As of the July, 2022, release via CMS

ADVENTHEALTH SEBRING

CMS id: 100109
4200 SUN N LAKE BLVD, SEBRING FL 33872. County: HIGHLANDS
System: ADVENTIST HEALTH SYSTEM
CBSA: Sebring-Avon Park, FL

The 204-bed, acute-care hospital had $7,154,791 in net service to patients*, with a total profit margin of 8.91434% in fiscal year 2021, the latest year available.
It spent 3.66% of its operating expenses on uncompensated care and reported $20,234,224 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	158 118	158 118	158 119.5	158 118	182 119
Total beds Median	197 162	197 162	180 162	180 162	204 163.5
FTEs Median	1,385.76 788.06	1,332.59 793.42	1,332.22 806.03	1,357.26 787.61	1,404.31 804.34

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	223,406,855 150,932,746	226,882,604 158,950,878	229,320,830 168,696,998	251,576,468 163,454,693	283,855,396 186,589,412
Operating expenses Median	220,254,496 149,311,209	205,010,336 156,110,414	213,878,393 164,890,568	237,523,978 166,516,854	276,700,605 180,120,888
Net income from service 2 patients (NS2P) ? Median	3,152,359 -964,173	21,872,268 -643,601.5	15,442,437 -116,254	14,052,490 -5,025,862	7,154,791 -1,284,564
NS2P margin ? Median	1.41% -0.62	9.64% -0.29	6.73% 0.18	5.59% -5.07	2.52% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ADVENTHEALTH SEBRING 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	10,882,605 5,089,215	377,408 4,572,541	17,092,088 5,268,134	15,645,927 13,092,619	19,925,261 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	4,926,926 309,361.5	11,959,956 375,329
⊳ 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	-4,004	-3,204
⊳ 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	-114
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	707,788	767,581
⊳ 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	-37
⊳ 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	135,270	143,778
⊳ 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	10,882,605	377,408	17,092,088	9,879,947	7,057,301
Total income ? Median	14,034,964 6,586,430	22,249,676 6,767,106	32,534,525 8,419,950	29,698,417 8,094,175	27,080,052 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	14,034,964 6,043,842	22,249,676 5,845,112	32,534,525 7,606,259	29,698,417 7,283,041	27,080,052 14,957,241
Net margin Median	5.99044% 4.62%	9.79041% 4.42%	13.20325% 5.16%	11.11375% 5.2%	8.91434% 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 SEBRING 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	47,427,968 23,241,334	43,067,760 23,709,545	42,331,860 24,248,380	42,803,991 22,858,541	43,044,158 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	46,303,555 21,577,146	42,647,589 22,041,594	42,331,860 22,722,063	42,803,991 21,570,441	43,044,158 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	1,124,413 1,845,420	420,171 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	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	27,301,626 11,160,864	29,149,872 11,987,345	28,048,413 12,926,866	25,469,885 11,884,480	23,408,398 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	24,672,733 10,918,923	26,366,056 11,706,976	25,234,517 12,615,917	22,363,274 11,458,116	20,703,803 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,912,034 1,282,808	2,040,661 1,407,728	2,130,417 1,341,512	2,582,251 1,407,046	2,215,322 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	716,859 618,038	743,155 697,279	683,479 690,232	524,360 684,010	489,273 670,558
⊳ 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	395,835 3,508,953
Disproportionate-share hospital (DSH) Median	760,550 594,888	721,069 595,761	767,811 577,894	690,187 542,168	824,438 549,667
Outlier Median	632,973 582,572	403,041 538,116	48,490 212,434	114,232 126,559	77,487 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	12,143,859 3,662,910	13,588,458 3,730,911	11,222,917 4,081,319	12,976,712 4,643,908	20,234,224 4,389,147
Charity care Median	5,245,222 2,654,636	5,425,522 2,940,659	8,091,175 3,380,215	6,090,105 3,488,738	8,132,834 3,233,405
Uncompensated care (UCC) Median	7,769,161 5,147,790	7,864,249 5,337,617	10,495,740 5,711,082	8,298,123 5,923,418	10,137,859 5,508,107
UCC as a % of operating expenses Median	3.53% 3.24	3.84% 3.12	4.91% 3.21	3.49% 3.3	3.66% 2.86
Total shortfall/UCC Median	19,913,020 9,489,989	21,452,707 9,424,297	21,718,657 10,120,158	21,274,835 11,171,337	30,372,083 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	92,898,749 52,142,039	95,717,696 54,485,252	100,588,802 57,395,589	108,469,806 58,830,919	121,934,365 61,722,907
Salaries as a % of operating expenses Median	38.52 36.68	42.00 36.56	42.23 36.37	41.30 35.93	39.89 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	47,678 2,937,156	187,134 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	6,458,941 1,449,244	5,874,718 1,475,986	5,443,770 1,563,078	4,266,590 1,721,954	14,180,781 2,991,828
Contract hours, direct-care Median	111,677.00 22,725	97,786.00 23,018.5	89,258.70 24,503.48	54,630.00 25,026.5	88,492.00 33,786
Contract wages, direct-care Median	57.84 64.67	60.08 64.53	60.99 65.06	78.10 68.97	160.25 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.