As of the July, 2022, release via CMS

ASCENSION ST. VINCENTS RIVERSIDE

CMS id: 100040
1 SHIRCLIFF WAY, JACKSONVILLE FL 32204. County: DUVAL
System: ST. VINCENTS HEALTHCARE
CBSA: Jacksonville, FL

The 420-bed, acute-care hospital had $-4,704,686 in net service to patients*, with a total profit margin of 7.13399% in fiscal year 2021, the latest year available.
It spent 4.69% of its operating expenses on uncompensated care and reported $15,772,435 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	420 118	420 118	418 119.5	418 118	342 119
Total beds Median	481 162	481 162	479 162	479 162	420 163.5
FTEs Median	2,141.27 788.06	2,092.59 793.42	1,988.77 806.03	1,911.39 787.61	1,846.19 804.34

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	465,537,337 150,932,746	481,062,346 158,950,878	473,916,949 168,696,998	431,613,911 163,454,693	481,359,637 186,589,412
Operating expenses Median	433,884,924 149,311,209	427,744,729 156,110,414	458,160,822 164,890,568	454,806,245 166,516,854	486,064,323 180,120,888
Net income from service 2 patients (NS2P) ? Median	31,652,413 -964,173	53,317,617 -643,601.5	15,756,127 -116,254	-23,192,334 -5,025,862	-4,704,686 -1,284,564
NS2P margin ? Median	6.80% -0.62	11.08% -0.29	3.32% 0.18	-5.37% -5.07	-0.98% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ASCENSION ST. VINCENTS RIVERSIDE 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	11,787,709 5,089,215	12,415,997 4,572,541	12,812,439 5,268,134	21,764,036 13,092,619	42,015,598 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	306,833 224,999	539,618 199,009	572,060 206,870.5	47,546 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	305,259	285,976	194,038	152,445	148,986
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	2,329,196	2,337,574	2,567,555	2,229,215	1,816,983
⊳ 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	32,475	57,019	11,432	6,267	-4,179
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	47,981	37,251	27,489	37,249	35,838
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	2,775	0	0	0	0
⊳ Line 21: Rental of vending machines	58,208	65,117	62,271	87,419	69,471
⊳ Line 22: Rental of hospital space	2,992,959	2,930,525	3,077,870	3,031,702	2,706,783
⊳ 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	5,712,023	6,162,917	6,299,724	16,172,193	37,241,716
Total income ? Median	43,440,122 6,586,430	65,733,614 6,767,106	28,568,566 8,419,950	-1,428,298 8,094,175	37,310,912 15,162,888
Non-operating expenses Median	-52,276 146,289.5	-153,650 164,857	-259,175 89,880.5	-98,046 106,761	-26,609 31,473.5
Net income Median	43,492,398 6,043,842	65,887,264 5,845,112	28,827,741 7,606,259	-1,330,252 7,283,041	37,337,521 14,957,241
Net margin Median	9.11169% 4.62%	13.35160% 4.42%	5.92275% 5.16%	-0.29341% 5.2%	7.13399% 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 ASCENSION ST. VINCENTS RIVERSIDE 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	105,796,582 23,241,334	101,585,622 23,709,545	99,515,111 24,248,380	88,641,445 22,858,541	91,225,695 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	105,796,582 21,577,146	101,585,622 22,041,594	99,515,111 22,722,063	88,641,445 21,570,441	91,225,695 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	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	41,349,886 11,160,864	41,088,331 11,987,345	41,522,639 12,926,866	35,582,985 11,884,480	37,927,417 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	41,349,886 10,918,923	41,088,331 11,706,976	41,522,639 12,615,917	35,582,985 11,458,116	37,927,417 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	5,376,834 3,284,314	5,456,173 3,250,551	5,248,286 3,386,837	4,698,872 3,360,806	4,419,118 3,508,953
Disproportionate-share hospital (DSH) Median	1,546,489 594,888	1,488,468 595,761	1,545,665 577,894	1,684,559 542,168	1,577,255 549,667
Outlier Median	2,323,050 582,572	1,084,379 538,116	803,087 212,434	145,323 126,559	192,464 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	8,687,623 3,662,910	5,767,108 3,730,911	3,469,244 4,081,319	9,765,175 4,643,908	15,772,435 4,389,147
Charity care Median	10,112,264 2,654,636	28,449,659 2,940,659	26,384,425 3,380,215	22,094,742 3,488,738	18,055,812 3,233,405
Uncompensated care (UCC) Median	14,758,665 5,147,790	34,289,499 5,337,617	32,105,930 5,711,082	27,553,350 5,923,418	22,778,013 5,508,107
UCC as a % of operating expenses Median	3.40% 3.24	8.02% 3.12	7.01% 3.21	6.06% 3.3	4.69% 2.86
Total shortfall/UCC Median	23,446,288 9,489,989	40,056,607 9,424,297	35,575,174 10,120,158	37,318,525 11,171,337	38,550,448 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	125,459,826 52,142,039	125,725,059 54,485,252	119,466,063 57,395,589	119,353,505 58,830,919	122,240,284 61,722,907
Salaries as a % of operating expenses Median	28.92 36.68	29.39 36.56	26.08 36.37	26.24 35.93	25.15 35.24
Intern, resident salaries* Median	5,659,647 2,598,592	5,709,319 2,686,824	5,957,856 2,753,773	5,636,577 2,937,156	5,886,066 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	2,362,285 1,449,244	1,783,173 1,475,986	2,258,085 1,563,078	2,910,640 1,721,954	12,113,467 2,991,828
Contract hours, direct-care Median	25,612.00 22,725	24,183.00 23,018.5	39,815.00 24,503.48	41,178.11 25,026.5	171,531.00 33,786
Contract wages, direct-care Median	92.23 64.67	73.74 64.53	56.71 65.06	70.68 68.97	70.62 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.