As of the July, 2022, release via CMS

MERCY HOSPITAL JOPLIN

CMS id: 260001
100 MERCY WAY, JOPLIN MO 64804. County: JASPER
System: MERCY HEALTH ST LOUIS
CBSA: Joplin, MO

The 242-bed, acute-care hospital had $25,337,460 in net service to patients*, with a total profit margin of 13.42397% in fiscal year 2021, the latest year available.
It spent 6.83% of its operating expenses on uncompensated care and reported $3,336,373 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	178 118	178 118	178 119.5	178 118	179 119
Total beds Median	240 162	240 162	240 162	241 162	242 163.5
FTEs Median	1,193.73 788.06	1,586.02 793.42	1,107.48 806.03	1,023.38 787.61	923.51 804.34

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	214,924,002 150,932,746	235,489,591 158,950,878	234,913,792 168,696,998	192,892,420 163,454,693	250,977,821 186,589,412
Operating expenses Median	231,323,336 149,311,209	238,775,220 156,110,414	240,219,664 164,890,568	434,138,586 166,516,854	225,640,361 180,120,888
Net income from service 2 patients (NS2P) ? Median	-16,399,334 -964,173	-3,285,629 -643,601.5	-5,305,872 -116,254	-241,246,166 -5,025,862	25,337,460 -1,284,564
NS2P margin ? Median	-7.63% -0.62	-1.40% -0.29	-2.26% 0.18	-125.07% -5.07	10.10% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MERCY HOSPITAL JOPLIN 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	11,546,235 5,089,215	7,683,634 4,572,541	12,859,218 5,268,134	7,444,816 13,092,619	9,651,795 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,000,000 224,999	1,018,780 199,009	0 206,870.5	22,149 194,343	11,881 249,496
⊳ Line 7: Investments ? ⊳ Median	293,869 299,524	577,880 188,688.5	3,470,125 370,813	68,489 309,361.5	897,244 375,329
⊳ 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	1,518,780	1,535,336	1,620,890	1,533,313	1,067,823
⊳ 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	143,937	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	6,048	3,668
⊳ Line 22: Rental of hospital space	0	1,966,831	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	8,733,586	2,584,807	7,624,266	5,814,817	7,671,179
Total income ? Median	-4,853,099 6,586,430	4,398,005 6,767,106	7,553,346 8,419,950	-233,801,350 8,094,175	34,989,255 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	3,294 106,761	2,422 31,473.5
Net income Median	-4,853,099 6,043,842	4,398,005 5,845,112	7,553,346 7,606,259	-233,804,644 7,283,041	34,986,833 14,957,241
Net margin Median	-2.14293% 4.62%	1.80859% 4.42%	3.04849% 5.16%	-116.70554% 5.2%	13.42397% 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 JOPLIN 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	43,816,240 23,241,334	48,364,565 23,709,545	46,037,179 24,248,380	43,551,205 22,858,541	43,565,996 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	43,816,240 21,577,146	48,364,565 22,041,594	46,037,179 22,722,063	43,551,205 21,570,441	43,565,996 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	27,306,382 11,160,864	27,195,149 11,987,345	27,999,173 12,926,866	26,076,429 11,884,480	24,836,664 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	26,276,933 10,918,923	26,157,592 11,706,976	27,507,325 12,615,917	25,779,685 11,458,116	24,596,439 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	760,411 1,282,808	724,751 1,407,728	186,480 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	269,038 618,038	312,806 697,279	305,368 690,232	296,744 684,010	240,225 670,558
⊳ 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	1,337,032 594,888	1,546,111 595,761	1,487,022 577,894	1,389,832 542,168	1,307,009 549,667
Outlier Median	2,767,059 582,572	2,721,476 538,116	2,591,761 212,434	320,675 126,559	289,770 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	3,336,373 4,389,147
Charity care Median	12,033,295 2,654,636	11,758,895 2,940,659	12,828,377 3,380,215	24,972,163 3,488,738	7,419,613 3,233,405
Uncompensated care (UCC) Median	21,221,560 5,147,790	19,637,934 5,337,617	19,756,488 5,711,082	31,555,279 5,923,418	15,400,437 5,508,107
UCC as a % of operating expenses Median	9.17% 3.24	8.22% 3.12	8.22% 3.21	7.27% 3.3	6.83% 2.86
Total shortfall/UCC Median	21,221,560 9,489,989	19,637,934 9,424,297	19,756,488 10,120,158	31,555,279 11,171,337	18,736,810 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	79,650,577 52,142,039	82,849,499 54,485,252	75,761,646 57,395,589	77,054,600 58,830,919	71,301,359 61,722,907
Salaries as a % of operating expenses Median	34.43 36.68	34.70 36.56	31.54 36.37	17.75 35.93	31.60 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	2,999,508 1,449,244	1,985,749 1,475,986	444,953 1,563,078	1,485,131 1,721,954	4,979,785 2,991,828
Contract hours, direct-care Median	48,087.00 22,725	26,860.00 23,018.5	7,998.70 24,503.48	40,546.00 25,026.5	59,449.00 33,786
Contract wages, direct-care Median	62.38 64.67	73.93 64.53	55.63 65.06	36.63 68.97	83.77 88.94

* in an approved program

Return to top

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.