As of the July, 2022, release via CMS

ASCENSION ST. VINCENTS CLAY COUNTY

CMS id: 100321
1670 ST. VINCENTS WAY, MIDDLEBURG FL 32068. County: CLAY
System: ASCENSION ST. VINCENTS HEALTH CARE
CBSA: Jacksonville, FL

The 134-bed, acute-care hospital had $18,330,125 in net service to patients*, with a total profit margin of 12.94684% in fiscal year 2021, the latest year available.
It spent 6.80% of its operating expenses on uncompensated care and reported $5,601,764 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	98 118	98 118	98 119.5	98 118	106 119
Total beds Median	106 162	106 162	106 162	106 162	134 163.5
FTEs Median	458.65 788.06	459.69 793.42	468.86 806.03	471.06 787.61	548.93 804.34

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	97,274,292 150,932,746	115,383,823 158,950,878	120,803,183 168,696,998	119,126,415 163,454,693	146,883,227 186,589,412
Operating expenses Median	84,932,128 149,311,209	91,254,682 156,110,414	102,114,762 164,890,568	109,655,243 166,516,854	128,553,102 180,120,888
Net income from service 2 patients (NS2P) ? Median	12,342,164 -964,173	24,129,141 -643,601.5	18,688,421 -116,254	9,471,172 -5,025,862	18,330,125 -1,284,564
NS2P margin ? Median	12.69% -0.62	20.91% -0.29	15.47% 0.18	7.95% -5.07	12.48% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ASCENSION ST. VINCENTS CLAY COUNTY 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	1,604,802 5,089,215	1,203,015 4,572,541	1,041,397 5,268,134	3,334,511 13,092,619	753,333 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	51,328 224,999	149,191 199,009	160,496 206,870.5	5,579 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	21,397 299,524	32,655 188,688.5	31,812 370,813	22,933 309,361.5	12,593 375,329
⊳ 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	413,685	412,886	439,524	405,920	375,818
⊳ 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	55,057	55,556	64,688	39,642	940
⊳ Line 21: Rental of vending machines	31,283	56,458	58,829	50,781	43,056
⊳ Line 22: Rental of hospital space	-73	117	0	0	0
⊳ 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	1,032,125	496,152	286,048	2,809,656	320,926
Total income ? Median	13,946,966 6,586,430	25,332,156 6,767,106	19,729,818 8,419,950	12,805,683 8,094,175	19,083,458 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	-11,240 89,880.5	-20,702 106,761	-30,814 31,473.5
Net income Median	13,946,966 6,043,842	25,332,156 5,845,112	19,741,058 7,606,259	12,826,385 7,283,041	19,114,272 14,957,241
Net margin Median	14.10507% 4.62%	21.72814% 4.42%	16.20184% 5.16%	10.47386% 5.2%	12.94684% 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 CLAY COUNTY 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	17,207,758 23,241,334	21,250,829 23,709,545	19,916,501 24,248,380	20,023,910 22,858,541	23,647,351 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	17,207,758 21,577,146	21,250,829 22,041,594	19,916,501 22,722,063	20,023,910 21,570,441	23,647,351 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	8,308,166 11,160,864	10,308,999 11,987,345	11,655,469 12,926,866	10,245,381 11,884,480	11,991,591 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	8,308,166 10,918,923	10,308,999 11,706,976	11,655,469 12,615,917	10,245,381 11,458,116	11,991,591 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	0 594,888	235,127 595,761	198,601 577,894	305,194 542,168	302,317 549,667
Outlier Median	69,262 582,572	218,651 538,116	12,265 212,434	12,438 126,559	20,936 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	3,328,312 3,662,910	2,372,620 3,730,911	2,555,240 4,081,319	4,229,222 4,643,908	5,601,764 4,389,147
Charity care Median	3,368,004 2,654,636	5,073,942 2,940,659	7,820,677 3,380,215	8,179,347 3,488,738	6,706,703 3,233,405
Uncompensated care (UCC) Median	4,776,204 5,147,790	6,849,534 5,337,617	9,794,888 5,711,082	10,289,436 5,923,418	8,739,366 5,508,107
UCC as a % of operating expenses Median	5.62% 3.24	7.51% 3.12	9.59% 3.21	9.38% 3.3	6.80% 2.86
Total shortfall/UCC Median	8,104,516 9,489,989	9,222,154 9,424,297	12,350,128 10,120,158	14,518,658 11,171,337	14,341,130 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	27,834,106 52,142,039	29,285,318 54,485,252	28,912,778 57,395,589	31,253,927 58,830,919	38,019,586 61,722,907
Salaries as a % of operating expenses Median	32.77 36.68	32.09 36.56	28.31 36.37	28.50 35.93	29.58 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	537,881 1,449,244	164,770 1,475,986	217,191 1,563,078	490,588 1,721,954	595,455 2,991,828
Contract hours, direct-care Median	5,097.00 22,725	2,376.86 23,018.5	3,212.00 24,503.48	5,990.00 25,026.5	7,271.00 33,786
Contract wages, direct-care Median	105.53 64.67	69.32 64.53	67.62 65.06	81.90 68.97	81.89 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.