Psychiatric HospitalGovernment - State

Fulton State Hospital

Fulton, MO

600 East Fifth Street, Fulton, MO 65251(573) 592-4100

Not rated by CMS

CMS star rating

464

Beds

Inpatient discharges a year

$81.1M

Net patient revenue a year

About this hospital

Fulton State Hospital is a 464-bed government - state hospital in Fulton, MO.

CCN: 264004
NPI: 1104878792
County: Callaway County
Metro area: Jefferson City, MO MSA
Medicare contractor: Jurisdiction 5, WPS Government Health Administrators (05001)
In Medicare since: 1966
Last CMS survey: 2003

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

More about this hospital

Quality
Not rated by CMS
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Doctors and services
Accredited by The Joint Commission
- 13 services
See doctors and services
Finances
$81.1M net patient revenue
- Operating margin on patient care -96.9%
- -$78.5M net income
See finances
Ownership and leadership
Owned by State Of Missouri
- State
See ownership and leadership

Location

600 East Fifth Street, Fulton, MO 65251

(573) 592-4100

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Every CMS quality measure

Each result CMS publishes for Fulton State Hospital, beside the US median and the average of MO hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.

Inpatient psychiatric care15 measures

Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.

Measure	Fulton State Hospital	US median	MO average	CMS comparison	US rank
Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30	Not Available		57.14
Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30	Not Available		29.93
Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 151,837 cases	0.02	0.05	0.6767		Worse than 62% of US hospitals
Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 151,837 cases	0.01	0.03	0.2807		Worse than 55% of US hospitals
Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31	Not Available		69.54
Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30	Not Available		79.89
Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30	Not Available		18.49	Number of Cases Too Small
Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31	Not Available		81.92
Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31	Not Available		58.88
Alcohol use brief intervention provided2024-01-01 to 2024-12-31	Not Available		74.15
Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31	Not Available		54
Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31	Not Available		47.18
Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31	Not Available		49.22
Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31	Not Available		14
Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31	Not Available		64.63

Source: CMS Care Compare hospital files, latest release 2026-08-13, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.

Accreditation and services

The Joint Commission (since 2021)
Accreditation
Limited
Medical school affiliation
State
Ownership type
50
Medicare-certified beds
107
Registered nurses (full-time equivalent)
1966
In Medicare since

13 services at Fulton State Hospital

Imaging: Diagnostic Radiology
Transplant and dialysis: Organ Transplantation
Women and children: Clinical Laboratory
Behavioral health: Adult Inpatient Psychiatric CareAlcohol and/or Drug Service
Rehabilitation and therapy: OT (Occupational Therapy)PT (Physical Therapy)Speech Pathology
Other services: Dental CareDietary CareOptometricPharmacySocial Care

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Fulton State Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.

5
Inpatient discharges
Medicare 80%, Medicaid 20%
156,461
Inpatient days
92% of available bed days used
850
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 828492). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Fulton State Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	339	4,128	151,994	156,461
Discharges	4	1	0	5
Average length of stay	84.8 days	4128.0 days		31292.2 days
Average daily census	0.9	11.3	416.4	428.7

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	49	17,790	339	99%
Other special care	415	138,671		92%

Source: CMS cost report (HCRIS, Form 2552-10), report 828492, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Staff and facilities

Staff by profession and the rooms and units Fulton State Hospital reported at its latest Medicare certification survey (2003). Counts are people, not full-time equivalents.

107
Registered nurses
49
Licensed practical nurses
20
Physicians
5
Occupational therapists
5
Dietitians
51
Social workers
1,120
Other personnel

Source: CMS Provider of Services file.

Income statement

Revenue, expenses and income Fulton State Hospital reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$139.3M	171.7%
Inpatient	$139.3M	171.7%
Outpatient	$6,747	0.0%
Contractual allowances and discounts	-$58.2M	-71.7%
Net patient revenue	$81.1M	100.0%
Operating expenses	-$159.8M	-196.9%
Operating income from patient care	-$78.6M	-96.9%
Other income	$145,476	0.2%
Net income	-$78.5M	-96.7%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$41,093	0.0%
Other payers and self-pay	$139.3M	100.0%
Total charges	$139.3M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 828492, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.

Financial ratios

Computed from Fulton State Hospital's latest cost report.

-96.9%
Operating margin
Operating income from patient care / net patient revenue
-96.6%
Total margin
Net income / net patient revenue plus other income
-87.9%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
47% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses

Source: CMS cost report (HCRIS, Form 2552-10), report 828492, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Fulton State Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 6 years

Fiscal year ending	Jun 2020	Jun 2021	Jun 2022	Jun 2023	Jun 2024	Jun 2025
Net patient revenue	$77.8M	$71.5M	$65.4M	$68.9M	$85.8M	$81.1M
Operating expenses	$109.7M	$107.5M	$105.6M	$133.1M	$152.5M	$159.8M
Operating margin	-40.9%	-50.2%	-61.4%	-93.2%	-77.8%	-96.9%
Net income	-$30.2M	-$18.7M	-$26.1M	-$64.2M	-$66.7M	-$78.5M
Discharges	12	12	10	12	13	5
Inpatient days	17,157	17,780	17,695	16,643	17,698	156,461
Beds	449	449	450	449	464	464
Employees (FTE)	115	100	85	93	111	850

Source: CMS cost report (HCRIS, Form 2552-10), report 828492, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Fulton State Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 31 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Drugs charged to patients		$6M	$19.4M	0.31
Laboratory		$169,657	$1.1M	0.16	418
Physical therapy	$14,523	$125,383	$21,664	5.79	1,384
Other ancillary		$110,949	$33,095	3.35
Operating room		$82,290	$35,481	2.32
Speech pathology	$36,751	$74,127	$264	280.78	135
I&r services-not apprvd prgm		$51,045
Ambulance services		$24,142	$9,125	2.65
Intravenous therapy		$20,980	$520	40.35
Electrocardiology	$7,262	$19,639	$6,717	2.92	69
Ct scan		$14,874	$37,572	0.40
Emergency		$14,135	$8,410	1.68
Radiology-diagnostic		$14,064	$24,041	0.59	70
Durable medical equip-sold		$10,300	$11,267	0.91
Mri		$4,942	$17,874	0.28
Electroencephalography		$4,266	$1,671	2.55	69

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Other long term care	$41.5M	$129.2M	$105.1M	1.23	338,349
Adults & pediatrics	$9.8M	$13.7M	$13.5M	1.02	48,255

Overhead (general service) departments

Department	Salaries	Direct cost	Square feet
Administrative & general	$4.2M	$18.2M	63,384
Employee benefits department	$1.1M	$9.8M	24,401
Dietary	$3.2M	$7.3M	24,014
Cap rel costs-bldg & fixt		$6.7M	818,337
Operation of plant		$6M	253,538
Pharmacy	$20,890	$4.9M	7,783
Housekeeping	$2.7M	$4.7M	9,134
Medical records & library	$442,870	$1.1M	3,315
Nursing administration	$605,710	$952,520	288
Laundry & linen service	$77,827	$371,993	8,071
Maintenance & repairs		$364,555	26,139
Cap rel costs-mvble equip		$339,539
Social service	$157,698	$244,246	206

Source: CMS cost report (HCRIS, Form 2552-10), report 828492, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Frequently asked questions

About Fulton State Hospital's rates and hospital price transparency.

How many patients does Fulton State Hospital admit?

Fulton State Hospital reported 5 inpatient discharges and 156,461 inpatient days from Jul 1, 2024 to Jun 30, 2025.

How many employees does Fulton State Hospital have?

Fulton State Hospital reported 850 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.

How much revenue does Fulton State Hospital make?

Fulton State Hospital reported $81.1M in net patient revenue on $139.3M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -96.9%, and net income of -$78.5M.

Is Fulton State Hospital accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Fulton State Hospital, effective 2021.

Who owns Fulton State Hospital?

In its Medicare enrollment, Fulton State Hospital reports State Of Missouri as 5% or greater direct ownership interest (100%).

What services does Fulton State Hospital offer?

CMS lists 13 services at Fulton State Hospital, including Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Clinical Laboratory, Dental Care, Diagnostic Radiology, Dietary Care.

How many beds does Fulton State Hospital have?

Fulton State Hospital has 464 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 50 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Psychiatric Hospital.

Where is Fulton State Hospital and what is its phone number?

Fulton State Hospital is located at 600 East Fifth Street, Fulton, MO 65251. Its main phone number is (573) 592-4100.

What is Fulton State Hospital's CCN (Medicare provider number)?

Fulton State Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 264004.

What is Fulton State Hospital's NPI number?

The National Provider Identifier (NPI) on file for Fulton State Hospital is 1104878792.

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{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
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      {
        "payer_name": "Platform Health Insurance",
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      },
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        "payer_name": "Region Health Insurance",
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      }
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}

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Fulton State Hospital

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Location

Every CMS quality measure

Accreditation and services

13 services at Fulton State Hospital

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Staff and facilities

Income statement

Gross revenue by payer

Financial ratios

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Ownership

Leadership

Officers and directors on the Medicare enrollment

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Location

Every CMS quality measure

Accreditation and services

13 services at Fulton State Hospital

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Staff and facilities

Income statement

Gross revenue by payer

Financial ratios

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Ownership

Leadership

Officers and directors on the Medicare enrollment

Nearby hospitals

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts