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HMP Metrics™: Government Owned Hospitals October, 2010
May 10, 2015
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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Transcript
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October 2010 2
Table of Contents
Executive Summary 3 - 5
Financial 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 - 59
Introduction to Healthcare Management Partners 60 - 64
Clients Our Professionals Have Served 65 - 66
Firm Leadership 67 - 70
Contact Information 71
October 2010 3
Healthcare 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 Sponsorship2. All Investor Owned General Acute Care Hospitals3. All Not-For-Profit General Acute Care Hospitals, including Institutions Sponsored by Religious Organizations4. All State and Local Government Owned General Acute Care Hospitals5. Free Standing Children’s Hospitals6. All Non-Federal Major Teaching Hospitals
Using 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.
Executive Summary – Overview
October 2010 4
Quartile Rankings: Quartile rankings were assigned based on the mean values calculated for all state and local government owned general acute care hospitals within the peer groups.
As 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 those hospitals 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). For example, certain metric values that were greater than two standard deviations from the mean of a reported population would be excluded from the analysis and included in this category.
Executive Summary – Key Terms
Mean Median Count Mean Median Count Mean Median Count1st Quartile 9.94% 8.49% 169 10.55% 9.41% 176 12.36% 11.54% 1832nd Quartile 3.56% 3.26% 170 4.40% 4.17% 180 5.67% 5.45% 1853rd Quartile (0.03%) 0.07% 172 0.56% 0.73% 182 1.53% 1.48% 1864th 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% 741Excluded Cost Reports 50 53 45
Total Cost Reports 735 774 786
Total Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States Regardless of Bed Size
Quartile Rank2009 2008 2007
October 2010 5
Executive Summary – Hospital Performance Metrics
Source: Metrics are based on data extracted from Medicare cost reports filed each year with the Federal Government. Accuracy of the data contained in the Medicare cost reports is certified by hospital management when the report is filed. Any changes resulting from desk or field audits by Medicare and subsequently included in the 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, and hospitals where the computed metric is more than 2 standard deviations from the mean.
Total Profit MarginA measure of overall hospital profitability presented as a percentage. A negative percentage indicates an overall loss, while a positive percentage indicates profitability.
Total Operating Profit MarginA measure of operating profitability presented as a percentage. A negative percentage indicates overall loss, while a positive percentage indicates profitability.
Total Labor Cost as a Percentage of Total Operating Revenues
A measure of labor productivity. This metric divides labor costs by operating revenues. A higher percentage compared to its peers indicates that a hospital uses more labor to produce its revenue.
Full-Time Equivalent Staff (FTEs) per Adjusted Occupied Bed (AOB)
Measures the number of full-time equivalent (FTE) employees used for each occupied bed. Similar to the previous ratio, a higher percentage compared to its peers indicates that a hospital uses more labor to treat its patients.
Days Net Patient Revenue in Accounts Receivable (AR)
Measures the number of days it typically takes to collect accounts receivable. A higher percentage compared to its peers indicates that the hospital's revenue cycle is not as efficient as its peers.
Average Age of Plant and EquipmentMeasures the average age of the hospital including capital improvements and major 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.
October 2010 6
Total Profit Margin - Summary
Mean Median Count Mean Median Count Mean Median Count25 Beds or Less 1.28% 1.17% 284 2.37% 2.99% 303 3.77% 3.34% 30826 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% 88201 to 300 Beds 1.13% 2.73% 44 1.30% 1.47% 47 4.22% 3.92% 44301 to 400 Beds 4.80% 5.04% 27 1.98% 3.07% 31 4.10% 5.21% 30401 to 500 Beds 2.68% 2.40% 26 0.38% 1.75% 26 1.75% 2.80% 27Over 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% 741Excluded Cost Reports 50 53 45
Total Cost Reports 735 774 786
Mean Median Count Mean Median Count Mean Median Count25 Beds or Less 3.50% 3.89% 291 2.40% 2.47% 253 2.39% 2.69% 21626 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% 89201 to 300 Beds 4.55% 4.55% 46 4.34% 4.61% 45 2.77% 3.16% 46301 to 400 Beds 5.52% 5.20% 33 3.75% 4.87% 32 3.02% 3.47% 31401 to 500 Beds 2.44% 3.10% 28 1.38% 2.54% 28 1.69% 2.23% 27Over 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% 711Excluded Cost Reports 31 33 35
Total Cost Reports 752 735 746
Total Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States Ranked by Number of Licensed Beds
Number of Licensed Beds2009 2008 2007
Number of Licensed Beds2006 2005 2004
Notes:• 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
Peer Group Comparison – Total Profit Margin
Mean Median Count Mean Median Count Mean Median Count1st Quartile 10.09% 8.41% 71 11.67% 10.94% 75 13.13% 12.47% 772nd Quartile 3.13% 2.86% 71 4.71% 4.46% 76 6.12% 5.65% 773rd Quartile (0.51%) (0.42%) 71 0.68% 0.91% 76 1.52% 1.75% 774th 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% 308Excluded Cost Reports 21 21 19
Total Cost Reports 305 324 327
Mean Median Count Mean Median Count Mean Median Count1st Quartile 12.38% 11.42% 72 12.37% 10.41% 63 11.69% 10.51% 542nd Quartile 5.71% 5.54% 73 4.43% 4.43% 63 4.80% 4.66% 543rd Quartile 1.71% 1.45% 73 0.39% 0.62% 63 0.60% 0.61% 544th 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% 216Excluded Cost Reports 13 10 10
Total Cost Reports 304 263 226
Total Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with 25 Licensed Beds or Less
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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
Mean Median Count Mean Median Count Mean Median Count1st Quartile 9.54% 7.83% 48 9.49% 8.34% 49 11.93% 10.77% 522nd Quartile 2.87% 2.84% 48 3.82% 3.66% 49 4.42% 4.31% 523rd Quartile (1.08%) (1.15%) 48 0.34% 0.57% 49 0.95% 0.99% 524th 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% 209Excluded Cost Reports 10 13 8
Total Cost Reports 203 210 217
Mean Median Count Mean Median Count Mean Median Count1st Quartile 10.93% 9.26% 51 10.53% 9.39% 55 10.66% 9.10% 662nd Quartile 4.41% 4.39% 51 4.55% 4.34% 55 3.83% 3.94% 663rd Quartile 0.95% 1.02% 51 1.03% 1.04% 55 0.07% 0.11% 664th 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% 265Excluded Cost Reports 4 9 12
Total Cost Reports 208 229 277
Total Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 26 and 100 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Peer Group Comparison – Total Profit Margin
Notes:• 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
Mean Median Count Mean Median Count Mean Median Count1st Quartile 9.64% 8.39% 19 10.90% 9.32% 20 11.45% 10.01% 222nd Quartile 4.16% 3.89% 19 4.59% 4.33% 20 4.74% 4.78% 223rd Quartile 1.28% 1.44% 20 0.87% 1.30% 21 1.49% 1.44% 224th 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% 88Excluded Cost Reports 8 11 8
Total Cost Reports 86 93 96
Mean Median Count Mean Median Count Mean Median Count1st Quartile 11.76% 10.42% 20 10.82% 8.96% 22 10.21% 8.45% 222nd Quartile 5.32% 5.35% 21 4.84% 4.43% 22 4.58% 4.44% 223rd Quartile 2.12% 1.88% 21 1.14% 1.30% 22 1.34% 1.13% 224th 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% 89Excluded Cost Reports 9 8 6
Total Cost Reports 92 96 95
Total Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 101 and 200 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Peer Group Comparison – Total Profit Margin
Notes:• 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
Mean Median Count Mean Median Count Mean Median Count1st Quartile 8.06% 5.67% 11 9.93% 9.50% 11 11.37% 10.77% 112nd Quartile 3.49% 3.63% 11 3.49% 3.56% 12 6.64% 6.45% 113rd Quartile 0.62% 0.84% 11 0.09% 0.54% 12 2.32% 2.06% 114th 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% 44Excluded Cost Reports 3 2 3
Total Cost Reports 47 49 47
Mean Median Count Mean Median Count Mean Median Count1st Quartile 11.02% 10.59% 11 10.11% 9.52% 11 8.41% 8.10% 112nd Quartile 6.62% 6.31% 11 5.96% 6.18% 11 5.15% 5.04% 113rd Quartile 3.66% 3.87% 12 3.11% 2.82% 11 1.99% 2.00% 124th 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% 46Excluded Cost Reports 3 3 3
Total Cost Reports 49 48 49
Total Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 201 and 300 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Peer Group Comparison – Total Profit Margin
Notes:• 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
Mean Median Count Mean Median Count Mean Median Count1st Quartile 11.24% 10.67% 6 10.45% 10.72% 7 13.07% 11.93% 72nd Quartile 6.94% 7.10% 7 5.61% 5.99% 8 8.82% 9.10% 73rd Quartile 4.04% 4.05% 7 1.58% 1.60% 8 2.68% 3.13% 84th 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% 30Excluded Cost Reports 2 1 3
Total Cost Reports 29 32 33
Mean Median Count Mean Median Count Mean Median Count1st Quartile 15.01% 12.97% 8 10.07% 9.80% 8 11.18% 11.00% 72nd Quartile 7.01% 6.52% 8 6.27% 5.99% 8 5.36% 5.42% 83rd Quartile 3.65% 3.34% 8 3.70% 4.21% 8 1.98% 1.96% 84th 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% 31Excluded Cost Reports 0 1 2
Total Cost Reports 33 33 33
Total Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 301 and 400 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Peer Group Comparison – Total Profit Margin
Notes:• 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
Mean Median Count Mean Median Count Mean Median Count1st Quartile 12.92% 9.97% 6 6.88% 6.53% 6 8.86% 8.23% 62nd Quartile 4.74% 4.34% 6 4.44% 4.78% 6 5.70% 5.96% 73rd Quartile 1.62% 1.62% 7 0.92% 1.02% 7 0.78% 0.10% 74th 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% 27Excluded Cost Reports 3 3 2
Total Cost Reports 29 29 29
Mean Median Count Mean Median Count Mean Median Count1st Quartile 10.04% 8.68% 7 8.55% 7.68% 7 8.41% 8.02% 62nd Quartile 4.30% 4.11% 7 4.04% 3.75% 7 3.62% 3.24% 73rd Quartile 1.32% 1.16% 7 1.25% 1.19% 7 1.41% 1.79% 74th 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% 27Excluded Cost Reports 1 1 2
Total Cost Reports 29 29 29
Total Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 401 and 500 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Peer Group Comparison – Total Profit Margin
Notes:• 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
Mean Median Count Mean Median Count Mean Median Count1st Quartile 11.12% 10.67% 8 9.35% 9.18% 8 13.53% 12.61% 82nd Quartile 6.40% 6.26% 8 4.70% 4.33% 9 7.69% 7.64% 93rd Quartile 1.51% 1.83% 8 (0.46%) (2.22%) 9 3.58% 3.56% 94th 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% 35Excluded Cost Reports 3 2 2
Total Cost Reports 36 37 37
Mean Median Count Mean Median Count Mean Median Count1st Quartile 13.49% 12.15% 9 10.80% 10.21% 9 10.21% 8.95% 92nd Quartile 6.47% 6.28% 9 5.38% 5.13% 9 4.36% 4.48% 93rd Quartile 3.94% 4.27% 9 1.50% 1.72% 9 0.89% 0.60% 94th 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% 37Excluded Cost Reports 1 1 0
Total Cost Reports 37 37 37
Total Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with Over 500 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Peer Group Comparison – Total Profit Margin
Notes:• 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
Mean Median Count Mean Median Count Mean Median Count1st Quartile 9.94% 8.49% 169 10.55% 9.41% 176 12.36% 11.54% 1832nd Quartile 3.56% 3.26% 170 4.40% 4.17% 180 5.67% 5.45% 1853rd Quartile (0.03%) 0.07% 172 0.56% 0.73% 182 1.53% 1.48% 1864th 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% 741Excluded Cost Reports 50 53 45
Total Cost Reports 735 774 786
Mean Median Count Mean Median Count Mean Median Count1st Quartile 11.89% 10.94% 178 11.11% 9.59% 175 10.70% 9.33% 1752nd Quartile 5.40% 5.43% 180 4.73% 4.73% 175 4.39% 4.45% 1773rd Quartile 1.86% 1.61% 181 1.10% 1.26% 175 0.70% 0.79% 1784th 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% 711Excluded Cost Reports 31 33 35
Total Cost Reports 752 735 746
Total Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States Regardless of Bed Size
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Peer Group Comparison – Total Profit Margin
Notes:• 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
Total Operating Profit Margin - Summary
Mean Median Count Mean Median Count Mean Median Count25 Beds or Less (6.16%) (5.87%) 247 (5.71%) (5.11%) 254 (4.88%) (4.01%) 26926 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%) 76201 to 300 Beds (1.22%) (0.45%) 40 (1.29%) (0.34%) 41 (0.26%) (0.10%) 39301 to 400 Beds 0.13% (0.68%) 25 (2.07%) (1.38%) 29 (2.69%) (1.48%) 28401 to 500 Beds (2.86%) (3.21%) 21 (5.07%) (5.08%) 23 (3.65%) (4.11%) 22Over 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%) 657Excluded Cost Reports 130 146 129
Total Cost Reports 735 774 786
Mean Median Count Mean Median Count Mean Median Count25 Beds or Less (4.94%) (4.55%) 256 (6.26%) (5.84%) 214 (6.54%) (5.53%) 17726 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%) 81201 to 300 Beds (0.29%) (0.12%) 43 0.79% 1.39% 42 (0.83%) 0.83% 42301 to 400 Beds (0.09%) (0.10%) 31 (1.21%) 0.92% 30 (2.11%) (0.47%) 30401 to 500 Beds (1.71%) 0.71% 24 (3.24%) (0.37%) 23 (3.12%) (0.50%) 25Over 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%) 632Excluded Cost Reports 99 103 114
Total Cost Reports 752 735 746
Number of Licensed Beds2006 2005 2004
Total Operating Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States Ranked by Number of Licensed Beds
Number of Licensed Beds2009 2008 2007
Notes:• 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
Peer Group Comparison – Total Operating Profit Margin
Mean Median Count Mean Median Count Mean Median Count1st Quartile 5.06% 3.03% 61 4.42% 3.30% 63 6.11% 5.79% 672nd Quartile (2.98%) (3.00%) 62 (2.77%) (2.63%) 63 (1.35%) (1.76%) 673rd Quartile (8.76%) (8.83%) 62 (7.51%) (7.02%) 64 (7.08%) (6.82%) 674th 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%) 269Excluded Cost Reports 58 70 58
Total Cost Reports 305 324 327
Mean Median Count Mean Median Count Mean Median Count1st Quartile 5.83% 3.90% 64 4.66% 3.19% 53 3.30% 2.65% 442nd Quartile (1.89%) (1.91%) 64 (3.12%) (3.08%) 53 (2.72%) (2.84%) 443rd Quartile (7.47%) (7.34%) 64 (8.13%) (8.26%) 54 (8.99%) (9.12%) 444th 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%) 177Excluded Cost Reports 48 49 49
Total Cost Reports 304 263 226
Quartile Rank2006 2005 2004
Total Operating Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with 25 Licensed Beds or Less
Quartile Rank2009 2008 2007
Notes:• 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
Peer Group Comparison – Total Operating Profit Margin
Mean Median Count Mean Median Count Mean Median Count1st Quartile 4.78% 3.71% 44 5.28% 4.40% 45 6.10% 3.77% 482nd Quartile (2.39%) (2.25%) 44 (1.51%) (1.23%) 45 (1.71%) (1.91%) 483rd Quartile (8.58%) (8.55%) 44 (7.72%) (7.94%) 45 (5.94%) (6.06%) 494th 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%) 194Excluded Cost Reports 27 30 23
Total Cost Reports 203 210 217
Mean Median Count Mean Median Count Mean Median Count1st Quartile 5.95% 4.02% 48 6.06% 4.63% 53 7.11% 5.41% 622nd Quartile (0.87%) (0.94%) 48 (0.75%) (0.77%) 53 (0.64%) (0.54%) 623rd Quartile (5.77%) (5.52%) 49 (6.11%) (6.03%) 53 (6.10%) (5.81%) 624th 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%) 248Excluded Cost Reports 14 17 29
Total Cost Reports 208 229 277
Total Operating Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 26 and 100 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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
Peer Group Comparison – Total Operating Profit Margin
Mean Median Count Mean Median Count Mean Median Count1st Quartile 7.83% 4.95% 17 8.22% 5.70% 18 8.84% 6.70% 192nd Quartile (0.25%) (0.14%) 17 0.45% (0.36%) 18 0.53% (0.03%) 193rd Quartile (4.70%) (4.49%) 17 (3.82%) (3.37%) 18 (3.60%) (3.52%) 194th 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%) 76Excluded Cost Reports 17 21 20
Total Cost Reports 86 93 96
Mean Median Count Mean Median Count Mean Median Count1st Quartile 9.02% 8.63% 18 6.85% 5.72% 20 6.33% 4.70% 202nd Quartile 1.55% 1.26% 18 0.65% 0.46% 20 0.58% 0.31% 203rd Quartile (2.60%) (1.98%) 18 (3.51%) (3.07%) 20 (3.99%) (4.16%) 204th 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%) 81Excluded Cost Reports 19 15 14
Total Cost Reports 92 96 95
Total Operating Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 101 and 200 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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
Peer Group Comparison – Total Operating Profit Margin
Mean Median Count Mean Median Count Mean Median Count1st Quartile 11.43% 9.91% 10 10.21% 8.85% 10 9.27% 8.63% 92nd Quartile 0.38% (0.22%) 10 1.47% 1.40% 10 1.99% 1.35% 103rd Quartile (3.78%) (4.16%) 10 (1.54%) (1.73%) 10 (1.30%) (0.73%) 104th 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%) 39Excluded Cost Reports 7 8 8
Total Cost Reports 47 49 47
Mean Median Count Mean Median Count Mean Median Count1st Quartile 9.59% 7.74% 10 9.79% 6.41% 10 6.97% 5.12% 102nd Quartile 1.76% 1.26% 11 2.59% 2.65% 10 1.95% 1.89% 103rd Quartile (1.94%) (1.58%) 11 (0.20%) (0.23%) 11 (1.02%) (1.23%) 114th 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% 42Excluded Cost Reports 6 6 7
Total Cost Reports 49 48 49
Total Operating Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 201 and 300 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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
Peer Group Comparison – Total Operating Profit Margin
Mean Median Count Mean Median Count Mean Median Count1st Quartile 8.97% 8.13% 6 7.12% 4.74% 7 8.76% 6.78% 72nd Quartile 2.59% 2.77% 6 1.54% 2.09% 7 1.90% 3.03% 73rd Quartile (2.29%) (2.63%) 6 (3.90%) (3.98%) 7 (4.62%) (4.95%) 74th 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%) 28Excluded Cost Reports 4 3 5
Total Cost Reports 29 32 33
Mean Median Count Mean Median Count Mean Median Count1st Quartile 12.42% 13.03% 7 10.83% 9.05% 7 11.07% 10.71% 72nd Quartile 2.30% 2.84% 8 2.98% 3.30% 7 1.17% 0.97% 73rd Quartile (2.38%) (2.11%) 8 (2.55%) (3.92%) 8 (1.96%) (1.41%) 84th 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%) 30Excluded Cost Reports 2 3 3
Total Cost Reports 33 33 33
Total Operating Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 301 and 400 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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
Peer Group Comparison – Total Operating Profit Margin
Mean Median Count Mean Median Count Mean Median Count1st Quartile 5.08% 4.65% 5 4.22% 4.15% 5 5.22% 4.31% 52nd Quartile (1.24%) (0.86%) 5 (0.74%) (0.49%) 6 0.15% 0.43% 53rd Quartile (5.04%) (5.36%) 5 (6.32%) (6.16%) 6 (5.91%) (5.85%) 64th 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%) 22Excluded Cost Reports 8 6 7
Total Cost Reports 29 29 29
Mean Median Count Mean Median Count Mean Median Count1st Quartile 7.11% 5.73% 6 4.39% 3.20% 5 5.79% 6.30% 62nd Quartile 2.23% 2.51% 6 1.26% 1.41% 6 1.28% 1.22% 63rd Quartile (3.85%) (2.93%) 6 (3.30%) (3.33%) 6 (2.49%) (1.84%) 64th 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%) 25Excluded Cost Reports 5 6 4
Total Cost Reports 29 29 29
Total Operating Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 401 and 500 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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
Peer Group Comparison – Total Operating Profit Margin
Mean Median Count Mean Median Count Mean Median Count1st Quartile 5.36% 3.38% 6 3.53% 1.53% 7 2.39% 1.13% 72nd Quartile 0.03% (0.27%) 7 (4.96%) (5.48%) 7 (3.08%) (3.56%) 73rd Quartile (5.32%) (4.88%) 7 (8.61%) (8.38%) 7 (8.29%) (8.33%) 74th 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%) 29Excluded Cost Reports 9 8 8
Total Cost Reports 36 37 37
Mean Median Count Mean Median Count Mean Median Count1st Quartile 7.63% 2.86% 8 5.47% 2.29% 7 3.72% 3.25% 72nd Quartile (1.68%) (0.85%) 8 (2.05%) (1.87%) 7 (2.16%) (1.72%) 73rd Quartile (7.33%) (6.07%) 8 (8.43%) (8.75%) 8 (7.05%) (6.40%) 74th 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%) 29Excluded Cost Reports 5 7 8
Total Cost Reports 37 37 37
Total Operating Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States with Over 500 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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
Peer Group Comparison – Total Operating Profit Margin
Mean Median Count Mean Median Count Mean Median Count1st Quartile 5.89% 4.08% 149 5.56% 4.74% 155 6.53% 5.32% 1622nd Quartile (1.86%) (1.74%) 151 (1.59%) (1.52%) 156 (0.92%) (0.98%) 1633rd Quartile (7.38%) (7.38%) 151 (6.61%) (6.63%) 157 (5.89%) (5.83%) 1654th 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%) 657Excluded Cost Reports 130 146 129
Total Cost Reports 735 774 786
Mean Median Count Mean Median Count Mean Median Count1st Quartile 6.88% 5.49% 161 6.06% 4.63% 155 5.90% 4.73% 1562nd Quartile (0.60%) (0.78%) 163 (0.97%) (0.99%) 156 (0.82%) (0.77%) 1563rd Quartile (5.67%) (5.76%) 164 (5.89%) (6.39%) 160 (5.98%) (5.97%) 1584th 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%) 632Excluded Cost Reports 99 103 114
Total Cost Reports 752 735 746
Total Operating Profit MarginAll State and Local Government Owned General Acute Care Hospitals in the United States Regardless of Bed Size
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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
Total Labor Cost as a Percentage of Total Operating Revenues - Summary
Mean Median Count Mean Median Count Mean Median Count25 Beds or Less 52.34% 52.58% 250 52.65% 53.18% 266 52.67% 52.82% 26726 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% 79201 to 300 Beds 49.68% 47.12% 38 50.12% 48.60% 39 49.37% 49.16% 38301 to 400 Beds 51.18% 50.94% 24 53.52% 53.95% 28 53.02% 52.36% 26401 to 500 Beds 53.95% 52.79% 22 55.51% 58.00% 24 54.26% 55.02% 22Over 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% 656Excluded Cost Reports 128 130 130
Total Cost Reports 735 774 786
Mean Median Count Mean Median Count Mean Median Count25 Beds or Less 51.71% 52.27% 260 52.55% 53.20% 218 52.64% 53.32% 18726 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% 83201 to 300 Beds 50.98% 50.84% 41 51.83% 51.52% 41 50.53% 50.92% 40301 to 400 Beds 51.92% 52.85% 31 52.80% 51.96% 30 53.05% 52.89% 30401 to 500 Beds 53.18% 53.99% 25 52.22% 52.65% 24 51.77% 53.47% 23Over 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% 636Excluded Cost Reports 94 96 110
Total Cost Reports 752 735 746
Number of Licensed Beds2006 2005 2004
Total 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
Number of Licensed Beds2009 2008 2007
Notes:• 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
Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.
Mean Median Count Mean Median Count Mean Median Count1st Quartile 41.06% 41.45% 62 41.24% 41.94% 66 41.62% 42.60% 662nd Quartile 49.30% 49.29% 62 49.51% 49.72% 66 49.20% 49.32% 673rd Quartile 55.75% 55.60% 63 56.02% 55.63% 67 55.96% 55.89% 674th 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% 267Excluded Cost Reports 55 58 60
Total Cost Reports 305 324 327
Mean Median Count Mean Median Count Mean Median Count1st Quartile 40.45% 40.49% 65 40.77% 41.52% 54 40.49% 40.70% 462nd Quartile 48.59% 48.64% 65 49.21% 49.38% 54 49.22% 48.71% 473rd Quartile 55.40% 55.70% 65 56.27% 56.41% 55 56.66% 56.76% 474th 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% 187Excluded Cost Reports 44 45 39
Total Cost Reports 304 263 226
Quartile Rank2006 2005 2004
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
Quartile Rank2009 2008 2007
Notes:• 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
Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.
Mean Median Count Mean Median Count Mean Median Count1st Quartile 41.06% 41.38% 43 42.79% 43.83% 46 42.61% 43.10% 482nd Quartile 50.91% 51.22% 43 50.80% 50.71% 46 51.06% 51.17% 483rd Quartile 56.07% 55.68% 43 56.37% 56.46% 46 55.78% 55.77% 494th 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% 194Excluded Cost Reports 30 26 23
Total Cost Reports 203 210 217
Mean Median Count Mean Median Count Mean Median Count1st Quartile 43.42% 44.20% 47 44.12% 45.50% 52 45.37% 45.94% 612nd Quartile 51.37% 51.10% 47 51.78% 51.55% 52 51.91% 51.67% 613rd Quartile 57.08% 57.00% 47 56.84% 56.78% 53 56.31% 56.04% 614th 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% 244Excluded Cost Reports 19 19 33
Total Cost Reports 208 229 277
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
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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
Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.
Mean Median Count Mean Median Count Mean Median Count1st Quartile 41.04% 42.60% 18 40.83% 42.43% 18 42.52% 43.76% 192nd Quartile 47.05% 47.11% 18 48.05% 48.13% 19 48.67% 48.59% 203rd Quartile 51.81% 51.61% 18 52.79% 52.69% 19 52.46% 52.17% 204th 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% 79Excluded Cost Reports 14 18 17
Total Cost Reports 86 93 96
Mean Median Count Mean Median Count Mean Median Count1st Quartile 43.28% 44.68% 20 41.85% 43.17% 21 42.76% 43.52% 202nd Quartile 49.18% 48.98% 20 49.01% 49.32% 21 48.69% 48.68% 213rd Quartile 53.84% 53.45% 20 52.96% 52.21% 21 52.87% 52.68% 214th 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% 83Excluded Cost Reports 11 11 12
Total Cost Reports 92 96 95
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
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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
Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.
Mean Median Count Mean Median Count Mean Median Count1st Quartile 41.53% 42.07% 9 41.80% 42.84% 9 40.35% 41.40% 92nd Quartile 44.99% 45.15% 9 45.29% 44.86% 10 45.60% 45.02% 93rd Quartile 50.11% 48.62% 10 51.59% 51.11% 10 51.10% 50.60% 104th 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% 38Excluded Cost Reports 9 10 9
Total Cost Reports 47 49 47
Mean Median Count Mean Median Count Mean Median Count1st Quartile 41.99% 43.02% 10 44.42% 45.26% 10 42.72% 44.07% 102nd Quartile 48.23% 47.29% 10 50.38% 50.56% 10 49.24% 49.30% 103rd Quartile 53.07% 52.90% 10 53.55% 53.98% 10 52.68% 52.57% 104th 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% 40Excluded Cost Reports 8 7 9
Total Cost Reports 49 48 49
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
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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
Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.
Mean Median Count Mean Median Count Mean Median Count1st Quartile 43.11% 44.32% 6 44.42% 46.51% 7 44.80% 46.21% 62nd Quartile 48.35% 47.82% 6 51.63% 51.74% 7 50.17% 50.38% 63rd Quartile 54.16% 54.53% 6 55.61% 55.83% 7 54.03% 53.84% 74th 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% 26Excluded Cost Reports 5 4 7
Total Cost Reports 29 32 33
Mean Median Count Mean Median Count Mean Median Count1st Quartile 43.81% 45.27% 7 44.80% 45.71% 7 45.77% 46.02% 72nd Quartile 47.79% 47.06% 8 50.22% 50.63% 7 49.79% 50.55% 73rd Quartile 54.99% 54.93% 8 54.05% 54.16% 8 53.56% 53.39% 84th 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% 30Excluded Cost Reports 2 3 3
Total Cost Reports 33 33 33
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
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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
Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.
Mean Median Count Mean Median Count Mean Median Count1st Quartile 44.35% 46.41% 5 43.78% 43.73% 6 42.98% 41.84% 52nd Quartile 49.05% 48.45% 5 52.34% 51.46% 6 48.51% 47.62% 53rd Quartile 56.03% 55.70% 6 60.52% 60.56% 6 57.95% 58.46% 64th 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% 22Excluded Cost Reports 7 5 7
Total Cost Reports 29 29 29
Mean Median Count Mean Median Count Mean Median Count1st Quartile 43.13% 42.85% 6 42.85% 43.48% 6 41.28% 41.76% 52nd Quartile 49.03% 47.89% 6 49.51% 48.70% 6 48.59% 49.21% 63rd Quartile 55.81% 55.69% 6 54.78% 54.74% 6 54.68% 54.27% 64th 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% 23Excluded Cost Reports 4 5 6
Total Cost Reports 29 29 29
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
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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 31
Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.
Mean Median Count Mean Median Count Mean Median Count1st Quartile 40.77% 42.96% 7 42.46% 44.98% 7 41.61% 43.81% 72nd Quartile 46.95% 47.08% 7 49.21% 49.95% 7 48.50% 48.55% 73rd Quartile 51.51% 52.19% 7 54.47% 55.23% 7 52.15% 52.01% 84th Quartile 58.04% 56.65% 7 60.77% 58.65% 7 60.83% 60.56% 8
Total Population 49.32% 48.28% 28 51.73% 50.95% 28 51.15% 49.39% 30Excluded Cost Reports 8 9 7
Total Cost Reports 36 37 37
Mean Median Count Mean Median Count Mean Median Count1st Quartile 43.02% 46.30% 7 42.48% 42.44% 7 43.75% 44.91% 72nd Quartile 49.14% 49.42% 8 49.59% 50.00% 8 48.88% 48.70% 73rd Quartile 51.74% 51.51% 8 53.91% 53.75% 8 52.08% 51.73% 74th Quartile 60.07% 59.70% 8 61.64% 60.45% 8 59.50% 59.45% 8
Total Population 51.25% 51.03% 31 52.21% 51.61% 31 51.35% 50.65% 29Excluded Cost Reports 6 6 8
Total Cost Reports 37 37 37
Total Labor Cost as a Percentage of Total Operating RevenuesAll State and Local Government Owned General Acute Care Hospitals in the United States with Over 500 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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 32
Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.
Mean Median Count Mean Median Count Mean Median Count1st Quartile 41.26% 41.80% 150 41.97% 42.54% 159 42.11% 42.82% 1602nd Quartile 49.08% 49.07% 150 49.63% 49.87% 161 49.47% 49.65% 1623rd Quartile 54.76% 54.91% 153 55.55% 55.40% 162 55.00% 55.26% 1674th Quartile 62.18% 61.62% 154 63.01% 62.82% 162 62.74% 62.83% 167
Total Population 51.90% 52.04% 607 52.59% 52.64% 644 52.46% 52.20% 656Excluded Cost Reports 128 130 130
Total Cost Reports 735 774 786
Mean Median Count Mean Median Count Mean Median Count1st Quartile 42.11% 42.71% 162 42.59% 43.19% 157 43.24% 43.92% 1562nd Quartile 49.44% 49.39% 164 50.18% 50.36% 158 50.17% 50.23% 1593rd Quartile 55.36% 55.47% 164 55.58% 55.79% 161 55.35% 55.40% 1604th Quartile 62.17% 61.57% 168 62.62% 62.53% 163 62.44% 62.11% 161
Total Population 52.36% 52.38% 658 52.85% 53.01% 639 52.88% 52.98% 636Excluded Cost Reports 94 96 110
Total Cost Reports 752 735 746
Total Labor Cost as a Percentage of Total Operating RevenuesAll State and Local Government Owned General Acute Care Hospitals in the United States Regardless of Bed Size
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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 33
Full-Time Equivalent (FTE) Staff Per Adjusted Occupied Bed (AOB) - Summary
Mean Median Count Mean Median Count Mean Median Count25 Beds or Less 4.92 4.84 264 4.90 4.76 292 4.84 4.76 29026 to 100 Beds 4.67 4.61 194 4.72 4.68 202 4.72 4.70 205
101 to 200 Beds 4.86 4.66 85 4.86 4.82 91 4.85 4.78 94201 to 300 Beds 5.08 5.00 44 5.24 4.87 47 5.16 4.95 44301 to 400 Beds 5.25 5.19 27 5.34 5.21 30 5.28 5.08 31401 to 500 Beds 5.99 5.89 26 5.94 6.00 27 5.93 5.60 27Over 500 Beds 5.83 5.71 34 5.90 5.98 35 5.83 5.72 35
Total All Hospitals 4.95 4.86 674 4.97 4.85 724 4.93 4.86 726Excluded Cost Reports 61 50 60
Total Cost Reports 735 774 786
Mean Median Count Mean Median Count Mean Median Count25 Beds or Less 4.83 4.72 267 4.96 5.06 222 5.11 5.18 18026 to 100 Beds 4.78 4.73 197 4.72 4.65 215 4.81 4.67 263
101 to 200 Beds 4.70 4.68 89 4.68 4.58 94 4.72 4.53 94201 to 300 Beds 5.22 4.96 47 5.21 5.04 47 5.09 5.10 47301 to 400 Beds 5.12 5.04 31 5.05 4.92 31 5.13 4.95 32401 to 500 Beds 5.69 5.48 26 5.85 5.52 27 5.77 5.49 27Over 500 Beds 5.83 5.70 35 5.73 5.67 35 5.63 5.44 34
Total All Hospitals 4.92 4.82 692 4.94 4.84 671 4.99 4.84 677Excluded Cost Reports 60 64 69
Total Cost Reports 752 735 746
Number of Licensed Beds2006 2005 2004
Full-Time Equivalent (FTE) Staff per Adjusted Occupied Bed (AOB)All State and Local Government Owned General Acute Care Hospitals in the United States Ranked by Number of Licensed Beds
Number of Licensed Beds2009 2008 2007
Notes:• 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 34
Peer Group Comparison – Full-Time Equivalent (FTE) Staff Per Adjusted Occupied Bed (AOB)
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.10 3.31 66 3.12 3.31 73 3.11 3.31 722nd Quartile 4.38 4.37 66 4.34 4.39 73 4.28 4.23 723rd Quartile 5.38 5.38 66 5.32 5.35 73 5.22 5.20 734th Quartile 6.82 6.74 66 6.84 6.75 73 6.72 6.55 73
Total Population 4.92 4.84 264 4.90 4.76 292 4.84 4.76 290Excluded Cost Reports 41 32 37
Total Cost Reports 305 324 327
Mean Median Count Mean Median Count Mean Median Count1st Quartile 2.90 3.08 66 3.07 3.17 55 3.16 3.29 452nd Quartile 4.28 4.31 67 4.45 4.39 55 4.63 4.57 453rd Quartile 5.28 5.32 67 5.43 5.43 56 5.57 5.54 454th Quartile 6.82 6.74 67 6.85 6.83 56 7.06 7.00 45
Total Population 4.83 4.72 267 4.96 5.06 222 5.11 5.18 180Excluded Cost Reports 37 41 46
Total Cost Reports 304 263 226
Quartile Rank2006 2005 2004
Full-Time Equivalent (FTE) Staff per Adjusted Occupied Bed (AOB)All State and Local Government Owned General Acute Care Hospitals in the United States with 25 Licensed Beds or Less
Quartile Rank2009 2008 2007
Notes:• 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 35
Peer Group Comparison – Full-Time Equivalent (FTE) Staff Per Adjusted Occupied Bed (AOB)
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.25 3.43 48 3.30 3.45 50 3.33 3.50 512nd Quartile 4.20 4.19 48 4.27 4.34 50 4.34 4.34 513rd Quartile 4.98 4.98 49 4.99 4.93 51 5.01 4.97 514th Quartile 6.21 6.18 49 6.30 6.13 51 6.17 6.00 52
Total Population 4.67 4.61 194 4.72 4.68 202 4.72 4.70 205Excluded Cost Reports 9 8 12
Total Cost Reports 203 210 217
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.45 3.61 49 3.51 3.64 53 3.46 3.59 652nd Quartile 4.43 4.46 49 4.37 4.36 54 4.40 4.42 663rd Quartile 5.06 5.07 49 4.95 4.95 54 5.07 5.06 664th Quartile 6.15 6.03 50 6.05 5.97 54 6.30 6.21 66
Total Population 4.78 4.73 197 4.72 4.65 215 4.81 4.67 263Excluded Cost Reports 11 14 14
Total Cost Reports 208 229 277
Quartile Rank2006 2005 2004
Full-Time Equivalent (FTE) Staff per Adjusted Occupied Bed (AOB)All State and Local Government Owned General Acute Care Hospitals in the United States with Between 26 and 100 Licensed Beds
Quartile Rank2009 2008 2007
Notes:• 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 36
Peer Group Comparison – Full-Time Equivalent (FTE) Staff Per Adjusted Occupied Bed (AOB)
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.61 3.74 21 3.63 3.73 22 3.61 3.80 232nd Quartile 4.42 4.43 21 4.44 4.41 23 4.48 4.49 233rd Quartile 5.01 5.01 21 5.10 5.12 23 5.07 5.09 244th Quartile 6.33 6.03 22 6.20 5.92 23 6.18 5.97 24
Total Population 4.86 4.66 85 4.86 4.82 91 4.85 4.78 94Excluded Cost Reports 1 2 2
Total Cost Reports 86 93 96
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.51 3.71 22 3.62 3.79 23 3.63 3.67 232nd Quartile 4.38 4.33 22 4.30 4.25 23 4.28 4.28 233rd Quartile 4.91 4.87 22 4.83 4.76 24 4.81 4.80 244th Quartile 5.95 5.85 23 5.91 5.79 24 6.08 5.83 24
Total Population 4.70 4.68 89 4.68 4.58 94 4.72 4.53 94Excluded Cost Reports 3 2 1
Total Cost Reports 92 96 95
Quartile Rank2006 2005 2004
Full-Time Equivalent (FTE) Staff per Adjusted Occupied Bed (AOB)All State and Local Government Owned General Acute Care Hospitals in the United States with Between 101 and 200 Licensed Beds
Quartile Rank2009 2008 2007
Notes:• 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 37
Peer Group Comparison – Full-Time Equivalent (FTE) Staff Per Adjusted Occupied Bed (AOB)
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.84 3.92 11 3.89 4.04 11 3.92 4.00 112nd Quartile 4.63 4.65 11 4.60 4.60 12 4.61 4.66 113rd Quartile 5.20 5.13 11 5.30 5.20 12 5.41 5.22 114th Quartile 6.66 6.52 11 7.05 6.75 12 6.71 6.49 11
Total Population 5.08 5.00 44 5.24 4.87 47 5.16 4.95 44Excluded Cost Reports 3 2 3
Total Cost Reports 47 49 47
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.90 4.02 11 3.85 4.00 11 3.89 4.00 112nd Quartile 4.57 4.53 12 4.57 4.57 12 4.54 4.55 123rd Quartile 5.40 5.38 12 5.46 5.44 12 5.33 5.37 124th Quartile 6.89 6.63 12 6.84 6.44 12 6.51 6.33 12
Total Population 5.22 4.96 47 5.21 5.04 47 5.09 5.10 47Excluded Cost Reports 2 1 2
Total Cost Reports 49 48 49
Quartile Rank2006 2005 2004
Full-Time Equivalent (FTE) Staff per Adjusted Occupied Bed (AOB)All State and Local Government Owned General Acute Care Hospitals in the United States with Between 201 and 300 Licensed Beds
Quartile Rank2009 2008 2007
Notes:• 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 38
Peer Group Comparison – Full-Time Equivalent (FTE) Staff Per Adjusted Occupied Bed (AOB)
Mean Median Count Mean Median Count Mean Median Count1st Quartile 4.20 4.38 6 4.36 4.48 7 4.48 4.62 72nd Quartile 4.75 4.68 7 4.94 4.90 7 4.94 4.94 83rd Quartile 5.47 5.46 7 5.37 5.30 8 5.29 5.30 84th Quartile 6.42 6.37 7 6.50 6.27 8 6.31 6.09 8
Total Population 5.25 5.19 27 5.34 5.21 30 5.28 5.08 31Excluded Cost Reports 2 2 2
Total Cost Reports 29 32 33
Mean Median Count Mean Median Count Mean Median Count1st Quartile 4.21 4.27 7 4.10 4.32 7 4.13 4.28 82nd Quartile 4.75 4.74 8 4.63 4.64 8 4.66 4.61 83rd Quartile 5.19 5.17 8 5.19 5.22 8 5.21 5.17 84th Quartile 6.22 6.10 8 6.18 5.80 8 6.50 5.95 8
Total Population 5.12 5.04 31 5.05 4.92 31 5.13 4.95 32Excluded Cost Reports 2 2 1
Total Cost Reports 33 33 33
Quartile Rank2006 2005 2004
Full-Time Equivalent (FTE) Staff per Adjusted Occupied Bed (AOB)All State and Local Government Owned General Acute Care Hospitals in the United States with Between 301 and 400 Licensed Beds
Quartile Rank2009 2008 2007
Notes:• 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 39
Peer Group Comparison – Full-Time Equivalent (FTE) Staff Per Adjusted Occupied Bed (AOB)
Mean Median Count Mean Median Count Mean Median Count1st Quartile 4.44 4.46 6 4.36 4.61 6 4.38 4.68 62nd Quartile 5.23 5.25 6 5.30 5.20 7 5.31 5.33 73rd Quartile 6.34 6.30 7 6.29 6.14 7 6.15 6.22 74th Quartile 7.61 7.64 7 7.59 7.45 7 7.66 7.52 7
Total Population 5.99 5.89 26 5.94 6.00 27 5.93 5.60 27Excluded Cost Reports 3 2 2
Total Cost Reports 29 29 29
Mean Median Count Mean Median Count Mean Median Count1st Quartile 4.28 4.55 6 4.45 4.70 6 4.33 4.56 62nd Quartile 5.01 5.01 6 5.17 5.12 7 5.16 5.21 73rd Quartile 5.91 6.04 7 6.07 6.03 7 6.06 6.01 74th Quartile 7.27 7.24 7 7.49 7.20 7 7.33 7.34 7
Total Population 5.69 5.48 26 5.85 5.52 27 5.77 5.49 27Excluded Cost Reports 3 2 2
Total Cost Reports 29 29 29
Quartile Rank2006 2005 2004
Full-Time Equivalent (FTE) Staff per Adjusted Occupied Bed (AOB)All State and Local Government Owned General Acute Care Hospitals in the United States with Between 401 and 500 Licensed Beds
Quartile Rank2009 2008 2007
Notes:• 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 40
Peer Group Comparison – Full-Time Equivalent (FTE) Staff Per Adjusted Occupied Bed (AOB)
Mean Median Count Mean Median Count Mean Median Count1st Quartile 4.59 4.69 8 4.56 4.66 8 4.64 4.69 82nd Quartile 5.35 5.40 8 5.36 5.36 9 5.40 5.47 93rd Quartile 6.05 6.02 9 6.29 6.28 9 6.01 5.94 94th Quartile 7.15 7.10 9 7.23 7.14 9 7.14 7.09 9
Total Population 5.83 5.71 34 5.90 5.98 35 5.83 5.72 35Excluded Cost Reports 2 2 2
Total Cost Reports 36 37 37
Mean Median Count Mean Median Count Mean Median Count1st Quartile 4.60 4.67 8 4.62 4.65 8 4.60 4.72 82nd Quartile 5.20 5.17 9 5.22 5.15 9 5.13 5.16 83rd Quartile 6.04 6.04 9 5.93 5.93 9 5.73 5.84 94th Quartile 7.33 7.26 9 7.00 6.86 9 6.89 6.71 9
Total Population 5.83 5.70 35 5.73 5.67 35 5.63 5.44 34Excluded Cost Reports 2 2 3
Total Cost Reports 37 37 37
Quartile Rank2006 2005 2004
Full-Time Equivalent (FTE) Staff per Adjusted Occupied Bed (AOB)All State and Local Government Owned General Acute Care Hospitals in the United States with Over 500 Licensed Beds
Quartile Rank2009 2008 2007
Notes:• 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 41
Peer Group Comparison – Full-Time Equivalent (FTE) Staff Per Adjusted Occupied Bed (AOB)
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.42 3.54 166 3.44 3.52 177 3.45 3.53 1782nd Quartile 4.44 4.40 167 4.46 4.43 181 4.47 4.42 1813rd Quartile 5.28 5.21 170 5.28 5.22 183 5.23 5.17 1834th Quartile 6.61 6.52 171 6.65 6.49 183 6.53 6.37 184
Total Population 4.95 4.86 674 4.97 4.85 724 4.93 4.86 726Excluded Cost Reports 61 50 60
Total Cost Reports 735 774 786
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.39 3.50 169 3.51 3.64 163 3.55 3.68 1662nd Quartile 4.45 4.45 173 4.49 4.42 168 4.53 4.47 1693rd Quartile 5.24 5.18 174 5.23 5.19 170 5.26 5.22 1714th Quartile 6.54 6.33 176 6.46 6.29 170 6.57 6.54 171
Total Population 4.92 4.82 692 4.94 4.84 671 4.99 4.84 677Excluded Cost Reports 60 64 69
Total Cost Reports 752 735 746
Quartile Rank2006 2005 2004
Full-Time Equivalent (FTE) Staff per Adjusted Occupied Bed (AOB)All State and Local Government Owned General Acute Care Hospitals in the United States Regardless of Bed Size
Quartile Rank2009 2008 2007
Notes:• 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 42
Days Net Patient Revenue in Accounts Receivable (AR) - Summary
Mean Median Count Mean Median Count Mean Median Count25 Beds or Less 58.27 56.57 280 62.83 62.44 295 63.95 62.74 29926 to 100 Beds 56.07 54.57 187 59.77 58.06 189 62.29 60.45 196
101 to 200 Beds 54.58 52.05 78 54.65 52.67 82 55.81 54.15 85201 to 300 Beds 52.35 49.42 42 51.11 51.11 45 53.63 49.43 42301 to 400 Beds 47.91 49.13 27 53.63 53.37 29 56.88 54.72 30401 to 500 Beds 58.79 57.56 29 57.27 54.15 27 61.29 61.03 27Over 500 Beds 51.77 50.84 35 57.55 51.24 35 55.39 55.01 35
Total All Hospitals 56.15 54.26 678 59.44 58.03 702 61.10 59.71 714Excluded Cost Reports 57 72 72
Total Cost Reports 735 774 786
Mean Median Count Mean Median Count Mean Median Count25 Beds or Less 63.93 63.06 285 63.46 62.05 242 64.34 63.24 20826 to 100 Beds 60.56 60.90 191 60.77 59.51 210 62.82 61.45 253
101 to 200 Beds 58.42 55.37 79 54.65 55.33 79 58.15 59.55 81201 to 300 Beds 55.18 50.84 46 54.54 54.55 44 57.35 56.03 46301 to 400 Beds 55.81 54.18 30 54.53 53.86 30 59.08 61.00 30401 to 500 Beds 60.83 59.52 27 60.18 59.48 26 59.77 62.19 26Over 500 Beds 55.26 54.80 36 53.25 55.19 34 56.65 56.11 34
Total All Hospitals 60.88 59.85 694 59.92 59.02 665 61.77 61.02 678Excluded Cost Reports 58 70 68
Total Cost Reports 752 735 746
Number of Licensed Beds2006 2005 2004
Days Net Patient Revenue in Accounts Receivable (AR)All State and Local Government Owned General Acute Care Hospitals in the United States Ranked by Number of Licensed Beds
Number of Licensed Beds2009 2008 2007
Notes:• 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 43
Peer Group Comparison – Days Net Patient Revenue in Accounts Receivable (AR)
Mean Median Count Mean Median Count Mean Median Count1st Quartile 38.89 40.49 70 40.63 43.58 73 43.86 45.84 742nd Quartile 52.09 51.93 70 56.38 56.46 74 57.25 57.16 753rd Quartile 62.20 61.79 70 67.69 67.32 74 68.26 67.63 754th Quartile 79.90 75.68 70 86.33 83.97 74 86.18 83.90 75
Total Population 58.27 56.57 280 62.83 62.44 295 63.95 62.74 299Excluded Cost Reports 25 29 28
Total Cost Reports 305 324 327
Mean Median Count Mean Median Count Mean Median Count1st Quartile 43.91 44.89 71 43.27 44.98 60 42.63 44.51 522nd Quartile 58.53 58.82 71 57.02 57.10 60 58.34 58.58 523rd Quartile 67.97 68.30 71 67.77 67.74 61 68.85 68.04 524th Quartile 85.03 83.20 72 85.36 82.81 61 87.54 87.60 52
Total Population 63.93 63.06 285 63.46 62.05 242 64.34 63.24 208Excluded Cost Reports 19 21 18
Total Cost Reports 304 263 226
Quartile Rank2006 2005 2004
Days Net Patient Revenue in Accounts Receivable (AR)All State and Local Government Owned General Acute Care Hospitals in the United States with 25 Licensed Beds or Less
Quartile Rank2009 2008 2007
Notes:• 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 44
Peer Group Comparison – Days Net Patient Revenue in Accounts Receivable (AR)
Mean Median Count Mean Median Count Mean Median Count1st Quartile 35.03 37.98 46 37.08 39.44 47 40.53 42.04 492nd Quartile 48.90 48.97 47 51.84 52.35 47 55.21 55.48 493rd Quartile 60.32 60.35 47 64.34 63.76 47 67.02 67.29 494th Quartile 79.59 77.69 47 85.28 84.64 48 86.43 84.76 49
Total Population 56.07 54.57 187 59.77 58.06 189 62.29 60.45 196Excluded Cost Reports 16 21 21
Total Cost Reports 203 210 217
Mean Median Count Mean Median Count Mean Median Count1st Quartile 38.56 41.60 47 39.79 41.59 52 42.22 42.24 632nd Quartile 53.86 54.16 48 54.13 54.22 52 56.71 56.52 633rd Quartile 64.96 64.60 48 64.75 64.26 53 67.21 66.54 634th Quartile 84.41 82.35 48 83.87 80.99 53 84.79 82.49 64
Total Population 60.56 60.90 191 60.77 59.51 210 62.82 61.45 253Excluded Cost Reports 17 19 24
Total Cost Reports 208 229 277
Days Net Patient Revenue in Accounts Receivable (AR)All State and Local Government Owned General Acute Care Hospitals in the United States with Between 26 and 100 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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 45
Peer Group Comparison – Days Net Patient Revenue in Accounts Receivable (AR)
Mean Median Count Mean Median Count Mean Median Count1st Quartile 35.73 38.38 19 37.26 37.43 20 35.31 37.78 212nd Quartile 46.43 45.89 19 47.79 48.06 20 49.94 50.60 213rd Quartile 55.10 54.43 20 56.71 55.97 21 58.50 58.31 214th Quartile 79.72 76.63 20 75.70 70.07 21 78.40 78.18 22
Total Population 54.58 52.05 78 54.65 52.67 82 55.81 54.15 85Excluded Cost Reports 8 11 11
Total Cost Reports 86 93 96
Mean Median Count Mean Median Count Mean Median Count1st Quartile 38.11 37.86 19 32.82 33.89 19 34.68 37.35 202nd Quartile 51.07 51.84 20 49.79 50.27 20 53.60 52.72 203rd Quartile 59.95 59.18 20 58.81 58.51 20 63.00 63.45 204th Quartile 83.55 87.23 20 76.08 73.16 20 80.20 77.34 21
Total Population 58.42 55.37 79 54.65 55.33 79 58.15 59.55 81Excluded Cost Reports 13 17 14
Total Cost Reports 92 96 95
Days Net Patient Revenue in Accounts Receivable (AR)All State and Local Government Owned General Acute Care Hospitals in the United States with Between 101 and 200 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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 46
Peer Group Comparison – Days Net Patient Revenue in Accounts Receivable (AR)
Mean Median Count Mean Median Count Mean Median Count1st Quartile 33.92 34.84 10 31.74 33.39 11 33.66 35.08 102nd Quartile 44.00 44.69 10 45.92 47.66 11 45.63 46.27 103rd Quartile 53.92 53.72 11 54.09 53.24 11 55.72 53.70 114th Quartile 75.14 72.30 11 70.90 72.26 12 76.98 75.64 11
Total Population 52.35 49.42 42 51.11 51.11 45 53.63 49.43 42Excluded Cost Reports 5 4 5
Total Cost Reports 47 49 47
Mean Median Count Mean Median Count Mean Median Count1st Quartile 37.77 39.54 11 32.62 34.20 11 33.16 35.06 112nd Quartile 48.37 48.48 11 47.69 45.99 11 49.28 49.25 113rd Quartile 55.11 54.75 12 59.32 58.83 11 63.18 62.29 124th Quartile 77.45 72.32 12 78.55 74.76 11 81.08 80.12 12
Total Population 55.18 50.84 46 54.54 54.55 44 57.35 56.03 46Excluded Cost Reports 3 4 3
Total Cost Reports 49 48 49
Days Net Patient Revenue in Accounts Receivable (AR)All State and Local Government Owned General Acute Care Hospitals in the United States with Between 201 and 300 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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 47
Peer Group Comparison – Days Net Patient Revenue in Accounts Receivable (AR)
Mean Median Count Mean Median Count Mean Median Count1st Quartile 31.99 33.78 6 36.88 36.62 7 38.78 41.96 72nd Quartile 44.42 43.17 7 49.53 49.15 7 50.14 49.40 73rd Quartile 51.49 51.36 7 58.28 59.16 7 59.36 60.10 84th Quartile 61.46 63.50 7 67.79 67.21 8 76.14 71.66 8
Total Population 47.91 49.13 27 53.63 53.37 29 56.88 54.72 30Excluded Cost Reports 2 3 3
Total Cost Reports 29 32 33
Mean Median Count Mean Median Count Mean Median Count1st Quartile 38.06 38.50 7 35.16 35.30 7 35.88 36.50 72nd Quartile 49.24 48.87 7 50.00 50.16 7 53.43 52.76 73rd Quartile 58.01 58.16 8 57.07 57.10 8 63.52 62.55 84th Quartile 74.91 69.06 8 72.91 65.85 8 79.88 76.45 8
Total Population 55.81 54.18 30 54.53 53.86 30 59.08 61.00 30Excluded Cost Reports 3 3 3
Total Cost Reports 33 33 33
Days Net Patient Revenue in Accounts Receivable (AR)All State and Local Government Owned General Acute Care Hospitals in the United States with Between 301 and 400 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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 48
Peer Group Comparison – Days Net Patient Revenue in Accounts Receivable (AR)
Mean Median Count Mean Median Count Mean Median Count1st Quartile 38.82 39.84 7 40.80 42.13 6 43.54 44.79 62nd Quartile 51.27 49.64 7 50.57 50.91 7 51.61 49.61 73rd Quartile 61.74 62.25 7 60.53 61.12 7 66.56 66.73 74th Quartile 80.25 78.13 8 74.84 73.52 7 80.90 76.37 7
Total Population 58.79 57.56 29 57.27 54.15 27 61.29 61.03 27Excluded Cost Reports 0 2 2
Total Cost Reports 29 29 29
Mean Median Count Mean Median Count Mean Median Count1st Quartile 40.59 42.80 6 39.26 40.85 6 39.64 41.28 62nd Quartile 53.70 53.72 7 53.42 53.47 6 54.78 55.90 63rd Quartile 65.66 66.20 7 65.05 67.48 7 66.20 66.89 74th Quartile 80.47 74.26 7 79.03 77.30 7 74.88 73.85 7
Total Population 60.83 59.52 27 60.18 59.48 26 59.77 62.19 26Excluded Cost Reports 2 3 3
Total Cost Reports 29 29 29
Days Net Patient Revenue in Accounts Receivable (AR)All State and Local Government Owned General Acute Care Hospitals in the United States with Between 401 and 500 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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 49
Peer Group Comparison – Days Net Patient Revenue in Accounts Receivable (AR)
Mean Median Count Mean Median Count Mean Median Count1st Quartile 35.38 36.92 8 39.65 41.23 8 37.29 38.46 82nd Quartile 43.87 43.70 9 47.90 48.60 9 48.51 47.34 93rd Quartile 54.73 56.08 9 59.83 59.31 9 59.82 58.46 94th Quartile 71.27 67.21 9 80.83 75.34 9 73.91 70.65 9
Total Population 51.77 50.84 35 57.55 51.24 35 55.39 55.01 35Excluded Cost Reports 1 2 2
Total Cost Reports 36 37 37
Mean Median Count Mean Median Count Mean Median Count1st Quartile 37.62 37.58 9 37.61 38.64 8 40.10 40.82 82nd Quartile 49.42 49.13 9 46.15 46.38 8 52.34 52.22 83rd Quartile 59.05 56.92 9 58.36 59.24 9 58.54 57.87 94th Quartile 74.94 72.67 9 68.34 67.16 9 73.32 71.74 9
Total Population 55.26 54.80 36 53.25 55.19 34 56.65 56.11 34Excluded Cost Reports 1 3 3
Total Cost Reports 37 37 37
Days Net Patient Revenue in Accounts Receivable (AR)All State and Local Government Owned General Acute Care Hospitals in the United States with Over 500 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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 50
Peer Group Comparison – Days Net Patient Revenue in Accounts Receivable (AR)
Mean Median Count Mean Median Count Mean Median Count1st Quartile 36.74 38.29 166 38.51 40.34 172 40.80 42.14 1752nd Quartile 49.30 49.63 169 52.58 52.37 175 54.23 54.34 1783rd Quartile 59.47 59.46 171 63.58 64.60 176 65.13 65.80 1804th Quartile 78.31 75.66 172 82.21 81.51 179 83.49 82.09 181
Total Population 56.15 54.26 678 59.44 58.03 702 61.10 59.71 714Excluded Cost Reports 57 72 72
Total Cost Reports 735 774 786
Mean Median Count Mean Median Count Mean Median Count1st Quartile 40.69 41.62 170 39.45 40.49 163 40.39 41.75 1672nd Quartile 54.68 54.68 173 53.64 53.57 164 55.94 56.29 1673rd Quartile 64.34 64.56 175 64.09 64.12 169 66.26 65.56 1714th Quartile 83.02 81.40 176 81.59 79.65 169 83.58 81.70 173
Total Population 60.88 59.85 694 59.92 59.02 665 61.77 61.02 678Excluded Cost Reports 58 70 68
Total Cost Reports 752 735 746
Days Net Patient Revenue in Accounts Receivable (AR)All State and Local Government Owned General Acute Care Hospitals in the United States Regardless of Bed Size
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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 51
Average Age of Plant and Equipment - Summary
Mean Median Count Mean Median Count Mean Median Count25 Beds or Less 9.56 8.90 245 9.94 9.82 253 10.25 9.68 23826 to 100 Beds 10.39 10.04 155 10.73 10.41 160 10.82 10.79 167
101 to 200 Beds 9.86 9.75 66 9.88 9.91 66 10.14 10.24 65201 to 300 Beds 9.49 10.04 36 9.01 9.35 38 9.82 9.34 39301 to 400 Beds 11.61 10.44 19 11.27 9.85 21 11.02 10.18 22401 to 500 Beds 11.45 10.60 21 11.40 11.10 23 11.28 11.26 21Over 500 Beds 10.54 9.56 29 11.12 9.59 31 10.74 9.97 28
Total All Hospitals 10.01 9.68 571 10.25 9.94 592 10.46 10.11 580Excluded Cost Reports 164 182 206
Total Cost Reports 735 774 786
Mean Median Count Mean Median Count Mean Median Count25 Beds or Less 10.77 10.33 236 11.13 10.79 211 10.82 10.67 15226 to 100 Beds 10.75 10.41 163 10.28 10.25 171 10.27 9.83 75
101 to 200 Beds 10.91 10.67 65 10.46 10.26 68 7.91 7.79 15201 to 300 Beds 10.17 9.42 37 9.62 9.29 39 7.62 7.65 8301 to 400 Beds 10.83 9.46 24 10.49 9.31 21 12.26 12.26 1401 to 500 Beds 11.52 11.21 23 10.01 10.60 19 10.56 10.65 4Over 500 Beds 10.71 9.99 29 11.51 10.38 30 9.08 9.08 2
Total All Hospitals 10.77 10.33 577 10.64 10.34 559 10.38 9.91 257Excluded Cost Reports 175 176 489
Total Cost Reports 752 735 746
Number of Licensed Beds2006 2005 2004
Average Age of Plant and EquipmentAll State and Local Government Owned General Acute Care Hospitals in the United States Ranked by Number of Licensed Beds
Number of Licensed Beds2009 2008 2007
Notes:• 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 52
Peer Group Comparison - Average Age of Plant and Equipment
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.86 4.23 61 4.52 4.75 63 4.83 5.13 592nd Quartile 7.67 7.67 61 8.10 8.09 63 8.59 8.67 593rd Quartile 10.53 10.41 61 11.11 11.19 63 11.10 11.19 604th Quartile 16.09 15.98 62 15.93 15.94 64 16.35 16.36 60
Total Population 9.56 8.90 245 9.94 9.82 253 10.25 9.68 238Excluded Cost Reports 60 71 89
Total Cost Reports 305 324 327
Mean Median Count Mean Median Count Mean Median Count1st Quartile 5.07 5.25 59 4.98 5.32 52 4.65 5.10 382nd Quartile 8.98 8.92 59 9.38 9.35 53 9.29 9.54 383rd Quartile 12.00 11.85 59 12.55 12.56 53 12.35 12.26 384th Quartile 17.02 16.71 59 17.48 17.27 53 16.98 16.58 38
Total Population 10.77 10.33 236 11.13 10.79 211 10.82 10.67 152Excluded Cost Reports 68 52 74
Total Cost Reports 304 263 226
Quartile Rank2006 2005 2004
Average Age of Plant and EquipmentAll State and Local Government Owned General Acute Care Hospitals in the United States with 25 Licensed Beds or Less
Quartile Rank2009 2008 2007
Notes:• 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 53
Peer Group Comparison - Average Age of Plant and Equipment
Mean Median Count Mean Median Count Mean Median Count1st Quartile 4.59 4.60 38 5.33 5.73 40 5.24 6.00 412nd Quartile 8.70 8.71 39 9.22 9.24 40 9.42 9.45 423rd Quartile 11.53 11.41 39 11.71 11.59 40 12.07 11.89 424th Quartile 16.60 16.70 39 16.67 16.48 40 16.42 15.89 42
Total Population 10.39 10.04 155 10.73 10.41 160 10.82 10.79 167Excluded Cost Reports 48 50 50
Total Cost Reports 203 210 217
Mean Median Count Mean Median Count Mean Median Count1st Quartile 5.58 6.40 40 5.04 5.53 42 4.84 5.04 182nd Quartile 9.21 9.10 41 8.90 8.90 43 8.86 8.99 193rd Quartile 11.94 11.93 41 11.38 11.29 43 10.95 10.83 194th Quartile 16.15 15.16 41 15.68 15.28 43 16.14 15.70 19
Total Population 10.75 10.41 163 10.28 10.25 171 10.27 9.83 75Excluded Cost Reports 45 58 202
Total Cost Reports 208 229 277
Average Age of Plant and EquipmentAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 26 and 100 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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 54
Peer Group Comparison - Average Age of Plant and Equipment
Mean Median Count Mean Median Count Mean Median Count1st Quartile 4.47 4.48 16 4.66 5.18 16 5.36 6.67 162nd Quartile 8.61 8.38 16 8.95 8.97 16 9.35 9.34 163rd Quartile 11.17 10.98 17 10.94 11.04 17 11.23 11.17 164th Quartile 14.79 13.74 17 14.61 14.03 17 14.37 13.78 17
Total Population 9.86 9.75 66 9.88 9.91 66 10.14 10.24 65Excluded Cost Reports 20 27 31
Total Cost Reports 86 93 96
Mean Median Count Mean Median Count Mean Median Count1st Quartile 6.28 6.90 16 6.11 6.84 17 3.77 3.15 32nd Quartile 9.58 9.38 16 9.21 9.38 17 6.40 6.39 43rd Quartile 11.76 11.70 16 11.27 11.28 17 8.28 8.36 44th Quartile 15.74 15.16 17 15.25 14.24 17 12.14 11.40 4
Total Population 10.91 10.67 65 10.46 10.26 68 7.91 7.79 15Excluded Cost Reports 27 28 80
Total Cost Reports 92 96 95
Average Age of Plant and EquipmentAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 101 and 200 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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 55
Peer Group Comparison - Average Age of Plant and Equipment
Mean Median Count Mean Median Count Mean Median Count1st Quartile 4.77 5.03 9 3.99 5.18 9 5.14 5.66 92nd Quartile 8.71 8.68 9 8.32 8.36 9 8.39 8.34 103rd Quartile 10.89 10.71 9 10.12 10.17 10 10.28 10.35 104th Quartile 13.57 12.75 9 13.03 12.16 10 15.00 14.09 10
Total Population 9.49 10.04 36 9.01 9.35 38 9.82 9.34 39Excluded Cost Reports 11 11 8
Total Cost Reports 47 49 47
Mean Median Count Mean Median Count Mean Median Count1st Quartile 6.45 6.72 9 6.23 6.74 9 3.24 3.24 22nd Quartile 8.80 9.05 9 8.35 8.44 10 7.11 7.11 23rd Quartile 10.22 10.12 9 10.12 10.19 10 8.28 8.28 24th Quartile 14.70 14.72 10 13.43 13.94 10 11.84 11.84 2
Total Population 10.17 9.42 37 9.62 9.29 39 7.62 7.65 8Excluded Cost Reports 12 9 41
Total Cost Reports 49 48 49
Average Age of Plant and EquipmentAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 201 and 300 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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 56
Peer Group Comparison - Average Age of Plant and Equipment
Mean Median Count Mean Median Count Mean Median Count1st Quartile 7.40 7.90 4 7.80 8.06 5 7.37 7.65 52nd Quartile 9.30 9.30 5 8.85 8.63 5 8.76 8.63 53rd Quartile 11.63 11.49 5 10.83 10.46 5 11.06 10.98 64th Quartile 17.25 17.31 5 16.54 15.59 6 15.92 15.44 6
Total Population 11.61 10.44 19 11.27 9.85 21 11.02 10.18 22Excluded Cost Reports 10 11 11
Total Cost Reports 29 32 33
Mean Median Count Mean Median Count Mean Median Count1st Quartile 7.13 6.96 6 6.60 6.87 5 12.26 12.26 12nd Quartile 8.74 8.92 6 8.42 8.19 5 0.00 0.00 03rd Quartile 10.51 10.42 6 10.57 11.09 5 0.00 0.00 04th Quartile 16.93 16.65 6 15.40 14.73 6 0.00 0.00 0
Total Population 10.83 9.46 24 10.49 9.31 21 12.26 12.26 1Excluded Cost Reports 9 12 32
Total Cost Reports 33 33 33
Average Age of Plant and EquipmentAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 301 and 400 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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 57
Peer Group Comparison - Average Age of Plant and Equipment
Mean Median Count Mean Median Count Mean Median Count1st Quartile 6.65 8.67 5 5.98 6.49 5 5.36 6.46 52nd Quartile 10.09 10.31 5 9.94 10.00 6 10.16 10.59 53rd Quartile 11.79 11.91 5 11.70 11.73 6 12.31 12.32 54th Quartile 16.29 16.74 6 17.08 17.53 6 16.29 15.98 6
Total Population 11.45 10.60 21 11.40 11.10 23 11.28 11.26 21Excluded Cost Reports 8 6 8
Total Cost Reports 29 29 29
Mean Median Count Mean Median Count Mean Median Count1st Quartile 5.26 6.78 5 4.46 5.23 4 7.42 7.42 12nd Quartile 9.91 10.06 6 9.04 9.06 5 9.97 9.97 13rd Quartile 12.21 11.89 6 10.96 10.95 5 11.32 11.32 14th Quartile 17.66 18.36 6 14.45 12.33 5 13.54 13.54 1
Total Population 11.52 11.21 23 10.01 10.60 19 10.56 10.65 4Excluded Cost Reports 6 10 25
Total Cost Reports 29 29 29
Average Age of Plant and EquipmentAll State and Local Government Owned General Acute Care Hospitals in the United States with Between 401 and 500 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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 58
Peer Group Comparison - Average Age of Plant and Equipment
Mean Median Count Mean Median Count Mean Median Count1st Quartile 6.99 7.52 7 7.30 7.36 7 7.60 8.15 72nd Quartile 8.54 8.37 7 8.89 8.89 8 9.15 9.26 73rd Quartile 10.60 10.80 7 10.96 11.01 8 11.57 12.23 74th Quartile 15.36 15.02 8 16.86 17.31 8 14.62 13.99 7
Total Population 10.54 9.56 29 11.12 9.59 31 10.74 9.97 28Excluded Cost Reports 7 6 9
Total Cost Reports 36 37 37
Mean Median Count Mean Median Count Mean Median Count1st Quartile 7.42 7.10 7 7.71 7.82 7 8.94 8.94 12nd Quartile 9.35 9.47 7 9.48 9.45 7 9.22 9.22 13rd Quartile 10.73 10.44 7 11.33 11.09 8 0.00 0.00 04th Quartile 14.75 14.34 8 16.78 15.90 8 0.00 0.00 0
Total Population 10.71 9.99 29 11.51 10.38 30 9.08 9.08 2Excluded Cost Reports 8 7 35
Total Cost Reports 37 37 37
Average Age of Plant and EquipmentAll State and Local Government Owned General Acute Care Hospitals in the United States with Over 500 Licensed Beds
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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 59
Peer Group Comparison - Average Age of Plant and Equipment
Mean Median Count Mean Median Count Mean Median Count1st Quartile 4.55 5.01 140 5.02 5.42 145 5.27 5.71 1422nd Quartile 8.31 8.29 142 8.65 8.63 147 8.99 8.96 1443rd Quartile 10.99 10.96 143 11.19 11.20 149 11.40 11.36 1464th Quartile 15.92 15.67 146 15.90 15.80 151 15.95 15.62 148
Total Population 10.01 9.68 571 10.25 9.94 592 10.46 10.11 580Excluded Cost Reports 164 182 206
Total Cost Reports 735 774 786
Mean Median Count Mean Median Count Mean Median Count1st Quartile 5.65 6.26 142 5.41 5.84 136 4.85 5.04 642nd Quartile 9.15 9.09 144 9.10 9.06 140 8.93 9.20 653rd Quartile 11.73 11.68 144 11.67 11.37 141 11.54 11.48 644th Quartile 16.37 15.94 147 16.15 15.85 142 16.21 16.09 64
Total Population 10.77 10.33 577 10.64 10.34 559 10.38 9.91 257Excluded Cost Reports 175 176 489
Total Cost Reports 752 735 746
Average Age of Plant and EquipmentAll State and Local Government Owned General Acute Care Hospitals in the United States Regardless of Bed Size
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Notes:• 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 60
Introduction to Healthcare Management PartnersWho We Are
HMP is a hospital and healthcare services management firm. All of its senior executives have decades of healthcare experienceincluding CEO, COO and CFO assignments across the spectrum of healthcare service providers. Our senior management has deepexperience in building and operating thriving healthcare organizations. Part of that experience includes taking decisive action in crisesor turnaround situations. This knowledge base gives HMP a unique perspective and all the tools necessary to handle the issues facingany healthcare provider organization. HMP provides Hospital Contract Management, Turnaround Management and Interim or CrisisManagement services.
Our Approach
Our approach to every assignment is built upon the straightforward application of three simple steps or guiding principles.
Listen – We listen carefully to our clients, their key stakeholders and the marketplace throughout each assignment.
Evaluate – We employ detailed, fact-based analysis to evaluate and validate assumptions, findings and recommended actions.
Implement – We have a bias toward “getting it done.” We take decisive action to quickly convert opportunities or solve problems .
The HMP Difference Total commitment to providing C-Level attention throughout each assignment by experienced healthcare executives
Small, dedicated teams of operating professionals for each assignment
Absolute integrity of our fact-based approach
Action-oriented diagnostic and business planning processes
Proven ability to drive positive outcomes in all sectors of healthcare
Depth of HMP network, providing critical access to key resources and people
Commitment to the highest professional standards
October 2010 61
Introduction to Healthcare Management Partners
Management Services
HMP is a hospital and healthcare services management firm. All of its senior executives have decades of healthcare experienceincluding CEO, COO and CFO assignments across the spectrum of health services. Examples of specific assignments include serving asthe Chief Executive Officer (CEO) of the following types of healthcare organizations:
Religious affiliated or sponsored multihospital systems
Free standing not-for-profit or government owned community hospitals
University and major teaching hospitals
Single site and multihospital regional operations for investor owned hospital management companies
De Novo organizations (start-up) planning, construction and operation of new general acute care hospitals, free-standing heartand cancer hospitals, a continuing care retirement community and many other related facilities
Hospitals that are in bankruptcy or for sale
Financially distressed skilled nursing facilities
Home health, hospice and physician practices
“HMP’s senior staff members are professional healthcare service executives who also possess consulting skills, not professional consultants. We understand and are committed to the provision of quality healthcare services
at every provider organization where we have a management role.”
October 2010
Hospital Contract Management
HMP is positioned to undertake the long-term (3 to 5 years) contract management of hospitals of all sizes and stages ofdevelopment. Our executives are experienced in leading the development of new or replacement general acute care or specialtyhospitals or the turnaround and repositioning of existing hospitals. They can effectively lead initiatives in the following areas:
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Introduction to Healthcare Management Partners
Strategic Leadership Clinical Excellence Operational Excellence Financial Performance
Market Positioning Clinical Process Redesign Patient Throughput Revenue Cycle
Brand Development Evidence‐Based Care Emergency Department Clinical Efficiency
Business Office Consolidation
Service Line Development Resource Utilization and Cost of Quality
Surgical Services Clinical Efficiency
Managed Care Contracting
Capital Planning and Investment Pay for Performance Inpatient Length of Stay and Level of Care
Risk Management and Insurance
Physician Relations Care and Case Management Processes
Human Resources Management Budgeting / Financial Planning
Physician Integration Quality and Safety Indicators Ambulatory Care Capital Programs
Continuum of Care Design and Implementation Strategic Plans
Hospice and Home Care Supply Chain
Corporate and Medical Staff Governance
Mission and Vision Best Practices and Operating Metrics
Financial Reporting and Accounting
We will be directly accountable to the board of directors and will assume full responsibility to plan, organize, staff, direct andcontrol the successful and cost effective operations of the hospital.
Because HMP is not a management consulting firm, our contract management executives are free to always bring the best and mostcost-effective solution, from whatever source, to the hospital should outside assistance prove necessary to implement a givenstrategic or tactical initiative.
October 2010
Turnaround Management
HMP’s executives have served as chief restructuring officers of healthcare companies through bankruptcies, crisis situations and in theearly stages of high-profile criminal and civil fraud investigations. In each of these situations, their leadership helped theseorganizations bolster performance through discipline and carefully planned action.
Some consultants assess your problems and provide a recommended course of action. But HMP executives take the helm of failingorganizations and assume direct responsibility for transforming them. Time and again, they have succeeded in revitalizing providers ofall kinds, from a rural nursing home chain to a 1,000 bed teaching hospital or a 179 bed county owned community hospital.
There are no quick fixes in turnaround management, but HMP has developed a highly effective, streamlined approach for achievinglasting improvements as soon as possible. We begin by developing a strong knowledge base of your organization. Individuals fromevery level of the organization are interviewed: management, medical and nursing staff members, board of directors, employees,patients and their families. Their input, combined with a depth of healthcare industry knowledge, allows HMP to:
Stabilize the crises,
Identify immediate opportunities and challenges,
Develop a strategic plan, including milestones and deadlines,
Define expected outcomes,
Build consensus with all constituents – medical and nursing staffs, management, unions, and the local community,
Change cultures, and
Optimize performance.
In all of its healthcare provider turnaround assignments, HMP has successfully designed and executed plans that simultaneously addedpatient volume and revenues, reduced costs and improved profitability and cash flow.
From the outset, HMP builds on each organization’s strengths, working side‐by‐side with management, directors and other keystakeholders to drive desired results. HMP also focuses on winning the support and active participation of the medical and nursingstaffs, which is fundamental for delivering quality healthcare services and improving financial results.
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Introduction to Healthcare Management Partners
October 2010
Interim and Crisis Management
HMP serves in interim and crisis management roles when required to help guide providers through periods of crisis or change.Companies that are underperforming and in crisis, or healthy but in transition, may need additional experienced healthcare industryleaders to stabilize operations and improve financial performance or maintain continuity in the rapid implementation of critical strategicinitiatives.
Our professionals can offer critical advice or step into key leadership positions such as Chief Restructuring Officer, Chief FinancialOfficer, or Chief Executive Officer to provide needed stability during periods of change. Our proven interim management capabilitiesadd valuable support in crisis situations. We immediately fill critical leadership vacancies and shorten the lead‐time for implementingspecific initiatives. HMP provides much needed leadership and speed to create value in executing crisis management and restructuringplans.
Our crisis and interim management services include:
Immediate staffing of critical senior management positions
Reducing lead‐time for implementing strategic initiatives
Managing communications processes with Members of the medical and nursing staffs, board members, employees and regulators,and if required
Bankruptcy process planning and administration
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Introduction to Healthcare Management Partners
October 2010
Clients Our Professionals Have Served
65
Investor Owned Hospitals or Health SystemsAmeris Health Systems Health South Corporation Integrated Healthcare
Holdings, Inc.Shasta Regional Medical Center
Doctors Hospital, Houston Hospital Corporation of America
Lakeside Hospital at Bastrop St. Joseph Hospital, Houston
Doctors Hospital, Los Angeles Hugh Chatham Memorial Hospital
LifePoint Hospitals Tenet Healthcare Corporation
HealthPlus Hughston Hospital and Clinic Monroe Hospital, LLC Vanguard Health Systems
Hospital Partners of America Integra Healthcare Promise Healthcare
Not-For-Profit or Governmental Hospitals or SystemsBaylor College of Medicine Hahnemann University
HospitalNew York United Hospital Medical Center
Southern Chester County Medical Center
The Brooklyn Hospital Center Health Alliance of Cincinnati Nyack Hospital St Vincent’s Catholic Medical Centers, New York
Devereux Foundation National Health Service, United Kingdom
Rahway Hospital Temple Health System
Franciscan Health System Legacy Health System Raritan Bay Health System Tri‐Lakes Medical Center
General Health System Mercy Health System Robert Wood Johnson Health Network
University Hospital Consortium of Pennsylvania
Good Samaritan Hospital Natchez Regional Medical Center
Sisters of Mercy Health System
October 2010 66
Law and Accounting FirmsBird Marella LLP Deloitte Kantrow, Spaht, Weaver & Blitzer Patton Boggs
Bradley Arant Boult Cummings LLP
Gearhiser, Peters, Lockaby, Cavett & Elliott, PLLC
KPMG Ramirez International, Inc.
Brown McCarroll LLP Hogan & Hartson LLP Latham & Watkins Whiteford Taylor Preston, LLP
Fulbright & Jaworski LLP Hooper, Lundy & Bookman Mancuso & Franco PC Schiavetti, Corgan, Soscia, DiEdwards and Nicholson, LLP
Decosimo Jones Day Milbank, Tweed, Hadley and McCloy LLP
Waller Lansden Dortch & Davis
Clients Our Professionals Have Served
Senior Care and/or Continuing Care Retirement CommunitiesGrace Care of Texas Monarch Landing, Inc.
Jenner’s Pond Continuing Care Retirement Community National Senior Campuses (Erickson Retirement Communities)
Life Care Centers of America Sedgebrook, Inc.
Linden Ponds, Inc. St. Edward Mercy Health Systems (Ft. Smith, AR)
Mercy Hospitals of Texas St. Johns Nursing Home (St. Louis, MO)
Other Providers / PayorsBlue Cross of Tennessee Best Choice Home Health Community Behavioral Health
Network of PAColumbia Home Care
October 2010 67
Firm Leadership
Scott PhillipsTitle Managing Director
Education B.S. from University of FloridaCPA
Boards & Organizations American Bankruptcy Institute Healthcare Subcommittee Chair
Telephone 267.207.2929
Mobile 267.804.3885
E-Mail [email protected]
Scott has more than 30 years of healthcare industry management and consulting experience. Prior to founding HMP in 1997, he served as thepresident and chief executive officer of a 636-bed academic medical center, as national partner and regional healthcare practice director for ToucheRoss & Co., and as the chief financial officer of a faith-based multihospital system operating 12 hospitals across seven states.
Scott has significant management and consulting experience with government, tax-exempt and investor owned healthcare service providers. Heunderstands the organization and delivery of high-quality health services, including the role of corporate and medical staff governance duringdifficult periods of transition. Scott has executive level experience with mergers, acquisitions and turnaround situations, including restructuring inbankruptcy. In all of his many healthcare provider turnaround assignments, he has successfully designed and implemented plans that simultaneouslyadded patient volume and revenues while conserving cash and reducing unit costs. He understands this approach builds on the organization’sstrengths and attracts the support of the local community and medical and nursing staffs, which is essential for the long-term provision of qualityhealthcare services.
Over the past several years, Scott has served as the chairman and CEO of an investor owned healthcare provider with operations in 15 states andchief executive officer of a publicly traded medical staffing company with more than 2,000 employees. Both turnaround assignments included thecrises management of complex organizations in the early stages of high-profile criminal and civil fraud investigations by multiple federal agencies.
Scott has expert knowledge of the bankruptcy process as well as its implications and obligations on an operating provider of healthcare services. Herecently led the successful financial turnaround and Chapter 9 reorganization of a 179-bed county-owned hospital.
Recently he was the financial advisor to 18 tax-exempt continuing care retirement communities with more than 20,000 residents in twelve states,affected by the bankruptcy and sale of Erickson Retirement Communities.
Scott graduated from the University of Florida with a Bachelor of Science in accounting. He is a licensed certified public accountant and member ofnumerous professional organizations. He is currently serving Leader Special Projects, Healthcare Committee, American Bankruptcy Institute.
October 2010 68
Firm Leadership
Michael MorganTitle Managing Director
Education MBA from University of Central OklahomaB.S. from University of Science and Arts of Oklahoma
Boards & Organizations Fellow of American College of Healthcare Executives
Telephone 713.968.6521
Mobile 214.701.9990
E-Mail [email protected]
Michael is a former hospital chief executive officer with more than 30 years of experience in healthcare management. He brings expertise and talentfor turning around ailing healthcare providers and optimizing healthy organizations.
In his 25-year career at the Sisters of Mercy Health System, Michael was responsible for turning around five of the system’s 19 hospitals. He servedas president and chief executive officer for several Sisters of Mercy hospitals, including St. John’s Mercy Health Care, which has over $800 millionin operating revenues, employs more than 8,000 individuals and includes the system’s flagship 957-bed teaching hospital. As the CEO, he has setsuccessful new strategies, improved clinical and administrative operations and changed organizational cultures. His trademark is developing capablemanagement teams that in turn increase service quality, employee and medical staff satisfaction, patient volume, profitability and maximize cashflow.
After leaving the Sisters of Mercy system, Michael served as the chief restructuring officer and CEO for a two-hospital, investor owned system inTexas. In eight months, he led the successful turnaround, emergence from bankruptcy and recapitalization of the hospitals by a physician-led limitedpartnership. He led the turnaround of a chain of five nursing homes in Texas and the bankruptcy turnaround of a two-campus, acute-care hospital inMississippi. He was the oversight Managing Director for a two-campus rehab and specialty hospital chapter 11 bankruptcy. He also recently servedas the CRO for three individual CCRC’s under a large CCRC management company bankruptcy, and provided financial advisory services for a largeinvestment banking group on a 500-bed hospital system.
Michael holds a Bachelor of Science in business administration from the University of Science and Arts of Oklahoma and a Master of Science inbusiness administration from the University of Central Oklahoma. He is a fellow of the American College of Healthcare Executives and has servedas an officer or director of numerous hospitals and business organizations, including a 280,000-member for-profit health insurance plan.
October 2010 69
Firm Leadership
Bruce BuchananTitle Managing Director
Education MBA from George Mason UniversityMHSA from University of MichiganB.A. from Princeton University
Boards & Organizations Fellow of American College of Healthcare Executives
Mobile 602.363.1140
Fax 866.794.9501
E-Mail [email protected]
Bruce has more than 30 years of experience in the healthcare field and is a senior healthcare executive with a successful track record in both the not-for-profit and investor owned sectors. He possesses multimarket experience at the hospital and health system chief executive officer level. He hasdeep experience and expertise in revenue growth, physician collaboration/integration, organizational development, productivity improvement andquality enhancement.
Before joining HMP, Bruce served as CEO of Phoenix Baptist Hospital, where he turned around the distressed 236-bed teaching hospital by reducingoperating costs while enhancing the quality of care. Bruce led a similar turnaround of Northeast Baptist Hospital in San Antonio, including recruitingnew physicians, doubling the hospital’s physical space and growing market share. He also served as president and CEO of Atlanta Medical Centerand Mercy Health System Oklahoma and its Mercy Health Center in Oklahoma City. Bruce also held senior management positions with HillcrestHealthcare System and Saint Joseph Hospital and worked for Invalesco Group as an operations consultant to healthcare organizations.
Most recently with HMP, Bruce served as Chief Restructuring Officer for a rehabilitation hospital company with two facilities. He successfully ledthe company through a Chapter 11 bankruptcy process and a Section 363 sale to a new, privately held owner. He also served as CEO of a countyhospital and guided it through a Chapter 9 bankruptcy, which resulted in all unsecured creditors receiving three year notes for full payment plusinterest.
Bruce has a Bachelor of Arts in sociology from Princeton University, a Master of Health Services Administration from University of Michigan, and aMaster of Business Administration from George Mason University. He is board-certified in healthcare management and a Fellow in the AmericanCollege of Healthcare Executives. He also is a member of the Turnaround Management Association.
October 2010 70
Firm Leadership
Derek PierceTitle Managing Director
Education B.S. from Samford University
Telephone 205.202.0459
Mobile 615.584.0719
E-Mail [email protected]
Derek has over 20 years of professional experience focused solely in the healthcare industry, having served as chief financial officer, chiefrestructuring officer, director of reimbursement, court-appointed examiner, Medicare auditor, Medicare cost report preparer, forensic accountant,compliance consultant, financial auditor, and financial advisor. He has audited, managed and consulted with all types of healthcare providers,including government owned, community not-for-profit, academic, and investor owned entities.
Most recently, Derek served as the restructuring chief financial officer of a two-campus, not-for-profit hospital in Chapter 11 bankruptcy. In additionto his CFO responsibilities, he led the Section 363 sale process and conducted a forensic review into the circumstances that led to the hospital’sbankruptcy filing. Throughout the project, Derek worked closely with senior lenders, debtor-in-possession lenders and the applicable federal loanprogram to a successful plan of reorganization.
Starting his career with the Medicare fiscal intermediary as a Medicare auditor, Derek developed deep expert knowledge of the patient revenue cycle,third-party contracting, and Medicare and Medicaid rules and regulations. He is expert in the areas of corporate and regulatory compliance andforensic accounting in conjunction with the defense of civil and criminal fraud claims or allegations. He led teams conducting forensic analysis insupport of settlement negotiations with the government at both Hospital Corporation of America (HCA) and HealthSouth Corporation, two of thelargest and most complex civil fraud settlements in history.
In his career, Derek has led or participated in interim management and consulting assignments for more than 40 healthcare providers, includingBaptist Memorial Health Care, National Health Service (United Kingdom) Washington Hospital Center, Lifepoint Hospitals, Tampa GeneralHospital, Legacy Health System and IASIS Healthcare.
Prior to joining HMP as a managing director, Derek was a Director with Alvarez & Marsal in its New York-based healthcare practice. Before that,he was a senior manager with Arthur Andersen in its Atlanta-based healthcare consulting practice.
Derek is a graduate of Samford University with a Bachelor of Science in accounting and is a member of numerous professional associations.
October 2010
Contact Information
Philadelphia• Contact: Scott Phillips
Managing Director• Address:
One Liberty Place1650 Market Street36th FloorPhiladelphia, PA 19103
• Phone: 267.804.3885• Fax: 215.689.4386
New York• Contact: Nihal Shah
Director• Address:
1185 Avenue of the Americas30th FloorNew York, NY 10036
• Phone: 212.461.4243• Fax: 212.461.4252
Houston• Contact: Mike Morgan
Managing Director• Address:
5100 WestheimerSuite 200Houston, TX 77056
• Phone: 713.968.6521• Fax: 866.422.6176
Birmingham• Contact: Derek Pierce
Managing Director• Address:
2001 Park Place, Suite 1400Birmingham, AL 35203
• Phone: 205.202.0459• Fax: 615.523.1835
Phoenix• Contact: Bruce Buchanan
Managing Director• Address:
243 E. Glenn DrivePhoenix, AZ 85020
• Mobile: 602.363.1140 • Fax: 866.794.9501
London, UK• Contact: Tim Bolot
Managing Director• Address:
Bolt Partners LLP 192 Haverstock Hill,Belsize Park,London NW3 2AJ
• Phone: +44 (0)20 7435 7349
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