As of the July, 2022, release via CMS

DORMINY MEDICAL CENTER

CMS id: 110073
200 PERRY HOUSE ROAD, FITZGERALD GA 31750. County: BEN HILL
System: --
CBSA: Fitzgerald, GA

The 60-bed, acute-care hospital had $-7,487,549 in net service to patients*, with a total profit margin of 3.84424% in fiscal year 2021, the latest year available.
It spent 1.86% of its operating expenses on uncompensated care and reported $411,597 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	43 118	43 118	43 119.5	43 118	43 119
Total beds Median	48 162	60 162	60 162	60 162	60 163.5
FTEs Median	207.34 788.06	206.60 793.42	206.28 806.03	193.53 787.61	177.44 804.34

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	20,815,059 150,932,746	21,657,480 158,950,878	35,311,549 168,696,998	21,052,496 163,454,693	29,196,318 186,589,412
Operating expenses Median	24,018,088 149,311,209	25,242,541 156,110,414	37,466,642 164,890,568	26,426,130 166,516,854	36,683,867 180,120,888
Net income from service 2 patients (NS2P) ? Median	-3,203,029 -964,173	-3,585,061 -643,601.5	-2,155,093 -116,254	-5,373,634 -5,025,862	-7,487,549 -1,284,564
NS2P margin ? Median	-15.39% -0.62	-16.55% -0.29	-6.10% 0.18	-25.52% -5.07	-25.65% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for DORMINY 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	805,622 5,089,215	1,870,232 4,572,541	2,329,565 5,268,134	4,069,001 13,092,619	8,952,724 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	163,091 224,999	1,472,309 199,009	1,171,085 206,870.5	2,858,796 194,343	3,593,731 249,496
⊳ Line 7: Investments ? ⊳ Median	44,654 299,524	15,914 188,688.5	12,839 370,813	13,646 309,361.5	132,786 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	8,475	952	138	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	139,248	150,892	157,981	120,775	85,680
⊳ 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	800	947	1,039	623	532
⊳ 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	3,679	3,364	3,711	2,685	415
⊳ Line 22: Rental of hospital space	182,366	187,634	197,995	168,617	171,740
⊳ Line 23: Gov appropriations ? ⊳ Median	263,032 1,017,693	17,199 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	277	21,021	784,777	903,859	4,967,840
Total income ? Median	-2,397,407 6,586,430	-1,714,829 6,767,106	174,472 8,419,950	-1,304,633 8,094,175	1,465,175 15,162,888
Non-operating expenses Median	0 146,289.5	1,295 164,857	-7,400 89,880.5	29,437 106,761	-1,366 31,473.5
Net income Median	-2,397,407 6,043,842	-1,716,124 5,845,112	181,872 7,606,259	-1,334,070 7,283,041	1,466,541 14,957,241
Net margin Median	-11.08849% 4.62%	-7.29405% 4.42%	0.48317% 5.16%	-5.31047% 5.2%	3.84424% 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 DORMINY 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	2,284,708 23,241,334	3,116,852 23,709,545	3,276,917 24,248,380	3,010,645 22,858,541	3,460,781 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	2,284,708 21,577,146	2,244,031 22,041,594	2,202,670 22,722,063	2,240,318 21,570,441	2,884,675 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	872,821 1,757,392	1,074,247 1,738,842	770,327 1,510,463	576,106 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	2,743,085 11,160,864	2,389,709 11,987,345	2,389,492 12,926,866	1,703,107 11,884,480	1,454,630 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	2,267,065 10,918,923	1,966,157 11,706,976	1,994,158 12,615,917	1,318,547 11,458,116	1,110,615 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	476,020 618,038	423,552 697,279	395,334 690,232	384,560 684,010	344,015 670,558
⊳ 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	66,352 594,888	48,145 595,761	42,682 577,894	36,466 542,168	55,932 549,667
Outlier Median	834 582,572	61,913 538,116	27,939 212,434	1,010 126,559	864 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	28,400 3,662,910	12,599 3,730,911	14,169 4,081,319	180 4,643,908	411,597 4,389,147
Charity care Median	1,819,080 2,654,636	769,311 2,940,659	18,810,998 3,380,215	1,086,910 3,488,738	625,255 3,233,405
Uncompensated care (UCC) Median	3,746,194 5,147,790	2,827,577 5,337,617	26,193,795 5,711,082	3,719,506 5,923,418	683,375 5,508,107
UCC as a % of operating expenses Median	15.60% 3.24	11.20% 3.12	69.91% 3.21	14.08% 3.3	1.86% 2.86
Total shortfall/UCC Median	3,774,594 9,489,989	2,840,176 9,424,297	26,207,964 10,120,158	3,719,686 11,171,337	1,094,972 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	8,566,608 52,142,039	10,677,229 54,485,252	11,771,104 57,395,589	11,613,898 58,830,919	13,238,919 61,722,907
Salaries as a % of operating expenses Median	35.67 36.68	42.30 36.56	41.74 36.37	43.95 35.93	45.47 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	281,860 1,449,244	270,931 1,475,986	143,007 1,563,078	0 1,721,954	1,039,281 2,991,828
Contract hours, direct-care Median	5,367.25 22,725	4,116.25 23,018.5	3,382.00 24,503.48	0.00 25,026.5	17,424.00 33,786
Contract wages, direct-care Median	52.51 64.67	65.82 64.53	42.28 65.06	0.00 68.97	59.65 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.