As of the July, 2022, release via CMS

MERCY MEDICAL CENTER

CMS id: 160079
701 10TH STREET SE, CEDAR RAPIDS IA 52403. County: LINN
System: --
CBSA: Cedar Rapids, IA

The 293-bed, acute-care hospital had $2,956,745 in net service to patients*, with a total profit margin of 25.60809% in fiscal year 2021, the latest year available.
It spent 3.30% of its operating expenses on uncompensated care and reported $4,107,380 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	165 118	165 118	165 119.5	178 118	187 119
Total beds Median	298 162	298 162	298 162	296 162	293 163.5
FTEs Median	2,045.90 788.06	1,998.29 793.42	2,037.38 806.03	1,986.79 787.61	1,936.58 804.34

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	319,647,000 150,932,746	326,926,000 158,950,878	331,368,192 168,696,998	330,498,541 163,454,693	356,690,311 186,589,412
Operating expenses Median	307,962,000 149,311,209	321,957,000 156,110,414	337,215,059 164,890,568	343,017,981 166,516,854	353,733,566 180,120,888
Net income from service 2 patients (NS2P) ? Median	11,685,000 -964,173	4,969,000 -643,601.5	-5,846,867 -116,254	-12,519,440 -5,025,862	2,956,745 -1,284,564
NS2P margin ? Median	3.66% -0.62	1.52% -0.29	-1.76% 0.18	-3.79% -5.07	0.83% -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	38,997,000 5,089,215	38,906,000 4,572,541	11,828,000 5,268,134	48,168,000 13,092,619	109,225,000 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	5,154,000 299,524	7,974,000 188,688.5	9,084,000 370,813	7,684,000 309,361.5	12,390,000 375,329
⊳ 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	0	0	0	0	0
⊳ 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	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	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	639,000	109,000	360,000	570,000	-295,000
⊳ 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	33,204,000	30,823,000	2,384,000	39,914,000	97,130,000
Total income ? Median	50,682,000 6,586,430	43,875,000 6,767,106	5,981,133 8,419,950	35,648,560 8,094,175	112,181,745 15,162,888
Non-operating expenses Median	22,296,000 146,289.5	20,978,000 164,857	10,379,133 89,880.5	15,515,560 106,761	-7,130,255 31,473.5
Net income Median	28,386,000 6,043,842	22,897,000 5,845,112	-4,398,000 7,606,259	20,133,000 7,283,041	119,312,000 14,957,241
Net margin Median	7.91481% 4.62%	6.25888% 4.42%	-1.28148% 5.16%	5.31682% 5.2%	25.60809% 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	39,296,795 23,241,334	39,149,895 23,709,545	38,875,854 24,248,380	37,821,401 22,858,541	41,858,206 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	35,808,923 21,577,146	35,697,923 22,041,594	35,621,184 22,722,063	34,369,866 21,570,441	37,145,760 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	1,364,673 1,845,420	1,426,637 1,757,392	1,168,871 1,738,842	521,544 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	1,160,911 3,535,627	1,060,602 3,746,588	1,812,401 3,782,288	2,929,991 3,865,578	4,712,446 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	962,288 1,203,033	964,733 1,215,295	273,398 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	37,163,606 11,160,864	39,960,010 11,987,345	41,267,021 12,926,866	42,195,042 11,884,480	46,393,315 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	35,003,210 10,918,923	37,609,714 11,706,976	39,163,855 12,615,917	40,308,826 11,458,116	44,303,137 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,160,396 1,282,808	2,350,296 1,407,728	2,103,166 1,341,512	1,886,216 1,407,046	2,090,178 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	550,805 3,284,314	585,287 3,250,551	566,590 3,386,837	531,437 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	580,333 594,888	594,790 595,761	582,127 577,894	711,014 542,168	783,689 549,667
Outlier Median	337,095 582,572	556,708 538,116	266,969 212,434	124,167 126,559	201,725 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	474,998 3,662,910	279,187 3,730,911	5,590,573 4,081,319	2,277,956 4,643,908	4,107,380 4,389,147
Charity care Median	6,596,541 2,654,636	10,014,101 2,940,659	12,360,580 3,380,215	8,455,769 3,488,738	10,514,549 3,233,405
Uncompensated care (UCC) Median	9,026,512 5,147,790	11,416,467 5,337,617	13,855,055 5,711,082	10,239,110 5,923,418	11,662,119 5,508,107
UCC as a % of operating expenses Median	2.93% 3.24	3.55% 3.12	4.11% 3.21	2.99% 3.3	3.30% 2.86
Total shortfall/UCC Median	9,501,510 9,489,989	11,695,654 9,424,297	19,445,628 10,120,158	12,517,066 11,171,337	15,769,499 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	118,502,973 52,142,039	126,757,995 54,485,252	131,660,931 57,395,589	132,955,602 58,830,919	142,598,859 61,722,907
Salaries as a % of operating expenses Median	38.14 36.68	39.07 36.56	38.55 36.37	38.57 35.93	39.21 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	1,663,378 1,251,927	1,917,960 1,186,494	1,726,201 1,204,885	2,152,794 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	4,222,192 1,449,244	4,256,295 1,475,986	3,054,020 1,563,078	3,755,757 1,721,954	3,002,324 2,991,828
Contract hours, direct-care Median	58,361.00 22,725	61,732.00 23,018.5	43,760.00 24,503.48	46,963.22 25,026.5	34,962.00 33,786
Contract wages, direct-care Median	72.35 64.67	68.95 64.53	69.79 65.06	79.97 68.97	85.87 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.