As of the July, 2022, release via CMS

MERCY HOSPITAL OKC

CMS id: 370013
4300 WEST MEMORIAL ROAD, OKLAHOMA CITY OK 73120. County: OKLAHOMA
System: MERCY HEALTH OKLAHOMA COMMUNITIES
CBSA: Oklahoma City, OK

The 344-bed, acute-care hospital had $29,218,427 in net service to patients*, with a total profit margin of 9.77177% in fiscal year 2021, the latest year available.
It spent 4.93% of its operating expenses on uncompensated care and reported $4,359,051 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	244 118	244 118	244 119.5	244 118	280 119
Total beds Median	308 162	308 162	308 162	308 162	344 163.5
FTEs Median	2,162.49 788.06	2,338.66 793.42	2,301.35 806.03	2,283.60 787.61	2,247.50 804.34

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	472,900,051 150,932,746	494,554,909 158,950,878	542,625,267 168,696,998	531,168,894 163,454,693	579,188,677 186,589,412
Operating expenses Median	442,598,215 149,311,209	453,802,763 156,110,414	483,446,108 164,890,568	482,605,907 166,516,854	549,970,250 180,120,888
Net income from service 2 patients (NS2P) ? Median	30,301,836 -964,173	40,752,146 -643,601.5	59,179,159 -116,254	48,562,987 -5,025,862	29,218,427 -1,284,564
NS2P margin ? Median	6.41% -0.62	8.24% -0.29	10.91% 0.18	9.14% -5.07	5.04% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MERCY HOSPITAL OKC 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	26,881,911 5,089,215	25,242,495 4,572,541	24,975,899 5,268,134	23,365,237 13,092,619	30,363,778 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	414,460 224,999	5,811,402 199,009	3,506,618 206,870.5	832,674 194,343	3,652,893 249,496
⊳ Line 7: Investments ? ⊳ Median	3,251,611 299,524	3,229,607 188,688.5	3,761,669 370,813	2,430,326 309,361.5	3,116,188 375,329
⊳ 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	2,533,908	2,552,206	2,519,930	2,419,593	2,068,456
⊳ 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	10,489,965	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	4,822	12,327	12,307	3,372	7,940
⊳ 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	7,718	9,021	10,450	6,480	722
⊳ Line 22: Rental of hospital space	3,819,493	2,198,520	3,284,591	3,199,295	3,148,960
⊳ 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	6,359,934	11,429,412	11,880,334	14,473,497	18,368,619
Total income ? Median	57,183,747 6,586,430	65,994,641 6,767,106	84,155,058 8,419,950	71,928,224 8,094,175	59,582,205 15,162,888
Non-operating expenses Median	41,360 146,289.5	0 164,857	0 89,880.5	97,824 106,761	18,134 31,473.5
Net income Median	57,142,387 6,043,842	65,994,641 5,845,112	84,155,058 7,606,259	71,830,400 7,283,041	59,564,071 14,957,241
Net margin Median	11.43346% 4.62%	12.69622% 4.42%	14.82644% 5.16%	12.95329% 5.2%	9.77177% 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 OKC 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	66,707,902 23,241,334	68,552,061 23,709,545	65,504,404 24,248,380	65,023,057 22,858,541	73,304,695 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	66,707,902 21,577,146	68,552,061 22,041,594	65,504,404 22,722,063	65,023,057 21,570,441	73,304,695 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	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	58,890,925 11,160,864	63,710,332 11,987,345	77,142,139 12,926,866	79,019,778 11,884,480	82,869,801 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	53,982,951 10,918,923	57,884,414 11,706,976	69,679,887 12,615,917	68,155,475 11,458,116	74,798,573 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	4,907,974 1,282,808	5,825,918 1,407,728	7,462,252 1,341,512	10,864,303 1,407,046	8,071,228 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	1,311,125 594,888	1,423,509 595,761	1,225,743 577,894	1,035,331 542,168	948,594 549,667
Outlier Median	4,243,702 582,572	2,234,825 538,116	2,147,108 212,434	532,554 126,559	413,312 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	2,784,506 3,730,911	669,693 4,081,319	969,251 4,643,908	4,359,051 4,389,147
Charity care Median	13,451,466 2,654,636	11,916,318 2,940,659	12,929,217 3,380,215	22,545,364 3,488,738	22,488,236 3,233,405
Uncompensated care (UCC) Median	28,058,087 5,147,790	19,076,009 5,337,617	20,214,494 5,711,082	28,503,801 5,923,418	27,100,236 5,508,107
UCC as a % of operating expenses Median	6.34% 3.24	4.20% 3.12	4.18% 3.21	5.91% 3.3	4.93% 2.86
Total shortfall/UCC Median	28,058,087 9,489,989	21,860,515 9,424,297	20,884,187 10,120,158	29,473,052 11,171,337	31,459,287 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	142,371,996 52,142,039	152,660,053 54,485,252	153,352,210 57,395,589	157,724,129 58,830,919	171,290,949 61,722,907
Salaries as a % of operating expenses Median	32.17 36.68	33.64 36.56	31.72 36.37	32.68 35.93	31.15 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	3,558,394 1,449,244	3,556,044 1,475,986	1,722,646 1,563,078	2,488,577 1,721,954	16,985,758 2,991,828
Contract hours, direct-care Median	97,603.41 22,725	56,074.00 23,018.5	27,853.00 24,503.48	41,632.00 25,026.5	141,314.75 33,786
Contract wages, direct-care Median	36.46 64.67	63.42 64.53	61.85 65.06	59.78 68.97	120.20 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.