Becker's Hospital Review

13 Medicare: 45 percent Medicaid: 13.7 percent Commercial: 32.4 percent Self-pay and other: 6.9 percent Hospital margins by credit rating group Source: Fitch Ratings, "2014 Median Ratios for Nonprofit Hospitals and Healthcare System" report, August 2015. "AA" rating Operating margin: 4.9 percent Operating EBITDA margin: 11.5 percent Excess margin: 7.6 percent EBITDA margin: 14.7 percent "A" rating Operating margin: 3.6 percent Operating EBITDA margin: 10.3 percent Excess margin: 5.4 percent EBITDA margin: 12.4 percent "BBB" rating Operating margin: 0.6 percent Operating EBITDA margin: 7.7 percent Excess margin: 2.4 percent EBITDA margin: 9.5 percent Below "BBB" rating Operating margin: 0.3 percent Operating EBITDA margin: 8.1 percent Excess margin: 0.4 percent EBITDA margin: 8.9 percent Charity care Source: American Hospital Association, "Schedule H Project Benchmark" report, August 2015. e report is based on the most recent data available from more than 1,100 tax-exempt hospitals for tax year 2012. Charity care includes total unreimbursed means-tested government programs and other benefits. Total charity care as an average percent of total expenses Small hospitals (less than $100 million in total expenses): 8.6 percent Medium hospitals ($100 million to $299 million in total expenses): 8 percent Large hospitals ($300 million or more in total expenses): 9.6 percent Systems (more than one licensed hospi- tal): 9.1 percent General medical/ surgical hospital: 8.5 percent Teaching hospital: 9.4 percent Critical access hos- pital: 9.6 percent Children's hospital: 12.7 percent Urban/suburban hospital: 8.7 percent Rural hospital: 8.6 percent Total benefit to the community as an average percent of total expenses Small hospitals: 11.8 percent Medium hospitals: 12.8 percent Large hospitals: 12.3 percent Systems: 12.4 percent General medical/ surgical hospital: 12.3 percent Teaching hospital: 11.5 percent Critical access hos- pital: 11.3 percent Children's hospital: 14.4 percent Urban/suburban hospital: 12.7 percent Rural hospital: 11.3 percent n Sheridan helps hospitals get better. Download our executive resource The Evolving Emergency Department at sheridanhealthcare.com/emergency sheridanhealthcare.com 888-719-6272 Outsourced Clinical & Management Services ANESTHESIOLOGY | EMERGENCY | NEONATOLOGY | RADIOLOGY

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