As of the July, 2022, release via CMS

LEE MEMORIAL HOSPITAL

CMS id: 100012
2776 CLEVELAND AVENUE, FORT MYERS FL 33901. County: LEE
System: FIRST COAST SERVICE OPTIONS
CBSA: Cape Coral-Fort Myers, FL

The 846-bed, acute-care hospital had $278,733,831 in net service to patients*, with a total profit margin of 35.27092% in fiscal year 2021, the latest year available.
It spent 7.60% of its operating expenses on uncompensated care and reported $48,967,145 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	gov	gov	gov	gov	gov
Acute beds Median	496 118	539 118	557 119.5	557 118	563 119
Total beds Median	753 162	818 162	832 162	832 162	846 163.5
FTEs Median	5,638.00 788.06	5,881.00 793.42	5,607.00 806.03	6,037.00 787.61	5,905.00 804.34

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	876,419,340 150,932,746	941,178,273 158,950,878	1,045,923,997 168,696,998	1,071,378,990 163,454,693	1,191,987,787 186,589,412
Operating expenses Median	642,416,798 149,311,209	739,744,914 156,110,414	797,302,255 164,890,568	832,879,626 166,516,854	913,253,956 180,120,888
Net income from service 2 patients (NS2P) ? Median	234,002,542 -964,173	201,433,359 -643,601.5	248,621,742 -116,254	238,499,364 -5,025,862	278,733,831 -1,284,564
NS2P margin ? Median	26.70% -0.62	21.40% -0.29	23.77% 0.18	22.26% -5.07	23.38% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for LEE MEMORIAL HOSPITAL 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	13,485,157 5,089,215	13,876,137 4,572,541	14,493,018 5,268,134	136,674,342 13,092,619	236,228,875 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	0 299,524	0 188,688.5	0 370,813	29,643,784 309,361.5	0 375,329
⊳ 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	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	0	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	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ 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	13,485,157	13,876,137	14,493,018	107,030,558	236,228,875
Total income ? Median	247,487,699 6,586,430	215,309,496 6,767,106	263,114,760 8,419,950	375,173,706 8,094,175	514,962,706 15,162,888
Non-operating expenses Median	-129,071,200 146,289.5	-47,791,558 164,857	-8,096,018 89,880.5	49,914,012 106,761	11,217,534 31,473.5
Net income Median	376,558,899 6,043,842	263,101,054 5,845,112	271,210,778 7,606,259	325,259,694 7,283,041	503,745,172 14,957,241
Net margin Median	42.31453% 4.62%	27.54828% 4.42%	25.57586% 5.16%	26.92428% 5.2%	35.27092% 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 LEE MEMORIAL HOSPITAL 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	152,400,039 23,241,334	153,906,374 23,709,545	160,366,926 24,248,380	155,100,121 22,858,541	145,430,250 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	138,244,276 21,577,146	137,666,575 22,041,594	147,264,709 22,722,063	142,864,547 21,570,441	131,242,369 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	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	13,566,452 3,535,627	13,723,151 3,746,588	10,505,809 3,782,288	10,326,419 3,865,578	12,243,305 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	589,311 1,203,033	2,516,648 1,215,295	2,596,408 1,313,657	1,909,155 1,365,298	1,944,576 1,179,746
All outpatient revenue Median Click here to show/hide details	68,668,532 11,160,864	71,935,044 11,987,345	74,699,799 12,926,866	72,956,149 11,884,480	78,711,806 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	65,500,681 10,918,923	68,844,447 11,706,976	71,948,934 12,615,917	69,462,171 11,458,116	75,606,694 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	3,167,851 1,282,808	3,090,597 1,407,728	2,750,865 1,341,512	3,493,978 1,407,046	3,105,112 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	2,793,013 3,284,314	2,596,780 3,250,551	2,788,978 3,386,837	2,931,169 3,360,806	2,742,157 3,508,953
Disproportionate-share hospital (DSH) Median	4,657,483 594,888	4,726,952 595,761	4,839,996 577,894	5,363,501 542,168	5,009,208 549,667
Outlier Median	3,446,609 582,572	4,653,769 538,116	1,463,327 212,434	1,058,441 126,559	1,407,862 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	22,181,247 3,662,910	443,995 3,730,911	7,331,429 4,081,319	23,896,450 4,643,908	48,967,145 4,389,147
Charity care Median	36,294,813 2,654,636	32,946,922 2,940,659	38,048,437 3,380,215	39,966,536 3,488,738	43,682,246 3,233,405
Uncompensated care (UCC) Median	55,014,750 5,147,790	52,996,103 5,337,617	57,580,355 5,711,082	64,910,078 5,923,418	69,438,725 5,508,107
UCC as a % of operating expenses Median	8.56% 3.24	7.16% 3.12	7.22% 3.21	7.79% 3.3	7.60% 2.86
Total shortfall/UCC Median	77,195,997 9,489,989	53,440,098 9,424,297	64,911,784 10,120,158	88,806,528 11,171,337	118,405,870 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	291,084,535 52,142,039	344,164,680 54,485,252	366,730,320 57,395,589	375,478,517 58,830,919	373,539,183 61,722,907
Salaries as a % of operating expenses Median	45.31 36.68	46.52 36.56	46.00 36.37	45.08 35.93	40.90 35.24
Intern, resident salaries* Median	1,923,852 2,598,592	2,330,042 2,686,824	2,743,216 2,753,773	2,748,027 2,937,156	2,689,414 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	1,803,173 1,449,244	988,887 1,475,986	988,887 1,563,078	0 1,721,954	0 2,991,828
Contract hours, direct-care Median	19,625.00 22,725	13,958.00 23,018.5	13,958.00 24,503.48	0.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	91.88 64.67	70.85 64.53	70.85 65.06	0.00 68.97	0.00 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.