As of the July, 2022, release via CMS

JACKSON MEMORIAL

CMS id: 100022
1611 NW 12TH AVENUE, MIAMI FL 33136. County: MIAMI-DADE
System: --
CBSA: Miami-Fort Lauderdale-Pompano Beach, FL

The 1,717-bed, acute-care hospital had $-996,971,860 in net service to patients*, with a total profit margin of 7.80982% in fiscal year 2021, the latest year available.
It spent 11.20% of its operating expenses on uncompensated care and reported $341,295,620 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	gov	gov	gov	gov	gov
Acute beds Median	1,197 118	1,148 118	1,145 119.5	1,189 118	1188 119
Total beds Median	1,707 162	1,642 162	1,635 162	1,762 162	1,717 163.5
FTEs Median	9,366.18 788.06	9,514.02 793.42	11,224.54 806.03	11,239.79 787.61	11,505.43 804.34

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	1,160,224,886 150,932,746	1,176,821,234 158,950,878	1,206,542,645 168,696,998	1,204,066,678 163,454,693	1,315,420,355 186,589,412
Operating expenses Median	1,867,091,881 149,311,209	1,995,959,656 156,110,414	2,088,522,480 164,890,568	2,093,339,033 166,516,854	2,312,392,215 180,120,888
Net income from service 2 patients (NS2P) ? Median	-706,866,995 -964,173	-819,138,422 -643,601.5	-881,979,835 -116,254	-889,272,355 -5,025,862	-996,971,860 -1,284,564
NS2P margin ? Median	-60.92% -0.62	-69.61% -0.29	-73.10% 0.18	-73.86% -5.07	-75.79% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for JACKSON MEMORIAL 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	891,483,361 5,089,215	994,567,508 4,572,541	1,127,683,952 5,268,134	1,117,908,884 13,092,619	1,192,864,508 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	81,068,659 224,999	112,320,060 199,009	207,937,138 206,870.5	159,579,616 194,343	96,722,521 249,496
⊳ Line 7: Investments ? ⊳ Median	247,871 299,524	1,415,420 188,688.5	3,564,662 370,813	3,233,679 309,361.5	391,457 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	8,361,332	8,812,572	9,769,696	9,769,796	11,388,583
⊳ Line 11: Rebates and refunds of expenses	28,434,129	33,503,311	32,639,444	35,326,697	38,151,365
⊳ Line 12: Parking lot receipts	7,892,357	7,797,162	7,683,594	5,552,154	6,281,582
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	10	0	0	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	43,238,167	59,337,220	65,603,424	84,148,436	89,827,524
⊳ Line 18: Revenue from sale of medical records and abstracts	2,235	2,605	2,858	415,451	403,911
⊳ 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	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	548,591	560,407	521,921	515,164	280,752
⊳ Line 23: Gov appropriations ? ⊳ Median	531,996,508 1,017,693	575,072,341 983,261.5	561,439,538 1,173,286	584,988,096 1,987,202	706,797,812 1,597,664
⊳ Sum Line 24	189,693,512	195,746,400	238,521,677	234,379,795	242,619,001
Total income ? Median	184,616,366 6,586,430	175,429,086 6,767,106	245,704,117 8,419,950	228,636,529 8,094,175	195,892,648 15,162,888
Non-operating expenses Median	55,470 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	184,560,896 6,043,842	175,429,086 5,845,112	245,704,117 7,606,259	228,636,529 7,283,041	195,892,648 14,957,241
Net margin Median	8.99547% 4.62%	8.07912% 4.42%	10.52615% 5.16%	9.84664% 5.2%	7.80982% 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 JACKSON MEMORIAL 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	226,132,486 23,241,334	267,379,938 23,709,545	290,455,263 24,248,380	292,245,781 22,858,541	262,046,787 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	215,703,276 21,577,146	254,472,710 22,041,594	277,738,165 22,722,063	280,400,305 21,570,441	247,208,615 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	3,570,054 1,845,420	4,286,599 1,757,392	4,216,191 1,738,842	3,132,507 1,510,463	2,262,683 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	6,859,156 3,535,627	8,620,629 3,746,588	8,500,907 3,782,288	8,712,969 3,865,578	12,575,489 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	21,097,728 11,160,864	23,260,426 11,987,345	23,659,915 12,926,866	21,801,469 11,884,480	21,759,855 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	21,097,728 10,918,923	23,260,426 11,706,976	23,659,915 12,615,917	21,801,469 11,458,116	21,759,855 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	29,782,026 3,284,314	35,079,643 3,250,551	36,627,212 3,386,837	36,063,330 3,360,806	34,142,672 3,508,953
Disproportionate-share hospital (DSH) Median	8,805,935 594,888	9,105,530 595,761	8,847,270 577,894	7,873,490 542,168	7,063,102 549,667
Outlier Median	19,301,027 582,572	17,604,983 538,116	1,700,262 212,434	1,475,699 126,559	2,646,430 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	133,749,443 3,662,910	151,011,681 3,730,911	228,745,316 4,081,319	257,180,698 4,643,908	341,295,620 4,389,147
Charity care Median	146,857,848 2,654,636	153,428,082 2,940,659	201,457,928 3,380,215	221,095,169 3,488,738	167,472,390 3,233,405
Uncompensated care (UCC) Median	254,137,395 5,147,790	232,744,069 5,337,617	310,844,882 5,711,082	332,937,801 5,923,418	258,904,920 5,508,107
UCC as a % of operating expenses Median	13.61% 3.24	11.66% 3.12	14.88% 3.21	15.90% 3.3	11.20% 2.86
Total shortfall/UCC Median	387,886,838 9,489,989	383,755,750 9,424,297	539,590,198 10,120,158	590,118,499 11,171,337	600,200,540 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	871,371,803 52,142,039	916,684,401 54,485,252	953,625,478 57,395,589	992,374,857 58,830,919	1,071,911,329 61,722,907
Salaries as a % of operating expenses Median	46.67 36.68	47.16 36.56	45.95 36.37	47.72 35.93	46.60 35.24
Intern, resident salaries* Median	68,628,997 2,598,592	71,847,867 2,686,824	75,391,402 2,753,773	79,390,931 2,937,156	81,629,183 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	10,790,676 1,449,244	9,742,046 1,475,986	10,324,626 1,563,078	7,216,299 1,721,954	30,980,782 2,991,828
Contract hours, direct-care Median	227,811.05 22,725	196,388.00 23,018.5	198,819.42 24,503.48	145,042.75 25,026.5	275,666.24 33,786
Contract wages, direct-care Median	47.37 64.67	49.61 64.53	51.93 65.06	49.75 68.97	112.39 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.