As of the July, 2022, release via CMS

SHANDS JACKSONVILLE MEDICAL CENTER

CMS id: 100001
655 WEST 8TH STREET, JACKSONVILLE FL 32209. County: DUVAL
System: --
CBSA: Jacksonville, FL

The 605-bed, acute-care hospital had $-104,361,187 in net service to patients*, with a total profit margin of 16.46732% in fiscal year 2021, the latest year available.
It spent 10.23% of its operating expenses on uncompensated care and reported $61,172,285 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	376 118	357 118	348 119.5	349 118	372 119
Total beds Median	578 162	590 162	589 162	590 162	605 163.5
FTEs Median	3,167.38 788.06	3,452.58 793.42	4,247.12 806.03	4,235.36 787.61	4,265.77 804.34

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	591,584,557 150,932,746	646,819,105 158,950,878	644,132,054 168,696,998	622,313,384 163,454,693	680,980,074 186,589,412
Operating expenses Median	659,733,675 149,311,209	689,739,290 156,110,414	721,857,653 164,890,568	731,278,082 166,516,854	785,341,261 180,120,888
Net income from service 2 patients (NS2P) ? Median	-68,149,118 -964,173	-42,920,185 -643,601.5	-77,725,599 -116,254	-108,964,698 -5,025,862	-104,361,187 -1,284,564
NS2P margin ? Median	-11.52% -0.62	-6.64% -0.29	-12.07% 0.18	-17.51% -5.07	-15.33% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for SHANDS JACKSONVILLE 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	104,817,827 5,089,215	100,340,814 4,572,541	111,035,777 5,268,134	117,548,296 13,092,619	211,860,753 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	509,388 224,999	320,966 199,009	459,996 206,870.5	491,630 194,343	273,255 249,496
⊳ Line 7: Investments ? ⊳ Median	1,744,292 299,524	918,813 188,688.5	1,484,906 370,813	618,794 309,361.5	2,638,231 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	56,475	25,265	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	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	0	0	0	0	0
⊳ 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	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	643,140	590,261	689,538	658,794	632,097
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	2,270,890	2,286,454	3,109,731	2,995,603	694,349
⊳ Line 23: Gov appropriations ? ⊳ Median	92,035,268 1,017,693	88,121,912 983,261.5	94,904,568 1,173,286	120,210,048 1,987,202	125,876,137 1,597,664
⊳ Sum Line 24	7,558,374	8,077,143	10,387,038	-7,426,573	81,746,684
Total income ? Median	36,668,709 6,586,430	57,420,629 6,767,106	33,310,178 8,419,950	8,583,598 8,094,175	107,499,566 15,162,888
Non-operating expenses Median	35,639,089 146,289.5	8,371,237 164,857	-125,826 89,880.5	37,372,496 106,761	-39,527,364 31,473.5
Net income Median	1,029,620 6,043,842	49,049,392 5,845,112	33,436,004 7,606,259	-28,788,898 7,283,041	147,026,930 14,957,241
Net margin Median	0.14785% 4.62%	6.56478% 4.42%	4.42763% 5.16%	-3.89112% 5.2%	16.46732% 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 SHANDS JACKSONVILLE 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	100,125,535 23,241,334	110,241,054 23,709,545	118,733,818 24,248,380	111,577,254 22,858,541	109,669,156 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	99,565,124 21,577,146	109,878,576 22,041,594	118,446,740 22,722,063	111,127,651 21,570,441	109,364,965 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	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	560,411 1,203,033	362,478 1,215,295	287,078 1,313,657	449,603 1,365,298	304,191 1,179,746
All outpatient revenue Median Click here to show/hide details	44,249,212 11,160,864	44,522,377 11,987,345	53,444,366 12,926,866	51,572,443 11,884,480	46,886,610 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	43,480,964 10,918,923	43,742,764 11,706,976	52,511,759 12,615,917	50,691,373 11,458,116	46,035,921 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	768,248 1,282,808	779,613 1,407,728	932,607 1,341,512	881,070 1,407,046	850,689 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	20,552,921 3,284,314	20,360,384 3,250,551	20,329,381 3,386,837	19,892,407 3,360,806	21,260,384 3,508,953
Disproportionate-share hospital (DSH) Median	4,882,119 594,888	4,108,950 595,761	4,124,862 577,894	3,768,967 542,168	3,737,130 549,667
Outlier Median	2,671,924 582,572	2,505,958 538,116	2,998,313 212,434	543,489 126,559	713,766 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	50,894,311 3,662,910	48,201,838 3,730,911	44,130,304 4,081,319	39,284,480 4,643,908	61,172,285 4,389,147
Charity care Median	86,683,096 2,654,636	67,509,262 2,940,659	85,385,562 3,380,215	69,925,763 3,488,738	65,621,113 3,233,405
Uncompensated care (UCC) Median	149,611,227 5,147,790	79,348,125 5,337,617	98,667,149 5,711,082	81,117,016 5,923,418	80,373,702 5,508,107
UCC as a % of operating expenses Median	22.68% 3.24	11.50% 3.12	13.67% 3.21	11.09% 3.3	10.23% 2.86
Total shortfall/UCC Median	200,505,538 9,489,989	127,549,963 9,424,297	142,797,453 10,120,158	120,401,496 11,171,337	141,545,987 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	244,370,467 52,142,039	258,660,627 54,485,252	266,578,578 57,395,589	272,268,095 58,830,919	297,168,598 61,722,907
Salaries as a % of operating expenses Median	37.04 36.68	37.50 36.56	36.90 36.37	37.23 35.93	37.84 35.24
Intern, resident salaries* Median	477,221 2,598,592	497,590 2,686,824	519,656 2,753,773	523,470 2,937,156	554,093 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	2,346,171 1,449,244	626,351 1,475,986	517,172 1,563,078	88,899 1,721,954	10,693 2,991,828
Contract hours, direct-care Median	35,932.00 22,725	10,693.00 23,018.5	7,334.00 24,503.48	1,302.00 25,026.5	10,693.00 33,786
Contract wages, direct-care Median	65.29 64.67	58.58 64.53	70.52 65.06	68.28 68.97	1.00 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.