As of the July, 2022, release via CMS

MAYO CLINIC FLORIDA

CMS id: 100151
4500 SAN PABLO ROAD, JACKSONVILLE FL 32224. County: DUVAL
System: MAYO CLINIC JACKSONVILLE
CBSA: Jacksonville, FL

The 304-bed, acute-care hospital had $202,284,068 in net service to patients*, with a total profit margin of 21.41082% in fiscal year 2021, the latest year available.
It spent 2.84% of its operating expenses on uncompensated care and reported $9,094,696 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	205 118	223 118	250 119.5	250 118	250 119
Total beds Median	259 162	277 162	304 162	304 162	304 163.5
FTEs Median	1,843.45 788.06	1,545.29 793.42	1,685.60 806.03	1,759.69 787.61	1,958.80 804.34

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	586,548,566 150,932,746	659,999,027 158,950,878	770,326,246 168,696,998	840,451,018 163,454,693	986,907,022 186,589,412
Operating expenses Median	292,533,263 149,311,209	525,301,053 156,110,414	615,348,146 164,890,568	666,714,769 166,516,854	784,622,954 180,120,888
Net income from service 2 patients (NS2P) ? Median	294,015,303 -964,173	134,697,974 -643,601.5	154,978,100 -116,254	173,736,249 -5,025,862	202,284,068 -1,284,564
NS2P margin ? Median	50.13% -0.62	20.41% -0.29	20.12% 0.18	20.67% -5.07	20.50% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MAYO CLINIC FLORIDA 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	11,879,831 5,089,215	11,704,451 4,572,541	11,619,245 5,268,134	9,828,514 13,092,619	11,536,037 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	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ 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	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	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	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	11,879,831	11,704,451	11,619,245	9,828,514	11,536,037
Total income ? Median	305,895,134 6,586,430	146,402,425 6,767,106	166,597,345 8,419,950	183,564,763 8,094,175	213,820,105 15,162,888
Non-operating expenses Median	186,795,296 146,289.5	-7,437 164,857	-10,824 89,880.5	-658,921 106,761	45,213 31,473.5
Net income Median	119,099,838 6,043,842	146,409,862 5,845,112	166,608,169 7,606,259	184,223,684 7,283,041	213,774,892 14,957,241
Net margin Median	19.90210% 4.62%	21.79680% 4.42%	21.30688% 5.16%	21.66625% 5.2%	21.41082% 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 MAYO CLINIC FLORIDA 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	111,420,182 23,241,334	123,480,580 23,709,545	134,660,514 24,248,380	153,497,783 22,858,541	180,097,612 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	111,420,182 21,577,146	123,480,580 22,041,594	134,660,514 22,722,063	153,497,783 21,570,441	180,097,612 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	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	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	48,349,891 11,160,864	55,261,544 11,987,345	66,963,795 12,926,866	79,874,911 11,884,480	89,726,967 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	48,349,891 10,918,923	55,261,544 11,706,976	66,963,795 12,615,917	79,874,911 11,458,116	89,726,967 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	12,591,933 3,284,314	13,321,917 3,250,551	13,477,162 3,386,837	14,486,685 3,360,806	22,104,036 3,508,953
Disproportionate-share hospital (DSH) Median	0 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	9,384,855 582,572	9,099,424 538,116	1,126,066 212,434	988,583 126,559	1,809,357 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	6,036,557 4,081,319	3,037,099 4,643,908	9,094,696 4,389,147
Charity care Median	8,120,646 2,654,636	11,594,432 2,940,659	11,961,448 3,380,215	13,594,982 3,488,738	10,139,601 3,233,405
Uncompensated care (UCC) Median	14,159,784 5,147,790	15,541,612 5,337,617	16,855,766 5,711,082	20,181,475 5,923,418	22,277,221 5,508,107
UCC as a % of operating expenses Median	4.84% 3.24	2.96% 3.12	2.74% 3.21	3.03% 3.3	2.84% 2.86
Total shortfall/UCC Median	14,159,784 9,489,989	15,541,612 9,424,297	22,892,323 10,120,158	23,218,574 11,171,337	31,371,917 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	93,737,030 52,142,039	105,913,740 54,485,252	117,915,625 57,395,589	125,606,340 58,830,919	143,488,949 61,722,907
Salaries as a % of operating expenses Median	32.04 36.68	33.62 36.56	31.85 36.37	29.19 35.93	28.60 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	616,874 1,449,244	671,624 1,475,986	637,002 1,563,078	3,705,677 1,721,954	13,182,810 2,991,828
Contract hours, direct-care Median	11,591.95 22,725	14,706.17 23,018.5	9,027.85 24,503.48	48,551.35 25,026.5	93,023.05 33,786
Contract wages, direct-care Median	53.22 64.67	45.67 64.53	70.56 65.06	76.32 68.97	141.72 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.