As of the July, 2022, release via CMS

MERCY HOSPITAL SPRINGFIELD

CMS id: 260065
1235 EAST CHEROKEE STREET, SPRINGFIELD MO 65804. County: GREENE
System: SISTERS OF MERCY
CBSA: Springfield, MO

The 672-bed, acute-care hospital had $85,838,141 in net service to patients*, with a total profit margin of 12.08178% in fiscal year 2021, the latest year available.
It spent 5.63% of its operating expenses on uncompensated care and reported $274,543 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	482 118	484 118	530 119.5	537 118	537 119
Total beds Median	590 162	601 162	665 162	672 162	672 163.5
FTEs Median	5,162.00 788.06	5,243.00 793.42	5,037.84 806.03	4,614.93 787.61	6,413.22 804.34

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	1,008,275,319 150,932,746	992,069,902 158,950,878	978,155,198 168,696,998	892,619,036 163,454,693	974,096,648 186,589,412
Operating expenses Median	913,881,730 149,311,209	904,024,207 156,110,414	918,259,649 164,890,568	811,105,065 166,516,854	888,258,507 180,120,888
Net income from service 2 patients (NS2P) ? Median	94,393,589 -964,173	88,045,695 -643,601.5	59,895,549 -116,254	81,513,971 -5,025,862	85,838,141 -1,284,564
NS2P margin ? Median	9.36% -0.62	8.87% -0.29	6.12% 0.18	9.13% -5.07	8.81% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MERCY HOSPITAL SPRINGFIELD 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	22,417,880 5,089,215	20,278,404 4,572,541	27,044,501 5,268,134	41,827,669 13,092,619	36,226,900 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	78,290 224,999	433,982 199,009	444,600 206,870.5	343,397 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	5,333,762 299,524	5,047,940 188,688.5	10,288,881 370,813	4,196,685 309,361.5	5,494,733 375,329
⊳ 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	5,571,404	5,935,490	5,818,454	4,786,402	3,453,121
⊳ 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	380,047
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	2,289,645	2,343,784	2,263,877	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	755,805	3,094,124	4,934,121	1,316,778	1,061,853
⊳ 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	10,678,619	3,477,223	3,214,661	28,920,530	25,837,146
Total income ? Median	116,811,469 6,586,430	108,324,099 6,767,106	86,940,050 8,419,950	123,341,640 8,094,175	122,065,041 15,162,888
Non-operating expenses Median	-828,278 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	117,639,747 6,043,842	108,324,099 5,845,112	86,940,050 7,606,259	123,341,640 7,283,041	122,065,041 14,957,241
Net margin Median	11.41365% 4.62%	10.70028% 4.42%	8.64903% 5.16%	13.19943% 5.2%	12.08178% 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 SPRINGFIELD 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	119,067,136 23,241,334	130,785,180 23,709,545	129,659,195 24,248,380	115,759,358 22,858,541	107,035,528 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	119,067,136 21,577,146	130,785,180 22,041,594	129,659,195 22,722,063	115,759,358 21,570,441	107,035,528 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	79,347,855 11,160,864	82,862,163 11,987,345	81,952,712 12,926,866	77,183,375 11,884,480	80,527,192 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	76,517,670 10,918,923	80,613,991 11,706,976	81,314,712 12,615,917	77,183,375 11,458,116	80,527,192 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,830,185 1,282,808	2,248,172 1,407,728	638,000 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	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	3,010,854 594,888	3,272,679 595,761	2,963,578 577,894	2,979,313 542,168	2,509,575 549,667
Outlier Median	10,056,628 582,572	9,549,845 538,116	6,644,745 212,434	375,447 126,559	467,536 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	294,541 3,662,910	89,732 3,730,911	25,497,906 4,081,319	189,359 4,643,908	274,543 4,389,147
Charity care Median	31,790,575 2,654,636	32,662,215 2,940,659	36,894,155 3,380,215	52,208,995 3,488,738	39,025,891 3,233,405
Uncompensated care (UCC) Median	60,088,752 5,147,790	55,126,470 5,337,617	55,234,479 5,711,082	67,736,878 5,923,418	50,035,039 5,508,107
UCC as a % of operating expenses Median	6.58% 3.24	6.10% 3.12	6.02% 3.21	8.35% 3.3	5.63% 2.86
Total shortfall/UCC Median	60,383,293 9,489,989	55,216,202 9,424,297	80,732,385 10,120,158	67,926,237 11,171,337	50,309,582 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	330,351,539 52,142,039	350,833,199 54,485,252	338,441,989 57,395,589	315,774,018 58,830,919	314,833,595 61,722,907
Salaries as a % of operating expenses Median	36.15 36.68	38.81 36.56	36.86 36.37	38.93 35.93	35.44 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	4,300,377 1,449,244	18,917,790 1,475,986	6,728,306 1,563,078	7,225,793 1,721,954	24,668,205 2,991,828
Contract hours, direct-care Median	57,599.00 22,725	274,706.00 23,018.5	105,791.00 24,503.48	114,737.00 25,026.5	223,415.30 33,786
Contract wages, direct-care Median	74.66 64.67	68.87 64.53	63.60 65.06	62.98 68.97	110.41 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.