As of the July, 2022, release via CMS

MERCY REGIONAL MEDICAL CENTER

CMS id: 360172
3700 KOLBE ROAD, LORAIN OH 44053. County: LORAIN
System: BON SECOURS MERCY HEALTH
CBSA: Cleveland-Elyria, OH

The 245-bed, acute-care hospital had $-10,632,395 in net service to patients*, with a total profit margin of -2.21001% in fiscal year 2021, the latest year available.
It spent 2.82% of its operating expenses on uncompensated care and reported $15,712,875 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	155 118	150 118	153 119.5	153 118	153 119
Total beds Median	239 162	234 162	245 162	245 162	245 163.5
FTEs Median	1,148.42 788.06	1,113.45 793.42	1,085.15 806.03	1,007.17 787.61	958.07 804.34

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	217,089,438 150,932,746	219,160,095 158,950,878	213,405,914 168,696,998	194,279,661 163,454,693	217,594,054 186,589,412
Operating expenses Median	212,443,436 149,311,209	214,231,883 156,110,414	215,737,016 164,890,568	211,532,737 166,516,854	228,226,449 180,120,888
Net income from service 2 patients (NS2P) ? Median	4,646,002 -964,173	4,928,212 -643,601.5	-2,331,102 -116,254	-17,253,076 -5,025,862	-10,632,395 -1,284,564
NS2P margin ? Median	2.14% -0.62	2.25% -0.29	-1.09% 0.18	-8.88% -5.07	-4.89% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MERCY REGIONAL 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	4,930,818 5,089,215	5,601,447 4,572,541	5,914,765 5,268,134	10,846,620 13,092,619	5,697,625 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	3,968 299,524	5,735 188,688.5	31,282 370,813	59 309,361.5	60 375,329
⊳ 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	611,001	774,714	778,011	527,991	622,573
⊳ 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	15,464	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	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	0	0	0	0
⊳ Line 21: Rental of vending machines	12,998	10,664	8,957	3,215	20,609
⊳ Line 22: Rental of hospital space	138,181	151,913	139,354	181,142	125,429
⊳ 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	4,164,670	4,658,421	4,957,161	10,118,749	4,928,954
Total income ? Median	9,576,820 6,586,430	10,529,659 6,767,106	3,583,663 8,419,950	-6,406,456 8,094,175	-4,934,770 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	9,576,820 6,043,842	10,529,659 5,845,112	3,583,663 7,606,259	-6,406,456 7,283,041	-4,934,770 14,957,241
Net margin Median	4.31349% 4.62%	4.68481% 4.42%	1.63398% 5.16%	-3.12318% 5.2%	-2.21001% 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 REGIONAL 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	42,573,484 23,241,334	39,875,663 23,709,545	36,466,818 24,248,380	30,928,658 22,858,541	32,407,663 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	34,004,418 21,577,146	30,692,808 22,041,594	28,146,223 22,722,063	23,767,310 21,570,441	25,844,172 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	1,023,265 1,845,420	1,009,688 1,757,392	908,075 1,738,842	521,230 1,510,463	537,256 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	7,545,801 3,535,627	8,173,167 3,746,588	7,412,520 3,782,288	6,640,118 3,865,578	6,026,235 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	21,321,925 11,160,864	20,066,104 11,987,345	19,027,649 12,926,866	13,368,473 11,884,480	14,110,660 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	17,911,188 10,918,923	16,990,660 11,706,976	16,771,279 12,615,917	11,614,659 11,458,116	12,234,711 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	3,410,737 1,282,808	3,075,444 1,407,728	2,256,370 1,341,512	1,753,814 1,407,046	1,875,949 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	2,031,365 3,284,314	1,779,265 3,250,551	1,755,306 3,386,837	1,491,569 3,360,806	1,402,413 3,508,953
Disproportionate-share hospital (DSH) Median	913,552 594,888	892,900 595,761	735,120 577,894	705,130 542,168	722,224 549,667
Outlier Median	544,404 582,572	354,105 538,116	251,945 212,434	189,381 126,559	181,130 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	8,030,914 3,662,910	14,192,417 3,730,911	13,941,459 4,081,319	16,981,506 4,643,908	15,712,875 4,389,147
Charity care Median	2,240,168 2,654,636	3,798,577 2,940,659	3,132,766 3,380,215	3,021,264 3,488,738	2,729,285 3,233,405
Uncompensated care (UCC) Median	8,097,969 5,147,790	7,399,596 5,337,617	6,871,141 5,711,082	7,120,268 5,923,418	6,433,563 5,508,107
UCC as a % of operating expenses Median	3.81% 3.24	3.45% 3.12	3.18% 3.21	3.37% 3.3	2.82% 2.86
Total shortfall/UCC Median	16,128,883 9,489,989	21,592,013 9,424,297	20,812,600 10,120,158	24,101,774 11,171,337	22,146,438 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	69,552,190 52,142,039	69,364,273 54,485,252	67,320,433 57,395,589	65,493,797 58,830,919	67,387,253 61,722,907
Salaries as a % of operating expenses Median	32.74 36.68	32.38 36.56	31.20 36.37	30.96 35.93	29.53 35.24
Intern, resident salaries* Median	1,008,490 2,598,592	864,154 2,686,824	907,384 2,753,773	1,006,784 2,937,156	1,211,543 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	181,638 1,449,244	647,641 1,475,986	1,030,318 1,563,078	440,171 1,721,954	4,001,755 2,991,828
Contract hours, direct-care Median	3,434.37 22,725	10,523.17 23,018.5	14,306.86 24,503.48	6,303.74 25,026.5	39,501.52 33,786
Contract wages, direct-care Median	52.89 64.67	61.54 64.53	72.02 65.06	69.83 68.97	101.31 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.