HMP Metrics™: All 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™: All Hospitals October, 2010

  1. 1. 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
  2. 2. 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
  3. 3. Executive Summary – Key TermsQuartile Rankings: Quartile rankings were assigned based on the mean values calculated for all general acute carehospitals within the peer groups. Total Profit Margin All General Acute Care Hospitals in the United States Regardless of Bed Size 2009 Quartile Rank Mean Median Count 1st Quartile 13.70% 12.48% 758 2nd Quartile 5.10% 5.13% 760 3rd Quartile 0.59% 0.58% 762 4th Quartile (7.00%) (6.12%) 764 Total Population 3.07% 2.69% 3044 Excluded Cost Reports 306 Total Cost Reports 3350As 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
  4. 4. 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 percentageTotal Operating Profit Margin indicates 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 (FTE) Staff 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 higherAverage Days 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 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
  5. 5. Total Profit Margin - SummaryTotal Profit MarginAll 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 1.71% 1.41% 698 2.42% 2.45% 766 3.94% 3.78% 770 26 to 100 Beds 2.59% 1.85% 692 2.45% 2.23% 768 4.39% 3.73% 789 101 to 200 Beds 3.77% 3.07% 663 2.57% 2.08% 754 4.68% 4.35% 766 201 to 300 Beds 3.41% 3.01% 383 2.41% 2.19% 424 5.50% 5.45% 434 301 to 400 Beds 4.60% 5.05% 249 2.10% 2.47% 283 6.08% 6.01% 292 401 to 500 Beds 3.93% 3.17% 146 2.31% 2.14% 169 6.16% 6.30% 171 Over 500 Beds 4.00% 4.28% 213 2.41% 3.62% 243 6.75% 6.68% 244 Total All Hospitals 3.07% 2.69% 3044 2.43% 2.37% 3407 4.89% 4.66% 3466 Excluded Cost Reports 306 317 295 Total Cost Reports 3350 3724 3761 2006 2005 2004 Number of Licensed Beds Mean Median Count Mean Median Count Mean Median Count 25 Beds or Less 3.43% 3.45% 731 2.60% 2.44% 615 2.66% 2.67% 514 26 to 100 Beds 4.40% 3.86% 774 4.19% 3.99% 814 2.80% 3.19% 916 101 to 200 Beds 4.09% 4.05% 760 3.89% 3.88% 770 3.39% 3.49% 770 201 to 300 Beds 4.84% 4.87% 445 4.53% 4.48% 448 3.95% 3.84% 451 301 to 400 Beds 5.88% 5.72% 295 4.97% 5.47% 298 5.04% 4.88% 297 401 to 500 Beds 4.93% 5.09% 172 4.78% 4.84% 171 4.91% 4.15% 174 Over 500 Beds 6.13% 5.97% 248 5.22% 5.32% 253 4.77% 5.18% 251 Total All Hospitals 4.46% 4.39% 3425 4.05% 4.19% 3369 3.52% 3.63% 3373 Excluded Cost Reports 265 246 243 Total Cost Reports 3690 3615 3616Notes:• 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
  6. 6. Peer Group Comparison – Total Profit MarginTotal Profit MarginAll 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 11.89% 9.97% 174 13.17% 11.66% 191 14.38% 12.99% 192 2nd Quartile 3.71% 3.68% 174 4.66% 4.46% 191 6.29% 6.12% 192 3rd Quartile (0.55%) (0.46%) 175 (0.09%) 0.17% 192 1.57% 1.57% 193 4th Quartile (8.15%) (7.29%) 175 (8.00%) (6.88%) 192 (6.43%) (5.38%) 193 Total Population 1.71% 1.41% 698 2.42% 2.45% 766 3.94% 3.78% 770 Excluded Cost Reports 86 94 89 Total Cost Reports 784 860 859 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 14.08% 13.04% 182 13.19% 11.75% 153 13.40% 12.02% 128 2nd Quartile 5.80% 5.73% 183 4.89% 4.97% 154 4.89% 4.95% 128 3rd Quartile 1.14% 1.18% 183 0.27% 0.18% 154 0.32% 0.38% 129 4th Quartile (7.24%) (5.61%) 183 (7.88%) (6.96%) 154 (7.87%) (6.64%) 129 Total Population 3.43% 3.45% 731 2.60% 2.44% 615 2.66% 2.67% 514 Excluded Cost Reports 76 62 61 Total Cost Reports 807 677 575Notes:• 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
  7. 7. Peer Group Comparison – Total Profit MarginTotal Profit MarginAll 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 14.33% 13.28% 173 14.44% 13.14% 192 16.12% 15.25% 197 2nd Quartile 4.50% 4.43% 173 4.86% 4.42% 192 6.72% 6.43% 197 3rd Quartile (0.48%) (0.38%) 173 (0.36%) 0.10% 192 1.52% 1.56% 197 4th Quartile (8.00%) (7.19%) 173 (9.13%) (8.33%) 192 (6.74%) (5.85%) 198 Total Population 2.59% 1.85% 692 2.45% 2.23% 768 4.39% 3.73% 789 Excluded Cost Reports 82 80 72 Total Cost Reports 774 848 861 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 15.92% 14.93% 193 14.87% 14.06% 203 13.67% 12.12% 229 2nd Quartile 6.58% 6.45% 193 6.31% 6.31% 203 5.27% 5.15% 229 3rd Quartile 1.84% 1.84% 194 1.93% 1.93% 204 0.55% 0.71% 229 4th Quartile (6.68%) (5.69%) 194 (6.27%) (4.70%) 204 (8.31%) (6.91%) 229 Total Population 4.40% 3.86% 774 4.19% 3.99% 814 2.80% 3.19% 916 Excluded Cost Reports 63 70 65 Total Cost Reports 837 884 981Notes:• 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
  8. 8. Peer Group Comparison – Total Profit MarginTotal Profit MarginAll 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 14.65% 13.39% 165 13.46% 12.14% 188 15.31% 14.24% 191 2nd Quartile 5.51% 5.48% 166 4.69% 4.61% 188 6.90% 6.87% 191 3rd Quartile 1.09% 1.19% 166 0.03% 0.01% 189 2.30% 2.39% 192 4th Quartile (6.13%) (4.99%) 166 (7.83%) (7.35%) 189 (5.73%) (3.95%) 192 Total Population 3.77% 3.07% 663 2.57% 2.08% 754 4.68% 4.35% 766 Excluded Cost Reports 61 60 62 Total Cost Reports 724 814 828 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 14.27% 13.47% 190 13.72% 12.40% 192 13.39% 12.19% 192 2nd Quartile 6.05% 5.76% 190 6.29% 6.19% 192 5.64% 5.66% 192 3rd Quartile 2.05% 1.95% 190 1.92% 2.04% 193 1.52% 1.62% 193 4th Quartile (6.00%) (4.74%) 190 (6.30%) (4.97%) 193 (6.93%) (5.37%) 193 Total Population 4.09% 4.05% 760 3.89% 3.88% 770 3.39% 3.49% 770 Excluded Cost Reports 64 64 60 Total Cost Reports 824 834 830Notes:• 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
  9. 9. Peer Group Comparison – Total Profit MarginTotal Profit MarginAll 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 13.80% 12.48% 95 12.11% 10.51% 106 15.28% 14.75% 108 2nd Quartile 5.73% 5.77% 96 4.70% 4.53% 106 7.89% 7.73% 108 3rd Quartile 0.97% 0.97% 96 0.14% 0.34% 106 3.25% 3.27% 109 4th Quartile (6.75%) (5.24%) 96 (7.32%) (6.46%) 106 (4.33%) (3.16%) 109 Total Population 3.41% 3.01% 383 2.41% 2.19% 424 5.50% 5.45% 434 Excluded Cost Reports 35 39 32 Total Cost Reports 418 463 466 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 14.47% 13.47% 111 13.63% 12.48% 112 13.11% 11.66% 112 2nd Quartile 7.17% 7.29% 111 6.20% 6.10% 112 5.86% 6.00% 113 3rd Quartile 2.83% 2.87% 111 2.44% 2.57% 112 1.97% 2.16% 113 4th Quartile (5.05%) (3.68%) 112 (4.17%) (2.68%) 112 (5.07%) (4.01%) 113 Total Population 4.84% 4.87% 445 4.53% 4.48% 448 3.95% 3.84% 451 Excluded Cost Reports 31 26 25 Total Cost Reports 476 474 476Notes:• 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
  10. 10. Peer Group Comparison – Total Profit MarginTotal Profit MarginAll 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 13.77% 12.92% 62 11.85% 10.87% 70 15.90% 15.43% 73 2nd Quartile 6.87% 6.79% 62 4.72% 4.51% 71 8.58% 8.63% 73 3rd Quartile 2.70% 2.76% 62 0.10% 0.33% 71 3.59% 3.48% 73 4th Quartile (4.78%) (3.26%) 63 (8.13%) (7.30%) 71 (3.74%) (2.69%) 73 Total Population 4.60% 5.05% 249 2.10% 2.47% 283 6.08% 6.01% 292 Excluded Cost Reports 20 21 18 Total Cost Reports 269 304 310 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 14.57% 13.45% 73 13.75% 12.33% 74 13.81% 12.93% 74 2nd Quartile 7.53% 7.35% 74 7.14% 6.93% 74 6.30% 5.96% 74 3rd Quartile 4.03% 4.28% 74 3.43% 3.36% 75 3.12% 3.14% 74 4th Quartile (2.51%) (1.11%) 74 (4.30%) (3.18%) 75 (2.95%) (1.31%) 75 Total Population 5.88% 5.72% 295 4.97% 5.47% 298 5.04% 4.88% 297 Excluded Cost Reports 13 13 19 Total Cost Reports 308 311 316Notes:• 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
  11. 11. Peer Group Comparison – Total Profit MarginTotal Profit MarginAll 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 14.15% 12.05% 36 11.14% 9.77% 42 16.17% 15.74% 42 2nd Quartile 6.02% 6.06% 36 3.94% 3.84% 42 8.41% 8.45% 43 3rd Quartile 1.74% 1.98% 37 0.75% 0.70% 42 3.67% 3.34% 43 4th Quartile (5.87%) (4.48%) 37 (6.40%) (4.59%) 43 (3.36%) (2.55%) 43 Total Population 3.93% 3.17% 146 2.31% 2.14% 169 6.16% 6.30% 171 Excluded Cost Reports 14 11 10 Total Cost Reports 160 180 181 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 13.89% 13.09% 43 14.15% 13.09% 42 13.70% 12.37% 43 2nd Quartile 7.08% 7.08% 43 7.04% 6.63% 43 7.34% 7.10% 43 3rd Quartile 3.37% 3.28% 43 3.27% 3.22% 43 2.67% 2.75% 44 4th Quartile (4.64%) (2.54%) 43 (5.12%) (2.31%) 43 (3.83%) (1.94%) 44 Total Population 4.93% 5.09% 172 4.78% 4.84% 171 4.91% 4.15% 174 Excluded Cost Reports 9 7 7 Total Cost Reports 181 178 181Notes:• 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
  12. 12. Peer Group Comparison – Total Profit MarginTotal Profit MarginAll 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 13.97% 12.76% 53 12.36% 11.07% 60 15.71% 15.01% 61 2nd Quartile 6.50% 6.59% 53 5.35% 5.18% 61 8.98% 9.07% 61 3rd Quartile 2.26% 2.43% 53 0.54% 0.62% 61 4.70% 4.69% 61 4th Quartile (6.53%) (5.46%) 54 (8.46%) (7.72%) 61 (2.39%) (0.25%) 61 Total Population 4.00% 4.28% 213 2.41% 3.62% 243 6.75% 6.68% 244 Excluded Cost Reports 8 12 12 Total Cost Reports 221 255 256 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 14.53% 13.57% 62 13.45% 12.14% 63 12.67% 11.13% 62 2nd Quartile 7.85% 7.79% 62 7.21% 7.17% 63 7.05% 6.73% 63 3rd Quartile 4.39% 4.48% 62 3.81% 3.93% 63 3.54% 3.72% 63 4th Quartile (2.25%) (0.36%) 62 (3.46%) (1.84%) 64 (4.06%) (1.58%) 63 Total Population 6.13% 5.97% 248 5.22% 5.32% 253 4.77% 5.18% 251 Excluded Cost Reports 9 4 6 Total Cost Reports 257 257 257Notes:• 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
  13. 13. Peer Group Comparison – Total Profit MarginTotal Profit MarginAll 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 13.70% 12.48% 758 13.12% 11.74% 849 15.41% 14.40% 864 2nd Quartile 5.10% 5.13% 760 4.74% 4.55% 851 7.21% 7.13% 865 3rd Quartile 0.59% 0.58% 762 0.00% 0.21% 853 2.43% 2.45% 868 4th Quartile (7.00%) (6.12%) 764 (8.09%) (7.22%) 854 (5.42%) (4.21%) 869 Total Population 3.07% 2.69% 3044 2.43% 2.37% 3407 4.89% 4.66% 3466 Excluded Cost Reports 306 317 295 Total Cost Reports 3350 3724 3761 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 14.65% 13.69% 854 13.89% 12.64% 839 13.43% 12.11% 840 2nd Quartile 6.57% 6.53% 856 6.21% 6.18% 841 5.70% 5.65% 842 3rd Quartile 2.32% 2.33% 857 2.03% 2.14% 844 1.49% 1.68% 845 4th Quartile (5.65%) (4.36%) 858 (5.84%) (4.71%) 845 (6.47%) (5.35%) 846 Total Population 4.46% 4.39% 3425 4.05% 4.19% 3369 3.52% 3.63% 3373 Excluded Cost Reports 265 246 243 Total Cost Reports 3690 3615 3616Notes:• 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
  14. 14. Total Operating Profit Margin - SummaryTotal Operating Profit MarginAll 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 (3.12%) (2.80%) 663 (2.65%) (2.36%) 712 (2.34%) (1.91%) 743 26 to 100 Beds (0.81%) (1.40%) 685 (0.84%) (0.90%) 750 (0.11%) (0.42%) 778 101 to 200 Beds 1.68% 0.92% 660 0.72% (0.14%) 740 0.71% 0.57% 749 201 to 300 Beds 1.17% 0.62% 378 0.57% (0.13%) 419 0.95% 0.39% 424 301 to 400 Beds 2.15% 1.79% 249 0.42% 0.40% 283 0.90% 0.34% 288 401 to 500 Beds 0.70% 0.02% 143 (0.60%) (0.90%) 168 (0.24%) (0.15%) 169 Over 500 Beds 0.60% 0.68% 207 (0.93%) (0.53%) 238 (0.20%) 0.11% 235 Total All Hospitals (0.10%) (0.32%) 2985 (0.59%) (0.81%) 3310 (0.21%) (0.26%) 3386 Excluded Cost Reports 365 414 375 Total Cost Reports 3350 3724 3761 2006 2005 2004 Number of Licensed Beds Mean Median Count Mean Median Count Mean Median Count 25 Beds or Less (2.93%) (2.36%) 701 (3.46%) (3.13%) 585 (3.66%) (3.55%) 473 26 to 100 Beds 0.09% (0.15%) 771 0.12% 0.05% 814 (1.31%) (0.89%) 895 101 to 200 Beds 0.40% (0.20%) 751 0.70% 0.51% 751 0.06% (0.04%) 766 201 to 300 Beds 0.82% 0.21% 434 0.72% (0.03%) 439 0.22% (0.02%) 441 301 to 400 Beds 0.88% 0.99% 291 0.87% 0.87% 296 0.68% 0.42% 301 401 to 500 Beds (0.21%) 0.59% 168 (0.10%) 0.75% 160 0.02% 0.63% 169 Over 500 Beds (0.68%) 0.12% 241 (0.45%) 0.08% 240 (0.48%) (0.09%) 235 Total All Hospitals (0.38%) (0.44%) 3357 (0.29%) (0.19%) 3285 (0.81%) (0.54%) 3280 Excluded Cost Reports 333 330 336 Total Cost Reports 3690 3615 3616Notes:• 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
  15. 15. Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll 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 9.49% 7.56% 165 9.40% 7.30% 178 10.05% 8.72% 185 2nd Quartile (0.12%) (0.30%) 166 0.05% (0.22%) 178 0.77% 0.57% 186 3rd Quartile (5.81%) (5.85%) 166 (5.14%) (5.16%) 178 (4.72%) (4.55%) 186 4th Quartile (15.95%) (15.31%) 166 (14.89%) (13.55%) 178 (15.40%) (14.84%) 186 Total Population (3.12%) (2.80%) 663 (2.65%) (2.36%) 712 (2.34%) (1.91%) 743 Excluded Cost Reports 121 148 116 Total Cost Reports 784 860 859 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 9.33% 7.64% 175 8.89% 7.41% 146 8.14% 6.16% 118 2nd Quartile 0.04% (0.01%) 175 (0.47%) (0.37%) 146 (0.71%) (0.93%) 118 3rd Quartile (5.32%) (4.94%) 175 (6.09%) (5.87%) 146 (6.30%) (6.15%) 118 4th Quartile (15.68%) (15.13%) 176 (16.09%) (14.85%) 147 (15.68%) (15.25%) 119 Total Population (2.93%) (2.36%) 701 (3.46%) (3.13%) 585 (3.66%) (3.55%) 473 Excluded Cost Reports 106 92 102 Total Cost Reports 807 677 575Notes:• 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
  16. 16. Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll 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 13.21% 11.94% 171 12.97% 11.63% 187 13.21% 12.58% 194 2nd Quartile 1.58% 1.44% 171 2.39% 2.11% 187 2.61% 2.60% 194 3rd Quartile (4.06%) (3.86%) 171 (4.12%) (4.08%) 188 (3.26%) (3.15%) 195 4th Quartile (13.88%) (12.22%) 172 (14.50%) (13.94%) 188 (12.93%) (11.12%) 195 Total Population (0.81%) (1.40%) 685 (0.84%) (0.90%) 750 (0.11%) (0.42%) 778 Excluded Cost Reports 89 98 83 Total Cost Reports 774 848 861 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 13.98% 13.10% 192 13.05% 12.34% 203 11.42% 10.13% 223 2nd Quartile 2.65% 2.36% 193 2.72% 2.51% 203 1.67% 1.51% 224 3rd Quartile (3.05%) (3.03%) 193 (2.53%) (2.48%) 204 (3.64%) (3.40%) 224 4th Quartile (13.14%) (11.85%) 193 (12.67%) (11.74%) 204 (14.65%) (13.63%) 224 Total Population 0.09% (0.15%) 771 0.12% 0.05% 814 (1.31%) (0.89%) 895 Excluded Cost Reports 66 70 86 Total Cost Reports 837 884 981Notes:• 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
  17. 17. Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll 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 14.29% 13.22% 165 13.14% 12.22% 185 12.98% 11.54% 187 2nd Quartile 3.73% 3.42% 165 2.64% 2.38% 185 3.16% 3.12% 187 3rd Quartile (1.47%) (1.34%) 165 (2.20%) (2.20%) 185 (1.81%) (1.74%) 187 4th Quartile (9.83%) (7.85%) 165 (10.70%) (9.21%) 185 (11.42%) (10.02%) 188 Total Population 1.68% 0.92% 660 0.72% (0.14%) 740 0.71% 0.57% 749 Excluded Cost Reports 64 74 79 Total Cost Reports 724 814 828 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 12.97% 11.45% 187 12.50% 11.13% 187 12.31% 11.27% 191 2nd Quartile 2.47% 2.31% 188 3.10% 2.96% 188 2.36% 2.18% 191 3rd Quartile (2.25%) (1.97%) 188 (1.84%) (1.65%) 188 (2.63%) (2.21%) 192 4th Quartile (11.54%) (9.88%) 188 (10.92%) (9.46%) 188 (11.73%) (10.34%) 192 Total Population 0.40% (0.20%) 751 0.70% 0.51% 751 0.06% (0.04%) 766 Excluded Cost Reports 73 83 64 Total Cost Reports 824 834 830Notes:• 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
  18. 18. Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll 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 13.18% 11.67% 94 12.23% 10.83% 104 12.60% 11.79% 106 2nd Quartile 3.48% 3.81% 94 2.72% 2.80% 105 2.69% 2.62% 106 3rd Quartile (1.46%) (1.56%) 95 (1.98%) (1.80%) 105 (1.84%) (1.64%) 106 4th Quartile (10.40%) (8.72%) 95 (10.57%) (8.76%) 105 (9.66%) (8.76%) 106 Total Population 1.17% 0.62% 378 0.57% (0.13%) 419 0.95% 0.39% 424 Excluded Cost Reports 40 44 42 Total Cost Reports 418 463 466 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 13.10% 12.05% 108 12.42% 11.35% 109 11.99% 10.79% 110 2nd Quartile 2.67% 2.56% 108 2.43% 2.37% 110 2.08% 2.10% 110 3rd Quartile (2.04%) (1.91%) 109 (1.98%) (1.86%) 110 (2.49%) (2.49%) 110 4th Quartile (10.31%) (8.86%) 109 (9.88%) (8.23%) 110 (10.61%) (9.80%) 111 Total Population 0.82% 0.21% 434 0.72% (0.03%) 439 0.22% (0.02%) 441 Excluded Cost Reports 42 35 35 Total Cost Reports 476 474 476Notes:• 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
  19. 19. Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll 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 12.71% 11.33% 62 11.47% 9.93% 70 11.91% 11.19% 72 2nd Quartile 3.80% 3.35% 62 2.50% 2.26% 71 3.36% 3.25% 72 3rd Quartile 0.01% 0.01% 62 (1.85%) (1.77%) 71 (1.75%) (1.68%) 72 4th Quartile (7.74%) (5.01%) 63 (10.30%) (8.18%) 71 (9.92%) (9.23%) 72 Total Population 2.15% 1.79% 249 0.42% 0.40% 283 0.90% 0.34% 288 Excluded Cost Reports 20 21 22 Total Cost Reports 269 304 310 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 11.97% 11.28% 72 12.09% 10.44% 74 11.84% 11.24% 75 2nd Quartile 3.08% 3.01% 73 3.13% 3.20% 74 2.40% 2.27% 75 3rd Quartile (1.40%) (1.28%) 73 (1.52%) (1.30%) 74 (1.45%) (1.48%) 75 4th Quartile (9.96%) (8.09%) 73 (10.21%) (9.43%) 74 (9.94%) (8.46%) 76 Total Population 0.88% 0.99% 291 0.87% 0.87% 296 0.68% 0.42% 301 Excluded Cost Reports 17 15 15 Total Cost Reports 308 311 316Notes:• 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
  20. 20. Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll 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 10.65% 8.77% 35 9.85% 8.68% 42 11.10% 8.86% 42 2nd Quartile 2.51% 2.37% 36 1.77% 1.72% 42 1.89% 1.75% 42 3rd Quartile (1.69%) (1.58%) 36 (2.77%) (2.62%) 42 (2.25%) (1.77%) 42 4th Quartile (8.37%) (6.97%) 36 (11.27%) (10.15%) 42 (11.44%) (10.14%) 43 Total Population 0.70% 0.02% 143 (0.60%) (0.90%) 168 (0.24%) (0.15%) 169 Excluded Cost Reports 17 12 12 Total Cost Reports 160 180 181 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 10.07% 7.96% 42 10.01% 9.12% 40 10.47% 9.13% 42 2nd Quartile 2.27% 2.36% 42 2.54% 2.45% 40 2.37% 2.28% 42 3rd Quartile (2.15%) (2.40%) 42 (1.40%) (1.45%) 40 (1.36%) (1.44%) 42 4th Quartile (11.05%) (10.07%) 42 (11.55%) (10.24%) 40 (11.12%) (9.63%) 43 Total Population (0.21%) 0.59% 168 (0.10%) 0.75% 160 0.02% 0.63% 169 Excluded Cost Reports 13 18 12 Total Cost Reports 181 178 181Notes:• 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
  21. 21. Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll 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 11.23% 10.88% 51 9.55% 8.65% 59 11.15% 9.85% 58 2nd Quartile 2.91% 2.68% 52 2.44% 2.60% 59 2.60% 2.29% 59 3rd Quartile (1.59%) (1.46%) 52 (3.18%) (2.98%) 60 (2.46%) (2.42%) 59 4th Quartile (9.94%) (8.50%) 52 (12.30%) (11.64%) 60 (11.90%) (10.57%) 59 Total Population 0.60% 0.68% 207 (0.93%) (0.53%) 238 (0.20%) 0.11% 235 Excluded Cost Reports 14 17 21 Total Cost Reports 221 255 256 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 10.35% 8.79% 60 10.32% 8.81% 60 9.73% 8.65% 58 2nd Quartile 1.91% 1.68% 60 1.84% 1.58% 60 2.05% 1.75% 59 3rd Quartile (2.58%) (2.66%) 60 (2.15%) (1.87%) 60 (1.91%) (1.74%) 59 4th Quartile (12.19%) (11.64%) 61 (11.80%) (9.92%) 60 (11.63%) (9.97%) 59 Total Population (0.68%) 0.12% 241 (0.45%) 0.08% 240 (0.48%) (0.09%) 235 Excluded Cost Reports 16 17 22 Total Cost Reports 257 257 257Notes:• 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
  22. 22. Peer Group Comparison – Total Operating Profit MarginTotal Operating Profit MarginAll 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 12.32% 11.19% 743 11.62% 10.33% 825 12.03% 10.93% 844 2nd Quartile 2.24% 2.22% 746 1.96% 1.74% 827 2.36% 2.22% 846 3rd Quartile (2.92%) (2.59%) 747 (3.31%) (2.98%) 829 (2.85%) (2.64%) 847 4th Quartile (11.95%) (10.97%) 749 (12.56%) (11.35%) 829 (12.33%) (11.16%) 849 Total Population (0.10%) (0.32%) 2985 (0.59%) (0.81%) 3310 (0.21%) (0.26%) 3386 Excluded Cost Reports 365 414 375 Total Cost Reports 3350 3724 3761 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 12.04% 10.78% 836 11.67% 10.43% 819 11.10% 9.81% 817 2nd Quartile 2.04% 1.88% 839 2.16% 2.23% 821 1.68% 1.67% 819 3rd Quartile (2.99%) (2.82%) 840 (2.76%) (2.43%) 822 (3.19%) (2.86%) 820 4th Quartile (12.50%) (11.07%) 842 (12.17%) (11.02%) 823 (12.74%) (11.71%) 824 Total Population (0.38%) (0.44%) 3357 (0.29%) (0.19%) 3285 (0.81%) (0.54%) 3280 Excluded Cost Reports 333 330 336 Total Cost Reports 3690 3615 3616Notes:• 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
  23. 23. Total Labor Cost as a Percentage of Total Operating Revenues - SummaryTotal Labor Cost as a Percentage of Total Operating RevenuesAll 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 49.44% 49.63% 661 49.80% 50.43% 719 49.98% 49.80% 712 26 to 100 Beds 48.84% 49.17% 694 49.74% 50.07% 760 49.60% 50.04% 788 101 to 200 Beds 47.84% 47.65% 681 48.91% 48.92% 763 49.21% 49.08% 782 201 to 300 Beds 48.30% 47.66% 389 49.14% 48.64% 427 49.11% 49.29% 432 301 to 400 Beds 48.97% 49.06% 251 49.87% 49.96% 280 50.19% 50.10% 290 401 to 500 Beds 49.71% 48.23% 149 50.96% 49.83% 169 50.82% 50.21% 168 Over 500 Beds 48.23% 47.37% 206 49.52% 49.56% 239 49.22% 48.71% 243 Total All Hospitals 48.69% 48.57% 3031 49.54% 49.65% 3357 49.61% 49.55% 3415 Excluded Cost Reports 319 367 346 Total Cost Reports 3350 3724 3761 2006 2005 2004 Number of Licensed Beds Mean Median Count Mean Median Count Mean Median Count 25 Beds or Less 49.41% 49.44% 685 49.46% 49.76% 574 50.31% 50.07% 482 26 to 100 Beds 49.84% 49.97% 763 50.52% 50.72% 817 51.36% 51.93% 894 101 to 200 Beds 49.71% 49.61% 784 49.20% 49.38% 792 49.85% 49.63% 787 201 to 300 Beds 49.32% 49.55% 439 49.85% 50.38% 445 50.31% 50.53% 447 301 to 400 Beds 49.90% 49.57% 293 49.90% 50.60% 295 50.26% 50.55% 298 401 to 500 Beds 50.74% 50.46% 169 50.51% 50.34% 167 50.54% 50.46% 171 Over 500 Beds 49.37% 49.36% 242 49.35% 48.73% 243 49.73% 48.96% 241 Total All Hospitals 49.67% 49.66% 3375 49.79% 50.00% 3333 50.45% 50.48% 3320 Excluded Cost Reports 315 282 296 Total Cost Reports 3690 3615 3616Notes:• 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
  24. 24. Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.Total Labor Cost as a Percentage of Total Operating RevenuesAll 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 37.00% 37.24% 165 37.53% 38.03% 179 37.71% 38.18% 178 2nd Quartile 46.41% 46.70% 165 46.87% 46.94% 180 46.89% 47.15% 178 3rd Quartile 52.97% 52.94% 165 53.29% 53.24% 180 53.55% 53.72% 178 4th Quartile 61.30% 60.66% 166 61.44% 61.05% 180 61.78% 61.16% 178 Total Population 49.44% 49.63% 661 49.80% 50.43% 719 49.98% 49.80% 712 Excluded Cost Reports 123 141 147 Total Cost Reports 784 860 859 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 37.40% 38.65% 171 37.03% 37.65% 143 37.92% 38.39% 120 2nd Quartile 45.93% 46.26% 171 45.63% 45.36% 143 46.45% 46.75% 120 3rd Quartile 52.99% 53.02% 171 53.43% 53.52% 144 54.02% 54.02% 121 4th Quartile 61.22% 60.95% 172 61.66% 61.49% 144 62.72% 62.39% 121 Total Population 49.41% 49.44% 685 49.46% 49.76% 574 50.31% 50.07% 482 Excluded Cost Reports 122 103 93 Total Cost Reports 807 677 575Notes:• 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
  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 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 36.91% 37.40% 173 38.07% 38.87% 190 38.01% 38.79% 197 2nd Quartile 45.63% 45.74% 173 46.74% 46.84% 190 47.02% 47.16% 197 3rd Quartile 52.28% 52.14% 174 52.94% 53.06% 190 52.67% 52.67% 197 4th Quartile 60.46% 59.36% 174 61.19% 60.94% 190 60.71% 60.12% 197 Total Population 48.84% 49.17% 694 49.74% 50.07% 760 49.60% 50.04% 788 Excluded Cost Reports 80 88 73 Total Cost Reports 774 848 861 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 38.31% 38.93% 190 38.95% 39.57% 204 40.43% 41.40% 223 2nd Quartile 47.04% 47.20% 191 48.03% 48.26% 204 49.03% 49.02% 223 3rd Quartile 52.92% 53.06% 191 53.59% 53.53% 204 54.35% 54.41% 224 4th Quartile 61.02% 60.70% 191 61.46% 61.24% 205 61.57% 61.21% 224 Total Population 49.84% 49.97% 763 50.52% 50.72% 817 51.36% 51.93% 894 Excluded Cost Reports 74 67 87 Total Cost Reports 837 884 981Notes:• 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
  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 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 37.56% 38.29% 170 38.15% 38.73% 190 38.71% 39.42% 195 2nd Quartile 44.75% 44.78% 170 46.07% 46.27% 191 46.48% 46.42% 195 3rd Quartile 50.74% 50.90% 170 51.68% 51.63% 191 51.93% 51.76% 196 4th Quartile 58.22% 57.40% 171 59.67% 59.04% 191 59.65% 58.60% 196 Total Population 47.84% 47.65% 681 48.91% 48.92% 763 49.21% 49.08% 782 Excluded Cost Reports 43 51 46 Total Cost Reports 724 814 828 2006 2005 2004 Quartile Rank Mean Median Count Mean Median Count Mean Median Count 1st Quartile 38.75% 39.45% 196 38.49% 38.90% 198 39.47% 39.82% 196 2nd Quartile 46.84% 46.92% 196 46.47% 46.34% 198 47.14% 47.23% 197 3rd Quartile 52.80% 52.71% 196 52.05% 51.88% 198 52.49% 52.61% 197 4th Quartile 60.43% 59.74% 196 59.80% 59.58% 198 60.27% 59.66% 197 Total Population 49.71% 49.61% 784 49.20% 49.38% 792 49.85% 49.63% 787 Excluded Cost Reports 40 42 43 Total Cost Reports 824 834 830Notes:• 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

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