As of the July, 2022, release via CMS

LARKIN COMMUNITY HOSPITAL

CMS id: 100181
7031 SW 62ND AVENUE, MIAMI FL 33143. County: MIAMI-DADE
System: --
CBSA: Miami-Fort Lauderdale-Pompano Beach, FL

The 128-bed, acute-care hospital had $-1,651,216 in net service to patients*, with a total profit margin of 2.60128% in fiscal year 2021, the latest year available.
It spent 3.66% of its operating expenses on uncompensated care and reported $0 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	103 118	103 118	110 119.5	110 118	110 119
Total beds Median	111 162	121 162	128 162	128 162	128 163.5
FTEs Median	0.00 788.06	914.43 793.42	662.59 806.03	633.97 787.61	597.87 804.34

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	384,223,121 150,932,746	102,884,288 158,950,878	86,606,498 168,696,998	81,050,417 163,454,693	94,545,513 186,589,412
Operating expenses Median	98,215,222 149,311,209	97,370,511 156,110,414	95,132,791 164,890,568	94,769,464 166,516,854	96,196,729 180,120,888
Net income from service 2 patients (NS2P) ? Median	286,007,899 -964,173	5,513,777 -643,601.5	-8,526,293 -116,254	-13,719,047 -5,025,862	-1,651,216 -1,284,564
NS2P margin ? Median	74.44% -0.62	5.36% -0.29	-9.84% 0.18	-16.93% -5.07	-1.75% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for LARKIN COMMUNITY 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	0 5,089,215	2,740,622 4,572,541	2,762,201 5,268,134	15,288,850 13,092,619	4,220,396 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	62,491 206,870.5	73,581 194,343	71,555 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	56,298 188,688.5	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	3,834
⊳ 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	208,495	221,289	165,413	152,456
⊳ 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	7,198	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	10,291	11,055	8,139	4,702
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	2,151,746	2,156,419	1,436,725	3,461,185
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	3,193	2,002	2,852
⊳ Line 22: Rental of hospital space	0	0	144,613	82,050	75,825
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	22,500 1,173,286	500 1,987,202	200 1,597,664
⊳ Sum Line 24	--	306,594	140,641	13,520,440	447,787
Total income ? Median	286,007,899 6,586,430	8,254,399 6,767,106	-5,764,092 8,419,950	1,569,803 8,094,175	2,569,180 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	286,007,899 6,043,842	8,254,399 5,845,112	-5,764,092 7,606,259	1,569,803 7,283,041	2,569,180 14,957,241
Net margin Median	74.43797% 4.62%	7.81482% 4.42%	-6.44979% 5.16%	1.62945% 5.2%	2.60128% 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 LARKIN COMMUNITY 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	31,743,277 23,241,334	32,629,423 23,709,545	30,534,721 24,248,380	31,649,333 22,858,541	33,867,094 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	31,743,277 21,577,146	32,629,423 22,041,594	30,534,721 22,722,063	31,649,333 21,570,441	33,867,094 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	10,662,959 11,160,864	8,027,939 11,987,345	6,906,685 12,926,866	5,593,143 11,884,480	5,176,359 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	10,662,959 10,918,923	8,027,939 11,706,976	6,906,685 12,615,917	5,593,143 11,458,116	5,176,359 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	18,133,922 3,284,314	17,315,032 3,250,551	15,846,555 3,386,837	16,211,107 3,360,806	17,581,610 3,508,953
Disproportionate-share hospital (DSH) Median	1,003,385 594,888	765,443 595,761	803,319 577,894	718,202 542,168	849,325 549,667
Outlier Median	268,154 582,572	258,330 538,116	9,354 212,434	38,695 126,559	47,649 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,007,003 3,662,910	0 3,730,911	0 4,081,319	495,900 4,643,908	0 4,389,147
Charity care Median	1,761,994 2,654,636	6,528,797 2,940,659	2,205,097 3,380,215	2,307,176 3,488,738	2,536,250 3,233,405
Uncompensated care (UCC) Median	2,831,020 5,147,790	7,372,423 5,337,617	3,714,515 5,711,082	3,961,992 5,923,418	3,524,077 5,508,107
UCC as a % of operating expenses Median	2.88% 3.24	7.57% 3.12	3.90% 3.21	4.18% 3.3	3.66% 2.86
Total shortfall/UCC Median	5,838,023 9,489,989	7,372,423 9,424,297	3,714,515 10,120,158	4,457,892 11,171,337	3,524,077 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	45,150,259 52,142,039	44,839,294 54,485,252	46,476,137 57,395,589	45,752,870 58,830,919	48,069,966 61,722,907
Salaries as a % of operating expenses Median	45.97 36.68	46.05 36.56	48.85 36.37	48.28 35.93	49.97 35.24
Intern, resident salaries* Median	14,158,556 2,598,592	14,148,817 2,686,824	12,741,795 2,753,773	12,420,842 2,937,156	13,041,772 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	1,189,068 1,449,244	0 1,475,986	0 1,563,078	0 1,721,954	0 2,991,828
Contract hours, direct-care Median	13,981.00 22,725	0.00 23,018.5	0.00 24,503.48	0.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	85.05 64.67	0.00 64.53	0.00 65.06	0.00 68.97	0.00 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.