As of the July, 2022, release via CMS

MERCY HOSPITAL

CMS id: 200008
144 STATE STREET, PORTLAND ME 4101. County: CUMBERLAND
System: EASTERN MAINE HEALTHCARE SYSTEM
CBSA: Portland-South Portland, ME

The 103-bed, acute-care hospital had $-11,275,964 in net service to patients*, with a total profit margin of 2.80545% in fiscal year 2021, the latest year available.
It spent 3.28% of its operating expenses on uncompensated care and reported $10,667,850 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	96 118	96 118	96 119.5	96 118	96 119
Total beds Median	103 162	103 162	103 162	103 162	103 163.5
FTEs Median	1,159.47 788.06	1,164.54 793.42	1,176.65 806.03	1,102.09 787.61	1,087.95 804.34

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	208,460,634 150,932,746	218,869,812 158,950,878	230,169,134 168,696,998	198,535,933 163,454,693	230,898,457 186,589,412
Operating expenses Median	216,097,466 149,311,209	221,590,232 156,110,414	221,936,634 164,890,568	222,287,358 166,516,854	242,174,421 180,120,888
Net income from service 2 patients (NS2P) ? Median	-7,636,832 -964,173	-2,720,420 -643,601.5	8,232,500 -116,254	-23,751,425 -5,025,862	-11,275,964 -1,284,564
NS2P margin ? Median	-3.66% -0.62	-1.24% -0.29	3.58% 0.18	-11.96% -5.07	-4.88% -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	3,728,580 5,089,215	4,331,555 4,572,541	4,140,744 5,268,134	12,200,200 13,092,619	19,258,959 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	46,685 224,999	256,638 199,009	1,374,103 206,870.5	69,788 194,343	1,876 249,496
⊳ Line 7: Investments ? ⊳ Median	23,101 299,524	69,560 188,688.5	83,559 370,813	62,051 309,361.5	71,884 375,329
⊳ 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	718,755	769,908	772,841	657,659	561,102
⊳ 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	5,746	3,626	15,792	58,659	5
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	107,659	97,884	99,321	50,367	4,518
⊳ Line 21: Rental of vending machines	20,923	20,385	26,450	20,046	30,743
⊳ Line 22: Rental of hospital space	188,258	202,352	407,342	345,574	329,702
⊳ Line 23: Gov appropriations ? ⊳ Median	693,723 1,017,693	-370,635 983,261.5	34,147 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	1,923,730	3,281,837	1,327,189	10,936,056	18,259,129
Total income ? Median	-3,908,252 6,586,430	1,611,135 6,767,106	12,373,244 8,419,950	-11,551,225 8,094,175	7,982,995 15,162,888
Non-operating expenses Median	-48,205 146,289.5	-13,752 164,857	160,810 89,880.5	-570,082 106,761	964,953 31,473.5
Net income Median	-3,860,047 6,043,842	1,624,887 5,845,112	12,212,434 7,606,259	-10,981,143 7,283,041	7,018,042 14,957,241
Net margin Median	-1.81915% 4.62%	0.72799% 4.42%	5.21209% 5.16%	-5.21085% 5.2%	2.80545% 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	20,133,006 23,241,334	18,417,595 23,709,545	19,337,152 24,248,380	15,454,245 22,858,541	10,900,523 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	20,133,006 21,577,146	18,417,595 22,041,594	19,337,152 22,722,063	15,454,245 21,570,441	10,900,523 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	21,264,589 11,160,864	23,511,731 11,987,345	18,661,355 12,926,866	15,695,122 11,884,480	17,415,152 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	21,264,589 10,918,923	23,511,731 11,706,976	18,661,355 12,615,917	15,695,122 11,458,116	17,415,152 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 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	270,021 594,888	278,186 595,761	299,919 577,894	238,473 542,168	208,372 549,667
Outlier Median	1,461,097 582,572	1,325,043 538,116	388,306 212,434	446,982 126,559	667,566 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	670,130 3,730,911	0 4,081,319	6,370,033 4,643,908	10,667,850 4,389,147
Charity care Median	3,496,890 2,654,636	2,996,448 2,940,659	1,785,082 3,380,215	887,815 3,488,738	4,356,483 3,233,405
Uncompensated care (UCC) Median	9,314,187 5,147,790	8,094,736 5,337,617	6,772,410 5,711,082	5,507,784 5,923,418	7,948,409 5,508,107
UCC as a % of operating expenses Median	4.31% 3.24	3.65% 3.12	3.05% 3.21	2.48% 3.3	3.28% 2.86
Total shortfall/UCC Median	9,314,187 9,489,989	8,764,866 9,424,297	6,772,410 10,120,158	11,877,817 11,171,337	18,616,259 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	85,169,959 52,142,039	88,953,717 54,485,252	94,474,333 57,395,589	94,369,511 58,830,919	101,771,077 61,722,907
Salaries as a % of operating expenses Median	39.41 36.68	40.14 36.56	42.57 36.37	42.45 35.93	42.02 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	1,155,320 1,449,244	1,683,822 1,475,986	0 1,563,078	1,454,191 1,721,954	1,352,286 2,991,828
Contract hours, direct-care Median	16,768.00 22,725	24,340.42 23,018.5	0.00 24,503.48	20,630.97 25,026.5	18,692.00 33,786
Contract wages, direct-care Median	68.90 64.67	69.18 64.53	0.00 65.06	70.49 68.97	72.35 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.