Becker's Hospital Review

22 state health systems, representing 81 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. 120. Maintained bed occupancy: 64.3 percent 121. Operating margin: 3.4 percent 122. Excess margin: 6.1 percent 123. Operating cash flow margin: 10.3 percent 124. Return on assets: 4.8 percent 125. ree-year operating revenue CAGR: 5.8 percent 126. ree-year operating expense CAGR: 5.5 percent 127. Days cash on hand: 211.8 days 128. Annual operating revenue growth rate: 7.5 percent 129. Annual operating expense growth rate: 6.6 percent 130. Total debt-to-capitalization: 33.7 percent 131. Total debt-to-total operating revenue: 34.5 percent 132. Current ratio: 2.0x 133. Cushion ratio: 20.6x 134. Annual debt service coverage: 5.2x 135. Maximum annual debt service coverage: 4.8x 136. Debt-to-cash flow: 2.7x 137. Capital spending ratio: 1.1x 138. Accounts receivable: 48.4 days 139. Average payment period: 64.3 days 140. Average age of plant: 11 years Hospital margins by credit rating group Source: S&P Global Ratings "U.S. Not-For-Profit Health Care System Median Financial Ratios — 2015 vs. 2014" report, September 2016. AA+ rating 141. Operating margin: 6.2 percent 142. Operating EBIDA margin: 13.1 percent 143. Excess margin: 8.4 percent 144. EBIDA margin: 14.8 percent AA rating 145. Operating margin: 4.9 percent 146. Operating EBIDA margin: 10.6 percent 147. Excess margin: 7.2 percent 148. EBIDA margin: 13.3 percent AA- rating 149. Operating margin: 3.5 percent 150. Operating EBIDA margin: 10.4 percent 151. Excess margin: 6.4 percent 152. EBIDA margin: 12.7 percent A+ rating 153. Operating margin: 4.1 percent 154. Operating EBIDA margin: 10.3 percent 155. Excess margin: 5.6 percent 156. EBIDA margin: 12.3 percent A rating 157. Operating margin: 3.6 percent 158. Operating EBIDA margin: 10.6 percent 159. Excess margin: 5.2 percent 160. EBIDA margin: 11.1 percent A- rating 161. Operating margin: 2.9 percent 162. Operating EBIDA margin: 9.5 percent 163. Excess margin: 3.9 percent 164. EBIDA margin: 10.8 percent BBB+ rating 165. Operating margin: 0.8 percent 166. Operating EBIDA margin: 6.8 percent 167. Excess margin: 3.4 percent 168. EBIDA margin: 8.7 percent Days cash on hand and days in accounts re- ceivable by credit rating group Source: S&P Global Ratings "U.S. Not-For-Profit Health Care System Median Financial Ratios — 2015 vs. 2014" report, September 2016. AA+ rating 169. Days cash on hand: 426.2 170. Days in accounts receivable: 45.8 AA rating 171. Days cash on hand: 292.9 172. Days in accounts receivable: 49.9 AA- rating 173. Days cash on hand: 258.2 174. Days in accounts receivable: 48.8 A+ rating 175. Days cash on hand: 200.3 176. Days in accounts receivable: 46.2 A rating 177. Days cash on hand: 182.5 178. Days in accounts receivable: 49.1 A- rating 179. Days cash on hand: 156.6 180. Days in accounts receivable: 46.2 BBB+ rating 181. Days cash on hand: 148.7 182. Days in accounts receivable: 47.6 Health IT HIMSS Analytics EMR Adoption Model, which runs from Stage 0 to Stage 7 Source: HIMSS Analytics, EMR Adoption Mod- el, fourth quarter of 2016, the latest available data for these measures. 183. Stage 7 providers: 4.8 percent 184. Stage 6 providers: 30.5 percent 185. Stage 5 providers: 34.9 percent 186. Stage 4 providers: 10.2 percent 187. Stage 3 providers: 13.9 percent 188. Stage 2 providers: 2.3 percent 189. Stage 1 providers: 1.4 percent 190. Stage 0 providers: 1.9 percent Affiliations Source: American Hospital Association "Hospi- tal Statistics" report, 2017 Edition. Part of a group purchasing organization 191. Hospitals with six to 24 beds: 67 percent 192. Hospitals with 25 to 49 beds: 69 percent 193. Hospitals with 50 to 99 beds: 66 percent 194. Hospitals with 100 to 199 beds: 72 percent 195. Hospitals with 200 to 299 beds: 77 percent 196. Hospitals with 300 to 399 beds: 82 percent 197. Hospitals with 400 to 499 beds: 86 percent 198. Hospitals with 500 or more beds: 93 per- cent Part of a health system 199. Hospitals with six to 24 beds: 46 percent 200. Hospitals with 25 to 49 beds: 55 percent 201. Hospitals with 50 to 99 beds: 67 percent 202. Hospitals with 100 to 199 beds: 75 percent 203. Hospitals with 200 to 299 beds: 74 percent 204. Hospitals with 300 to 399 beds: 77 percent 205. Hospitals with 400 to 499 beds: 75 percent 206. Hospitals with 500 or more beds: 75 percent

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