 22,571,770	77,309,665 22,577,310	74,774,308 23,218,825	76,940,622 25,025,984
Operating expenses Median	62,013,016 18,658,054	70,842,466 19,100,831	74,961,719 19,764,763	71,940,592 20,530,526	74,261,840 21,638,240
Net income from service 2 patients (NS2P) ? Median	629,132 1,528,327	4,291,013 1,927,574	2,347,946 2,347,946	2,833,716 1,761,670	2,678,782 2,582,800
NS2P margin ? Median	1.00% 8.54	5.71% 9.02	3.04% 10.52	3.79% 9.48	3.48% 11.46

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CARDINAL HILL REHABILITATION HOSPITA compared to all** rehabilitation 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 rehabilitation hospitals available to calculate medians:

2017	2018	2019	2020	2021
260	272	281	291	283

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	682,228 59,996	1,093,066 70,717	529,545 88,916	1,302,166 328,274	4,345,697 368,298
⊳ Line 6: Contributions ? ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Line 7: Investments ? ⊳ Median	222,556 3,517	85,728 8,023	55,900 8,740	25,814 6,340	0 5,018
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	598	0	9	6	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	201,404	0	200,742	180,424	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	18,955
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	30,673	0	13,622	9,709	0
⊳ Line 21: Rental of vending machines	13,343	0	235	19,279	0
⊳ Line 22: Rental of hospital space	213,654	0	335,158	340,818	235,724
⊳ Line 23: Gov appropriations ? ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Sum Line 24	--	1,007,338	-76,121	726,116	4,091,018
Total income ? Median	1,311,360 2,335,052	5,384,079 2,650,266	2,877,491 2,710,253	4,135,882 2,772,631	7,024,479 3,331,126
Non-operating expenses Median	0 --	0 --	0 3	0 2	0 1
Net income Median	1,311,360 2,335,052	5,384,079 2,558,663	2,877,491 2,683,990	4,135,882 2,766,874	7,024,479 3,351,370
Net margin Median	2.07086% 10.24%	7.06326% 10.99%	3.69671% 11.93%	5.43648% 11.64%	8.64165% 13.56%

* 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 CARDINAL HILL REHABILITATION HOSPITA compared to all** rehabilitation hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
260	272	281	291	283

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	31,406,555 13,761,534	38,661,258 14,052,098	41,890,826 14,549,036	36,048,326 13,945,611	34,714,278 14,159,217
"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	0 --	0 --	0 --	0 --	0 --
⊳ 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 --	0 --	0 --	0 --	0 --
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	28,501,445 13,761,534	36,537,641 14,008,339	40,491,215 14,200,315	34,752,804 13,940,210	33,692,728 14,086,186
⊳ 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	2,905,110 --	2,123,617 --	1,399,611 --	1,295,522 --	1,021,550 --
All outpatient revenue Median Click here to show/hide details	1,580,263 2,380	1,967,384 831	95,494 1,793	74,327 1,028.5	65,491 1,789
"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	92,779 1,578	95,312 795	95,494 1,638.5	74,327 863.5	65,491 1,619
⊳ Home Health agencies (HHA) ⊳ Median	1,487,484 --	1,872,072 --	0 --	0 --	0 --
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	134,978 --	144,670 --	150,366 --	145,775 --	148,582 --
Disproportionate-share hospital (DSH) Median	0 --	0 --	0 --	0 --	0 --
Outlier Median	84,361 40,368	218,845 43,797	277,195 41,625	293,714 51,287.5	274,070 55,446

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	29,900,492 9,023,011	32,787,351 9,368,336	35,283,290 9,581,228	34,313,152 9,884,434	34,846,132 10,372,194
Salaries as a % of operating expenses Median	48.22 47.57	46.28 47.95	47.07 48.89	47.70 49.03	46.92 48.34
Intern, resident salaries* Median	0 --	0 --	0 --	0 --	0 --
Contract intern, resident salaries* Median	0 --	0 --	0 --	377,145 --	468,402 --
Contract adjusted salaries, direct-care Median	0 163,407	0 --	0 149,496	954,771 150,231	1,340,974 329,547.5
Contract hours, direct-care Median	0.00 3,186.69	0.00 --	0.00 2,956.82	22,177.45 2,519.03	24,834.81 4,620.1
Contract wages, direct-care Median	0.00 51.38	0.00 --	0.00 55.28	43.05 55	54.00 70.56

* 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.