As of the July, 2022, release via CMS

DOCTORS COMMUNITY HOSPITAL

CMS id: 210051
8118 GOOD LUCK ROAD, LANHAM MD 20706. County: PRINCE GEORGE'S
System: LUMINIS HEALTH INC
CBSA: Washington-Arlington-Alexandria, DC-VA-MD-WV

The 206-bed, acute-care hospital had $-19,602,696 in net service to patients*, with a total profit margin of -0.45503% in fiscal year 2021, the latest year available.
It spent 0.00% of its operating expenses on uncompensated care and reported $0 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	nfp	nfp	nfp	nfp	nfp
Acute beds Median	166 118	187 118	168 119.5	184 118	184 119
Total beds Median	190 162	210 162	190 162	206 162	206 163.5
FTEs Median	1,207.91 788.06	1,214.31 793.42	1,195.30 806.03	1,168.45 787.61	1,064.81 804.34

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	199,714,675 150,932,746	213,160,994 158,950,878	214,439,184 168,696,998	214,055,227 163,454,693	210,799,429 186,589,412
Operating expenses Median	193,854,070 149,311,209	196,191,060 156,110,414	200,232,626 164,890,568	215,413,138 166,516,854	230,402,125 180,120,888
Net income from service 2 patients (NS2P) ? Median	5,860,605 -964,173	16,969,934 -643,601.5	14,206,558 -116,254	-1,357,911 -5,025,862	-19,602,696 -1,284,564
NS2P margin ? Median	2.93% -0.62	7.96% -0.29	6.62% 0.18	-0.63% -5.07	-9.30% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for DOCTORS COMMUNITY 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	6,508,122 5,089,215	6,231,003 4,572,541	5,096,084 5,268,134	19,427,945 13,092,619	20,064,087 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	40,047 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	500,094 299,524	352,387 188,688.5	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	31,755	--	--	--	--
⊳ Line 10: Purchase discounts	1,621	1,093	928	811	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	1,084,091	1,066,223	1,086,180	958,511	665,951
⊳ 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	0	0	15	0	0
⊳ 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	19,451	10,674	10,532	11,706	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	4,667,474	4,611,725	3,780,782	18,288,375	19,398,136
Total income ? Median	12,368,727 6,586,430	23,200,937 6,767,106	19,302,642 8,419,950	18,070,034 8,094,175	461,391 15,162,888
Non-operating expenses Median	11,692,405 146,289.5	2,913,160 164,857	5,263,224 89,880.5	3,685,181 106,761	1,511,887 31,473.5
Net income Median	676,322 6,043,842	20,287,777 5,845,112	14,039,418 7,606,259	14,384,853 7,283,041	-1,050,496 14,957,241
Net margin Median	0.32796% 4.62%	9.24727% 4.42%	6.39506% 5.16%	6.16098% 5.2%	-0.45503% 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 COMMUNITY 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	68,234,539 23,241,334	65,330,517 23,709,545	66,741,670 24,248,380	65,920,071 22,858,541	65,500,136 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	68,234,539 21,577,146	65,330,517 22,041,594	66,741,670 22,722,063	65,920,071 21,570,441	65,500,136 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	25,418,042 11,160,864	28,238,531 11,987,345	29,767,907 12,926,866	26,176,781 11,884,480	20,657,619 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	25,418,042 10,918,923	28,238,531 11,706,976	29,767,907 12,615,917	26,176,781 11,458,116	20,657,619 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	1,452,740 594,888	0 595,761	0 577,894	0 542,168	0 549,667
Outlier Median	53,107 582,572	29,949 538,116	20,224 212,434	0 126,559	0 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	0 3,662,910	0 3,730,911	0 4,081,319	0 4,643,908	0 4,389,147
Charity care Median	6,906,958 2,654,636	7,349,280 2,940,659	7,461,505 3,380,215	7,174,317 3,488,738	0 3,233,405
Uncompensated care (UCC) Median	10,145,418 5,147,790	12,668,646 5,337,617	14,715,733 5,711,082	13,470,304 5,923,418	0 5,508,107
UCC as a % of operating expenses Median	5.23% 3.24	6.46% 3.12	7.35% 3.21	6.25% 3.3	0.00% 2.86
Total shortfall/UCC Median	10,145,418 9,489,989	12,668,646 9,424,297	14,715,733 10,120,158	13,470,304 11,171,337	0 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	86,358,626 52,142,039	87,247,196 54,485,252	86,212,013 57,395,589	89,485,612 58,830,919	83,272,281 61,722,907
Salaries as a % of operating expenses Median	44.55 36.68	44.47 36.56	43.06 36.37	41.54 35.93	36.14 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	3,514,889 1,449,244	5,208,351 1,475,986	6,964,551 1,563,078	11,979,741 1,721,954	14,370,507 2,991,828
Contract hours, direct-care Median	68,623.00 22,725	86,921.00 23,018.5	111,651.00 24,503.48	152,390.00 25,026.5	133,529.00 33,786
Contract wages, direct-care Median	51.22 64.67	59.92 64.53	62.38 65.06	78.61 68.97	107.62 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.