As of the July, 2022, release via CMS

ADVENTHEALTH DAYTONA BEACH

CMS id: 100068
301 MEMORIAL MEDICAL PARKWAY, DAYTONA FL 32117. County: VOLUSIA
System: ADVENTHEALTH
CBSA: Deltona-Daytona Beach-Ormond Beach, FL

The 362-bed, acute-care hospital had $21,348,603 in net service to patients*, with a total profit margin of 8.54127% in fiscal year 2021, the latest year available.
It spent 2.68% of its operating expenses on uncompensated care and reported $17,130,483 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	282 118	233 118	268 119.5	268 118	268 119
Total beds Median	407 162	327 162	362 162	362 162	362 163.5
FTEs Median	1,841.67 788.06	1,916.89 793.42	2,073.30 806.03	2,129.69 787.61	2,225.05 804.34

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	315,353,671 150,932,746	378,613,913 158,950,878	409,834,748 168,696,998	421,775,654 163,454,693	506,431,311 186,589,412
Operating expenses Median	338,847,259 149,311,209	359,939,528 156,110,414	383,885,920 164,890,568	415,424,378 166,516,854	485,082,708 180,120,888
Net income from service 2 patients (NS2P) ? Median	-23,493,588 -964,173	18,674,385 -643,601.5	25,948,828 -116,254	6,351,276 -5,025,862	21,348,603 -1,284,564
NS2P margin ? Median	-7.45% -0.62	4.93% -0.29	6.33% 0.18	1.51% -5.07	4.22% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ADVENTHEALTH DAYTONA BEACH 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	10,121,906 5,089,215	1,448,216 4,572,541	28,281,469 5,268,134	23,431,625 13,092,619	23,952,965 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	2,548,599 299,524	-4,891,166 188,688.5	21,221,538 370,813	6,298,303 309,361.5	16,552,370 375,329
⊳ 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	27,069	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	755,302	0	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	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	900,846	985,806	873,552	970,413
⊳ Line 21: Rental of vending machines	0	2,308	0	0	6,988
⊳ Line 22: Rental of hospital space	2,848,245	2,939,121	459,188	448,348	454,980
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	3,969,760	2,470,038	5,614,937	15,811,422	5,968,214
Total income ? Median	-13,371,682 6,586,430	20,122,601 6,767,106	54,230,297 8,419,950	29,782,901 8,094,175	45,301,568 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	-13,371,682 6,043,842	20,122,601 5,845,112	54,230,297 7,606,259	29,782,901 7,283,041	45,301,568 14,957,241
Net margin Median	-4.10835% 4.62%	5.29456% 4.42%	12.37806% 5.16%	6.68967% 5.2%	8.54127% 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 ADVENTHEALTH DAYTONA BEACH 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	69,788,769 23,241,334	69,346,611 23,709,545	73,855,356 24,248,380	75,389,858 22,858,541	78,735,517 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	59,212,530 21,577,146	61,940,077 22,041,594	66,180,820 22,722,063	66,397,010 21,570,441	69,553,849 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	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	8,421,309 3,535,627	7,406,534 3,746,588	7,674,536 3,782,288	8,992,848 3,865,578	9,181,668 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	2,154,930 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	24,705,051 11,160,864	25,086,202 11,987,345	27,349,495 12,926,866	24,585,289 11,884,480	26,129,244 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	24,705,051 10,918,923	25,086,202 11,706,976	27,349,495 12,615,917	24,585,289 11,458,116	26,129,244 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	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	896,772 594,888	783,201 595,761	675,190 577,894	616,951 542,168	985,319 549,667
Outlier Median	704,694 582,572	660,016 538,116	171,393 212,434	190,408 126,559	268,296 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	6,133,404 3,662,910	14,529,945 3,730,911	12,429,423 4,081,319	16,333,475 4,643,908	17,130,483 4,389,147
Charity care Median	7,943,089 2,654,636	9,990,837 2,940,659	14,511,367 3,380,215	9,917,855 3,488,738	10,201,612 3,233,405
Uncompensated care (UCC) Median	10,467,886 5,147,790	12,754,665 5,337,617	17,495,457 5,711,082	12,719,234 5,923,418	13,000,103 5,508,107
UCC as a % of operating expenses Median	3.09% 3.24	3.54% 3.12	4.56% 3.21	3.06% 3.3	2.68% 2.86
Total shortfall/UCC Median	16,601,290 9,489,989	27,284,610 9,424,297	29,924,880 10,120,158	29,052,709 11,171,337	30,130,586 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	150,338,371 52,142,039	120,497,971 54,485,252	131,719,300 57,395,589	139,321,840 58,830,919	161,712,225 61,722,907
Salaries as a % of operating expenses Median	44.37 36.68	33.48 36.56	34.31 36.37	33.54 35.93	33.34 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 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	10,143,469 1,449,244	3,547,380 1,475,986	3,542,398 1,563,078	3,637,016 1,721,954	17,971,128 2,991,828
Contract hours, direct-care Median	169,439.00 22,725	61,155.61 23,018.5	54,438.40 24,503.48	46,037.00 25,026.5	137,901.56 33,786
Contract wages, direct-care Median	59.87 64.67	58.01 64.53	65.07 65.06	79.00 68.97	130.32 88.94

* in an approved program

Return to top

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.