a performance monitoring resource for critical access hospitals, states, and communities cah...
DESCRIPTION
Profitability: Cash Flow Margin 2013 Our Hospital 2013 Peer Group Median CAH 2013 State Median CAH 2013 U.S. Median CAH 6.72% Net income – (Contributions, investments, and appropriations + Depreciation expense + Interest expense) Net patient revenue + Other income – Contributions, investments, and appropriations Measures the ability to generate cash flow from providing patient care services Definition InterpretationTRANSCRIPT
A Performance Monitoring Resource for Critical Access Hospitals, States, and Communities
CAH Financial Indicators Report for Our Hospital
CAH Financial Indicators Report TeamNorth Carolina Rural Health Research and Policy Analysis CenterCecil G. Sheps Center for Health Services Research725 Martin Luther King, Jr. BoulevardChapel Hill, NC [email protected]
August 15, 2015
Profitability: Total Margin
2013Our Hospital
2013 Peer Group
Median CAH
2013 StateMedian CAH
2013 U.S.Median CAH
2.51%
Net incomeTotal revenue
Measures the control of expenses relative to revenues
Definition
Interpretation
Profitability: Cash Flow Margin
2013Our Hospital
2013 Peer Group
Median CAH
2013 StateMedian CAH
2013 U.S.Median CAH
6.72%
Net income – (Contributions, investments, and appropriations +Depreciation expense + Interest expense)
Net patient revenue + Other income – Contributions, investments, and appropriations
Measures the ability to generate cash flow from providing patient care services
Definition
Interpretation
Profitability: Return on Equity2013
Our Hospital2013 Peer
GroupMedian CAH
2013 StateMedian CAH
2013 U.S.Median CAH
5.16%
Net incomeNet assets
Measures the net income generated by equity investment (net assets)
Definition
Interpretation
Profitability: Operating Margin
2013Our Hospital
2013 Peer Group
Median CAH
2013 StateMedian CAH
2013 U.S.Median CAH
0.99%
Net patient revenue + Other revenue – Total operating expensesNet patient revenue + other revenue
Measures the control of operating expenses relative to operating revenues
Definition
Interpretation
Liquidity: Current Ratio
2013Our Hospital
2013 Peer Group
Median CAH
2013 StateMedian CAH
2013 U.S.Median CAH
2.29
Current assetsCurrent liabilities
Measures the number of times short-term obligations can be paid using short-term assets
Definition
Interpretation
Liquidity: Days Cash on Hand
2013Our Hospital
2013 Peer Group
Median CAH
2013 StateMedian CAH
2013 U.S.Median CAH
68.83 days
Cash + temporary investments + investments(Total expenses – Depreciation) / Days in period
Measures the number of days an organization could operate if no cash was collected or received
Definition
Interpretation
Liquidity:Days Revenue in Accounts Receivable
2013Our Hospital
2013 Peer Group
Median CAH
2013 StateMedian CAH
2013 U.S.Median CAH
54.20 days
Net patient accounts receivable (Net patient revenue) / Days in period
Measures the number of days that it takes an organization to collect its receivables
Definition
Interpretation
Capital Structure: Equity Financing
2013Our Hospital
2013 Peer Group
Median CAH
2013 StateMedian CAH
2013 U.S.Median CAH
60.32%
Net assetsTotal assets
Measures the percentage of total assets financed by equity
Definition
Interpretation
Capital Structure:Debt Service Coverage
2013Our Hospital
2013 Peer Group
Median CAH
2013 StateMedian CAH
2013 U.S.Median CAH
2.73 times
Net income + Depreciation Expense + Interest expenseNotes and loans payable (short term) * (365/DIP) + Interest expense
where DIP means days in period
Measures the ability to pay obligations related to long-term debt, principal payments and interest expense
Definition
Interpretation
Capital Structure:Long-Term Debt to Capitalization
2013Our Hospital
2013 Peer Group
Median CAH
2013 StateMedian CAH
2013 U.S.Median CAH
17.02%
Long-term debtLong-term debt + Net assets
Measures the percentage of total capital that is debt
Definition
Interpretation
Revenue: Outpatient Revenues to Total Revenues
2013Our Hospital
2013 Peer Group
Median CAH
2013 StateMedian CAH
2013 U.S.Median CAH
74.43%
Total outpatient revenueTotal patient revenue
Measures the percentage of total revenues that are for outpatient revenues (including, for example, Rural Health Clinics, free-standing clinics, and home health clinics
Definition
Interpretation
Revenue: Patient Deductions
2013Our Hospital
2013 Peer Group
Median CAH
2013 StateMedian CAH
2013 U.S.Median CAH
39.92%
Contractual allowances + DiscountsGross total patient revenue
Measures the allowances and discounts per dollar of total patient revenue
Definition
Interpretation
Revenue: Medicare Inpatient Payer Mix2013
Our Hospital2013 Peer
GroupMedian CAH
2013 StateMedian CAH
2013 U.S.Median CAH
73.01%
Medicare inpatient daysTotal inpatient days – Nursery bed days –
NF Swing bed days
Measures the percentage of total inpatient days that are provided to Medicare patients
Definition
Interpretation
Revenue: Hospital Medicare Outpatient Payer Mix
2013Our Hospital
2013 Peer Group
Median CAH
2013 StateMedian CAH
2013 U.S.Median CAH
37.9%
Hospital Outpatient Medicare chargesHospital total outpatient charges
Measures the percentage of total outpatient charges that are for Medicare patients
Definition
Interpretation
Revenue: Hospital Medicare Outpatient Cost to Charge
2013Our Hospital
2013 Peer Group
Median CAH
2013 StateMedian CAH
2013 U.S.Median CAH
0.47
Hospital Medicare Outpatient CostsHospital Medicare Outpatient Charges
Measures outpatient Medicare costs per dollar of outpatient Medicare charges
Definition
Interpretation
Revenue: Medicare Acute InpatientCost per Day
2013Our Hospital
2013 Peer Group
Median CAH
2013 StateMedian CAH
2013 U.S.Median CAH
$2,305
Medicare acute inpatient cost(Medicare Inpatient Days (excl. HMO))
Measures the amount of Medicare revenue earned per Medicare day
Definition
Interpretation
Cost: Salaries to Net Patient Revenue
2013Our Hospital
2013 Peer Group
Median CAH
2013 StateMedian CAH
2013 U.S.Median CAH
45.57%
Salary expenseNet patient revenue
Measures the percentage of net patient revenue that are labor costs
Definition
Interpretation
Cost: Average Age of Plant
2013Our Hospital
2013 Peer Group
Median CAH
2013 StateMedian CAH
2013 U.S.Median CAH
9.77 years
Accumulated depreciationDepreciation expense * (365 / Days in Period)
Measures the average age in years of the fixed assets of an organization
Definition
Interpretation
Cost: FTEs per Adjusted Occupied Bed
2013Our Hospital
2013 Peer Group
Median CAH
2013 StateMedian CAH
2013 U.S.Median CAH
5.86 FTEs
Number of FTEsAdjusted occupied beds**
Measures the number of full-time employees per each occupied bed
Definition
Interpretation
** (Inpatient days – NF Swing days – Nursery days) *(Total patient revenue / (Total inpatient revenue – Inpatient NF revenue – Other LTC Revenue)) / Days in period
Cost: Average Salary per FTE
2013Our Hospital
2013 Peer Group
Median CAH
2013 StateMedian CAH
2013 U.S.Median CAH
$50,845
21
Salary ExpenseNumber of FTEs
Measures the price and mix of labor.
Definition
Interpretation
Utilization: Average Daily Census Swing-SNF Beds
2013Our Hospital
2013 Peer Group
Median CAH
2013 StateMedian CAH
2013 U.S.Median CAH
1.52 beds
Inpatient swing bed SNF daysDays in period
Measures the average number of swing-SNF beds occupied per day
Definition
Interpretation
Utilization:Average Daily Census Acute Beds
2013Our Hospital
2013 Peer Group
Median CAH
2013 StateMedian CAH
2013 U.S.Median CAH
3.22 beds
Inpatient acute care bed daysDays in period
Measures the average number of acute care beds occupied per day
Definition
Interpretation
Summary of Results for Our Hospital