As of the July, 2022, release via CMS

NORTH KANSAS CITY HOSPITAL

CMS id: 260096
2800 CLAY EDWARDS DR, NORTH KANSAS CITY MO 64116. County: CLAY
System: --
CBSA: Kansas City, MO-KS

The 431-bed, acute-care hospital had $18,716,500 in net service to patients*, with a total profit margin of 3.12764% in fiscal year 2021, the latest year available.
It spent 6.29% 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	gov	gov	gov	gov	gov
Acute beds Median	227 118	211 118	211 119.5	231 118	231 119
Total beds Median	413 162	411 162	411 162	431 162	431 163.5
FTEs Median	2,729.64 788.06	2,778.01 793.42	2,800.03 806.03	2,756.36 787.61	2,836.84 804.34

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	489,131,399 150,932,746	488,280,189 158,950,878	505,598,320 168,696,998	481,377,100 163,454,693	562,891,459 186,589,412
Operating expenses Median	465,180,650 149,311,209	468,862,436 156,110,414	474,566,227 164,890,568	496,245,302 166,516,854	544,174,959 180,120,888
Net income from service 2 patients (NS2P) ? Median	23,950,749 -964,173	19,417,753 -643,601.5	31,032,093 -116,254	-14,868,202 -5,025,862	18,716,500 -1,284,564
NS2P margin ? Median	4.90% -0.62	3.98% -0.29	6.14% 0.18	-3.09% -5.07	3.33% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for NORTH KANSAS CITY HOSPITAL 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	-7,656,551 5,089,215	-3,321,708 4,572,541	15,500,232 5,268,134	30,079,188 13,092,619	25,808,908 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	37,426 224,999	40,263 199,009	415,752 206,870.5	233,683 194,343	1,218,187 249,496
⊳ Line 7: Investments ? ⊳ Median	-3,584,625 299,524	-2,213,514 188,688.5	18,786,419 370,813	19,086,532 309,361.5	24,779,662 375,329
⊳ 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	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	3,747,983	3,931,006	4,104,038	3,740,110	3,097,631
⊳ 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	1,271,840	4,808,542	7,796,072	10,808,588	20,132,334
⊳ Line 18: Revenue from sale of medical records and abstracts	388,989	394,845	375,589	354,155	396,336
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	26,207	22,496	26,142	19,231	18,137
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	11,246,740	12,190,283	12,120,764	11,648,616	11,573,793
⊳ 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	-20,791,111	-22,495,629	-28,124,544	-15,811,727	-35,407,172
Total income ? Median	16,294,198 6,586,430	16,096,045 6,767,106	46,532,325 8,419,950	15,210,986 8,094,175	44,525,408 15,162,888
Non-operating expenses Median	17,129,989 146,289.5	9,736,812 164,857	22,685,963 89,880.5	14,818,324 106,761	26,112,951 31,473.5
Net income Median	-835,791 6,043,842	6,359,233 5,845,112	23,846,362 7,606,259	392,662 7,283,041	18,412,457 14,957,241
Net margin Median	-0.17359% 4.62%	1.31129% 4.42%	4.57617% 5.16%	0.07677% 5.2%	3.12764% 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 NORTH KANSAS CITY HOSPITAL 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	93,858,053 23,241,334	94,620,166 23,709,545	89,069,175 24,248,380	88,451,987 22,858,541	93,528,418 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	75,401,546 21,577,146	77,063,057 22,041,594	73,631,683 22,722,063	71,942,528 21,570,441	75,988,381 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	18,456,507 3,535,627	17,557,109 3,746,588	15,437,492 3,782,288	16,509,459 3,865,578	17,540,037 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	39,678,366 11,160,864	40,601,051 11,987,345	42,588,960 12,926,866	39,739,832 11,884,480	44,972,130 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	35,306,425 10,918,923	36,443,047 11,706,976	38,571,907 12,615,917	36,059,519 11,458,116	41,299,371 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	4,371,941 1,282,808	4,158,004 1,407,728	4,017,053 1,341,512	3,680,313 1,407,046	3,672,759 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	0 3,508,953
Disproportionate-share hospital (DSH) Median	508,102 594,888	550,736 595,761	412,884 577,894	528,697 542,168	696,394 549,667
Outlier Median	3,133,753 582,572	2,331,551 538,116	3,175,867 212,434	435,532 126,559	846,111 139,139

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	21,322,580 2,654,636	20,461,763 2,940,659	25,905,834 3,380,215	27,680,081 3,488,738	28,913,396 3,233,405
Uncompensated care (UCC) Median	25,578,946 5,147,790	25,206,635 5,337,617	31,391,464 5,711,082	34,001,777 5,923,418	34,237,739 5,508,107
UCC as a % of operating expenses Median	5.50% 3.24	5.38% 3.12	6.61% 3.21	6.85% 3.3	6.29% 2.86
Total shortfall/UCC Median	25,578,946 9,489,989	25,206,635 9,424,297	31,391,464 10,120,158	34,001,777 11,171,337	34,237,739 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	171,213,138 52,142,039	176,796,599 54,485,252	178,809,411 57,395,589	182,887,051 58,830,919	194,071,222 61,722,907
Salaries as a % of operating expenses Median	36.81 36.68	37.71 36.56	37.68 36.37	36.85 35.93	35.66 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	12,279,592 1,449,244	10,725,206 1,475,986	4,846,111 1,563,078	8,323,664 1,721,954	13,631,013 2,991,828
Contract hours, direct-care Median	172,243.00 22,725	147,775.00 23,018.5	81,587.26 24,503.48	123,942.00 25,026.5	154,409.00 33,786
Contract wages, direct-care Median	71.29 64.67	72.58 64.53	59.40 65.06	67.16 68.97	88.28 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.