As of the July, 2022, release via CMS

CAPITAL REGION MEDICAL CENTER

CMS id: 260047
1125 SOUTH MADISON STREET, JEFFERSON CITY MO 65102. County: COLE
System: --
CBSA: Jefferson City, MO

The 114-bed, acute-care hospital had $-17,938,221 in net service to patients*, with a total profit margin of 3.45146% in fiscal year 2021, the latest year available.
It spent 2.59% of its operating expenses on uncompensated care and reported $2,753,790 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	88 118	88 118	88 119.5	88 118	88 119
Total beds Median	114 162	114 162	114 162	114 162	114 163.5
FTEs Median	1,170.50 788.06	1,205.51 793.42	1,192.74 806.03	1,181.49 787.61	1,221.13 804.34

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	179,851,548 150,932,746	196,530,285 158,950,878	213,400,882 168,696,998	205,422,221 163,454,693	219,868,260 186,589,412
Operating expenses Median	182,075,393 149,311,209	198,128,779 156,110,414	210,695,924 164,890,568	218,854,617 166,516,854	237,806,481 180,120,888
Net income from service 2 patients (NS2P) ? Median	-2,223,845 -964,173	-1,598,494 -643,601.5	2,704,958 -116,254	-13,432,396 -5,025,862	-17,938,221 -1,284,564
NS2P margin ? Median	-1.24% -0.62	-0.81% -0.29	1.27% 0.18	-6.54% -5.07	-8.16% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for CAPITAL REGION 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	7,145,093 5,089,215	7,741,618 4,572,541	9,600,444 5,268,134	13,372,913 13,092,619	16,183,364 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	351,306 224,999	366,565 199,009	281,051 206,870.5	136,014 194,343	41,403 249,496
⊳ Line 7: Investments ? ⊳ Median	581,510 299,524	1,781,814 188,688.5	2,396,191 370,813	1,901,775 309,361.5	1,700,862 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	412,017	465,447	542,462	584,134	793,421
⊳ Line 11: Rebates and refunds of expenses	61,988	59,201	65,490	69,630	71,180
⊳ 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	636,175	721,384	716,506	630,270	529,385
⊳ 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	2,882,475	2,999,203	3,423,740	4,163,368	6,161,103
⊳ Line 18: Revenue from sale of medical records and abstracts	193	456	204	370	2,270
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	120,380	116,760	114,300	114,874	125,341
⊳ 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	52,769	49,807	65,255	47,327	62,126
⊳ 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	2,046,280	1,180,981	1,995,245	5,725,151	6,696,273
Total income ? Median	4,921,248 6,586,430	6,143,124 6,767,106	12,305,402 8,419,950	-59,483 8,094,175	-1,754,857 15,162,888
Non-operating expenses Median	993,566 146,289.5	-635 164,857	15,272 89,880.5	1,156,289 106,761	-9,902,075 31,473.5
Net income Median	3,927,682 6,043,842	6,143,759 5,845,112	12,290,130 7,606,259	-1,215,772 7,283,041	8,147,218 14,957,241
Net margin Median	2.10040% 4.62%	3.00764% 4.42%	5.51124% 5.16%	-0.55567% 5.2%	3.45146% 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 CAPITAL REGION 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	25,985,931 23,241,334	29,757,991 23,709,545	27,449,466 24,248,380	22,807,906 22,858,541	24,106,294 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	23,632,262 21,577,146	26,688,592 22,041,594	24,365,529 22,722,063	20,186,353 21,570,441	21,523,244 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	2,353,669 3,535,627	3,069,399 3,746,588	3,083,937 3,782,288	2,621,553 3,865,578	2,583,050 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	24,206,648 11,160,864	26,387,866 11,987,345	27,521,378 12,926,866	26,313,696 11,884,480	26,284,954 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	22,940,728 10,918,923	25,094,498 11,706,976	27,434,582 12,615,917	26,313,696 11,458,116	26,284,954 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,265,920 1,282,808	1,293,368 1,407,728	86,796 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	1,650,383 3,284,314	1,764,887 3,250,551	1,558,763 3,386,837	1,426,942 3,360,806	1,453,665 3,508,953
Disproportionate-share hospital (DSH) Median	220,741 594,888	256,907 595,761	208,297 577,894	139,918 542,168	91,075 549,667
Outlier Median	286,567 582,572	206,175 538,116	161,357 212,434	124,608 126,559	96,109 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	1,096,860 3,730,911	1,671,586 4,081,319	3,005,311 4,643,908	2,753,790 4,389,147
Charity care Median	2,883,657 2,654,636	3,299,687 2,940,659	3,033,774 3,380,215	4,959,313 3,488,738	4,128,594 3,233,405
Uncompensated care (UCC) Median	4,833,141 5,147,790	4,836,295 5,337,617	4,687,001 5,711,082	6,962,319 5,923,418	6,169,550 5,508,107
UCC as a % of operating expenses Median	2.65% 3.24	2.44% 3.12	2.22% 3.21	3.18% 3.3	2.59% 2.86
Total shortfall/UCC Median	4,833,141 9,489,989	5,933,155 9,424,297	6,358,587 10,120,158	9,967,630 11,171,337	8,923,340 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	80,653,504 52,142,039	84,845,459 54,485,252	86,142,598 57,395,589	86,984,067 58,830,919	93,472,612 61,722,907
Salaries as a % of operating expenses Median	44.30 36.68	42.82 36.56	40.88 36.37	39.75 35.93	39.31 35.24
Intern, resident salaries* Median	709,848 2,598,592	744,993 2,686,824	755,342 2,753,773	893,590 2,937,156	899,106 2,909,848
Contract intern, resident salaries* Median	170,659 1,251,927	175,056 1,186,494	179,788 1,204,885	182,467 1,279,653	21,238 1,469,317
Contract adjusted salaries, direct-care Median	434,279 1,449,244	1,278,498 1,475,986	2,177,958 1,563,078	2,419,607 1,721,954	3,787,369 2,991,828
Contract hours, direct-care Median	5,872.80 22,725	17,977.00 23,018.5	22,597.00 24,503.48	33,779.00 25,026.5	37,449.00 33,786
Contract wages, direct-care Median	73.95 64.67	71.12 64.53	96.38 65.06	71.63 68.97	101.13 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.