As of the July, 2022, release via CMS

DOUGLAS HOSPITAL

CMS id: 110184
8954 HOSPITAL DRIVE, DOUGLASVILLE GA 30134. County: DOUGLAS
System: WELLSTAR HEALTH SYSTEM
CBSA: Atlanta-Sandy Springs-Alpharetta, GA

The 102-bed, acute-care hospital had $12,202,085 in net service to patients*, with a total profit margin of 17.47045% in fiscal year 2021, the latest year available.
It spent 13.57% of its operating expenses on uncompensated care and reported $2,767,445 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	94 118	94 118	94 119.5	94 118	94 119
Total beds Median	102 162	102 162	102 162	102 162	102 163.5
FTEs Median	717.21 788.06	768.49 793.42	790.72 806.03	831.33 787.61	826.66 804.34

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	132,704,657 150,932,746	157,326,783 158,950,878	166,425,671 168,696,998	153,850,013 163,454,693	186,531,347 186,589,412
Operating expenses Median	133,233,651 149,311,209	142,540,699 156,110,414	151,006,667 164,890,568	161,175,340 166,516,854	174,329,262 180,120,888
Net income from service 2 patients (NS2P) ? Median	-528,994 -964,173	14,786,084 -643,601.5	15,419,004 -116,254	-7,325,327 -5,025,862	12,202,085 -1,284,564
NS2P margin ? Median	-0.40% -0.62	9.40% -0.29	9.26% 0.18	-4.76% -5.07	6.54% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for DOUGLAS 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	9,940,438 5,089,215	10,085,193 4,572,541	11,227,338 5,268,134	15,515,998 13,092,619	24,779,049 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	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	679,706	791,151	731,301	674,247	604,573
⊳ 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	241	78	29	29	15
⊳ 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	0	0	0	0	0
⊳ Line 22: Rental of hospital space	91,672	93,506	124,318	101,074	84,952
⊳ 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	9,168,819	9,200,458	10,371,690	14,740,648	24,089,509
Total income ? Median	9,411,444 6,586,430	24,871,277 6,767,106	26,646,342 8,419,950	8,190,671 8,094,175	36,981,134 15,162,888
Non-operating expenses Median	-4,742,639 146,289.5	3,940,031 164,857	4,756,414 89,880.5	-7,519,081 106,761	64,267 31,473.5
Net income Median	14,154,083 6,043,842	20,931,246 5,845,112	21,889,928 7,606,259	15,709,752 7,283,041	36,916,867 14,957,241
Net margin Median	9.92259% 4.62%	12.50284% 4.42%	12.32173% 5.16%	9.27562% 5.2%	17.47045% 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 DOUGLAS 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	19,369,341 23,241,334	21,659,522 23,709,545	20,976,571 24,248,380	23,526,265 22,858,541	25,378,579 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	19,369,341 21,577,146	21,659,522 22,041,594	20,976,571 22,722,063	23,526,265 21,570,441	25,378,579 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	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	10,278,907 11,160,864	10,346,195 11,987,345	11,798,387 12,926,866	10,059,849 11,884,480	9,892,054 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	10,278,907 10,918,923	10,346,195 11,706,976	11,798,387 12,615,917	10,059,849 11,458,116	9,892,054 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	410,756 594,888	408,310 595,761	304,445 577,894	403,683 542,168	361,341 549,667
Outlier Median	587,639 582,572	928,961 538,116	593,678 212,434	87,077 126,559	120,796 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	81,994 3,662,910	48,025 3,730,911	64,977 4,081,319	2,351,783 4,643,908	2,767,445 4,389,147
Charity care Median	17,301,953 2,654,636	17,545,653 2,940,659	18,714,837 3,380,215	20,154,031 3,488,738	19,661,539 3,233,405
Uncompensated care (UCC) Median	20,589,064 5,147,790	21,627,774 5,337,617	22,707,146 5,711,082	23,660,031 5,923,418	23,652,311 5,508,107
UCC as a % of operating expenses Median	15.45% 3.24	15.17% 3.12	15.04% 3.21	14.68% 3.3	13.57% 2.86
Total shortfall/UCC Median	20,671,058 9,489,989	21,675,799 9,424,297	22,772,123 10,120,158	26,011,814 11,171,337	26,419,756 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	47,807,014 52,142,039	49,983,109 54,485,252	54,742,124 57,395,589	59,791,424 58,830,919	62,977,466 61,722,907
Salaries as a % of operating expenses Median	35.88 36.68	35.07 36.56	36.25 36.37	37.10 35.93	36.13 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	610,277 1,449,244	868,244 1,475,986	1,155,615 1,563,078	1,263,596 1,721,954	5,952,059 2,991,828
Contract hours, direct-care Median	8,958.00 22,725	12,230.00 23,018.5	15,857.00 24,503.48	17,781.00 25,026.5	46,588.00 33,786
Contract wages, direct-care Median	68.13 64.67	70.99 64.53	72.88 65.06	71.06 68.97	127.76 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.