As of the July, 2022, release via CMS

WINTER HAVEN HOSPITAL

CMS id: 100052
200 AVE F NE, WINTER HAVEN FL 33881. County: POLK
System: BAYCARE HEALTH SYSTEM
CBSA: Lakeland-Winter Haven, FL

The 506-bed, acute-care hospital had $927,533 in net service to patients*, with a total profit margin of 3.66593% in fiscal year 2021, the latest year available.
It spent 5.31% of its operating expenses on uncompensated care and reported $30,023,278 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	440 118	417 118	454 119.5	421 118	401 119
Total beds Median	519 162	476 162	505 162	485 162	506 163.5
FTEs Median	1,985.02 788.06	1,975.23 793.42	2,126.66 806.03	2,096.64 787.61	1,977.34 804.34

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	326,582,809 150,932,746	343,772,454 158,950,878	369,173,394 168,696,998	372,056,686 163,454,693	436,706,679 186,589,412
Operating expenses Median	300,639,569 149,311,209	315,259,385 156,110,414	352,099,463 164,890,568	372,538,752 166,516,854	435,779,146 180,120,888
Net income from service 2 patients (NS2P) ? Median	25,943,240 -964,173	28,513,069 -643,601.5	17,073,931 -116,254	-482,066 -5,025,862	927,533 -1,284,564
NS2P margin ? Median	7.94% -0.62	8.29% -0.29	4.62% 0.18	-0.13% -5.07	0.21% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for WINTER HAVEN 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	15,238,519 5,089,215	3,699,793 4,572,541	19,414,808 5,268,134	14,048,451 13,092,619	15,655,771 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	0 309,361.5	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	15,238,519	3,699,793	19,414,808	14,048,451	15,655,771
Total income ? Median	41,181,759 6,586,430	32,212,862 6,767,106	36,488,739 8,419,950	13,566,385 8,094,175	16,583,304 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	41,181,759 6,043,842	32,212,862 5,845,112	36,488,739 7,606,259	13,566,385 7,283,041	16,583,304 14,957,241
Net margin Median	12.04774% 4.62%	9.27063% 4.42%	9.39008% 5.16%	3.51365% 5.2%	3.66593% 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 WINTER HAVEN 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	55,861,702 23,241,334	51,417,027 23,709,545	54,019,941 24,248,380	49,503,230 22,858,541	51,310,800 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	54,078,538 21,577,146	51,417,027 22,041,594	54,019,941 22,722,063	49,503,230 21,570,441	51,310,800 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	1,783,164 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	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	21,149,847 11,160,864	22,023,398 11,987,345	23,393,280 12,926,866	22,611,357 11,884,480	21,142,857 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	21,149,847 10,918,923	22,023,398 11,706,976	23,393,280 12,615,917	22,611,357 11,458,116	21,142,857 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	0 3,284,314	0 3,250,551	0 3,386,837	136,325 3,360,806	725,973 3,508,953
Disproportionate-share hospital (DSH) Median	1,359,964 594,888	1,444,879 595,761	1,945,269 577,894	1,832,535 542,168	2,033,766 549,667
Outlier Median	1,572,949 582,572	365,600 538,116	77,387 212,434	97,008 126,559	76,160 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	8,285,394 3,662,910	16,431,126 3,730,911	18,052,303 4,081,319	21,354,337 4,643,908	30,023,278 4,389,147
Charity care Median	15,210,237 2,654,636	17,194,522 2,940,659	19,095,907 3,380,215	19,623,462 3,488,738	18,858,688 3,233,405
Uncompensated care (UCC) Median	18,915,318 5,147,790	22,240,772 5,337,617	24,144,992 5,711,082	24,496,661 5,923,418	23,134,441 5,508,107
UCC as a % of operating expenses Median	6.29% 3.24	7.05% 3.12	6.86% 3.21	6.58% 3.3	5.31% 2.86
Total shortfall/UCC Median	27,200,712 9,489,989	38,671,898 9,424,297	42,197,295 10,120,158	45,850,998 11,171,337	53,157,719 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	113,806,352 52,142,039	117,497,692 54,485,252	130,216,451 57,395,589	132,595,969 58,830,919	138,334,542 61,722,907
Salaries as a % of operating expenses Median	37.85 36.68	37.27 36.56	36.98 36.37	35.59 35.93	31.74 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	168,745 1,449,244	394,934 1,475,986	1,658,553 1,563,078	5,689,472 1,721,954	38,608,846 2,991,828
Contract hours, direct-care Median	3,265.70 22,725	7,537.00 23,018.5	26,316.77 24,503.48	63,337.75 25,026.5	268,905.10 33,786
Contract wages, direct-care Median	51.67 64.67	52.40 64.53	63.02 65.06	89.83 68.97	143.58 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.