As of the July, 2022, release via CMS

MERCY HOSPITAL ANDERSON

CMS id: 360001
7500 STATE ROAD, CINCINNATI OH 45255. County: HAMILTON
System: BON SECOURS MERCY HEALTH
CBSA: Cincinnati, OH-KY-IN

The 230-bed, acute-care hospital had $14,248,403 in net service to patients*, with a total profit margin of 6.61014% in fiscal year 2021, the latest year available.
It spent 3.46% of its operating expenses on uncompensated care and reported $14,770,908 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	220 118	220 118	220 119.5	220 118	170 119
Total beds Median	281 162	282 162	282 162	282 162	230 163.5
FTEs Median	1,002.17 788.06	971.53 793.42	946.90 806.03	882.04 787.61	838.55 804.34

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	244,399,045 150,932,746	244,980,897 158,950,878	245,493,242 168,696,998	231,142,492 163,454,693	236,024,990 186,589,412
Operating expenses Median	215,126,127 149,311,209	212,794,798 156,110,414	214,761,821 164,890,568	209,748,964 166,516,854	221,776,587 180,120,888
Net income from service 2 patients (NS2P) ? Median	29,272,918 -964,173	32,186,099 -643,601.5	30,731,421 -116,254	21,393,528 -5,025,862	14,248,403 -1,284,564
NS2P margin ? Median	11.98% -0.62	13.14% -0.29	12.52% 0.18	9.26% -5.07	6.04% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MERCY HOSPITAL ANDERSON 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	2,144,682 5,089,215	3,535,915 4,572,541	2,365,154 5,268,134	6,995,022 13,092,619	1,454,961 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	29,432 299,524	50,181 188,688.5	0 370,813	82 309,361.5	3 375,329
⊳ 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	798,025	865,893	0	592,351	641,365
⊳ Line 15: Revenue from rental of living quarters	0	0	0	282,102	289,207
⊳ 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	14,349	188,942	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	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	413,054	0	0	0
⊳ Line 21: Rental of vending machines	55,637	41,543	0	12,469	43,870
⊳ Line 22: Rental of hospital space	295,586	366,856	0	89,015	87,142
⊳ 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	951,653	1,609,446	2,365,154	6,019,003	393,374
Total income ? Median	31,417,600 6,586,430	35,722,014 6,767,106	33,096,575 8,419,950	28,388,550 8,094,175	15,703,364 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	151,186 89,880.5	0 106,761	5,610 31,473.5
Net income Median	31,417,600 6,043,842	35,722,014 5,845,112	32,945,389 7,606,259	28,388,550 7,283,041	15,697,754 14,957,241
Net margin Median	12.74322% 4.62%	14.37408% 4.42%	13.29202% 5.16%	11.92107% 5.2%	6.61014% 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 ANDERSON 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	41,111,033 23,241,334	43,013,181 23,709,545	41,014,318 24,248,380	37,535,518 22,858,541	38,356,125 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	38,057,440 21,577,146	39,105,295 22,041,594	35,562,793 22,722,063	32,952,354 21,570,441	33,679,439 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	3,053,593 3,535,627	3,907,886 3,746,588	5,451,525 3,782,288	4,583,164 3,865,578	4,676,686 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	11,710,254 11,160,864	12,281,387 11,987,345	13,812,448 12,926,866	10,680,971 11,884,480	10,542,809 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	11,710,254 10,918,923	12,281,387 11,706,976	13,812,448 12,615,917	10,680,971 11,458,116	10,542,809 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	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	261,823 3,508,953
Disproportionate-share hospital (DSH) Median	767,888 594,888	793,888 595,761	617,436 577,894	607,595 542,168	429,594 549,667
Outlier Median	1,761,396 582,572	696,141 538,116	172,336 212,434	104,802 126,559	48,283 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	6,055,518 3,662,910	5,792,630 3,730,911	8,477,158 4,081,319	13,776,292 4,643,908	14,770,908 4,389,147
Charity care Median	2,471,026 2,654,636	4,019,885 2,940,659	3,935,860 3,380,215	3,277,799 3,488,738	3,228,949 3,233,405
Uncompensated care (UCC) Median	7,124,225 5,147,790	8,162,054 5,337,617	8,413,725 5,711,082	8,157,543 5,923,418	7,666,735 5,508,107
UCC as a % of operating expenses Median	3.31% 3.24	3.84% 3.12	3.92% 3.21	3.89% 3.3	3.46% 2.86
Total shortfall/UCC Median	13,179,743 9,489,989	13,954,684 9,424,297	16,890,883 10,120,158	21,933,835 11,171,337	22,437,643 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	64,458,871 52,142,039	64,882,776 54,485,252	63,006,944 57,395,589	61,614,595 58,830,919	63,345,735 61,722,907
Salaries as a % of operating expenses Median	29.96 36.68	30.49 36.56	29.32 36.37	29.38 35.93	28.56 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	481,844 1,449,244	264,411 1,475,986	2,410,466 1,563,078	2,116,871 1,721,954	0 2,991,828
Contract hours, direct-care Median	8,646.39 22,725	4,703.59 23,018.5	35,741.57 24,503.48	30,284.00 25,026.5	0.00 33,786
Contract wages, direct-care Median	55.73 64.67	56.21 64.53	67.44 65.06	69.90 68.97	0.00 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.