as of september 30, 2020
TRANSCRIPT
![Page 1: As of September 30, 2020](https://reader031.vdocuments.site/reader031/viewer/2022012411/616b377c9a03ec7db93821c3/html5/thumbnails/1.jpg)
As of September 30, 2020
![Page 2: As of September 30, 2020](https://reader031.vdocuments.site/reader031/viewer/2022012411/616b377c9a03ec7db93821c3/html5/thumbnails/2.jpg)
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](https://reader031.vdocuments.site/reader031/viewer/2022012411/616b377c9a03ec7db93821c3/html5/thumbnails/3.jpg)
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](https://reader031.vdocuments.site/reader031/viewer/2022012411/616b377c9a03ec7db93821c3/html5/thumbnails/4.jpg)
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](https://reader031.vdocuments.site/reader031/viewer/2022012411/616b377c9a03ec7db93821c3/html5/thumbnails/5.jpg)
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](https://reader031.vdocuments.site/reader031/viewer/2022012411/616b377c9a03ec7db93821c3/html5/thumbnails/6.jpg)
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](https://reader031.vdocuments.site/reader031/viewer/2022012411/616b377c9a03ec7db93821c3/html5/thumbnails/7.jpg)
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](https://reader031.vdocuments.site/reader031/viewer/2022012411/616b377c9a03ec7db93821c3/html5/thumbnails/8.jpg)
Harris Health System
Key Indicators
Page 8
![Page 9: As of September 30, 2020](https://reader031.vdocuments.site/reader031/viewer/2022012411/616b377c9a03ec7db93821c3/html5/thumbnails/9.jpg)
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](https://reader031.vdocuments.site/reader031/viewer/2022012411/616b377c9a03ec7db93821c3/html5/thumbnails/10.jpg)
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](https://reader031.vdocuments.site/reader031/viewer/2022012411/616b377c9a03ec7db93821c3/html5/thumbnails/11.jpg)
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](https://reader031.vdocuments.site/reader031/viewer/2022012411/616b377c9a03ec7db93821c3/html5/thumbnails/12.jpg)
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](https://reader031.vdocuments.site/reader031/viewer/2022012411/616b377c9a03ec7db93821c3/html5/thumbnails/13.jpg)
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](https://reader031.vdocuments.site/reader031/viewer/2022012411/616b377c9a03ec7db93821c3/html5/thumbnails/14.jpg)
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](https://reader031.vdocuments.site/reader031/viewer/2022012411/616b377c9a03ec7db93821c3/html5/thumbnails/15.jpg)
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](https://reader031.vdocuments.site/reader031/viewer/2022012411/616b377c9a03ec7db93821c3/html5/thumbnails/16.jpg)
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](https://reader031.vdocuments.site/reader031/viewer/2022012411/616b377c9a03ec7db93821c3/html5/thumbnails/17.jpg)
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](https://reader031.vdocuments.site/reader031/viewer/2022012411/616b377c9a03ec7db93821c3/html5/thumbnails/18.jpg)
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](https://reader031.vdocuments.site/reader031/viewer/2022012411/616b377c9a03ec7db93821c3/html5/thumbnails/19.jpg)
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](https://reader031.vdocuments.site/reader031/viewer/2022012411/616b377c9a03ec7db93821c3/html5/thumbnails/20.jpg)
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](https://reader031.vdocuments.site/reader031/viewer/2022012411/616b377c9a03ec7db93821c3/html5/thumbnails/21.jpg)
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