As of the July, 2022, release via CMS

MERCY MEDICAL CENTER

CMS id: 040010
2710 RIFE MEDICAL LANE, ROGERS AR 72758. County: BENTON
System: SISTER OF MERCY HEALTH SYSTEM
CBSA: Fayetteville-Springdale-Rogers, AR

The 275-bed, acute-care hospital had $35,795,434 in net service to patients*, with a total profit margin of 15.10646% in fiscal year 2021, the latest year available.
It spent 5.83% of its operating expenses on uncompensated care and reported $1,684,295 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	174 118	174 118	174 119.5	234 118	212 119
Total beds Median	206 162	206 162	206 162	275 162	275 163.5
FTEs Median	1,218.14 788.06	1,270.55 793.42	1,164.39 806.03	1,204.26 787.61	1,245.01 804.34

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	246,877,595 150,932,746	260,854,034 158,950,878	256,608,835 168,696,998	259,735,094 163,454,693	325,814,478 186,589,412
Operating expenses Median	201,798,795 149,311,209	225,701,896 156,110,414	226,745,614 164,890,568	252,696,376 166,516,854	290,019,044 180,120,888
Net income from service 2 patients (NS2P) ? Median	45,078,800 -964,173	35,152,138 -643,601.5	29,863,221 -116,254	7,038,718 -5,025,862	35,795,434 -1,284,564
NS2P margin ? Median	18.26% -0.62	13.48% -0.29	11.64% 0.18	2.71% -5.07	10.99% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MERCY MEDICAL CENTER 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	3,231,467 5,089,215	2,448,048 4,572,541	2,383,180 5,268,134	8,128,413 13,092,619	15,823,360 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	45,505 224,999	190,637 199,009	111,983 206,870.5	48,348 194,343	816,161 249,496
⊳ Line 7: Investments ? ⊳ Median	13,760 299,524	7,909 188,688.5	2,131 370,813	16,558 309,361.5	18,840 375,329
⊳ 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	798,237	800,204	759,042	593,476	340,646
⊳ Line 15: Revenue from rental of living quarters	0	133	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	0	515,439	485,722	293,052	267,640
⊳ Line 21: Rental of vending machines	0	0	0	7,909	0
⊳ Line 22: Rental of hospital space	639,130	0	0	15,950	31,112
⊳ 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	1,734,835	933,726	1,024,302	7,153,120	14,348,961
Total income ? Median	48,310,267 6,586,430	37,600,186 6,767,106	32,246,401 8,419,950	15,167,131 8,094,175	51,618,794 15,162,888
Non-operating expenses Median	970 146,289.5	4,999 164,857	17,419 89,880.5	0 106,761	9,415 31,473.5
Net income Median	48,309,297 6,043,842	37,595,187 5,845,112	32,228,982 7,606,259	15,167,131 7,283,041	51,609,379 14,957,241
Net margin Median	19.31529% 4.62%	14.27835% 4.42%	12.44401% 5.16%	5.66226% 5.2%	15.10646% 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 MERCY MEDICAL CENTER 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	39,930,310 23,241,334	42,767,312 23,709,545	40,084,945 24,248,380	39,913,511 22,858,541	49,286,429 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	39,930,310 21,577,146	42,767,312 22,041,594	40,084,945 22,722,063	39,913,511 21,570,441	44,614,778 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	4,671,651 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	29,294,098 11,160,864	31,090,125 11,987,345	31,720,566 12,926,866	30,187,115 11,884,480	31,392,265 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	25,853,943 10,918,923	27,300,914 11,706,976	28,270,902 12,615,917	26,596,991 11,458,116	27,839,254 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	3,440,155 1,282,808	3,789,211 1,407,728	3,449,664 1,341,512	3,590,124 1,407,046	3,553,011 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	682,111 3,284,314	1,339,833 3,250,551	1,507,206 3,386,837	1,415,810 3,360,806	1,988,374 3,508,953
Disproportionate-share hospital (DSH) Median	634,368 594,888	680,177 595,761	691,542 577,894	741,371 542,168	759,712 549,667
Outlier Median	1,768,268 582,572	1,525,495 538,116	533,889 212,434	75,261 126,559	78,509 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,300,907 3,662,910	1,435,204 3,730,911	426,734 4,081,319	4,162,058 4,643,908	1,684,295 4,389,147
Charity care Median	5,074,248 2,654,636	5,856,312 2,940,659	7,311,302 3,380,215	15,359,462 3,488,738	12,515,793 3,233,405
Uncompensated care (UCC) Median	14,716,160 5,147,790	10,929,303 5,337,617	12,750,992 5,711,082	20,497,937 5,923,418	16,905,226 5,508,107
UCC as a % of operating expenses Median	7.29% 3.24	4.84% 3.12	5.62% 3.21	8.11% 3.3	5.83% 2.86
Total shortfall/UCC Median	16,017,067 9,489,989	12,364,507 9,424,297	13,177,726 10,120,158	24,659,995 11,171,337	18,589,521 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	153,304,244 52,142,039	167,371,125 54,485,252	81,657,533 57,395,589	87,783,839 58,830,919	92,154,642 61,722,907
Salaries as a % of operating expenses Median	43.38 36.68	44.46 36.56	36.01 36.37	34.74 35.93	31.78 35.24
Intern, resident salaries* Median	577,772 2,598,592	1,247,442 2,686,824	2,260,551 2,753,773	1,252,183 2,937,156	1,011,106 2,909,848
Contract intern, resident salaries* Median	334,313 1,251,927	805,250 1,186,494	1,565,716 1,204,885	2,107,994 1,279,653	2,511,552 1,469,317
Contract adjusted salaries, direct-care Median	3,125,145 1,449,244	2,247,282 1,475,986	3,042,999 1,563,078	5,521,854 1,721,954	6,408,020 2,991,828
Contract hours, direct-care Median	33,973.79 22,725	46,776.00 23,018.5	39,080.04 24,503.48	67,834.99 25,026.5	59,860.28 33,786
Contract wages, direct-care Median	91.99 64.67	48.04 64.53	77.87 65.06	81.40 68.97	107.05 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.