As of the July, 2022, release via CMS

MERCY HOSPITAL JEFFERSON

CMS id: 260023
HIGHWAY 61 SOUTH, CRYSTAL CITY MO 63019. County: JEFFERSON
System: MERCY HEALTH EAST COMMUNITIES
CBSA: St. Louis, MO-IL

The 321-bed, acute-care hospital had $16,645,869 in net service to patients*, with a total profit margin of 12.91346% in fiscal year 2021, the latest year available.
It spent 7.24% of its operating expenses on uncompensated care and reported $732 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	167 118	228 118	251 119.5	251 118	189 119
Total beds Median	304 162	352 162	384 162	384 162	321 163.5
FTEs Median	918.34 788.06	1,015.18 793.42	1,037.57 806.03	1,022.77 787.61	939.07 804.34

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	161,997,353 150,932,746	184,674,416 158,950,878	188,842,057 168,696,998	198,850,557 163,454,693	191,756,657 186,589,412
Operating expenses Median	153,164,688 149,311,209	172,889,651 156,110,414	180,968,102 164,890,568	198,743,699 166,516,854	175,110,788 180,120,888
Net income from service 2 patients (NS2P) ? Median	8,832,665 -964,173	11,784,765 -643,601.5	7,873,955 -116,254	106,858 -5,025,862	16,645,869 -1,284,564
NS2P margin ? Median	5.45% -0.62	6.38% -0.29	4.17% 0.18	0.05% -5.07	8.68% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MERCY HOSPITAL JEFFERSON 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	3,722,550 5,089,215	3,916,998 4,572,541	4,644,471 5,268,134	6,819,834 13,092,619	9,320,097 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	27,598 224,999	13,493 199,009	143,772 206,870.5	125,884 194,343	192,771 249,496
⊳ Line 7: Investments ? ⊳ Median	5,381 299,524	347,620 188,688.5	358,140 370,813	201,779 309,361.5	283,630 375,329
⊳ 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	14,474	0	0	0
⊳ Line 13: Revenue from laundry and linen service	1,038,195	1,334,436	1,436,866	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	1,256,115	921,665
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	59,785	46,079	37,688	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	45,961	39,980	22,994	37,844	26,565
⊳ Line 18: Revenue from sale of medical records and abstracts	0	857	908	-25	-50
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	312,854	359,606	16,320	29,750
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	277,233	191,609
⊳ Line 21: Rental of vending machines	1,390,583	1,425,898	1,967,104	0	0
⊳ Line 22: Rental of hospital space	0	0	0	505,494	485,320
⊳ 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	1,155,047	381,307	317,393	4,399,190	7,188,837
Total income ? Median	12,555,215 6,586,430	15,701,763 6,767,106	12,518,426 8,419,950	6,926,692 8,094,175	25,965,966 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	12,555,215 6,043,842	15,701,763 5,845,112	12,518,426 7,606,259	6,926,692 7,283,041	25,965,966 14,957,241
Net margin Median	7.57617% 4.62%	8.32581% 4.42%	6.46992% 5.16%	3.36786% 5.2%	12.91346% 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 JEFFERSON 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	38,866,281 23,241,334	36,486,485 23,709,545	35,282,858 24,248,380	32,129,723 22,858,541	32,903,173 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	32,454,643 21,577,146	31,667,945 22,041,594	31,133,440 22,722,063	28,355,702 21,570,441	28,852,350 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	1,678,163 1,845,420	752,309 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,733,475 3,535,627	4,066,231 3,746,588	4,149,418 3,782,288	3,774,021 3,865,578	4,050,823 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	20,396,427 11,160,864	22,930,840 11,987,345	25,241,018 12,926,866	23,736,338 11,884,480	13,557,752 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	17,522,940 10,918,923	20,095,722 11,706,976	22,591,923 12,615,917	20,822,849 11,458,116	10,979,577 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,873,487 1,282,808	2,835,118 1,407,728	2,649,095 1,341,512	2,913,489 1,407,046	2,578,175 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	377,595 594,888	546,521 595,761	507,048 577,894	666,460 542,168	595,908 549,667
Outlier Median	585,329 582,572	753,388 538,116	611,542 212,434	215,517 126,559	120,973 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	1,944,398 3,662,910	5,484,635 3,730,911	5,089,489 4,081,319	817 4,643,908	732 4,389,147
Charity care Median	6,244,991 2,654,636	6,360,805 2,940,659	7,749,250 3,380,215	13,776,586 3,488,738	10,385,622 3,233,405
Uncompensated care (UCC) Median	12,926,122 5,147,790	11,955,238 5,337,617	12,916,939 5,711,082	17,115,713 5,923,418	12,679,830 5,508,107
UCC as a % of operating expenses Median	8.44% 3.24	6.91% 3.12	7.14% 3.21	8.61% 3.3	7.24% 2.86
Total shortfall/UCC Median	14,870,520 9,489,989	17,439,873 9,424,297	18,006,428 10,120,158	17,116,530 11,171,337	12,680,562 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	61,447,649 52,142,039	66,772,150 54,485,252	70,423,540 57,395,589	75,224,476 58,830,919	74,324,778 61,722,907
Salaries as a % of operating expenses Median	40.12 36.68	38.62 36.56	38.91 36.37	37.85 35.93	42.44 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	2,323,946 1,449,244	1,294,263 1,475,986	1,055,956 1,563,078	537,693 1,721,954	1,453,452 2,991,828
Contract hours, direct-care Median	30,360.00 22,725	18,717.00 23,018.5	15,372.00 24,503.48	9,490.84 25,026.5	9,730.00 33,786
Contract wages, direct-care Median	76.55 64.67	69.15 64.53	68.69 65.06	56.65 68.97	149.38 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.