As of the July, 2022, release via CMS

THE MERCY HOSPITAL

CMS id: 220066
271 CAREW STREET, SPRINGFIELD MA 1102. County: HAMPDEN
System: TRINITY HEALTH
CBSA: Springfield, MA

The 293-bed, acute-care hospital had $-18,687,435 in net service to patients*, with a total profit margin of 1.53028% in fiscal year 2021, the latest year available.
It spent 1.78% of its operating expenses on uncompensated care and reported $4,309,473 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	226 118	210 118	210 119.5	233 118	210 119
Total beds Median	364 162	343 162	343 162	367 162	293 163.5
FTEs Median	1,604.00 788.06	1,640.00 793.42	1,827.00 806.03	1,559.74 787.61	1,184.70 804.34

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	296,444,846 150,932,746	287,822,089 158,950,878	305,018,354 168,696,998	293,100,519 163,454,693	300,215,189 186,589,412
Operating expenses Median	297,336,152 149,311,209	316,875,483 156,110,414	332,227,522 164,890,568	346,883,524 166,516,854	318,902,624 180,120,888
Net income from service 2 patients (NS2P) ? Median	-891,306 -964,173	-29,053,394 -643,601.5	-27,209,168 -116,254	-53,783,005 -5,025,862	-18,687,435 -1,284,564
NS2P margin ? Median	-0.30% -0.62	-10.09% -0.29	-8.92% 0.18	-18.35% -5.07	-6.22% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for THE 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	11,158,784 5,089,215	15,759,858 4,572,541	12,231,873 5,268,134	41,874,320 13,092,619	6,355,000 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	2,073,551 224,999	2,968,222 199,009	2,786,427 206,870.5	2,089,264 194,343	3,656,655 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ 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	1,260	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,464,512	1,497,062	1,557,703	1,209,073	661,079
⊳ 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	2,000,203	2,007,434	1,940,697	1,981,715	6,239,401
⊳ Line 18: Revenue from sale of medical records and abstracts	48,725	35,134	2,568,258	1,293,100	2,041,928
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	85,207	102,637	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	137,726	140,613	109,693	89,071	0
⊳ Line 21: Rental of vending machines	725	0	0	0	0
⊳ Line 22: Rental of hospital space	484,081	553,395	596,075	492,334	661,226
⊳ Line 23: Gov appropriations ? ⊳ Median	3,047,490 1,017,693	4,347,903 983,261.5	1,992,616 1,173,286	1,703,507 1,987,202	1,597,664 1,597,664
⊳ Sum Line 24	1,816,564	4,107,458	679,144	33,016,256	-8,502,953
Total income ? Median	10,267,478 6,586,430	-13,293,536 6,767,106	-14,977,295 8,419,950	-11,908,685 8,094,175	-12,332,435 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	-17,023,815 31,473.5
Net income Median	10,267,478 6,043,842	-13,293,536 5,845,112	-14,977,295 7,606,259	-11,908,685 7,283,041	4,691,380 14,957,241
Net margin Median	3.33789% 4.62%	-4.37890% 4.42%	-4.72097% 5.16%	-3.55510% 5.2%	1.53028% 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 THE 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	55,548,331 23,241,334	52,307,875 23,709,545	54,040,136 24,248,380	47,790,940 22,858,541	39,548,104 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	44,229,722 21,577,146	42,146,677 22,041,594	44,226,452 22,722,063	39,644,399 21,570,441	35,336,962 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	5,610,842 1,845,420	4,765,473 1,757,392	3,956,064 1,738,842	3,609,194 1,510,463	170,306 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	5,707,767 3,535,627	5,395,725 3,746,588	5,857,620 3,782,288	4,537,347 3,865,578	4,040,836 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	42,378,068 11,160,864	41,194,628 11,987,345	39,022,421 12,926,866	39,470,616 11,884,480	41,338,344 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	36,921,877 10,918,923	36,692,921 11,706,976	39,022,421 12,615,917	39,470,616 11,458,116	41,338,344 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	5,456,191 1,282,808	4,501,707 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	2,882,484 594,888	2,730,420 595,761	2,756,159 577,894	2,617,727 542,168	1,958,019 549,667
Outlier Median	450,906 582,572	324,136 538,116	432,688 212,434	287,007 126,559	193,488 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	17,628,456 3,662,910	8,659,983 3,730,911	20,387,509 4,081,319	23,158,485 4,643,908	4,309,473 4,389,147
Charity care Median	446,080 2,654,636	2,937,861 2,940,659	2,652,196 3,380,215	5,228,052 3,488,738	3,280,759 3,233,405
Uncompensated care (UCC) Median	3,210,403 5,147,790	4,301,275 5,337,617	4,318,165 5,711,082	7,988,974 5,923,418	5,668,522 5,508,107
UCC as a % of operating expenses Median	1.08% 3.24	1.36% 3.12	1.30% 3.21	2.30% 3.3	1.78% 2.86
Total shortfall/UCC Median	20,838,859 9,489,989	12,961,258 9,424,297	24,705,674 10,120,158	31,147,459 11,171,337	9,977,995 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	112,529,405 52,142,039	115,148,216 54,485,252	111,062,663 57,395,589	107,409,385 58,830,919	94,497,349 61,722,907
Salaries as a % of operating expenses Median	37.85 36.68	36.34 36.56	33.43 36.37	30.96 35.93	29.63 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	1,729,819 1,449,244	1,836,579 1,475,986	4,087,368 1,563,078	3,894,250 1,721,954	834,234 2,991,828
Contract hours, direct-care Median	12,423.97 22,725	15,708.00 23,018.5	47,871.00 24,503.48	39,454.00 25,026.5	9,539.00 33,786
Contract wages, direct-care Median	139.23 64.67	116.92 64.53	85.38 65.06	98.70 68.97	87.46 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.