The Bill Rate Index What the hour costs, and who keeps it
Columbia, KY · Medicare provider 185052

4045 Summit Manor Rehab & Wellness C paid $41.19 an hour for contract staff.

Its own employees cost it $27.55 an hour that year, a premium of 50%. Narrower than the typical Kentucky nursing home that year, which sat at 86%; against a national median of 101%.

The hospital reported both figures itself, on the same line of the same federal form.

FY2023, as filed
$41.19 an hour, contract
$27.55 an hour, employed · 8,879 contract hours in the year
The wageThe premium

Year by year

Fiscal yearEmployed hourContract hourPremium
FY2021$23.20$58.44
FY2022$26.05$54.46
FY2023$27.55$41.19

No usable filing for FY2024, FY2025, either because the hospital reported no contract labour that year or because the figures it filed did not survive a plausibility check.

The wage it pays its own staffEverything it pays above that for an agency hour

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Where this comes from

4045 Summit Manor Rehab & Wellness C files Form CMS-2540-10 with Medicare every year. Worksheet S-3 Part II, line 13, reports total adjusted salaries, which is what it paid its own staff once physicians and excluded units are taken out. Line 14 reports contract labour. Both lines carry an hourly rate the facility calculates itself, and the premium here is one measured against the other.

The premium is the gap in hourly cost to the facility. It is not an agency profit margin, because the contract rate also carries the agency’s payroll taxes, insurance, credentialing and overhead, and the employed rate excludes the facility’s own benefits.

This form does not separate contract patient care from contract management the way the hospital form does, so line 14 carries both. A home that contracts out its administrator raises its own contract rate here.