As of the July, 2022, release via CMS

TRUMAN MED CTR HOSPITAL HILL

CMS id: 260048
2301 HOLMES STREET, KANSAS CITY MO 64108. County: JACKSON
System: NAME: NAME: TRUMAN MEDICAL CENTER
CBSA: Kansas City, MO-KS

The 238-bed, acute-care hospital had $-44,838,702 in net service to patients*, with a total profit margin of 9.69694% in fiscal year 2021, the latest year available.
It spent 14.17% 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	199 118	189 118	189 119.5	189 118	189 119
Total beds Median	238 162	238 162	238 162	238 162	238 163.5
FTEs Median	2,241.52 788.06	2,205.33 793.42	2,273.01 806.03	2,325.05 787.61	2,373.02 804.34

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	350,777,701 150,932,746	366,831,602 158,950,878	447,962,274 168,696,998	484,849,376 163,454,693	525,030,122 186,589,412
Operating expenses Median	356,425,499 149,311,209	396,038,956 156,110,414	501,315,173 164,890,568	558,132,194 166,516,854	569,868,824 180,120,888
Net income from service 2 patients (NS2P) ? Median	-5,647,798 -964,173	-29,207,354 -643,601.5	-53,352,899 -116,254	-73,282,818 -5,025,862	-44,838,702 -1,284,564
NS2P margin ? Median	-1.61% -0.62	-7.96% -0.29	-11.91% 0.18	-15.11% -5.07	-8.54% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for TRUMAN MED CTR HOSPITAL HILL 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	51,740,435 5,089,215	48,909,643 4,572,541	53,457,461 5,268,134	63,210,818 13,092,619	106,032,491 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	1,739,357 224,999	539,798 199,009	672,131 206,870.5	356,470 194,343	24,768,713 249,496
⊳ Line 7: Investments ? ⊳ Median	228,091 299,524	181,777 188,688.5	596,406 370,813	-511,118 309,361.5	245,805 375,329
⊳ 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	171,306	0
⊳ Line 13: Revenue from laundry and linen service	0	147,555	154,142	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	0	0	0	0
⊳ 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	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	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	563,199	257,039	280,014	314,227
⊳ Line 23: Gov appropriations ? ⊳ Median	26,400,000 1,017,693	26,400,000 983,261.5	26,400,000 1,173,286	26,400,000 1,987,202	26,400,000 1,597,664
⊳ Sum Line 24	23,372,987	21,077,314	25,377,743	36,514,146	54,303,746
Total income ? Median	46,092,637 6,586,430	19,702,289 6,767,106	104,562 8,419,950	-10,072,000 8,094,175	61,193,789 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	46,092,637 6,043,842	19,702,289 5,845,112	104,562 7,606,259	-10,072,000 7,283,041	61,193,789 14,957,241
Net margin Median	11.45107% 4.62%	4.73907% 4.42%	0.02085% 5.16%	-1.83775% 5.2%	9.69694% 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 TRUMAN MED CTR HOSPITAL HILL 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	35,113,682 23,241,334	35,076,854 23,709,545	40,547,237 24,248,380	43,479,371 22,858,541	45,171,791 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	35,113,682 21,577,146	35,076,854 22,041,594	40,547,237 22,722,063	43,479,371 21,570,441	45,171,791 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	17,804,498 11,160,864	17,071,632 11,987,345	16,292,431 12,926,866	15,124,560 11,884,480	15,802,341 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	17,804,498 10,918,923	17,071,632 11,706,976	16,292,431 12,615,917	15,124,560 11,458,116	15,802,341 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	7,439,580 3,284,314	6,754,115 3,250,551	6,567,884 3,386,837	6,307,011 3,360,806	6,525,531 3,508,953
Disproportionate-share hospital (DSH) Median	1,984,843 594,888	1,680,455 595,761	1,552,421 577,894	1,351,066 542,168	1,300,007 549,667
Outlier Median	2,088,891 582,572	1,468,081 538,116	1,646,107 212,434	416,483 126,559	364,261 139,139

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	50,878,524 2,654,636	33,665,948 2,940,659	42,872,886 3,380,215	65,135,589 3,488,738	54,691,999 3,233,405
Uncompensated care (UCC) Median	63,054,632 5,147,790	81,452,898 5,337,617	80,133,195 5,711,082	93,522,361 5,923,418	80,752,387 5,508,107
UCC as a % of operating expenses Median	17.69% 3.24	20.57% 3.12	15.98% 3.21	16.76% 3.3	14.17% 2.86
Total shortfall/UCC Median	63,054,632 9,489,989	81,452,898 9,424,297	80,133,195 10,120,158	93,522,361 11,171,337	80,752,387 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	136,326,036 52,142,039	141,756,853 54,485,252	151,469,238 57,395,589	158,977,579 58,830,919	169,624,508 61,722,907
Salaries as a % of operating expenses Median	38.25 36.68	35.79 36.56	30.21 36.37	28.48 35.93	29.77 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	12,916,078 1,251,927	12,930,892 1,186,494	13,578,131 1,204,885	14,091,338 1,279,653	14,329,675 1,469,317
Contract adjusted salaries, direct-care Median	16,217,450 1,449,244	14,267,326 1,475,986	16,247,243 1,563,078	17,240,080 1,721,954	22,098,099 2,991,828
Contract hours, direct-care Median	407,115.00 22,725	388,608.97 23,018.5	423,714.36 24,503.48	418,316.32 25,026.5	484,920.38 33,786
Contract wages, direct-care Median	39.84 64.67	36.71 64.53	38.34 65.06	41.21 68.97	45.57 88.94

* in an approved program

Return to top

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.