As of the July, 2022, release via CMS

GULF COAST REGIONAL MED CTR

CMS id: 100242
449 WEST 23RD STREET, PANAMA CITY FL 32404. County: BAY
System: HCA
CBSA: Panama City, FL

The 223-bed, acute-care hospital had $63,622,101 in net service to patients*, with a total profit margin of 24.10311% in fiscal year 2021, the latest year available.
It spent 8.48% of its operating expenses on uncompensated care and reported $9,284,174 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	366	365	365	365	366
Ownership	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	164 118	170 118	170 119.5	171 118	171 119
Total beds Median	216 162	222 162	222 162	223 162	223 163.5
FTEs Median	783.15 788.06	811.13 793.42	845.03 806.03	891.49 787.61	858.37 804.34

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	225,262,511 150,932,746	229,732,912 158,950,878	208,817,606 168,696,998	256,390,458 163,454,693	265,682,990 186,589,412
Operating expenses Median	164,342,953 149,311,209	173,831,735 156,110,414	190,597,833 164,890,568	206,464,020 166,516,854	202,060,889 180,120,888
Net income from service 2 patients (NS2P) ? Median	60,919,558 -964,173	55,901,177 -643,601.5	18,219,773 -116,254	49,926,438 -5,025,862	63,622,101 -1,284,564
NS2P margin ? Median	27.04% -0.62	24.33% -0.29	8.73% 0.18	19.47% -5.07	23.95% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for GULF COAST REGIONAL MED CTR 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	1,541,873 5,089,215	768,628 4,572,541	624,486 5,268,134	728,795 13,092,619	547,584 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	503,540	527,322	509,555	606,157	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	2,161	0
⊳ Line 18: Revenue from sale of medical records and abstracts	1,544	1,333	1,823	1,106	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	8,875	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	269	1,015	2,006	0
⊳ Line 21: Rental of vending machines	36,900	36,194	27,957	43,716	0
⊳ Line 22: Rental of hospital space	4,602	0	0	4,600	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	995,287	203,510	84,136	60,174	547,584
Total income ? Median	62,461,431 6,586,430	56,669,805 6,767,106	18,844,259 8,419,950	50,655,233 8,094,175	64,169,685 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	-153 106,761	-156 31,473.5
Net income Median	62,461,431 6,043,842	56,669,805 5,845,112	18,844,259 7,606,259	50,655,386 7,283,041	64,169,841 14,957,241
Net margin Median	27.53978% 4.62%	24.58543% 4.42%	8.99736% 5.16%	19.70113% 5.2%	24.10311% 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 GULF COAST REGIONAL MED CTR 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	41,746,439 23,241,334	41,473,243 23,709,545	37,456,236 24,248,380	50,029,367 22,858,541	48,825,263 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	41,746,439 21,577,146	41,473,243 22,041,594	37,456,236 22,722,063	50,029,367 21,570,441	48,825,263 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	12,662,691 11,160,864	12,443,153 11,987,345	13,541,248 12,926,866	16,674,335 11,884,480	16,024,374 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	12,662,691 10,918,923	12,443,153 11,706,976	13,541,248 12,615,917	16,674,335 11,458,116	16,024,374 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	1,752,368 594,888	1,721,262 595,761	1,854,682 577,894	1,731,793 542,168	1,858,729 549,667
Outlier Median	468,223 582,572	310,595 538,116	151,942 212,434	103,724 126,559	69,655 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	150,335 3,662,910	6,030,091 3,730,911	13,254,039 4,081,319	10,777,675 4,643,908	9,284,174 4,389,147
Charity care Median	788,943 2,654,636	11,676,642 2,940,659	13,584,359 3,380,215	16,685,560 3,488,738	15,130,766 3,233,405
Uncompensated care (UCC) Median	3,072,988 5,147,790	13,976,315 5,337,617	16,092,297 5,711,082	18,649,088 5,923,418	17,140,003 5,508,107
UCC as a % of operating expenses Median	1.87% 3.24	8.04% 3.12	8.44% 3.21	9.03% 3.3	8.48% 2.86
Total shortfall/UCC Median	3,223,323 9,489,989	20,006,406 9,424,297	29,346,336 10,120,158	29,426,763 11,171,337	26,424,177 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	47,913,973 52,142,039	51,282,128 54,485,252	54,753,309 57,395,589	59,464,604 58,830,919	58,937,302 61,722,907
Salaries as a % of operating expenses Median	29.14 36.68	29.50 36.56	28.79 36.37	28.79 35.93	29.15 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	3,785,518 1,449,244	4,701,978 1,475,986	4,607,730 1,563,078	6,452,105 1,721,954	9,184,137 2,991,828
Contract hours, direct-care Median	83,046.00 22,725	88,051.00 23,018.5	88,023.00 24,503.48	113,343.00 25,026.5	135,132.92 33,786
Contract wages, direct-care Median	45.58 64.67	53.40 64.53	52.35 65.06	56.93 68.97	67.96 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.