As of the July, 2022, release via CMS

LIBERTY HOSPITAL

CMS id: 260177
2525 GLENN HENDREN, LIBERTY MO 64068. County: CLAY
System: NEW LIBERTY HOSPITAL CORPORATION
CBSA: Kansas City, MO-KS

The 237-bed, acute-care hospital had $9,761,497 in net service to patients*, with a total profit margin of 2.40444% in fiscal year 2021, the latest year available.
It spent 6.63% 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	187 118	179 118	179 119.5	175 118	191 119
Total beds Median	207 162	199 162	199 162	216 162	237 163.5
FTEs Median	1,258.00 788.06	1,319.00 793.42	1,390.83 806.03	1,401.00 787.61	1,439.96 804.34

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	213,455,840 150,932,746	220,412,370 158,950,878	247,422,009 168,696,998	242,753,830 163,454,693	257,649,533 186,589,412
Operating expenses Median	194,139,474 149,311,209	232,395,712 156,110,414	227,178,942 164,890,568	233,811,733 166,516,854	247,888,036 180,120,888
Net income from service 2 patients (NS2P) ? Median	19,316,366 -964,173	-11,983,342 -643,601.5	20,243,067 -116,254	8,942,097 -5,025,862	9,761,497 -1,284,564
NS2P margin ? Median	9.05% -0.62	-5.44% -0.29	8.18% 0.18	3.68% -5.07	3.79% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for LIBERTY 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	10,765,083 5,089,215	9,040,302 4,572,541	12,434,842 5,268,134	21,363,467 13,092,619	13,152,718 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	106,971 224,999	49,318 199,009	143,676 206,870.5	5,965,817 194,343	2,094,612 249,496
⊳ Line 7: Investments ? ⊳ Median	2,844,073 299,524	1,246,735 188,688.5	1,706,690 370,813	4,727,545 309,361.5	2,171,618 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	230,404	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	768,873	793,707	0	0	0
⊳ Line 15: Revenue from rental of living quarters	0	80,600	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	3,433	1,744	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	10,814	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	758	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	6,026	49,361	0	0	0
⊳ Line 22: Rental of hospital space	3,342,367	0	5,510,030	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	1,953,123 1,017,693	2,062,773 983,261.5	0 1,173,286	2,223,945 1,987,202	2,403,723 1,597,664
⊳ Sum Line 24	1,743,650	4,742,803	4,842,298	8,446,160	6,482,765
Total income ? Median	30,081,449 6,586,430	-2,943,040 6,767,106	32,677,909 8,419,950	30,305,564 8,094,175	22,914,215 15,162,888
Non-operating expenses Median	31,901,285 146,289.5	0 164,857	37,223,506 89,880.5	50,393,756 106,761	16,402,933 31,473.5
Net income Median	-1,819,836 6,043,842	-2,943,040 5,845,112	-4,545,597 7,606,259	-20,088,192 7,283,041	6,511,282 14,957,241
Net margin Median	-0.81163% 4.62%	-1.28263% 4.42%	-1.74927% 5.16%	-7.60578% 5.2%	2.40444% 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 LIBERTY 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	27,822,023 23,241,334	26,184,759 23,709,545	27,997,553 24,248,380	29,157,913 22,858,541	29,461,873 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	27,822,023 21,577,146	26,184,759 22,041,594	27,997,553 22,722,063	29,157,913 21,570,441	29,461,873 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	17,240,056 11,160,864	16,925,712 11,987,345	18,107,778 12,926,866	15,545,723 11,884,480	17,701,308 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	15,956,858 10,918,923	15,826,213 11,706,976	16,990,608 12,615,917	14,470,196 11,458,116	16,472,970 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	1,283,198 1,282,808	1,099,499 1,407,728	1,117,170 1,341,512	1,075,527 1,407,046	1,228,338 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	0 594,888	0 595,761	150,414 577,894	193,437 542,168	166,266 549,667
Outlier Median	518,528 582,572	598,856 538,116	764,518 212,434	135,315 126,559	149,885 139,139

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	7,371,487 2,654,636	1,772,784 2,940,659	1,613,624 3,380,215	2,380,653 3,488,738	3,633,473 3,233,405
Uncompensated care (UCC) Median	15,421,531 5,147,790	9,110,304 5,337,617	10,285,812 5,711,082	11,033,287 5,923,418	16,434,081 5,508,107
UCC as a % of operating expenses Median	7.94% 3.24	3.92% 3.12	4.53% 3.21	4.72% 3.3	6.63% 2.86
Total shortfall/UCC Median	15,421,531 9,489,989	9,110,304 9,424,297	10,285,812 10,120,158	11,033,287 11,171,337	16,434,081 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	87,024,868 52,142,039	92,867,427 54,485,252	108,945,187 57,395,589	108,738,542 58,830,919	117,283,977 61,722,907
Salaries as a % of operating expenses Median	44.83 36.68	45.98 36.56	44.20 36.37	46.71 35.93	47.17 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	2,181,628 1,449,244	3,400,530 1,475,986	3,743,706 1,563,078	4,447,203 1,721,954	434,371 2,991,828
Contract hours, direct-care Median	29,745.00 22,725	47,215.00 23,018.5	46,290.56 24,503.48	53,539.00 25,026.5	4,186.00 33,786
Contract wages, direct-care Median	73.34 64.67	72.02 64.53	80.87 65.06	83.06 68.97	103.77 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.