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12 to 199 beds: 622 Hospitals with 200 to 299 beds: 1,134 Hospitals with 300 to 399 beds: 1,717 Hospitals with 400 to 499 beds: 2,406 Hospitals with 500 or more beds: 4,810 Average part-time staff Hospitals with 6 to 24 beds: 47 Hospitals with 25 to 49 beds: 74 Hospitals with 50 to 99 beds: 130 Hospitals with 100 to 199 beds: 263 Hospitals with 200 to 299 beds: 445 Hospitals with 300 to 399 beds: 571 Hospitals with 400 to 499 beds: 835 Hospitals with 500 or more beds: 1,296 Inpatient volume Source: American Hospital Association "Hospital Statistics" report, 2015 Edition. Average admissions per year Hospitals with 6 to 24 beds: 404 Hospitals with 25 to 49 beds: 917 Hospitals with 50 to 99 beds: 2,108 Hospitals with 100 to 199 beds: 5,783 Hospitals with 200 to 299 beds: 10,782 Hospitals with 300 to 399 beds: 15,999 Hospitals with 400 to 499 beds: 20,493 Hospitals with 500 or more beds: 33,598 Average inpatient surgeries per year Hospitals with 6 to 24 beds: 83 Hospitals with 25 to 49 beds: 191 Hospitals with 50 to 99 beds: 484 Hospitals with 100 to 199 beds: 1,480 Hospitals with 200 to 299 beds: 2,843 Hospitals with 300 to 399 beds: 4,257 Hospitals with 400 to 499 beds: 5,673 Hospitals with 500 or more beds: 10,329 Outpatient volume Source: American Hospital Association "Hospital Statistics" report, 2015 Edition. Average outpatient surgeries per year Hospitals with 6 to 24 beds: 605 Hospitals with 25 to 49 beds: 971 Hospitals with 50 to 99 beds: 1,608 Hospitals with 100 to 199 beds: 3,437 Hospitals with 200 to 299 beds: 5,252 Hospitals with 300 to 399 beds: 6,938 Hospitals with 400 to 499 beds: 8,785 Hospitals with 500 or more beds: 14,796 Average emergency outpatient visits per year Hospitals with 6 to 24 beds: 4,170 Hospitals with 25 to 49 beds: 7,238 Hospitals with 50 to 99 beds: 12,301 Hospitals with 100 to 199 beds: 27,338 Hospitals with 200 to 299 beds: 43,740 Hospitals with 300 to 399 beds: 56,681 Hospitals with 400 to 499 beds: 67,135 Hospitals with 500 or more beds: 100,649 Average total outpatient visits per year Hospitals with 6 to 24 beds: 23,216 Hospitals with 25 to 49 beds: 40,011 Hospitals with 50 to 99 beds: 60,608 Hospitals with 100 to 199 beds: 124,183 Hospitals with 200 to 299 beds: 197,761 Hospitals with 300 to 399 beds: 268,704 Hospitals with 400 to 499 beds: 389,940 Hospitals with 500 or more beds: 591,687 Finance Hospital adjusted expenses per inpatient day Source: Kaiser State Health Facts, accessed in 2015 and based on 2013 data. Adjusted expenses per inpatient day includ- ed expenses incurred for both inpatient and outpatient care; inpatient days are adjusted higher to reflect an estimate of the volume of outpatient services. Nonprofit hospitals: $2,289 State/local government hospitals: $1,878 For-profit hospitals: $1,791 Key ratios Source: Moody's Investors Service, "U.S. Not-for-Profit Hospital 2014 Medians" report, September 2015. e medians are based on an analysis of audited 2014 statements for 366 freestand- ing hospitals, single-state health systems and multistate health systems, representing 86 percent of all Moody's rated healthcare entities. Children's hospitals, hospitals for which five years of data are not available and certain specialty hospitals were not eligible for inclusion in the medians. Maintained bed occupancy: 63.3 percent Operating margin: 2.6 percent Excess margin: 5.7 percent Operating cash flow margin: 9.6 percent Return on assets: 4.5 percent Cash-to-direct debt ratio: 151.2 percent Cash-to-comprehensive debt ratio: 108.3 percent Debt-to-capitalization ratio: 33.7 percent Debt-to-total operating revenue: 36.7 percent ree-year operating revenue CAGR: 5.1 percent ree-year operating expense CAGR: 5.2 percent Annual operating revenue growth rate: 5.2 percent Annual operating expense growth rate: 4.6 percent Current ratio: 2.0x Cushion ratio: 19.3x Annual debt service coverage: 5.0x Maximum annual debt service coverage: 4.6x Debt-to-cash flow: 3.1x Capital spending ratio: 1.1x Cash on hand: 205.8 days Accounts receivable: 49.5 days Average payment period: 64.6 days Average age of plant: 10.8 years Financial medians related to healthcare reform Reimbursement methods (% of net patient revenue) DRG: 40 percent Percent of charges: 18.1 percent Fee schedule: 26 percent Per diem: 3.9 percent Risk-based: 3 percent Traditional capitation: 1.8 percent Other: 4 percent Sources of revenue Inpatient revenue: 49.8 percent Outpatient revenue: 50.1 percent Number of covered lives Medicare: 25,063 Medicaid: 32,797 Commercial: 22,143 Hospital utilization data Unique patients: 149,612 Total case mix index: 1.4 Number of employed physicians: 136 Active medical staff (independent and employed): 542 Patient revenue sources by gross reve- nue