As of the July, 2022, release via CMS

LARGO MEDICAL CENTER

CMS id: 100248
201 14TH STREET, LARGO FL 33770. County: PINELLAS
System: HCA HEALTHCARE INC.
CBSA: Tampa-St. Petersburg-Clearwater, FL

The 386-bed, acute-care hospital had $60,480,560 in net service to patients*, with a total profit margin of 22.47088% in fiscal year 2021, the latest year available.
It spent 8.52% of its operating expenses on uncompensated care and reported $1,166,188 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	220 118	220 118	220 119.5	236 118	239 119
Total beds Median	363 162	363 162	363 162	383 162	386 163.5
FTEs Median	1,339.25 788.06	1,316.58 793.42	1,289.82 806.03	1,253.09 787.61	1,159.94 804.34

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	291,580,988 150,932,746	297,761,902 158,950,878	292,550,306 168,696,998	303,827,661 163,454,693	325,712,648 186,589,412
Operating expenses Median	254,642,249 149,311,209	252,654,921 156,110,414	245,617,148 164,890,568	260,303,128 166,516,854	265,232,088 180,120,888
Net income from service 2 patients (NS2P) ? Median	36,938,739 -964,173	45,106,981 -643,601.5	46,933,158 -116,254	43,524,533 -5,025,862	60,480,560 -1,284,564
NS2P margin ? Median	12.67% -0.62	15.15% -0.29	16.04% 0.18	14.33% -5.07	18.57% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for LARGO 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	6,073,175 5,089,215	8,193,506 4,572,541	10,644,321 5,268,134	11,084,980 13,092,619	16,393,791 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	605,019	568,714	318,312
⊳ Line 15: Revenue from rental of living quarters	0	0	36,976	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	71,032	0	1,260
⊳ 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	6,417	6,332	8,265
⊳ 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	7,013	0	0
⊳ Line 21: Rental of vending machines	0	0	24,053	33,164	11,732
⊳ Line 22: Rental of hospital space	0	0	608,444	611,194	559,734
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	9,285,367 1,173,286	9,865,564 1,987,202	15,370,781 1,597,664
⊳ Sum Line 24	6,073,175	8,193,506	--	12	123,707
Total income ? Median	43,011,914 6,586,430	53,300,487 6,767,106	57,577,479 8,419,950	54,609,513 8,094,175	76,874,351 15,162,888
Non-operating expenses Median	0 146,289.5	-10 164,857	0 89,880.5	-198,794 106,761	11 31,473.5
Net income Median	43,011,914 6,043,842	53,300,497 5,845,112	57,577,479 7,606,259	54,808,307 7,283,041	76,874,340 14,957,241
Net margin Median	14.45030% 4.62%	17.42100% 4.42%	18.99027% 5.16%	17.40429% 5.2%	22.47088% 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 LARGO 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	89,181,925 23,241,334	89,526,762 23,709,545	85,253,408 24,248,380	89,517,056 22,858,541	81,325,830 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	76,105,871 21,577,146	76,845,294 22,041,594	73,703,673 22,722,063	77,322,645 21,570,441	70,022,803 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	7,463,808 1,845,420	6,772,596 1,757,392	5,953,066 1,738,842	5,878,183 1,510,463	5,464,371 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	5,612,246 3,535,627	5,908,872 3,746,588	5,596,669 3,782,288	6,316,228 3,865,578	5,838,656 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	13,554,825 11,160,864	14,121,838 11,987,345	14,284,496 12,926,866	13,153,607 11,884,480	11,285,152 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	13,554,825 10,918,923	14,121,838 11,706,976	14,284,496 12,615,917	13,153,607 11,458,116	11,285,152 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	15,555,937 3,284,314	15,660,025 3,250,551	14,795,880 3,386,837	14,510,885 3,360,806	13,295,374 3,508,953
Disproportionate-share hospital (DSH) Median	0 594,888	448,362 595,761	678,918 577,894	800,412 542,168	0 549,667
Outlier Median	1,105,524 582,572	1,456,432 538,116	1,404,589 212,434	355,229 126,559	425,662 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	5,864,562 3,662,910	10,739,807 3,730,911	15,230,251 4,081,319	4,131,087 4,643,908	1,166,188 4,389,147
Charity care Median	22,302,157 2,654,636	18,155,510 2,940,659	19,412,080 3,380,215	20,734,230 3,488,738	20,318,088 3,233,405
Uncompensated care (UCC) Median	25,135,825 5,147,790	21,064,133 5,337,617	22,234,806 5,711,082	23,304,182 5,923,418	22,608,948 5,508,107
UCC as a % of operating expenses Median	9.87% 3.24	8.34% 3.12	9.05% 3.21	8.95% 3.3	8.52% 2.86
Total shortfall/UCC Median	31,000,387 9,489,989	31,803,940 9,424,297	37,465,057 10,120,158	27,435,269 11,171,337	23,775,136 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	85,061,472 52,142,039	86,663,560 54,485,252	87,126,785 57,395,589	87,024,475 58,830,919	81,388,133 61,722,907
Salaries as a % of operating expenses Median	33.38 36.68	34.29 36.56	35.49 36.37	33.42 35.93	30.69 35.24
Intern, resident salaries* Median	6,721,279 2,598,592	7,156,136 2,686,824	7,488,145 2,753,773	7,368,185 2,937,156	7,038,307 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	6,399,402 1,449,244	5,586,117 1,475,986	4,038,364 1,563,078	5,194,420 1,721,954	11,201,455 2,991,828
Contract hours, direct-care Median	118,818.00 22,725	98,327.00 23,018.5	80,089.00 24,503.48	88,235.00 25,026.5	144,534.47 33,786
Contract wages, direct-care Median	53.86 64.67	56.81 64.53	50.42 65.06	58.87 68.97	77.50 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.