As of the July, 2022, release via CMS

MERCY MEDICAL CENTER

CMS id: 380027
2700 STEWART PARKWAY, ROSEBURG OR 97471. County: DOUGLAS
System: COMMONSPIRIT HEALTH
CBSA: Roseburg, OR

The 131-bed, acute-care hospital had $18,062,651 in net service to patients*, with a total profit margin of 27.94553% in fiscal year 2021, the latest year available.
It spent 1.94% 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	108 118	108 118	108 119.5	99 118	99 119
Total beds Median	140 162	140 162	140 162	131 162	131 163.5
FTEs Median	852.71 788.06	824.62 793.42	859.39 806.03	881.67 787.61	892.90 804.34

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	199,693,880 150,932,746	203,962,104 158,950,878	217,265,612 168,696,998	228,553,613 163,454,693	245,774,248 186,589,412
Operating expenses Median	171,474,721 149,311,209	175,361,387 156,110,414	194,639,430 164,890,568	203,813,113 166,516,854	227,711,597 180,120,888
Net income from service 2 patients (NS2P) ? Median	28,219,159 -964,173	28,600,717 -643,601.5	22,626,182 -116,254	24,740,500 -5,025,862	18,062,651 -1,284,564
NS2P margin ? Median	14.13% -0.62	14.02% -0.29	10.41% 0.18	10.82% -5.07	7.35% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for 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	19,754,637 5,089,215	12,487,146 4,572,541	7,446,131 5,268,134	22,185,894 13,092,619	70,252,766 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	250,000 224,999	112,429 199,009	80,000 206,870.5	113,866 194,343	512,417 249,496
⊳ Line 7: Investments ? ⊳ Median	13,014,174 299,524	6,309,711 188,688.5	4,422,972 370,813	9,544,207 309,361.5	63,382,670 375,329
⊳ 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	66,059	60,644	59,770	167,326	164,376
⊳ 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	802,004	786,208	879,471	879,329	850,171
⊳ 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	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	180	326	45	0	368
⊳ 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	0	0	0	0	0
⊳ Line 22: Rental of hospital space	673,503	528,818	380,160	348,410	331,926
⊳ Line 23: Gov appropriations ? ⊳ Median	511,277 1,017,693	98,868 983,261.5	104,241 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	4,437,440	4,590,142	1,519,472	11,132,756	5,010,838
Total income ? Median	47,973,796 6,586,430	41,087,863 6,767,106	30,072,313 8,419,950	46,926,394 8,094,175	88,315,417 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	47,973,796 6,043,842	41,087,863 5,845,112	30,072,313 7,606,259	46,926,394 7,283,041	88,315,417 14,957,241
Net margin Median	21.86107% 4.62%	18.98268% 4.42%	13.38262% 5.16%	18.71520% 5.2%	27.94553% 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 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	30,450,715 23,241,334	29,032,909 23,709,545	29,442,471 24,248,380	24,900,150 22,858,541	26,571,447 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	30,450,715 21,577,146	29,032,909 22,041,594	29,442,471 22,722,063	24,900,150 21,570,441	26,571,447 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	20,697,775 11,160,864	21,529,262 11,987,345	22,963,569 12,926,866	23,565,715 11,884,480	26,049,559 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	19,038,764 10,918,923	20,139,913 11,706,976	21,340,224 12,615,917	22,412,357 11,458,116	24,846,361 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,659,011 1,282,808	1,389,349 1,407,728	1,623,345 1,341,512	1,153,358 1,407,046	1,203,198 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	525,768 3,508,953
Disproportionate-share hospital (DSH) Median	820,151 594,888	794,285 595,761	724,864 577,894	638,972 542,168	719,404 549,667
Outlier Median	633,526 582,572	565,920 538,116	604,767 212,434	51,750 126,559	75,799 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	1,491,134 3,730,911	7,065,149 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	1,297,693 2,654,636	767,400 2,940,659	3,622,034 3,380,215	4,816,938 3,488,738	2,114,848 3,233,405
Uncompensated care (UCC) Median	2,423,352 5,147,790	2,426,146 5,337,617	5,679,730 5,711,082	6,093,281 5,923,418	4,426,509 5,508,107
UCC as a % of operating expenses Median	1.41% 3.24	1.38% 3.12	2.92% 3.21	2.99% 3.3	1.94% 2.86
Total shortfall/UCC Median	2,423,352 9,489,989	3,917,280 9,424,297	12,744,879 10,120,158	6,093,281 11,171,337	4,426,509 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	64,841,720 52,142,039	64,534,919 54,485,252	68,531,559 57,395,589	72,222,812 58,830,919	75,903,361 61,722,907
Salaries as a % of operating expenses Median	37.81 36.68	36.80 36.56	35.21 36.37	35.44 35.93	33.33 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	7,045,430 1,449,244	7,514,015 1,475,986	7,385,508 1,563,078	7,481,251 1,721,954	8,464,598 2,991,828
Contract hours, direct-care Median	129,697.59 22,725	145,785.00 23,018.5	160,275.02 24,503.48	150,723.15 25,026.5	142,332.60 33,786
Contract wages, direct-care Median	54.32 64.67	51.54 64.53	46.08 65.06	49.64 68.97	59.47 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.