As of the July, 2022, release via CMS

JERSEY SHORE UNIVERSITY MED CTR

CMS id: 310073
1945 ROUTE 33, NEPTUNE NJ 7753. County: MONMOUTH
System: HACKENSACK MERIDIAN HEALTH INC.
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 604-bed, acute-care hospital had $29,691,237 in net service to patients*, with a total profit margin of -35.39715% in fiscal year 2021, the latest year available.
It spent 2.82% of its operating expenses on uncompensated care and reported $44,574,636 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	473 118	492 118	466 119.5	466 118	466 119
Total beds Median	577 162	597 162	596 162	596 162	604 163.5
FTEs Median	3,487.97 788.06	3,715.53 793.42	3,821.19 806.03	3,889.10 787.61	3,878.88 804.34

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	795,971,000 150,932,746	795,832,311 158,950,878	903,031,741 168,696,998	878,229,603 163,454,693	1,096,326,286 186,589,412
Operating expenses Median	753,090,803 149,311,209	790,613,942 156,110,414	872,185,984 164,890,568	955,910,282 166,516,854	1,066,635,049 180,120,888
Net income from service 2 patients (NS2P) ? Median	42,880,197 -964,173	5,218,369 -643,601.5	30,845,757 -116,254	-77,680,679 -5,025,862	29,691,237 -1,284,564
NS2P margin ? Median	5.39% -0.62	0.66% -0.29	3.42% 0.18	-8.85% -5.07	2.71% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for JERSEY SHORE UNIVERSITY 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	57,713,558 5,089,215	26,409,943 4,572,541	60,978,192 5,268,134	89,091,389 13,092,619	-308,543,792 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,626,743 224,999	1,470,187 199,009	5,159,209 206,870.5	2,500,406 194,343	3,268,197 249,496
⊳ Line 7: Investments ? ⊳ Median	32,083,824 299,524	1,088,635 188,688.5	-624,196 370,813	758,063 309,361.5	-361,113,053 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	1,171,413	--	--	--	--
⊳ Line 10: Purchase discounts	0	3,034,545	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	-12,261	696,958	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	1,417,822	1,600,064	1,390,651	2,809,805
⊳ Line 15: Revenue from rental of living quarters	0	0	105,663	61,932	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	2,804,066	3,671,204	0
⊳ Line 18: Revenue from sale of medical records and abstracts	73,621	36,200	1,962	259	116
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	30,630	66,590	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	175,194	142,971	115,308	5,773	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	39,785	0	0	0	7,956
⊳ 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	19,855,200	19,152,993	51,828,377	80,006,143	46,483,187
Total income ? Median	100,593,755 6,586,430	31,628,312 6,767,106	91,823,949 8,419,950	11,410,710 8,094,175	-278,852,555 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	100,593,755 6,043,842	31,628,312 5,845,112	91,823,949 7,606,259	11,410,710 7,283,041	-278,852,555 14,957,241
Net margin Median	11.78348% 4.62%	3.84659% 4.42%	9.52521% 5.16%	1.17962% 5.2%	-35.39715% 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 JERSEY SHORE UNIVERSITY 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	177,193,725 23,241,334	180,003,803 23,709,545	182,851,768 24,248,380	189,805,715 22,858,541	203,217,569 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	177,193,725 21,577,146	180,003,803 22,041,594	180,493,873 22,722,063	187,647,926 21,570,441	201,499,199 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	2,357,895 1,738,842	2,157,789 1,510,463	1,718,370 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	65,306,393 11,160,864	72,876,385 11,987,345	70,947,966 12,926,866	62,798,112 11,884,480	75,387,737 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	65,306,393 10,918,923	72,876,385 11,706,976	70,947,966 12,615,917	62,798,112 11,458,116	75,387,737 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	18,016,339 3,284,314	17,753,162 3,250,551	17,990,024 3,386,837	18,370,745 3,360,806	19,601,636 3,508,953
Disproportionate-share hospital (DSH) Median	3,331,664 594,888	3,240,288 595,761	2,362,788 577,894	2,470,134 542,168	2,346,599 549,667
Outlier Median	4,065,308 582,572	4,533,087 538,116	476,635 212,434	375,457 126,559	576,115 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	14,530,550 3,662,910	16,259,630 3,730,911	22,308,379 4,081,319	39,570,216 4,643,908	44,574,636 4,389,147
Charity care Median	14,280,974 2,654,636	15,014,573 2,940,659	12,272,932 3,380,215	18,767,550 3,488,738	19,954,694 3,233,405
Uncompensated care (UCC) Median	19,445,848 5,147,790	20,619,196 5,337,617	20,079,464 5,711,082	29,579,273 5,923,418	30,076,387 5,508,107
UCC as a % of operating expenses Median	2.58% 3.24	2.61% 3.12	2.30% 3.21	3.09% 3.3	2.82% 2.86
Total shortfall/UCC Median	33,976,398 9,489,989	36,878,826 9,424,297	42,387,843 10,120,158	69,149,489 11,171,337	74,651,023 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	270,822,627 52,142,039	290,345,794 54,485,252	307,248,558 57,395,589	343,895,071 58,830,919	383,019,762 61,722,907
Salaries as a % of operating expenses Median	37.32 36.68	36.72 36.56	35.23 36.37	35.98 35.93	35.91 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	337,018 1,204,885	355,443 1,279,653	260,909 1,469,317
Contract adjusted salaries, direct-care Median	5,669,090 1,449,244	9,308,083 1,475,986	18,565,877 1,563,078	19,068,595 1,721,954	18,917,300 2,991,828
Contract hours, direct-care Median	83,015.14 22,725	109,502.00 23,018.5	150,313.00 24,503.48	168,707.00 25,026.5	174,291.00 33,786
Contract wages, direct-care Median	68.29 64.67	85.00 64.53	123.51 65.06	113.03 68.97	108.54 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.