As of the July, 2022, release via CMS

ASCENSION ST. VINCENTS SOUTHSIDE HO

CMS id: 100307
4201 BELFORT ROAD, JACKSONVILLE FL 32216. County: DUVAL
System: ST. VINCENTS HEALTH CARE
CBSA: Jacksonville, FL

The 282-bed, acute-care hospital had $15,269,608 in net service to patients*, with a total profit margin of 6.90374% in fiscal year 2021, the latest year available.
It spent 5.50% of its operating expenses on uncompensated care and reported $9,904,697 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	250 118	250 118	233 119.5	250 118	250 119
Total beds Median	311 162	311 162	260 162	278 162	282 163.5
FTEs Median	749.15 788.06	749.42 793.42	689.20 806.03	655.86 787.61	785.65 804.34

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	188,696,006 150,932,746	207,581,533 158,950,878	197,092,778 168,696,998	175,539,759 163,454,693	234,818,398 186,589,412
Operating expenses Median	167,206,883 149,311,209	166,507,351 156,110,414	173,050,744 164,890,568	170,775,605 166,516,854	219,548,790 180,120,888
Net income from service 2 patients (NS2P) ? Median	21,489,123 -964,173	41,074,182 -643,601.5	24,042,034 -116,254	4,764,154 -5,025,862	15,269,608 -1,284,564
NS2P margin ? Median	11.39% -0.62	19.79% -0.29	12.20% 0.18	2.71% -5.07	6.50% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ASCENSION ST. VINCENTS SOUTHSIDE HO 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	4,051,711 5,089,215	3,254,802 4,572,541	2,809,907 5,268,134	6,134,455 13,092,619	999,570 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	77,650 224,999	114,406 199,009	161,101 206,870.5	22,641 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	59,541 299,524	54,053 188,688.5	38,714 370,813	27,927 309,361.5	29,907 375,329
⊳ 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	1,365	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	855,513	878,095	840,515	658,230	605,401
⊳ 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	2,237	13,155
⊳ 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	67,708	62,090	53,254	37,593	5,401
⊳ Line 21: Rental of vending machines	44,503	37,145	42,785	34,367	32,950
⊳ Line 22: Rental of hospital space	1,705,499	1,475,724	1,152,298	968,681	904,045
⊳ 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	1,239,932	633,289	521,240	4,382,779	-591,289
Total income ? Median	25,540,834 6,586,430	44,328,984 6,767,106	26,851,941 8,419,950	10,898,609 8,094,175	16,269,178 15,162,888
Non-operating expenses Median	52,327 146,289.5	0 164,857	-10,072 89,880.5	-10,110 106,761	-11,086 31,473.5
Net income Median	25,488,507 6,043,842	44,328,984 5,845,112	26,862,013 7,606,259	10,908,719 7,283,041	16,280,264 14,957,241
Net margin Median	13.22377% 4.62%	21.02531% 4.42%	13.43754% 5.16%	6.00455% 5.2%	6.90374% 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 SOUTHSIDE HO 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	36,973,478 23,241,334	37,161,435 23,709,545	32,450,756 24,248,380	26,474,355 22,858,541	26,736,969 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	34,784,364 21,577,146	35,188,761 22,041,594	31,527,752 22,722,063	26,474,355 21,570,441	26,736,969 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	2,189,114 1,203,033	1,972,674 1,215,295	923,004 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	10,400,270 11,160,864	12,931,726 11,987,345	13,393,845 12,926,866	12,148,946 11,884,480	17,791,069 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	10,400,270 10,918,923	12,931,726 11,706,976	13,393,845 12,615,917	12,148,946 11,458,116	17,791,069 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	617,984 594,888	669,676 595,761	606,623 577,894	570,854 542,168	570,880 549,667
Outlier Median	356,728 582,572	194,640 538,116	75,917 212,434	28,004 126,559	60,785 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	5,069,431 3,662,910	5,084,097 3,730,911	3,575,554 4,081,319	4,799,540 4,643,908	9,904,697 4,389,147
Charity care Median	4,403,465 2,654,636	6,673,835 2,940,659	9,546,934 3,380,215	10,098,853 3,488,738	9,661,482 3,233,405
Uncompensated care (UCC) Median	6,730,373 5,147,790	9,440,627 5,337,617	12,092,661 5,711,082	12,471,060 5,923,418	12,085,535 5,508,107
UCC as a % of operating expenses Median	4.03% 3.24	5.67% 3.12	6.99% 3.21	7.30% 3.3	5.50% 2.86
Total shortfall/UCC Median	11,799,804 9,489,989	14,524,724 9,424,297	15,668,215 10,120,158	17,270,600 11,171,337	21,990,232 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	45,840,240 52,142,039	46,924,760 54,485,252	43,279,846 57,395,589	43,104,904 58,830,919	54,010,599 61,722,907
Salaries as a % of operating expenses Median	27.42 36.68	28.18 36.56	25.01 36.37	25.24 35.93	24.60 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	1,368,530 1,449,244	772,631 1,475,986	1,052,525 1,563,078	495,347 1,721,954	1,531,578 2,991,828
Contract hours, direct-care Median	12,176.00 22,725	12,170.00 23,018.5	17,806.00 24,503.48	7,393.00 25,026.5	22,880.00 33,786
Contract wages, direct-care Median	112.40 64.67	63.49 64.53	59.11 65.06	67.00 68.97	66.94 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.