Healthy New Jersey

Governor Phil Murphy • Lt. Governor Tahesha Way

Health Care Financing

Hospital Financial Reports Unit

The Hospital Financial Reports Unit is responsible for overseeing various quarterly and annual hospital data submissions and reports, including but not limited to the annual Acute Care Hospital (ACH) Cost Reports, quarterly unaudited financial statements, quarterly ACH Utilization Reports (known as B-2s), quarterly Apollo reports, monthly Early Warning System (EWS) reports, and annual Admissions and Revenue (ARR) report.  

Data and reports listed on this webpage may be available from the Office of Health Care Financing (OHCF) after the hospital data submissions have been processed according to applicable policy and in accordance with state and federal statutory and/or regulatory requirements.

This unit also coordinates all Open Public Record Act (OPRA) requests for OHCF. OPRA requests may be submitted through the OPRA system by selecting "VI. Office of Health Care Financing". Please note that charges may apply.

Contact Information

Phone:
609-376-0964

Email:
financial.reports@doh.nj.gov

Address:
New Jersey Department of Health
Office of Health Care Financing
ATTN: Hospital Financial Reports Unit
55 N. Willow St. 5th Floor
P.O. Box 360
Trenton, NJ 08625

Annual Reports

  • ACH Financial Reports and Data

    • ACH Cost Reports (Share Reports)
    • Please note that applicable Forms and Instructions can be obtained from the Department's forms webpage.
    • Audited Financial Statements

  • ARR Report - Please note that the ARR form and instructions are also available on the Department’s website. ARR reports can be submitted to the Department through its licensing portal.

Quarterly Reports

  • ACH Utilization Reports and Data
    • Quarterly Utilization Data (known as B-2s)
    • Unaudited Financial Statements
  • Apollo (please note that these are generated in partnership with New Jersey Health Care Facilities Financing Authority (NJHCFFA)).

Monthly Reports

  • EWS Reports (please note these are generated and reviewed in partnership with NJHCFFA).

Hospital Financial Transparency

Financial Reporting Mandates:

Pursuant to P.L. 2019, chapter 513, which was effective on July 21, 2020, and amended P.L. 2008, chapter 58 (C.26: 2H-5.1b), all acute care hospitals and specialty hospitals licensed to operate in New Jersey have certain financial reporting mandates, which are as follows:

  • Annually, upon renewal of its license, hospitals shall post on its internet website the most recent public inspection copy that is available of Internal Revenue Service (IRS) Form 990 and all schedules and supporting documentation required to be submitted to the IRS in conjunction with Form 990; except that, if the hospital does not file a Form 990 with the IRS, the hospital shall post on its Internet website all the governance, financial, and operating information that would otherwise be reported on IRS Form 990 for the prior tax year, including the information that would be required to be submitted in the schedules and supporting documentation in conjunction with IRS Form 990, to the extent that such information exists with respect to a for-profit hospital.

  • Additionally, the Department requires all hospitals (or owners of hospitals) to provide written notice to the Department at least 90 days prior to entering into an agreement for the sale or the lease of the land or property on which the hospital is located. The Department has provided hospitals with a form for this purpose and written notification to the Department shall include a copy of the agreement, the names of all parties included, and the intended use of proceeds from the sale or lease of land or property.

The most current version of the Department’s list of hospital links to their IRS Form 990 information is available online for review and is periodically updated.

Hospital Financial Annual Transparency Report

Hospital Financial Transparency Metrics

The Department supports increased accountability and transparency through the public reporting and posting of hospital financial data for all hospitals – both for-profit and non-profit – which is intended to enhance the ability of the Department as well as interested stakeholders to monitor overall hospital financial health and wellness more effectively, as part of broader work related to health care costs and affordability. 

Therefore, the Office of Health Care Financing identified key metrics and created the Hospital Financial Annual Transparency Report (the Report) to present annual ACH Cost Report data in a more widely available and digestible format. The Report examines the most current, full year of available audited ACH Cost Report data, as well as two years of historical data for trending purposes. The Report includes data from all 70 acute care hospitals and from closed facilities for historical purposes. Ultimately, the Report is a compilation of financial data from all hospitals that is already publicly available and derived from the ACH Cost Report.

The Report consolidates and examines several key metrics consisting of: 

  • Total Operating Expenses.
  • Operating Margin.
  • Year-End Cash on Hand.
  • Payor Mix shown as Net Patient Service Revenue.
  • Payor Mix shown as Gross Patient Service Revenue; and
  • Net Profit Margin.

Current CY Hospital Financial Annual Transparency Report:

Annual Public Meetings

Pursuant to N.J.S.A. 26:2H-12.50, hospitals licensed pursuant to N.J.A.C. 8:43G “shall, at least annually, conduct a public meeting to discuss issues relating to the operation of the hospital and concerns of the community with respect to delivery of services…” More information regarding this requirement can be found on the Department’s Certificate of Need & Licensing webpage.

Compliance Requirements Pertaining to Race, Ethnicity, Sexual Orientation, and Gender Identity (SOGI)

Effective January 18, 2023, N.J.S.A. 45:9-42.47 and N.J.S.A 26:2H-5.36, P.L. 2021, c. 454 as amended by P.L. 2022, c.44, require:

  1. Hospital electronic medical records systems to include demographic data entry features 
  2. Hospitals to implement cultural competency training programs

Under the statute, there are also separate and distinct requirements for clinical laboratories.

In response, the Department released two guidance memorandums and a frequently asked questions (FAQ) document (hyperlinked below) to assist hospitals and clinical laboratories with compliance.

Please note: Hospitals with clinical laboratories should refer to the Department’s Clinical Laboratory Improvement Services (CLIS) Guidance Memorandum for more specific information on clinical laboratory compliance as well as accepted SOGI terms and selections.

Nursing Homes Transparency

Pursuant to P.L. 2021, chapter 457 (C.26:2H-46.3b), which will become effective on November 1, 2022, all licensed nursing homes must post the following information on their website and provide the Department with a direct link to the webpage where that information is posted:

  • Annual owner-certified financial statements, which for non-profit nursing homes can be a copy of their most recent Internal Revenue Service (IRS) Form 990, along with all schedules and supporting documentation required to be submitted to the IRS in conjunction with Form 990
  • Most recent cost report submitted to the federal Centers for Medicare and Medicaid Services (CMS)

Please note: Nursing homes that are part of a health care system may post financial statements and CMS cost reports that aggregate the financial data across all nursing homes that are a part of that health care system.

The Department will ensure all website links received from nursing homes pursuant to P.L. 2021, chapter 457 are available on the Department's website.

Other Hospital-Related Reports

  • Hospital Financial Reports - Please note that the Department provides links directly to hospital websites where this information can be reviewed.

  • Governor's Commission on Rationalizing Health Care Resources - Please note that the Governor's Commission on Rationalizing Health Care Resources completed its work in 2008. For historical purposes, the Department continues to make this website available, but it is not being updated.
  • Hospital-Based Sub-acute Remittance Report - Pursuant to P.L.1996, c.102 (C.26:2H-7.7), acute care hospitals with a subacute care unit, as licensed by the Department, must submit an annual report to the Department, which includes:
    • "...information on the number of patients who were admitted to the hospital's subacute care unit when the admission was contrary to the recommendation of a physician with specialized training or experience in rehabilitation, provided however that the recommendation of the physician was for immediate placement of the patient, that is, within 24-hours, in a licensed comprehensive rehabilitation hospital or an acute care hospital that has licensed comprehensive rehabilitation beds."
    • ...."information on the number of patients admitted to the hospital's subacute care unit pursuant to subsection c. of this section because the patient could not be readmitted to a skilled nursing home."

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