CCN 100220LEE CountyGovernment - Hospital District or AuthorityUrban (USDA RUCC)557 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read
A hospital in Fort Myers, FL. It ran an operating surplus of 10.7% in FY25 on $822.6M of operating revenue. It held 0 days of cash on hand (0th percentile among Urban PPS hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.
Operating margin · FY25
+10.7%
vs Urban PPS hospitals75th pctl of 1,475 (FY25)
Days cash on hand · FY25
0d
all sources
vs Urban PPS hospitals0th pctl of 1,386 (FY25)
Total operating revenue · FY25
$822.6M
vs Urban PPS hospitals83rd pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+11.4%
vs Urban PPS hospitals68th pctl of 1,475 (FY25)
One point of operating margin at GULF COAST MEDICAL CENTER LEE HEALTH is about $8.2M per year (1% of FY25 total operating revenue).
Where GULF COAST MEDICAL sits among Urban PPS hospitals
Operating margin · FY25 pool · n = 1,475 of 2,681 filed
Each point is one Urban PPS hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.
One urban pps hospitalGULF COASTUrban PPS hospital median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
721,202
902,771
821,414
Other operating revenue
6,282
7,483
1,215
Total operating revenue
727,484
910,254
822,629
Total operating expenses
582,573
658,198
734,817
Operating income
144,911
252,056
87,812
Operating margin %
+19.9%
+27.7%
+10.7%
Grants & contributions
—
—
455
Other non-operating, net
75
(3,575)
6,509
Net income
144,986
248,481
94,776
Net income %
+19.9%
+27.4%
+11.4%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY20–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
FY25 net patient A/R is not shown: gross A/R was not reported on the filing, making the derived net figure spurious (AR quality flag).
How it operates
quality & operational context · CMS public reporting
A 557-bed hospital at 85% occupancy 31% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.
Scale and flow
Occupancy
85.1%
Verified fact2025
HCRIS WS S-3
Average daily census
475.36
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
557
Verified fact2025
HCRIS WS S-3
Annual discharges
32,359
Verified fact2025
HCRIS WS S-3
Average length of stay
4.9d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
30.9%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
2,821
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
14.9%
Verified fact2025
HCRIS WS S-3 Pt V
Who it serves
Total unreimbursed & uncompensated care
$55.4M
Verified fact2023
HCRIS WS S-10 line 31
How the care measures up
C. difficile infection (SIR)
0.232
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.6%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.98
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.075734
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 6 reporting years
Operating margin
Days cash on hand
The county this hospital serves
LEE County, FL · metro, 250K–1M
Median household income
$73.1K
vs $82.1K US · $59.7K rural median
Poverty rate
11.7%
vs 12.5% US · 14.3% rural median
Uninsured
12.5%
vs 8.6% US · 8.4% rural median
Age 65+
28.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.7%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 7.9% of county personal income is Medicare/Medicaid medical benefits; 21.9% arrives as government transfers (BEA, 2022).
The Board Briefing$1,000
The free profile shows the record. The Board Briefing tells you what changed, what matters, and what your board should ask. 35+ pages, built entirely from public sources, no client data required. Delivered within 2 business days. If we cannot deliver the published scope for your facility, you pay nothing.
Every facility in your portfolio, benchmarked and triaged: which are fine, which need a closer look, which need attention now. Requires only a CCN roster. Founding Edition: delivered within 30 days of eligibility confirmation, full refund if the published scope cannot be delivered.
