As of the July, 2022, release via CMS

WESTERN PLAINS MEDICAL COMPLEX

CMS id: 170175
3001 AVENUE A, DODGE CITY KS 67801. County: FORD
System: LIFEPOINT HEALTH
CBSA: Dodge City, KS

The 60-bed, acute-care hospital had $1,317,333 in net service to patients*, with a total profit margin of 15.21742% in fiscal year 2021, the latest year available.
It spent 6.94% of its operating expenses on uncompensated care and reported $204,016 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	50 118	50 118	50 119.5	50 118	50 119
Total beds Median	60 162	60 162	60 162	60 162	60 163.5
FTEs Median	222.63 788.06	219.32 793.42	213.24 806.03	208.69 787.61	209.12 804.34

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	42,712,491 150,932,746	43,771,443 158,950,878	46,442,946 168,696,998	44,369,696 163,454,693	47,327,923 186,589,412
Operating expenses Median	41,194,449 149,311,209	41,331,257 156,110,414	41,995,738 164,890,568	42,501,299 166,516,854	46,010,590 180,120,888
Net income from service 2 patients (NS2P) ? Median	1,518,042 -964,173	2,440,186 -643,601.5	4,447,208 -116,254	1,868,397 -5,025,862	1,317,333 -1,284,564
NS2P margin ? Median	3.55% -0.62	5.57% -0.29	9.58% 0.18	4.21% -5.07	2.78% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for WESTERN PLAINS MEDICAL COMPLEX 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	649,360 5,089,215	427,124 4,572,541	174,392 5,268,134	106,771 13,092,619	6,940,996 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	0	0	73,272	67,804	41,139
⊳ 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	3,165	3,237	214
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	709	148	67
⊳ 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	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	649,360	427,124	97,246	35,582	6,899,576
Total income ? Median	2,167,402 6,586,430	2,867,310 6,767,106	4,621,600 8,419,950	1,975,168 8,094,175	8,258,329 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	2,167,402 6,043,842	2,867,310 5,845,112	4,621,600 7,606,259	1,975,168 7,283,041	8,258,329 14,957,241
Net margin Median	4.99841% 4.62%	6.48734% 4.42%	9.91391% 5.16%	4.44093% 5.2%	15.21742% 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 WESTERN PLAINS MEDICAL COMPLEX 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	7,059,058 23,241,334	6,332,055 23,709,545	5,853,187 24,248,380	6,295,007 22,858,541	6,943,879 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	7,059,058 21,577,146	6,332,055 22,041,594	5,853,187 22,722,063	6,295,007 21,570,441	6,943,879 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	3,629,824 11,160,864	3,321,983 11,987,345	3,284,732 12,926,866	3,180,969 11,884,480	2,775,547 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	3,629,824 10,918,923	3,321,983 11,706,976	3,284,732 12,615,917	3,180,969 11,458,116	2,775,547 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	145,014 594,888	128,277 595,761	119,087 577,894	127,688 542,168	117,997 549,667
Outlier Median	125,452 582,572	156,314 538,116	58,205 212,434	25,210 126,559	31,310 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	2,186,801 3,662,910	1,734,403 3,730,911	153,857 4,081,319	473,951 4,643,908	204,016 4,389,147
Charity care Median	209,492 2,654,636	35,189 2,940,659	106,887 3,380,215	614,969 3,488,738	1,178,604 3,233,405
Uncompensated care (UCC) Median	2,606,599 5,147,790	2,290,753 5,337,617	2,291,875 5,711,082	2,098,819 5,923,418	3,192,407 5,508,107
UCC as a % of operating expenses Median	6.33% 3.24	5.54% 3.12	5.46% 3.21	4.94% 3.3	6.94% 2.86
Total shortfall/UCC Median	4,793,400 9,489,989	4,025,156 9,424,297	2,445,732 10,120,158	2,572,770 11,171,337	3,396,423 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	14,450,818 52,142,039	14,563,943 54,485,252	15,096,346 57,395,589	15,151,444 58,830,919	16,194,414 61,722,907
Salaries as a % of operating expenses Median	36.22 36.68	36.39 36.56	37.85 36.37	36.42 35.93	36.96 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	1,310,179 1,449,244	813,731 1,475,986	243,698 1,563,078	239,644 1,721,954	752,888 2,991,828
Contract hours, direct-care Median	19,746.00 22,725	9,970.00 23,018.5	3,337.00 24,503.48	3,253.00 25,026.5	9,773.00 33,786
Contract wages, direct-care Median	66.35 64.67	81.62 64.53	73.03 65.06	73.67 68.97	77.04 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.