A hospital in Jacksonville, FL. It ran an operating loss of 11.0% in FY25 on $1018.2M of operating revenue. It held 94 days of cash on hand (69th percentile among Urban PPS hospitals on liquidity). Operating margin declined from -9.0% in FY21 to -11.0% in FY25, though it rose 11.7 points in the most recent year. Including nonoperating items, the all-in result was positive at 5.4%.
Operating margin · FY25
-11.0%
▲ 11.7 pts vs FY24
vs Urban PPS hospitals20th pctl of 1,475 (FY25)
Days cash on hand · FY25
94d
all sources
▲ 46.1 days vs FY24
vs Urban PPS hospitals69th pctl of 1,386 (FY25)
Total operating revenue · FY25
$1.02B
▲ 194.4 $M vs FY24
vs Urban PPS hospitals88th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+5.4%
▼ 6.6 pts vs FY24
vs Urban PPS hospitals46th pctl of 1,475 (FY25)
One point of operating margin at SHANDS JACKSONVILLE is about $10.2M per year (1% of FY25 total operating revenue).
Where SHANDS JACKSONVILLE sits among Urban PPS hospitals
Operating margin · FY25 pool · n = 1,475 of 2,681 filed
Each point is one Urban PPS hospital in the national distribution for this provider type, placed by operating margin. Facilities are not matched on size, case mix, or market — that is the matched-peer comparison in the paid benchmark. The Urban PPS hospital median is +1.3%. Descriptive context only, not a ranking.
One urban pps hospitalSHANDS JACKSONVILLEUrban PPS hospital median
The money
$ thousands · HCRIS cost-report basis · as filed, QA-gated
Ratios tell you how this hospital is doing. Statements tell you what kind of organization it is, and where the money comes from. Every figure below traces to a public cost-report filing, shown as filed. A ratio renders only when every input is reported in the filing; a year missing its core lines is not shown; a year whose balance sheet does not reconcile is labeled. Not audited by Astrelis.
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line item
FY23
FY24
FY25
Patient revenue
861,446
811,985
1,005,623
Other operating revenue
24,212
11,875
12,587
Total operating revenue
885,658
823,859
1,018,210
Total operating expenses
922,443
1,010,803
1,130,030
Operating income
(36,785)
(186,943)
(111,820)
Operating margin %
-4.2%
-22.7%
-11.0%
Grants & contributions
—
216,785
275,222
Investment income
5,415
6,668
11,193
Other non-operating, net
(23,265)
88,960
(104,195)
Net income
(54,635)
125,470
70,400
Net income %
-6.3%
+11.0%
+5.9%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY21–FY25 · FY20–21 may include COVID-era relief funding in nonoperating income
How it operates
quality & operational context · CMS public reporting
A 376-bed hospital at 91% occupancy 52% of patient revenue is outpatient.
The metrics this hospital type is judged on: care quality, patient experience, and scale. Each is labeled by evidence class and public source; descriptive context only, never a ranking or adequacy claim.
Scale and flow
Occupancy
91.3%
Verified fact2025
HCRIS WS S-3
Average daily census
343.77
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
376
Verified fact2025
HCRIS WS S-3
Annual discharges
31,067
Verified fact2025
HCRIS WS S-3
Average length of stay
4.0d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
52.5%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
5,225
Verified fact2025
HCRIS WS S-3 Pt II
How the care measures up
C. difficile infection (SIR)
0.387
Better than the National Benchmark
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
14.9%
No Different Than the National Rate
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
0.95
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
1.024028
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare
Trajectory
Cost-report basis · 5 reporting years
Operating margin
Days cash on hand
The county this hospital serves
DUVAL County, FL
Median household income
$68.4K
vs $82.1K US · $59.7K rural median
Poverty rate
14.6%
vs 12.5% US · 14.3% rural median
Uninsured
11.5%
vs 8.6% US · 8.4% rural median
Age 65+
15.0%
vs 16.8% US · 20.6% rural median
Fair or poor health
19.9%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 8.1% of county personal income is Medicare/Medicaid medical benefits; 19.8% arrives as government transfers (BEA, 2022).
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