as of september 30, 2020

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As of September 30, 2020

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Page 1: As of September 30, 2020

As of September 30, 2020

Page 2: As of September 30, 2020

Financial Highlights Review…………………………………………………………………………………………………...….3

FINANCIAL STATEMENTS

Income Statement………………………………………………………………………….......................................................4

Balance Sheet……………………………………………………………………………………………………………………...5

Cash Flow Summary……………………………………………..........................................................................................6

Performance Ratios…………………………………………………………………………………..…………………………...7

KEY STATISTICAL INDICATORS

Statistical Highlights……………………………………………………………………...………………………………………..9

Statistical Highlights Graphs…..………………………………………………………..……………............................10 – 21

Page 2

Page 3: As of September 30, 2020

As of September 30, 2020

Harrishealth.org

Operating Income for September was $27.1 million compared to budgeted loss of $3.8 million.

Overall September net revenue of $176.1 million was $41.1 million or 30.4% greater than budget. The increase was due to

the $16.5 million in HRSA Relief Funds received this month, and income from Medicaid Supplemental programs that was

$25.6 million higher than expected. As previously discussed, most of the overage was due to the final resizing of the

Uncompensated Care program under the Medicaid 1115 Waiver effective for federal fiscal year 2020.

Total operating expenses of $149.0 million were $10.2 million or 7.4% greater than budget. The $8.5 million variance in

provider cost was due to the updated physician agreements, including the annual inflationary increases effective July 1 of

each year. Services costs reported an unfavorable variance of $2.2 million driven by an increase in purchased clinical

services. In addition, a net increase of $1.0 million in lease expense and depreciation combined resulted from a delay in

implementing governmental accounting standard 87 related to leases. In May 2020, the Governmental Accounting Standards

Board (GASB) postponed the effective date of the new standard in response to COVID-19. Because of the delay, GASB 87

will not be effective for Harris Health until FY 2022-2023.

Adjusted patient days, the overall measure of patient volume, were 24.4% lower than budget in September consistent with

previous volume losses since March. In-person clinic visits were down 76.3%; overall clinic visits including telehealth were

16.0% lower compared to budget. Patient days were down 13.1% in September. Emergency room visits and births were

down 15.0% and 26.8%, respectively. The volume adjusted expense per adjusted patient day was $4,823 compared to the

budget of $3,396 per day and the prior year expense of $3,618 per adjusted patient day.

Total cash receipts for September were $77.8 million. The System has $802.5 m illion in unrestricted cash, cash equivalents

and investments, representing 177.2 days cash on hand. Harris Health System has $74.1 million in net accounts receivable,

representing 54.2 days of outstanding patient accounts receivable at September 30, 2020. The September balance sheet

reflects a combined net receivable position of $5.1 million under the various Medicaid Supplemental programs.

September expenses incurred by Harris Health for Foundation personnel and other costs were $46,000.

Page 3

Page 4: As of September 30, 2020

As of September 30, 2020 (In $ Millions)

MONTH-TO-MONTH YEAR-TO-DATE

CURRENT CURRENT PERCENT CURRENT CURRENT PERCENT PRIOR PERCENT

YEAR BUDGET VARIANCE YEAR BUDGET VARIANCE YEAR VARIANCE

REVENUE

Net Patient Revenue 51.1 50.4 1.5% 292.3 355.4 -17.7% 330.7 -11.6%

Medicaid Supplemental Programs 41.8 16.2 157.9% 352.2 147.4 139.0% 132.6 165.7%

Other Operating Revenue 18.3 2.6 600.4% 89.0 17.7 401.6% 20.2 339.6%

Total Operating Revenue 111.2$ 69.2$ 60.7% 733.5$ 520.5$ 40.9% 483.5$ 51.7%

Net Ad Valorem Taxes 65.2 65.2 0.0% 456.4 456.2 0.0% 442.2 3.2%

Net Tobacco Settlement Revenue - - 0.0% 12.9 13.8 -6.3% 13.8 -6.3%

Interest Income & Other (0.2) 0.7 -127.0% 3.4 7.1 -52.7% 10.4 -67.7%

Total Nonoperating Revenue 65.0$ 65.9$ -1.4% 472.7$ 477.1$ -0.9% 466.4$ 1.3%

Total Net Revenue 176.1$ 135.1$ 30.4% 1,206.2$ 997.6$ 20.9% 949.9$ 27.0%

EXPENSE

Salaries and Wages 52.2 52.1 -0.1% 375.7 369.1 -1.8% 341.8 -9.9%

Employee Benefits 18.5 18.1 -2.1% 130.7 126.6 -3.2% 121.2 -7.9%

Total Labor Cost 70.6$ 70.2$ -0.7% 506.4$ 495.8$ -2.1% 463.0$ -9.4%

Supply Expenses 17.4 19.0 8.5% 128.1 134.7 4.9% 125.3 -2.2%

Physician Services 34.5 26.0 -32.7% 191.8 181.7 -5.5% 155.9 -23.0%

Purchased Services 21.0 10.5 -100.6% 137.1 115.6 -18.6% 111.2 -23.3%

Depreciation & Interest 5.6 13.2 57.8% 39.7 46.7 15.0% 36.4 -9.0%

Total Operating Expense 149.0$ 138.8$ -7.3% 1,003.2$ 974.5$ -2.9% 891.9$ -12.5%

Operating Income (Loss) 27.1$ (3.8)$ 203.0$ 23.1$ 57.9$

Total Margin % 15.4% -2.8% 16.8% 2.3% 6.1%

Harrishealth.org

Page 4

Page 5: As of September 30, 2020

As of September 30, 2020 and 2019 (In $ Millions)

CURRENT PRIOR

YEAR YEAR

CURRENT ASSETS

Cash, Cash Equivalents and Short Term Investments 802.5 418.1

Net Patient Accounts Receivable 74.1 73.7

Net Ad Valorem Taxes, Current Portion 462.5 446.0

Other Current Assets 107.5 117.6

Total Current Assets 1,446.6$ 1,055.5$

CAPITAL ASSETS

Plant, Property, & Equipment, Net of Accumulated Depreciation 441.0 444.3

Construction in Progress 62.8 35.0

Total Capital Assets 503.9$ 479.3$

ASSETS LIMITED AS TO USE & RESTRICTED ASSETS

Debt Service & Capital Asset Funds 64.5 44.3

LPPF Restricted Cash 18.6 41.8

Other - Restricted 0.9 27.8

Total Assets Limited As to Use & Restricted Assets 84.0$ 113.9$

Other Assets 24.5 10.3

Deferred Outflows of Resources 97.8 68.0

Total Assets & Deferred Outflows of Resources 2,156.8$ 1,727.0$

CURRENT LIABILITIES

Accounts Payable and Accrued Liabilities 214.3 130.3

Employee Compensation & Related Liabilities 123.6 91.4

Estimated Third-Party Payor Settlements 7.6 6.2

Current Portion Long-Term Debt and Capital Leases 11.0 8.5

Total Current Liabilities 356.5$ 236.5$

Long-Term Debt 321.0 296.9

Net Pension & Post Employment Benefits Liability 701.1 716.5

Other Long-Term Liabilities 28.3 17.9

Deferred Inflows of Resources 55.3 -

Total Liabilities 1,462.3$ 1,267.7$

Total Net Assets 694.6$ 459.3$

Total Liabilities & Net Assets 2,156.8$ 1,727.0$

Harrishealth.org

Page 5

Page 6: As of September 30, 2020

As of September 30, 2020 (In $ Millions)

MONTH-TO-MONTH YEAR-TO-DATE

CURRENT PRIOR CURRENT PRIOR

YEAR YEAR YEAR YEAR

CASH RECEIPTS

Collections on Patient Accounts 57.6 42.0 358.1 324.7

Medicaid Supplemental Programs 16.1 36.2 376.7 144.3

Net Ad Valorem Taxes 0.0 1.6 25.6 30.0

Tobacco Settlement 0.0 0.0 12.9 13.8

Other Revenue 4.1 4.2 102.7 26.0

Total Cash Receipts 77.8$ 84.0$ 876.0$ 538.8$

CASH DISBURSEMENTS

Salaries, Wages and Benefits 74.4 68.5 531.6 493.4

Supplies 16.5 21.2 141.5 136.7

Physician Services 27.1 24.8 191.4 68.6

Purchased Services 13.0 17.4 119.2 133.5

Capital Expenditures 4.8 6.9 52.2 35.8

Debt and Interest Payments 0.3 0.3 6.8 6.6

Other Uses 0.9 (20.2) (63.6) (13.0)

Total Cash Disbursements 137.0$ 118.8$ 979.0$ 861.6$

Net Change (59.1)$ (34.8)$ (103.0)$ (322.8)$

Unrestricted Cash, Cash Equivalents and Investments - February 29, 2020 905.6$

Net Change (103.0)$

Unrestricted Cash, Cash Equivalents and Investments - September 30, 2020 802.5$

Harrishealth.org

Page 6

Page 7: As of September 30, 2020

As of September 30, 2020

MONTH-TO-MONTH YEAR-TO-DATE

CURRENT CURRENT CURRENT CURRENT PRIOR

YEAR BUDGET YEAR BUDGET YEAR

OPERATING HEALTH INDICATORS

Operating Margin % 15.4% -2.8% 16.8% 2.3% 6.1%

Run Rate per Day (In $ Millions) 4.8$ 4.2$ 4.5$ 4.4$ 4.0$

Salary, Wages & Benefit per APD 2,286$ 1,717$ 2,395$ 1,674$ 1,621$

Supply Cost per APD 563$ 465$ 606$ 455$ 439$

Physician Services Cost per APD 1,115$ 635$ 907$ 614$ 546$

Total Expense per APD 4,823$ 3,396$ 4,744$ 3,291$ 3,123$

Overtime as a % of Total Salaries 2.1% 1.3% 2.7% 1.4% 3.0%

Contract as a % of Total Salaries 1.8% 0.4% 1.5% 0.4% 0.7%

Full-time Equivalent Employees 8,674 8,733 8,617 8,719 8,199

FINANCIAL HEALTH INDICATORS

Quick Ratio 4.0 -- 4.3

Unrestricted Cash (In $ Millions) 802.5$ 451.6$ 418.1$

Days Cash on Hand 177.3 103.4 103.9

Days Revenue in Accounts Receivable 54.2 46.4 47.7

Days in Accounts Payable 35.0 -- 23.6

Capital Expenditures/Depreciation & Amortization 156.5% -- 119.0%

Average Age of Plant (years) 12.7 -- 13.7

Harrishealth.org

Page 7

Page 8: As of September 30, 2020

Harris Health System

Key Indicators

Page 8

Page 9: As of September 30, 2020

As of September 30, 2020

MONTH-TO-MONTH YEAR-TO-DATECURRENT CURRENT PERCENT CURRENT CURRENT PERCENT PRIOR PERCENT

YEAR BUDGET CHANGE YEAR BUDGET CHANGE YEAR CHANGE

Adjusted Patient Days 30,901 40,883 -24.4% 211,474 296,111 -28.6% 285,637 -26.0%

Outpatient % of Adjusted Volume 60.9% 66.1% -7.8% 60.4% 66.1% -8.6% 66.5% -9.2%

Primary Care Clinic Visits 11,669 66,094 -82.3% 125,073 456,661 -72.6% 430,240 -70.9%

Specialty Clinic Visits 10,441 27,070 -61.4% 86,086 193,534 -55.5% 185,293 -53.5%

Telehealth Clinic Visits 56,151 0 100.0% 277,533 0 100.0% 0 100.0%

Total Clinic Visits 78,261 93,164 -16.0% 488,692 650,195 -24.8% 615,533 -20.6%

Emergency Room Visits - Outpatient 9,900 11,838 -16.4% 66,908 91,204 -26.6% 88,621 -24.5%

Emergency Room Visits - Admitted 1,357 1,402 -3.2% 9,485 10,829 -12.4% 10,463 -9.3%

Total Emergency Room Visits 11,257 13,240 -15.0% 76,393 102,033 -25.1% 99,084 -22.9%

Surgery Cases - Outpatient 835 1,180 -29.2% 4,404 8,662 -49.2% 7,888 -44.2%

Surgery Cases - Inpatient 737 911 -19.1% 4,381 6,394 -31.5% 5,686 -23.0%

Total Surgery Cases 1,572 2,091 -24.8% 8,785 15,056 -41.7% 13,574 -35.3%

Total Outpatient Visits 107,029 148,011 -27.7% 760,135 1,048,267 -27.5% 996,306 -23.7%

Inpatient Cases (Discharges) 2,019 2,490 -18.9% 14,193 18,075 -21.5% 17,095 -17.0%

Outpatient Observation Cases 922 1,278 -27.9% 6,802 8,673 -21.6% 8,873 -23.3%

Total Cases Occupying Patient Beds 2,941 3,768 -21.9% 20,995 26,748 -21.5% 25,968 -19.2%

Births 383 523 -26.8% 2,526 3,213 -21.4% 3,189 -20.8%

Inpatient Days 12,077 13,872 -12.9% 83,701 100,456 -16.7% 95,591 -12.4%

Outpatient Observation Days 2,519 2,929 -14.0% 17,833 19,974 -10.7% 21,746 -18.0%

Total Patient Days 14,596 16,801 -13.1% 101,534 120,430 -15.7% 117,337 -13.5%

Average Daily Census 486.5 560.0 -13.1% 474.5 562.8 -15.7% 548.3 -13.5%

Average Operating Beds 623 671 -7.2% 658 671 -1.9% 673 -2.2%

Bed Occupancy % 78.1% 83.5% -6.4% 72.1% 83.9% -14.0% 81.5% -11.5%

Inpatient Average Length of Stay 6.0 5.6 7.4% 5.9 5.6 6.1% 5.6 5.5%

Inpatient Case Mix Index (CMI) 1.778 1.626 9.3% 1.731 1.626 6.4% 1.616 7.1%

Payor Mix (% of Charges)Charity & Self Pay 51.5% 53.4% -3.6% 51.7% 53.4% -3.2% 53.9% -4.1%

Medicaid & Medicaid Managed 23.1% 21.8% 5.9% 22.9% 21.8% 4.9% 21.8% 5.0%

Medicare & Medicare Managed 11.9% 11.7% 1.8% 11.9% 11.7% 1.9% 11.7% 2.1%

Commercial & Other 13.5% 13.1% 3.3% 13.5% 13.1% 3.4% 12.7% 6.7%

Total Unduplicated Patients - Rolling 12 257,355 293,372 -12.3%Total New Patient - Rolling 12 73,800 91,661 -19.5%

Harrishealth.org

Page 9

Page 10: As of September 30, 2020

Harris Health System Statistical Highlights

September FY 2021

Actual Budget Prior Year Actual Budget Prior Year Actual Budget Prior Year Actual Budget Prior Year

2,941 3,768 3,516 20,995 26,748 25,968 11,257 13,240 12,320 76,393 102,033 99,084

Cases Occupying Beds - CM Cases Occupying Beds - YTD Emergency Visits - CM Emergency Visits - YTD

9,90011,838 11,052

1,3571,402

1,268

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Emergency Visits - Current Month

EC Visits - Outpatient IP Emergency Admissions

66,90891,204 88,621

9,485

10,829 10,463

0

20,000

40,000

60,000

80,000

100,000

120,000

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Emergency Visits - YTD

EC Visits - Outpatient IP Emergency Admissions

14,193 18,075 17,095

6,802

8,673 8,873

0

5,000

10,000

15,000

20,000

25,000

30,000

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Cases Occupying Beds - YTD

Inpatient Cases (Discharges) Outpatient Observation Cases

2,019 2,490 2,269

922

1,278 1,247

0500

1,0001,5002,0002,5003,0003,5004,000

ACTUAL2021 BUDGET2021 ACTUAL2020

Cases Occupying Beds - Current Month

Inpatient Cases (Discharges) Outpatient Observation Cases

Page 10

Page 11: As of September 30, 2020

Harris Health SystemStatistical Highlights

September FY 2021

Actual Budget Prior Year Actual Budget Prior Year Actual Budget Prior Year Actual Budget Prior Year

1,572 2,091 1,765 8,785 15,056 13,574 78,261 93,164 80,016 488,692 650,195 615,533

Surgery Cases - CM Surgery Cases - YTD Clinic Visits - CM Clinic Visits - YTD

11,669

66,094 56,31410,441

27,07023,702

56,151

0

20,000

40,000

60,000

80,000

100,000

ACTUAL2021 BUDGET2021 ACTUAL2020

Clinic Visits - Current Month

Primary Care Clinics Specialty Clinics Telehealth Clinic Visits

125,073

456,661 430,24086,086

193,534 185,293

277,533

0

100,000

200,000

300,000

400,000

500,000

600,000

700,000

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Clinic Visits - YTD

Primary Care Clinics Specialty Clinics Telehealth Clinic Visits

4,7688,069 6,885

2,858

4,6474,4001,159

2,3402,289

02,0004,0006,0008,000

10,00012,00014,00016,000

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Surgery Cases - YTD

Ben Taub Lyndon B. Johnson Ambulatory Surgical Center (ASC)

8071,123 891

447

646583

318

322291

0

500

1,000

1,500

2,000

2,500

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Surgery Cases - Current Month

Ben Taub Lyndon B. Johnson Ambulatory Surgical Center (ASC)

Page 11

Page 12: As of September 30, 2020

Harris Health System Statistical Highlights

September FY 2021

30,901 211,474 486.5 474.5

Adjusted Patient Days - CM Adjusted Patient Days - YTD Average Daily Census - CM Average Daily Census - YTD

30,901

40,88336,389

05,000

10,00015,00020,00025,00030,00035,00040,00045,000

Adjusted Patient Days - Current Month

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

486.5

560.0

512.5

440

460

480

500

520

540

560

580

Average Daily Census - Current Month

ACTUAL2021 BUDGET2021 ACTUAL2020

474.5

562.8548.3

420

440

460

480

500

520

540

560

580

Average Daily Census - YTD

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

211,474

296,110 285,637

0

50,000

100,000

150,000

200,000

250,000

300,000

350,000

Adjusted Patient Days - YTD

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Page 12

Page 13: As of September 30, 2020

Harris Health System Statistical Highlights

September FY 2021

Overall Overall

1.778 1.731

Inpatient ALOS - CM Inpatient ALOS - YTD

1.981 1.909

Case Mix Index (CMI) - CM Case Mix Index (CMI) - YTD

5.98 5.90Excl. Obstetrics Excl. Obstetrics

5.98

5.57

5.44

5.30

5.40

5.50

5.60

5.70

5.80

5.90

6.00

Inpatient ALOS - Current Month

ACTUAL2021 BUDGET2021 ACTUAL2020

1.778

1.981

1.626

1.803

1.537

1.748

1.400

1.500

1.600

1.700

1.800

1.900

2.000

CMI Overall CMI Excluding Obstetrics

Case Mix Index - Current Month

ACTUAL2021 BUDGET2021 ACTUAL2020

1.731

1.909

1.626

1.803

1.616

1.795

1.400

1.500

1.600

1.700

1.800

1.900

2.000

CMI Overall CMI Excluding Obstetrics

Case Mix Index - YTD

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

5.90

5.56 5.59

5.30

5.40

5.50

5.60

5.70

5.80

5.90

6.00

Inpatient ALOS - YTD

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Page 13

Page 14: As of September 30, 2020

Harris Health System Statistical Highlights - Cases Occupying Beds

September FY 2021

Actual Budget Prior Year Actual Budget Prior Year Actual Budget Prior Year Actual Budget Prior Year

1,941 2,254 2,043 13,229 16,117 15,559 1,000 1,514 1,473 7,766 10,631 10,409

BT Cases Occupying Beds - CM BT Cases Occupying Beds - YTD LBJ Cases Occupying Beds - CM LBJ Cases Occupying Beds - YTD

623 1,016 951

377

498 522

0

500

1,000

1,500

2,000

2,500

3,000

ACTUAL2021 BUDGET2021 ACTUAL2020

Lyndon B. Johnson Cases - Current Month

Inpatient Cases (Discharges) Outpatient Observation Cases

5,157 7,378 6,995

2,609 3,253 3,414

0

4,000

8,000

12,000

16,000

20,000

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Lyndon B. Johnson Cases - YTD

Inpatient Cases (Discharges) Outpatient Observation Cases

9,036 10,697 10,100

4,193 5,420 5,459

0

4,000

8,000

12,000

16,000

20,000

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Ben Taub Cases - YTD

Inpatient Cases (Discharges) Outpatient Observation Cases

1,396 1,474 1,318

545 780

725

0

500

1,000

1,500

2,000

2,500

3,000

ACTUAL2021 BUDGET2021 ACTUAL2020

Ben Taub Cases - Current Month

Inpatient Cases (Discharges) Outpatient Observation Cases

Page 14

Page 15: As of September 30, 2020

Harris Health SystemStatistical Highlights - Surgery Cases

September FY 2021

Actual Budget Prior Year Actual Budget Prior Year Actual Budget Prior Year Actual Budget Prior Year

807 1,123 891 4,768 8,069 6,885 765 968 874 4,017 6,987 6,689

BT Surgery Cases - YTD LBJ Surgery Cases - CM LBJ Surgery Cases - YTDBT Surgery Cases - CM

16,55520,350

17,184

0

5,000

10,000

15,000

20,000

25,000

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Clinic Visits - Current Month

Ben Taub

104,919144,302 137,531

0

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Clinic Visits - YTD

0 0 0

1,067 1,373 1,385

0200400600800

1000120014001600

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Surgery Cases - YTD

0 0 0

151217 232

0

50

100

150

200

250

Surgery Cases - Current Month

623 1,016 951

377

498 522

-

200

400

600

800

1,000

1,200

1,400

1,600

ACTUAL2021 BUDGET2021 ACTUAL2020

Lyndon B. Johnson - Current Month

Inpatient Cases (Discharges) Outpatient Observation Cases

5,157 7,378 6,995

2,609

3,253 3,414

0

2,000

4,000

6,000

8,000

10,000

12,000

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Lyndon B. Johnson - YTD

Inpatient Cases (Discharges) Outpatient Observation Cases

9,036 10,697 10,100

4,193 5,420 5,459

02,0004,0006,0008,000

10,00012,00014,00016,00018,000

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Ben Taub - YTD

Inpatient Cases (Discharges) Outpatient Observation Cases

1,396 1,474 1,318

545 780

725

-

500

1,000

1,500

2,000

2,500

ACTUAL2021 BUDGET2021 ACTUAL2020

Ben Taub - Current Month

Inpatient Cases (Discharges) Outpatient Observation Cases

447 318646

322583

2910

200

400

600

800

1,000

1,200

1,400

Lyndon B. Johnson Ambulatory Surgical Center (ASC)

Lyndon B. Johnson OR Cases - Current Month

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

2,8581,159

4,6472,340

4,4002,289

0

2,000

4,000

6,000

8,000

10,000

Lyndon B. Johnson Ambulatory Surgical Center (ASC)

Lyndon B. Johnson OR Cases - YTD

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

4,768

8,0696,885

0

2,000

4,000

6,000

8,000

10,000

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Ben Taub OR Cases - YTD

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

8071,123

891

0

200

400

600

800

1,000

1,200

1,400

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Ben Taub OR Cases - Current Month

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Page 15

Page 16: As of September 30, 2020

Harris Health System Statistical Highlights - Emergency Room Visits

September FY 2021

Actual Budget Prior Year Actual Budget Prior Year Actual Budget Prior Year Actual Budget Prior Year

5,746 6,280 5,827 37,881 49,188 47,652 5,511 6,960 6,493 38,512 52,845 51,432

BT Emergency Visits - CM BT Emergency Visits - YTD LBJ Emergency Visits - CM LBJ Emergency Visits - YTD

34,858

3,654

48,005

4,840

46,782

4,650

0

10,000

20,000

30,000

40,000

50,000

60,000

Emergency Room Visits -Outpatient

Emergency Room Visits - Admitted

Average Daily Census - YTD

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

32,050

5,831

43,199

5,989

41,839

5,813

0

10,000

20,000

30,000

40,000

50,000

Emergency Room Visits - Outpatient Emergency Room Visits - Admitted

Adjusted Patient Days - YTD

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

5,0766,336 5,963

435624 530

0

2,000

4,000

6,000

8,000

10,000

ACTUAL2021 BUDGET2021 ACTUAL2020

Lyndon B. Johnson EC Visits - Current Month

Emergency Room Visits - Outpatient Emergency Room Visits - Admitted

34,85848,005 46,782

3,654

4,840 4,650

0

10,000

20,000

30,000

40,000

50,000

60,000

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Lyndon B. Johnson EC Visits - YTD

Emergency Room Visits - Outpatient Emergency Room Visits - Admitted

32,05043,199 41,839

5,831

5,989 5,813

0

10,000

20,000

30,000

40,000

50,000

60,000

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Ben Taub EC Visits - YTD

Emergency Room Visits - Outpatient Emergency Room Visits - Admitted

4,824 5,502 5,089

922778 738

0

2,000

4,000

6,000

8,000

10,000

ACTUAL2021 BUDGET2021 ACTUAL2020

Ben Taub EC Visits - Current Month

Emergency Room Visits - Outpatient Emergency Room Visits - Admitted

Page 16

Page 17: As of September 30, 2020

Harris Health SystemStatistical Highlights - Births

September FY 2021

Actual Budget Prior Year Actual Budget Prior Year Actual Budget Prior Year Actual Budget Prior Year

232 306 288 1,459 1,840 1,804 151 217 232 1,067 1,373 1,385

BT Births - CM LBJ Births - CM LBJ Births - YTDBT Births - YTD

0

0.2

0.4

0.6

0.8

1

1.2

Inpatient ALOS - Current Month

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

0

0.2

0.4

0.6

0.8

1

1.2

Case Mix Index - Current Month

0

0.2

0.4

0.6

0.8

1

1.2

Case Mix Index - YTD

0

0.2

0.4

0.6

0.8

1

1.2

Inpatient ALOS- YTD

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

34,858

3,654

48,005

4,840

46,782

4,650

0

10,000

20,000

30,000

40,000

50,000

60,000

Emergency Room Visits -Outpatient

Emergency Room Visits - Admitted

Average Daily Census - YTD

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

32,050

5,831

43,199

5,989

41,839

5,813

0

10,000

20,000

30,000

40,000

50,000

Emergency Room Visits - Outpatient Emergency Room Visits - Admitted

Adjusted Patient Days - YTD

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

5,0766,336 5,963

435

624 530

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

ACTUAL2021 BUDGET2021 ACTUAL2020

Lyndon B. Johnson - Current Month

Emergency Room Visits - Outpatient Emergency Room Visits - Admitted

34,85848,005 46,782

3,654

4,840 4,650

0

10,000

20,000

30,000

40,000

50,000

60,000

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Lyndon B. Johnson - YTD

Emergency Room Visits - Outpatient Emergency Room Visits - Admitted

32,05043,199 41,839

5,831

5,989 5,813

0

10,000

20,000

30,000

40,000

50,000

60,000

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Ben Taub - YTD

Emergency Room Visits - Outpatient Emergency Room Visits - Admitted

4,824 5,502 5,089

922778

738

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

ACTUAL2021 BUDGET2021 ACTUAL2020

Ben Taub - Current Month

Emergency Room Visits - Outpatient Emergency Room Visits - Admitted

16,55520,350

17,184

0

5,000

10,000

15,000

20,000

25,000

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Clinic Visits - Current Month

Ben Taub

104,919144,302 137,531

0

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Clinic Visits - YTD

0 0 0

1,067 1,373 1,385

0200400600800

1000120014001600

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Surgery Cases - YTD

0 0 0

151217 232

0

50

100

150

200

250

Surgery Cases - Current Month

623 1,016 951

377

498 522

-

200

400

600

800

1,000

1,200

1,400

1,600

ACTUAL2021 BUDGET2021 ACTUAL2020

Lyndon B. Johnson - Current Month

Inpatient Cases (Discharges) Outpatient Observation Cases

5,157 7,378 6,995

2,609

3,253 3,414

0

2,000

4,000

6,000

8,000

10,000

12,000

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Lyndon B. Johnson - YTD

Inpatient Cases (Discharges) Outpatient Observation Cases

9,036 10,697 10,100

4,193 5,420 5,459

02,0004,0006,0008,000

10,00012,00014,00016,00018,000

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Ben Taub - YTD

Inpatient Cases (Discharges) Outpatient Observation Cases

1,396 1,474 1,318

545 780

725

-

500

1,000

1,500

2,000

2,500

ACTUAL2021 BUDGET2021 ACTUAL2020

Ben Taub - Current Month

Inpatient Cases (Discharges) Outpatient Observation Cases

151217 232

0

50

100

150

200

250

300

350

Lyndon B. Johnson Births - Current Month

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

1,0671,373 1,385

0

400

800

1,200

1,600

2,000

Lyndon B. Johnson Births - YTD

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

1,4591,840 1,804

0

400

800

1,200

1,600

2,000

Ben Taub Births - YTD

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

232306 288

0

50

100

150

200

250

300

350

Ben Taub Births - Current Month

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Page 17

Page 18: As of September 30, 2020

Harris Health System Statistical Highlights - Adjusted Patient Days

September FY 2021

BT Adjusted Patient Days - CM BT Adjusted Patient Days - YTD LBJ Adjusted Patient Days - CM LBJ Adjusted Patient Days - YTD

16,555 104,919 9,320 70,469

16,555

20,35017,184

0

5,000

10,000

15,000

20,000

25,000

Ben Taub APD - Current Month

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

9,320

12,605 12,279

0

5,000

10,000

15,000

20,000

25,000

Lyndon B. Johnson APD - Current Month

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

70,469

93,496 92,979

0

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000

Lyndon B. Johnson APD - YTD

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

104,919

144,302 137,531

0

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000

Ben Taub APD - YTD

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Page 18

Page 19: As of September 30, 2020

Harris Health System Statistical Highlights - Average Daily Census (ADC)

September FY 2021

BT Average Daily Census - YTD LBJ Average Daily Census - CM LBJ Average Daily Census - YTDBT Average Daily Census - CM

343.4 308.3 143.1 166.1

343.4368.1

307.8

100

150

200

250

300

350

400

Ben Taub ADC - Current Month

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

143.1

192.0 204.6

100

150

200

250

300

350

400

Lyndon B. Johnson ADC - Current Month

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

166.1199.1 205.6

100

150

200

250

300

350

400

Lyndon B. Johnson ADC - YTD

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

308.3

363.7342.7

100

150

200

250

300

350

400

Ben Taub ADC - YTD

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Page 19

Page 20: As of September 30, 2020

Harris Health System Statistical Highlights - Inpatient Average Length of Stay (ALOS)

September FY 2021

BT Inpatient ALOS - CM BT Inpatient ALOS - YTD LBJ Inpatient ALOS - CM LBJ Inpatient ALOS - YTD

6.22 6.06 5.44 5.62

6.22 6.13

5.61

4.50

5.00

5.50

6.00

6.50

Ben Taub ALOS - Current Month

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

5.44

4.76

5.22

4.50

5.00

5.50

6.00

6.50

Lyndon B. Johnson ALOS - Current Month

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

5.62

4.965.18

4.50

5.00

5.50

6.00

6.50

Lyndon B. Johnson ALOS - YTD

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

6.06 5.97 5.88

4.50

5.00

5.50

6.00

6.50

Ben Taub ALOS - YTD

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Page 20

Page 21: As of September 30, 2020

Harris Health System Statistical Highlights - Case Mix Index (CMI)

September FY 2021

Overall Overall Overall Overall1.813 1.780 1.697 1.646

BT Case Mix Index (CMI) - CMExcl. Obstetrics

1.971Excl. Obstetrics Excl. Obstetrics

1.984 1.939Excl. Obstetrics

1.854

BT Case Mix Index (CMI) - YTD LBJ Case Mix Index (CMI) - CM LBJ Case Mix Index (CMI) - YTD

1.813

1.984

1.701

1.878

1.575

1.779

1.400

1.500

1.600

1.700

1.800

1.900

2.000

CMI Overall CMI Excluding Obstetrics

Ben Taub CMI - Current Month

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

1.697

1.971

1.514

1.686

1.483

1.704

1.400

1.500

1.600

1.700

1.800

1.900

2.000

CMI Overall CMI Excluding Obstetrics

Lyndon B. Johnson CMI - Current Month

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

1.646

1.854

1.514

1.686

1.505

1.681

1.400

1.500

1.600

1.700

1.800

1.900

2.000

CMI Overall CMI Excluding Obstetrics

Lyndon B. Johnson CMI - YTD

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

1.780

1.939

1.701

1.878

1.692

1.872

1.400

1.500

1.600

1.700

1.800

1.900

2.000

CMI Overall CMI Excluding Obstetrics

Ben Taub CMI - YTD

ACTUAL 2021 BUDGET 2021 ACTUAL 2020

Page 21