As of the July, 2022, release via CMS

MISSOURI DELTA MEDICAL CENTER

CMS id: 260113
1008 N MAIN, SIKESTON MO 63801. County: SCOTT
System: --
CBSA: Sikeston, MO

The 132-bed, acute-care hospital had $-5,543,627 in net service to patients*, with a total profit margin of 11.05038% in fiscal year 2021, the latest year available.
It spent 5.04% of its operating expenses on uncompensated care and reported $5,753,384 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	109 118	98 118	75 119.5	108 118	86 119
Total beds Median	144 162	133 162	121 162	165 162	132 163.5
FTEs Median	771.03 788.06	714.64 793.42	734.99 806.03	740.38 787.61	822.27 804.34

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	88,111,725 150,932,746	84,487,558 158,950,878	87,300,060 168,696,998	98,542,672 163,454,693	121,462,155 186,589,412
Operating expenses Median	93,012,686 149,311,209	100,960,036 156,110,414	107,155,376 164,890,568	108,113,602 166,516,854	127,005,782 180,120,888
Net income from service 2 patients (NS2P) ? Median	-4,900,961 -964,173	-16,472,478 -643,601.5	-19,855,316 -116,254	-9,570,930 -5,025,862	-5,543,627 -1,284,564
NS2P margin ? Median	-5.56% -0.62	-19.50% -0.29	-22.74% 0.18	-9.71% -5.07	-4.56% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for MISSOURI DELTA 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	10,679,440 5,089,215	14,754,601 4,572,541	14,652,260 5,268,134	7,665,119 13,092,619	21,321,789 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	306,148 299,524	367,516 188,688.5	251,757 370,813	787,610 309,361.5	2,518,391 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	1,242	1,079	1,811
⊳ 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	477,365	513,441	507,499	465,818	356,900
⊳ 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	1,783,752	2,631,188	2,714,156	2,854,364	3,006,119
⊳ Line 18: Revenue from sale of medical records and abstracts	85,483	83,032	72,837	80,369	92,358
⊳ 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	47,909	38,652	35,453
⊳ Line 21: Rental of vending machines	4,672	4,786	4,890	4,256	4,375
⊳ Line 22: Rental of hospital space	543,858	853,448	901,397	946,826	1,060,639
⊳ 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	7,478,162	10,301,190	10,150,573	2,486,145	14,245,743
Total income ? Median	5,778,479 6,586,430	-1,717,877 6,767,106	-5,203,056 8,419,950	-1,905,811 8,094,175	15,778,162 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	49,979 89,880.5	4,266 106,761	0 31,473.5
Net income Median	5,778,479 6,043,842	-1,717,877 5,845,112	-5,253,035 7,606,259	-1,910,077 7,283,041	15,778,162 14,957,241
Net margin Median	5.84919% 4.62%	-1.73100% 4.42%	-5.15244% 5.16%	-1.79843% 5.2%	11.05038% 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 MISSOURI DELTA 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	23,524,144 23,241,334	21,085,722 23,709,545	21,320,217 24,248,380	20,855,945 22,858,541	21,865,030 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	18,083,503 21,577,146	16,428,927 22,041,594	16,054,059 22,722,063	15,621,610 21,570,441	17,193,931 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	3,143,750 1,845,420	2,722,515 1,757,392	3,757,294 1,738,842	3,654,405 1,510,463	2,332,032 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	2,296,891 3,535,627	1,934,280 3,746,588	1,508,864 3,782,288	1,579,930 3,865,578	2,339,067 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	12,501,342 11,160,864	11,973,661 11,987,345	12,230,381 12,926,866	11,185,811 11,884,480	13,833,478 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	11,022,999 10,918,923	10,699,991 11,706,976	10,690,169 12,615,917	9,593,427 11,458,116	11,889,728 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	1,478,343 618,038	1,273,670 697,279	1,540,212 690,232	1,592,384 684,010	1,943,750 670,558
⊳ 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	639,928 594,888	444,239 595,761	409,629 577,894	387,563 542,168	477,799 549,667
Outlier Median	424,769 582,572	302,015 538,116	101,740 212,434	49,333 126,559	306,985 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	481,669 3,662,910	126,373 3,730,911	0 4,081,319	0 4,643,908	5,753,384 4,389,147
Charity care Median	1,026,478 2,654,636	162,939 2,940,659	5,283,216 3,380,215	0 3,488,738	4,555,950 3,233,405
Uncompensated care (UCC) Median	2,820,598 5,147,790	1,102,999 5,337,617	8,412,846 5,711,082	1,908,733 5,923,418	6,400,716 5,508,107
UCC as a % of operating expenses Median	3.03% 3.24	1.09% 3.12	7.85% 3.21	1.77% 3.3	5.04% 2.86
Total shortfall/UCC Median	3,302,267 9,489,989	1,229,372 9,424,297	8,412,846 10,120,158	1,908,733 11,171,337	12,154,100 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	40,903,932 52,142,039	43,852,153 54,485,252	45,572,033 57,395,589	46,427,813 58,830,919	53,721,579 61,722,907
Salaries as a % of operating expenses Median	43.98 36.68	43.44 36.56	42.53 36.37	42.94 35.93	42.30 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	36,414 1,449,244	601,346 1,475,986	481,640 1,563,078	1,337,980 1,721,954	8,253,028 2,991,828
Contract hours, direct-care Median	819.25 22,725	8,187.00 23,018.5	8,420.66 24,503.48	14,352.84 25,026.5	61,614.87 33,786
Contract wages, direct-care Median	44.45 64.67	73.45 64.53	57.20 65.06	93.22 68.97	133.95 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.