As of the July, 2022, release via CMS

CLERMONT MERCY HOSPITAL

CMS id: 360236
3000 HOSPITAL DRIVE, BATAVIA OH 45103. County: CLERMONT
System: BON SECOURS MERCY HEALTH
CBSA: Cincinnati, OH-KY-IN

The 165-bed, acute-care hospital had $11,518,047 in net service to patients*, with a total profit margin of 12.06995% in fiscal year 2021, the latest year available.
It spent 4.06% of its operating expenses on uncompensated care and reported $6,930,501 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	131 118	131 118	115 119.5	131 118	131 119
Total beds Median	147 162	147 162	147 162	165 162	165 163.5
FTEs Median	588.00 788.06	577.33 793.42	582.49 806.03	559.14 787.61	553.77 804.34

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	121,101,337 150,932,746	121,158,894 158,950,878	123,764,862 168,696,998	123,198,176 163,454,693	144,034,314 186,589,412
Operating expenses Median	107,800,492 149,311,209	108,343,943 156,110,414	112,620,116 164,890,568	117,366,827 166,516,854	132,516,267 180,120,888
Net income from service 2 patients (NS2P) ? Median	13,300,845 -964,173	12,814,951 -643,601.5	11,144,746 -116,254	5,831,349 -5,025,862	11,518,047 -1,284,564
NS2P margin ? Median	10.98% -0.62	10.58% -0.29	9.00% 0.18	4.73% -5.07	8.00% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CLERMONT MERCY HOSPITAL 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	1,268,531 5,089,215	1,179,209 4,572,541	1,732,389 5,268,134	9,321,474 13,092,619	6,672,196 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	3,290 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	6,456 188,688.5	559 370,813	0 309,361.5	0 375,329
⊳ 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	343,388	355,853	304,421	252,947	286,825
⊳ 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	199,919	269,717	209,629	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	31,459	20,261	11,778	11,655	35,115
⊳ Line 22: Rental of hospital space	157,956	100,220	534,500	54,805	105,051
⊳ Line 23: Gov appropriations ? ⊳ Median	393,240 1,017,693	179,499 983,261.5	8,693 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	142,569	247,203	659,519	9,002,067	6,245,205
Total income ? Median	14,569,376 6,586,430	13,994,160 6,767,106	12,877,135 8,419,950	15,152,823 8,094,175	18,190,243 15,162,888
Non-operating expenses Median	38 146,289.5	0 164,857	0 89,880.5	0 106,761	50 31,473.5
Net income Median	14,569,338 6,043,842	13,994,160 5,845,112	12,877,135 7,606,259	15,152,823 7,283,041	18,190,193 14,957,241
Net margin Median	11.90598% 4.62%	11.43892% 4.42%	10.26089% 5.16%	11.43440% 5.2%	12.06995% 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 CLERMONT MERCY HOSPITAL 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	19,853,718 23,241,334	20,272,559 23,709,545	18,529,306 24,248,380	19,777,620 22,858,541	19,241,435 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	19,431,938 21,577,146	20,272,559 22,041,594	17,472,858 22,722,063	18,757,069 21,570,441	18,265,741 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	421,780 1,845,420	0 1,757,392	1,056,448 1,738,842	1,020,551 1,510,463	975,694 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	10,681,206 11,160,864	9,805,938 11,987,345	9,939,954 12,926,866	7,716,064 11,884,480	7,893,658 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	10,681,206 10,918,923	9,805,938 11,706,976	9,939,954 12,615,917	7,716,064 11,458,116	7,893,658 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	0 3,508,953
Disproportionate-share hospital (DSH) Median	518,782 594,888	765,911 595,761	613,218 577,894	630,894 542,168	589,425 549,667
Outlier Median	308,461 582,572	241,559 538,116	54,373 212,434	69,440 126,559	19,101 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	4,911,881 3,662,910	7,441,732 3,730,911	5,302,591 4,081,319	5,694,216 4,643,908	6,930,501 4,389,147
Charity care Median	1,857,156 2,654,636	3,578,388 2,940,659	2,881,044 3,380,215	2,470,905 3,488,738	2,258,119 3,233,405
Uncompensated care (UCC) Median	5,176,826 5,147,790	7,671,511 5,337,617	6,465,312 5,711,082	6,293,699 5,923,418	5,386,696 5,508,107
UCC as a % of operating expenses Median	4.80% 3.24	7.08% 3.12	5.74% 3.21	5.36% 3.3	4.06% 2.86
Total shortfall/UCC Median	10,088,707 9,489,989	15,113,243 9,424,297	11,767,903 10,120,158	11,987,915 11,171,337	12,317,197 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	36,332,445 52,142,039	37,940,236 54,485,252	39,078,954 57,395,589	40,064,825 58,830,919	43,386,524 61,722,907
Salaries as a % of operating expenses Median	33.70 36.68	35.02 36.56	34.70 36.37	34.14 35.93	32.74 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	19,893 1,449,244	63,067 1,475,986	476,042 1,563,078	914,376 1,721,954	3,543,939 2,991,828
Contract hours, direct-care Median	353.00 22,725	1,079.00 23,018.5	6,872.25 24,503.48	14,246.47 25,026.5	34,711.84 33,786
Contract wages, direct-care Median	56.35 64.67	58.45 64.53	69.27 65.06	64.18 68.97	102.10 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.