As of the July, 2022, release via CMS

ST. MARY MERCY HOSPITAL - LIVONIA

CMS id: 230002
36475 FIVE MILE ROAD, LIVONIA MI 48154. County: WAYNE
System: TRINITY HEALTH
CBSA: Detroit-Warren-Dearborn, MI

The 304-bed, acute-care hospital had $-11,345,115 in net service to patients*, with a total profit margin of 10.33616% in fiscal year 2021, the latest year available.
It spent 1.67% of its operating expenses on uncompensated care and reported $5,234,391 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	236 118	236 118	236 119.5	236 118	236 119
Total beds Median	304 162	304 162	304 162	304 162	304 163.5
FTEs Median	1,783.94 788.06	2,101.12 793.42	2,113.00 806.03	2,024.55 787.61	1,909.44 804.34

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	301,086,848 150,932,746	326,188,268 158,950,878	329,459,821 168,696,998	317,568,879 163,454,693	357,634,853 186,589,412
Operating expenses Median	297,487,743 149,311,209	319,617,396 156,110,414	336,572,248 164,890,568	341,671,510 166,516,854	368,979,968 180,120,888
Net income from service 2 patients (NS2P) ? Median	3,599,105 -964,173	6,570,872 -643,601.5	-7,112,427 -116,254	-24,102,631 -5,025,862	-11,345,115 -1,284,564
NS2P margin ? Median	1.20% -0.62	2.01% -0.29	-2.16% 0.18	-7.59% -5.07	-3.17% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for ST. MARY MERCY HOSPITAL - LIVONIA 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	22,893,475 5,089,215	18,808,131 4,572,541	20,041,537 5,268,134	34,671,285 13,092,619	50,931,818 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	416,994 224,999	541,754 199,009	578,313 206,870.5	22,221,165 194,343	-9,112,484 249,496
⊳ Line 7: Investments ? ⊳ Median	12,932,952 299,524	9,683,235 188,688.5	9,986,829 370,813	2,385,690 309,361.5	51,232,484 375,329
⊳ 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	0	0	0	0	0
⊳ 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	9,543,529	8,583,142	9,476,395	10,064,430	8,811,818
Total income ? Median	26,492,580 6,586,430	25,379,003 6,767,106	12,929,110 8,419,950	10,568,654 8,094,175	39,586,703 15,162,888
Non-operating expenses Median	0 146,289.5	-1,345,650 164,857	-2,174,196 89,880.5	-810,418 106,761	-2,643,408 31,473.5
Net income Median	26,492,580 6,043,842	26,724,653 5,845,112	15,103,306 7,606,259	11,379,072 7,283,041	42,230,111 14,957,241
Net margin Median	8.17722% 4.62%	7.74636% 4.42%	4.32139% 5.16%	3.23049% 5.2%	10.33616% 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 ST. MARY MERCY HOSPITAL - LIVONIA 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	90,020,885 23,241,334	86,439,054 23,709,545	86,294,354 24,248,380	83,393,307 22,858,541	83,068,963 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	85,721,705 21,577,146	82,172,322 22,041,594	82,084,742 22,722,063	78,977,658 21,570,441	78,605,603 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	1,679,630 1,845,420	1,889,582 1,757,392	1,752,852 1,738,842	1,804,722 1,510,463	1,539,697 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,619,550 3,535,627	2,377,150 3,746,588	2,456,760 3,782,288	2,610,927 3,865,578	2,923,663 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	24,832,748 11,160,864	26,770,631 11,987,345	24,137,854 12,926,866	21,169,672 11,884,480	22,107,052 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	24,832,748 10,918,923	26,770,631 11,706,976	24,137,854 12,615,917	21,169,672 11,458,116	22,107,052 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	22,816,458 3,284,314	21,920,838 3,250,551	21,947,984 3,386,837	21,477,940 3,360,806	21,541,046 3,508,953
Disproportionate-share hospital (DSH) Median	447,854 594,888	450,607 595,761	406,020 577,894	441,924 542,168	425,584 549,667
Outlier Median	351,531 582,572	199,506 538,116	131,971 212,434	62,637 126,559	174,726 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,935,516 3,662,910	2,803,560 3,730,911	4,907,130 4,081,319	5,071,823 4,643,908	5,234,391 4,389,147
Charity care Median	2,449,546 2,654,636	2,916,900 2,940,659	2,308,124 3,380,215	2,015,656 3,488,738	3,465,229 3,233,405
Uncompensated care (UCC) Median	5,175,317 5,147,790	6,425,789 5,337,617	6,217,743 5,711,082	5,409,362 5,923,418	6,172,873 5,508,107
UCC as a % of operating expenses Median	1.74% 3.24	2.01% 3.12	1.85% 3.21	1.58% 3.3	1.67% 2.86
Total shortfall/UCC Median	10,110,833 9,489,989	9,229,349 9,424,297	11,124,873 10,120,158	10,481,185 11,171,337	11,407,264 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	127,971,005 52,142,039	143,505,963 54,485,252	151,758,849 57,395,589	153,764,855 58,830,919	158,693,653 61,722,907
Salaries as a % of operating expenses Median	43.02 36.68	44.90 36.56	45.09 36.37	45.00 35.93	43.01 35.24
Intern, resident salaries* Median	9,473,259 2,598,592	9,171,174 2,686,824	10,002,395 2,753,773	10,729,698 2,937,156	11,415,566 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	1,031,999 1,449,244	1,778,360 1,475,986	813,642 1,563,078	464,575 1,721,954	509,042 2,991,828
Contract hours, direct-care Median	43,232.00 22,725	43,128.00 23,018.5	23,309.00 24,503.48	16,988.00 25,026.5	13,597.00 33,786
Contract wages, direct-care Median	23.87 64.67	41.23 64.53	34.91 65.06	27.35 68.97	37.44 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.