As of the July, 2022, release via CMS

MERCY HOSPITAL - WASHINGTON

CMS id: 260052
901 E. 5TH STREET, WASHINGTON MO 63090. County: FRANKLIN
System: MERCY HEALTH EAST COMMUNITIES
CBSA: St. Louis, MO-IL

The 140-bed, acute-care hospital had $29,365,381 in net service to patients*, with a total profit margin of 19.17360% in fiscal year 2021, the latest year available.
It spent 7.04% of its operating expenses on uncompensated care and reported $1,491,474 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	135 118	135 118	135 119.5	135 118	127 119
Total beds Median	148 162	148 162	148 162	148 162	140 163.5
FTEs Median	816.51 788.06	847.02 793.42	868.61 806.03	886.09 787.61	818.56 804.34

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	183,768,585 150,932,746	198,237,134 158,950,878	208,567,909 168,696,998	186,729,474 163,454,693	193,547,842 186,589,412
Operating expenses Median	162,258,970 149,311,209	167,058,320 156,110,414	175,723,213 164,890,568	169,420,824 166,516,854	164,182,461 180,120,888
Net income from service 2 patients (NS2P) ? Median	21,509,615 -964,173	31,178,814 -643,601.5	32,844,696 -116,254	17,308,650 -5,025,862	29,365,381 -1,284,564
NS2P margin ? Median	11.70% -0.62	15.73% -0.29	15.75% 0.18	9.27% -5.07	15.17% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MERCY HOSPITAL - WASHINGTON 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	2,012,564 5,089,215	2,387,513 4,572,541	2,557,068 5,268,134	12,446,065 13,092,619	9,581,902 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	73,864 224,999	14,027 199,009	32,516 206,870.5	14,021 194,343	88,337 249,496
⊳ Line 7: Investments ? ⊳ Median	15,064 299,524	381,714 188,688.5	391,745 370,813	231,809 309,361.5	267,086 375,329
⊳ 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	684,309	776,898	835,399	854,675	653,183
⊳ Line 15: Revenue from rental of living quarters	1,096,857	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	409	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	94,398	158,139	143,801	97,836
⊳ Line 21: Rental of vending machines	0	12,938	12,315	11,389	5,775
⊳ Line 22: Rental of hospital space	0	1,083,994	1,095,065	191,749	133,807
⊳ 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	142,470	23,135	31,889	10,998,621	8,335,878
Total income ? Median	23,522,179 6,586,430	33,566,327 6,767,106	35,401,764 8,419,950	29,754,715 8,094,175	38,947,283 15,162,888
Non-operating expenses Median	-11,286 146,289.5	0 164,857	1 89,880.5	1 106,761	-1 31,473.5
Net income Median	23,533,465 6,043,842	33,566,327 5,845,112	35,401,763 7,606,259	29,754,714 7,283,041	38,947,284 14,957,241
Net margin Median	12.66731% 4.62%	16.73091% 4.42%	16.76815% 5.16%	14.93894% 5.2%	19.17360% 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 - WASHINGTON 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	18,870,957 23,241,334	18,464,399 23,709,545	20,834,564 24,248,380	18,359,879 22,858,541	18,556,585 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	18,870,957 21,577,146	18,464,399 22,041,594	20,834,564 22,722,063	18,359,879 21,570,441	18,556,585 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	22,048,117 11,160,864	21,555,208 11,987,345	22,504,730 12,926,866	21,113,840 11,884,480	13,670,132 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	21,938,525 10,918,923	21,435,793 11,706,976	22,389,498 12,615,917	21,011,161 11,458,116	13,570,998 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	109,592 618,038	119,415 697,279	115,232 690,232	102,679 684,010	99,134 670,558
⊳ 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	230,889 594,888	241,711 595,761	191,272 577,894	147,769 542,168	106,688 549,667
Outlier Median	734,990 582,572	257,724 538,116	182,844 212,434	23,306 126,559	25,090 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	182 3,730,911	0 4,081,319	0 4,643,908	1,491,474 4,389,147
Charity care Median	6,834,310 2,654,636	6,308,906 2,940,659	6,501,056 3,380,215	11,603,990 3,488,738	9,522,135 3,233,405
Uncompensated care (UCC) Median	12,514,873 5,147,790	10,321,208 5,337,617	10,823,556 5,711,082	14,343,643 5,923,418	11,554,203 5,508,107
UCC as a % of operating expenses Median	7.71% 3.24	6.18% 3.12	6.16% 3.21	8.47% 3.3	7.04% 2.86
Total shortfall/UCC Median	12,514,873 9,489,989	10,321,390 9,424,297	10,823,556 10,120,158	14,343,643 11,171,337	13,045,677 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	58,862,885 52,142,039	61,425,323 54,485,252	63,326,021 57,395,589	64,327,331 58,830,919	63,775,505 61,722,907
Salaries as a % of operating expenses Median	36.28 36.68	36.77 36.56	36.04 36.37	37.97 35.93	38.84 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	1,868,357 1,449,244	1,372,089 1,475,986	2,042,175 1,563,078	2,488,807 1,721,954	4,048,097 2,991,828
Contract hours, direct-care Median	24,292.00 22,725	21,659.00 23,018.5	32,868.00 24,503.48	38,966.00 25,026.5	45,500.00 33,786
Contract wages, direct-care Median	76.91 64.67	63.35 64.53	62.13 65.06	63.87 68.97	88.97 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.