As of the July, 2022, release via CMS

MEMORIAL HOSPITAL OF JACKSONVILLE

CMS id: 100179
3625 UNIVERSITY BLVD SOUTH, JACKSONVILLE FL 32216. County: DUVAL
System: HCA
CBSA: Jacksonville, FL

The 429-bed, acute-care hospital had $139,287,756 in net service to patients*, with a total profit margin of 29.78931% in fiscal year 2021, the latest year available.
It spent 9.90% of its operating expenses on uncompensated care and reported $23,557,774 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	316 118	316 118	332 119.5	332 118	334 119
Total beds Median	418 162	418 162	437 162	437 162	429 163.5
FTEs Median	1,530.83 788.06	1,437.05 793.42	1,459.28 806.03	1,328.28 787.61	1,305.15 804.34

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	358,942,261 150,932,746	375,183,756 158,950,878	414,678,204 168,696,998	426,628,422 163,454,693	472,837,468 186,589,412
Operating expenses Median	294,361,719 149,311,209	294,508,131 156,110,414	309,160,131 164,890,568	303,762,488 166,516,854	333,549,712 180,120,888
Net income from service 2 patients (NS2P) ? Median	64,580,542 -964,173	80,675,625 -643,601.5	105,518,073 -116,254	122,865,934 -5,025,862	139,287,756 -1,284,564
NS2P margin ? Median	17.99% -0.62	21.50% -0.29	25.45% 0.18	28.80% -5.07	29.46% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MEMORIAL HOSPITAL OF JACKSONVILLE 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	2,430,279 5,089,215	2,600,670 4,572,541	2,473,567 5,268,134	2,012,970 13,092,619	2,232,244 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	2,430,279	2,600,670	2,473,567	2,012,970	2,232,244
Total income ? Median	67,010,821 6,586,430	83,276,295 6,767,106	107,991,640 8,419,950	124,878,904 8,094,175	141,520,000 15,162,888
Non-operating expenses Median	20 146,289.5	24 164,857	25 89,880.5	22 106,761	-1 31,473.5
Net income Median	67,010,801 6,043,842	83,276,271 5,845,112	107,991,615 7,606,259	124,878,882 7,283,041	141,520,001 14,957,241
Net margin Median	18.54341% 4.62%	22.04333% 4.42%	25.88785% 5.16%	29.13365% 5.2%	29.78931% 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 MEMORIAL HOSPITAL OF JACKSONVILLE 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	63,904,227 23,241,334	63,089,547 23,709,545	68,989,793 24,248,380	70,496,853 22,858,541	60,593,036 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	61,381,801 21,577,146	60,947,721 22,041,594	66,915,242 22,722,063	67,812,783 21,570,441	59,052,186 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	2,522,426 1,845,420	2,141,826 1,757,392	2,074,551 1,738,842	2,684,070 1,510,463	1,540,850 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	15,266,575 11,160,864	15,046,880 11,987,345	14,299,062 12,926,866	13,552,941 11,884,480	13,515,271 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	15,266,575 10,918,923	15,046,880 11,706,976	14,299,062 12,615,917	13,552,941 11,458,116	13,515,271 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	117,082 3,284,314	116,862 3,250,551	121,892 3,386,837	130,522 3,360,806	156,227 3,508,953
Disproportionate-share hospital (DSH) Median	1,758,275 594,888	1,825,375 595,761	2,108,593 577,894	2,208,842 542,168	2,044,245 549,667
Outlier Median	883,832 582,572	1,283,256 538,116	293,007 212,434	356,982 126,559	269,926 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	22,060,164 3,662,910	26,376,097 3,730,911	39,442,059 4,081,319	21,456,851 4,643,908	23,557,774 4,389,147
Charity care Median	27,406,500 2,654,636	30,083,802 2,940,659	31,593,572 3,380,215	30,383,070 3,488,738	30,115,046 3,233,405
Uncompensated care (UCC) Median	32,275,431 5,147,790	35,162,763 5,337,617	35,913,495 5,711,082	33,597,424 5,923,418	33,027,299 5,508,107
UCC as a % of operating expenses Median	10.96% 3.24	11.94% 3.12	11.62% 3.21	11.06% 3.3	9.90% 2.86
Total shortfall/UCC Median	54,335,595 9,489,989	61,538,860 9,424,297	75,355,554 10,120,158	55,054,275 11,171,337	56,585,073 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	99,008,064 52,142,039	100,042,976 54,485,252	103,655,860 57,395,589	96,781,719 58,830,919	102,426,249 61,722,907
Salaries as a % of operating expenses Median	33.62 36.68	33.97 36.56	33.51 36.37	31.85 35.93	30.68 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	200,349 1,251,927	124,147 1,186,494	124,043 1,204,885	130,057 1,279,653	100,566 1,469,317
Contract adjusted salaries, direct-care Median	5,318,716 1,449,244	4,124,657 1,475,986	4,746,694 1,563,078	6,891,713 1,721,954	4,274,236 2,991,828
Contract hours, direct-care Median	98,963.35 22,725	76,629.61 23,018.5	110,783.16 24,503.48	132,313.98 25,026.5	94,809.82 33,786
Contract wages, direct-care Median	53.74 64.67	53.83 64.53	42.85 65.06	52.09 68.97	45.08 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.