Becker's Hospital Review

18 Sign up for the COMPLIMENTARY Becker's Hospital Review CEO Report & CFO Report E-Weeklies at www.BeckersHospitalReview.com or call (800) 417-2035 Charity care Hospital margins by credit rating group Average payment period: 64.3 days Average age of plant: 10.6 years Source: Fitch Ratings, "2013 Median Ratios for Nonprofit Hospitals and Healthcare Systems" Report, August 2013. Patient revenue sources by gross revenue Medicare: 44.1 percent Medicaid: 13.1 percent Blue Cross/commercial/managed care: 33.4 percent Self-pay and other: 7.6 percent Financial medians related to healthcare reform Reimbursement methods (percent of net patient revenue) DRG: 38.9 percent Percent of charges: 19.8 percent Fee schedule: 19 percent Per diem: 4.3 percent Risk-based: 1.8 percent Traditional capitation: 0.7 percent Other: 8 percent Number of covered lives Medicare: 30,440 Medicaid: 26,988 Commercial: 53,728 New hospital utilization data Unique patients: 121,689 Medicare readmission rate: 12.1 percent Overall readmission rate: 9.8 percent Total case mix index: 1.4 Number of employed physicians: 171 Worked RVUs for employed physicians: 182,154 Active medical staff (independent and employed): 575 Median Operating margin: 3 percent Operating EBITDA margin: 10.3 percent Excess margin: 4.6 percent EBITDA margin: 11.6 percent "AA" rating Operating margin: 4.2 percent Operating EBITDA margin: 11.8 percent Excess margin: 6.6 percent EBITDA margin: 13.6 percent "A" rating Operating margin: 3.3 percent Operating EBITDA margin: 10.7 percent Excess margin: 4.7 percent EBITDA margin: 11.8 percent "BBB" rating Operating margin: 1.8 percent Operating EBITDA margin: 9 percent Excess margin: 3.2 percent EBITDA margin: 10.4 percent Below "BBB" rating, or non-investment grade (15 hospitals) Operating margin: -1.3 percent Operating EBITDA margin: 6 percent Excess margin: 0 percent EBITDA margin: 7.4 percent Source: American Hospital Association, "Schedule H Project Benchmark" Report, April 2013. Charity care includes total unreimbursed meanstested government programs and other benefits. Total charity care as an average percent of total expense Small hospitals (less than $100 million in total expenses): 7.3 percent Medium hospitals ($100 million to $299 million in total expenses): 7.5 percent Large hospitals ($300 million or more in total expenses): 9.2 percent Systems (more than one licensed hospital): 8.1 percent General medical/surgical hospital: 7.7 percent Teaching hospital: 9.7 percent Critical access hospital: 8.1 percent Children's hospital: 12.6 percent Urban/suburban hospital: 8.2 percent Rural hospital: 7.2 percent Total benefits to the community Small hospitals: 11.1 percent Medium hospitals: 10.8 percent Large hospitals: 12.2 percent Systems: 11.6 percent General medical/surgical hospital: 11.3 percent Teaching hospital: 12 percent Critical access hospital: 9.7 percent Children's hospital: 15 percent Urban/suburban hospital: 11.7 percent Rural hospital: 10.5 percent n REGISTER now! Hospital Review 5th Annual Becker's Hospital Review Meeting May 15-17, 2014 • Swissôtel • Chicago, Illinois Keynote speakers include: Barry Arbuckle, PhD Joe Torre Toby Cosgrove, MD Forrest Sawyer For more information visit, www.BeckersHospitalReview.com

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