As of the July, 2022, release via CMS

LAKE CITY MEDICAL CENTER

CMS id: 100156
340 NW COMMERCE DRIVE, LAKE CITY FL 32055. County: COLUMBIA
System: HCA
CBSA: Lake City, FL

The 91-bed, acute-care hospital had $56,830,902 in net service to patients*, with a total profit margin of 34.29478% in fiscal year 2021, the latest year available.
It spent 9.57% of its operating expenses on uncompensated care and reported $8,780,424 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	73 118	73 118	73 119.5	73 118	73 119
Total beds Median	91 162	91 162	91 162	91 162	91 163.5
FTEs Median	337.43 788.06	345.18 793.42	360.50 806.03	360.48 787.61	433.10 804.34

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	92,834,068 150,932,746	100,140,587 158,950,878	106,247,883 168,696,998	122,185,481 163,454,693	166,438,282 186,589,412
Operating expenses Median	74,484,949 149,311,209	75,594,185 156,110,414	77,571,933 164,890,568	83,365,709 166,516,854	109,607,380 180,120,888
Net income from service 2 patients (NS2P) ? Median	18,349,119 -964,173	24,546,402 -643,601.5	28,675,950 -116,254	38,819,772 -5,025,862	56,830,902 -1,284,564
NS2P margin ? Median	19.77% -0.62	24.51% -0.29	26.99% 0.18	31.77% -5.07	34.15% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for LAKE CITY MEDICAL CENTER 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	274,613 5,089,215	930,678 4,572,541	422,944 5,268,134	371,692 13,092,619	378,438 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	274,613	930,678	422,944	371,692	378,438
Total income ? Median	18,623,732 6,586,430	25,477,080 6,767,106	29,098,894 8,419,950	39,191,464 8,094,175	57,209,340 15,162,888
Non-operating expenses Median	-7 146,289.5	-34 164,857	-1 89,880.5	-89 106,761	-90 31,473.5
Net income Median	18,623,739 6,043,842	25,477,114 5,845,112	29,098,895 7,606,259	39,191,553 7,283,041	57,209,430 14,957,241
Net margin Median	20.00215% 4.62%	25.20708% 4.42%	27.27915% 5.16%	31.97818% 5.2%	34.29478% 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 LAKE CITY MEDICAL CENTER 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	29,203,927 23,241,334	32,254,297 23,709,545	30,795,104 24,248,380	32,868,263 22,858,541	36,948,897 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	29,203,927 21,577,146	32,254,297 22,041,594	30,795,104 22,722,063	32,868,263 21,570,441	36,948,897 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	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	6,339,258 11,160,864	6,916,406 11,987,345	6,825,812 12,926,866	6,672,326 11,884,480	8,923,145 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	6,339,258 10,918,923	6,916,406 11,706,976	6,825,812 12,615,917	6,672,326 11,458,116	8,923,145 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	177,622 594,888	0 595,761	166,839 577,894	201,846 542,168	475,567 549,667
Outlier Median	30,907 582,572	8,455 538,116	9,868 212,434	856 126,559	3,516 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,052,536 3,662,910	3,191,253 3,730,911	5,612,145 4,081,319	5,258,976 4,643,908	8,780,424 4,389,147
Charity care Median	4,470,865 2,654,636	5,060,409 2,940,659	5,443,975 3,380,215	5,660,569 3,488,738	9,341,497 3,233,405
Uncompensated care (UCC) Median	5,485,871 5,147,790	6,133,885 5,337,617	6,596,836 5,711,082	6,843,807 5,923,418	10,487,130 5,508,107
UCC as a % of operating expenses Median	7.37% 3.24	8.11% 3.12	8.50% 3.21	8.21% 3.3	9.57% 2.86
Total shortfall/UCC Median	9,538,407 9,489,989	9,325,138 9,424,297	12,208,981 10,120,158	12,102,783 11,171,337	19,267,554 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	22,119,999 52,142,039	22,858,427 54,485,252	24,025,143 57,395,589	25,228,163 58,830,919	32,063,498 61,722,907
Salaries as a % of operating expenses Median	29.70 36.68	30.23 36.56	30.97 36.37	30.26 35.93	29.25 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	731,540 1,449,244	571,116 1,475,986	616,991 1,563,078	1,451,007 1,721,954	10,523,918 2,991,828
Contract hours, direct-care Median	13,204.69 22,725	11,767.00 23,018.5	18,515.00 24,503.48	34,532.79 25,026.5	147,866.16 33,786
Contract wages, direct-care Median	55.40 64.67	48.54 64.53	33.32 65.06	42.02 68.97	71.17 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.