As of the July, 2022, release via CMS

CENTRAL FLORIDA REGIONAL HOSPITAL

CMS id: 100161
1401 W. SEMINOLE BLVD, SANFORD FL 32771. County: SEMINOLE
System: HOSPITAL CORPORATION OF AMERICA
CBSA: Orlando-Kissimmee-Sanford, FL

The 221-bed, acute-care hospital had $37,534,984 in net service to patients*, with a total profit margin of 18.73959% in fiscal year 2021, the latest year available.
It spent 12.03% of its operating expenses on uncompensated care and reported $12,467,465 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	180 118	180 118	180 119.5	180 118	180 119
Total beds Median	221 162	221 162	221 162	221 162	221 163.5
FTEs Median	850.76 788.06	815.06 793.42	830.43 806.03	747.43 787.61	658.37 804.34

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	192,055,191 150,932,746	199,486,661 158,950,878	207,595,451 168,696,998	194,248,868 163,454,693	202,706,439 186,589,412
Operating expenses Median	166,132,097 149,311,209	169,168,326 156,110,414	173,143,273 164,890,568	170,077,717 166,516,854	165,171,455 180,120,888
Net income from service 2 patients (NS2P) ? Median	25,923,094 -964,173	30,318,335 -643,601.5	34,452,178 -116,254	24,171,151 -5,025,862	37,534,984 -1,284,564
NS2P margin ? Median	13.50% -0.62	15.20% -0.29	16.60% 0.18	12.44% -5.07	18.52% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CENTRAL FLORIDA REGIONAL 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	804,570 5,089,215	700,608 4,572,541	888,994 5,268,134	821,907 13,092,619	555,351 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	804,570	700,608	888,994	821,907	555,351
Total income ? Median	26,727,664 6,586,430	31,018,943 6,767,106	35,341,172 8,419,950	24,993,058 8,094,175	38,090,335 15,162,888
Non-operating expenses Median	0 146,289.5	-25 164,857	0 89,880.5	-141 106,761	-93 31,473.5
Net income Median	26,727,664 6,043,842	31,018,968 5,845,112	35,341,172 7,606,259	24,993,199 7,283,041	38,090,428 14,957,241
Net margin Median	13.85860% 4.62%	15.49498% 4.42%	16.95147% 5.16%	12.81237% 5.2%	18.73959% 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 CENTRAL FLORIDA REGIONAL 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	34,574,413 23,241,334	36,697,488 23,709,545	39,282,538 24,248,380	37,556,397 22,858,541	35,210,173 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	30,991,878 21,577,146	33,235,980 22,041,594	35,997,752 22,722,063	34,249,419 21,570,441	31,205,143 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	3,582,535 3,535,627	3,461,508 3,746,588	3,284,786 3,782,288	3,306,978 3,865,578	4,005,030 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	6,186,300 11,160,864	5,963,970 11,987,345	5,881,542 12,926,866	5,030,043 11,884,480	4,437,804 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	6,186,300 10,918,923	5,963,970 11,706,976	5,881,542 12,615,917	5,030,043 11,458,116	4,437,804 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	598,032 594,888	632,290 595,761	725,285 577,894	693,243 542,168	562,744 549,667
Outlier Median	711,216 582,572	474,533 538,116	634,085 212,434	62,590 126,559	71,668 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	9,860,239 3,662,910	10,268,239 3,730,911	12,834,503 4,081,319	13,567,047 4,643,908	12,467,465 4,389,147
Charity care Median	27,427,302 2,654,636	16,856,458 2,940,659	19,522,120 3,380,215	21,489,770 3,488,738	17,793,649 3,233,405
Uncompensated care (UCC) Median	30,545,770 5,147,790	20,162,133 5,337,617	22,290,779 5,711,082	23,411,230 5,923,418	19,865,079 5,508,107
UCC as a % of operating expenses Median	18.39% 3.24	11.92% 3.12	12.87% 3.21	13.77% 3.3	12.03% 2.86
Total shortfall/UCC Median	40,406,009 9,489,989	30,430,372 9,424,297	35,125,282 10,120,158	36,978,277 11,171,337	32,332,544 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	55,314,123 52,142,039	55,092,263 54,485,252	56,803,696 57,395,589	54,122,884 58,830,919	49,864,953 61,722,907
Salaries as a % of operating expenses Median	33.26 36.68	32.56 36.56	32.81 36.37	31.84 35.93	30.18 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	3,073,059 1,449,244	2,147,004 1,475,986	2,341,036 1,563,078	3,573,244 1,721,954	7,606,637 2,991,828
Contract hours, direct-care Median	61,617.00 22,725	43,153.00 23,018.5	49,323.00 24,503.48	60,815.00 25,026.5	106,005.00 33,786
Contract wages, direct-care Median	49.87 64.67	49.75 64.53	47.46 65.06	58.76 68.97	71.76 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.