Washington Township Health Care District Washington Hospital - PowerPoint PPT Presentation

Washington Township Health Care District

Washington Hospital Operating Indicators April 2018 April YTD 12 Mo Over Over Avg Budget (Under) Budget (Under) Actual Actual Acute Inpatient Average Daily Census 161.6 153.3 184.8 (31.5) 161.4 168.3 (6.9) Admissions 1,045 978 1,106 (128) 10,445 10,250 195 Patient Days 4,913 4,599 5,545 (946) 49,078 51,167 (2,089) O/P Observation Equivalent Days 134 122 216 (94) 1,309 2,021 (712) ALOS (discharge days) 4.67 4.98 5.01 (0.03) 4.65 4.99 (0.34)

Washington Hospital Operating Indicators April 2018 April YTD 12 Mo Over Over Avg Actual Budget (Under) Actual Budget (Under) Utilization Statistics CMI (discharge basis) 1.485 1.519 1.531 (0.012) 1.479 1.531 (0.052) Deliveries 142 113 169 (56) 1,403 1,497 (94) Surgical Cases 354 354 407 (53) 3,525 3,755 (230) Joint Replacement Cases 139 160 152 8 1,383 1,375 8 Neurosurgical Cases 24 15 29 (14) 235 268 (33) Cardiac Surgical Cases 9 8 13 (5) 89 107 (18) Cath Lab Procedures 325 269 346 (77) 3,199 3,357 (158) Outpatient Visits 7,227 7,087 7,040 47 72,414 70,565 1,849 Emergency Visits 4,384 4,061 4,555 (494) 43,469 44,336 (867)

Washington Hospital Operating Indicators Cath Lab Activity – May 2018

Washington Hospital Operating Indicators April 2018 April YTD 12 Month (Over) (Over) Avg Budget Under Budget Under Actual Actual Productivity Indicators Productive FTEs 1,250.1 1,248.0 1,383.6 135.6 1,251.8 1,296.6 44.8 Nonproductive FTEs 180.8 180.4 178.5 (1.9) 184.1 189.0 4.9 Total FTEs 1,430.9 1,428.4 1,562.1 133.7 1,435.9 1,485.6 49.7 Total FTEs/Adjusted Occupied Bed 6.65 6.80 6.41 (0.39) 6.68 6.56 (0.12)

Washington Hospital Summary of Operations-GASB Format (000s) April 2018 April YTD Budget Budget Actual Variance % VAR. Actual Variance % VAR. 158,911 186,831 (27,920) -14.9% Total Patient Rev 1,662,843 1,745,284 (82,441) -4.7% 73.32% 76.77% Contractual % of Rev 75.31% 76.89% 43,503 43,948 (445) -1.0% Net Operating Rev 420,494 412,677 7,817 1.9% 40,646 41,309 663 1.6% Operating Expenses 399,986 400,532 546 0.1% 2,857 2,639 218 8.3% Operating Income (Loss) 20,508 12,145 8,363 68.9% 6.6% 6.0% Operating Margin 4.9% 2.9% 314 285 29 10.2% Investment Income 2,825 2,806 19 0.7% (34) - (34) 0.0% Realized Gain/(Loss) on Investments (295) - (295) 0.0% 270 305 (35) -11.5% Rental Income, Net 2,440 3,058 (618) -20.2% (185) (185) - 0.0% Amortization of Intangible Assets (1,844) (1,844) - 0.0% 1,356 1,355 1 0.1% Property Tax Revenue 13,548 13,528 20 0.1% (466) - (466) 0.0% Unrealized Gain/(Loss) on Investments (2,545) - (2,545) 0.0% 1,255 1,760 (505) -28.7% Non-Operating Inc & Exp 14,129 17,548 (3,419) -19.5% 4,112 4,399 (287) -6.5% Net Income (Loss) 34,637 29,693 4,944 16.7% 9.5% 10.0% Total Margin 8.2% 7.2%

Washington Hospital Summary of Operations-FASB Format (000s) April 2018 April YTD Budget Variance Budget Actual % VAR. Actual Variance % VAR. 158,911 186,831 (27,920) -14.9% Total Patient Rev 1,662,843 1,745,284 (82,441) -4.7% 73.32% 76.77% Contractual % of Rev 75.31% 76.89% 43,503 43,948 (445) -1.0% Net Operating Rev 420,494 412,677 7,817 1.9% 40,646 41,309 663 1.6% Operating Expenses 399,986 400,532 546 0.1% 2,857 2,639 218 8.3% Operating Income (Loss) 20,508 12,145 8,363 68.9% 6.6% 6.0% Operating Margin 4.9% 2.9% 314 285 29 10.2% 2,825 2,806 19 0.7% Investment Income (34) - (34) 0.0% (295) - (295) 0.0% Realized Gain/(Loss) on Investments 270 305 (35) -11.5% 2,440 3,058 (618) -20.2% Rental Income, Net (185) (185) - 0.0% (1,844) (1,844) - 0.0% Amortization of Intangible Assets 365 405 (40) -9.9% Non-Operating Inc & Exp 3,126 4,020 (894) -22.2% 3,222 3,044 178 5.8% Net Income (Loss) 23,634 16,165 7,469 46.2% 7.4% 6.9% Total Margin 5.6% 3.9%

May 2018 Preliminary Operations Report

Washington Hospital Preliminary Gross Revenue May 2018 % May Actual Budget Variance Variance 2017 IP Gross Revenue $121,906 $134,350 ($12,444) (9.3%) $130,372 OP Gross Revenue $47,107 $45,335 $1,772 3.9% $45,500 Total Gross Revenue $169,013 $179,685 ($10,672) (5.9%) $175,872 1

Washington Hospital Major Drivers of Revenue Variance May 2018 In Thousands % Actual Budget Variance Variance Cath Lab Procedures $13,812 $11,531 $2,281 19.8% Birthing Center $3,204 $3,808 ($604) (15.9%) Emergency Room $10,180 $10,975 ($795) (7.2%) Room & Board $30,866 $37,465 ($6,599) (17.6%) Ancillary Services $74,369 $79,577 ($5,208) (6.5%) 2

Washington Hospital Key Census Statistics May 2018 % May Actual Budget Variance Variance 2017 ALOS (discharge based) 4.47 4.93 (0.46) (9.3%) 4.62 OP Observation Days 147 203 (56) (27.6%) 156 Average Daily Census 145.6 172.1 (26.5) (15.4%) 164.4 3

Washington Hospital Admissions Trend May 2018 % May Actual Budget Variance Variance 2017 1,012 1,082 (70) (6.5%) 1,090 1300 1100 900 700 500 Actual Budget 4

Washington Hospital Patient Days Trend May 2018 % May Actual Budget Variance Variance 2017 4,514 5,336 (822) -15.4% 5,096 6000 5500 5000 4500 4000 3500 Actual Budget 5

Washington Hospital Surgical Trend May 2018 % May Actual Budget Variance Variance 2017 375 396 (21) (5.3%) 376 600 550 500 450 400 350 300 250 200 Actual Budget 6

Washington Hospital Surgical Activity May 2018 % Actual Budget Variance Variance Surgery Detail Joint Replacement Surgery 153 139 14 10.1% Cardiac Surgery 12 10 2 20.0% Neuro Surgery 28 28 0 0.0% General Surgery 182 219 (37) (16.9%) Total 375 396 (21) (5.3%) 7

Washington Hospital Cath Lab Trend May 2018 % May Actual Budget Variance Variance 2017 335 328 7 2.1% 343 450 400 350 300 250 200 Actual Budget 8

Washington Hospital Cath Lab Activity May 2018 % Actual Budget Variance Variance Peripheral Vascular Procedures 144 123 21 17.1% Cardiac Procedures 140 120 20 16.7% Neuro IR Procedures 6 12 (6) (50.0%) Non-Vascular IR Procedures 45 73 (28) (38.4%) Total 335 328 7 2.1% 9

Washington Hospital Deliveries May 2018 % May Actual Budget Variance Variance 2017 130 169 (39) (23.1%) 156 200 180 160 140 120 100 Actual Budget 10

Washington Hospital Non-ER OP Trend May 2018 % May Actual Budget Variance Variance 2017 7,481 7,458 23 0.3% 7,217 9000 8000 7000 6000 5000 Actual Budget 11

Washington Hospital Emergency Room Visits Trend May 2018 % May Actual Budget Variance Variance 2017 4,237 4,612 (375) (8.1%) 4,776 5500 5000 4500 4000 3500 3000 Actual Budget 12

Washington Hospital Preliminary Productivity Indicators May 2018 % May Actual Budget Variance Variance 2017 Productive FTEs 1,216.1 1,324.7 108.6 8.2% 1,274.4 Nonproductive FTEs 151.8 153.1 1.3 0.8% 136.0 Total FTEs 1,367.9 1,477.8 109.9 7.4% 1,410.4 Productive FTE/AOB 6.02 5.76 (0.26) (4.5%) 5.75 Total FTE/AOB 6.78 6.42 (0.36) (5.6%) 6.36 13

Washington Hospital Preliminary Other Operational Statistics May 2018 % May Actual Budget Variance Variance 2017 WOSC Surgical Cases 474 498 (24) (4.8%) 508 Clinic Visits 3,403 4,003 (600) (15.0%) 3,875 14

Washington Hospital Preliminary Payor Mix May 2018 May Gross Revenue Actual Budget Variance 2017 Total Medicare Sponsored 53.5% 52.4% 1.1% 49.2% Total Medi-Cal Sponsored 20.5% 19.4% 1.1% 23.4% Total Government Sponsored 74.0% 71.8% 2.2% 72.6% HMO 1.9% 3.0% (1.1%) 2.9% PPO 22.2% 23.4% (1.2%) 23.0% Private Pay 1.9% 1.8% 0.1% 1.5% 15

Washington Hospital Preliminary Key Financial Statistics & Charity May 2018 Prior Prior Actual Month Year Days Cash on Hand 178 176 172 Days in A/R 55 53 57 Charity Care $104,911 $355,768 $475,088 16

Washington Township Health Care District