As of the July, 2022, release via CMS

LEESBURG REGIONAL MEDICAL CENTER INC

CMS id: 100084
600 E DIXIE AVENUE, LEESBURG FL 34748. County: LAKE
System: CENTRAL FLORIDA HEALTH
CBSA: Orlando-Kissimmee-Sanford, FL

The 350-bed, acute-care hospital had $-1,116,564 in net service to patients*, with a total profit margin of 14.81216% in fiscal year 2021, the latest year available.
It spent 4.04% of its operating expenses on uncompensated care and reported $5,570,760 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	262 118	262 118	262 119.5	286 118	284 119
Total beds Median	308 162	329 162	329 162	353 162	350 163.5
FTEs Median	1,420.20 788.06	1,365.30 793.42	1,288.25 806.03	1,372.05 787.61	1,366.00 804.34

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	236,004,539 150,932,746	223,426,137 158,950,878	211,244,688 168,696,998	210,964,640 163,454,693	229,107,522 186,589,412
Operating expenses Median	233,520,053 149,311,209	213,543,477 156,110,414	213,586,745 164,890,568	219,592,038 166,516,854	230,224,086 180,120,888
Net income from service 2 patients (NS2P) ? Median	2,484,486 -964,173	9,882,660 -643,601.5	-2,342,057 -116,254	-8,627,398 -5,025,862	-1,116,564 -1,284,564
NS2P margin ? Median	1.05% -0.62	4.42% -0.29	-1.11% 0.18	-4.09% -5.07	-0.49% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for LEESBURG REGIONAL MEDICAL CENTER INC 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	18,201,643 5,089,215	13,557,929 4,572,541	18,854,726 5,268,134	22,155,008 13,092,619	41,147,117 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	4,172,078 299,524	15,577,065 188,688.5	5,119,485 370,813	9,048,977 309,361.5	12,476,014 375,329
⊳ 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	1,470,006	1,557,511	1,461,523	1,294,337	857,617
⊳ 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	4,388,349	4,448,012	4,005,574
⊳ 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	504,609	508,166	459,969	492,544	422,281
⊳ 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	12,054,950	-4,084,813	7,425,400	6,871,138	23,385,631
Total income ? Median	20,686,129 6,586,430	23,440,589 6,767,106	16,512,669 8,419,950	13,527,610 8,094,175	40,030,553 15,162,888
Non-operating expenses Median	0 146,289.5	15,590,181 164,857	936,009 89,880.5	0 106,761	0 31,473.5
Net income Median	20,686,129 6,043,842	7,850,408 5,845,112	15,576,660 7,606,259	13,527,610 7,283,041	40,030,553 14,957,241
Net margin Median	8.13754% 4.62%	3.31263% 4.42%	6.76953% 5.16%	5.80286% 5.2%	14.81216% 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 LEESBURG REGIONAL MEDICAL CENTER INC 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	65,088,373 23,241,334	59,662,837 23,709,545	59,629,571 24,248,380	57,627,328 22,858,541	60,967,323 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	65,007,665 21,577,146	59,143,283 22,041,594	58,040,635 22,722,063	56,301,652 21,570,441	60,215,696 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	519,554 1,757,392	1,588,936 1,738,842	1,325,676 1,510,463	751,627 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	80,708 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	24,995,462 11,160,864	25,516,400 11,987,345	25,711,178 12,926,866	24,773,696 11,884,480	23,607,930 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	24,995,462 10,918,923	25,516,400 11,706,976	25,711,178 12,615,917	24,773,696 11,458,116	23,607,930 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	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	765,374 594,888	792,197 595,761	600,149 577,894	678,859 542,168	511,901 549,667
Outlier Median	632,631 582,572	844,475 538,116	635,146 212,434	531,430 126,559	43,997 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	554,891 3,662,910	3,885,557 3,730,911	4,506,693 4,081,319	3,787,779 4,643,908	5,570,760 4,389,147
Charity care Median	5,658,258 2,654,636	7,408,695 2,940,659	8,365,363 3,380,215	7,618,211 3,488,738	6,121,714 3,233,405
Uncompensated care (UCC) Median	9,676,626 5,147,790	11,331,670 5,337,617	12,335,075 5,711,082	12,430,125 5,923,418	9,303,751 5,508,107
UCC as a % of operating expenses Median	4.14% 3.24	5.31% 3.12	5.78% 3.21	5.66% 3.3	4.04% 2.86
Total shortfall/UCC Median	10,231,517 9,489,989	15,217,227 9,424,297	16,841,768 10,120,158	16,217,904 11,171,337	14,874,511 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	84,195,193 52,142,039	84,771,396 54,485,252	83,198,693 57,395,589	85,849,794 58,830,919	88,607,235 61,722,907
Salaries as a % of operating expenses Median	38.96 36.68	39.70 36.56	38.95 36.37	39.10 35.93	38.49 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	2,401,700 1,449,244	2,335,921 1,475,986	2,255,136 1,563,078	368,385 1,721,954	1,572,786 2,991,828
Contract hours, direct-care Median	35,297.86 22,725	34,451.83 23,018.5	32,910.50 24,503.48	4,775.00 25,026.5	15,112.20 33,786
Contract wages, direct-care Median	68.04 64.67	67.80 64.53	68.52 65.06	77.15 68.97	104.07 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.