As of the July, 2022, release via CMS

MERCY HOSPITAL

CMS id: 050295
2215 TRUXTUN AVENUE, BAKERSFIELD CA 93302. County: KERN
System: DIGNITY HEALTH
CBSA: Bakersfield, CA

The 249-bed, acute-care hospital had $16,032,514 in net service to patients*, with a total profit margin of 12.85170% in fiscal year 2021, the latest year available.
It spent 1.98% of its operating expenses on uncompensated care and reported $20,959,569 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	185 118	189 118	189 119.5	189 118	209 119
Total beds Median	222 162	226 162	226 162	226 162	249 163.5
FTEs Median	1,277.34 788.06	1,330.84 793.42	1,272.41 806.03	1,220.33 787.61	1,226.57 804.34

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	260,107,985 150,932,746	281,347,178 158,950,878	281,349,258 168,696,998	346,540,208 163,454,693	390,537,768 186,589,412
Operating expenses Median	304,161,998 149,311,209	320,144,612 156,110,414	322,468,195 164,890,568	341,595,282 166,516,854	374,505,254 180,120,888
Net income from service 2 patients (NS2P) ? Median	-44,054,013 -964,173	-38,797,434 -643,601.5	-41,118,937 -116,254	4,944,926 -5,025,862	16,032,514 -1,284,564
NS2P margin ? Median	-16.94% -0.62	-13.79% -0.29	-14.61% 0.18	1.43% -5.07	4.11% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MERCY HOSPITAL 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	47,641,564 5,089,215	50,306,677 4,572,541	49,702,837 5,268,134	85,154,449 13,092,619	39,195,524 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,814 224,999	257 199,009	3,684 206,870.5	8,100 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	17,570,107 299,524	11,825,999 188,688.5	3,809,000 370,813	3,270,576 309,361.5	32,276,798 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	112,583	46,300	36,818	24,352	20,190
⊳ Line 11: Rebates and refunds of expenses	0	746	0	0	614,468
⊳ 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	928,983	922,740	901,503	822,405	613,513
⊳ 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	52,893	40,182	34,862	38,724	19,627
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	41,728	40,053	36,022	44,440	20,872
⊳ Line 22: Rental of hospital space	250,365	131,950	137,754	134,193	146,889
⊳ Line 23: Gov appropriations ? ⊳ Median	96,168 1,017,693	151,927 983,261.5	-300,840 1,173,286	-288,503 1,987,202	0 1,597,664
⊳ Sum Line 24	28,586,923	37,146,523	45,044,034	81,100,162	5,483,167
Total income ? Median	3,587,551 6,586,430	11,509,243 6,767,106	8,583,900 8,419,950	90,099,375 8,094,175	55,228,038 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	3,587,551 6,043,842	11,509,243 5,845,112	8,583,900 7,606,259	90,099,375 7,283,041	55,228,038 14,957,241
Net margin Median	1.16574% 4.62%	3.47026% 4.42%	2.59292% 5.16%	20.87109% 5.2%	12.85170% 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 HOSPITAL 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	31,678,244 23,241,334	30,142,913 23,709,545	30,399,658 24,248,380	30,199,986 22,858,541	34,255,987 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	31,678,244 21,577,146	30,142,913 22,041,594	30,399,658 22,722,063	30,199,986 21,570,441	34,255,987 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	12,572,175 11,160,864	13,399,203 11,987,345	15,012,443 12,926,866	14,264,694 11,884,480	12,827,853 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	10,848,012 10,918,923	11,896,997 11,706,976	13,675,506 12,615,917	12,581,957 11,458,116	11,214,590 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,724,163 1,282,808	1,502,206 1,407,728	1,336,937 1,341,512	1,682,737 1,407,046	1,613,263 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	2,092,121 594,888	2,049,446 595,761	2,011,997 577,894	1,897,340 542,168	1,981,970 549,667
Outlier Median	1,740,730 582,572	1,466,252 538,116	1,589,499 212,434	286,967 126,559	317,322 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	22,365,750 3,730,911	29,632,787 4,081,319	29,293,766 4,643,908	20,959,569 4,389,147
Charity care Median	1,611,986 2,654,636	1,866,094 2,940,659	3,925,469 3,380,215	7,100,965 3,488,738	5,057,268 3,233,405
Uncompensated care (UCC) Median	4,721,077 5,147,790	4,363,809 5,337,617	7,534,989 5,711,082	10,439,023 5,923,418	7,432,580 5,508,107
UCC as a % of operating expenses Median	1.55% 3.24	1.36% 3.12	2.34% 3.21	3.06% 3.3	1.98% 2.86
Total shortfall/UCC Median	4,721,077 9,489,989	26,729,559 9,424,297	37,167,776 10,120,158	39,732,789 11,171,337	28,392,149 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	112,430,502 52,142,039	114,583,717 54,485,252	116,576,629 57,395,589	117,378,698 58,830,919	121,763,418 61,722,907
Salaries as a % of operating expenses Median	36.96 36.68	35.79 36.56	36.15 36.37	34.36 35.93	32.51 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	8,426,611 1,449,244	4,626,246 1,475,986	2,888,065 1,563,078	6,894,655 1,721,954	12,346,414 2,991,828
Contract hours, direct-care Median	93,747.00 22,725	45,280.00 23,018.5	34,388.67 24,503.48	74,984.00 25,026.5	96,263.00 33,786
Contract wages, direct-care Median	89.89 64.67	102.17 64.53	83.98 65.06	91.95 68.97	128.26 88.94

* in an approved program

Return to top

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.