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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 Not-For-Profit General Acute Care Hospitals in the United States Ranke...
Peer Group Comparison – Total Profit MarginTotal Profit MarginAll Not-For-Profit General Acute Care Hospitals in the Unite...
Peer Group Comparison – Total Profit MarginTotal Profit MarginAll Not-For-Profit General Acute Care Hospitals in the Unite...
Peer Group Comparison – Total Profit MarginTotal Profit MarginAll Not-For-Profit General Acute Care Hospitals in the Unite...
Peer Group Comparison – Total Profit MarginTotal Profit MarginAll Not-For-Profit General Acute Care Hospitals in the Unite...
Peer Group Comparison – Total Profit MarginTotal Profit MarginAll Not-For-Profit General Acute Care Hospitals in the Unite...
Peer Group Comparison – Total Profit MarginTotal Profit MarginAll Not-For-Profit General Acute Care Hospitals in the Unite...
Peer Group Comparison – Total Profit MarginTotal Profit MarginAll Not-For-Profit General Acute Care Hospitals in the Unite...
Peer Group Comparison – Total Profit MarginTotal Profit MarginAll Not-For-Profit General Acute Care Hospitals in the Unite...
Total Operating Profit Margin - SummaryTotal Operating Profit MarginAll Not-For-Profit General Acute Care Hospitals in the...
Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll Not-For-Profit General Acute Care Ho...
Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll Not-For-Profit General Acute Care Ho...
Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll Not-For-Profit General Acute Care Ho...
Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll Not-For-Profit General Acute Care Ho...
Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll Not-For-Profit General Acute Care Ho...
Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll Not-For-Profit General Acute Care Ho...
Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll Not-For-Profit General Acute Care Ho...
Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll Not-For-Profit General Acute Care Ho...
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...
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
HMP Metrics™: Not-For-Profit Hospitals October, 2010
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HMP Metrics™: Not-For-Profit 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™: Not-For-Profit 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 not-for-profitgeneral acute care hospitals within the peer groups.Total Profit MarginAll Not-For-Profit 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 11.42% 10.12% 433 10.16% 8.94% 503 13.47% 12.63% 513 2nd Quartile 4.04% 4.03% 433 3.26% 3.24% 505 6.40% 6.35% 516 3rd Quartile 0.15% 0.14% 436 (0.73%) (0.61%) 507 2.29% 2.36% 518 4th Quartile (7.04%) (5.98%) 438 (8.21%) (7.33%) 510 (4.80%) (3.68%) 519 Total Population 2.11% 2.08% 1740 1.08% 1.33% 2025 4.31% 4.19% 2066 Excluded Cost Reports 111 128 112 Total Cost Reports 1851 2153 2178As 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 Not-For-Profit 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 0.95% 1.06% 338 0.84% 1.14% 383 2.84% 3.15% 388 26 to 100 Beds 2.15% 1.73% 324 1.29% 1.38% 382 3.95% 3.44% 389 101 to 200 Beds 2.10% 2.14% 381 0.95% 0.85% 453 3.94% 3.91% 455 201 to 300 Beds 1.69% 1.60% 254 0.81% 1.19% 293 4.40% 4.60% 303 301 to 400 Beds 3.44% 3.80% 181 1.01% 1.64% 203 5.62% 5.32% 214 401 to 500 Beds 3.13% 3.07% 102 1.40% 1.83% 121 6.02% 5.89% 123 Over 500 Beds 3.05% 3.57% 160 1.78% 3.17% 190 6.15% 6.05% 194 Total All Hospitals 2.11% 2.08% 1740 1.08% 1.33% 2025 4.31% 4.19% 2066 Excluded Cost Reports 111 128 112 Total Cost Reports 1851 2153 2178 2006 2005 2004 Number of Licensed Beds Mean Median Count Mean Median Count Mean Median Count 25 Beds or Less 2.56% 2.68% 359 1.99% 1.81% 305 1.50% 1.99% 249 26 to 100 Beds 3.98% 3.77% 381 3.68% 3.57% 408 2.12% 3.13% 455 101 to 200 Beds 3.17% 3.33% 467 2.89% 3.18% 470 2.42% 2.79% 471 201 to 300 Beds 3.23% 3.80% 304 3.24% 3.43% 311 2.77% 3.09% 309 301 to 400 Beds 5.19% 5.21% 218 4.51% 4.79% 219 4.33% 4.40% 216 401 to 500 Beds 5.19% 5.07% 122 5.04% 4.96% 123 4.79% 4.66% 123 Over 500 Beds 5.63% 5.43% 193 4.75% 5.02% 197 4.39% 4.80% 196 Total All Hospitals 3.79% 3.96% 2044 3.45% 3.64% 2033 2.83% 3.30% 2019 Excluded Cost Reports 96 83 101 Total Cost Reports 2140 2116 2120Notes:• 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 Not-For-Profit 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 9.91% 8.39% 84 9.46% 8.32% 95 11.35% 10.59% 97 2nd Quartile 3.00% 2.98% 84 3.02% 2.93% 96 4.98% 4.85% 97 3rd Quartile (0.92%) (0.97%) 85 (1.04%) (1.03%) 96 1.14% 1.26% 97 4th Quartile (8.06%) (6.88%) 85 (7.99%) (6.83%) 96 (6.10%) (4.70%) 97 Total Population 0.95% 1.06% 338 0.84% 1.14% 383 2.84% 3.15% 388 Excluded Cost Reports 23 24 20 Total Cost Reports 361 407 408 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 11.46% 10.82% 89 10.54% 9.66% 76 9.30% 8.54% 62 2nd Quartile 4.74% 4.84% 90 4.20% 4.48% 76 3.96% 4.17% 62 3rd Quartile 0.76% 0.93% 90 0.14% 0.08% 76 (0.02%) (0.15%) 62 4th Quartile (6.63%) (4.93%) 90 (6.81%) (5.94%) 77 (7.11%) (5.52%) 63 Total Population 2.56% 2.68% 359 1.99% 1.81% 305 1.50% 1.99% 249 Excluded Cost Reports 17 15 20 Total Cost Reports 376 320 269Notes:• 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 Not-For-Profit 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 12.86% 11.42% 81 12.23% 11.52% 95 14.59% 13.25% 97 2nd Quartile 3.96% 3.97% 81 3.42% 3.20% 95 6.28% 6.28% 97 3rd Quartile (0.58%) (0.58%) 81 (1.16%) (1.16%) 96 1.43% 1.67% 97 4th Quartile (7.64%) (6.65%) 81 (9.17%) (8.21%) 96 (6.40%) (5.37%) 98 Total Population 2.15% 1.73% 324 1.29% 1.38% 382 3.95% 3.44% 389 Excluded Cost Reports 23 22 25 Total Cost Reports 347 404 414 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 13.77% 12.50% 95 13.22% 11.88% 102 11.27% 10.09% 113 2nd Quartile 5.90% 5.72% 95 5.46% 5.25% 102 4.69% 4.63% 114 3rd Quartile 2.07% 2.12% 95 1.76% 1.80% 102 0.80% 0.92% 114 4th Quartile (5.72%) (4.40%) 96 (5.73%) (4.49%) 102 (8.20%) (6.85%) 114 Total Population 3.98% 3.77% 381 3.68% 3.57% 408 2.12% 3.13% 455 Excluded Cost Reports 19 18 22 Total Cost Reports 400 426 477Notes:• 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 Not-For-Profit 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 11.37% 10.13% 95 9.83% 7.82% 113 13.09% 12.39% 113 2nd Quartile 3.82% 3.84% 95 2.89% 2.87% 113 5.88% 5.96% 114 3rd Quartile 0.16% 0.17% 95 (0.76%) (0.71%) 113 2.10% 2.22% 114 4th Quartile (6.86%) (5.38%) 96 (8.08%) (7.33%) 114 (5.21%) (3.49%) 114 Total Population 2.10% 2.14% 381 0.95% 0.85% 453 3.94% 3.91% 455 Excluded Cost Reports 22 26 29 Total Cost Reports 403 479 484 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 11.81% 10.89% 116 10.92% 9.93% 117 10.42% 9.21% 117 2nd Quartile 4.93% 4.66% 117 5.10% 5.10% 117 4.50% 4.41% 118 3rd Quartile 1.81% 1.83% 117 1.54% 1.69% 118 1.17% 1.23% 118 4th Quartile (5.78%) (4.16%) 117 (5.91%) (4.82%) 118 (6.34%) (4.82%) 118 Total Population 3.17% 3.33% 467 2.89% 3.18% 470 2.42% 2.79% 471 Excluded Cost Reports 18 20 22 Total Cost Reports 485 490 493Notes:• 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 Not-For-Profit 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 10.26% 9.57% 63 9.31% 8.13% 73 13.37% 13.04% 75 2nd Quartile 3.46% 3.01% 63 2.95% 3.03% 73 6.53% 6.42% 76 3rd Quartile (0.16%) (0.23%) 64 (0.95%) (0.81%) 73 2.48% 2.72% 76 4th Quartile (6.64%) (5.27%) 64 (7.94%) (6.65%) 74 (4.68%) (3.23%) 76 Total Population 1.69% 1.60% 254 0.81% 1.19% 293 4.40% 4.60% 303 Excluded Cost Reports 20 22 15 Total Cost Reports 274 315 318 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 11.43% 10.09% 76 10.77% 9.69% 77 10.34% 9.19% 77 2nd Quartile 5.57% 5.61% 76 5.03% 5.12% 78 4.84% 4.76% 77 3rd Quartile 1.75% 1.66% 76 1.67% 1.84% 78 1.32% 1.45% 77 4th Quartile (5.85%) (4.86%) 76 (4.41%) (3.43%) 78 (5.32%) (4.22%) 78 Total Population 3.23% 3.80% 304 3.24% 3.43% 311 2.77% 3.09% 309 Excluded Cost Reports 21 15 16 Total Cost Reports 325 326 325Notes:• 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 Not-For-Profit 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 12.19% 11.24% 45 9.41% 8.65% 50 14.35% 13.60% 53 2nd Quartile 5.50% 5.77% 45 3.43% 3.55% 51 7.50% 7.39% 53 3rd Quartile 1.69% 1.71% 45 (0.58%) (0.34%) 51 3.42% 3.34% 54 4th Quartile (5.43%) (4.48%) 46 (8.04%) (7.47%) 51 (2.57%) (1.54%) 54 Total Population 3.44% 3.80% 181 1.01% 1.64% 203 5.62% 5.32% 214 Excluded Cost Reports 12 20 13 Total Cost Reports 193 223 227 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 12.74% 11.83% 54 12.03% 11.20% 54 11.36% 10.59% 54 2nd Quartile 6.76% 6.37% 54 6.33% 6.14% 55 5.41% 5.33% 54 3rd Quartile 3.74% 3.87% 55 3.06% 2.98% 55 2.84% 2.86% 54 4th Quartile (2.30%) (0.90%) 55 (3.24%) (2.17%) 55 (2.28%) (0.92%) 54 Total Population 5.19% 5.21% 218 4.51% 4.79% 219 4.33% 4.40% 216 Excluded Cost Reports 9 9 13 Total Cost Reports 227 228 229Notes:• 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 Not-For-Profit 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 12.82% 11.64% 25 9.57% 8.07% 30 15.28% 14.22% 30 2nd Quartile 5.35% 5.48% 25 3.11% 3.07% 30 7.88% 7.69% 31 3rd Quartile 1.25% 1.26% 26 0.18% 0.25% 30 3.62% 3.29% 31 4th Quartile (6.44%) (5.17%) 26 (7.00%) (6.01%) 31 (2.40%) (1.06%) 31 Total Population 3.13% 3.07% 102 1.40% 1.83% 121 6.02% 5.89% 123 Excluded Cost Reports 6 6 5 Total Cost Reports 108 127 128 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 13.07% 11.71% 30 13.55% 12.29% 30 12.17% 11.43% 30 2nd Quartile 6.78% 6.70% 30 7.02% 6.72% 31 7.11% 6.85% 31 3rd Quartile 3.78% 3.94% 31 3.56% 3.62% 31 2.84% 2.82% 31 4th Quartile (2.56%) (0.88%) 31 (3.71%) (1.36%) 31 (2.74%) (1.04%) 31 Total Population 5.19% 5.07% 122 5.04% 4.96% 123 4.79% 4.66% 123 Excluded Cost Reports 6 4 5 Total Cost Reports 128 127 128Notes:• 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 Not-For-Profit 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 11.88% 11.00% 40 10.67% 9.56% 47 14.39% 13.20% 48 2nd Quartile 5.41% 5.36% 40 4.74% 4.90% 47 8.36% 8.63% 48 3rd Quartile 1.89% 2.14% 40 0.40% 0.15% 48 4.28% 4.20% 49 4th Quartile (6.99%) (5.50%) 40 (8.44%) (7.49%) 48 (2.22%) 0.06% 49 Total Population 3.05% 3.57% 160 1.78% 3.17% 190 6.15% 6.05% 194 Excluded Cost Reports 5 8 5 Total Cost Reports 165 198 199 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 12.86% 12.09% 48 11.62% 11.12% 49 11.34% 10.37% 49 2nd Quartile 7.09% 7.15% 48 6.73% 6.70% 49 6.44% 6.32% 49 3rd Quartile 3.98% 3.89% 48 3.51% 3.56% 49 3.25% 3.09% 49 4th Quartile (1.27%) 0.79% 49 (2.69%) (0.19%) 50 (3.47%) (0.61%) 49 Total Population 5.63% 5.43% 193 4.75% 5.02% 197 4.39% 4.80% 196 Excluded Cost Reports 6 2 3 Total Cost Reports 199 199 199Notes:• 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 Not-For-Profit 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 11.42% 10.12% 433 10.16% 8.94% 503 13.47% 12.63% 513 2nd Quartile 4.04% 4.03% 433 3.26% 3.24% 505 6.40% 6.35% 516 3rd Quartile 0.15% 0.14% 436 (0.73%) (0.61%) 507 2.29% 2.36% 518 4th Quartile (7.04%) (5.98%) 438 (8.21%) (7.33%) 510 (4.80%) (3.68%) 519 Total Population 2.11% 2.08% 1740 1.08% 1.33% 2025 4.31% 4.19% 2066 Excluded Cost Reports 111 128 112 Total Cost Reports 1851 2153 2178 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 12.33% 11.46% 508 11.65% 10.83% 505 10.76% 9.91% 502 2nd Quartile 5.68% 5.62% 510 5.43% 5.41% 508 4.97% 4.95% 505 3rd Quartile 2.19% 2.23% 512 1.87% 2.00% 509 1.45% 1.65% 505 4th Quartile (4.93%) (3.74%) 514 (5.04%) (4.07%) 511 (5.77%) (4.63%) 507 Total Population 3.79% 3.96% 2044 3.45% 3.64% 2033 2.83% 3.30% 2019 Excluded Cost Reports 96 83 101 Total Cost Reports 2140 2116 2120Notes:• 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 Not-For-Profit 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 (2.20%) (1.87%) 328 (1.97%) (1.26%) 368 (1.68%) (0.89%) 379 26 to 100 Beds (0.84%) (1.26%) 324 (1.51%) (1.16%) 374 (0.70%) (0.28%) 385 101 to 200 Beds 0.04% (0.24%) 384 (1.29%) (1.28%) 454 (0.89%) (0.41%) 456 201 to 300 Beds (0.92%) (0.65%) 252 (1.18%) (1.25%) 291 (0.79%) (0.69%) 299 301 to 400 Beds 1.09% 0.89% 181 (0.55%) (0.23%) 208 0.02% (0.39%) 212 401 to 500 Beds 0.27% 0.05% 101 (1.14%) (0.93%) 121 (0.90%) (0.24%) 123 Over 500 Beds 0.32% 0.75% 160 (0.62%) (0.03%) 190 0.24% 0.20% 188 Total All Hospitals (0.54%) (0.36%) 1730 (1.29%) (1.04%) 2006 (0.79%) (0.47%) 2042 Excluded Cost Reports 121 147 136 Total Cost Reports 1851 2153 2178 2006 2005 2004 Number of Licensed Beds Mean Median Count Mean Median Count Mean Median Count 25 Beds or Less (2.57%) (1.58%) 351 (2.42%) (2.01%) 297 (2.69%) (2.64%) 238 26 to 100 Beds (0.28%) (0.01%) 376 (0.30%) (0.05%) 403 (2.04%) (0.64%) 451 101 to 200 Beds (1.17%) (0.86%) 463 (0.54%) (0.44%) 464 (1.59%) (0.82%) 470 201 to 300 Beds (1.13%) (1.14%) 301 (1.17%) (1.07%) 307 (1.57%) (1.33%) 305 301 to 400 Beds (0.15%) 0.14% 215 0.07% 0.52% 217 (0.17%) (0.18%) 218 401 to 500 Beds (0.89%) 0.31% 121 (0.14%) 1.11% 119 (0.12%) 0.53% 122 Over 500 Beds (0.72%) 0.38% 189 (0.36%) 0.33% 189 (0.39%) 0.08% 187 Total All Hospitals (1.07%) (0.65%) 2016 (0.76%) (0.37%) 1996 (1.46%) (0.76%) 1991 Excluded Cost Reports 124 120 129 Total Cost Reports 2140 2116 2120Notes:• 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 Not-For-Profit 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 8.56% 6.70% 82 8.15% 6.36% 92 8.86% 7.59% 94 2nd Quartile 0.77% 0.73% 82 0.64% 0.51% 92 0.99% 0.75% 95 3rd Quartile (4.11%) (3.89%) 82 (3.88%) (3.87%) 92 (3.30%) (3.48%) 95 4th Quartile (14.02%) (13.43%) 82 (12.81%) (11.59%) 92 (13.14%) (12.32%) 95 Total Population (2.20%) (1.87%) 328 (1.97%) (1.26%) 368 (1.68%) (0.89%) 379 Excluded Cost Reports 33 39 29 Total Cost Reports 361 407 408 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 7.83% 6.50% 87 7.87% 6.94% 74 7.73% 7.08% 59 2nd Quartile 0.59% 0.55% 88 0.50% 0.47% 74 0.28% 0.72% 59 3rd Quartile (3.96%) (3.96%) 88 (4.42%) (4.13%) 74 (4.89%) (4.72%) 60 4th Quartile (14.61%) (13.53%) 88 (13.46%) (12.05%) 75 (13.65%) (12.72%) 60 Total Population (2.57%) (1.58%) 351 (2.42%) (2.01%) 297 (2.69%) (2.64%) 238 Excluded Cost Reports 25 23 31 Total Cost Reports 376 320 269Notes:• 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 Not-For-Profit 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 10.96% 9.72% 81 10.34% 9.61% 93 10.58% 10.13% 96 2nd Quartile 1.51% 1.48% 81 1.53% 1.12% 93 2.35% 1.88% 96 3rd Quartile (3.58%) (3.59%) 81 (4.00%) (4.09%) 94 (2.96%) (2.59%) 96 4th Quartile (12.27%) (11.10%) 81 (13.74%) (13.13%) 94 (12.65%) (11.12%) 97 Total Population (0.84%) (1.26%) 324 (1.51%) (1.16%) 374 (0.70%) (0.28%) 385 Excluded Cost Reports 23 30 29 Total Cost Reports 347 404 414 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 10.75% 9.52% 94 10.63% 9.03% 100 8.65% 7.61% 112 2nd Quartile 2.04% 1.88% 94 1.94% 1.74% 101 1.35% 1.35% 113 3rd Quartile (2.82%) (2.89%) 94 (2.03%) (1.89%) 101 (3.51%) (3.36%) 113 4th Quartile (11.11%) (9.25%) 94 (11.63%) (10.50%) 101 (14.56%) (14.53%) 113 Total Population (0.28%) (0.01%) 376 (0.30%) (0.05%) 403 (2.04%) (0.64%) 451 Excluded Cost Reports 24 23 26 Total Cost Reports 400 426 477Notes:• 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 Not-For-Profit 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 9.94% 8.66% 96 8.72% 8.07% 113 9.04% 8.00% 114 2nd Quartile 1.87% 2.06% 96 0.67% 0.58% 113 1.86% 1.88% 114 3rd Quartile (2.15%) (2.20%) 96 (2.99%) (2.84%) 114 (2.56%) (2.48%) 114 4th Quartile (9.51%) (7.67%) 96 (11.45%) (9.65%) 114 (11.91%) (10.42%) 114 Total Population 0.04% (0.24%) 384 (1.29%) (1.28%) 454 (0.89%) (0.41%) 456 Excluded Cost Reports 19 25 28 Total Cost Reports 403 479 484 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 8.67% 7.04% 115 9.12% 7.83% 116 7.98% 6.30% 117 2nd Quartile 1.04% 1.12% 116 1.82% 1.72% 116 0.79% 0.61% 117 3rd Quartile (2.74%) (2.79%) 116 (2.32%) (1.91%) 116 (3.33%) (3.03%) 118 4th Quartile (11.58%) (10.02%) 116 (10.78%) (9.05%) 116 (11.70%) (10.32%) 118 Total Population (1.17%) (0.86%) 463 (0.54%) (0.44%) 464 (1.59%) (0.82%) 470 Excluded Cost Reports 22 26 23 Total Cost Reports 485 490 493Notes:• 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 Not-For-Profit 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 8.32% 6.83% 63 8.43% 7.42% 72 8.94% 7.16% 74 2nd Quartile 1.34% 1.11% 63 0.81% 0.43% 73 1.11% 1.10% 75 3rd Quartile (2.49%) (2.44%) 63 (2.89%) (2.68%) 73 (2.84%) (2.87%) 75 4th Quartile (10.85%) (9.55%) 63 (10.96%) (9.63%) 73 (10.24%) (9.19%) 75 Total Population (0.92%) (0.65%) 252 (1.18%) (1.25%) 291 (0.79%) (0.69%) 299 Excluded Cost Reports 22 24 19 Total Cost Reports 274 315 318 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 8.61% 7.00% 75 8.51% 6.58% 76 8.18% 6.07% 76 2nd Quartile 0.93% 0.93% 75 0.81% 0.61% 77 0.66% 0.61% 76 3rd Quartile (3.17%) (3.11%) 75 (3.23%) (3.22%) 77 (3.73%) (3.66%) 76 4th Quartile (10.77%) (9.63%) 76 (10.64%) (9.43%) 77 (11.28%) (10.45%) 77 Total Population (1.13%) (1.14%) 301 (1.17%) (1.07%) 307 (1.57%) (1.33%) 305 Excluded Cost Reports 24 19 20 Total Cost Reports 325 326 325Notes:• 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 Not-For-Profit 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 10.31% 8.98% 45 9.26% 8.40% 52 9.63% 9.02% 53 2nd Quartile 2.57% 2.72% 45 1.46% 1.27% 52 2.10% 2.31% 53 3rd Quartile (0.24%) (0.09%) 45 (2.21%) (2.40%) 52 (2.16%) (2.05%) 53 4th Quartile (8.09%) (5.03%) 46 (10.72%) (8.50%) 52 (9.50%) (9.19%) 53 Total Population 1.09% 0.89% 181 (0.55%) (0.23%) 208 0.02% (0.39%) 212 Excluded Cost Reports 12 15 15 Total Cost Reports 193 223 227 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 9.49% 8.49% 53 9.23% 8.50% 54 8.58% 7.30% 54 2nd Quartile 2.25% 2.11% 54 2.44% 2.53% 54 1.56% 1.37% 54 3rd Quartile (1.91%) (1.73%) 54 (1.48%) (1.45%) 54 (1.74%) (1.75%) 55 4th Quartile (10.24%) (9.25%) 54 (9.72%) (7.70%) 55 (8.88%) (7.54%) 55 Total Population (0.15%) 0.14% 215 0.07% 0.52% 217 (0.17%) (0.18%) 218 Excluded Cost Reports 12 11 11 Total Cost Reports 227 228 229Notes:• 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 Not-For-Profit 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 8.94% 7.61% 25 8.10% 7.40% 30 9.07% 6.96% 30 2nd Quartile 2.36% 2.39% 25 1.37% 1.70% 30 1.75% 1.76% 31 3rd Quartile (1.41%) (1.13%) 25 (2.66%) (2.57%) 30 (2.20%) (1.66%) 31 4th Quartile (8.47%) (6.72%) 26 (11.02%) (10.45%) 31 (11.92%) (10.88%) 31 Total Population 0.27% 0.05% 101 (1.14%) (0.93%) 121 (0.90%) (0.24%) 123 Excluded Cost Reports 7 6 5 Total Cost Reports 108 127 128 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 7.90% 6.04% 30 9.41% 8.99% 29 9.44% 7.31% 30 2nd Quartile 1.85% 1.79% 30 2.73% 2.78% 30 2.19% 2.21% 30 3rd Quartile (2.25%) (2.42%) 30 (1.01%) (1.18%) 30 (1.31%) (1.44%) 31 4th Quartile (10.71%) (10.01%) 31 (11.36%) (10.88%) 30 (10.43%) (8.99%) 31 Total Population (0.89%) 0.31% 121 (0.14%) 1.11% 119 (0.12%) 0.53% 122 Excluded Cost Reports 7 8 6 Total Cost Reports 128 127 128Notes:• 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 Not-For-Profit 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 9.77% 9.78% 40 8.70% 8.47% 47 10.85% 9.77% 47 2nd Quartile 2.85% 2.68% 40 2.73% 2.98% 47 3.07% 2.94% 47 3rd Quartile (1.48%) (1.46%) 40 (2.38%) (2.26%) 48 (1.89%) (1.56%) 47 4th Quartile (9.87%) (8.13%) 40 (11.29%) (10.47%) 48 (11.08%) (9.42%) 47 Total Population 0.32% 0.75% 160 (0.62%) (0.03%) 190 0.24% 0.20% 188 Excluded Cost Reports 5 8 11 Total Cost Reports 165 198 199 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 8.90% 7.82% 47 9.12% 8.37% 47 9.45% 8.16% 46 2nd Quartile 2.04% 1.80% 47 1.98% 1.75% 47 2.05% 1.75% 47 3rd Quartile (2.24%) (2.21%) 47 (1.56%) (1.39%) 47 (1.54%) (1.45%) 47 4th Quartile (11.34%) (8.06%) 48 (10.77%) (8.23%) 48 (11.33%) (9.19%) 47 Total Population (0.72%) 0.38% 189 (0.36%) 0.33% 189 (0.39%) 0.08% 187 Excluded Cost Reports 10 10 12 Total Cost Reports 199 199 199Notes:• 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 Not-For-Profit 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 9.60% 8.43% 432 8.89% 8.10% 499 9.51% 8.49% 508 2nd Quartile 1.71% 1.81% 432 1.16% 1.01% 500 1.81% 1.71% 511 3rd Quartile (2.54%) (2.38%) 432 (3.17%) (2.99%) 503 (2.69%) (2.57%) 511 4th Quartile (10.89%) (9.77%) 434 (11.94%) (10.73%) 504 (11.71%) (10.37%) 512 Total Population (0.54%) (0.36%) 1730 (1.29%) (1.04%) 2006 (0.79%) (0.47%) 2042 Excluded Cost Reports 121 147 136 Total Cost Reports 1851 2153 2178 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 8.97% 7.66% 501 9.17% 7.90% 496 8.43% 7.08% 494 2nd Quartile 1.40% 1.40% 504 1.63% 1.57% 499 1.12% 1.12% 496 3rd Quartile (2.87%) (2.83%) 504 (2.47%) (2.27%) 499 (3.15%) (2.90%) 500 4th Quartile (11.68%) (10.01%) 507 (11.25%) (10.11%) 502 (12.09%) (10.75%) 501 Total Population (1.07%) (0.65%) 2016 (0.76%) (0.37%) 1996 (1.46%) (0.76%) 1991 Excluded Cost Reports 124 120 129 Total Cost Reports 2140 2116 2120Notes:• 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 Not-For-Profit 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 48.66% 48.99% 338 49.05% 49.65% 375 49.13% 49.12% 375 26 to 100 Beds 49.99% 49.98% 329 50.77% 51.01% 379 50.83% 50.93% 397 101 to 200 Beds 50.02% 50.48% 390 51.08% 50.99% 460 51.14% 50.83% 465 201 to 300 Beds 50.43% 49.91% 259 51.15% 50.58% 292 51.08% 50.68% 297 301 to 400 Beds 49.93% 49.64% 181 50.61% 50.58% 203 51.22% 50.83% 214 401 to 500 Beds 49.57% 48.23% 105 51.07% 49.94% 121 51.07% 50.77% 122 Over 500 Beds 48.70% 47.91% 158 49.65% 49.56% 191 49.35% 48.60% 193 Total All Hospitals 49.66% 49.54% 1760 50.47% 50.48% 2021 50.54% 50.33% 2063 Excluded Cost Reports 91 132 115 Total Cost Reports 1851 2153 2178 2006 2005 2004 Number of Licensed Beds Mean Median Count Mean Median Count Mean Median Count 25 Beds or Less 48.68% 48.35% 346 48.16% 48.16% 294 48.89% 48.67% 244 26 to 100 Beds 51.06% 50.75% 383 51.53% 51.32% 407 52.72% 52.83% 449 101 to 200 Beds 51.42% 51.69% 470 50.76% 50.66% 469 51.74% 51.71% 472 201 to 300 Beds 51.19% 50.90% 300 51.52% 51.60% 306 52.30% 51.95% 307 301 to 400 Beds 50.81% 50.52% 214 50.55% 50.81% 215 51.25% 51.13% 216 401 to 500 Beds 51.15% 50.68% 120 51.04% 50.47% 121 51.13% 50.84% 124 Over 500 Beds 49.57% 49.36% 190 49.48% 48.69% 191 50.01% 49.17% 192 Total All Hospitals 50.59% 50.34% 2023 50.53% 50.45% 2003 51.44% 51.29% 2004 Excluded Cost Reports 117 113 116 Total Cost Reports 2140 2116 2120Notes:• 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 Not-For-Profit 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 36.52% 37.15% 84 37.76% 38.09% 93 37.28% 37.58% 93 2nd Quartile 45.70% 45.77% 84 46.40% 46.52% 94 46.40% 47.00% 94 3rd Quartile 52.12% 52.31% 85 52.31% 52.46% 94 52.61% 53.08% 94 4th Quartile 60.12% 60.04% 85 59.59% 58.88% 94 60.10% 59.36% 94 Total Population 48.66% 48.99% 338 49.05% 49.65% 375 49.13% 49.12% 375 Excluded Cost Reports 23 32 33 Total Cost Reports 361 407 408 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 37.37% 37.61% 86 36.86% 37.30% 73 37.87% 38.45% 61 2nd Quartile 45.28% 45.38% 86 44.28% 43.98% 73 44.99% 44.92% 61 3rd Quartile 51.70% 51.93% 87 51.55% 51.50% 74 52.00% 51.98% 61 4th Quartile 60.18% 59.10% 87 59.76% 59.35% 74 60.68% 59.79% 61 Total Population 48.68% 48.35% 346 48.16% 48.16% 294 48.89% 48.67% 244 Excluded Cost Reports 30 26 25 Total Cost Reports 376 320 269Notes:• 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 Not-For-Profit 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 39.70% 40.43% 82 40.76% 41.51% 94 40.84% 41.07% 99 2nd Quartile 47.25% 47.27% 82 48.29% 48.46% 95 48.47% 48.56% 99 3rd Quartile 52.91% 52.73% 82 53.22% 53.24% 95 53.04% 53.10% 99 4th Quartile 59.99% 58.78% 83 60.71% 60.20% 95 60.85% 60.27% 100 Total Population 49.99% 49.98% 329 50.77% 51.01% 379 50.83% 50.93% 397 Excluded Cost Reports 18 25 17 Total Cost Reports 347 404 414 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 41.56% 42.86% 95 42.10% 43.22% 101 43.82% 44.66% 112 2nd Quartile 48.48% 48.44% 96 49.20% 49.48% 102 50.26% 50.24% 112 3rd Quartile 53.37% 53.21% 96 53.77% 53.69% 102 54.99% 54.81% 112 4th Quartile 60.72% 60.56% 96 60.98% 61.00% 102 61.74% 61.51% 113 Total Population 51.06% 50.75% 383 51.53% 51.32% 407 52.72% 52.83% 449 Excluded Cost Reports 17 19 28 Total Cost Reports 400 426 477Notes:• 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

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