Record report · CMS certification number 102007

FLORIDA STATE HOSPITAL - LTCH

CHATTACHOOCHEE, Florida · long-term care hospital

1. Finances, as filed

From this hospital’s Medicare cost report for the year ended June 30, 2004.

Figure	As filed	Where it comes from
Total patient revenue	$3,498,267	CMS-2552-96 worksheet G300000 line 100 column 100
Net patient revenue	$3,498,267	CMS-2552-96 worksheet G300000 line 300 column 100
Total operating expenses	$113,355,831	CMS-2552-96 worksheet G300000 line 400 column 100
Income from service to patients	−$109,857,564	CMS-2552-96 worksheet G300000 line 500 column 100
Total facility beds	24	CMS-2552-96 worksheet S300001 line 1200 column 100

Cost report filed under CMS certification number 102007 for July 1, 2003 to June 30, 2004, settled. The public file it was read from.

2. This hospital and five hospitals of the same type (long-term care hospital), for fiscal year 2004

Chosen by hospital type first, then from Florida in the same bed band, then the state at any size, then other states, each by the bed count nearest this hospital’s, and listed by name. A comparison only means something between hospitals of the same kind and roughly the same size, across the same fiscal year. Each figure is that hospital’s own filing; the day each fiscal year ends differs and is shown.

Hospital	Beds	Net patient revenue	Total operating expenses	Period ended
Where each column comes from	CMS-2552-96 worksheet S300001 line 1200 column 100	CMS-2552-96 worksheet G300000 line 300 column 100	CMS-2552-96 worksheet G300000 line 400 column 100
A.G. HOLLEY STATE HOSPITAL	100	$4,329,160	$8,743,072	June 30, 2004
FLORIDA STATE HOSPITAL - LTCH	24	$3,498,267	$113,355,831	June 30, 2004
KINDRED HOSPITAL - NORTH FLORIDA	60	$27,389,699	$21,456,852	August 31, 2004
SEMPERCARE HOSPITAL OF ORLANDO	35	$14,248,077	$11,245,683	December 31, 2004
SISTER EMMANUEL HOSPITAL	29	$9,156,046	$7,674,547	December 31, 2004
SSH - MIAMI	40	$14,286,319	$11,377,438	August 31, 2004

3. Where this hospital sits

No position is stated for this hospital.

Every cost report on file

One row per filing, oldest first until you say otherwise. Every column orders both ways. One row per filing, oldest first. Reporting periods differ between filings and the length of each is shown, because revenue over three months set beside revenue over twelve is a wrong number that looks right.

8 filings, ordered by Fiscal year
Fiscal year ↑↓	Period ended ↑↓	Days ↑↓	Form ↑↓	Status ↑↓	Beds ↑↓	Net patient revenue ↑↓	Total operating expenses ↑↓	Income from service to patients ↑↓	Stamped by CMS
1997	1997-06-30	364	CMS-2552-96	settled	90	$5,544,456	$102,883,434	−$97,338,978	1999-10-07
1998	1998-06-30	364	CMS-2552-96	settled	24	$4,174,521	$105,284,868	−$101,110,347	1999-11-03
1999	1999-06-30	364	CMS-2552-96	settled	24	$3,825,756	$107,917,852	−$104,092,096	2000-10-26
2000	2000-06-30	365	CMS-2552-96	settled	24		$106,458,301	−$106,458,301	2002-08-30
2001	2001-06-30	364	CMS-2552-96	settled	24	$3,525,043	$99,519,973	−$95,994,930	2003-09-26
2002	2002-06-30	364	CMS-2552-96	settled	24	$2,959,102	$113,446,180	−$110,487,078	2004-08-26
2003	2003-06-30	364	CMS-2552-96	settled	24	$3,805,187	$122,023,611	−$118,218,424	2005-03-04
2004	2004-06-30	365	CMS-2552-96	settled	24	$3,498,267	$113,355,831	−$109,857,564	2005-09-30

How to read this report

Every figure above is printed as its source document printed it, with the exact place it came from beside it: the worksheet, line and column of the Medicare cost report this hospital filed under CMS certification number 102007. A reader holding the same public file can go to that cell.

Where this hospital is on the 340B covered-entity register, the registration facts come from the HRSA 340B OPAIS Covered Entity Daily Report. The two documents name the same hospital because they carry the same certification number, not because their names resemble each other.

A figure the hospital’s filing does not carry is left out. A figure whose value the filing’s own arithmetic contradicts is also left out. A year filed as submitted whose figures differ from the prior filing by more than the factor stated on the methodology page is marked beside the figure and left out of the distributions and the peer table until a settled version posts. Nothing here is estimated and nothing is carried in from another year.

Every dollar figure, ratio and date is copied from the filing that printed it, and every count is a count of the rows those filings hold. Three shares are divided, each by net patient revenue from the same filing: charity care, uncompensated care and income from service to patients. Positions and distributions — a hospital’s percentile, a median, a middle half, a tenth-to-ninetieth range — are counted over a set of hospitals that each one names. One year is set against another: an as-submitted year’s net patient revenue against the same hospital’s prior filed year, printed as a factor where it is more than 2. Nothing else is calculated. This report carries no share; its positions are in section 3, each naming the hospitals it was taken over.

Financial figures: CMS Healthcare Cost Report Information System, publication year 2003, file HOSPFY2003.ZIP. Corrections: hello@velarionrecords.com. Velarion Records takes no position on the 340B Drug Pricing Program or anyone taking part in it.

Citing this document

Velarion Records, “FLORIDA STATE HOSPITAL - LTCH — hospital report, CMS certification number 102007”, citing the CMS Healthcare Cost Report Information System, file HOSPFY2003.ZIP. Prepared November 14, 2026 by Velarion Records; published by VELARIONAI LLC · Andrew Richardson, founder. https://velarionrecords.com/hospital/102007/report.

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