As of the July, 2022, release via CMS

MERCY HOSPITAL ARDMORE

CMS id: 370047
1011 14TH AVE NW, ARDMORE OK 73401. County: CARTER
System: MERCY HEALTH SYSTEM OF OKLAHOMA
CBSA: Ardmore, OK

The 180-bed, acute-care hospital had $454,456,551 in net service to patients*, with a total profit margin of 76.90065% in fiscal year 2021, the latest year available.
It spent 10.13% of its operating expenses on uncompensated care and reported $2,971,871 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	127 118	127 118	127 119.5	127 118	127 119
Total beds Median	180 162	180 162	180 162	180 162	180 163.5
FTEs Median	732.49 788.06	742.42 793.42	740.16 806.03	705.39 787.61	621.88 804.34

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	137,230,301 150,932,746	142,799,561 158,950,878	152,647,041 168,696,998	147,916,440 163,454,693	592,411,922 186,589,412
Operating expenses Median	136,416,091 149,311,209	139,754,776 156,110,414	143,152,960 164,890,568	143,372,107 166,516,854	137,955,371 180,120,888
Net income from service 2 patients (NS2P) ? Median	814,210 -964,173	3,044,785 -643,601.5	9,494,081 -116,254	4,544,333 -5,025,862	454,456,551 -1,284,564
NS2P margin ? Median	0.59% -0.62	2.13% -0.29	6.22% 0.18	3.07% -5.07	76.71% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MERCY HOSPITAL ARDMORE 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	3,569,149 5,089,215	2,692,423 4,572,541	2,733,944 5,268,134	12,090,028 13,092,619	4,814,285 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	266,975 199,009	95,900 206,870.5	21,521 194,343	548,439 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	0 370,813	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	581,979	556,601	549,760	459,961	467,911
⊳ 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	1,442,392	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	626	3,588	16,756
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	14,406	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	869,183	290,575	316,903	257,107	229,243
⊳ 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	661,189	1,578,272	1,770,755	11,347,851	3,551,936
Total income ? Median	4,383,359 6,586,430	5,737,208 6,767,106	12,228,025 8,419,950	16,634,361 8,094,175	459,270,836 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	73 106,761	0 31,473.5
Net income Median	4,383,359 6,043,842	5,737,208 5,845,112	12,228,025 7,606,259	16,634,288 7,283,041	459,270,836 14,957,241
Net margin Median	3.11319% 4.62%	3.94332% 4.42%	7.86970% 5.16%	10.39601% 5.2%	76.90065% 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 ARDMORE 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	38,209,480 23,241,334	37,797,212 23,709,545	38,332,313 24,248,380	36,863,649 22,858,541	33,861,891 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	32,141,746 21,577,146	31,954,656 22,041,594	32,570,644 22,722,063	30,002,144 21,570,441	28,124,777 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	1,951,503 1,845,420	1,816,361 1,757,392	2,152,843 1,738,842	2,439,598 1,510,463	1,562,051 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	4,116,231 3,535,627	4,026,195 3,746,588	3,608,826 3,782,288	4,421,907 3,865,578	4,175,063 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	25,166,810 11,160,864	27,498,705 11,987,345	29,559,528 12,926,866	30,423,830 11,884,480	26,437,354 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	24,116,390 10,918,923	26,414,483 11,706,976	28,233,219 12,615,917	28,823,011 11,458,116	25,381,355 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,050,420 1,282,808	1,084,222 1,407,728	1,326,309 1,341,512	1,600,819 1,407,046	1,055,999 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	586,414 594,888	536,584 595,761	509,810 577,894	472,955 542,168	315,910 549,667
Outlier Median	1,337,428 582,572	492,773 538,116	467,169 212,434	292,753 126,559	231,710 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	200 3,662,910	153 3,730,911	0 4,081,319	0 4,643,908	2,971,871 4,389,147
Charity care Median	6,399,436 2,654,636	5,695,185 2,940,659	7,058,096 3,380,215	11,825,959 3,488,738	10,322,366 3,233,405
Uncompensated care (UCC) Median	14,411,380 5,147,790	14,719,258 5,337,617	12,950,284 5,711,082	15,901,567 5,923,418	13,976,364 5,508,107
UCC as a % of operating expenses Median	10.56% 3.24	10.53% 3.12	9.05% 3.21	11.09% 3.3	10.13% 2.86
Total shortfall/UCC Median	14,411,580 9,489,989	14,719,411 9,424,297	12,950,284 10,120,158	15,901,567 11,171,337	16,948,235 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	50,647,947 52,142,039	51,748,427 54,485,252	52,065,900 57,395,589	50,668,593 58,830,919	47,674,520 61,722,907
Salaries as a % of operating expenses Median	37.13 36.68	37.03 36.56	36.37 36.37	35.34 35.93	34.56 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	368,289 1,449,244	878,092 1,475,986	2,340,575 1,563,078	2,453,978 1,721,954	5,186,254 2,991,828
Contract hours, direct-care Median	10,151.00 22,725	16,302.05 23,018.5	36,119.32 24,503.48	34,910.30 25,026.5	45,792.24 33,786
Contract wages, direct-care Median	36.28 64.67	53.86 64.53	64.80 65.06	70.29 68.97	113.26 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.