As of the July, 2022, release via CMS

DODGE COUNTY HOSPITAL

CMS id: 110092
901 GRIFFIN AVENUE, EASTMAN GA 31023. County: DODGE
System: --
CBSA: Rural Georgia

The 51-bed, acute-care hospital had $-779,315 in net service to patients*, with a total profit margin of 23.78695% in fiscal year 2021, the latest year available.
It spent 8.48% of its operating expenses on uncompensated care and reported $6,121 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	34 118	34 118	34 119.5	34 118	35 119
Total beds Median	50 162	50 162	50 162	50 162	51 163.5
FTEs Median	190.10 788.06	188.90 793.42	191.30 806.03	193.57 787.61	191.45 804.34

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	24,328,429 150,932,746	25,194,261 158,950,878	26,806,090 168,696,998	28,506,141 163,454,693	22,102,698 186,589,412
Operating expenses Median	24,247,123 149,311,209	24,872,609 156,110,414	26,054,168 164,890,568	29,168,017 166,516,854	22,882,013 180,120,888
Net income from service 2 patients (NS2P) ? Median	81,306 -964,173	321,652 -643,601.5	751,922 -116,254	-661,876 -5,025,862	-779,315 -1,284,564
NS2P margin ? Median	0.33% -0.62	1.28% -0.29	2.81% 0.18	-2.32% -5.07	-3.53% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for DODGE COUNTY HOSPITAL 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	627,628 5,089,215	2,364,628 4,572,541	1,410,698 5,268,134	1,774,470 13,092,619	7,921,048 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	120,700 224,999	1,883,316 199,009	844,970 206,870.5	585,684 194,343	1,067,034 249,496
⊳ Line 7: Investments ? ⊳ Median	14,223 299,524	25,559 188,688.5	74,971 370,813	33,396 309,361.5	14,675 375,329
⊳ 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	-49	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	123,212	119,095	132,004	117,544	97,028
⊳ 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	23,461
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	490	870	670	240	600
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	6,000	5,500	4,800	1,075	1,500
⊳ Line 22: Rental of hospital space	33,686	33,037	37,277	34,143	32,708
⊳ Line 23: Gov appropriations ? ⊳ Median	262,799 1,017,693	268,742 983,261.5	283,708 1,173,286	314,485 1,987,202	393,274 1,597,664
⊳ Sum Line 24	66,518	28,509	32,298	687,952	6,290,768
Total income ? Median	708,934 6,586,430	2,686,280 6,767,106	2,162,620 8,419,950	1,112,594 8,094,175	7,141,733 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	708,934 6,043,842	2,686,280 5,845,112	2,162,620 7,606,259	1,112,594 7,283,041	7,141,733 14,957,241
Net margin Median	2.84073% 4.62%	9.74742% 4.42%	7.66430% 5.16%	3.67428% 5.2%	23.78695% 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 DODGE COUNTY HOSPITAL 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	5,773,991 23,241,334	5,499,623 23,709,545	5,502,943 24,248,380	5,234,594 22,858,541	5,086,885 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	3,882,505 21,577,146	3,831,271 22,041,594	3,722,328 22,722,063	3,757,227 21,570,441	3,755,490 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	1,891,486 1,845,420	1,668,352 1,757,392	1,780,615 1,738,842	1,477,367 1,510,463	1,331,395 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	1,989,054 11,160,864	1,915,289 11,987,345	2,023,267 12,926,866	1,625,072 11,884,480	1,534,309 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	1,989,054 10,918,923	1,915,289 11,706,976	2,023,267 12,615,917	1,625,072 11,458,116	1,530,622 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	3,687 670,558
⊳ 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	82,592 594,888	75,777 595,761	70,913 577,894	70,541 542,168	72,935 549,667
Outlier Median	87,558 582,572	7,665 538,116	2,941 212,434	19 126,559	0 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	15,120 3,662,910	7,996 3,730,911	692 4,081,319	108,489 4,643,908	6,121 4,389,147
Charity care Median	218,653 2,654,636	282,150 2,940,659	183,602 3,380,215	203,938 3,488,738	140,135 3,233,405
Uncompensated care (UCC) Median	1,589,024 5,147,790	1,543,257 5,337,617	1,647,400 5,711,082	1,952,879 5,923,418	1,939,630 5,508,107
UCC as a % of operating expenses Median	6.55% 3.24	6.20% 3.12	6.32% 3.21	6.70% 3.3	8.48% 2.86
Total shortfall/UCC Median	1,604,144 9,489,989	1,551,253 9,424,297	1,648,092 10,120,158	2,061,368 11,171,337	1,945,751 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	8,758,689 52,142,039	8,988,535 54,485,252	9,298,625 57,395,589	9,998,252 58,830,919	10,273,675 61,722,907
Salaries as a % of operating expenses Median	44.25 36.68	46.13 36.56	46.40 36.37	46.01 35.93	44.91 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	930,694 1,449,244	895,926 1,475,986	770,576 1,563,078	960,149 1,721,954	1,176,125 2,991,828
Contract hours, direct-care Median	17,718.00 22,725	16,786.00 23,018.5	14,259.00 24,503.48	17,769.00 25,026.5	16,641.00 33,786
Contract wages, direct-care Median	52.53 64.67	53.37 64.53	54.04 65.06	54.04 68.97	70.68 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.