As of the July, 2022, release via CMS

JFK UNIVERSITY MEDICAL CENTER

CMS id: 310108
65 JAMES STREET, EDISON NJ 8818. County: MIDDLESEX
System: HACKENSACK MERIDIAN HEALTH INC.
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 439-bed, acute-care hospital had $-42,549,880 in net service to patients*, with a total profit margin of 27.53647% in fiscal year 2021, the latest year available.
It spent 5.28% of its operating expenses on uncompensated care and reported $18,081,800 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	184
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	319 118	319 118	300 119.5	300 118	305 119
Total beds Median	452 162	458 162	439 162	434 162	439 163.5
FTEs Median	3,498.10 788.06	3,509.59 793.42	3,360.41 806.03	3,761.41 787.61	3,588.73 804.34

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	534,256,642 150,932,746	568,071,541 158,950,878	601,625,730 168,696,998	564,532,060 163,454,693	336,268,801 186,589,412
Operating expenses Median	545,613,393 149,311,209	551,560,622 156,110,414	599,085,073 164,890,568	690,525,178 166,516,854	378,818,681 180,120,888
Net income from service 2 patients (NS2P) ? Median	-11,356,751 -964,173	16,510,919 -643,601.5	2,540,657 -116,254	-125,993,118 -5,025,862	-42,549,880 -1,284,564
NS2P margin ? Median	-2.13% -0.62	2.91% -0.29	0.42% 0.18	-22.32% -5.07	-12.65% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for JFK UNIVERSITY 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	17,331,310 5,089,215	23,696,106 4,572,541	36,321,370 5,268,134	109,815,684 13,092,619	186,502,681 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	48,809 224,999	555,790 199,009	429,039 206,870.5	144,338 194,343	334,801 249,496
⊳ Line 7: Investments ? ⊳ Median	1,012,442 299,524	30,478 188,688.5	17,730,823 370,813	7,933,045 309,361.5	2,095,700 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	827,793	132,572	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	-14,061	-68,789	0
⊳ Line 12: Parking lot receipts	0	0	35,483	1,766	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	611,867	616,955	2,064,534	1,570,582	853,972
⊳ Line 15: Revenue from rental of living quarters	0	0	457,974	645,739	249,714
⊳ 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	232,828	233,013	271,743	30,728	9,685
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	5,621,698	6,745,363	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	8,975,873	15,381,935	15,345,835	99,558,275	182,958,809
Total income ? Median	5,974,559 6,586,430	40,207,025 6,767,106	38,862,027 8,419,950	-16,177,434 8,094,175	143,952,801 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	5,974,559 6,043,842	40,207,025 5,845,112	38,862,027 7,606,259	-16,177,434 7,283,041	143,952,801 14,957,241
Net margin Median	1.08316% 4.62%	6.79439% 4.42%	6.09173% 5.16%	-2.39898% 5.2%	27.53647% 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 JFK UNIVERSITY 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	109,156,689 23,241,334	109,189,019 23,709,545	107,307,524 24,248,380	109,502,328 22,858,541	52,298,324 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	82,785,220 21,577,146	83,227,857 22,041,594	81,325,773 22,722,063	86,402,850 21,570,441	40,295,746 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	26,371,469 3,535,627	25,961,162 3,746,588	25,981,751 3,782,288	23,099,478 3,865,578	12,002,578 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	40,836,241 11,160,864	43,741,390 11,987,345	39,454,279 12,926,866	31,416,363 11,884,480	18,107,097 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	40,836,241 10,918,923	43,741,390 11,706,976	39,454,279 12,615,917	31,416,363 11,458,116	18,107,097 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	7,378,515 3,284,314	7,250,832 3,250,551	7,332,719 3,386,837	7,619,746 3,360,806	3,788,700 3,508,953
Disproportionate-share hospital (DSH) Median	1,244,686 594,888	1,297,260 595,761	1,201,438 577,894	1,264,637 542,168	656,476 549,667
Outlier Median	1,494,707 582,572	1,682,330 538,116	1,131,972 212,434	1,015,206 126,559	900,867 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	32,816,294 3,662,910	16,813,577 3,730,911	19,506,751 4,081,319	38,775,172 4,643,908	18,081,800 4,389,147
Charity care Median	17,745,849 2,654,636	10,403,999 2,940,659	10,167,644 3,380,215	10,817,808 3,488,738	13,855,942 3,233,405
Uncompensated care (UCC) Median	36,745,580 5,147,790	22,589,847 5,337,617	17,433,571 5,711,082	25,152,038 5,923,418	20,003,815 5,508,107
UCC as a % of operating expenses Median	6.73% 3.24	4.10% 3.12	2.91% 3.21	3.64% 3.3	5.28% 2.86
Total shortfall/UCC Median	69,561,874 9,489,989	39,403,424 9,424,297	36,940,322 10,120,158	63,927,210 11,171,337	38,085,615 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	254,462,758 52,142,039	263,212,051 54,485,252	274,870,832 57,395,589	287,641,585 58,830,919	150,745,933 61,722,907
Salaries as a % of operating expenses Median	46.94 36.68	47.72 36.56	45.88 36.37	41.66 35.93	39.79 35.24
Intern, resident salaries* Median	2,244,106 2,598,592	2,343,393 2,686,824	2,372,458 2,753,773	2,496,528 2,937,156	1,318,234 2,909,848
Contract intern, resident salaries* Median	292,982 1,251,927	228,626 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	1,797,433 1,449,244	2,756,634 1,475,986	2,846,856 1,563,078	10,939,081 1,721,954	8,772,151 2,991,828
Contract hours, direct-care Median	28,903.00 22,725	37,174.00 23,018.5	35,173.00 24,503.48	88,414.00 25,026.5	92,311.00 33,786
Contract wages, direct-care Median	62.19 64.67	74.15 64.53	80.94 65.06	123.73 68.97	95.03 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.