Becker's Hospital Review

43 FINANCE Pain control Patients who said their pain was "always" well controlled: 71 percent Patients who said their pain was "usually" well controlled: 22 percent Patients who said their pain was "sometimes" or "never" well controlled: 7 percent Staff explanations Patients who said staff "always" explained medicines before administering: 65 percent Patients who said staff "usually" explained medicines before administering: 17 percent Patients who said staff "sometimes" or "never" explained medicines before administering: 18 percent Staff help Patients who said they "always" received help as soon as they wanted: 68 percent Patients who said they "usually" received help as soon as they wanted: 23 percent Patients who said they "sometimes" or "never" received help as soon as they wanted: 9 percent Recovery information Patients who said staff provided information about what to do during their recovery at home: 86 percent Patients who said staff did not provide information about what to do during their recovery at home: 14 percent Staffing Source: American Hospital Association "Hospital Statistics" report, 2016 Edition. Full- and part-time staff averages are for the hospital unit only and do not include separate nursing home units. Average full-time staff Hospitals with 6 to 24 beds: 98 Hospitals with 25 to 49 beds: 169 Hospitals with 50 to 99 beds: 278 Hospitals with 100 to 199 beds: 637 Hospitals with 200 to 299 beds: 1,132 Hospitals with 300 to 399 beds: 1,693 Hospitals with 400 to 499 beds: 2,479 Hospitals with 500 or more beds: 4,911 Average part-time staff Hospitals with 6 to 24 beds: 49 Hospitals with 25 to 49 beds: 77 Hospitals with 50 to 99 beds: 128 Hospitals with 100 to 199 beds: 263 Hospitals with 200 to 299 beds: 425 Hospitals with 300 to 399 beds: 591 Hospitals with 400 to 499 beds: 809 Hospitals with 500 or more beds: 1,303 Utilization Inpatient volume Source: American Hospital Association "Hospital Statistics" report, 2016 Edition. Inpatient and outpatient averages include both hospital and nursing home units. Average admissions per year Hospitals with 6 to 24 beds: 381 Hospitals with 25 to 49 beds: 896 Hospitals with 50 to 99 beds: 2,062 Hospitals with 100 to 199 beds: 5,774 Hospitals with 200 to 299 beds: 10,745 Hospitals with 300 to 399 beds: 15,823 Hospitals with 400 to 499 beds: 20,742 Hospitals with 500 or more beds: 33,744 Average length of stay: Hospitals with 6 to 24 beds: 4.8 days Hospitals with 25 to 49 beds: 5.5 days Hospitals with 50 to 99 beds: 6.9 days Hospitals with 100 to 199 beds: 5.3 days Hospitals with 200 to 299 beds: 5.1 days Hospitals with 300 to 399 beds: 5.1 days Hospitals with 400 to 499 beds: 5.3 days Hospitals with 500 or more beds: 5.7 days Average inpatient surgeries per year Hospitals with 6 to 24 beds: 85 Hospitals with 25 to 49 beds: 187 Hospitals with 50 to 99 beds: 467 Hospitals with 100 to 199 beds: 1,476 Hospitals with 200 to 299 beds: 2,843 Hospitals with 300 to 399 beds: 4,299 Hospitals with 400 to 499 beds: 5,769 Hospitals with 500 or more beds: 10,276 Outpatient volume Source: American Hospital Association "Hospital Statistics" report, 2016 Edition. Average total outpatient visits per year Hospitals with 6 to 24 beds: 23,279 Hospitals with 25 to 49 beds: 40,985 Hospitals with 50 to 99 beds: 63,555 Hospitals with 100 to 199 beds: 132,026 Hospitals with 200 to 299 beds: 197,320 Hospitals with 300 to 399 beds: 260,931 Hospitals with 400 to 499 beds: 414,613 Hospitals with 500 or more beds: 628,288 Average outpatient surgeries per year Hospitals with 6 to 24 beds: 638 Hospitals with 25 to 49 beds: 1,007 Hospitals with 50 to 99 beds: 1,647 Hospitals with 100 to 199 beds: 3,420 Hospitals with 200 to 299 beds: 5,296 Hospitals with 300 to 399 beds: 6,785 Hospitals with 400 to 499 beds: 9,302 Hospitals with 500 or more beds: 14,961 Average emergency outpatient visits per year Hospitals with 6 to 24 beds: 4,083 Hospitals with 25 to 49 beds: 7,485 Hospitals with 50 to 99 beds: 12,485 Hospitals with 100 to 199 beds: 28,325 Hospitals with 200 to 299 beds: 45,675 Hospitals with 300 to 399 beds: 59,505 Hospitals with 400 to 499 beds: 71,619 Hospitals with 500 or more beds: 101,769 Finance Hospital adjusted expenses per inpatient day Source: Kaiser State Health Facts, accessed in 2016 and based on 2014 data. Adjusted expenses per inpatient day include 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: $2,346 State/local government hospitals: $1,974 For-profit hospitals: $1,798 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 freestanding hospitals, single-state health systems and multi- state 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 compound annual growth rate: 5.1 percent ree-year operating expense compound annual growth rate: 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 n

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