As of the July, 2022, release via CMS

MERCY MEDICAL CENTER MERCED

CMS id: 050444
333 MERCY AVENUE, MERCED CA 95340. County: MERCED
System: DIGNITY HEALTH
CBSA: Merced, CA

The 186-bed, acute-care hospital had $10,075,895 in net service to patients*, with a total profit margin of 9.08222% in fiscal year 2021, the latest year available.
It spent 3.09% of its operating expenses on uncompensated care and reported $19,601,818 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	166 118	166 118	166 119.5	166 118	166 119
Total beds Median	186 162	186 162	186 162	186 162	186 163.5
FTEs Median	1,135.14 788.06	1,177.52 793.42	1,177.52 806.03	1,069.13 787.61	1,060.44 804.34

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	307,871,514 150,932,746	345,517,936 158,950,878	335,168,473 168,696,998	321,012,794 163,454,693	345,039,491 186,589,412
Operating expenses Median	298,696,382 149,311,209	311,100,338 156,110,414	312,124,729 164,890,568	317,504,501 166,516,854	334,963,596 180,120,888
Net income from service 2 patients (NS2P) ? Median	9,175,132 -964,173	34,417,598 -643,601.5	23,043,744 -116,254	3,508,293 -5,025,862	10,075,895 -1,284,564
NS2P margin ? Median	2.98% -0.62	9.96% -0.29	6.88% 0.18	1.09% -5.07	2.92% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MERCY MEDICAL CENTER MERCED 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	3,805,559 5,089,215	3,207,140 4,572,541	2,782,633 5,268,134	98,031,796 13,092,619	23,385,256 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	622,345 224,999	82,967 199,009	0 206,870.5	0 194,343	7,259 249,496
⊳ Line 7: Investments ? ⊳ Median	55,315 299,524	231,874 188,688.5	178,023 370,813	370,624 309,361.5	10,395,162 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	124,866	84,947	28,321	24,818	9,740
⊳ Line 11: Rebates and refunds of expenses	556	3,395	289	0	548,458
⊳ 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	1,095,115	1,096,183	1,145,051	1,017,735	497,648
⊳ 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	38,110	39,437	40,208	35,139	23,591
⊳ 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	22,864	10,603	10,613	10,874	4,173
⊳ Line 22: Rental of hospital space	451,962	458,631	468,706	472,338	487,965
⊳ Line 23: Gov appropriations ? ⊳ Median	-622,647 1,017,693	71,785 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	2,017,073	1,127,318	911,422	96,100,268	11,411,260
Total income ? Median	12,980,691 6,586,430	37,624,738 6,767,106	25,826,377 8,419,950	101,540,089 8,094,175	33,461,151 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	12,980,691 6,043,842	37,624,738 5,845,112	25,826,377 7,606,259	101,540,089 7,283,041	33,461,151 14,957,241
Net margin Median	4.16479% 4.62%	10.78923% 4.42%	7.64205% 5.16%	24.23133% 5.2%	9.08222% 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 MERCED 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	60,638,115 23,241,334	59,840,332 23,709,545	57,311,137 24,248,380	51,855,171 22,858,541	52,042,325 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	60,638,115 21,577,146	59,840,332 22,041,594	57,311,137 22,722,063	51,855,171 21,570,441	52,042,325 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	16,754,012 11,160,864	19,318,396 11,987,345	22,035,139 12,926,866	25,267,109 11,884,480	25,809,210 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	14,880,189 10,918,923	17,034,753 11,706,976	19,353,562 12,615,917	22,174,848 11,458,116	22,183,119 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,111,218 1,282,808	1,381,802 1,407,728	1,786,461 1,341,512	2,217,757 1,407,046	2,681,446 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	762,605 618,038	901,841 697,279	895,116 690,232	874,504 684,010	944,645 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	3,959,267 3,284,314	4,007,099 3,250,551	3,949,036 3,386,837	3,768,832 3,360,806	3,481,474 3,508,953
Disproportionate-share hospital (DSH) Median	4,126,670 594,888	4,038,040 595,761	3,906,704 577,894	3,829,352 542,168	3,819,442 549,667
Outlier Median	2,220,309 582,572	1,777,182 538,116	2,017,007 212,434	401,048 126,559	545,950 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,197,487 3,662,910	86,277 3,730,911	0 4,081,319	17,012,814 4,643,908	19,601,818 4,389,147
Charity care Median	1,877,894 2,654,636	3,415,780 2,940,659	4,871,351 3,380,215	7,904,378 3,488,738	7,671,313 3,233,405
Uncompensated care (UCC) Median	5,426,240 5,147,790	5,793,414 5,337,617	7,814,889 5,711,082	10,681,841 5,923,418	10,351,779 5,508,107
UCC as a % of operating expenses Median	1.82% 3.24	1.86% 3.12	2.50% 3.21	3.36% 3.3	3.09% 2.86
Total shortfall/UCC Median	7,623,727 9,489,989	5,879,691 9,424,297	7,814,889 10,120,158	27,694,655 11,171,337	29,953,597 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	101,928,814 52,142,039	104,657,219 54,485,252	105,769,252 57,395,589	104,335,675 58,830,919	109,248,868 61,722,907
Salaries as a % of operating expenses Median	34.12 36.68	33.64 36.56	33.89 36.37	32.86 35.93	32.62 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	7,306,094 1,449,244	5,114,975 1,475,986	5,430,060 1,563,078	9,774,286 1,721,954	12,937,687 2,991,828
Contract hours, direct-care Median	81,149.00 22,725	54,331.00 23,018.5	66,852.00 24,503.48	116,949.00 25,026.5	127,813.00 33,786
Contract wages, direct-care Median	90.03 64.67	94.14 64.53	81.23 65.06	83.58 68.97	101.22 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.