As of the July, 2022, release via CMS

BAPTIST MEDICAL CTR-NASSAU

CMS id: 100140
1250 SOUTH 18TH STREET, FERNANDINA BEACH FL 32034. County: NASSAU
System: BAPTIST HEALTH SYSTEM INC.
CBSA: Jacksonville, FL

The 54-bed, acute-care hospital had $14,619,723 in net service to patients*, with a total profit margin of 18.27129% in fiscal year 2021, the latest year available.
It spent 6.27% of its operating expenses on uncompensated care and reported $0 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	54 118	54 118	54 119.5	54 118	54 119
Total beds Median	54 162	54 162	54 162	54 162	54 163.5
FTEs Median	418.35 788.06	411.16 793.42	409.66 806.03	417.32 787.61	426.30 804.34

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	76,203,840 150,932,746	81,552,057 158,950,878	84,128,233 168,696,998	75,392,287 163,454,693	93,256,846 186,589,412
Operating expenses Median	66,024,799 149,311,209	66,317,122 156,110,414	65,771,124 164,890,568	69,233,527 166,516,854	78,637,123 180,120,888
Net income from service 2 patients (NS2P) ? Median	10,179,041 -964,173	15,234,935 -643,601.5	18,357,109 -116,254	6,158,760 -5,025,862	14,619,723 -1,284,564
NS2P margin ? Median	13.36% -0.62	18.68% -0.29	21.82% 0.18	8.17% -5.07	15.68% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for BAPTIST MEDICAL CTR-NASSAU 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	2,105,597 5,089,215	1,666,684 4,572,541	1,429,798 5,268,134	7,263,578 13,092,619	2,959,674 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	1,299,708 299,524	730,903 188,688.5	567,638 370,813	413,376 309,361.5	2,434,743 375,329
⊳ 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	303,430	332,956	334,824	293,481	251,640
⊳ Line 15: Revenue from rental of living quarters	0	0	0	240,675	242,940
⊳ 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	-23,908
⊳ 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	361,828	373,447	385,661	0	124,298
⊳ Line 23: Gov appropriations ? ⊳ Median	4,900 1,017,693	4,050 983,261.5	8,625 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	135,731	225,328	133,050	6,316,046	-70,039
Total income ? Median	12,284,638 6,586,430	16,901,619 6,767,106	19,786,907 8,419,950	13,422,338 8,094,175	17,579,397 15,162,888
Non-operating expenses Median	3,638 146,289.5	-381 164,857	4,028,907 89,880.5	-1,662 106,761	-603 31,473.5
Net income Median	12,281,000 6,043,842	16,902,000 5,845,112	15,758,000 7,606,259	13,424,000 7,283,041	17,580,000 14,957,241
Net margin Median	15.68266% 4.62%	20.31033% 4.42%	18.41791% 5.16%	16.24083% 5.2%	18.27129% 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 BAPTIST MEDICAL CTR-NASSAU 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	11,152,699 23,241,334	11,140,001 23,709,545	11,018,194 24,248,380	10,712,605 22,858,541	10,991,394 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	11,152,699 21,577,146	11,140,001 22,041,594	11,018,194 22,722,063	10,712,605 21,570,441	10,991,394 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	8,668,768 11,160,864	9,673,209 11,987,345	10,095,314 12,926,866	8,853,287 11,884,480	9,917,823 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	8,668,768 10,918,923	9,673,209 11,706,976	10,095,314 12,615,917	8,853,287 11,458,116	9,917,823 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	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	153,493 594,888	139,168 595,761	85,149 577,894	169,916 542,168	0 549,667
Outlier Median	129,826 582,572	52,707 538,116	10,768 212,434	9,589 126,559	34,075 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	4,267,360 2,654,636	4,654,031 2,940,659	4,809,585 3,380,215	3,782,213 3,488,738	4,207,528 3,233,405
Uncompensated care (UCC) Median	5,040,929 5,147,790	5,232,628 5,337,617	5,579,605 5,711,082	4,691,645 5,923,418	4,928,132 5,508,107
UCC as a % of operating expenses Median	7.63% 3.24	7.89% 3.12	8.48% 3.21	6.78% 3.3	6.27% 2.86
Total shortfall/UCC Median	5,040,929 9,489,989	5,232,628 9,424,297	5,579,605 10,120,158	4,691,645 11,171,337	4,928,132 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	20,855,153 52,142,039	20,725,966 54,485,252	21,047,868 57,395,589	22,501,589 58,830,919	25,202,957 61,722,907
Salaries as a % of operating expenses Median	33.55 36.68	32.63 36.56	32.00 36.37	32.50 35.93	32.05 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	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	1,685 1,449,244	766 1,475,986	27,095 1,563,078	1,685 1,721,954	27,095 2,991,828
Contract hours, direct-care Median	29.50 22,725	13.00 23,018.5	483.00 24,503.48	30.00 25,026.5	483.00 33,786
Contract wages, direct-care Median	57.12 64.67	58.92 64.53	56.10 65.06	56.17 68.97	56.10 88.94

* in an approved program

Return to top

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.