As of the July, 2022, release via CMS

MERCY CATHOLIC MEDICAL CENTER

CMS id: 390156
LANSDOWNE AVE & BAILEY RD., DARBY PA 19023. County: DELAWARE
System: TRINITY HEALTH - MIDATLANTIC
CBSA: Philadelphia-Camden-Wilmington, PA-NJ-DE-MD

The 340-bed, acute-care hospital had $-37,023,744 in net service to patients*, with a total profit margin of -5.47998% in fiscal year 2021, the latest year available.
It spent 3.67% 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	254 118	254 118	254 119.5	254 118	254 119
Total beds Median	341 162	341 162	340 162	340 162	340 163.5
FTEs Median	1,635.60 788.06	1,621.23 793.42	1,588.81 806.03	1,546.93 787.61	1,330.88 804.34

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	325,102,185 150,932,746	325,189,545 158,950,878	303,514,504 168,696,998	288,405,125 163,454,693	253,249,435 186,589,412
Operating expenses Median	329,650,185 149,311,209	323,617,185 156,110,414	336,771,540 164,890,568	400,926,326 166,516,854	290,273,179 180,120,888
Net income from service 2 patients (NS2P) ? Median	-4,548,000 -964,173	1,572,360 -643,601.5	-33,257,036 -116,254	-112,521,201 -5,025,862	-37,023,744 -1,284,564
NS2P margin ? Median	-1.40% -0.62	0.48% -0.29	-10.96% 0.18	-39.01% -5.07	-14.62% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MERCY CATHOLIC 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	22,155,000 5,089,215	17,842,885 4,572,541	19,519,290 5,268,134	20,965,377 13,092,619	21,943,248 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	133,000 224,999	119,944 199,009	139,485 206,870.5	129,593 194,343	134,111 249,496
⊳ Line 7: Investments ? ⊳ Median	0 299,524	0 188,688.5	-383,014 370,813	894,124 309,361.5	2,173,210 375,329
⊳ 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	158,000	148,358	136,596	114,054	46,806
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	1,182,000	1,173,423	1,409,113	1,139,812	673,401
⊳ Line 15: Revenue from rental of living quarters	717,000	838,751	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	14,922,569	12,567,670
⊳ 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	35,000	30,268	23,648	25,824	6,929
⊳ Line 22: Rental of hospital space	0	0	464,635	477,734	421,020
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	6,826 1,987,202	0 1,597,664
⊳ Sum Line 24	19,930,000	15,532,141	17,728,827	3,254,841	5,920,101
Total income ? Median	17,607,000 6,586,430	19,415,245 6,767,106	-13,737,746 8,419,950	-91,555,824 8,094,175	-15,080,496 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	55,217,915 106,761	0 31,473.5
Net income Median	17,607,000 6,043,842	19,415,245 5,845,112	-13,737,746 7,606,259	-146,773,739 7,283,041	-15,080,496 14,957,241
Net margin Median	5.07031% 4.62%	5.65989% 4.42%	-4.25273% 5.16%	-47.44271% 5.2%	-5.47998% 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 CATHOLIC 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	60,694,238 23,241,334	56,605,267 23,709,545	56,385,169 24,248,380	51,601,586 22,858,541	43,478,588 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	57,974,756 21,577,146	53,960,618 22,041,594	53,022,557 22,722,063	48,836,068 21,570,441	41,973,771 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	1,585,456 1,845,420	1,979,392 1,757,392	2,306,475 1,738,842	1,825,579 1,510,463	726,745 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	1,134,026 3,535,627	665,257 3,746,588	1,056,137 3,782,288	939,939 3,865,578	778,072 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	17,537,457 11,160,864	16,959,373 11,987,345	17,271,737 12,926,866	15,520,157 11,884,480	12,178,932 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	17,537,457 10,918,923	16,959,373 11,706,976	17,271,737 12,615,917	15,520,157 11,458,116	12,178,932 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	14,172,178 3,284,314	13,695,152 3,250,551	13,494,967 3,386,837	13,087,371 3,360,806	12,149,961 3,508,953
Disproportionate-share hospital (DSH) Median	2,655,291 594,888	2,456,380 595,761	2,453,166 577,894	2,314,257 542,168	1,670,518 549,667
Outlier Median	776,383 582,572	716,229 538,116	869,922 212,434	632,611 126,559	303,024 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	5,128,250 2,654,636	4,659,366 2,940,659	5,667,247 3,380,215	8,144,348 3,488,738	5,567,660 3,233,405
Uncompensated care (UCC) Median	11,208,125 5,147,790	8,868,527 5,337,617	10,026,103 5,711,082	13,387,809 5,923,418	10,654,231 5,508,107
UCC as a % of operating expenses Median	3.40% 3.24	2.74% 3.12	2.98% 3.21	3.34% 3.3	3.67% 2.86
Total shortfall/UCC Median	11,208,125 9,489,989	8,868,527 9,424,297	10,026,103 10,120,158	13,387,809 11,171,337	10,654,231 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	120,913,478 52,142,039	121,480,388 54,485,252	122,884,892 57,395,589	121,684,539 58,830,919	95,408,011 61,722,907
Salaries as a % of operating expenses Median	36.68 36.68	37.54 36.56	36.49 36.37	30.35 35.93	32.87 35.24
Intern, resident salaries* Median	5,781,380 2,598,592	6,019,634 2,686,824	5,644,149 2,753,773	6,083,480 2,937,156	7,107,826 2,909,848
Contract intern, resident salaries* Median	1,507,166 1,251,927	1,429,460 1,186,494	1,778,522 1,204,885	271,042 1,279,653	273,476 1,469,317
Contract adjusted salaries, direct-care Median	1,683,478 1,449,244	1,623,009 1,475,986	2,652,541 1,563,078	562,101 1,721,954	1,535,157 2,991,828
Contract hours, direct-care Median	41,178.00 22,725	41,681.70 23,018.5	49,926.30 24,503.48	10,153.62 25,026.5	16,160.00 33,786
Contract wages, direct-care Median	40.88 64.67	38.94 64.53	53.13 65.06	55.36 68.97	95.00 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.