Astrelis
Urban PPS hospital · St. Johns, FL

ASCENSION ST VINCENT'S ST JOHNS COUNTY

CCN 100361ST. JOHNS CountyVoluntary non-profit - PrivateUrban (USDA RUCC)48 bedsLatest FY 2025
Cost-report basis
HCRIS · as filed
Not audited by Astrelis
The read

A hospital in St. Johns, FL. It ran an operating surplus of 5.6% in FY25 on $82.7M of operating revenue. It held 0 days of cash on hand (9th percentile among Urban PPS hospitals on liquidity). Only a single comparable reporting year is available, so trend context is limited.

Operating margin · FY25
+5.6%
vs Urban PPS hospitals62nd pctl of 1,475 (FY25)
Days cash on hand · FY25
0d
all sources
vs Urban PPS hospitals9th pctl of 1,386 (FY25)
Total operating revenue · FY25
$82.7M
vs Urban PPS hospitals17th pctl of 1,503 (FY25)
Total margin · incl. nonoperating · FY25
+6.7%
vs Urban PPS hospitals52nd pctl of 1,475 (FY25)
One point of operating margin at ASCENSION ST VINCENT'S ST JOHNS COUNTY is about $827K per year (1% of FY25 total operating revenue).

Where ASCENSION ST VINCENT'S 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.

-20%-10%0%+10%+20%Urban PPS hospital median +1.3311360264910879%ASCENSION ST +5.638684895455381%-20%0%+20%Urban PPS hospital median +1.3311360264910879%ASCENSION ST +5.638684895455381%
One urban pps hospitalASCENSION STUrban 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.

Operating margin
+5.6% (FY25)
Operating income ÷ total operating revenue
HCRIS WS G-3
Total margin
+6.7% (FY25)
Net income ÷ total revenue incl. nonoperating
HCRIS WS G-3
Days cash on hand
0d (FY25)
Cash, investments & board-designated reserves ÷ daily operating expense (excl. depreciation)
HCRIS WS G / G-3
Current ratio
1.26× (FY25)
Total current assets ÷ current liabilities
HCRIS WS G
Equity financing ratio
92% (FY25)
Total net assets ÷ total assets
HCRIS WS G
Days in net patient A/R
61d (FY25)
Net patient receivables ÷ (net patient revenue ÷ 365), same fiscal year
HCRIS WS G / G-3
$ in thousands
Line itemFY23FY24FY25
Patient revenue33,59564,70182,647
Other operating revenue1336
Total operating revenue33,59564,70482,682
Total operating expenses43,79770,44178,020
Operating income(10,202)(5,737)4,662
Operating margin %-30.4%-8.9%+5.6%
Grants & contributions(47)(16)
Investment income146
Other non-operating, net386729963
Net income(9,815)(5,051)5,615
Net income %-28.9%-7.7%+6.7%
HCRIS Worksheet G-3 / S-3 · $ thousands · FY23–FY25

How it operates

quality & operational context · CMS public reporting

A 48-bed hospital at 34% occupancy 69% 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
34.0%
Verified fact2025
HCRIS WS S-3
Average daily census
16.35
Verified fact2025
HCRIS WS S-3
Staffed beds (acute)
48
Verified fact2025
HCRIS WS S-3
Annual discharges
2,145
Verified fact2025
HCRIS WS S-3
Average length of stay
2.8d
Verified fact2025
HCRIS WS S-3
Outpatient share of patient revenue
69.0%
Verified fact2025
HCRIS WS G-2 L28
Total FTEs
254.20
Verified fact2025
HCRIS WS S-3 Pt II
Contract labor share of labor cost
16.4%
Verified fact2025
HCRIS WS S-3 Pt V
How the care measures up
C. difficile infection (SIR)
Results are based on a shorter time period than required.; This measure was calculated using partial performance period data due to a CMS-approved exception.
CMS-reported measure07/01/2024 to 06/30/2025
CMS Care Compare
Hospital-wide unplanned readmission
This measure was calculated using partial performance period data due to a CMS-approved exception.
CMS-reported measure07/01/2023 to 06/30/2024
CMS Care Compare
Medicare spending per beneficiary
This measure was calculated using partial performance period data due to a CMS-approved exception.
CMS-reported measure01/01/2024 to 12/31/2024
CMS Care Compare
Patient-safety composite (PSI-90)
This measure was calculated using partial performance period data due to a CMS-approved exception.
CMS-reported measure07/01/2022 to 06/30/2024
CMS Care Compare

Trajectory

Cost-report basis · 3 reporting years
Operating margin
-30.4%-8.9%+5.6%FY23FY24FY25
Days cash on hand
0 days0 days0 daysFY23FY24FY25

The county this hospital serves

ST. JOHNS County, FL
Median household income
$106.2K
vs $82.1K US · $59.7K rural median
Poverty rate
6.7%
vs 12.5% US · 14.3% rural median
Uninsured
6.4%
vs 8.6% US · 8.4% rural median
Age 65+
20.9%
vs 16.8% US · 20.6% rural median
Fair or poor health
14.6%
self-reported, adults · CDC PLACES
Primary-care shortage
Designated
HRSA HPSA
Economic context: 4.6% of county personal income is Medicare/Medicaid medical benefits; 12.7% arrives as government transfers (BEA, 2022).

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