As of the July, 2022, release via CMS

OCALA REGIONAL MEDICAL CENTER

CMS id: 100212
1431 SW 1ST AVENUE, OCALA FL 34474. County: MARION
System: HCA
CBSA: Ocala, FL

The 474-bed, acute-care hospital had $180,161,499 in net service to patients*, with a total profit margin of 28.99064% in fiscal year 2021, the latest year available.
It spent 8.02% of its operating expenses on uncompensated care and reported $18,304,368 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	258 118	294 118	364 119.5	366 118	398 119
Total beds Median	316 162	360 162	430 162	432 162	474 163.5
FTEs Median	1,382.89 788.06	1,483.32 793.42	1,544.71 806.03	1,577.50 787.61	1,654.95 804.34

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	377,945,687 150,932,746	434,661,844 158,950,878	484,824,509 168,696,998	529,851,584 163,454,693	637,191,618 186,589,412
Operating expenses Median	322,003,033 149,311,209	350,300,445 156,110,414	385,276,244 164,890,568	408,536,033 166,516,854	457,030,119 180,120,888
Net income from service 2 patients (NS2P) ? Median	55,942,654 -964,173	84,361,399 -643,601.5	99,548,265 -116,254	121,315,551 -5,025,862	180,161,499 -1,284,564
NS2P margin ? Median	14.80% -0.62	19.41% -0.29	20.53% 0.18	22.90% -5.07	28.27% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for OCALA REGIONAL MEDICAL CENTER 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	4,143,948 5,089,215	6,283,034 4,572,541	6,198,422 5,268,134	4,797,119 13,092,619	6,427,952 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	4,143,948	6,283,034	6,198,422	4,797,119	6,427,952
Total income ? Median	60,086,602 6,586,430	90,644,433 6,767,106	105,746,687 8,419,950	126,112,670 8,094,175	186,589,451 15,162,888
Non-operating expenses Median	0 146,289.5	-234 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	60,086,602 6,043,842	90,644,667 5,845,112	105,746,687 7,606,259	126,112,670 7,283,041	186,589,451 14,957,241
Net margin Median	15.72579% 4.62%	20.55692% 4.42%	21.53600% 5.16%	23.58795% 5.2%	28.99064% 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 OCALA REGIONAL MEDICAL CENTER 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	96,757,249 23,241,334	114,090,396 23,709,545	128,117,958 24,248,380	134,468,601 22,858,541	141,313,058 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	96,757,249 21,577,146	114,090,396 22,041,594	128,117,958 22,722,063	134,468,601 21,570,441	141,313,058 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	21,539,680 11,160,864	22,356,642 11,987,345	25,034,052 12,926,866	28,981,812 11,884,480	34,414,466 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	21,539,680 10,918,923	22,356,642 11,706,976	25,034,052 12,615,917	28,981,812 11,458,116	34,414,466 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	7,499,158 3,284,314	13,782,151 3,250,551	17,366,819 3,386,837	20,839,239 3,360,806	19,744,439 3,508,953
Disproportionate-share hospital (DSH) Median	895,474 594,888	1,913,487 595,761	2,029,191 577,894	843,705 542,168	676,546 549,667
Outlier Median	1,597,946 582,572	1,219,181 538,116	1,180,152 212,434	157,909 126,559	144,622 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	12,362,037 3,662,910	12,134,274 3,730,911	13,855,923 4,081,319	13,485,136 4,643,908	18,304,368 4,389,147
Charity care Median	20,180,444 2,654,636	22,938,928 2,940,659	27,165,665 3,380,215	30,120,473 3,488,738	33,245,518 3,233,405
Uncompensated care (UCC) Median	24,120,465 5,147,790	26,833,424 5,337,617	30,792,460 5,711,082	33,587,868 5,923,418	36,635,953 5,508,107
UCC as a % of operating expenses Median	7.49% 3.24	7.66% 3.12	7.99% 3.21	8.22% 3.3	8.02% 2.86
Total shortfall/UCC Median	36,482,502 9,489,989	38,967,698 9,424,297	44,648,383 10,120,158	47,073,004 11,171,337	54,940,321 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	89,840,934 52,142,039	98,479,660 54,485,252	105,212,934 57,395,589	109,588,570 58,830,919	127,381,437 61,722,907
Salaries as a % of operating expenses Median	27.90 36.68	28.11 36.56	27.30 36.37	26.82 35.93	27.86 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	1,772,750 1,251,927	4,682,051 1,186,494	6,835,638 1,204,885	8,454,172 1,279,653	9,547,772 1,469,317
Contract adjusted salaries, direct-care Median	9,379,407 1,449,244	8,089,825 1,475,986	7,276,939 1,563,078	8,312,332 1,721,954	16,923,990 2,991,828
Contract hours, direct-care Median	181,166.00 22,725	150,723.00 23,018.5	134,958.00 24,503.48	145,543.00 25,026.5	252,203.00 33,786
Contract wages, direct-care Median	51.77 64.67	53.67 64.53	53.92 65.06	57.11 68.97	67.10 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.