HCA Florida Lake Monroe Hospital

HCA Florida Lake Monroe Hospital, located in Sanford, FL, is a 221-bed acute care facility dedicated to providing advanced healthcare services with a compassionate, patient-focused approach. As the most comprehensive healthcare facility in Seminole and West Volusia counties, we offer a wide range of specialties, including the region's only full-service cardiovascular program, advanced orthopedic and spine care, and robotic surgery. Our 24/7 emergency room is equipped to handle a variety of emergencies, and we are proud to have received accolades such as the Patient Safety Excellence Award™ and America's 100 Best Hospitals for Coronary Intervention Award™. We are committed to serving the community with high-quality care, fostering career growth opportunities, and prioritizing the care and improvement of human life.

Identifiers

Hospital Name HCA Florida Lake Monroe Hospital
Facility ID 100161

Location

Address 1401 W SEMINOLE BLVD
City/Town Sanford
State FL
ZIP Code 32771
County/Parish SEMINOLE

Health System

Health System HCA
Health System Website Domain hcahealthcare.com
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 137
Health System Total Beds 39222
Health System Hospital Locations Alaska, California, Colorado, Florida, Georgia, Idaho, Kansas, Kentucky, Louisiana, Missouri, North Carolina, New Hampshire, Nevada, South Carolina, Tennessee, Texas, Utah and Virginia

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Proprietary
Ownership Details HCA
Emergency Services Yes

No leaders were identified on HCA Florida Lake Monroe Hospital's website

Residency Programs

Allopathic Residency Program No
Dental Residency Program No
Osteopathic Residency Program No
Other Residency Programs No
Pediatric Residency Program No

Capacity & Services

Licensed Beds 221

Staffing & Personnel

FTE Employees on Payroll 596.5
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 9412
Inpatient Days (Title XIX) 1531
Total Inpatient Days 44546
Bed Count 199
Available Bed Days 73130
Discharges (Title V) NA
Discharges (Title XVIII) 1772
Discharges (Title XIX) 178
Total Discharges 8858

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 7446
Inpatient Days (Title XIX; Adults & Peds) 1531
Total Inpatient Days (Adults & Peds) 35203
Bed Count (Adults & Peds) 171
Available Bed Days (Adults & Peds) 62910
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 1772
Discharges (Title XIX; Adults & Peds) 178
Total Discharges (Adults & Peds) 8858

Quality Summary

Care Quality Stengths Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours. Hospital does an above-average job of ensuring patients at the hospital do not get infections.
Care Quality Concerns Low overall patient satisfaction. Patients report challenges with communication about their medications. Patients reported significant challenges with transitions between departments in the hospital. Hospital does not do a good job of treating conditions like heart failure so that patients don't have to come back to the hospital.

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital 57%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients No Different Than National Average
Mortality Group – Death Rate for Heart Attack Patients No Different Than National Average
Mortality Group – Death Rate for CABG Surgery Patients No Different Than National Average
Mortality Group – Death Rate for COPD Patients No Different Than National Average
Mortality Group – Death Rate for Heart Failure Patients Better Than National Average
Mortality Group – Death Rate for Pneumonia Patients No Different Than National Average
Mortality Group – Death Rate for Stroke Patients No Different Than National Average
Mortality Group – Pressure Ulcer Rate No Different Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications No Different Than National Average
Mortality Group – Iatrogenic Pneumothorax Rate No Different Than National Average
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate No Different Than National Average
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate No Different Than National Average
Mortality Group – Postoperative Respiratory Failure Rate No Different Than National Average
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate No Different Than National Average
Mortality Group – Postoperative Sepsis Rate No Different Than National Average
Mortality Group – Postoperative Wound Dehiscence Rate No Different Than National Average
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate No Different Than National Average
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite No Different Than National Average

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 138

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients -2.7
Readmission Score Hospital Return Days for Heart Failure Patients 27.8
Readmission Score Hospital Return Days for Pneumonia Patients 17
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) Not Available
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 1.6
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 13.6
Readmission Score Rate of Readmission for CABG 11.2
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 17.6
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 20.9
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.4
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 15.4
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.9
Readmission Group Hospital Return Days for Heart Attack Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Heart Failure Patients More Days Than Average per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients Average Days per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) Number of Cases Too Small
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Worse than expected
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission for CABG No Different Than the National Rate
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients No Different Than the National Rate
Readmission Group Heart Failure (HF) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement No Different Than the National Rate
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) No Different Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) 1.150
CAUTI SIR (Standardized Infection Ratio) 0.734
SSI SIR (Standardized Infection Ratio) 0.956
CDI SIR (Standardized Infection Ratio) 0.121
MRSA SIR (Standardized Infection Ratio) 1.429

Fiscal Period

Fiscal Year Begin Jun 01, 2022
Fiscal Year End May 31, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $17,737
Bad Debt Expense $14,788
Uncompensated Care Cost $19,199
Total Uncompensated Care $30,717

Operating Expenses ($ thousands)

Total Salaries $51,588
Overhead Expenses (Non-Salary) $127,317
Depreciation Expense $-2,334
Total Operating Costs $172,248

Charges ($ thousands)

Inpatient Charges $1,186,543
Outpatient Charges $740,784
Total Patient Charges $1,927,327

Wage-Related Details ($ thousands)

Core Wage Costs $12,592
Wage Costs (RHC/FQHC)
Adjusted Salaries $51,463
Contract Labor (Patient Care) $2
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $29
Short-Term Investments
Notes Receivable
Accounts Receivable $70,713
Allowance for Doubtful Accounts $-33,654
Inventory $9,196
Prepaid Expenses $945
Other Current Assets
Total Current Assets $47,226

Balance Sheet – Fixed Assets ($ thousands)

Land Value $21,948
Land Improvements Value $1,856
Building Value $34,362
Leasehold Improvements $17,961
Fixed Equipment Value $37,253
Major Movable Equipment $57,916
Minor Depreciable Equipment $11,650
Health IT Assets
Total Fixed Assets $93,358

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $9,191
Total Other Assets $9,191
Total Assets $149,776

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $8,250
Salaries & Wages Payable $3,750
Payroll Taxes Payable $6,535
Short-Term Debt $148
Deferred Revenue
Other Current Liabilities $48
Total Current Liabilities $18,730

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $393
Unsecured Loans $-141,314
Other Long-Term Liabilities $529
Total Long-Term Liabilities $-140,392
Total Liabilities $-121,662

Balance Sheet – Equity ($ thousands)

General Fund Balance $271,438
Total Fund Balances $271,438
Total Liabilities & Equity $149,776

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $6,518
DRG (Post-Oct 1) $13,679
Outlier Payments
DSH Adjustment $748
Eligible DSH % $0
Simulated MC Payments $29,440
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $1,186,543
Outpatient Revenue $740,784
Total Patient Revenue $1,927,327
Contractual Allowances & Discounts $1,708,819
Net Patient Revenue $218,508
Total Operating Expenses $178,812
Net Service Income $39,696
Other Income $767
Total Income $40,463
Other Expenses $-0
Net Income $40,464

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $10,249
Medicaid Charges $272,790
Net CHIP Revenue $83
CHIP Charges $2,912

EHR Information

EHR MEDITECH Expanse
EHR Version Expanse
EHR is Changing No

ERP Information

ERP Unknown
ERP Version NA
EHR is Changing No