As of the July, 2022, release via CMS

HMH -OCEAN MEDICAL CENTER

CMS id: 310052
425 JACK MARTIN BLVD, BRICK NJ 8724. County: OCEAN
System: HACKENSACK MERIDIAN HEALTH
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 355-bed, acute-care hospital had $-672,002 in net service to patients*, with a total profit margin of -19.36432% in fiscal year 2021, the latest year available.
It spent 2.60% of its operating expenses on uncompensated care and reported $12,803,640 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	284 118	294 118	286 119.5	291 118	291 119
Total beds Median	308 162	318 162	350 162	355 162	355 163.5
FTEs Median	1,652.35 788.06	1,770.93 793.42	1,787.06 806.03	1,948.78 787.61	1,973.31 804.34

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	336,757,000 150,932,746	341,779,001 158,950,878	371,830,775 168,696,998	390,808,608 163,454,693	449,200,985 186,589,412
Operating expenses Median	320,226,177 149,311,209	333,680,715 156,110,414	367,825,186 164,890,568	401,585,041 166,516,854	449,872,987 180,120,888
Net income from service 2 patients (NS2P) ? Median	16,530,823 -964,173	8,098,286 -643,601.5	4,005,589 -116,254	-10,776,433 -5,025,862	-672,002 -1,284,564
NS2P margin ? Median	4.91% -0.62	2.37% -0.29	1.08% 0.18	-2.76% -5.07	-0.15% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for HMH -OCEAN 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	23,257,445 5,089,215	12,097,054 4,572,541	26,842,482 5,268,134	33,513,854 13,092,619	-72,310,299 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	2,224,635 224,999	2,289,859 199,009	945,849 206,870.5	763,633 194,343	400,840 249,496
⊳ Line 7: Investments ? ⊳ Median	12,843,102 299,524	449,319 188,688.5	14,339,192 370,813	346,893 309,361.5	-100,229,631 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	587,953	1,202,483	1,047	0	0
⊳ Line 11: Rebates and refunds of expenses	417,349	227,383	-46,096	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	549,056	666,890	711,768	684,794	660,437
⊳ 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	46,635	17,182	250	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	16,665	15,070	18,020	5,573	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	5,500	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	6,566,550	7,228,868	10,872,452	31,712,961	26,858,055
Total income ? Median	39,788,268 6,586,430	20,195,340 6,767,106	30,848,071 8,419,950	22,737,421 8,094,175	-72,982,301 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	39,788,268 6,043,842	20,195,340 5,845,112	30,848,071 7,606,259	22,737,421 7,283,041	-72,982,301 14,957,241
Net margin Median	11.05185% 4.62%	5.70690% 4.42%	7.73768% 5.16%	5.35852% 5.2%	-19.36432% 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 HMH -OCEAN 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	84,149,003 23,241,334	85,542,244 23,709,545	88,653,956 24,248,380	104,556,126 22,858,541	110,276,377 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	84,149,003 21,577,146	85,542,244 22,041,594	88,613,576 22,722,063	84,648,995 21,570,441	94,777,855 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	40,380 3,782,288	19,907,131 3,865,578	15,498,522 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	36,831,884 11,160,864	44,082,816 11,987,345	43,183,524 12,926,866	39,286,240 11,884,480	47,557,654 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	36,831,884 10,918,923	44,082,816 11,706,976	43,183,524 12,615,917	39,286,240 11,458,116	47,557,654 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	1,314,515 3,250,551	4,649,142 3,386,837	8,303,543 3,360,806	13,262,534 3,508,953
Disproportionate-share hospital (DSH) Median	0 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	873,674 582,572	620,340 538,116	161,003 212,434	5,916,803 126,559	358,851 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,443,474 3,662,910	4,444,721 3,730,911	7,342,311 4,081,319	11,998,811 4,643,908	12,803,640 4,389,147
Charity care Median	3,223,393 2,654,636	2,388,661 2,940,659	5,298,780 3,380,215	7,966,873 3,488,738	6,755,989 3,233,405
Uncompensated care (UCC) Median	5,387,016 5,147,790	4,663,001 5,337,617	8,977,883 5,711,082	12,868,646 5,923,418	11,711,968 5,508,107
UCC as a % of operating expenses Median	1.68% 3.24	1.40% 3.12	2.44% 3.21	3.20% 3.3	2.60% 2.86
Total shortfall/UCC Median	8,830,490 9,489,989	9,107,722 9,424,297	16,320,194 10,120,158	24,867,457 11,171,337	24,515,608 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	121,582,902 52,142,039	129,693,709 54,485,252	139,155,799 57,395,589	163,465,166 58,830,919	175,108,167 61,722,907
Salaries as a % of operating expenses Median	39.53 36.68	38.87 36.56	37.83 36.37	40.70 35.93	38.92 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	1,579,481 1,449,244	2,261,982 1,475,986	7,484,207 1,563,078	12,774,848 1,721,954	16,619,663 2,991,828
Contract hours, direct-care Median	23,335.50 22,725	25,207.00 23,018.5	61,980.00 24,503.48	108,408.00 25,026.5	132,151.00 33,786
Contract wages, direct-care Median	67.69 64.67	89.74 64.53	120.75 65.06	117.84 68.97	125.76 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.