As of the July, 2022, release via CMS

CCF MERCY MEDICAL CENTER

CMS id: 360070
1320 MERCY DRIVE NW, CANTON OH 44708. County: STARK
System: SISITERS OF CHARITY HEALTH SYSTEM
CBSA: Canton-Massillon, OH

The 337-bed, acute-care hospital had $-23,866,999 in net service to patients*, with a total profit margin of 1.53766% in fiscal year 2021, the latest year available.
It spent 1.90% of its operating expenses on uncompensated care and reported $0 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	224 118	257 118	257 119.5	281 118	257 119
Total beds Median	304 162	338 162	338 162	355 162	337 163.5
FTEs Median	2,192.00 788.06	2,173.00 793.42	2,243.88 806.03	2,137.00 787.61	2,181.71 804.34

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	305,755,692 150,932,746	330,098,201 158,950,878	351,177,787 168,696,998	320,543,018 163,454,693	368,249,295 186,589,412
Operating expenses Median	337,587,366 149,311,209	344,118,661 156,110,414	366,366,333 164,890,568	359,445,294 166,516,854	392,116,294 180,120,888
Net income from service 2 patients (NS2P) ? Median	-31,831,674 -964,173	-14,020,460 -643,601.5	-15,188,546 -116,254	-38,902,276 -5,025,862	-23,866,999 -1,284,564
NS2P margin ? Median	-10.41% -0.62	-4.25% -0.29	-4.33% 0.18	-12.14% -5.07	-6.48% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CCF 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	12,136,079 5,089,215	11,409,777 4,572,541	13,046,777 5,268,134	33,732,866 13,092,619	29,990,571 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	561,515 224,999	1,466,436 199,009	922,620 206,870.5	1,626,371 194,343	1,056,325 249,496
⊳ Line 7: Investments ? ⊳ Median	1,003,411 299,524	49,795 188,688.5	1,743,498 370,813	90,867 309,361.5	32,586 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	24,444	25,274	26,907	31,854	20,538
⊳ 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	1,639,354	1,589,521	1,664,140	1,158,743	1,140,784
⊳ 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	3,399,104	3,175,123	3,446,658	3,440,062	3,718,895
⊳ Line 18: Revenue from sale of medical records and abstracts	125,525	131,257	129,548	143,308	143,724
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	636,295	648,961	712,234	375,314	515,719
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	1,448,184	1,457,246	1,339,504	1,232,853	1,174,626
⊳ 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	3,298,247	2,866,164	3,061,668	25,633,494	22,187,374
Total income ? Median	-19,695,595 6,586,430	-2,610,683 6,767,106	-2,141,769 8,419,950	-5,169,410 8,094,175	6,123,572 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	-19,695,595 6,043,842	-2,610,683 5,845,112	-2,141,769 7,606,259	-5,169,410 7,283,041	6,123,572 14,957,241
Net margin Median	-6.19569% 4.62%	-0.76446% 4.42%	-0.58804% 5.16%	-1.45915% 5.2%	1.53766% 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 CCF 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	48,807,909 23,241,334	47,833,000 23,709,545	47,080,176 24,248,380	39,001,007 22,858,541	38,940,826 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	45,169,521 21,577,146	44,266,228 22,041,594	43,297,854 22,722,063	36,326,489 21,570,441	36,294,393 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	3,638,388 3,535,627	3,566,772 3,746,588	3,782,322 3,782,288	2,674,518 3,865,578	2,646,433 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	18,372,760 11,160,864	21,176,084 11,987,345	22,163,255 12,926,866	20,734,927 11,884,480	21,462,235 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	18,372,760 10,918,923	21,176,084 11,706,976	22,163,255 12,615,917	20,734,927 11,458,116	21,462,235 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	3,574,931 3,284,314	3,367,260 3,250,551	3,429,195 3,386,837	3,244,351 3,360,806	3,258,353 3,508,953
Disproportionate-share hospital (DSH) Median	745,017 594,888	747,058 595,761	742,324 577,894	592,191 542,168	548,423 549,667
Outlier Median	508,884 582,572	594,952 538,116	16,503 212,434	60,510 126,559	41,276 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	7,109,791 3,662,910	3,901,757 3,730,911	6,983,634 4,081,319	2,690,197 4,643,908	0 4,389,147
Charity care Median	4,093,447 2,654,636	3,369,710 2,940,659	3,146,225 3,380,215	3,570,919 3,488,738	3,213,970 3,233,405
Uncompensated care (UCC) Median	7,381,180 5,147,790	7,342,940 5,337,617	7,901,764 5,711,082	7,749,444 5,923,418	7,461,617 5,508,107
UCC as a % of operating expenses Median	2.19% 3.24	2.13% 3.12	2.16% 3.21	2.16% 3.3	1.90% 2.86
Total shortfall/UCC Median	14,490,971 9,489,989	11,244,697 9,424,297	14,885,398 10,120,158	10,439,641 11,171,337	7,461,617 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	138,779,575 52,142,039	139,635,648 54,485,252	149,717,146 57,395,589	146,805,458 58,830,919	165,051,356 61,722,907
Salaries as a % of operating expenses Median	41.11 36.68	40.58 36.56	40.87 36.37	40.84 35.93	42.09 35.24
Intern, resident salaries* Median	1,251,534 2,598,592	1,208,533 2,686,824	1,343,317 2,753,773	1,297,214 2,937,156	1,529,547 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	1,168,189 1,449,244	687,265 1,475,986	737,461 1,563,078	466,450 1,721,954	2,725,736 2,991,828
Contract hours, direct-care Median	16,965.00 22,725	13,149.00 23,018.5	12,173.00 24,503.48	7,943.00 25,026.5	27,667.00 33,786
Contract wages, direct-care Median	68.86 64.67	52.27 64.53	60.58 65.06	58.72 68.97	98.52 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.