As of the July, 2022, release via CMS

MERCY MEDICAL CENTER

CMS id: 330259
1000 NORTH VILLAGE AVE, ROCKVILLE CENTRE NY 11570. County: NASSAU
System: CATHOLIC HEALTH SERVICES OF LONG ISL
CBSA: New York-Newark-Jersey City, NY-NJ-PA

The 375-bed, acute-care hospital had $-36,281,153 in net service to patients*, with a total profit margin of -6.54436% in fiscal year 2021, the latest year available.
It spent 3.51% of its operating expenses on uncompensated care and reported $36,089,472 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	266 118	266 118	266 119.5	266 118	266 119
Total beds Median	375 162	375 162	375 162	375 162	375 163.5
FTEs Median	1,319.77 788.06	1,349.57 793.42	1,391.68 806.03	1,380.71 787.61	1,475.80 804.34

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	211,212,856 150,932,746	216,117,729 158,950,878	224,850,500 168,696,998	221,408,715 163,454,693	260,283,735 186,589,412
Operating expenses Median	228,152,908 149,311,209	242,349,356 156,110,414	252,183,401 164,890,568	272,579,676 166,516,854	296,564,888 180,120,888
Net income from service 2 patients (NS2P) ? Median	-16,940,052 -964,173	-26,231,627 -643,601.5	-27,332,901 -116,254	-51,170,961 -5,025,862	-36,281,153 -1,284,564
NS2P margin ? Median	-8.02% -0.62	-12.14% -0.29	-12.16% 0.18	-23.11% -5.07	-13.94% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MERCY MEDICAL CENTER 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	14,909,302 5,089,215	16,797,487 4,572,541	15,177,230 5,268,134	38,233,751 13,092,619	18,169,857 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	97,000 224,999	104,000 199,009	65,000 206,870.5	76,000 194,343	68,000 249,496
⊳ Line 7: Investments ? ⊳ Median	152,000 299,524	140,000 188,688.5	163,000 370,813	106,000 309,361.5	62,000 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	11,200	10,300	11,200	9,700	13,600
⊳ 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	263,700	180,900	180,800	279,400	362,600
⊳ 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	2,400	4,600
⊳ Line 17: Revenue from sale of drugs to other than patients	345,000	353,100	565,000	306,900	-26,200
⊳ Line 18: Revenue from sale of medical records and abstracts	17,900	23,600	20,700	24,600	60,300
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	250,400	292,700	291,700	383,100	253,600
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	207,000	446,300	500,100	105,000	0
⊳ Line 21: Rental of vending machines	19,900	8,500	18,400	5,100	12,900
⊳ Line 22: Rental of hospital space	1,444,700	1,683,800	1,861,700	1,911,100	1,941,700
⊳ Line 23: Gov appropriations ? ⊳ Median	3,255,738 1,017,693	7,254,023 983,261.5	5,300,930 1,173,286	29,967,162 1,987,202	992,238 1,597,664
⊳ Sum Line 24	8,844,764	6,300,264	6,198,700	5,057,289	14,424,519
Total income ? Median	-2,030,750 6,586,430	-9,434,140 6,767,106	-12,155,671 8,419,950	-12,937,210 8,094,175	-18,111,296 15,162,888
Non-operating expenses Median	-137,750 146,289.5	98,860 164,857	-38,671 89,880.5	186,790 106,761	111,704 31,473.5
Net income Median	-1,893,000 6,043,842	-9,533,000 5,845,112	-12,117,000 7,606,259	-13,124,000 7,283,041	-18,223,000 14,957,241
Net margin Median	-0.83716% 4.62%	-4.09291% 4.42%	-5.04817% 5.16%	-5.05464% 5.2%	-6.54436% 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 MEDICAL CENTER 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	51,254,714 23,241,334	52,566,436 23,709,545	52,048,691 24,248,380	52,308,897 22,858,541	52,314,857 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	32,102,198 21,577,146	34,123,268 22,041,594	33,678,910 22,722,063	34,924,137 21,570,441	33,725,974 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	3,570,395 1,845,420	3,719,680 1,757,392	3,570,410 1,738,842	3,451,058 1,510,463	3,694,216 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	15,582,121 3,535,627	14,723,488 3,746,588	14,799,371 3,782,288	13,933,702 3,865,578	14,894,667 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	9,710,372 11,160,864	9,970,623 11,987,345	10,037,542 12,926,866	9,989,437 11,884,480	13,633,413 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	9,710,372 10,918,923	9,970,623 11,706,976	10,037,542 12,615,917	9,989,437 11,458,116	13,633,413 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	490,538 3,284,314	502,106 3,250,551	571,609 3,386,837	514,353 3,360,806	481,503 3,508,953
Disproportionate-share hospital (DSH) Median	978,767 594,888	1,122,797 595,761	1,180,497 577,894	1,322,359 542,168	1,684,950 549,667
Outlier Median	995,295 582,572	624,736 538,116	97,374 212,434	117,578 126,559	249,610 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	12,909,736 3,662,910	17,984,779 3,730,911	17,315,771 4,081,319	35,990,980 4,643,908	36,089,472 4,389,147
Charity care Median	8,304,185 2,654,636	6,297,431 2,940,659	4,961,180 3,380,215	8,951,905 3,488,738	7,340,959 3,233,405
Uncompensated care (UCC) Median	8,613,088 5,147,790	7,365,040 5,337,617	6,089,112 5,711,082	12,042,137 5,923,418	10,414,759 5,508,107
UCC as a % of operating expenses Median	3.78% 3.24	3.04% 3.12	2.41% 3.21	4.42% 3.3	3.51% 2.86
Total shortfall/UCC Median	21,522,824 9,489,989	25,349,819 9,424,297	23,404,883 10,120,158	48,033,117 11,171,337	46,504,231 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	104,452,779 52,142,039	110,472,259 54,485,252	113,540,367 57,395,589	123,683,620 58,830,919	129,231,749 61,722,907
Salaries as a % of operating expenses Median	45.78 36.68	45.58 36.56	45.02 36.37	45.38 35.93	43.58 35.24
Intern, resident salaries* Median	536,248 2,598,592	663,881 2,686,824	739,371 2,753,773	826,259 2,937,156	757,672 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	73,837 1,449,244	420,085 1,475,986	294,041 1,563,078	4,317,942 1,721,954	3,452,113 2,991,828
Contract hours, direct-care Median	1,158.00 22,725	5,283.00 23,018.5	4,167.00 24,503.48	35,537.00 25,026.5	25,372.00 33,786
Contract wages, direct-care Median	63.76 64.67	79.52 64.53	70.56 65.06	121.51 68.97	136.06 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.