As of the July, 2022, release via CMS

DOCTORS HOSPITAL OF AUGUSTA

CMS id: 110177
3651 WHEELER ROAD, AUGUSTA GA 30909. County: RICHMOND
System: HCA INC
CBSA: Augusta-Richmond County, GA-SC

The 306-bed, acute-care hospital had $141,982,701 in net service to patients*, with a total profit margin of 31.72353% in fiscal year 2021, the latest year available.
It spent 7.82% of its operating expenses on uncompensated care and reported $3,361,167 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	forprofit	forprofit	forprofit	forprofit	forprofit
Acute beds Median	188 118	190 118	191 119.5	191 118	182 119
Total beds Median	285 162	287 162	288 162	288 162	306 163.5
FTEs Median	1,053.04 788.06	0.00 793.42	1,221.09 806.03	1,242.67 787.61	1,197.51 804.34

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	392,850,817 150,932,746	406,504,563 158,950,878	521,981,555 168,696,998	504,676,064 163,454,693	450,071,964 186,589,412
Operating expenses Median	273,128,123 149,311,209	286,552,944 156,110,414	310,934,456 164,890,568	330,015,590 166,516,854	308,089,263 180,120,888
Net income from service 2 patients (NS2P) ? Median	119,722,694 -964,173	119,951,619 -643,601.5	211,047,099 -116,254	174,660,474 -5,025,862	141,982,701 -1,284,564
NS2P margin ? Median	30.48% -0.62	29.51% -0.29	40.43% 0.18	34.61% -5.07	31.55% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for DOCTORS HOSPITAL OF AUGUSTA 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	2,225,108 5,089,215	1,205,934 4,572,541	1,029,562 5,268,134	977,901 13,092,619	1,165,846 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	151,012 299,524	224,793 188,688.5	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	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	723,472	-188,444	782,855	765,282	530,802
⊳ 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	41	1,569	8,756	9,521	476
⊳ 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	2,927	20,509	0
⊳ Line 21: Rental of vending machines	22,819	0	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	1,327,764	1,168,016	235,024	182,589	634,568
Total income ? Median	121,947,802 6,586,430	121,157,553 6,767,106	212,076,661 8,419,950	175,638,375 8,094,175	143,148,547 15,162,888
Non-operating expenses Median	0 146,289.5	0 164,857	0 89,880.5	-45 106,761	-4 31,473.5
Net income Median	121,947,802 6,043,842	121,157,553 5,845,112	212,076,661 7,606,259	175,638,420 7,283,041	143,148,551 14,957,241
Net margin Median	30.86693% 4.62%	29.71656% 4.42%	40.54917% 5.16%	34.73490% 5.2%	31.72353% 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 DOCTORS HOSPITAL OF AUGUSTA 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	50,968,428 23,241,334	54,420,558 23,709,545	58,136,849 24,248,380	57,612,173 22,858,541	55,330,421 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	46,209,690 21,577,146	49,934,883 22,041,594	53,501,486 22,722,063	52,523,582 21,570,441	50,450,710 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	4,758,738 3,535,627	4,485,675 3,746,588	4,635,363 3,782,288	5,088,591 3,865,578	4,879,711 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	11,000,413 11,160,864	11,824,981 11,987,345	12,531,361 12,926,866	12,821,876 11,884,480	13,191,093 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	11,000,413 10,918,923	11,824,981 11,706,976	12,531,361 12,615,917	12,821,876 11,458,116	13,191,093 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	1,472,033 594,888	1,553,297 595,761	1,449,711 577,894	1,531,653 542,168	1,321,080 549,667
Outlier Median	4,512,738 582,572	6,688,988 538,116	8,653,361 212,434	617,433 126,559	655,198 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	5,388 3,662,910	796 3,730,911	1,071 4,081,319	1,786 4,643,908	3,361,167 4,389,147
Charity care Median	17,221,845 2,654,636	17,369,483 2,940,659	19,690,925 3,380,215	19,970,170 3,488,738	21,416,537 3,233,405
Uncompensated care (UCC) Median	20,984,131 5,147,790	20,110,137 5,337,617	22,641,739 5,711,082	22,946,926 5,923,418	24,101,382 5,508,107
UCC as a % of operating expenses Median	7.68% 3.24	7.02% 3.12	7.28% 3.21	6.95% 3.3	7.82% 2.86
Total shortfall/UCC Median	20,989,519 9,489,989	20,110,933 9,424,297	22,642,810 10,120,158	22,948,712 11,171,337	27,462,549 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	70,336,563 52,142,039	75,535,716 54,485,252	83,066,932 57,395,589	86,378,711 58,830,919	87,352,084 61,722,907
Salaries as a % of operating expenses Median	25.75 36.68	26.36 36.56	26.72 36.37	26.16 35.93	28.34 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	4,335,832 1,449,244	6,118,421 1,475,986	5,574,648 1,563,078	7,080,558 1,721,954	4,122,353 2,991,828
Contract hours, direct-care Median	62,784.00 22,725	88,808.00 23,018.5	97,703.00 24,503.48	125,187.00 25,026.5	68,923.00 33,786
Contract wages, direct-care Median	69.06 64.67	68.89 64.53	57.06 65.06	56.56 68.97	59.81 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.