As of the July, 2022, release via CMS

ORLANDO HEALTH SOUTH LAKE HOSPITAL

CMS id: 100051
1900 DON WICKHAM DRIVE, CLERMONT FL 34711. County: LAKE
System: ORLANDO HEALTH HOME OFFICE
CBSA: Orlando-Kissimmee-Sanford, FL

The 186-bed, acute-care hospital had $40,555,823 in net service to patients*, with a total profit margin of 21.06230% in fiscal year 2021, the latest year available.
It spent 6.19% of its operating expenses on uncompensated care and reported $10,537,350 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	124 118	124 118	124 119.5	124 118	140 119
Total beds Median	170 162	170 162	170 162	170 162	186 163.5
FTEs Median	1,197.98 788.06	1,251.23 793.42	1,347.58 806.03	1,310.64 787.61	1,302.00 804.34

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	198,997,454 150,932,746	225,916,697 158,950,878	279,141,316 168,696,998	273,966,961 163,454,693	318,812,366 186,589,412
Operating expenses Median	187,266,204 149,311,209	206,763,365 156,110,414	235,117,195 164,890,568	254,659,191 166,516,854	278,256,543 180,120,888
Net income from service 2 patients (NS2P) ? Median	11,731,250 -964,173	19,153,332 -643,601.5	44,024,121 -116,254	19,307,770 -5,025,862	40,555,823 -1,284,564
NS2P margin ? Median	5.90% -0.62	8.48% -0.29	15.77% 0.18	7.05% -5.07	12.72% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ORLANDO HEALTH SOUTH LAKE 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	11,765,740 5,089,215	14,989,846 4,572,541	14,391,040 5,268,134	23,988,691 13,092,619	33,689,100 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	1,285,785 299,524	1,669,923 188,688.5	2,964,927 370,813	8,265,767 309,361.5	26,020,668 375,329
⊳ 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	614,851	627,420	591,779	495,194	224,277
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	4	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	11,545	1,678
⊳ 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	5,619	1,500
⊳ 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	634,079	790,954	1,065,126	668,197	1,169,339
⊳ Line 23: Gov appropriations ? ⊳ Median	5,429,366 1,017,693	5,535,131 983,261.5	6,407,399 1,173,286	5,119,743 1,987,202	-7,878 1,597,664
⊳ Sum Line 24	3,801,655	6,366,418	3,361,809	9,422,626	6,279,516
Total income ? Median	23,496,990 6,586,430	34,143,178 6,767,106	58,415,161 8,419,950	43,296,461 8,094,175	74,244,923 15,162,888
Non-operating expenses Median	153,694 146,289.5	100,928 164,857	2,041,425 89,880.5	0 106,761	0 31,473.5
Net income Median	23,343,296 6,043,842	34,042,250 5,845,112	56,373,736 7,606,259	43,296,461 7,283,041	74,244,923 14,957,241
Net margin Median	11.07560% 4.62%	14.13089% 4.42%	19.20529% 5.16%	14.53118% 5.2%	21.06230% 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 SOUTH LAKE 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	31,569,759 23,241,334	35,286,741 23,709,545	39,115,293 24,248,380	40,423,107 22,858,541	42,724,346 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	27,481,210 21,577,146	31,135,539 22,041,594	35,221,601 22,722,063	37,296,962 21,570,441	39,639,991 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	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 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	4,088,549 1,203,033	4,151,202 1,215,295	3,893,692 1,313,657	3,126,145 1,365,298	3,084,355 1,179,746
All outpatient revenue Median Click here to show/hide details	16,143,122 11,160,864	17,630,436 11,987,345	19,209,832 12,926,866	15,496,965 11,884,480	14,825,488 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	15,176,500 10,918,923	16,506,606 11,706,976	18,455,329 12,615,917	15,017,050 11,458,116	14,825,488 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	966,622 1,282,808	1,123,830 1,407,728	754,503 1,341,512	479,915 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	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	362,821 594,888	425,554 595,761	351,967 577,894	414,576 542,168	326,985 549,667
Outlier Median	732,190 582,572	391,647 538,116	55,313 212,434	63,283 126,559	37,525 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,678,747 3,662,910	7,568,974 3,730,911	8,805,128 4,081,319	10,560,229 4,643,908	10,537,350 4,389,147
Charity care Median	9,065,024 2,654,636	10,113,906 2,940,659	14,687,960 3,380,215	16,682,676 3,488,738	14,755,363 3,233,405
Uncompensated care (UCC) Median	11,204,070 5,147,790	12,576,422 5,337,617	17,594,666 5,711,082	19,933,884 5,923,418	17,219,001 5,508,107
UCC as a % of operating expenses Median	5.98% 3.24	6.08% 3.12	7.48% 3.21	7.83% 3.3	6.19% 2.86
Total shortfall/UCC Median	14,882,817 9,489,989	20,145,396 9,424,297	26,399,794 10,120,158	30,494,113 11,171,337	27,756,351 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	70,448,710 52,142,039	78,323,756 54,485,252	88,337,695 57,395,589	97,827,741 58,830,919	99,421,870 61,722,907
Salaries as a % of operating expenses Median	37.62 36.68	37.88 36.56	37.57 36.37	38.42 35.93	35.73 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 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	1,166,838 1,449,244	1,278,740 1,475,986	918,432 1,563,078	1,319,450 1,721,954	1,292,211 2,991,828
Contract hours, direct-care Median	14,566.00 22,725	13,738.00 23,018.5	10,778.00 24,503.48	14,365.68 25,026.5	14,503.00 33,786
Contract wages, direct-care Median	80.11 64.67	93.08 64.53	85.21 65.06	91.85 68.97	89.10 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.