As of the July, 2022, release via CMS

MOSAIC MEDICAL CENTER - MARYVILLE

CMS id: 260050
2016 SOUTH MAIN STREET, MARYVILLE MO 64468. County: NODAWAY
System: MOSAIC HEALTH SYSTEM
CBSA: Maryville, MO

The 51-bed, acute-care hospital had $-16,548,578 in net service to patients*, with a total profit margin of 3.95553% in fiscal year 2021, the latest year available.
It spent 7.19% of its operating expenses on uncompensated care and reported $1,694,243 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	91	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	38 118	38 118	38 119.5	36 118	34 119
Total beds Median	52 162	52 162	52 162	52 162	51 163.5
FTEs Median	498.80 788.06	356.45 793.42	104.81 806.03	380.45 787.61	9,759.53 804.34

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	55,712,669 150,932,746	57,541,056 158,950,878	12,870,461 168,696,998	71,007,516 163,454,693	67,041,357 186,589,412
Operating expenses Median	65,233,489 149,311,209	65,289,555 156,110,414	15,804,970 164,890,568	85,897,715 166,516,854	83,589,935 180,120,888
Net income from service 2 patients (NS2P) ? Median	-9,520,820 -964,173	-7,748,499 -643,601.5	-2,934,509 -116,254	-14,890,199 -5,025,862	-16,548,578 -1,284,564
NS2P margin ? Median	-17.09% -0.62	-13.47% -0.29	-22.80% 0.18	-20.97% -5.07	-24.68% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MOSAIC MEDICAL CENTER - MARYVILLE 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	5,714,612 5,089,215	4,841,124 4,572,541	748,668 5,268,134	-5,168,467 13,092,619	19,991,172 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	673,964 224,999	626,878 199,009	0 206,870.5	0 194,343	6,038,463 249,496
⊳ Line 7: Investments ? ⊳ Median	1,311,520 299,524	-138,703 188,688.5	0 370,813	0 309,361.5	-10,829 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	2,314	1,289	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	504	504	0	0	420
⊳ Line 14: Revenue from meals sold to emplyees and guests	179,006	19,582	0	0	227,193
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	143,101
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	28,628	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	867	3,052,145	0	0	4,531,641
⊳ Line 18: Revenue from sale of medical records and abstracts	136	112	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	2,000	4,000	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ 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	3,544,301	1,246,689	748,668	-5,168,467	9,061,183
Total income ? Median	-3,806,208 6,586,430	-2,907,375 6,767,106	-2,185,841 8,419,950	-20,058,666 8,094,175	3,442,594 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	-3,806,208 6,043,842	-2,907,375 5,845,112	-2,185,841 7,606,259	-20,058,666 7,283,041	3,442,594 14,957,241
Net margin Median	-6.19628% 4.62%	-4.66059% 4.42%	-16.04979% 5.16%	-30.46621% 5.2%	3.95553% 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 MOSAIC MEDICAL CENTER - MARYVILLE 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	4,344,315 23,241,334	4,966,215 23,709,545	762,023 24,248,380	4,240,921 22,858,541	5,255,752 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	3,923,183 21,577,146	4,702,846 22,041,594	711,647 22,722,063	3,899,162 21,570,441	4,998,969 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	421,132 1,845,420	263,369 1,757,392	50,376 1,738,842	341,759 1,510,463	256,783 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	8,268,293 11,160,864	9,213,101 11,987,345	2,207,201 12,926,866	10,694,755 11,884,480	16,357,280 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	3,864,934 10,918,923	5,123,954 11,706,976	1,097,988 12,615,917	5,653,447 11,458,116	10,352,337 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	4,403,359 618,038	4,089,147 697,279	1,109,213 690,232	5,041,308 684,010	6,004,943 670,558
⊳ 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	49,271 594,888	73,312 595,761	12,845 577,894	51,317 542,168	67,265 549,667
Outlier Median	31,446 582,572	50,356 538,116	765 212,434	5,967 126,559	51,025 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,109,978 3,662,910	5,488,810 3,730,911	208,851 4,081,319	2,294,968 4,643,908	1,694,243 4,389,147
Charity care Median	3,076,585 2,654,636	3,025,809 2,940,659	392,528 3,380,215	4,663,039 3,488,738	4,907,001 3,233,405
Uncompensated care (UCC) Median	4,543,175 5,147,790	4,548,599 5,337,617	392,528 5,711,082	6,141,937 5,923,418	6,010,405 5,508,107
UCC as a % of operating expenses Median	6.96% 3.24	6.97% 3.12	2.48% 3.21	7.15% 3.3	7.19% 2.86
Total shortfall/UCC Median	6,653,153 9,489,989	10,037,409 9,424,297	601,379 10,120,158	8,436,905 11,171,337	7,704,648 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	26,684,384 52,142,039	26,788,296 54,485,252	7,086,333 57,395,589	29,663,029 58,830,919	32,157,410 61,722,907
Salaries as a % of operating expenses Median	40.91 36.68	41.03 36.56	47.69 36.37	36.09 35.93	39.52 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	887,515 1,449,244	682,283 1,475,986	232,850 1,563,078	650,512 1,721,954	448,124 2,991,828
Contract hours, direct-care Median	13,090.00 22,725	10,469.00 23,018.5	3,549.81 24,503.48	8,611.62 25,026.5	5,781.00 33,786
Contract wages, direct-care Median	67.80 64.67	65.17 64.53	65.60 65.06	75.54 68.97	77.52 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.