As of the July, 2022, release via CMS

RIVERVIEW MEDICAL CENTER

CMS id: 310034
RIVERVIEW PLAZA, RED BANK NJ 7701. County: MONMOUTH
System: HACKENSACK MERIDIAN HEALTH INC.
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 289-bed, acute-care hospital had $8,803,990 in net service to patients*, with a total profit margin of -282.01588% in fiscal year 2021, the latest year available.
It spent 2.77% of its operating expenses on uncompensated care and reported $10,576,111 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	247 118	247 118	235 119.5	235 118	227 119
Total beds Median	304 162	304 162	292 162	297 162	289 163.5
FTEs Median	1,469.61 788.06	1,507.27 793.42	1,487.01 806.03	1,475.70 787.61	1,447.09 804.34

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	295,908,000 150,932,746	305,811,000 158,950,878	303,958,744 168,696,998	298,134,338 163,454,693	349,954,328 186,589,412
Operating expenses Median	280,905,384 149,311,209	286,610,647 156,110,414	292,962,882 164,890,568	308,667,173 166,516,854	341,150,338 180,120,888
Net income from service 2 patients (NS2P) ? Median	15,002,616 -964,173	19,200,353 -643,601.5	10,995,862 -116,254	-10,532,835 -5,025,862	8,803,990 -1,284,564
NS2P margin ? Median	5.07% -0.62	6.28% -0.29	3.62% 0.18	-3.53% -5.07	2.52% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for RIVERVIEW 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	22,122,019 5,089,215	13,361,555 4,572,541	17,199,079 5,268,134	31,544,147 13,092,619	-260,651,670 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	672,157 224,999	3,721,428 199,009	5,841,328 206,870.5	2,376,081 194,343	1,556,149 249,496
⊳ Line 7: Investments ? ⊳ Median	12,835,364 299,524	0 188,688.5	6,727,286 370,813	3,201,764 309,361.5	-271,448,212 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	438,700	227,383	-46,096	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	976	0	0
⊳ Line 12: Parking lot receipts	40,446	30,255	22,360	13,684	41,844
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,007,015	1,041,144	1,073,791	797,597	948,399
⊳ 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	60,991	580,526	20	200	360
⊳ 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	6,971,116	7,671,147	3,562,637	25,151,093	8,249,790
Total income ? Median	37,124,635 6,586,430	32,561,908 6,767,106	28,194,941 8,419,950	21,011,312 8,094,175	-251,847,680 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	37,124,635 6,043,842	32,561,908 5,845,112	28,194,941 7,606,259	21,011,312 7,283,041	-251,847,680 14,957,241
Net margin Median	11.67331% 4.62%	10.20198% 4.42%	8.77915% 5.16%	6.37327% 5.2%	-282.01588% 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 RIVERVIEW 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	66,739,209 23,241,334	71,721,124 23,709,545	67,087,001 24,248,380	70,162,129 22,858,541	71,488,036 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	57,084,375 21,577,146	60,111,923 22,041,594	55,831,270 22,722,063	56,393,732 21,570,441	58,770,491 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	9,654,834 3,535,627	11,609,201 3,746,588	11,255,731 3,782,288	13,768,397 3,865,578	12,717,545 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	27,675,308 11,160,864	31,503,740 11,987,345	31,064,199 12,926,866	25,039,962 11,884,480	28,767,469 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	27,675,308 10,918,923	31,503,740 11,706,976	31,064,199 12,615,917	25,039,962 11,458,116	28,767,469 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	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	785,601 594,888	502,644 595,761	370,722 577,894	482,233 542,168	449,419 549,667
Outlier Median	339,764 582,572	529,518 538,116	59,667 212,434	126,833 126,559	330,477 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	5,848,693 3,662,910	5,359,597 3,730,911	4,744,661 4,081,319	11,972,921 4,643,908	10,576,111 4,389,147
Charity care Median	5,512,661 2,654,636	5,231,557 2,940,659	3,914,690 3,380,215	6,727,259 3,488,738	5,956,474 3,233,405
Uncompensated care (UCC) Median	7,244,020 5,147,790	6,931,328 5,337,617	6,494,956 5,711,082	10,536,614 5,923,418	9,460,113 5,508,107
UCC as a % of operating expenses Median	2.58% 3.24	2.42% 3.12	2.22% 3.21	3.41% 3.3	2.77% 2.86
Total shortfall/UCC Median	13,092,713 9,489,989	12,290,925 9,424,297	11,239,617 10,120,158	22,509,535 11,171,337	20,036,224 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	111,120,302 52,142,039	98,345,782 54,485,252	116,490,585 57,395,589	124,852,310 58,830,919	131,277,234 61,722,907
Salaries as a % of operating expenses Median	40.78 36.68	34.31 36.56	39.76 36.37	40.45 35.93	38.48 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	977,934 1,449,244	1,239,390 1,475,986	2,493,781 1,563,078	5,931,955 1,721,954	8,770,824 2,991,828
Contract hours, direct-care Median	18,941.00 22,725	18,866.47 23,018.5	25,683.00 24,503.48	56,065.00 25,026.5	69,677.00 33,786
Contract wages, direct-care Median	51.63 64.67	65.69 64.53	97.10 65.06	105.80 68.97	125.88 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.