As of the July, 2022, release via CMS

ADVENTHEALTH ORLANDO

CMS id: 100007
601 E ROLLINS ST, ORLANDO FL 32803. County: ORANGE
System: ADVENTHEALTH
CBSA: Orlando-Kissimmee-Sanford, FL

The 2,904-bed, acute-care hospital had $380,388,539 in net service to patients*, with a total profit margin of 15.18175% in fiscal year 2021, the latest year available.
It spent 4.42% of its operating expenses on uncompensated care and reported $156,717,280 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	2,155 118	2,256 118	2,245 119.5	2,293 118	2314 119
Total beds Median	2,699 162	2,826 162	2,818 162	2,925 162	2,904 163.5
FTEs Median	18,144.87 788.06	18,261.77 793.42	19,041.94 806.03	19,664.00 787.61	19,485.00 804.34

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	3,432,794,596 150,932,746	3,769,768,374 158,950,878	3,922,800,296 168,696,998	4,003,534,342 163,454,693	5,004,081,001 186,589,412
Operating expenses Median	3,091,553,472 149,311,209	3,315,897,119 156,110,414	3,493,547,836 164,890,568	3,960,690,702 166,516,854	4,623,692,462 180,120,888
Net income from service 2 patients (NS2P) ? Median	341,241,124 -964,173	453,871,255 -643,601.5	429,252,460 -116,254	42,843,640 -5,025,862	380,388,539 -1,284,564
NS2P margin ? Median	9.94% -0.62	12.04% -0.29	10.94% 0.18	1.07% -5.07	7.60% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ADVENTHEALTH ORLANDO 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	273,490,006 5,089,215	72,907,395 4,572,541	500,339,903 5,268,134	424,322,122 13,092,619	447,213,397 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	24,604,576 206,870.5	6,211,424 194,343	41,460,891 249,496
⊳ Line 7: Investments ? ⊳ Median	139,779,080 299,524	-78,724,088 188,688.5	303,935,372 370,813	60,449,929 309,361.5	201,805,606 375,329
⊳ 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	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	134,406	164,190	3,172,682	7,517,624	8,102,365
⊳ Line 14: Revenue from meals sold to emplyees and guests	17,536,747	16,386,419	20,268,969	10,507,451	11,445,401
⊳ Line 15: Revenue from rental of living quarters	860,298	773,733	7,271,543	19,066,800	21,185,206
⊳ 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	32,323,423	33,423,034	40,832,123	43,679,384	53,102,697
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	27,746,217	27,537,633	27,941,240	29,725,601	29,472,650
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	5,469,347	5,239,946	2,816,161	4,946,245	5,807,132
⊳ Line 21: Rental of vending machines	0	0	99,936	386,175	210,004
⊳ Line 22: Rental of hospital space	3,468,596	3,385,044	0	835,479	3,961,423
⊳ Line 23: Gov appropriations ? ⊳ Median	11,378,281 1,017,693	11,708,757 983,261.5	11,652,474 1,173,286	12,360,771 1,987,202	21,928,466 1,597,664
⊳ Sum Line 24	34,793,611	53,012,727	57,744,827	228,635,239	48,731,556
Total income ? Median	614,731,130 6,586,430	526,778,650 6,767,106	929,592,363 8,419,950	467,165,762 8,094,175	827,601,936 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	614,731,130 6,043,842	526,778,650 5,845,112	929,592,363 7,606,259	467,165,762 7,283,041	827,601,936 14,957,241
Net margin Median	16.58618% 4.62%	13.70864% 4.42%	21.01657% 5.16%	10.55061% 5.2%	15.18175% 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 ADVENTHEALTH ORLANDO 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	477,824,243 23,241,334	469,395,156 23,709,545	467,118,945 24,248,380	495,447,181 22,858,541	501,797,662 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	467,330,907 21,577,146	458,613,083 22,041,594	457,086,345 22,722,063	478,550,866 21,570,441	478,541,403 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	3,009,910 1,845,420	3,680,269 1,757,392	3,118,056 1,738,842	3,137,491 1,510,463	2,748,054 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	7,483,426 3,535,627	7,101,804 3,746,588	6,914,544 3,782,288	13,758,824 3,865,578	20,508,205 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	150,359,990 11,160,864	155,785,065 11,987,345	157,670,875 12,926,866	143,632,250 11,884,480	152,460,433 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	150,359,990 10,918,923	155,785,065 11,706,976	157,670,875 12,615,917	143,632,250 11,458,116	152,460,433 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	14,651,158 3,284,314	14,337,143 3,250,551	13,749,934 3,386,837	14,624,163 3,360,806	14,871,119 3,508,953
Disproportionate-share hospital (DSH) Median	11,513,460 594,888	10,520,372 595,761	10,365,978 577,894	13,741,459 542,168	11,074,817 549,667
Outlier Median	50,213,185 582,572	42,317,556 538,116	5,041,377 212,434	7,137,571 126,559	14,182,064 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	89,426,850 3,662,910	67,969,057 3,730,911	63,879,747 4,081,319	113,471,085 4,643,908	156,717,280 4,389,147
Charity care Median	123,908,573 2,654,636	158,453,764 2,940,659	160,498,590 3,380,215	141,979,324 3,488,738	182,729,417 3,233,405
Uncompensated care (UCC) Median	156,674,794 5,147,790	183,869,436 5,337,617	199,721,016 5,711,082	166,793,915 5,923,418	204,262,077 5,508,107
UCC as a % of operating expenses Median	5.07% 3.24	5.55% 3.12	5.72% 3.21	4.21% 3.3	4.42% 2.86
Total shortfall/UCC Median	246,101,644 9,489,989	251,838,493 9,424,297	263,600,763 10,120,158	280,265,000 11,171,337	360,979,357 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	1,130,355,321 52,142,039	1,188,550,442 54,485,252	1,264,926,996 57,395,589	1,323,532,244 58,830,919	1,542,556,057 61,722,907
Salaries as a % of operating expenses Median	36.65 36.68	35.74 36.56	36.21 36.37	33.42 35.93	33.36 35.24
Intern, resident salaries* Median	9,737,324 2,598,592	10,119,343 2,686,824	10,452,580 2,753,773	11,286,007 2,937,156	12,218,065 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	15,805,667 1,449,244	12,102,339 1,475,986	7,969,243 1,563,078	15,986,559 1,721,954	146,057,508 2,991,828
Contract hours, direct-care Median	217,382.00 22,725	176,246.00 23,018.5	133,537.00 24,503.48	173,375.00 25,026.5	763,616.00 33,786
Contract wages, direct-care Median	72.71 64.67	68.67 64.53	59.68 65.06	92.21 68.97	191.27 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.