As of the July, 2022, release via CMS

TALLAHASSEE MEMORIAL HOSPITAL

CMS id: 100135
MAGNOLIA DRIVE & MICCOSUKEE ROAD, TALLAHASSEE FL 32308. County: LEON
System: --
CBSA: Tallahassee, FL

The 495-bed, acute-care hospital had $-11,120,019 in net service to patients*, with a total profit margin of 2.13111% in fiscal year 2021, the latest year available.
It spent 5.82% of its operating expenses on uncompensated care and reported $35,447,167 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	332 118	306 118	306 119.5	306 118	306 119
Total beds Median	538 162	475 162	475 162	475 162	495 163.5
FTEs Median	3,593.16 788.06	4,250.02 793.42	4,417.21 806.03	4,467.31 787.61	4,479.84 804.34

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	685,663,045 150,932,746	740,882,254 158,950,878	750,707,196 168,696,998	738,668,218 163,454,693	824,238,839 186,589,412
Operating expenses Median	643,138,875 149,311,209	704,546,594 156,110,414	755,897,363 164,890,568	786,074,634 166,516,854	835,358,858 180,120,888
Net income from service 2 patients (NS2P) ? Median	42,524,170 -964,173	36,335,660 -643,601.5	-5,190,167 -116,254	-47,406,416 -5,025,862	-11,120,019 -1,284,564
NS2P margin ? Median	6.20% -0.62	4.90% -0.29	-0.69% 0.18	-6.42% -5.07	-1.35% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for TALLAHASSEE MEMORIAL HOSPITAL 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	7,301,741 5,089,215	16,326,277 4,572,541	16,929,494 5,268,134	35,219,122 13,092,619	31,400,952 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	867,646 224,999	2,814,083 199,009	705,332 206,870.5	1,324,908 194,343	1,175,986 249,496
⊳ Line 7: Investments ? ⊳ Median	2,116,221 299,524	5,196,971 188,688.5	10,139,433 370,813	1,485,342 309,361.5	1,660,024 375,329
⊳ 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	0	0	0	0
⊳ Line 12: Parking lot receipts	477,117	502,831	457,643	384,920	407,710
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	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	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	225,894 1,017,693	181,325 983,261.5	230,932 1,173,286	223,586 1,987,202	0 1,597,664
⊳ Sum Line 24	3,614,863	7,631,067	5,396,154	31,800,366	28,157,232
Total income ? Median	49,825,911 6,586,430	52,661,937 6,767,106	11,739,327 8,419,950	-12,187,294 8,094,175	20,280,933 15,162,888
Non-operating expenses Median	2,041,792 146,289.5	2,502,021 164,857	2,541,392 89,880.5	2,434,681 106,761	2,046,338 31,473.5
Net income Median	47,784,119 6,043,842	50,159,916 5,845,112	9,197,935 7,606,259	-14,621,975 7,283,041	18,234,595 14,957,241
Net margin Median	6.89561% 4.62%	6.62432% 4.42%	1.19821% 5.16%	-1.88942% 5.2%	2.13111% 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 TALLAHASSEE MEMORIAL HOSPITAL 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	85,034,210 23,241,334	90,024,342 23,709,545	93,869,035 24,248,380	89,017,653 22,858,541	89,505,454 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	82,847,794 21,577,146	87,589,874 22,041,594	91,554,258 22,722,063	86,759,762 21,570,441	87,761,666 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	773,477 1,845,420	1,041,997 1,757,392	1,052,825 1,738,842	968,738 1,510,463	687,173 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 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	1,412,939 1,203,033	1,392,471 1,215,295	1,261,952 1,313,657	1,289,153 1,365,298	1,056,615 1,179,746
All outpatient revenue Median Click here to show/hide details	31,347,078 11,160,864	33,996,637 11,987,345	37,511,907 12,926,866	36,366,040 11,884,480	38,869,465 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	29,563,413 10,918,923	32,408,815 11,706,976	35,898,169 12,615,917	34,977,093 11,458,116	37,436,995 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	744,130 1,282,808	652,970 1,407,728	652,470 1,341,512	464,356 1,407,046	505,970 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	1,039,535 618,038	934,852 697,279	961,268 690,232	924,591 684,010	926,500 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	6,622,269 3,284,314	6,950,384 3,250,551	8,212,989 3,386,837	7,749,836 3,360,806	7,685,205 3,508,953
Disproportionate-share hospital (DSH) Median	2,349,126 594,888	2,177,385 595,761	2,116,893 577,894	2,115,969 542,168	1,721,885 549,667
Outlier Median	1,477,602 582,572	1,509,588 538,116	555,151 212,434	419,684 126,559	387,985 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	18,989,083 3,662,910	32,360,154 3,730,911	28,169,557 4,081,319	47,414,671 4,643,908	35,447,167 4,389,147
Charity care Median	24,101,836 2,654,636	26,345,053 2,940,659	27,132,329 3,380,215	24,057,495 3,488,738	22,131,319 3,233,405
Uncompensated care (UCC) Median	42,895,415 5,147,790	47,947,904 5,337,617	52,242,210 5,711,082	51,455,860 5,923,418	48,605,106 5,508,107
UCC as a % of operating expenses Median	6.67% 3.24	6.81% 3.12	6.91% 3.21	6.55% 3.3	5.82% 2.86
Total shortfall/UCC Median	61,884,498 9,489,989	80,308,058 9,424,297	80,411,767 10,120,158	98,870,531 11,171,337	84,052,273 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	252,229,543 52,142,039	270,704,054 54,485,252	288,084,623 57,395,589	295,961,113 58,830,919	308,064,970 61,722,907
Salaries as a % of operating expenses Median	39.01 36.68	38.22 36.56	37.97 36.37	37.91 35.93	36.70 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	12,689,363 1,449,244	16,889,850 1,475,986	20,843,416 1,563,078	26,532,599 1,721,954	22,767,961 2,991,828
Contract hours, direct-care Median	191,601.55 22,725	255,868.00 23,018.5	305,730.00 24,503.48	435,228.00 25,026.5	404,535.00 33,786
Contract wages, direct-care Median	66.23 64.67	66.01 64.53	68.18 65.06	60.96 68.97	56.28 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.