As of the July, 2022, release via CMS

WEST GEORGIA MEDICAL CENTER

CMS id: 110016
1514 VERNON ROAD, LAGRANGE GA 30240. County: TROUP
System: WELLSTAR HEALTH SYSTEM
CBSA: LaGrange, GA-AL

The 442-bed, acute-care hospital had $12,819,975 in net service to patients*, with a total profit margin of 15.39096% in fiscal year 2021, the latest year available.
It spent 11.60% of its operating expenses on uncompensated care and reported $6,005,004 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	256 118	256 118	256 119.5	256 118	256 119
Total beds Median	442 162	442 162	442 162	442 162	442 163.5
FTEs Median	1,198.00 788.06	1,140.15 793.42	1,210.99 806.03	1,210.33 787.61	1,211.05 804.34

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	184,132,394 150,932,746	186,245,118 158,950,878	213,258,269 168,696,998	196,670,152 163,454,693	228,214,862 186,589,412
Operating expenses Median	178,400,652 149,311,209	170,350,371 156,110,414	187,956,294 164,890,568	197,329,923 166,516,854	215,394,887 180,120,888
Net income from service 2 patients (NS2P) ? Median	5,731,742 -964,173	15,894,747 -643,601.5	25,301,975 -116,254	-659,771 -5,025,862	12,819,975 -1,284,564
NS2P margin ? Median	3.11% -0.62	8.53% -0.29	11.86% 0.18	-0.34% -5.07	5.62% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for WEST GEORGIA 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	10,980,645 5,089,215	6,772,795 4,572,541	8,004,150 5,268,134	20,244,019 13,092,619	26,361,830 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	0 299,524	0 188,688.5	0 370,813	0 309,361.5	0 375,329
⊳ 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	167,804	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	14,942	-15	0	5,260
⊳ Line 14: Revenue from meals sold to emplyees and guests	0	804,874	820,345	717,431	628,486
⊳ 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	1,213	430	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	2,747	2,563	0	4,574
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	598,341	732,631	473,411	0
⊳ Line 21: Rental of vending machines	0	20,612	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ 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	10,980,645	5,331,279	6,279,609	19,052,747	25,723,510
Total income ? Median	16,712,387 6,586,430	22,667,542 6,767,106	33,306,125 8,419,950	19,584,248 8,094,175	39,181,805 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	167,806 89,880.5	-2,637,881 106,761	2 31,473.5
Net income Median	16,712,387 6,043,842	22,667,542 5,845,112	33,138,319 7,606,259	22,222,129 7,283,041	39,181,803 14,957,241
Net margin Median	8.56549% 4.62%	11.74375% 4.42%	14.97693% 5.16%	10.24466% 5.2%	15.39096% 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 WEST GEORGIA 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	21,953,729 23,241,334	24,442,728 23,709,545	27,128,001 24,248,380	27,141,641 22,858,541	28,907,251 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	20,537,651 21,577,146	23,331,573 22,041,594	25,977,355 22,722,063	25,589,129 21,570,441	27,652,453 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	1,416,078 1,203,033	1,111,155 1,215,295	1,150,646 1,313,657	1,552,512 1,365,298	1,254,798 1,179,746
All outpatient revenue Median Click here to show/hide details	18,326,085 11,160,864	17,934,135 11,987,345	15,876,982 12,926,866	13,266,896 11,884,480	12,837,381 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	16,259,748 10,918,923	16,230,001 11,706,976	14,299,694 12,615,917	11,641,815 11,458,116	11,155,933 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	2,066,337 1,282,808	1,704,134 1,407,728	1,577,288 1,341,512	1,625,081 1,407,046	1,681,448 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	733,685 594,888	782,804 595,761	799,930 577,894	620,446 542,168	685,050 549,667
Outlier Median	84,396 582,572	482,371 538,116	1,811,736 212,434	51,556 126,559	62,932 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,248,683 3,662,910	120,258 3,730,911	4,167,323 4,081,319	6,813,825 4,643,908	6,005,004 4,389,147
Charity care Median	8,323,376 2,654,636	11,443,328 2,940,659	18,840,494 3,380,215	20,793,425 3,488,738	21,735,774 3,233,405
Uncompensated care (UCC) Median	18,002,067 5,147,790	17,412,667 5,337,617	22,029,770 5,711,082	23,914,626 5,923,418	24,989,859 5,508,107
UCC as a % of operating expenses Median	10.09% 3.24	10.22% 3.12	11.72% 3.21	12.12% 3.3	11.60% 2.86
Total shortfall/UCC Median	20,250,750 9,489,989	17,532,925 9,424,297	26,197,093 10,120,158	30,728,451 11,171,337	30,994,863 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	62,478,789 52,142,039	64,102,734 54,485,252	72,716,021 57,395,589	75,651,136 58,830,919	81,811,064 61,722,907
Salaries as a % of operating expenses Median	35.02 36.68	37.63 36.56	38.69 36.37	38.34 35.93	37.98 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	1,508,487 1,449,244	1,056,917 1,475,986	1,095,487 1,563,078	1,270,619 1,721,954	1,600,672 2,991,828
Contract hours, direct-care Median	23,606.43 22,725	18,952.88 23,018.5	14,902.00 24,503.48	18,038.00 25,026.5	17,235.00 33,786
Contract wages, direct-care Median	63.90 64.67	55.77 64.53	73.51 65.06	70.44 68.97	92.87 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.