As of the July, 2022, release via CMS

UF HEALTH SHANDS

CMS id: 100113
1600 ARCHER RD, GAINESVILLE FL 32610. County: ALACHUA
System: SHANDS HOSPITAL CORP
CBSA: Gainesville, FL

The 1,037-bed, acute-care hospital had $17,359,730 in net service to patients*, with a total profit margin of 0.99223% in fiscal year 2021, the latest year available.
It spent 5.89% of its operating expenses on uncompensated care and reported $80,090,389 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	417 118	544 118	519 119.5	533 118	521 119
Total beds Median	871 162	1,001 162	1,050 162	1,044 162	1,037 163.5
FTEs Median	6,744.90 788.06	7,513.48 793.42	7,864.01 806.03	7,580.72 787.61	7,629.66 804.34

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	1,395,838,375 150,932,746	1,458,878,312 158,950,878	1,564,731,842 168,696,998	1,536,859,907 163,454,693	1,762,726,716 186,589,412
Operating expenses Median	1,270,209,995 149,311,209	1,392,389,662 156,110,414	1,493,121,268 164,890,568	1,505,593,070 166,516,854	1,745,366,986 180,120,888
Net income from service 2 patients (NS2P) ? Median	125,628,380 -964,173	66,488,650 -643,601.5	71,610,574 -116,254	31,266,837 -5,025,862	17,359,730 -1,284,564
NS2P margin ? Median	9.00% -0.62	4.56% -0.29	4.58% 0.18	2.03% -5.07	0.98% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for UF HEALTH SHANDS 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	16,668,487 5,089,215	22,036,631 4,572,541	30,525,950 5,268,134	62,056,482 13,092,619	131,962 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	2,412,231 299,524	4,374,849 188,688.5	6,484,322 370,813	531,442 309,361.5	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	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	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	7,050,000 1,987,202	0 1,597,664
⊳ Sum Line 24	14,256,256	17,661,782	24,041,628	54,475,040	131,962
Total income ? Median	142,296,867 6,586,430	88,525,281 6,767,106	102,136,524 8,419,950	93,323,319 8,094,175	17,491,692 15,162,888
Non-operating expenses Median	0 146,289.5	3 164,857	67,469,609 89,880.5	68,400,921 106,761	0 31,473.5
Net income Median	142,296,867 6,043,842	88,525,278 5,845,112	34,666,915 7,606,259	24,922,398 7,283,041	17,491,692 14,957,241
Net margin Median	10.07407% 4.62%	5.97774% 4.42%	2.17312% 5.16%	1.55871% 5.2%	0.99223% 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 UF HEALTH SHANDS 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	259,099,148 23,241,334	271,332,616 23,709,545	273,636,348 24,248,380	268,422,326 22,858,541	282,586,491 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	242,406,203 21,577,146	255,433,217 22,041,594	260,319,425 22,722,063	264,344,714 21,570,441	279,252,536 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	6,161,531 1,845,420	5,479,383 1,757,392	4,999,596 1,738,842	4,077,612 1,510,463	3,333,955 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	10,531,414 3,535,627	10,420,016 3,746,588	8,317,327 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	79,146,353 11,160,864	85,786,227 11,987,345	90,402,284 12,926,866	92,777,288 11,884,480	93,419,437 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	74,375,348 10,918,923	81,109,613 11,706,976	85,490,120 12,615,917	88,039,917 11,458,116	89,416,537 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	4,771,005 1,282,808	4,676,614 1,407,728	4,912,164 1,341,512	4,737,371 1,407,046	4,002,900 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	52,352,243 3,284,314	51,330,431 3,250,551	48,732,464 3,386,837	48,660,762 3,360,806	53,622,130 3,508,953
Disproportionate-share hospital (DSH) Median	7,540,614 594,888	8,194,905 595,761	7,280,887 577,894	7,207,463 542,168	8,064,502 549,667
Outlier Median	14,776,878 582,572	19,530,792 538,116	18,188,870 212,434	2,634,325 126,559	2,582,709 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	46,373,935 3,662,910	56,082,721 3,730,911	78,686 4,081,319	44,082,572 4,643,908	80,090,389 4,389,147
Charity care Median	57,761,688 2,654,636	57,883,489 2,940,659	64,674,653 3,380,215	74,949,760 3,488,738	65,596,469 3,233,405
Uncompensated care (UCC) Median	79,830,437 5,147,790	66,863,685 5,337,617	74,010,660 5,711,082	98,392,692 5,923,418	102,877,602 5,508,107
UCC as a % of operating expenses Median	6.28% 3.24	4.80% 3.12	4.96% 3.21	6.54% 3.3	5.89% 2.86
Total shortfall/UCC Median	126,204,372 9,489,989	122,946,406 9,424,297	74,089,346 10,120,158	142,475,264 11,171,337	182,967,991 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	437,224,904 52,142,039	457,632,686 54,485,252	493,535,000 57,395,589	467,946,880 58,830,919	517,034,027 61,722,907
Salaries as a % of operating expenses Median	32.78 36.68	31.39 36.56	33.05 36.37	31.08 35.93	29.62 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	42,329,336 1,204,885	42,086,921 1,279,653	43,042,267 1,469,317
Contract adjusted salaries, direct-care Median	0 1,449,244	14,421,179 1,475,986	67,719,899 1,563,078	55,456,362 1,721,954	56,081,147 2,991,828
Contract hours, direct-care Median	0.00 22,725	262,198.00 23,018.5	1,828,525.00 24,503.48	1,522,189.00 25,026.5	1,617,440.91 33,786
Contract wages, direct-care Median	0.00 64.67	55.00 64.53	37.04 65.06	36.43 68.97	34.67 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.