As of the July, 2022, release via CMS

WIREGRASS MEDICAL CENTER

CMS id: 010062
1200 WEST MAPLE STREET, GENEVA AL 36340. County: GENEVA
System: --
CBSA: Dothan, AL

The 145-bed, acute-care hospital had $-1,399,099 in net service to patients*, with a total profit margin of 6.83610% in fiscal year 2021, the latest year available.
It spent 6.70% 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	67 118	67 118	67 119.5	27 118	27 119
Total beds Median	185 162	185 162	185 162	145 162	145 163.5
FTEs Median	279.52 788.06	292.37 793.42	274.77 806.03	279.49 787.61	287.53 804.34

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	19,053,960 150,932,746	19,891,706 158,950,878	21,954,625 168,696,998	22,325,773 163,454,693	22,996,259 186,589,412
Operating expenses Median	22,560,341 149,311,209	21,932,332 156,110,414	22,480,667 164,890,568	22,833,595 166,516,854	24,395,358 180,120,888
Net income from service 2 patients (NS2P) ? Median	-3,506,381 -964,173	-2,040,626 -643,601.5	-526,042 -116,254	-507,822 -5,025,862	-1,399,099 -1,284,564
NS2P margin ? Median	-18.40% -0.62	-10.26% -0.29	-2.40% 0.18	-2.27% -5.07	-6.08% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for WIREGRASS 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	697,171 5,089,215	584,532 4,572,541	696,707 5,268,134	847,240 13,092,619	3,189,161 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	41,814 224,999	14,149 199,009	27,131 206,870.5	16,595 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	16,284 299,524	25,290 188,688.5	42,611 370,813	25,028 309,361.5	6,169 375,329
⊳ 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	180,087	-12,939	10,154	63,455	64,049
⊳ 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	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	7,235	8,594	7,431	5,426	6,853
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	18,699	19,595	15,320	6,762	0
⊳ Line 21: Rental of vending machines	1,435	1,552	1,262	1,062	897
⊳ Line 22: Rental of hospital space	4,224	4,224	35,112	35,002	32,338
⊳ Line 23: Gov appropriations ? ⊳ Median	412,579 1,017,693	460,678 983,261.5	454,796 1,173,286	469,033 1,987,202	487,577 1,597,664
⊳ Sum Line 24	14,814	63,389	102,890	224,877	2,591,278
Total income ? Median	-2,809,210 6,586,430	-1,456,094 6,767,106	170,665 8,419,950	339,418 8,094,175	1,790,062 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	0 106,761	0 31,473.5
Net income Median	-2,809,210 6,043,842	-1,456,094 5,845,112	170,665 7,606,259	339,418 7,283,041	1,790,062 14,957,241
Net margin Median	-14.22303% 4.62%	-7.11114% 4.42%	0.75344% 5.16%	1.46471% 5.2%	6.83610% 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 WIREGRASS 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	6,723,011 23,241,334	6,792,279 23,709,545	5,298,231 24,248,380	5,110,501 22,858,541	5,148,861 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	3,484,344 21,577,146	3,533,420 22,041,594	2,589,175 22,722,063	2,444,088 21,570,441	3,511,256 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	2,021,340 1,845,420	2,027,349 1,757,392	1,973,466 1,738,842	1,933,268 1,510,463	1,024,018 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	1,217,327 1,203,033	1,231,510 1,215,295	735,590 1,313,657	733,145 1,365,298	613,587 1,179,746
All outpatient revenue Median Click here to show/hide details	1,660,288 11,160,864	1,459,315 11,987,345	1,587,805 12,926,866	1,337,458 11,884,480	1,347,807 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	1,660,288 10,918,923	1,459,315 11,706,976	1,587,805 12,615,917	1,337,458 11,458,116	1,347,807 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	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	58,489 594,888	39,612 595,761	44,744 577,894	43,093 542,168	49,299 549,667
Outlier Median	10,667 582,572	5,073 538,116	2,263 212,434	17,098 126,559	13,173 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	906,210 3,662,910	558,258 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	171,174 2,654,636	97,146 2,940,659	28,593 3,380,215	32,396 3,488,738	43,855 3,233,405
Uncompensated care (UCC) Median	2,464,076 5,147,790	2,719,233 5,337,617	1,968,405 5,711,082	1,798,243 5,923,418	1,635,401 5,508,107
UCC as a % of operating expenses Median	10.92% 3.24	12.40% 3.12	8.76% 3.21	7.88% 3.3	6.70% 2.86
Total shortfall/UCC Median	3,370,286 9,489,989	3,277,491 9,424,297	1,968,405 10,120,158	1,798,243 11,171,337	1,635,401 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	9,918,939 52,142,039	10,223,318 54,485,252	9,886,172 57,395,589	10,815,613 58,830,919	10,892,798 61,722,907
Salaries as a % of operating expenses Median	43.97 36.68	46.61 36.56	43.98 36.37	47.37 35.93	44.65 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	842,935 1,449,244	533,512 1,475,986	379,133 1,563,078	384,180 1,721,954	435,498 2,991,828
Contract hours, direct-care Median	14,798.00 22,725	6,672.00 23,018.5	4,381.00 24,503.48	4,336.00 25,026.5	5,670.00 33,786
Contract wages, direct-care Median	56.96 64.67	79.96 64.53	86.54 65.06	88.60 68.97	76.81 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.