As of the July, 2022, release via CMS

ORLANDO HEALTH

CMS id: 100006
52 W. UNDERWOOD ST, ORLANDO FL 32806. County: ORANGE
System: NAME: ORLANDO HEALTH HOME OFFICE
CBSA: Orlando-Kissimmee-Sanford, FL

The 1,725-bed, acute-care hospital had $683,793,665 in net service to patients*, with a total profit margin of 25.08423% in fiscal year 2021, the latest year available.
It spent 7.22% of its operating expenses on uncompensated care and reported $855,923 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	1,182 118	1,196 118	1,226 119.5	1,307 118	1322 119
Total beds Median	1,579 162	1,593 162	1,622 162	1,707 162	1,725 163.5
FTEs Median	11,041.00 788.06	11,498.00 793.42	12,129.00 806.03	11,354.00 787.61	10,809.00 804.34

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	2,037,211,508 150,932,746	2,319,178,866 158,950,878	2,494,725,653 168,696,998	2,561,781,315 163,454,693	2,875,438,022 186,589,412
Operating expenses Median	1,540,921,706 149,311,209	1,717,442,918 156,110,414	1,925,434,691 164,890,568	1,998,011,225 166,516,854	2,191,644,357 180,120,888
Net income from service 2 patients (NS2P) ? Median	496,289,802 -964,173	601,735,948 -643,601.5	569,290,962 -116,254	563,770,090 -5,025,862	683,793,665 -1,284,564
NS2P margin ? Median	24.36% -0.62	25.95% -0.29	22.82% 0.18	22.01% -5.07	23.78% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ORLANDO HEALTH 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	216,637,810 5,089,215	230,521,217 4,572,541	292,094,581 5,268,134	430,625,606 13,092,619	629,369,484 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	71,170,249 299,524	52,699,118 188,688.5	81,242,288 370,813	113,704,010 309,361.5	322,938,796 375,329
⊳ 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	42,280	48,380	51,920	43,928	40,583
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	6,052,990	6,459,604	7,045,277	5,878,167	4,923,988
⊳ 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	45,287,546	54,710,859	68,781,784	81,807,114	96,573,104
⊳ Line 18: Revenue from sale of medical records and abstracts	202,103	11,648	19,359	3,264	5,907
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	43,456	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	11,590,257	14,147,559	15,759,968	21,631,519	35,676,951
⊳ 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	82,248,929	102,444,049	119,193,985	207,557,604	169,210,155
Total income ? Median	712,927,612 6,586,430	832,257,165 6,767,106	861,385,543 8,419,950	994,395,696 8,094,175	1,313,163,149 15,162,888
Non-operating expenses Median	286,532,615 146,289.5	312,227,165 164,857	350,767,390 89,880.5	341,401,691 106,761	434,009,147 31,473.5
Net income Median	426,394,997 6,043,842	520,030,000 5,845,112	510,618,153 7,606,259	652,994,005 7,283,041	879,154,002 14,957,241
Net margin Median	18.91852% 4.62%	20.39573% 4.42%	18.32261% 5.16%	21.82170% 5.2%	25.08423% 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 ORLANDO HEALTH 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	185,572,277 23,241,334	197,604,605 23,709,545	217,964,925 24,248,380	228,533,155 22,858,541	235,783,369 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	177,170,902 21,577,146	188,551,702 22,041,594	209,645,904 22,722,063	220,253,316 21,570,441	227,912,645 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	3,077,897 1,845,420	3,118,514 1,757,392	2,594,672 1,738,842	2,097,304 1,510,463	1,553,136 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	5,323,478 3,535,627	5,934,389 3,746,588	5,724,349 3,782,288	6,182,535 3,865,578	6,317,588 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	82,944,177 11,160,864	80,189,167 11,987,345	82,964,239 12,926,866	77,391,575 11,884,480	80,314,132 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	81,544,219 10,918,923	79,334,745 11,706,976	82,338,363 12,615,917	76,570,035 11,458,116	80,314,132 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,399,958 1,282,808	854,422 1,407,728	625,876 1,341,512	821,540 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	9,512,242 3,284,314	9,842,068 3,250,551	10,372,445 3,386,837	11,290,363 3,360,806	12,357,540 3,508,953
Disproportionate-share hospital (DSH) Median	7,092,334 594,888	7,526,220 595,761	7,463,747 577,894	8,295,008 542,168	7,929,708 549,667
Outlier Median	11,842,285 582,572	11,234,420 538,116	2,210,618 212,434	1,782,537 126,559	2,393,759 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	23,654,847 3,662,910	592,259 3,730,911	47,531,420 4,081,319	79,982,907 4,643,908	855,923 4,389,147
Charity care Median	119,825,636 2,654,636	108,826,290 2,940,659	151,440,578 3,380,215	139,573,615 3,488,738	138,070,453 3,233,405
Uncompensated care (UCC) Median	131,798,144 5,147,790	131,455,990 5,337,617	186,106,262 5,711,082	165,538,395 5,923,418	158,312,736 5,508,107
UCC as a % of operating expenses Median	8.55% 3.24	7.65% 3.12	9.67% 3.21	8.29% 3.3	7.22% 2.86
Total shortfall/UCC Median	155,452,991 9,489,989	132,048,249 9,424,297	233,637,682 10,120,158	245,521,302 11,171,337	159,168,659 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	640,982,531 52,142,039	690,070,381 54,485,252	759,996,993 57,395,589	752,252,071 58,830,919	782,806,681 61,722,907
Salaries as a % of operating expenses Median	41.60 36.68	40.18 36.56	39.47 36.37	37.65 35.93	35.72 35.24
Intern, resident salaries* Median	19,400,676 2,598,592	19,995,707 2,686,824	21,558,635 2,753,773	22,695,149 2,937,156	22,292,468 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	6,616,549 1,449,244	6,756,123 1,475,986	6,255,603 1,563,078	6,229,902 1,721,954	7,805,365 2,991,828
Contract hours, direct-care Median	84,761.00 22,725	79,287.00 23,018.5	56,218.65 24,503.48	51,877.00 25,026.5	61,273.00 33,786
Contract wages, direct-care Median	78.06 64.67	85.21 64.53	111.27 65.06	120.09 68.97	127.39 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.