As of the July, 2022, release via CMS

MERCY HOSPITAL - ST. LOUIS

CMS id: 260020
615 S. NEW BALLAS ROAD, ST. LOUIS MO 63141. County: ST. LOUIS
System: MERCY HEALTH EAST COMMUNITIES
CBSA: St. Louis, MO-IL

The 859-bed, acute-care hospital had $220,570,523 in net service to patients*, with a total profit margin of 19.48146% in fiscal year 2021, the latest year available.
It spent 3.83% of its operating expenses on uncompensated care and reported $8,323,466 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	630 118	654 118	654 119.5	654 118	624 119
Total beds Median	859 162	859 162	859 162	859 162	859 163.5
FTEs Median	4,865.10 788.06	4,954.00 793.42	5,280.84 806.03	4,991.01 787.61	4,845.00 804.34

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	1,069,295,912 150,932,746	1,097,480,237 158,950,878	1,134,702,484 168,696,998	1,146,055,303 163,454,693	1,290,987,277 186,589,412
Operating expenses Median	924,441,921 149,311,209	923,071,048 156,110,414	950,342,262 164,890,568	1,008,160,679 166,516,854	1,070,416,754 180,120,888
Net income from service 2 patients (NS2P) ? Median	144,853,991 -964,173	174,409,189 -643,601.5	184,360,222 -116,254	137,894,624 -5,025,862	220,570,523 -1,284,564
NS2P margin ? Median	13.55% -0.62	15.89% -0.29	16.25% 0.18	12.03% -5.07	17.09% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MERCY HOSPITAL - ST. LOUIS 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	35,472,072 5,089,215	33,756,283 4,572,541	34,413,458 5,268,134	64,400,990 13,092,619	38,416,793 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	2,310,879 224,999	2,530,346 199,009	2,455,185 206,870.5	1,857,853 194,343	2,192,770 249,496
⊳ Line 7: Investments ? ⊳ Median	8,652,591 299,524	7,383,717 188,688.5	8,413,329 370,813	7,545,196 309,361.5	8,194,641 375,329
⊳ 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	7,142,676	7,102,492	7,271,225	6,441,261	5,432,928
⊳ 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	22,740	49,776	13,716	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	1,855,833	1,900,022	1,881,329	2,102,990	2,113,111
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	2,090,129	2,114,345	2,142,089	1,740,558	1,094,183
⊳ Line 21: Rental of vending machines	288,413	308,450	332,533	297,252	225,507
⊳ Line 22: Rental of hospital space	0	0	0	2,103,843	1,773,297
⊳ 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	13,108,811	12,367,135	11,904,052	42,312,037	17,390,356
Total income ? Median	180,326,063 6,586,430	208,165,472 6,767,106	218,773,680 8,419,950	202,295,614 8,094,175	258,987,316 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	5 106,761	-4 31,473.5
Net income Median	180,326,063 6,043,842	208,165,472 5,845,112	218,773,680 7,606,259	202,295,609 7,283,041	258,987,320 14,957,241
Net margin Median	16.32253% 4.62%	18.40159% 4.42%	18.71274% 5.16%	16.71234% 5.2%	19.48146% 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 - ST. LOUIS 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	119,731,268 23,241,334	120,802,555 23,709,545	129,182,713 24,248,380	120,298,329 22,858,541	124,845,353 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	115,903,734 21,577,146	119,080,208 22,041,594	126,686,227 22,722,063	118,042,095 21,570,441	123,172,232 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	3,827,534 1,845,420	1,722,347 1,757,392	2,496,486 1,738,842	2,256,234 1,510,463	1,673,121 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	66,098,003 11,160,864	67,856,289 11,987,345	67,569,425 12,926,866	65,620,133 11,884,480	68,960,655 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	66,098,003 10,918,923	67,856,289 11,706,976	67,569,425 12,615,917	65,620,133 11,458,116	68,960,655 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	9,334,834 3,284,314	9,281,429 3,250,551	9,887,391 3,386,837	9,269,980 3,360,806	10,359,248 3,508,953
Disproportionate-share hospital (DSH) Median	2,471,662 594,888	2,543,080 595,761	2,768,709 577,894	2,823,967 542,168	2,581,102 549,667
Outlier Median	6,188,701 582,572	5,199,590 538,116	4,837,638 212,434	346,861 126,559	308,596 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	40,756 3,662,910	3,894 3,730,911	20,909 4,081,319	3,117,682 4,643,908	8,323,466 4,389,147
Charity care Median	20,353,450 2,654,636	18,888,140 2,940,659	22,158,062 3,380,215	35,126,921 3,488,738	31,928,727 3,233,405
Uncompensated care (UCC) Median	47,542,367 5,147,790	32,880,129 5,337,617	32,909,290 5,711,082	48,592,389 5,923,418	40,971,341 5,508,107
UCC as a % of operating expenses Median	5.14% 3.24	3.56% 3.12	3.46% 3.21	4.82% 3.3	3.83% 2.86
Total shortfall/UCC Median	47,583,123 9,489,989	32,884,023 9,424,297	32,930,199 10,120,158	51,710,071 11,171,337	49,294,807 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	317,780,624 52,142,039	331,528,860 54,485,252	348,691,146 57,395,589	349,119,378 58,830,919	354,460,409 61,722,907
Salaries as a % of operating expenses Median	34.37 36.68	35.91 36.56	36.69 36.37	34.63 35.93	33.11 35.24
Intern, resident salaries* Median	5,112,609 2,598,592	5,333,714 2,686,824	5,599,013 2,753,773	5,639,006 2,937,156	5,670,031 2,909,848
Contract intern, resident salaries* Median	944,620 1,251,927	798,643 1,186,494	754,798 1,204,885	585,854 1,279,653	648,757 1,469,317
Contract adjusted salaries, direct-care Median	6,021,694 1,449,244	4,463,300 1,475,986	0 1,563,078	1,804,423 1,721,954	2,130,553 2,991,828
Contract hours, direct-care Median	94,654.00 22,725	64,529.00 23,018.5	0.00 24,503.48	39,420.00 25,026.5	33,466.00 33,786
Contract wages, direct-care Median	63.62 64.67	69.17 64.53	0.00 65.06	45.77 68.97	63.66 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.