As of the July, 2022, release via CMS

ORANGE PARK MEDICAL CENTER

CMS id: 100226
2001 KINGSLEY AVENUE, ORANGE PARK FL 32073. County: CLAY
System: HCA
CBSA: Jacksonville, FL

The 365-bed, acute-care hospital had $115,097,390 in net service to patients*, with a total profit margin of 29.90741% in fiscal year 2021, the latest year available.
It spent 12.72% of its operating expenses on uncompensated care and reported $19,866,981 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	240 118	240 118	229 119.5	229 118	277 119
Total beds Median	317 162	317 162	317 162	317 162	365 163.5
FTEs Median	1,706.11 788.06	1,734.77 793.42	1,306.81 806.03	1,314.37 787.61	1,314.33 804.34

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	295,964,443 150,932,746	332,208,906 158,950,878	342,942,150 168,696,998	351,402,838 163,454,693	393,035,250 186,589,412
Operating expenses Median	245,548,238 149,311,209	259,487,575 156,110,414	273,459,034 164,890,568	274,889,424 166,516,854	277,937,860 180,120,888
Net income from service 2 patients (NS2P) ? Median	50,416,205 -964,173	72,721,331 -643,601.5	69,483,116 -116,254	76,513,414 -5,025,862	115,097,390 -1,284,564
NS2P margin ? Median	17.03% -0.62	21.89% -0.29	20.26% 0.18	21.77% -5.07	29.28% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ORANGE PARK 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	2,111,209 5,089,215	3,164,451 4,572,541	6,537,941 5,268,134	6,691,117 13,092,619	3,494,334 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	2,111,209	3,164,451	6,537,941	6,691,117	3,494,334
Total income ? Median	52,527,414 6,586,430	75,885,782 6,767,106	76,021,057 8,419,950	83,204,531 8,094,175	118,591,724 15,162,888
Non-operating expenses Median	0 146,289.5	-1 164,857	0 89,880.5	-7 106,761	-16 31,473.5
Net income Median	52,527,414 6,043,842	75,885,783 5,845,112	76,021,057 7,606,259	83,204,538 7,283,041	118,591,740 14,957,241
Net margin Median	17.62218% 4.62%	22.62725% 4.42%	21.75261% 5.16%	23.23539% 5.2%	29.90741% 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 ORANGE PARK 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	70,317,823 23,241,334	79,515,572 23,709,545	82,686,776 24,248,380	86,706,020 22,858,541	85,110,377 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	66,169,528 21,577,146	74,327,088 22,041,594	77,679,477 22,722,063	80,431,854 21,570,441	78,709,031 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	1,127,024 1,845,420	1,015,929 1,757,392	835,610 1,738,842	976,956 1,510,463	687,259 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	3,021,271 3,535,627	4,172,555 3,746,588	4,171,689 3,782,288	5,297,210 3,865,578	5,714,087 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	13,587,507 11,160,864	14,249,620 11,987,345	13,375,883 12,926,866	11,017,261 11,884,480	10,987,747 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	13,587,507 10,918,923	14,249,620 11,706,976	13,375,883 12,615,917	11,017,261 11,458,116	10,987,747 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	6,996,597 3,284,314	9,837,440 3,250,551	10,786,249 3,386,837	13,799,752 3,360,806	12,985,254 3,508,953
Disproportionate-share hospital (DSH) Median	2,038,350 594,888	2,936,654 595,761	3,277,346 577,894	1,599,370 542,168	1,819,625 549,667
Outlier Median	988,201 582,572	933,210 538,116	469,283 212,434	214,199 126,559	159,401 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	16,649,048 3,662,910	16,430,650 3,730,911	18,227,317 4,081,319	13,670,050 4,643,908	19,866,981 4,389,147
Charity care Median	23,712,080 2,654,636	21,454,442 2,940,659	29,910,446 3,380,215	31,166,340 3,488,738	32,394,905 3,233,405
Uncompensated care (UCC) Median	27,215,380 5,147,790	25,095,625 5,337,617	33,686,710 5,711,082	34,438,206 5,923,418	35,353,103 5,508,107
UCC as a % of operating expenses Median	11.08% 3.24	9.67% 3.12	12.32% 3.21	12.53% 3.3	12.72% 2.86
Total shortfall/UCC Median	43,864,428 9,489,989	41,526,275 9,424,297	51,914,027 10,120,158	48,108,256 11,171,337	55,220,084 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	77,535,817 52,142,039	80,542,588 54,485,252	84,044,052 57,395,589	84,341,734 58,830,919	86,825,106 61,722,907
Salaries as a % of operating expenses Median	31.56 36.68	31.04 36.56	30.73 36.37	30.67 35.93	31.21 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	1,586,551 1,449,244	1,005,357 1,475,986	873,694 1,563,078	1,873,065 1,721,954	6,694,586 2,991,828
Contract hours, direct-care Median	27,222.00 22,725	19,926.00 23,018.5	18,960.00 24,503.48	31,841.00 25,026.5	122,791.00 33,786
Contract wages, direct-care Median	58.28 64.67	50.45 64.53	46.08 65.06	58.83 68.97	54.52 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.