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Table of ContentsExecutive Summary                                                          3-5Financial and Operational S...
Executive Summary – OverviewHealthcare Management Partners (HMP) is a hospital and healthcare services management firm. Fo...
Executive Summary – Key TermsQuartile Rankings: Quartile rankings were assigned based on the mean values calculated for al...
Executive Summary – Hospital Performance Metrics                                       A measure of overall hospital profi...
Total Profit Margin - SummaryTotal Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the U...
Peer Group Comparison – Total Profit MarginTotal Profit MarginAll State and Local Government Owned General Acute Care Hosp...
Peer Group Comparison – Total Profit MarginTotal Profit MarginAll State and Local Government Owned General Acute Care Hosp...
Peer Group Comparison – Total Profit MarginTotal Profit MarginAll State and Local Government Owned General Acute Care Hosp...
Peer Group Comparison – Total Profit MarginTotal Profit MarginAll State and Local Government Owned General Acute Care Hosp...
Peer Group Comparison – Total Profit MarginTotal Profit MarginAll State and Local Government Owned General Acute Care Hosp...
Peer Group Comparison – Total Profit MarginTotal Profit MarginAll State and Local Government Owned General Acute Care Hosp...
Peer Group Comparison – Total Profit MarginTotal Profit MarginAll State and Local Government Owned General Acute Care Hosp...
Peer Group Comparison – Total Profit MarginTotal Profit MarginAll State and Local Government Owned General Acute Care Hosp...
Total Operating Profit Margin - SummaryTotal Operating Profit MarginAll State and Local Government Owned General Acute Car...
Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll State and Local Government Owned Gen...
Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll State and Local Government Owned Gen...
Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll State and Local Government Owned Gen...
Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll State and Local Government Owned Gen...
Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll State and Local Government Owned Gen...
Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll State and Local Government Owned Gen...
Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll State and Local Government Owned Gen...
Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll State and Local Government Owned Gen...
Total Labor Cost as a Percentage of Total Operating Revenues - SummaryTotal Labor Cost as a Percentage of Total Operating ...
Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.Total Labor Cost as a Percentage of Total Operating...
Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.Total Labor Cost as a Percentage of Total Operating...
Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.Total Labor Cost as a Percentage of Total Operating...
Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.Total Labor Cost as a Percentage of Total Operating...
Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.Total Labor Cost as a Percentage of Total Operating...
Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.Total Labor Cost as a Percentage of Total Operating...
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
HMP Metrics™: Government Owned Hospitals October, 2010
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HMP Metrics™: Government Owned Hospitals October, 2010

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HMP can easily create customized reports and mix or create new peer groups and compare them to state or national benchmarks.

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HMP Metrics™: Government Owned Hospitals October, 2010

  1. 1. 1
  2. 2. Table of ContentsExecutive Summary 3-5Financial and Operational Study 6 - 59 • Total Profit Margin 6 - 14 • Total Operating Profit Margin 15 - 23 • Total Labor Cost as a Percentage of Total Operating Revenues 24 - 32 • Full-Time Equivalent (FTE) Staff per Adjusted Occupied Bed (AOB) 33 - 41 • Days Net Patient Revenue in Accounts Receivable (AR) 42 - 50 • Average Age of Plant and Equipment 51 - 59Introduction to Healthcare Management Partners 60 - 64Clients Our Professionals Have Served 65 - 66Firm Leadership 67 - 70Contact Information 71 October 2010 2
  3. 3. Executive Summary – OverviewHealthcare Management Partners (HMP) is a hospital and healthcare services management firm. For decades, all of its seniorexecutives have been building and operating thriving healthcare organizations, including CEO, COO and CFO assignmentsacross the spectrum of healthcare services providers. This knowledge base gives HMP a unique perspective on what tools arenecessary to handle the issues facing any healthcare provider organization, and is what prompted HMP to create HMPMetricsTM. Our executives understand the value of being able to measure hospital performance relative to comparablefacilities and against “1st Quartile” or “High Performing” competitors.Utilizing the last six years of publicly available hospital Medicare cost report data, HMP has conducted an extensive studycomparing performance within six hospital peer groups. We can easily create custom peer groups and metrics. These groupsselected include the following: 1. All General Acute Care Hospitals Regardless of Ownership or Sponsorship 2. All Investor Owned General Acute Care Hospitals 3. All Not-For-Profit General Acute Care Hospitals, including Institutions Sponsored by Religious Organizations 4. All State and Local Government Owned General Acute Care Hospitals 5. Free Standing Children’s Hospitals 6. All Non-Federal Major Teaching HospitalsUsing proprietary filters, data contained in the HMP Metrics database has been “scrubbed” to exclude partial period orstatistically aberrant data elements for individual hospitals or health systems. It also excludes Federal Government hospitals,specialty hospitals (e.g., long-term acute care) and general acute care hospitals for which 30% or more of its total licensedbeds are comprised of sub-acute beds. This data validation process produces highly accurate and defensible peer groupcomparisons for dozens of standard industry metrics.This report measures several commonly used metrics to further stratify these hospital types into quartiles in order to illustratethe benchmarks for poor to exceptional performance for each of the metrics. With this information, one can quickly assess therelative financial well-being of any facility in any of these groups. HMP can easily create custom reports and mix or createnew peer groups and compare them to state, local or national benchmarks. October 2010 3
  4. 4. Executive Summary – Key TermsQuartile Rankings: Quartile rankings were assigned based on the mean values calculated for all state and localgovernment owned general acute care hospitals within the peer groups.Total Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States Regardless of Bed Size 2009 2008 2007 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 9.94% 8.49% 169 10.55% 9.41% 176 12.36% 11.54% 183 2nd Quartile 3.56% 3.26% 170 4.40% 4.17% 180 5.67% 5.45% 185 3rd Quartile (0.03%) 0.07% 172 0.56% 0.73% 182 1.53% 1.48% 186 4th Quartile (7.07%) (6.18%) 174 (7.72%) (6.43%) 183 (5.76%) (4.82%) 187 Total Population 1.53% 1.72% 685 1.86% 2.64% 721 3.40% 3.17% 741 Excluded Cost Reports 50 53 45 Total Cost Reports 735 774 786As noted above, the first quartile contains the top 25% of the best performing hospitals in an applicable peer group,the second quartile contains those hospitals falling in the 26% to 50% range, the third quartile contains thosehospitals falling in the 51% to 75% range, and finally the fourth quartile contains those hospitals falling below 76%.Mean Value: The mean value is the average of all amounts within a defined quartile or population.Median Value: The report also contains the median value by quartile or total population.Count: Actual number of qualified hospitals included in the mean or median calculation.Excluded Cost Reports: Represents those metrics values not considered normative (i.e., outlier values). Forexample, certain metric values that were greater than two standard deviations from the mean of a reported populationwould be excluded from the analysis and included in this category. October 2010 4
  5. 5. Executive Summary – Hospital Performance Metrics A measure of overall hospital profitability presented as a percentage. A negative percentageTotal Profit Margin indicates an overall loss, while a positive percentage indicates profitability. A measure of operating profitability presented as a percentage. A negative percentage indicatesTotal Operating Profit Margin overall loss, while a positive percentage indicates profitability. A measure of labor productivity. This metric divides labor costs by operating revenues. ATotal Labor Cost as a Percentage of higher percentage compared to its peers indicates that a hospital uses more labor to produce itsTotal Operating Revenues revenue. Measures the number of full-time equivalent (FTE) employees used for each occupied bed.Full-Time Equivalent Staff (FTEs) per Similar to the previous ratio, a higher percentage compared to its peers indicates that a hospitalAdjusted Occupied Bed (AOB) uses more labor to treat its patients. Measures the number of days it typically takes to collect accounts receivable. A higherDays Net Patient Revenue in percentage compared to its peers indicates that the hospitals revenue cycle is not as efficient asAccounts Receivable (AR) its peers. Measures the average age of the hospital including capital improvements and major equipmentAverage Age of Plant and Equipment purchases. A higher age compared to its peers indicates that the hospital has deferred the replacement of its capital when compared to its peers, which can lead to further distress.Source: Metrics are based on data extracted from Medicare cost reports filed each year with the FederalGovernment. Accuracy of the data contained in the Medicare cost reports is certified by hospital managementwhen the report is filed. Any changes resulting from desk or field audits by Medicare and subsequently included inthe Hospital Cost Report Information System (HCRIS) database have also been reflected in the calculations.Excludes partial-year Medicare cost reports, hospitals where 30% or more of total inpatient beds are non-acute, andhospitals where the computed metric is more than 2 standard deviations from the mean. October 2010 5
  6. 6. Total Profit Margin - SummaryTotal Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States Ranked by Number of Licensed Beds 2009 2008 2007 Number of Licensed Beds Mean Median Count Mean Median Count Mean Median Count 25 Beds or Less 1.28% 1.17% 284 2.37% 2.99% 303 3.77% 3.34% 308 26 to 100 Beds 0.87% 0.97% 193 1.46% 2.42% 197 2.82% 2.21% 209 101 to 200 Beds 2.21% 2.60% 78 2.02% 2.71% 82 2.74% 3.26% 88 201 to 300 Beds 1.13% 2.73% 44 1.30% 1.47% 47 4.22% 3.92% 44 301 to 400 Beds 4.80% 5.04% 27 1.98% 3.07% 31 4.10% 5.21% 30 401 to 500 Beds 2.68% 2.40% 26 0.38% 1.75% 26 1.75% 2.80% 27 Over 500 Beds 2.93% 4.20% 33 0.90% 3.06% 35 4.80% 5.73% 35 Total All Hospitals 1.53% 1.72% 685 1.86% 2.64% 721 3.40% 3.17% 741 Excluded Cost Reports 50 53 45 Total Cost Reports 735 774 786 2006 2005 2004 Number of Licensed Beds Mean Median Count Mean Median Count Mean Median Count 25 Beds or Less 3.50% 3.89% 291 2.40% 2.47% 253 2.39% 2.69% 216 26 to 100 Beds 2.48% 2.63% 204 2.55% 2.79% 220 1.99% 1.79% 265 101 to 200 Beds 3.29% 3.66% 83 2.65% 2.91% 88 2.23% 2.86% 89 201 to 300 Beds 4.55% 4.55% 46 4.34% 4.61% 45 2.77% 3.16% 46 301 to 400 Beds 5.52% 5.20% 33 3.75% 4.87% 32 3.02% 3.47% 31 401 to 500 Beds 2.44% 3.10% 28 1.38% 2.54% 28 1.69% 2.23% 27 Over 500 Beds 4.64% 5.27% 36 2.83% 4.42% 36 1.85% 3.13% 37 Total All Hospitals 3.37% 3.66% 721 2.64% 2.99% 702 2.22% 2.53% 711 Excluded Cost Reports 31 33 35 Total Cost Reports 752 735 746Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 6
  7. 7. Peer Group Comparison – Total Profit MarginTotal Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with 25 Licensed Beds or Less 2009 2008 2007 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 10.09% 8.41% 71 11.67% 10.94% 75 13.13% 12.47% 77 2nd Quartile 3.13% 2.86% 71 4.71% 4.46% 76 6.12% 5.65% 77 3rd Quartile (0.51%) (0.42%) 71 0.68% 0.91% 76 1.52% 1.75% 77 4th Quartile (7.57%) (6.60%) 71 (7.43%) (6.14%) 76 (5.68%) (4.76%) 77 Total Population 1.28% 1.17% 284 2.37% 2.99% 303 3.77% 3.34% 308 Excluded Cost Reports 21 21 19 Total Cost Reports 305 324 327 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 12.38% 11.42% 72 12.37% 10.41% 63 11.69% 10.51% 54 2nd Quartile 5.71% 5.54% 73 4.43% 4.43% 63 4.80% 4.66% 54 3rd Quartile 1.71% 1.45% 73 0.39% 0.62% 63 0.60% 0.61% 54 4th Quartile (5.66%) (4.47%) 73 (7.44%) (6.52%) 64 (7.52%) (6.20%) 54 Total Population 3.50% 3.89% 291 2.40% 2.47% 253 2.39% 2.69% 216 Excluded Cost Reports 13 10 10 Total Cost Reports 304 263 226Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 7
  8. 8. Peer Group Comparison – Total Profit MarginTotal Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 26 and 100 Licensed Beds 2009 2008 2007 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 9.54% 7.83% 48 9.49% 8.34% 49 11.93% 10.77% 52 2nd Quartile 2.87% 2.84% 48 3.82% 3.66% 49 4.42% 4.31% 52 3rd Quartile (1.08%) (1.15%) 48 0.34% 0.57% 49 0.95% 0.99% 52 4th Quartile (7.65%) (6.49%) 49 (7.60%) (6.37%) 50 (5.86%) (4.86%) 53 Total Population 0.87% 0.97% 193 1.46% 2.42% 197 2.82% 2.21% 209 Excluded Cost Reports 10 13 8 Total Cost Reports 203 210 217 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 10.93% 9.26% 51 10.53% 9.39% 55 10.66% 9.10% 66 2nd Quartile 4.41% 4.39% 51 4.55% 4.34% 55 3.83% 3.94% 66 3rd Quartile 0.95% 1.02% 51 1.03% 1.04% 55 0.07% 0.11% 66 4th Quartile (6.36%) (5.24%) 51 (5.91%) (3.87%) 55 (6.48%) (5.18%) 67 Total Population 2.48% 2.63% 204 2.55% 2.79% 220 1.99% 1.79% 265 Excluded Cost Reports 4 9 12 Total Cost Reports 208 229 277Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 8
  9. 9. Peer Group Comparison – Total Profit MarginTotal Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 101 and 200 Licensed Beds 2009 2008 2007 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 9.64% 8.39% 19 10.90% 9.32% 20 11.45% 10.01% 22 2nd Quartile 4.16% 3.89% 19 4.59% 4.33% 20 4.74% 4.78% 22 3rd Quartile 1.28% 1.44% 20 0.87% 1.30% 21 1.49% 1.44% 22 4th Quartile (5.79%) (6.01%) 20 (7.72%) (7.31%) 21 (6.70%) (6.33%) 22 Total Population 2.21% 2.60% 78 2.02% 2.71% 82 2.74% 3.26% 88 Excluded Cost Reports 8 11 8 Total Cost Reports 86 93 96 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 11.76% 10.42% 20 10.82% 8.96% 22 10.21% 8.45% 22 2nd Quartile 5.32% 5.35% 21 4.84% 4.43% 22 4.58% 4.44% 22 3rd Quartile 2.12% 1.88% 21 1.14% 1.30% 22 1.34% 1.13% 22 4th Quartile (5.64%) (4.73%) 21 (6.21%) (4.72%) 22 (6.78%) (4.72%) 23 Total Population 3.29% 3.66% 83 2.65% 2.91% 88 2.23% 2.86% 89 Excluded Cost Reports 9 8 6 Total Cost Reports 92 96 95Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 9
  10. 10. Peer Group Comparison – Total Profit MarginTotal Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 201 and 300 Licensed Beds 2009 2008 2007 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 8.06% 5.67% 11 9.93% 9.50% 11 11.37% 10.77% 11 2nd Quartile 3.49% 3.63% 11 3.49% 3.56% 12 6.64% 6.45% 11 3rd Quartile 0.62% 0.84% 11 0.09% 0.54% 12 2.32% 2.06% 11 4th Quartile (7.64%) (8.63%) 11 (7.59%) (7.33%) 12 (3.43%) (1.88%) 11 Total Population 1.13% 2.73% 44 1.30% 1.47% 47 4.22% 3.92% 44 Excluded Cost Reports 3 2 3 Total Cost Reports 47 49 47 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 11.02% 10.59% 11 10.11% 9.52% 11 8.41% 8.10% 11 2nd Quartile 6.62% 6.31% 11 5.96% 6.18% 11 5.15% 5.04% 11 3rd Quartile 3.66% 3.87% 12 3.11% 2.82% 11 1.99% 2.00% 12 4th Quartile (2.37%) (2.07%) 12 (1.32%) (1.26%) 12 (3.80%) (3.08%) 12 Total Population 4.55% 4.55% 46 4.34% 4.61% 45 2.77% 3.16% 46 Excluded Cost Reports 3 3 3 Total Cost Reports 49 48 49Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 10
  11. 11. Peer Group Comparison – Total Profit MarginTotal Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 301 and 400 Licensed Beds 2009 2008 2007 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 11.24% 10.67% 6 10.45% 10.72% 7 13.07% 11.93% 7 2nd Quartile 6.94% 7.10% 7 5.61% 5.99% 8 8.82% 9.10% 7 3rd Quartile 4.04% 4.05% 7 1.58% 1.60% 8 2.68% 3.13% 8 4th Quartile (2.10%) (1.73%) 7 (8.65%) (7.69%) 8 (6.45%) (2.55%) 8 Total Population 4.80% 5.04% 27 1.98% 3.07% 31 4.10% 5.21% 30 Excluded Cost Reports 2 1 3 Total Cost Reports 29 32 33 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 15.01% 12.97% 8 10.07% 9.80% 8 11.18% 11.00% 7 2nd Quartile 7.01% 6.52% 8 6.27% 5.99% 8 5.36% 5.42% 8 3rd Quartile 3.65% 3.34% 8 3.70% 4.21% 8 1.98% 1.96% 8 4th Quartile (2.56%) 0.05% 9 (5.04%) (3.52%) 8 (5.41%) (1.79%) 8 Total Population 5.52% 5.20% 33 3.75% 4.87% 32 3.02% 3.47% 31 Excluded Cost Reports 0 1 2 Total Cost Reports 33 33 33Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 11
  12. 12. Peer Group Comparison – Total Profit MarginTotal Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 401 and 500 Licensed Beds 2009 2008 2007 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 12.92% 9.97% 6 6.88% 6.53% 6 8.86% 8.23% 6 2nd Quartile 4.74% 4.34% 6 4.44% 4.78% 6 5.70% 5.96% 7 3rd Quartile 1.62% 1.62% 7 0.92% 1.02% 7 0.78% 0.10% 7 4th Quartile (6.81%) (2.62%) 7 (9.21%) (8.34%) 7 (7.33%) (5.52%) 7 Total Population 2.68% 2.40% 26 0.38% 1.75% 26 1.75% 2.80% 27 Excluded Cost Reports 3 3 2 Total Cost Reports 29 29 29 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 10.04% 8.68% 7 8.55% 7.68% 7 8.41% 8.02% 6 2nd Quartile 4.30% 4.11% 7 4.04% 3.75% 7 3.62% 3.24% 7 3rd Quartile 1.32% 1.16% 7 1.25% 1.19% 7 1.41% 1.79% 7 4th Quartile (5.89%) (4.30%) 7 (8.34%) (10.59%) 7 (5.73%) (6.08%) 7 Total Population 2.44% 3.10% 28 1.38% 2.54% 28 1.69% 2.23% 27 Excluded Cost Reports 1 1 2 Total Cost Reports 29 29 29Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 12
  13. 13. Peer Group Comparison – Total Profit MarginTotal Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with Over 500 Licensed Beds 2009 2008 2007 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 11.12% 10.67% 8 9.35% 9.18% 8 13.53% 12.61% 8 2nd Quartile 6.40% 6.26% 8 4.70% 4.33% 9 7.69% 7.64% 9 3rd Quartile 1.51% 1.83% 8 (0.46%) (2.22%) 9 3.58% 3.56% 9 4th Quartile (6.17%) (4.26%) 9 (9.04%) (8.03%) 9 (4.65%) (2.18%) 9 Total Population 2.93% 4.20% 33 0.90% 3.06% 35 4.80% 5.73% 35 Excluded Cost Reports 3 2 2 Total Cost Reports 36 37 37 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 13.49% 12.15% 9 10.80% 10.21% 9 10.21% 8.95% 9 2nd Quartile 6.47% 6.28% 9 5.38% 5.13% 9 4.36% 4.48% 9 3rd Quartile 3.94% 4.27% 9 1.50% 1.72% 9 0.89% 0.60% 9 4th Quartile (5.33%) (4.31%) 9 (6.35%) (6.71%) 9 (7.05%) (6.48%) 10 Total Population 4.64% 5.27% 36 2.83% 4.42% 36 1.85% 3.13% 37 Excluded Cost Reports 1 1 0 Total Cost Reports 37 37 37Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 13
  14. 14. Peer Group Comparison – Total Profit MarginTotal Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States Regardless of Bed Size 2009 2008 2007 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 9.94% 8.49% 169 10.55% 9.41% 176 12.36% 11.54% 183 2nd Quartile 3.56% 3.26% 170 4.40% 4.17% 180 5.67% 5.45% 185 3rd Quartile (0.03%) 0.07% 172 0.56% 0.73% 182 1.53% 1.48% 186 4th Quartile (7.07%) (6.18%) 174 (7.72%) (6.43%) 183 (5.76%) (4.82%) 187 Total Population 1.53% 1.72% 685 1.86% 2.64% 721 3.40% 3.17% 741 Excluded Cost Reports 50 53 45 Total Cost Reports 735 774 786 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 11.89% 10.94% 178 11.11% 9.59% 175 10.70% 9.33% 175 2nd Quartile 5.40% 5.43% 180 4.73% 4.73% 175 4.39% 4.45% 177 3rd Quartile 1.86% 1.61% 181 1.10% 1.26% 175 0.70% 0.79% 178 4th Quartile (5.48%) (4.23%) 182 (6.27%) (5.05%) 177 (6.60%) (5.50%) 181 Total Population 3.37% 3.66% 721 2.64% 2.99% 702 2.22% 2.53% 711 Excluded Cost Reports 31 33 35 Total Cost Reports 752 735 746Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 14
  15. 15. Total Operating Profit Margin - SummaryTotal Operating Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States Ranked by Number of Licensed Beds 2009 2008 2007 Number of Licensed Beds Mean Median Count Mean Median Count Mean Median Count 25 Beds or Less (6.16%) (5.87%) 247 (5.71%) (5.11%) 254 (4.88%) (4.01%) 269 26 to 100 Beds (6.13%) (4.46%) 176 (5.36%) (3.95%) 180 (4.22%) (3.40%) 194 101 to 200 Beds (2.96%) (1.83%) 69 (2.49%) (1.66%) 72 (1.87%) (1.82%) 76 201 to 300 Beds (1.22%) (0.45%) 40 (1.29%) (0.34%) 41 (0.26%) (0.10%) 39 301 to 400 Beds 0.13% (0.68%) 25 (2.07%) (1.38%) 29 (2.69%) (1.48%) 28 401 to 500 Beds (2.86%) (3.21%) 21 (5.07%) (5.08%) 23 (3.65%) (4.11%) 22 Over 500 Beds (3.43%) (2.97%) 27 (6.97%) (7.30%) 29 (6.91%) (6.43%) 29 Total All Hospitals (4.97%) (4.26%) 605 (4.82%) (3.97%) 628 (4.02%) (3.32%) 657 Excluded Cost Reports 130 146 129 Total Cost Reports 735 774 786 2006 2005 2004 Number of Licensed Beds Mean Median Count Mean Median Count Mean Median Count 25 Beds or Less (4.94%) (4.55%) 256 (6.26%) (5.84%) 214 (6.54%) (5.53%) 177 26 to 100 Beds (4.41%) (2.95%) 194 (3.98%) (3.38%) 212 (3.88%) (2.87%) 248 101 to 200 Beds (1.54%) (0.09%) 73 (2.40%) (1.43%) 81 (2.70%) (1.48%) 81 201 to 300 Beds (0.29%) (0.12%) 43 0.79% 1.39% 42 (0.83%) 0.83% 42 301 to 400 Beds (0.09%) (0.10%) 31 (1.21%) 0.92% 30 (2.11%) (0.47%) 30 401 to 500 Beds (1.71%) 0.71% 24 (3.24%) (0.37%) 23 (3.12%) (0.50%) 25 Over 500 Beds (5.05%) (4.98%) 32 (5.69%) (6.44%) 30 (5.23%) (4.55%) 29 Total All Hospitals (3.75%) (2.76%) 653 (4.16%) (3.42%) 632 (4.22%) (2.88%) 632 Excluded Cost Reports 99 103 114 Total Cost Reports 752 735 746Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 15
  16. 16. Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with 25 Licensed Beds or Less 2009 2008 2007 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 5.06% 3.03% 61 4.42% 3.30% 63 6.11% 5.79% 67 2nd Quartile (2.98%) (3.00%) 62 (2.77%) (2.63%) 63 (1.35%) (1.76%) 67 3rd Quartile (8.76%) (8.83%) 62 (7.51%) (7.02%) 64 (7.08%) (6.82%) 67 4th Quartile (17.79%) (17.31%) 62 (16.79%) (16.48%) 64 (17.01%) (17.19%) 68 Total Population (6.16%) (5.87%) 247 (5.71%) (5.11%) 254 (4.88%) (4.01%) 269 Excluded Cost Reports 58 70 58 Total Cost Reports 305 324 327 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 5.83% 3.90% 64 4.66% 3.19% 53 3.30% 2.65% 44 2nd Quartile (1.89%) (1.91%) 64 (3.12%) (3.08%) 53 (2.72%) (2.84%) 44 3rd Quartile (7.47%) (7.34%) 64 (8.13%) (8.26%) 54 (8.99%) (9.12%) 44 4th Quartile (16.24%) (15.20%) 64 (18.20%) (18.17%) 54 (17.49%) (16.70%) 45 Total Population (4.94%) (4.55%) 256 (6.26%) (5.84%) 214 (6.54%) (5.53%) 177 Excluded Cost Reports 48 49 49 Total Cost Reports 304 263 226Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 16
  17. 17. Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 26 and 100 Licensed Beds 2009 2008 2007 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 4.78% 3.71% 44 5.28% 4.40% 45 6.10% 3.77% 48 2nd Quartile (2.39%) (2.25%) 44 (1.51%) (1.23%) 45 (1.71%) (1.91%) 48 3rd Quartile (8.58%) (8.55%) 44 (7.72%) (7.94%) 45 (5.94%) (6.06%) 49 4th Quartile (18.34%) (18.17%) 44 (17.49%) (16.47%) 45 (15.08%) (14.54%) 49 Total Population (6.13%) (4.46%) 176 (5.36%) (3.95%) 180 (4.22%) (3.40%) 194 Excluded Cost Reports 27 30 23 Total Cost Reports 203 210 217 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 5.95% 4.02% 48 6.06% 4.63% 53 7.11% 5.41% 62 2nd Quartile (0.87%) (0.94%) 48 (0.75%) (0.77%) 53 (0.64%) (0.54%) 62 3rd Quartile (5.77%) (5.52%) 49 (6.11%) (6.03%) 53 (6.10%) (5.81%) 62 4th Quartile (16.65%) (15.28%) 49 (15.12%) (14.11%) 53 (15.89%) (13.76%) 62 Total Population (4.41%) (2.95%) 194 (3.98%) (3.38%) 212 (3.88%) (2.87%) 248 Excluded Cost Reports 14 17 29 Total Cost Reports 208 229 277Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 17
  18. 18. Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 101 and 200 Licensed Beds 2009 2008 2007 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 7.83% 4.95% 17 8.22% 5.70% 18 8.84% 6.70% 19 2nd Quartile (0.25%) (0.14%) 17 0.45% (0.36%) 18 0.53% (0.03%) 19 3rd Quartile (4.70%) (4.49%) 17 (3.82%) (3.37%) 18 (3.60%) (3.52%) 19 4th Quartile (14.08%) (13.58%) 18 (14.82%) (14.31%) 18 (13.26%) (12.68%) 19 Total Population (2.96%) (1.83%) 69 (2.49%) (1.66%) 72 (1.87%) (1.82%) 76 Excluded Cost Reports 17 21 20 Total Cost Reports 86 93 96 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 9.02% 8.63% 18 6.85% 5.72% 20 6.33% 4.70% 20 2nd Quartile 1.55% 1.26% 18 0.65% 0.46% 20 0.58% 0.31% 20 3rd Quartile (2.60%) (1.98%) 18 (3.51%) (3.07%) 20 (3.99%) (4.16%) 20 4th Quartile (13.47%) (12.09%) 19 (13.05%) (10.88%) 21 (13.21%) (12.08%) 21 Total Population (1.54%) (0.09%) 73 (2.40%) (1.43%) 81 (2.70%) (1.48%) 81 Excluded Cost Reports 19 15 14 Total Cost Reports 92 96 95Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 18
  19. 19. Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 201 and 300 Licensed Beds 2009 2008 2007 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 11.43% 9.91% 10 10.21% 8.85% 10 9.27% 8.63% 9 2nd Quartile 0.38% (0.22%) 10 1.47% 1.40% 10 1.99% 1.35% 10 3rd Quartile (3.78%) (4.16%) 10 (1.54%) (1.73%) 10 (1.30%) (0.73%) 10 4th Quartile (12.91%) (12.13%) 10 (14.03%) (12.74%) 11 (10.07%) (9.80%) 10 Total Population (1.22%) (0.45%) 40 (1.29%) (0.34%) 41 (0.26%) (0.10%) 39 Excluded Cost Reports 7 8 8 Total Cost Reports 47 49 47 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 9.59% 7.74% 10 9.79% 6.41% 10 6.97% 5.12% 10 2nd Quartile 1.76% 1.26% 11 2.59% 2.65% 10 1.95% 1.89% 10 3rd Quartile (1.94%) (1.58%) 11 (0.20%) (0.23%) 11 (1.02%) (1.23%) 11 4th Quartile (9.65%) (8.76%) 11 (8.05%) (6.18%) 11 (10.26%) (10.28%) 11 Total Population (0.29%) (0.12%) 43 0.79% 1.39% 42 (0.83%) 0.83% 42 Excluded Cost Reports 6 6 7 Total Cost Reports 49 48 49Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 19
  20. 20. Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 301 and 400 Licensed Beds 2009 2008 2007 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 8.97% 8.13% 6 7.12% 4.74% 7 8.76% 6.78% 7 2nd Quartile 2.59% 2.77% 6 1.54% 2.09% 7 1.90% 3.03% 7 3rd Quartile (2.29%) (2.63%) 6 (3.90%) (3.98%) 7 (4.62%) (4.95%) 7 4th Quartile (7.47%) (6.35%) 7 (11.66%) (11.59%) 8 (16.77%) (17.13%) 7 Total Population 0.13% (0.68%) 25 (2.07%) (1.38%) 29 (2.69%) (1.48%) 28 Excluded Cost Reports 4 3 5 Total Cost Reports 29 32 33 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 12.42% 13.03% 7 10.83% 9.05% 7 11.07% 10.71% 7 2nd Quartile 2.30% 2.84% 8 2.98% 3.30% 7 1.17% 0.97% 7 3rd Quartile (2.38%) (2.11%) 8 (2.55%) (3.92%) 8 (1.96%) (1.41%) 8 4th Quartile (11.15%) (8.06%) 8 (14.09%) (14.89%) 8 (16.67%) (16.80%) 8 Total Population (0.09%) (0.10%) 31 (1.21%) 0.92% 30 (2.11%) (0.47%) 30 Excluded Cost Reports 2 3 3 Total Cost Reports 33 33 33Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 20
  21. 21. Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 401 and 500 Licensed Beds 2009 2008 2007 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 5.08% 4.65% 5 4.22% 4.15% 5 5.22% 4.31% 5 2nd Quartile (1.24%) (0.86%) 5 (0.74%) (0.49%) 6 0.15% 0.43% 5 3rd Quartile (5.04%) (5.36%) 5 (6.32%) (6.16%) 6 (5.91%) (5.85%) 6 4th Quartile (9.03%) (8.13%) 6 (15.88%) (17.06%) 6 (11.94%) (12.17%) 6 Total Population (2.86%) (3.21%) 21 (5.07%) (5.08%) 23 (3.65%) (4.11%) 22 Excluded Cost Reports 8 6 7 Total Cost Reports 29 29 29 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 7.11% 5.73% 6 4.39% 3.20% 5 5.79% 6.30% 6 2nd Quartile 2.23% 2.51% 6 1.26% 1.41% 6 1.28% 1.22% 6 3rd Quartile (3.85%) (2.93%) 6 (3.30%) (3.33%) 6 (2.49%) (1.84%) 6 4th Quartile (12.33%) (12.37%) 6 (14.03%) (12.39%) 6 (15.08%) (15.59%) 7 Total Population (1.71%) 0.71% 24 (3.24%) (0.37%) 23 (3.12%) (0.50%) 25 Excluded Cost Reports 5 6 4 Total Cost Reports 29 29 29Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 21
  22. 22. Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with Over 500 Licensed Beds 2009 2008 2007 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 5.36% 3.38% 6 3.53% 1.53% 7 2.39% 1.13% 7 2nd Quartile 0.03% (0.27%) 7 (4.96%) (5.48%) 7 (3.08%) (3.56%) 7 3rd Quartile (5.32%) (4.88%) 7 (8.61%) (8.38%) 7 (8.29%) (8.33%) 7 4th Quartile (12.51%) (12.59%) 7 (16.47%) (15.73%) 8 (17.19%) (15.26%) 8 Total Population (3.43%) (2.97%) 27 (6.97%) (7.30%) 29 (6.91%) (6.43%) 29 Excluded Cost Reports 9 8 8 Total Cost Reports 36 37 37 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 7.63% 2.86% 8 5.47% 2.29% 7 3.72% 3.25% 7 2nd Quartile (1.68%) (0.85%) 8 (2.05%) (1.87%) 7 (2.16%) (1.72%) 7 3rd Quartile (7.33%) (6.07%) 8 (8.43%) (8.75%) 8 (7.05%) (6.40%) 7 4th Quartile (18.84%) (19.83%) 8 (15.90%) (16.48%) 8 (14.17%) (14.60%) 8 Total Population (5.05%) (4.98%) 32 (5.69%) (6.44%) 30 (5.23%) (4.55%) 29 Excluded Cost Reports 5 7 8 Total Cost Reports 37 37 37Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 22
  23. 23. Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States Regardless of Bed Size 2009 2008 2007 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 5.89% 4.08% 149 5.56% 4.74% 155 6.53% 5.32% 162 2nd Quartile (1.86%) (1.74%) 151 (1.59%) (1.52%) 156 (0.92%) (0.98%) 163 3rd Quartile (7.38%) (7.38%) 151 (6.61%) (6.63%) 157 (5.89%) (5.83%) 165 4th Quartile (16.15%) (15.84%) 154 (16.27%) (15.82%) 160 (15.42%) (15.34%) 167 Total Population (4.97%) (4.26%) 605 (4.82%) (3.97%) 628 (4.02%) (3.32%) 657 Excluded Cost Reports 130 146 129 Total Cost Reports 735 774 786 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 6.88% 5.49% 161 6.06% 4.63% 155 5.90% 4.73% 156 2nd Quartile (0.60%) (0.78%) 163 (0.97%) (0.99%) 156 (0.82%) (0.77%) 156 3rd Quartile (5.67%) (5.76%) 164 (5.89%) (6.39%) 160 (5.98%) (5.97%) 158 4th Quartile (15.34%) (14.76%) 165 (15.35%) (14.80%) 161 (15.52%) (14.99%) 162 Total Population (3.75%) (2.76%) 653 (4.16%) (3.42%) 632 (4.22%) (2.88%) 632 Excluded Cost Reports 99 103 114 Total Cost Reports 752 735 746Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 23
  24. 24. Total Labor Cost as a Percentage of Total Operating Revenues - SummaryTotal Labor Cost as a Percentage of Total Operating RevenuesAll State and Local Government Owned General Acute Care Hospitals in the United States Ranked by Number of Licensed Beds 2009 2008 2007 Number of Licensed Beds Mean Median Count Mean Median Count Mean Median Count 25 Beds or Less 52.34% 52.58% 250 52.65% 53.18% 266 52.67% 52.82% 267 26 to 100 Beds 52.83% 53.77% 173 53.34% 53.77% 184 53.22% 53.21% 194 101 to 200 Beds 49.95% 49.82% 72 50.91% 49.53% 75 51.21% 50.46% 79 201 to 300 Beds 49.68% 47.12% 38 50.12% 48.60% 39 49.37% 49.16% 38 301 to 400 Beds 51.18% 50.94% 24 53.52% 53.95% 28 53.02% 52.36% 26 401 to 500 Beds 53.95% 52.79% 22 55.51% 58.00% 24 54.26% 55.02% 22 Over 500 Beds 49.32% 48.28% 28 51.73% 50.95% 28 51.15% 49.39% 30 Total All Hospitals 51.90% 52.04% 607 52.59% 52.64% 644 52.46% 52.20% 656 Excluded Cost Reports 128 130 130 Total Cost Reports 735 774 786 2006 2005 2004 Number of Licensed Beds Mean Median Count Mean Median Count Mean Median Count 25 Beds or Less 51.71% 52.27% 260 52.55% 53.20% 218 52.64% 53.32% 187 26 to 100 Beds 53.72% 54.37% 189 54.21% 54.71% 210 54.18% 54.34% 244 101 to 200 Beds 52.30% 51.48% 81 51.16% 50.89% 85 51.50% 50.46% 83 201 to 300 Beds 50.98% 50.84% 41 51.83% 51.52% 41 50.53% 50.92% 40 301 to 400 Beds 51.92% 52.85% 31 52.80% 51.96% 30 53.05% 52.89% 30 401 to 500 Beds 53.18% 53.99% 25 52.22% 52.65% 24 51.77% 53.47% 23 Over 500 Beds 51.25% 51.03% 31 52.21% 51.61% 31 51.35% 50.65% 29 Total All Hospitals 52.36% 52.38% 658 52.85% 53.01% 639 52.88% 52.98% 636 Excluded Cost Reports 94 96 110 Total Cost Reports 752 735 746Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 24
  25. 25. Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.Total Labor Cost as a Percentage of Total Operating RevenuesAll State and Local Government Owned General Acute Care Hospitals in the United States with 25 Licensed Beds or Less 2009 2008 2007 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 41.06% 41.45% 62 41.24% 41.94% 66 41.62% 42.60% 66 2nd Quartile 49.30% 49.29% 62 49.51% 49.72% 66 49.20% 49.32% 67 3rd Quartile 55.75% 55.60% 63 56.02% 55.63% 67 55.96% 55.89% 67 4th Quartile 63.03% 62.16% 63 63.60% 62.83% 67 63.72% 63.53% 67 Total Population 52.34% 52.58% 250 52.65% 53.18% 266 52.67% 52.82% 267 Excluded Cost Reports 55 58 60 Total Cost Reports 305 324 327 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 40.45% 40.49% 65 40.77% 41.52% 54 40.49% 40.70% 46 2nd Quartile 48.59% 48.64% 65 49.21% 49.38% 54 49.22% 48.71% 47 3rd Quartile 55.40% 55.70% 65 56.27% 56.41% 55 56.66% 56.76% 47 4th Quartile 62.42% 61.57% 65 63.66% 63.40% 55 63.93% 63.66% 47 Total Population 51.71% 52.27% 260 52.55% 53.20% 218 52.64% 53.32% 187 Excluded Cost Reports 44 45 39 Total Cost Reports 304 263 226Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 25
  26. 26. Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.Total Labor Cost as a Percentage of Total Operating RevenuesAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 26 and 100 Licensed Beds 2009 2008 2007 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 41.06% 41.38% 43 42.79% 43.83% 46 42.61% 43.10% 48 2nd Quartile 50.91% 51.22% 43 50.80% 50.71% 46 51.06% 51.17% 48 3rd Quartile 56.07% 55.68% 43 56.37% 56.46% 46 55.78% 55.77% 49 4th Quartile 63.03% 62.22% 44 63.38% 63.05% 46 63.17% 62.97% 49 Total Population 52.83% 53.77% 173 53.34% 53.77% 184 53.22% 53.21% 194 Excluded Cost Reports 30 26 23 Total Cost Reports 203 210 217 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 43.42% 44.20% 47 44.12% 45.50% 52 45.37% 45.94% 61 2nd Quartile 51.37% 51.10% 47 51.78% 51.55% 52 51.91% 51.67% 61 3rd Quartile 57.08% 57.00% 47 56.84% 56.78% 53 56.31% 56.04% 61 4th Quartile 62.85% 62.04% 48 63.88% 64.02% 53 63.14% 62.21% 61 Total Population 53.72% 54.37% 189 54.21% 54.71% 210 54.18% 54.34% 244 Excluded Cost Reports 19 19 33 Total Cost Reports 208 229 277Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 26
  27. 27. Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.Total Labor Cost as a Percentage of Total Operating RevenuesAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 101 and 200 Licensed Beds 2009 2008 2007 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 41.04% 42.60% 18 40.83% 42.43% 18 42.52% 43.76% 19 2nd Quartile 47.05% 47.11% 18 48.05% 48.13% 19 48.67% 48.59% 20 3rd Quartile 51.81% 51.61% 18 52.79% 52.69% 19 52.46% 52.17% 20 4th Quartile 59.91% 60.41% 18 61.44% 61.05% 19 60.77% 60.32% 20 Total Population 49.95% 49.82% 72 50.91% 49.53% 75 51.21% 50.46% 79 Excluded Cost Reports 14 18 17 Total Cost Reports 86 93 96 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 43.28% 44.68% 20 41.85% 43.17% 21 42.76% 43.52% 20 2nd Quartile 49.18% 48.98% 20 49.01% 49.32% 21 48.69% 48.68% 21 3rd Quartile 53.84% 53.45% 20 52.96% 52.21% 21 52.87% 52.68% 21 4th Quartile 62.38% 61.15% 21 60.37% 59.91% 22 61.26% 61.66% 21 Total Population 52.30% 51.48% 81 51.16% 50.89% 85 51.50% 50.46% 83 Excluded Cost Reports 11 11 12 Total Cost Reports 92 96 95Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 27
  28. 28. Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.Total Labor Cost as a Percentage of Total Operating RevenuesAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 201 and 300 Licensed Beds 2009 2008 2007 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 41.53% 42.07% 9 41.80% 42.84% 9 40.35% 41.40% 9 2nd Quartile 44.99% 45.15% 9 45.29% 44.86% 10 45.60% 45.02% 9 3rd Quartile 50.11% 48.62% 10 51.59% 51.11% 10 51.10% 50.60% 10 4th Quartile 60.79% 60.20% 10 60.98% 60.68% 10 59.14% 60.13% 10 Total Population 49.68% 47.12% 38 50.12% 48.60% 39 49.37% 49.16% 38 Excluded Cost Reports 9 10 9 Total Cost Reports 47 49 47 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 41.99% 43.02% 10 44.42% 45.26% 10 42.72% 44.07% 10 2nd Quartile 48.23% 47.29% 10 50.38% 50.56% 10 49.24% 49.30% 10 3rd Quartile 53.07% 52.90% 10 53.55% 53.98% 10 52.68% 52.57% 10 4th Quartile 59.76% 59.41% 11 58.33% 57.09% 11 57.47% 56.36% 10 Total Population 50.98% 50.84% 41 51.83% 51.52% 41 50.53% 50.92% 40 Excluded Cost Reports 8 7 9 Total Cost Reports 49 48 49Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 28
  29. 29. Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.Total Labor Cost as a Percentage of Total Operating RevenuesAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 301 and 400 Licensed Beds 2009 2008 2007 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 43.11% 44.32% 6 44.42% 46.51% 7 44.80% 46.21% 6 2nd Quartile 48.35% 47.82% 6 51.63% 51.74% 7 50.17% 50.38% 6 3rd Quartile 54.16% 54.53% 6 55.61% 55.83% 7 54.03% 53.84% 7 4th Quartile 59.10% 59.10% 6 62.43% 61.55% 7 61.49% 61.58% 7 Total Population 51.18% 50.94% 24 53.52% 53.95% 28 53.02% 52.36% 26 Excluded Cost Reports 5 4 7 Total Cost Reports 29 32 33 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 43.81% 45.27% 7 44.80% 45.71% 7 45.77% 46.02% 7 2nd Quartile 47.79% 47.06% 8 50.22% 50.63% 7 49.79% 50.55% 7 3rd Quartile 54.99% 54.93% 8 54.05% 54.16% 8 53.56% 53.39% 8 4th Quartile 60.08% 58.66% 8 60.80% 58.93% 8 61.75% 61.38% 8 Total Population 51.92% 52.85% 31 52.80% 51.96% 30 53.05% 52.89% 30 Excluded Cost Reports 2 3 3 Total Cost Reports 33 33 33Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 29
  30. 30. Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.Total Labor Cost as a Percentage of Total Operating RevenuesAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 401 and 500 Licensed Beds 2009 2008 2007 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 44.35% 46.41% 5 43.78% 43.73% 6 42.98% 41.84% 5 2nd Quartile 49.05% 48.45% 5 52.34% 51.46% 6 48.51% 47.62% 5 3rd Quartile 56.03% 55.70% 6 60.52% 60.56% 6 57.95% 58.46% 6 4th Quartile 63.96% 64.49% 6 65.39% 65.48% 6 64.76% 64.03% 6 Total Population 53.95% 52.79% 22 55.51% 58.00% 24 54.26% 55.02% 22 Excluded Cost Reports 7 5 7 Total Cost Reports 29 29 29 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 43.13% 42.85% 6 42.85% 43.48% 6 41.28% 41.76% 5 2nd Quartile 49.03% 47.89% 6 49.51% 48.70% 6 48.59% 49.21% 6 3rd Quartile 55.81% 55.69% 6 54.78% 54.74% 6 54.68% 54.27% 6 4th Quartile 63.09% 62.58% 7 61.74% 61.82% 6 60.80% 60.92% 6 Total Population 53.18% 53.99% 25 52.22% 52.65% 24 51.77% 53.47% 23 Excluded Cost Reports 4 5 6 Total Cost Reports 29 29 29Notes:• Excludes partial-year cost reports and those cost reports deemed to be outliers (e.g., values greater than two standard deviations from the mean of the reported population).• Excludes Federal, specialty hospitals and general acute care hospitals for which 30% or more of total licensed beds are comprised of sub acute beds. October 2010 30

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