As of the July, 2022, release via CMS


FULTON STATE HOSPITAL


  • CMS id: 264004
  • FULTON STATE HOSPITAL, FULTON MO 65251. County: CALLAWAY
  • System: MO DEPARTMENT OF MENTAL HEALTH
  • CBSA: Jefferson City, MO

The 449-bed, psychiatric hospital had $-35,936,694 in net service to patients*, with a total profit margin of -21.13110% in fiscal year 2021, the latest year available.
It spent 0.00% 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 psychiatric 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
38
83
38
84
38
84
49
85
49
88
Total beds
Median
377
96
377
96.5
399
96
449
96
449
100
FTEs
Median
1,313.58
204.44
1,321.85
205.2
897.49
206.46
858.68
199.56
835.13
208.47

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

2017 2018 2019 2020 2021
Net patient revenue ?
Median
80,818,842
19,094,228
79,648,784
20,093,478
78,527,307
19,114,759
77,846,574
19,054,171
71,543,163
19,976,728
Operating expenses
Median
98,880,056
22,368,136
101,423,648
22,538,274
102,594,740
22,655,883
109,700,690
22,467,732
107,479,857
24,450,962
Net income from service 2 patients (NS2P) ?
Median
-18,061,214
-538,630
-21,774,864
-644,522
-24,067,433
-819,986.5
-31,854,116
-1,004,176
-35,936,694
-1,218,079
NS2P margin ?
Median
-22.35%
0.79
-27.34%
0.82
-30.65%
-0.22
-40.92%
-1.48
-50.23%
-1.2

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for FULTON STATE HOSPITAL compared to all** psychiatric 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 psychiatric hospitals available to calculate medians:

2017 2018 2019 2020 2021
449 452 462 475 440

2017 2018 2019 2020 2021
Other income*
Median
Click here to show/hide details
101,064
166,725
99,070
126,511
86,923
134,364.5
1,638,028
776,618
17,187,025
580,680
Total income ?
Median
-17,960,150
578,359
-21,675,794
348,012
-23,980,510
178,732
-30,216,088
492,827
-18,749,669
422,509
Non-operating expenses
Median
0
122,784
0
624,616.5
0
319.5
0
259,907
0
833.5
Net income
Median
-17,960,150
517,528.5
-21,675,794
164,060.5
-23,980,510
115,032
-30,216,088
398,047
-18,749,669
410,908
Net margin
Median
-22.19497%
5.4%
-27.18041%
4.03%
-30.50403%
4.12%
-38.01502%
5.46%
-21.13110%
6.71%

* 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 FULTON STATE HOSPITAL compared to all** psychiatric hospitals, from CMS cost reports.
Note: Psychiatric hospitals have a wider range of total margins than other hospital types. This is partially due to the number of government-run psychiatric facilities
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 psychiatric hospitals available to calculate medians:

2017 2018 2019 2020 2021
449 452 462 475 440


Medicare revenue

Inpatient and outpatient revenue

2017 2018 2019 2020 2021
All inpatient revenue
Median
Click here to show/hide details
762,995
2,436,300
237,793
2,301,272
226,041
2,153,673
604,085
1,781,018
242,175
1,472,860
All outpatient revenue
Median
Click here to show/hide details
82,342
219,092
36,632
204,721
16,382
180,741
4,458
138,813
4,591
122,013

Other payments

Item 2017 2018 2019 2020 2021
Graduate Medical Education (GME)
Median
0
--
0
--
0
--
0
--
0
--
Disproportionate-share hospital (DSH)
Median
0
--
0
--
0
--
0
--
0
--
Outlier
Median
42,203
27,233
8,251
24,592
2,707
20,418
0
31,943
0
17,524.5

Uncompensated care

Item 2017 2018 2019 2020 2021
Medicaid shortfall
Median
0
--
0
--
0
--
0
--
0
--
Charity care
Median
0
--
0
--
0
--
0
--
0
--
Uncompensated care (UCC)
Median
0
--
0
--
0
--
0
--
0
--
UCC as a %
of operating expenses
Median
0.00%
0
0.00%
0
0.00%
0
0.00%
0
0.00%
0
Total shortfall/UCC
Median
0
--
0
--
0
--
0
--
0
--

Labor costs

2017 2018 2019 2020 2021
Total salaries
Median
49,364,144
11,335,590
49,921,953
11,783,703
48,455,037
12,149,513
51,571,408
12,312,807
48,480,794
13,307,259
Salaries as a % of operating expenses
Median
55.26
50.99
54.56
51.26
52.40
50.77
54.49
50.92
54.58
50.8
Intern, resident salaries*
Median
0
--
0
--
0
--
0
--
0
--
Contract intern, resident salaries*
Median
0
--
0
--
0
--
0
--
0
--
Contract adjusted salaries, direct-care
Median
0
--
0
--
0
--
0
--
0
--
Contract hours, direct-care
Median
0.00
--
0.00
--
0.00
--
0.00
--
0.00
--
Contract wages, direct-care
Median
0.00
--
0.00
--
0.00
--
0.00
--
0.00
--

* 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.