As of the July, 2022, release via CMS

NORTH FLORIDA REGIONAL MED CTR

CMS id: 100204
6500 NEWBERRY ROAD, GAINESVILLE FL 32605. County: ALACHUA
System: HCA
CBSA: Gainesville, FL

The 441-bed, acute-care hospital had $140,061,237 in net service to patients*, with a total profit margin of 27.05216% in fiscal year 2021, the latest year available.
It spent 6.32% of its operating expenses on uncompensated care and reported $18,770,301 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	319 118	321 118	321 119.5	321 118	348 119
Total beds Median	412 162	414 162	414 162	414 162	441 163.5
FTEs Median	1,535.66 788.06	1,578.44 793.42	1,664.26 806.03	1,724.55 787.61	1,676.39 804.34

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	443,940,230 150,932,746	491,899,553 158,950,878	515,197,254 168,696,998	538,692,856 163,454,693	545,121,363 186,589,412
Operating expenses Median	336,934,463 149,311,209	379,419,410 156,110,414	395,750,247 164,890,568	413,644,562 166,516,854	405,060,126 180,120,888
Net income from service 2 patients (NS2P) ? Median	107,005,767 -964,173	112,480,143 -643,601.5	119,447,007 -116,254	125,048,294 -5,025,862	140,061,237 -1,284,564
NS2P margin ? Median	24.10% -0.62	22.87% -0.29	23.18% 0.18	23.21% -5.07	25.69% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NORTH FLORIDA REGIONAL MED CTR 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	3,665,457 5,089,215	7,489,254 4,572,541	6,726,080 5,268,134	6,631,276 13,092,619	10,152,252 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	1,124,535	0	1,139,021	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	5,773	0	-6,824	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	80,686	0	88,068	0
⊳ Line 22: Rental of hospital space	0	259,835	0	375,022	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	3,665,457	6,018,425	6,726,080	5,035,989	10,152,252
Total income ? Median	110,671,224 6,586,430	119,969,397 6,767,106	126,173,087 8,419,950	131,679,570 8,094,175	150,213,489 15,162,888
Non-operating expenses Median	39 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	110,671,185 6,043,842	119,969,397 5,845,112	126,173,087 7,606,259	131,679,570 7,283,041	150,213,489 14,957,241
Net margin Median	24.72515% 4.62%	24.02325% 4.42%	24.17464% 5.16%	24.14703% 5.2%	27.05216% 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 NORTH FLORIDA REGIONAL MED CTR 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	121,039,229 23,241,334	138,722,074 23,709,545	144,744,439 24,248,380	151,302,928 22,858,541	146,659,786 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	118,186,864 21,577,146	135,758,567 22,041,594	141,906,435 22,722,063	149,502,572 21,570,441	144,761,740 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	2,852,365 1,845,420	2,963,507 1,757,392	2,838,004 1,738,842	1,800,356 1,510,463	1,898,046 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	30,669,587 11,160,864	33,021,026 11,987,345	32,849,253 12,926,866	32,810,142 11,884,480	30,155,067 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	30,669,587 10,918,923	33,021,026 11,706,976	32,849,253 12,615,917	32,810,142 11,458,116	30,155,067 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	4,606,307 3,284,314	12,009,010 3,250,551	20,378,224 3,386,837	26,020,119 3,360,806	27,432,680 3,508,953
Disproportionate-share hospital (DSH) Median	2,219,756 594,888	3,257,897 595,761	3,397,292 577,894	2,527,726 542,168	2,246,055 549,667
Outlier Median	1,019,726 582,572	767,781 538,116	1,027,392 212,434	161,119 126,559	144,388 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	12,599,986 3,662,910	14,598,589 3,730,911	17,757,325 4,081,319	20,160,093 4,643,908	18,770,301 4,389,147
Charity care Median	17,473,090 2,654,636	17,040,612 2,940,659	19,917,875 3,380,215	24,222,897 3,488,738	22,481,264 3,233,405
Uncompensated care (UCC) Median	21,178,932 5,147,790	20,646,488 5,337,617	23,431,486 5,711,082	27,498,088 5,923,418	25,613,983 5,508,107
UCC as a % of operating expenses Median	6.29% 3.24	5.44% 3.12	5.92% 3.21	6.65% 3.3	6.32% 2.86
Total shortfall/UCC Median	33,778,918 9,489,989	35,245,077 9,424,297	41,188,811 10,120,158	47,658,181 11,171,337	44,384,284 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	93,525,420 52,142,039	98,960,653 54,485,252	105,514,386 57,395,589	111,110,929 58,830,919	111,674,657 61,722,907
Salaries as a % of operating expenses Median	27.75 36.68	26.05 36.56	26.63 36.37	26.81 35.93	27.52 35.24
Intern, resident salaries* Median	379,962 2,598,592	294,702 2,686,824	237,806 2,753,773	290,341 2,937,156	241,894 2,909,848
Contract intern, resident salaries* Median	1,323,645 1,251,927	3,716,827 1,186,494	4,842,802 1,204,885	6,128,099 1,279,653	10,462,862 1,469,317
Contract adjusted salaries, direct-care Median	9,948,313 1,449,244	14,311,096 1,475,986	16,344,362 1,563,078	19,117,752 1,721,954	24,847,191 2,991,828
Contract hours, direct-care Median	206,801.00 22,725	342,247.00 23,018.5	433,810.00 24,503.48	483,819.00 25,026.5	541,646.58 33,786
Contract wages, direct-care Median	48.11 64.67	41.82 64.53	37.68 65.06	39.51 68.97	45.87 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.