hmp metrics™: all hospitals october, 2010
DESCRIPTION
HMP can easily create customized reports and mix or create new peer groups and compare them to state or national benchmarks.TRANSCRIPT
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 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
Total Profit MarginAll General Acute Care Hospitals in the United States Regardless of Bed Size
Mean Median Count1st Quartile 13.70% 12.48% 7582nd Quartile 5.10% 5.13% 7603rd Quartile 0.59% 0.58% 7624th Quartile (7.00%) (6.12%) 764
Total Population 3.07% 2.69% 3044Excluded Cost Reports 306
Total Cost Reports 3350
Quartile Rank2009
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 Margin A 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 Margin A 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 (FTE) Staff 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.
Average 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 PlantMeasures 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 1.71% 1.41% 698 2.42% 2.45% 766 3.94% 3.78% 77026 to 100 Beds 2.59% 1.85% 692 2.45% 2.23% 768 4.39% 3.73% 789
101 to 200 Beds 3.77% 3.07% 663 2.57% 2.08% 754 4.68% 4.35% 766201 to 300 Beds 3.41% 3.01% 383 2.41% 2.19% 424 5.50% 5.45% 434301 to 400 Beds 4.60% 5.05% 249 2.10% 2.47% 283 6.08% 6.01% 292401 to 500 Beds 3.93% 3.17% 146 2.31% 2.14% 169 6.16% 6.30% 171Over 500 Beds 4.00% 4.28% 213 2.41% 3.62% 243 6.75% 6.68% 244
Total All Hospitals 3.07% 2.69% 3044 2.43% 2.37% 3407 4.89% 4.66% 3466Excluded Cost Reports 306 317 295
Total Cost Reports 3350 3724 3761
Mean Median Count Mean Median Count Mean Median Count25 Beds or Less 3.43% 3.45% 731 2.60% 2.44% 615 2.66% 2.67% 51426 to 100 Beds 4.40% 3.86% 774 4.19% 3.99% 814 2.80% 3.19% 916
101 to 200 Beds 4.09% 4.05% 760 3.89% 3.88% 770 3.39% 3.49% 770201 to 300 Beds 4.84% 4.87% 445 4.53% 4.48% 448 3.95% 3.84% 451301 to 400 Beds 5.88% 5.72% 295 4.97% 5.47% 298 5.04% 4.88% 297401 to 500 Beds 4.93% 5.09% 172 4.78% 4.84% 171 4.91% 4.15% 174Over 500 Beds 6.13% 5.97% 248 5.22% 5.32% 253 4.77% 5.18% 251
Total All Hospitals 4.46% 4.39% 3425 4.05% 4.19% 3369 3.52% 3.63% 3373Excluded Cost Reports 265 246 243
Total Cost Reports 3690 3615 3616
Number of Licensed Beds2006 2005 2004
Total Profit MarginAll 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 7
Peer Group Comparison – Total Profit MarginTotal Profit MarginAll General Acute Care Hospitals in the United States with 25 Licensed Beds or Less
Mean Median Count Mean Median Count Mean Median Count1st Quartile 11.89% 9.97% 174 13.17% 11.66% 191 14.38% 12.99% 1922nd Quartile 3.71% 3.68% 174 4.66% 4.46% 191 6.29% 6.12% 1923rd Quartile (0.55%) (0.46%) 175 (0.09%) 0.17% 192 1.57% 1.57% 1934th Quartile (8.15%) (7.29%) 175 (8.00%) (6.88%) 192 (6.43%) (5.38%) 193
Total Population 1.71% 1.41% 698 2.42% 2.45% 766 3.94% 3.78% 770Excluded Cost Reports 86 94 89
Total Cost Reports 784 860 859
Mean Median Count Mean Median Count Mean Median Count1st Quartile 14.08% 13.04% 182 13.19% 11.75% 153 13.40% 12.02% 1282nd Quartile 5.80% 5.73% 183 4.89% 4.97% 154 4.89% 4.95% 1283rd Quartile 1.14% 1.18% 183 0.27% 0.18% 154 0.32% 0.38% 1294th Quartile (7.24%) (5.61%) 183 (7.88%) (6.96%) 154 (7.87%) (6.64%) 129
Total Population 3.43% 3.45% 731 2.60% 2.44% 615 2.66% 2.67% 514Excluded Cost Reports 76 62 61
Total Cost Reports 807 677 575
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
Peer Group Comparison – Total Profit Margin
Mean Median Count Mean Median Count Mean Median Count1st Quartile 14.33% 13.28% 173 14.44% 13.14% 192 16.12% 15.25% 1972nd Quartile 4.50% 4.43% 173 4.86% 4.42% 192 6.72% 6.43% 1973rd Quartile (0.48%) (0.38%) 173 (0.36%) 0.10% 192 1.52% 1.56% 1974th Quartile (8.00%) (7.19%) 173 (9.13%) (8.33%) 192 (6.74%) (5.85%) 198
Total Population 2.59% 1.85% 692 2.45% 2.23% 768 4.39% 3.73% 789Excluded Cost Reports 82 80 72
Total Cost Reports 774 848 861
Mean Median Count Mean Median Count Mean Median Count1st Quartile 15.92% 14.93% 193 14.87% 14.06% 203 13.67% 12.12% 2292nd Quartile 6.58% 6.45% 193 6.31% 6.31% 203 5.27% 5.15% 2293rd Quartile 1.84% 1.84% 194 1.93% 1.93% 204 0.55% 0.71% 2294th Quartile (6.68%) (5.69%) 194 (6.27%) (4.70%) 204 (8.31%) (6.91%) 229
Total Population 4.40% 3.86% 774 4.19% 3.99% 814 2.80% 3.19% 916Excluded Cost Reports 63 70 65
Total Cost Reports 837 884 981
Quartile Rank2006 2005 2004
Total Profit MarginAll 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 9
Peer Group Comparison – Total Profit Margin
Mean Median Count Mean Median Count Mean Median Count1st Quartile 14.65% 13.39% 165 13.46% 12.14% 188 15.31% 14.24% 1912nd Quartile 5.51% 5.48% 166 4.69% 4.61% 188 6.90% 6.87% 1913rd Quartile 1.09% 1.19% 166 0.03% 0.01% 189 2.30% 2.39% 1924th Quartile (6.13%) (4.99%) 166 (7.83%) (7.35%) 189 (5.73%) (3.95%) 192
Total Population 3.77% 3.07% 663 2.57% 2.08% 754 4.68% 4.35% 766Excluded Cost Reports 61 60 62
Total Cost Reports 724 814 828
Mean Median Count Mean Median Count Mean Median Count1st Quartile 14.27% 13.47% 190 13.72% 12.40% 192 13.39% 12.19% 1922nd Quartile 6.05% 5.76% 190 6.29% 6.19% 192 5.64% 5.66% 1923rd Quartile 2.05% 1.95% 190 1.92% 2.04% 193 1.52% 1.62% 1934th Quartile (6.00%) (4.74%) 190 (6.30%) (4.97%) 193 (6.93%) (5.37%) 193
Total Population 4.09% 4.05% 760 3.89% 3.88% 770 3.39% 3.49% 770Excluded Cost Reports 64 64 60
Total Cost Reports 824 834 830
Quartile Rank2006 2005 2004
Total Profit MarginAll 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 10
Peer Group Comparison – Total Profit Margin
Mean Median Count Mean Median Count Mean Median Count1st Quartile 13.80% 12.48% 95 12.11% 10.51% 106 15.28% 14.75% 1082nd Quartile 5.73% 5.77% 96 4.70% 4.53% 106 7.89% 7.73% 1083rd Quartile 0.97% 0.97% 96 0.14% 0.34% 106 3.25% 3.27% 1094th Quartile (6.75%) (5.24%) 96 (7.32%) (6.46%) 106 (4.33%) (3.16%) 109
Total Population 3.41% 3.01% 383 2.41% 2.19% 424 5.50% 5.45% 434Excluded Cost Reports 35 39 32
Total Cost Reports 418 463 466
Mean Median Count Mean Median Count Mean Median Count1st Quartile 14.47% 13.47% 111 13.63% 12.48% 112 13.11% 11.66% 1122nd Quartile 7.17% 7.29% 111 6.20% 6.10% 112 5.86% 6.00% 1133rd Quartile 2.83% 2.87% 111 2.44% 2.57% 112 1.97% 2.16% 1134th Quartile (5.05%) (3.68%) 112 (4.17%) (2.68%) 112 (5.07%) (4.01%) 113
Total Population 4.84% 4.87% 445 4.53% 4.48% 448 3.95% 3.84% 451Excluded Cost Reports 31 26 25
Total Cost Reports 476 474 476
Quartile Rank2006 2005 2004
Total Profit MarginAll 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 11
Peer Group Comparison – Total Profit Margin
Mean Median Count Mean Median Count Mean Median Count1st Quartile 13.77% 12.92% 62 11.85% 10.87% 70 15.90% 15.43% 732nd Quartile 6.87% 6.79% 62 4.72% 4.51% 71 8.58% 8.63% 733rd Quartile 2.70% 2.76% 62 0.10% 0.33% 71 3.59% 3.48% 734th Quartile (4.78%) (3.26%) 63 (8.13%) (7.30%) 71 (3.74%) (2.69%) 73
Total Population 4.60% 5.05% 249 2.10% 2.47% 283 6.08% 6.01% 292Excluded Cost Reports 20 21 18
Total Cost Reports 269 304 310
Mean Median Count Mean Median Count Mean Median Count1st Quartile 14.57% 13.45% 73 13.75% 12.33% 74 13.81% 12.93% 742nd Quartile 7.53% 7.35% 74 7.14% 6.93% 74 6.30% 5.96% 743rd Quartile 4.03% 4.28% 74 3.43% 3.36% 75 3.12% 3.14% 744th Quartile (2.51%) (1.11%) 74 (4.30%) (3.18%) 75 (2.95%) (1.31%) 75
Total Population 5.88% 5.72% 295 4.97% 5.47% 298 5.04% 4.88% 297Excluded Cost Reports 13 13 19
Total Cost Reports 308 311 316
Quartile Rank2006 2005 2004
Total Profit MarginAll 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 12
Peer Group Comparison – Total Profit Margin
Mean Median Count Mean Median Count Mean Median Count1st Quartile 14.15% 12.05% 36 11.14% 9.77% 42 16.17% 15.74% 422nd Quartile 6.02% 6.06% 36 3.94% 3.84% 42 8.41% 8.45% 433rd Quartile 1.74% 1.98% 37 0.75% 0.70% 42 3.67% 3.34% 434th Quartile (5.87%) (4.48%) 37 (6.40%) (4.59%) 43 (3.36%) (2.55%) 43
Total Population 3.93% 3.17% 146 2.31% 2.14% 169 6.16% 6.30% 171Excluded Cost Reports 14 11 10
Total Cost Reports 160 180 181
Mean Median Count Mean Median Count Mean Median Count1st Quartile 13.89% 13.09% 43 14.15% 13.09% 42 13.70% 12.37% 432nd Quartile 7.08% 7.08% 43 7.04% 6.63% 43 7.34% 7.10% 433rd Quartile 3.37% 3.28% 43 3.27% 3.22% 43 2.67% 2.75% 444th Quartile (4.64%) (2.54%) 43 (5.12%) (2.31%) 43 (3.83%) (1.94%) 44
Total Population 4.93% 5.09% 172 4.78% 4.84% 171 4.91% 4.15% 174Excluded Cost Reports 9 7 7
Total Cost Reports 181 178 181
Quartile Rank2006 2005 2004
Total Profit MarginAll 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 13
Peer Group Comparison – Total Profit Margin
Mean Median Count Mean Median Count Mean Median Count1st Quartile 13.97% 12.76% 53 12.36% 11.07% 60 15.71% 15.01% 612nd Quartile 6.50% 6.59% 53 5.35% 5.18% 61 8.98% 9.07% 613rd Quartile 2.26% 2.43% 53 0.54% 0.62% 61 4.70% 4.69% 614th Quartile (6.53%) (5.46%) 54 (8.46%) (7.72%) 61 (2.39%) (0.25%) 61
Total Population 4.00% 4.28% 213 2.41% 3.62% 243 6.75% 6.68% 244Excluded Cost Reports 8 12 12
Total Cost Reports 221 255 256
Mean Median Count Mean Median Count Mean Median Count1st Quartile 14.53% 13.57% 62 13.45% 12.14% 63 12.67% 11.13% 622nd Quartile 7.85% 7.79% 62 7.21% 7.17% 63 7.05% 6.73% 633rd Quartile 4.39% 4.48% 62 3.81% 3.93% 63 3.54% 3.72% 634th Quartile (2.25%) (0.36%) 62 (3.46%) (1.84%) 64 (4.06%) (1.58%) 63
Total Population 6.13% 5.97% 248 5.22% 5.32% 253 4.77% 5.18% 251Excluded Cost Reports 9 4 6
Total Cost Reports 257 257 257
Quartile Rank2006 2005 2004
Total Profit MarginAll 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 14
Peer Group Comparison – Total Profit Margin
Mean Median Count Mean Median Count Mean Median Count1st Quartile 13.70% 12.48% 758 13.12% 11.74% 849 15.41% 14.40% 8642nd Quartile 5.10% 5.13% 760 4.74% 4.55% 851 7.21% 7.13% 8653rd Quartile 0.59% 0.58% 762 0.00% 0.21% 853 2.43% 2.45% 8684th Quartile (7.00%) (6.12%) 764 (8.09%) (7.22%) 854 (5.42%) (4.21%) 869
Total Population 3.07% 2.69% 3044 2.43% 2.37% 3407 4.89% 4.66% 3466Excluded Cost Reports 306 317 295
Total Cost Reports 3350 3724 3761
Mean Median Count Mean Median Count Mean Median Count1st Quartile 14.65% 13.69% 854 13.89% 12.64% 839 13.43% 12.11% 8402nd Quartile 6.57% 6.53% 856 6.21% 6.18% 841 5.70% 5.65% 8423rd Quartile 2.32% 2.33% 857 2.03% 2.14% 844 1.49% 1.68% 8454th Quartile (5.65%) (4.36%) 858 (5.84%) (4.71%) 845 (6.47%) (5.35%) 846
Total Population 4.46% 4.39% 3425 4.05% 4.19% 3369 3.52% 3.63% 3373Excluded Cost Reports 265 246 243
Total Cost Reports 3690 3615 3616
Quartile Rank2006 2005 2004
Total Profit MarginAll 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 15
Total Operating Profit Margin - Summary
Mean Median Count Mean Median Count Mean Median Count25 Beds or Less (3.12%) (2.80%) 663 (2.65%) (2.36%) 712 (2.34%) (1.91%) 74326 to 100 Beds (0.81%) (1.40%) 685 (0.84%) (0.90%) 750 (0.11%) (0.42%) 778
101 to 200 Beds 1.68% 0.92% 660 0.72% (0.14%) 740 0.71% 0.57% 749201 to 300 Beds 1.17% 0.62% 378 0.57% (0.13%) 419 0.95% 0.39% 424301 to 400 Beds 2.15% 1.79% 249 0.42% 0.40% 283 0.90% 0.34% 288401 to 500 Beds 0.70% 0.02% 143 (0.60%) (0.90%) 168 (0.24%) (0.15%) 169Over 500 Beds 0.60% 0.68% 207 (0.93%) (0.53%) 238 (0.20%) 0.11% 235
Total All Hospitals (0.10%) (0.32%) 2985 (0.59%) (0.81%) 3310 (0.21%) (0.26%) 3386Excluded Cost Reports 365 414 375
Total Cost Reports 3350 3724 3761
Mean Median Count Mean Median Count Mean Median Count25 Beds or Less (2.93%) (2.36%) 701 (3.46%) (3.13%) 585 (3.66%) (3.55%) 47326 to 100 Beds 0.09% (0.15%) 771 0.12% 0.05% 814 (1.31%) (0.89%) 895
101 to 200 Beds 0.40% (0.20%) 751 0.70% 0.51% 751 0.06% (0.04%) 766201 to 300 Beds 0.82% 0.21% 434 0.72% (0.03%) 439 0.22% (0.02%) 441301 to 400 Beds 0.88% 0.99% 291 0.87% 0.87% 296 0.68% 0.42% 301401 to 500 Beds (0.21%) 0.59% 168 (0.10%) 0.75% 160 0.02% 0.63% 169Over 500 Beds (0.68%) 0.12% 241 (0.45%) 0.08% 240 (0.48%) (0.09%) 235
Total All Hospitals (0.38%) (0.44%) 3357 (0.29%) (0.19%) 3285 (0.81%) (0.54%) 3280Excluded Cost Reports 333 330 336
Total Cost Reports 3690 3615 3616
Total Operating Profit MarginAll 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 16
Peer Group Comparison – Total Operating Profit Margin
All General Acute Care Hospitals in the United States with 25 Licensed Beds or Less
Mean Median Count Mean Median Count Mean Median Count1st Quartile 9.49% 7.56% 165 9.40% 7.30% 178 10.05% 8.72% 1852nd Quartile (0.12%) (0.30%) 166 0.05% (0.22%) 178 0.77% 0.57% 1863rd Quartile (5.81%) (5.85%) 166 (5.14%) (5.16%) 178 (4.72%) (4.55%) 1864th Quartile (15.95%) (15.31%) 166 (14.89%) (13.55%) 178 (15.40%) (14.84%) 186
Total Population (3.12%) (2.80%) 663 (2.65%) (2.36%) 712 (2.34%) (1.91%) 743Excluded Cost Reports 121 148 116
Total Cost Reports 784 860 859
Mean Median Count Mean Median Count Mean Median Count1st Quartile 9.33% 7.64% 175 8.89% 7.41% 146 8.14% 6.16% 1182nd Quartile 0.04% (0.01%) 175 (0.47%) (0.37%) 146 (0.71%) (0.93%) 1183rd Quartile (5.32%) (4.94%) 175 (6.09%) (5.87%) 146 (6.30%) (6.15%) 1184th Quartile (15.68%) (15.13%) 176 (16.09%) (14.85%) 147 (15.68%) (15.25%) 119
Total Population (2.93%) (2.36%) 701 (3.46%) (3.13%) 585 (3.66%) (3.55%) 473Excluded Cost Reports 106 92 102
Total Cost Reports 807 677 575
Total Operating Profit Margin
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 17
Peer Group Comparison – Total Operating Profit Margin
All General Acute Care Hospitals in the United States with Between 26 and 100 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 13.21% 11.94% 171 12.97% 11.63% 187 13.21% 12.58% 1942nd Quartile 1.58% 1.44% 171 2.39% 2.11% 187 2.61% 2.60% 1943rd Quartile (4.06%) (3.86%) 171 (4.12%) (4.08%) 188 (3.26%) (3.15%) 1954th Quartile (13.88%) (12.22%) 172 (14.50%) (13.94%) 188 (12.93%) (11.12%) 195
Total Population (0.81%) (1.40%) 685 (0.84%) (0.90%) 750 (0.11%) (0.42%) 778Excluded Cost Reports 89 98 83
Total Cost Reports 774 848 861
Mean Median Count Mean Median Count Mean Median Count1st Quartile 13.98% 13.10% 192 13.05% 12.34% 203 11.42% 10.13% 2232nd Quartile 2.65% 2.36% 193 2.72% 2.51% 203 1.67% 1.51% 2243rd Quartile (3.05%) (3.03%) 193 (2.53%) (2.48%) 204 (3.64%) (3.40%) 2244th Quartile (13.14%) (11.85%) 193 (12.67%) (11.74%) 204 (14.65%) (13.63%) 224
Total Population 0.09% (0.15%) 771 0.12% 0.05% 814 (1.31%) (0.89%) 895Excluded Cost Reports 66 70 86
Total Cost Reports 837 884 981
Quartile Rank2006 2005 2004
Total Operating Profit Margin
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 18
Peer Group Comparison – Total Operating Profit Margin
All General Acute Care Hospitals in the United States with Between 101 and 200 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 14.29% 13.22% 165 13.14% 12.22% 185 12.98% 11.54% 1872nd Quartile 3.73% 3.42% 165 2.64% 2.38% 185 3.16% 3.12% 1873rd Quartile (1.47%) (1.34%) 165 (2.20%) (2.20%) 185 (1.81%) (1.74%) 1874th Quartile (9.83%) (7.85%) 165 (10.70%) (9.21%) 185 (11.42%) (10.02%) 188
Total Population 1.68% 0.92% 660 0.72% (0.14%) 740 0.71% 0.57% 749Excluded Cost Reports 64 74 79
Total Cost Reports 724 814 828
Mean Median Count Mean Median Count Mean Median Count1st Quartile 12.97% 11.45% 187 12.50% 11.13% 187 12.31% 11.27% 1912nd Quartile 2.47% 2.31% 188 3.10% 2.96% 188 2.36% 2.18% 1913rd Quartile (2.25%) (1.97%) 188 (1.84%) (1.65%) 188 (2.63%) (2.21%) 1924th Quartile (11.54%) (9.88%) 188 (10.92%) (9.46%) 188 (11.73%) (10.34%) 192
Total Population 0.40% (0.20%) 751 0.70% 0.51% 751 0.06% (0.04%) 766Excluded Cost Reports 73 83 64
Total Cost Reports 824 834 830
Quartile Rank2006 2005 2004
Total Operating Profit Margin
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 19
Peer Group Comparison – Total Operating Profit Margin
All General Acute Care Hospitals in the United States with Between 201 and 300 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 13.18% 11.67% 94 12.23% 10.83% 104 12.60% 11.79% 1062nd Quartile 3.48% 3.81% 94 2.72% 2.80% 105 2.69% 2.62% 1063rd Quartile (1.46%) (1.56%) 95 (1.98%) (1.80%) 105 (1.84%) (1.64%) 1064th Quartile (10.40%) (8.72%) 95 (10.57%) (8.76%) 105 (9.66%) (8.76%) 106
Total Population 1.17% 0.62% 378 0.57% (0.13%) 419 0.95% 0.39% 424Excluded Cost Reports 40 44 42
Total Cost Reports 418 463 466
Mean Median Count Mean Median Count Mean Median Count1st Quartile 13.10% 12.05% 108 12.42% 11.35% 109 11.99% 10.79% 1102nd Quartile 2.67% 2.56% 108 2.43% 2.37% 110 2.08% 2.10% 1103rd Quartile (2.04%) (1.91%) 109 (1.98%) (1.86%) 110 (2.49%) (2.49%) 1104th Quartile (10.31%) (8.86%) 109 (9.88%) (8.23%) 110 (10.61%) (9.80%) 111
Total Population 0.82% 0.21% 434 0.72% (0.03%) 439 0.22% (0.02%) 441Excluded Cost Reports 42 35 35
Total Cost Reports 476 474 476
Quartile Rank2006 2005 2004
Total Operating Profit Margin
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 20
Peer Group Comparison – Total Operating Profit Margin
All General Acute Care Hospitals in the United States with Between 301 and 400 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 12.71% 11.33% 62 11.47% 9.93% 70 11.91% 11.19% 722nd Quartile 3.80% 3.35% 62 2.50% 2.26% 71 3.36% 3.25% 723rd Quartile 0.01% 0.01% 62 (1.85%) (1.77%) 71 (1.75%) (1.68%) 724th Quartile (7.74%) (5.01%) 63 (10.30%) (8.18%) 71 (9.92%) (9.23%) 72
Total Population 2.15% 1.79% 249 0.42% 0.40% 283 0.90% 0.34% 288Excluded Cost Reports 20 21 22
Total Cost Reports 269 304 310
Mean Median Count Mean Median Count Mean Median Count1st Quartile 11.97% 11.28% 72 12.09% 10.44% 74 11.84% 11.24% 752nd Quartile 3.08% 3.01% 73 3.13% 3.20% 74 2.40% 2.27% 753rd Quartile (1.40%) (1.28%) 73 (1.52%) (1.30%) 74 (1.45%) (1.48%) 754th Quartile (9.96%) (8.09%) 73 (10.21%) (9.43%) 74 (9.94%) (8.46%) 76
Total Population 0.88% 0.99% 291 0.87% 0.87% 296 0.68% 0.42% 301Excluded Cost Reports 17 15 15
Total Cost Reports 308 311 316
Quartile Rank2006 2005 2004
Total Operating Profit Margin
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 21
Peer Group Comparison – Total Operating Profit Margin
All General Acute Care Hospitals in the United States with Between 401 and 500 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 10.65% 8.77% 35 9.85% 8.68% 42 11.10% 8.86% 422nd Quartile 2.51% 2.37% 36 1.77% 1.72% 42 1.89% 1.75% 423rd Quartile (1.69%) (1.58%) 36 (2.77%) (2.62%) 42 (2.25%) (1.77%) 424th Quartile (8.37%) (6.97%) 36 (11.27%) (10.15%) 42 (11.44%) (10.14%) 43
Total Population 0.70% 0.02% 143 (0.60%) (0.90%) 168 (0.24%) (0.15%) 169Excluded Cost Reports 17 12 12
Total Cost Reports 160 180 181
Mean Median Count Mean Median Count Mean Median Count1st Quartile 10.07% 7.96% 42 10.01% 9.12% 40 10.47% 9.13% 422nd Quartile 2.27% 2.36% 42 2.54% 2.45% 40 2.37% 2.28% 423rd Quartile (2.15%) (2.40%) 42 (1.40%) (1.45%) 40 (1.36%) (1.44%) 424th Quartile (11.05%) (10.07%) 42 (11.55%) (10.24%) 40 (11.12%) (9.63%) 43
Total Population (0.21%) 0.59% 168 (0.10%) 0.75% 160 0.02% 0.63% 169Excluded Cost Reports 13 18 12
Total Cost Reports 181 178 181
Quartile Rank2006 2005 2004
Total Operating Profit Margin
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 22
Peer Group Comparison – Total Operating Profit Margin
All General Acute Care Hospitals in the United States with Over 500 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 11.23% 10.88% 51 9.55% 8.65% 59 11.15% 9.85% 582nd Quartile 2.91% 2.68% 52 2.44% 2.60% 59 2.60% 2.29% 593rd Quartile (1.59%) (1.46%) 52 (3.18%) (2.98%) 60 (2.46%) (2.42%) 594th Quartile (9.94%) (8.50%) 52 (12.30%) (11.64%) 60 (11.90%) (10.57%) 59
Total Population 0.60% 0.68% 207 (0.93%) (0.53%) 238 (0.20%) 0.11% 235Excluded Cost Reports 14 17 21
Total Cost Reports 221 255 256
Mean Median Count Mean Median Count Mean Median Count1st Quartile 10.35% 8.79% 60 10.32% 8.81% 60 9.73% 8.65% 582nd Quartile 1.91% 1.68% 60 1.84% 1.58% 60 2.05% 1.75% 593rd Quartile (2.58%) (2.66%) 60 (2.15%) (1.87%) 60 (1.91%) (1.74%) 594th Quartile (12.19%) (11.64%) 61 (11.80%) (9.92%) 60 (11.63%) (9.97%) 59
Total Population (0.68%) 0.12% 241 (0.45%) 0.08% 240 (0.48%) (0.09%) 235Excluded Cost Reports 16 17 22
Total Cost Reports 257 257 257
Quartile Rank2006 2005 2004
Total Operating Profit Margin
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 23
Peer Group Comparison – Total Operating Profit Margin
All General Acute Care Hospitals in the United States Regardless of Bed Size
Mean Median Count Mean Median Count Mean Median Count1st Quartile 12.32% 11.19% 743 11.62% 10.33% 825 12.03% 10.93% 8442nd Quartile 2.24% 2.22% 746 1.96% 1.74% 827 2.36% 2.22% 8463rd Quartile (2.92%) (2.59%) 747 (3.31%) (2.98%) 829 (2.85%) (2.64%) 8474th Quartile (11.95%) (10.97%) 749 (12.56%) (11.35%) 829 (12.33%) (11.16%) 849
Total Population (0.10%) (0.32%) 2985 (0.59%) (0.81%) 3310 (0.21%) (0.26%) 3386Excluded Cost Reports 365 414 375
Total Cost Reports 3350 3724 3761
Mean Median Count Mean Median Count Mean Median Count1st Quartile 12.04% 10.78% 836 11.67% 10.43% 819 11.10% 9.81% 8172nd Quartile 2.04% 1.88% 839 2.16% 2.23% 821 1.68% 1.67% 8193rd Quartile (2.99%) (2.82%) 840 (2.76%) (2.43%) 822 (3.19%) (2.86%) 8204th Quartile (12.50%) (11.07%) 842 (12.17%) (11.02%) 823 (12.74%) (11.71%) 824
Total Population (0.38%) (0.44%) 3357 (0.29%) (0.19%) 3285 (0.81%) (0.54%) 3280Excluded Cost Reports 333 330 336
Total Cost Reports 3690 3615 3616
Quartile Rank2006 2005 2004
Total Operating Profit Margin
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 24
Total Labor Cost as a Percentage of Total Operating Revenues - Summary
Mean Median Count Mean Median Count Mean Median Count25 Beds or Less 49.44% 49.63% 661 49.80% 50.43% 719 49.98% 49.80% 71226 to 100 Beds 48.84% 49.17% 694 49.74% 50.07% 760 49.60% 50.04% 788
101 to 200 Beds 47.84% 47.65% 681 48.91% 48.92% 763 49.21% 49.08% 782201 to 300 Beds 48.30% 47.66% 389 49.14% 48.64% 427 49.11% 49.29% 432301 to 400 Beds 48.97% 49.06% 251 49.87% 49.96% 280 50.19% 50.10% 290401 to 500 Beds 49.71% 48.23% 149 50.96% 49.83% 169 50.82% 50.21% 168Over 500 Beds 48.23% 47.37% 206 49.52% 49.56% 239 49.22% 48.71% 243
Total All Hospitals 48.69% 48.57% 3031 49.54% 49.65% 3357 49.61% 49.55% 3415Excluded Cost Reports 319 367 346
Total Cost Reports 3350 3724 3761
Mean Median Count Mean Median Count Mean Median Count25 Beds or Less 49.41% 49.44% 685 49.46% 49.76% 574 50.31% 50.07% 48226 to 100 Beds 49.84% 49.97% 763 50.52% 50.72% 817 51.36% 51.93% 894
101 to 200 Beds 49.71% 49.61% 784 49.20% 49.38% 792 49.85% 49.63% 787201 to 300 Beds 49.32% 49.55% 439 49.85% 50.38% 445 50.31% 50.53% 447301 to 400 Beds 49.90% 49.57% 293 49.90% 50.60% 295 50.26% 50.55% 298401 to 500 Beds 50.74% 50.46% 169 50.51% 50.34% 167 50.54% 50.46% 171Over 500 Beds 49.37% 49.36% 242 49.35% 48.73% 243 49.73% 48.96% 241
Total All Hospitals 49.67% 49.66% 3375 49.79% 50.00% 3333 50.45% 50.48% 3320Excluded Cost Reports 315 282 296
Total Cost Reports 3690 3615 3616
Total Labor Cost as a Percentage of Total Operating RevenuesAll 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 25
All General Acute Care Hospitals in the United States with 25 Licensed Beds or Less
Mean Median Count Mean Median Count Mean Median Count1st Quartile 37.00% 37.24% 165 37.53% 38.03% 179 37.71% 38.18% 1782nd Quartile 46.41% 46.70% 165 46.87% 46.94% 180 46.89% 47.15% 1783rd Quartile 52.97% 52.94% 165 53.29% 53.24% 180 53.55% 53.72% 1784th Quartile 61.30% 60.66% 166 61.44% 61.05% 180 61.78% 61.16% 178
Total Population 49.44% 49.63% 661 49.80% 50.43% 719 49.98% 49.80% 712Excluded Cost Reports 123 141 147
Total Cost Reports 784 860 859
Mean Median Count Mean Median Count Mean Median Count1st Quartile 37.40% 38.65% 171 37.03% 37.65% 143 37.92% 38.39% 1202nd Quartile 45.93% 46.26% 171 45.63% 45.36% 143 46.45% 46.75% 1203rd Quartile 52.99% 53.02% 171 53.43% 53.52% 144 54.02% 54.02% 1214th Quartile 61.22% 60.95% 172 61.66% 61.49% 144 62.72% 62.39% 121
Total Population 49.41% 49.44% 685 49.46% 49.76% 574 50.31% 50.07% 482Excluded Cost Reports 122 103 93
Total Cost Reports 807 677 575
Total Labor Cost as a Percentage of Total Operating Revenues
Quartile Rank2009 2008 2007
Quartile Rank2006 2005 2004
Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.
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.
All General Acute Care Hospitals in the United States with Between 26 and 100 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 36.91% 37.40% 173 38.07% 38.87% 190 38.01% 38.79% 1972nd Quartile 45.63% 45.74% 173 46.74% 46.84% 190 47.02% 47.16% 1973rd Quartile 52.28% 52.14% 174 52.94% 53.06% 190 52.67% 52.67% 1974th Quartile 60.46% 59.36% 174 61.19% 60.94% 190 60.71% 60.12% 197
Total Population 48.84% 49.17% 694 49.74% 50.07% 760 49.60% 50.04% 788Excluded Cost Reports 80 88 73
Total Cost Reports 774 848 861
Mean Median Count Mean Median Count Mean Median Count1st Quartile 38.31% 38.93% 190 38.95% 39.57% 204 40.43% 41.40% 2232nd Quartile 47.04% 47.20% 191 48.03% 48.26% 204 49.03% 49.02% 2233rd Quartile 52.92% 53.06% 191 53.59% 53.53% 204 54.35% 54.41% 2244th Quartile 61.02% 60.70% 191 61.46% 61.24% 205 61.57% 61.21% 224
Total Population 49.84% 49.97% 763 50.52% 50.72% 817 51.36% 51.93% 894Excluded Cost Reports 74 67 87
Total Cost Reports 837 884 981
Quartile Rank2006 2005 2004
Total Labor Cost as a Percentage of Total Operating Revenues
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 27
Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.
All General Acute Care Hospitals in the United States with Between 101 and 200 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 37.56% 38.29% 170 38.15% 38.73% 190 38.71% 39.42% 1952nd Quartile 44.75% 44.78% 170 46.07% 46.27% 191 46.48% 46.42% 1953rd Quartile 50.74% 50.90% 170 51.68% 51.63% 191 51.93% 51.76% 1964th Quartile 58.22% 57.40% 171 59.67% 59.04% 191 59.65% 58.60% 196
Total Population 47.84% 47.65% 681 48.91% 48.92% 763 49.21% 49.08% 782Excluded Cost Reports 43 51 46
Total Cost Reports 724 814 828
Mean Median Count Mean Median Count Mean Median Count1st Quartile 38.75% 39.45% 196 38.49% 38.90% 198 39.47% 39.82% 1962nd Quartile 46.84% 46.92% 196 46.47% 46.34% 198 47.14% 47.23% 1973rd Quartile 52.80% 52.71% 196 52.05% 51.88% 198 52.49% 52.61% 1974th Quartile 60.43% 59.74% 196 59.80% 59.58% 198 60.27% 59.66% 197
Total Population 49.71% 49.61% 784 49.20% 49.38% 792 49.85% 49.63% 787Excluded Cost Reports 40 42 43
Total Cost Reports 824 834 830
Quartile Rank2006 2005 2004
Total Labor Cost as a Percentage of Total Operating Revenues
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 28
Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.
All General Acute Care Hospitals in the United States with Between 201 and 300 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 38.13% 38.53% 97 39.42% 40.40% 106 39.30% 39.84% 1082nd Quartile 45.37% 45.59% 97 46.22% 46.30% 107 46.72% 46.83% 1083rd Quartile 50.71% 50.74% 97 51.47% 51.15% 107 51.61% 51.48% 1084th Quartile 58.86% 57.83% 98 59.38% 58.95% 107 58.83% 58.30% 108
Total Population 48.30% 47.66% 389 49.14% 48.64% 427 49.11% 49.29% 432Excluded Cost Reports 29 36 34
Total Cost Reports 418 463 466
Mean Median Count Mean Median Count Mean Median Count1st Quartile 39.13% 39.97% 109 39.54% 40.13% 111 39.77% 40.52% 1112nd Quartile 46.68% 46.74% 110 47.52% 47.76% 111 47.87% 48.04% 1123rd Quartile 52.02% 52.03% 110 52.60% 52.54% 111 53.11% 53.05% 1124th Quartile 59.36% 59.04% 110 59.67% 58.76% 112 60.41% 60.11% 112
Total Population 49.32% 49.55% 439 49.85% 50.38% 445 50.31% 50.53% 447Excluded Cost Reports 37 29 29
Total Cost Reports 476 474 476
Quartile Rank2006 2005 2004
Total Labor Cost as a Percentage of Total Operating Revenues
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 29
Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.
All General Acute Care Hospitals in the United States with Between 301 and 400 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 40.69% 40.83% 62 40.55% 41.61% 70 40.85% 41.32% 722nd Quartile 46.72% 46.76% 63 47.86% 48.09% 70 47.97% 48.05% 723rd Quartile 50.87% 50.90% 63 52.30% 52.12% 70 52.40% 52.06% 734th Quartile 57.47% 56.43% 63 58.79% 57.99% 70 59.38% 58.19% 73
Total Population 48.97% 49.06% 251 49.87% 49.96% 280 50.19% 50.10% 290Excluded Cost Reports 18 24 20
Total Cost Reports 269 304 310
Mean Median Count Mean Median Count Mean Median Count1st Quartile 41.21% 42.35% 73 40.64% 41.32% 73 41.55% 42.60% 742nd Quartile 47.28% 47.27% 73 47.46% 46.94% 74 47.93% 47.84% 743rd Quartile 52.21% 52.01% 73 52.59% 52.39% 74 52.75% 52.95% 754th Quartile 58.79% 57.97% 74 58.76% 57.88% 74 58.65% 57.48% 75
Total Population 49.90% 49.57% 293 49.90% 50.60% 295 50.26% 50.55% 298Excluded Cost Reports 15 16 18
Total Cost Reports 308 311 316
Quartile Rank2006 2005 2004
Total Labor Cost as a Percentage of Total Operating Revenues
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 30
Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.
All General Acute Care Hospitals in the United States with Between 401 and 500 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 40.76% 41.82% 37 41.45% 42.72% 42 41.32% 42.18% 422nd Quartile 46.34% 46.58% 37 47.73% 47.68% 42 47.73% 47.83% 423rd Quartile 51.74% 52.31% 37 53.63% 54.03% 42 53.39% 53.65% 424th Quartile 59.73% 59.19% 38 60.80% 60.01% 43 60.84% 60.18% 42
Total Population 49.71% 48.23% 149 50.96% 49.83% 169 50.82% 50.21% 168Excluded Cost Reports 11 11 13
Total Cost Reports 160 180 181
Mean Median Count Mean Median Count Mean Median Count1st Quartile 41.72% 42.68% 42 41.74% 42.93% 41 41.37% 42.70% 422nd Quartile 47.88% 47.66% 42 47.61% 47.67% 42 47.86% 48.15% 433rd Quartile 53.08% 53.02% 42 52.47% 52.32% 42 53.31% 53.30% 434th Quartile 60.05% 59.44% 43 60.01% 59.59% 42 59.39% 58.93% 43
Total Population 50.74% 50.46% 169 50.51% 50.34% 167 50.54% 50.46% 171Excluded Cost Reports 12 11 10
Total Cost Reports 181 178 181
Quartile Rank2006 2005 2004
Total Labor Cost as a Percentage of Total Operating Revenues
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 31
Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.
All General Acute Care Hospitals in the United States with Over 500 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 40.34% 40.68% 51 41.34% 42.31% 59 40.69% 41.49% 602nd Quartile 45.87% 45.90% 51 46.83% 46.89% 60 46.49% 46.29% 613rd Quartile 49.82% 49.69% 52 51.23% 50.78% 60 51.01% 50.79% 614th Quartile 56.69% 55.92% 52 58.53% 57.54% 60 58.54% 56.73% 61
Total Population 48.23% 47.37% 206 49.52% 49.56% 239 49.22% 48.71% 243Excluded Cost Reports 15 16 13
Total Cost Reports 221 255 256
Mean Median Count Mean Median Count Mean Median Count1st Quartile 40.99% 41.86% 60 40.76% 41.68% 60 41.72% 41.91% 602nd Quartile 47.17% 47.25% 60 46.77% 46.96% 61 47.10% 46.89% 603rd Quartile 51.07% 50.89% 61 50.98% 51.02% 61 51.21% 50.83% 604th Quartile 58.06% 56.48% 61 58.75% 57.46% 61 58.73% 58.51% 61
Total Population 49.37% 49.36% 242 49.35% 48.73% 243 49.73% 48.96% 241Excluded Cost Reports 15 14 16
Total Cost Reports 257 257 257
Quartile Rank2006 2005 2004
Total Labor Cost as a Percentage of Total Operating Revenues
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 32
Peer Group Comparison – Total Labor Cost as a Percent of Total Op. Rev.
All General Acute Care Hospitals in the United States Regardless of Bed Sheet63!Size
Mean Median Count Mean Median Count Mean Median Count1st Quartile 37.96% 38.53% 755 38.75% 39.55% 836 38.86% 39.65% 8522nd Quartile 45.71% 45.79% 756 46.70% 46.79% 840 46.91% 47.00% 8533rd Quartile 51.57% 51.56% 758 52.40% 52.36% 840 52.44% 52.34% 8554th Quartile 59.40% 58.64% 762 60.26% 59.67% 841 60.19% 59.61% 855
Total Population 48.69% 48.57% 3031 49.54% 49.65% 3357 49.61% 49.55% 3415Excluded Cost Reports 319 367 346
Total Cost Reports 3350 3724 3761
Mean Median Count Mean Median Count Mean Median Count1st Quartile 38.95% 39.74% 841 39.01% 39.66% 830 39.99% 40.49% 8262nd Quartile 46.79% 46.94% 843 47.01% 47.02% 833 47.75% 47.88% 8293rd Quartile 52.60% 52.54% 844 52.73% 52.58% 834 53.27% 53.27% 8324th Quartile 60.25% 59.72% 847 60.35% 59.91% 836 60.69% 60.08% 833
Total Population 49.67% 49.66% 3375 49.79% 50.00% 3333 50.45% 50.48% 3320Excluded Cost Reports 315 282 296
Total Cost Reports 3690 3615 3616
Quartile Rank2006 2005 2004
Total Labor Cost as a Percentage of Total Operating Revenues
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 33
Full-Time Equivalent (FTE) Staff Per Adjusted Occupied Bed (AOB) - Summary
Mean Median Count Mean Median Count Mean Median Count25 Beds or Less 4.88 4.80 680 4.86 4.72 758 4.83 4.70 75326 to 100 Beds 4.77 4.65 732 4.80 4.66 804 4.72 4.58 815
101 to 200 Beds 4.60 4.49 710 4.58 4.43 799 4.55 4.41 816201 to 300 Beds 4.86 4.65 411 4.86 4.58 458 4.81 4.62 458301 to 400 Beds 5.04 4.92 264 5.04 4.92 299 5.03 4.95 305401 to 500 Beds 5.24 5.00 155 5.19 4.97 177 5.17 4.99 178Over 500 Beds 5.52 5.53 209 5.53 5.41 244 5.48 5.45 246
Total All Hospitals 4.86 4.74 3161 4.86 4.69 3539 4.82 4.67 3571Excluded Cost Reports 189 185 190
Total Cost Reports 3350 3724 3761
Mean Median Count Mean Median Count Mean Median Count25 Beds or Less 4.84 4.81 699 4.87 4.84 579 4.89 4.86 47426 to 100 Beds 4.75 4.57 798 4.66 4.51 832 4.77 4.63 931
101 to 200 Beds 4.51 4.37 816 4.45 4.34 827 4.42 4.31 822201 to 300 Beds 4.80 4.62 469 4.76 4.60 464 4.75 4.58 469301 to 400 Beds 5.06 4.90 302 4.98 4.84 303 4.99 4.82 311401 to 500 Beds 5.14 4.91 176 5.15 4.92 176 5.07 4.84 178Over 500 Beds 5.51 5.44 248 5.45 5.40 248 5.40 5.37 245
Total All Hospitals 4.82 4.68 3508 4.77 4.63 3429 4.78 4.64 3430Excluded Cost Reports 182 186 186
Total Cost Reports 3690 3615 3616
Full-Time Equivalent (FTE) Staff per Adjusted Occupied Bed (AOB)All 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 34
Peer Group Comparison – Full-Time Equivalent (FTE) Staff Per Adjusted Occupied Bed (AOB)
All General Acute Care Hospitals in the United States with 25 Licensed Beds or Less
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.10 3.25 170 3.07 3.21 189 3.08 3.21 1882nd Quartile 4.32 4.34 170 4.26 4.27 189 4.25 4.24 1883rd Quartile 5.28 5.27 170 5.25 5.27 190 5.20 5.20 1884th Quartile 6.81 6.69 170 6.86 6.80 190 6.79 6.68 189
Total Population 4.88 4.80 680 4.86 4.72 758 4.83 4.70 753Excluded Cost Reports 104 102 106
Total Cost Reports 784 860 859
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.01 3.17 174 3.04 3.11 144 3.02 3.18 1182nd Quartile 4.30 4.31 175 4.34 4.36 145 4.37 4.34 1183rd Quartile 5.26 5.25 175 5.29 5.29 145 5.31 5.29 1194th Quartile 6.79 6.69 175 6.80 6.78 145 6.85 6.70 119
Total Population 4.84 4.81 699 4.87 4.84 579 4.89 4.86 474Excluded Cost Reports 108 98 101
Total Cost Reports 807 677 575
Full-Time Equivalent (FTE) Staff per Adjusted Occupied Bed (AOB)
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 35
Peer Group Comparison – Full-Time Equivalent (FTE) Staff Per Adjusted Occupied Bed (AOB)
All General Acute Care Hospitals in the United States with Between 26 and 100 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.27 3.39 183 3.32 3.43 201 3.29 3.43 2032nd Quartile 4.24 4.23 183 4.26 4.24 201 4.22 4.22 2043rd Quartile 5.05 5.05 183 5.05 5.05 201 4.97 4.93 2044th Quartile 6.51 6.27 183 6.57 6.38 201 6.38 6.22 204
Total Population 4.77 4.65 732 4.80 4.66 804 4.72 4.58 815Excluded Cost Reports 42 44 46
Total Cost Reports 774 848 861
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.34 3.44 199 3.34 3.46 208 3.37 3.49 2322nd Quartile 4.27 4.30 199 4.19 4.20 208 4.30 4.31 2333rd Quartile 5.01 5.01 200 4.90 4.91 208 5.02 4.99 2334th Quartile 6.37 6.19 200 6.22 6.12 208 6.39 6.29 233
Total Population 4.75 4.57 798 4.66 4.51 832 4.77 4.63 931Excluded Cost Reports 39 52 50
Total Cost Reports 837 884 981
Full-Time Equivalent (FTE) Staff per Adjusted Occupied Bed (AOB)
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 36
Peer Group Comparison – Full-Time Equivalent (FTE) Staff Per Adjusted Occupied Bed (AOB)
All General Acute Care Hospitals in the United States with Between 101 and 200 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.35 3.44 177 3.37 3.49 199 3.37 3.48 2042nd Quartile 4.18 4.20 177 4.15 4.15 200 4.13 4.11 2043rd Quartile 4.80 4.77 178 4.79 4.78 200 4.71 4.70 2044th Quartile 6.04 5.87 178 6.02 5.82 200 5.99 5.80 204
Total Population 4.60 4.49 710 4.58 4.43 799 4.55 4.41 816Excluded Cost Reports 14 15 12
Total Cost Reports 724 814 828
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.38 3.48 204 3.33 3.43 206 3.35 3.45 2052nd Quartile 4.10 4.07 204 4.04 4.04 207 4.02 4.02 2053rd Quartile 4.68 4.68 204 4.63 4.60 207 4.57 4.55 2064th Quartile 5.89 5.65 204 5.80 5.66 207 5.74 5.52 206
Total Population 4.51 4.37 816 4.45 4.34 827 4.42 4.31 822Excluded Cost Reports 8 7 8
Total Cost Reports 824 834 830
Full-Time Equivalent (FTE) Staff per Adjusted Occupied Bed (AOB)
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 37
Peer Group Comparison – Full-Time Equivalent (FTE) Staff Per Adjusted Occupied Bed (AOB)
All General Acute Care Hospitals in the United States with Between 201 and 300 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.67 3.78 102 3.70 3.75 114 3.66 3.72 1142nd Quartile 4.37 4.36 103 4.37 4.38 114 4.34 4.36 1143rd Quartile 5.03 5.03 103 4.98 5.02 115 4.94 4.96 1154th Quartile 6.35 6.21 103 6.38 6.12 115 6.26 6.03 115
Total Population 4.86 4.65 411 4.86 4.58 458 4.81 4.62 458Excluded Cost Reports 7 5 8
Total Cost Reports 418 463 466
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.65 3.71 117 3.60 3.66 116 3.58 3.70 1172nd Quartile 4.34 4.34 117 4.29 4.28 116 4.28 4.28 1173rd Quartile 4.95 4.93 117 4.91 4.90 116 4.93 4.92 1174th Quartile 6.23 5.99 118 6.24 5.94 116 6.21 6.04 118
Total Population 4.80 4.62 469 4.76 4.60 464 4.75 4.58 469Excluded Cost Reports 7 10 7
Total Cost Reports 476 474 476
Full-Time Equivalent (FTE) Staff per Adjusted Occupied Bed (AOB)
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 38
Peer Group Comparison – Full-Time Equivalent (FTE) Staff Per Adjusted Occupied Bed (AOB)
All General Acute Care Hospitals in the United States with Between 301 and 400 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.84 3.92 66 3.86 3.98 74 3.85 3.97 762nd Quartile 4.63 4.65 66 4.59 4.60 75 4.62 4.62 763rd Quartile 5.24 5.22 66 5.22 5.20 75 5.21 5.18 764th Quartile 6.44 6.33 66 6.46 6.32 75 6.41 6.26 77
Total Population 5.04 4.92 264 5.04 4.92 299 5.03 4.95 305Excluded Cost Reports 5 5 5
Total Cost Reports 269 304 310
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.93 4.02 75 3.82 3.92 75 3.84 3.92 772nd Quartile 4.64 4.64 75 4.54 4.53 76 4.53 4.52 783rd Quartile 5.22 5.19 76 5.20 5.23 76 5.15 5.17 784th Quartile 6.43 6.26 76 6.34 6.18 76 6.42 6.24 78
Total Population 5.06 4.90 302 4.98 4.84 303 4.99 4.82 311Excluded Cost Reports 6 8 5
Total Cost Reports 308 311 316
Full-Time Equivalent (FTE) Staff per Adjusted Occupied Bed (AOB)
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 39
Peer Group Comparison – Full-Time Equivalent (FTE) Staff Per Adjusted Occupied Bed (AOB)
All General Acute Care Hospitals in the United States with Between 401 and 500 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.96 3.93 38 3.89 3.99 44 3.88 3.99 442nd Quartile 4.71 4.74 39 4.64 4.62 44 4.62 4.63 443rd Quartile 5.43 5.46 39 5.42 5.42 44 5.37 5.32 454th Quartile 6.82 6.62 39 6.79 6.65 45 6.76 6.56 45
Total Population 5.24 5.00 155 5.19 4.97 177 5.17 4.99 178Excluded Cost Reports 5 3 3
Total Cost Reports 160 180 181
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.91 4.04 44 3.88 3.98 44 3.79 3.89 442nd Quartile 4.62 4.57 44 4.61 4.60 44 4.55 4.55 443rd Quartile 5.35 5.30 44 5.30 5.25 44 5.21 5.21 454th Quartile 6.69 6.46 44 6.80 6.64 44 6.68 6.59 45
Total Population 5.14 4.91 176 5.15 4.92 176 5.07 4.84 178Excluded Cost Reports 5 2 3
Total Cost Reports 181 178 181
Full-Time Equivalent (FTE) Staff per Adjusted Occupied Bed (AOB)
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 40
Peer Group Comparison – Full-Time Equivalent (FTE) Staff Per Adjusted Occupied Bed (AOB)
All General Acute Care Hospitals in the United States with Over 500 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 4.25 4.42 52 4.29 4.47 61 4.27 4.47 612nd Quartile 5.13 5.12 52 5.15 5.16 61 5.09 5.09 613rd Quartile 5.78 5.78 52 5.79 5.77 61 5.74 5.71 624th Quartile 6.90 6.67 53 6.89 6.75 61 6.78 6.73 62
Total Population 5.52 5.53 209 5.53 5.41 244 5.48 5.45 246Excluded Cost Reports 12 11 10
Total Cost Reports 221 255 256
Mean Median Count Mean Median Count Mean Median Count1st Quartile 4.28 4.46 62 4.25 4.43 62 4.21 4.35 612nd Quartile 5.08 5.09 62 5.07 5.07 62 5.06 5.07 613rd Quartile 5.77 5.77 62 5.69 5.70 62 5.64 5.64 614th Quartile 6.93 6.76 62 6.80 6.65 62 6.67 6.49 62
Total Population 5.51 5.44 248 5.45 5.40 248 5.40 5.37 245Excluded Cost Reports 9 9 12
Total Cost Reports 257 257 257
Full-Time Equivalent (FTE) Staff per Adjusted Occupied Bed (AOB)
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 41
Peer Group Comparison – Full-Time Equivalent (FTE) Staff Per Adjusted Occupied Bed (AOB)
All General Acute Care Hospitals in the United States Regardless of Bed Size
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.45 3.53 788 3.47 3.55 882 3.46 3.55 8902nd Quartile 4.37 4.35 790 4.36 4.33 884 4.33 4.31 8913rd Quartile 5.12 5.08 791 5.11 5.08 886 5.05 5.01 8944th Quartile 6.49 6.35 792 6.51 6.36 887 6.41 6.26 896
Total Population 4.86 4.74 3161 4.86 4.69 3539 4.82 4.67 3571Excluded Cost Reports 189 185 190
Total Cost Reports 3350 3724 3761
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.47 3.54 875 3.46 3.53 855 3.47 3.55 8542nd Quartile 4.35 4.33 876 4.31 4.27 858 4.33 4.29 8563rd Quartile 5.06 5.03 878 5.01 4.97 858 5.01 4.99 8594th Quartile 6.38 6.22 879 6.30 6.15 858 6.31 6.20 861
Total Population 4.82 4.68 3508 4.77 4.63 3429 4.78 4.64 3430Excluded Cost Reports 182 186 186
Total Cost Reports 3690 3615 3616
Full-Time Equivalent (FTE) Staff per Adjusted Occupied Bed (AOB)
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 42
Days Net Patient Revenue in Accounts Receivable (AR) - Summary
Mean Median Count Mean Median Count Mean Median Count25 Beds or Less 54.45 52.76 732 58.61 57.20 799 59.43 57.93 79326 to 100 Beds 50.35 47.94 716 54.05 51.88 777 55.57 53.84 801
101 to 200 Beds 49.71 47.72 672 51.27 50.08 753 52.36 51.17 766201 to 300 Beds 47.69 46.31 372 50.50 50.42 412 52.00 51.29 420301 to 400 Beds 47.50 46.35 248 51.01 50.29 275 51.93 50.41 288401 to 500 Beds 50.52 48.86 148 51.20 50.17 169 53.98 52.24 167Over 500 Beds 48.60 48.16 210 52.01 50.66 239 51.56 51.68 240
Total All Hospitals 50.52 48.58 3098 53.55 51.86 3424 54.66 53.02 3475Excluded Cost Reports 252 300 286
Total Cost Reports 3350 3724 3761
Mean Median Count Mean Median Count Mean Median Count25 Beds or Less 59.65 58.45 751 58.76 57.20 625 59.66 58.38 52826 to 100 Beds 55.45 54.23 771 55.37 54.06 814 57.43 56.31 905
101 to 200 Beds 54.88 53.28 764 53.81 52.62 770 55.30 54.29 768201 to 300 Beds 52.57 51.28 432 52.63 51.90 436 54.57 53.49 440301 to 400 Beds 52.36 51.86 289 52.03 51.94 289 54.17 53.32 293401 to 500 Beds 52.82 52.05 169 51.92 50.85 164 54.88 53.87 173Over 500 Beds 52.46 52.32 238 52.40 52.20 237 54.79 54.49 242
Total All Hospitals 55.28 53.98 3414 54.62 53.34 3335 56.31 55.43 3349Excluded Cost Reports 276 280 267
Total Cost Reports 3690 3615 3616
Days Net Patient Revenue in Accounts Receivable (AR)All 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 43
Peer Group Comparison – Days Net Patient Revenue in Accounts Receivable (AR)
All General Acute Care Hospitals in the United States with 25 Licensed Beds or Less
Mean Median Count Mean Median Count Mean Median Count1st Quartile 35.33 37.13 183 37.98 40.19 199 39.53 41.81 1982nd Quartile 48.30 48.23 183 51.91 51.92 200 53.19 53.50 1983rd Quartile 58.21 58.47 183 62.70 62.47 200 63.38 63.06 1984th Quartile 75.98 73.46 183 81.73 79.34 200 81.52 79.90 199
Total Population 54.45 52.76 732 58.61 57.20 799 59.43 57.93 793Excluded Cost Reports 52 61 66
Total Cost Reports 784 860 859
Mean Median Count Mean Median Count Mean Median Count1st Quartile 40.10 41.65 187 39.29 41.95 156 38.55 40.94 1322nd Quartile 53.62 53.69 188 52.18 52.18 156 54.09 53.91 1323rd Quartile 63.60 63.31 188 62.84 62.74 156 63.35 63.24 1324th Quartile 81.18 80.33 188 80.61 77.86 157 82.67 81.04 132
Total Population 59.65 58.45 751 58.76 57.20 625 59.66 58.38 528Excluded Cost Reports 56 52 47
Total Cost Reports 807 677 575
Days Net Patient Revenue in Accounts Receivable (AR)
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 44
Peer Group Comparison – Days Net Patient Revenue in Accounts Receivable (AR)
All General Acute Care Hospitals in the United States with Between 26 and 100 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 32.23 33.84 179 35.27 37.21 194 35.72 37.95 2002nd Quartile 43.90 43.89 179 47.45 47.27 194 49.04 48.92 2003rd Quartile 52.80 52.35 179 57.10 56.96 194 58.54 57.72 2004th Quartile 72.46 69.55 179 76.25 72.51 195 78.87 77.09 201
Total Population 50.35 47.94 716 54.05 51.88 777 55.57 53.84 801Excluded Cost Reports 58 71 60
Total Cost Reports 774 848 861
Mean Median Count Mean Median Count Mean Median Count1st Quartile 35.86 38.09 192 35.66 37.60 203 36.74 39.15 2262nd Quartile 49.53 49.56 193 49.57 49.75 203 51.61 51.83 2263rd Quartile 59.13 58.97 193 58.85 58.52 204 61.32 61.34 2264th Quartile 77.18 74.76 193 77.25 75.33 204 79.96 78.52 227
Total Population 55.45 54.23 771 55.37 54.06 814 57.43 56.31 905Excluded Cost Reports 66 70 76
Total Cost Reports 837 884 981
Quartile Rank2006 2005 2004
Days Net Patient Revenue in Accounts Receivable (AR)
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 45
Peer Group Comparison – Days Net Patient Revenue in Accounts Receivable (AR)
All General Acute Care Hospitals in the United States with Between 101 and 200 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 33.10 35.17 168 35.02 37.41 188 35.02 37.78 1912nd Quartile 43.98 43.84 168 46.26 46.34 188 47.45 47.48 1913rd Quartile 51.79 51.87 168 53.91 53.80 188 55.35 55.19 1924th Quartile 69.95 65.26 168 69.80 66.37 189 71.49 67.81 192
Total Population 49.71 47.72 672 51.27 50.08 753 52.36 51.17 766Excluded Cost Reports 52 61 62
Total Cost Reports 724 814 828
Mean Median Count Mean Median Count Mean Median Count1st Quartile 36.43 38.78 191 35.26 37.71 192 36.34 38.36 1922nd Quartile 48.95 48.95 191 48.63 48.82 192 49.70 49.89 1923rd Quartile 57.70 57.42 191 56.88 56.74 193 59.05 58.99 1924th Quartile 76.42 73.19 191 74.36 71.77 193 76.12 72.57 192
Total Population 54.88 53.28 764 53.81 52.62 770 55.30 54.29 768Excluded Cost Reports 60 64 62
Total Cost Reports 824 834 830
Quartile Rank2006 2005 2004
Days Net Patient Revenue in Accounts Receivable (AR)
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 46
Peer Group Comparison – Days Net Patient Revenue in Accounts Receivable (AR)
All General Acute Care Hospitals in the United States with Between 201 and 300 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 33.60 35.50 93 34.48 36.65 103 35.15 37.45 1052nd Quartile 42.74 42.50 93 46.48 46.90 103 46.89 46.87 1053rd Quartile 50.06 49.92 93 53.60 53.48 103 55.43 54.76 1054th Quartile 64.35 60.10 93 67.45 63.42 103 70.52 68.22 105
Total Population 47.69 46.31 372 50.50 50.42 412 52.00 51.29 420Excluded Cost Reports 46 51 46
Total Cost Reports 418 463 466
Mean Median Count Mean Median Count Mean Median Count1st Quartile 36.50 38.33 108 35.10 37.39 109 36.88 39.46 1102nd Quartile 47.83 47.57 108 47.59 47.62 109 49.41 49.62 1103rd Quartile 55.61 55.63 108 56.52 56.64 109 57.97 57.20 1104th Quartile 70.34 68.34 108 71.34 68.25 109 74.00 71.49 110
Total Population 52.57 51.28 432 52.63 51.90 436 54.57 53.49 440Excluded Cost Reports 44 38 36
Total Cost Reports 476 474 476
Quartile Rank2006 2005 2004
Days Net Patient Revenue in Accounts Receivable (AR)
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 47
Peer Group Comparison – Days Net Patient Revenue in Accounts Receivable (AR)
All General Acute Care Hospitals in the United States with Between 301 and 400 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 33.30 36.13 62 36.19 38.16 68 36.40 38.32 722nd Quartile 43.53 43.46 62 46.67 46.85 69 47.36 47.74 723rd Quartile 49.96 49.92 62 53.89 53.37 69 54.37 53.78 724th Quartile 63.22 61.08 62 67.09 65.58 69 69.58 66.39 72
Total Population 47.50 46.35 248 51.01 50.29 275 51.93 50.41 288Excluded Cost Reports 21 29 22
Total Cost Reports 269 304 310
Mean Median Count Mean Median Count Mean Median Count1st Quartile 35.41 37.58 72 35.40 37.59 72 36.71 39.43 732nd Quartile 48.06 47.78 72 47.36 47.85 72 49.08 48.91 733rd Quartile 55.72 55.22 72 55.74 55.17 72 57.67 57.78 734th Quartile 70.01 65.76 73 69.38 65.77 73 72.95 69.31 74
Total Population 52.36 51.86 289 52.03 51.94 289 54.17 53.32 293Excluded Cost Reports 19 22 23
Total Cost Reports 308 311 316
Quartile Rank2006 2005 2004
Days Net Patient Revenue in Accounts Receivable (AR)
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 48
Peer Group Comparison – Days Net Patient Revenue in Accounts Receivable (AR)
All General Acute Care Hospitals in the United States with Between 401 and 500 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 36.41 36.85 37 37.25 39.52 42 39.00 40.76 412nd Quartile 45.92 45.98 37 47.48 47.70 42 48.74 48.81 423rd Quartile 52.53 51.48 37 53.39 53.44 42 56.16 55.98 424th Quartile 67.20 62.25 37 66.31 65.25 43 71.65 69.77 42
Total Population 50.52 48.86 148 51.20 50.17 169 53.98 52.24 167Excluded Cost Reports 12 11 14
Total Cost Reports 160 180 181
Mean Median Count Mean Median Count Mean Median Count1st Quartile 36.29 37.52 42 37.03 40.20 41 38.79 40.42 432nd Quartile 48.14 48.41 42 46.67 46.67 41 49.88 49.95 433rd Quartile 56.58 57.20 42 55.19 55.40 41 57.67 57.79 434th Quartile 69.88 69.99 43 68.79 67.48 41 72.76 70.22 44
Total Population 52.82 52.05 169 51.92 50.85 164 54.88 53.87 173Excluded Cost Reports 12 14 8
Total Cost Reports 181 178 181
Quartile Rank2006 2005 2004
Days Net Patient Revenue in Accounts Receivable (AR)
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 49
Peer Group Comparison – Days Net Patient Revenue in Accounts Receivable (AR)
All General Acute Care Hospitals in the United States with Over 500 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 33.84 36.29 52 36.63 39.70 59 35.30 36.67 602nd Quartile 44.27 44.44 52 47.49 48.14 60 48.23 48.27 603rd Quartile 50.89 50.84 53 54.45 54.58 60 55.06 54.60 604th Quartile 65.02 61.31 53 69.22 65.14 60 67.67 65.79 60
Total Population 48.60 48.16 210 52.01 50.66 239 51.56 51.68 240Excluded Cost Reports 11 16 16
Total Cost Reports 221 255 256
Mean Median Count Mean Median Count Mean Median Count1st Quartile 35.56 37.18 59 37.70 39.05 59 38.53 40.70 602nd Quartile 48.43 48.57 59 48.25 47.89 59 50.61 50.75 603rd Quartile 56.28 56.24 60 56.00 55.93 59 58.15 57.96 614th Quartile 69.21 66.21 60 67.38 65.70 60 71.52 69.30 61
Total Population 52.46 52.32 238 52.40 52.20 237 54.79 54.49 242Excluded Cost Reports 19 20 15
Total Cost Reports 257 257 257
Quartile Rank2006 2005 2004
Days Net Patient Revenue in Accounts Receivable (AR)
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 50
Peer Group Comparison – Days Net Patient Revenue in Accounts Receivable (AR)
All General Acute Care Hospitals in the United States Regardless of Bed Size
Mean Median Count Mean Median Count Mean Median Count1st Quartile 33.71 35.59 774 36.02 38.10 853 36.55 38.65 8672nd Quartile 44.91 44.73 774 48.06 47.93 856 49.17 49.01 8683rd Quartile 53.16 52.55 775 56.66 55.75 856 57.86 57.30 8694th Quartile 70.27 67.69 775 73.33 70.73 859 74.95 72.81 871
Total Population 50.52 48.58 3098 53.55 51.86 3424 54.66 53.02 3475Excluded Cost Reports 252 300 286
Total Cost Reports 3350 3724 3761
Mean Median Count Mean Median Count Mean Median Count1st Quartile 36.96 38.84 851 36.36 38.31 832 37.18 39.48 8362nd Quartile 49.82 49.72 853 49.16 49.05 832 50.89 50.98 8363rd Quartile 58.74 58.35 854 58.19 57.88 834 59.94 59.78 8374th Quartile 75.49 72.84 856 74.64 72.28 837 77.12 75.10 840
Total Population 55.28 53.98 3414 54.62 53.34 3335 56.31 55.43 3349Excluded Cost Reports 276 280 267
Total Cost Reports 3690 3615 3616
Quartile Rank2006 2005 2004
Days Net Patient Revenue in Accounts Receivable (AR)
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 51
Average Age of Plant and Equipment - Summary
Mean Median Count Mean Median Count Mean Median Count25 Beds or Less 8.83 8.38 650 8.84 8.51 705 8.95 8.83 67726 to 100 Beds 8.91 8.80 650 8.75 8.62 711 8.70 8.65 705
101 to 200 Beds 9.01 8.90 602 8.96 9.02 668 9.12 9.06 672201 to 300 Beds 9.76 10.03 343 9.95 9.94 376 10.06 9.91 377301 to 400 Beds 10.53 10.48 221 10.25 10.17 256 9.94 9.94 260401 to 500 Beds 10.74 10.44 132 10.75 10.68 152 10.80 11.00 145Over 500 Beds 10.58 10.48 181 10.70 10.39 211 10.60 10.29 208
Total All Hospitals 9.34 9.31 2779 9.32 9.31 3079 9.35 9.27 3044Excluded Cost Reports 571 645 717
Total Cost Reports 3350 3724 3761
Mean Median Count Mean Median Count Mean Median Count25 Beds or Less 9.14 8.89 657 9.48 9.33 554 9.37 9.53 39626 to 100 Beds 8.73 8.66 699 8.78 8.64 709 8.81 8.77 217
101 to 200 Beds 9.02 8.86 680 9.14 9.09 668 7.27 7.62 124201 to 300 Beds 10.07 9.85 374 10.04 9.65 378 10.24 9.96 63301 to 400 Beds 10.12 9.83 265 9.94 9.88 252 9.65 10.74 32401 to 500 Beds 10.89 10.63 148 10.56 10.43 141 10.87 11.12 14Over 500 Beds 10.45 9.84 208 10.58 10.11 204 10.06 9.95 26
Total All Hospitals 9.40 9.25 3031 9.47 9.43 2906 9.05 8.98 872Excluded Cost Reports 659 709 2744
Total Cost Reports 3690 3615 3616
Average Age of Plant and EquipmentAll 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 52
Peer Group Comparison - Average Age of Plant and Equipment
All General Acute Care Hospitals in the United States with 25 Licensed Beds or Less
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.12 3.21 162 2.90 2.94 176 2.99 2.94 1692nd Quartile 6.91 6.99 162 6.92 6.94 176 7.08 7.09 1693rd Quartile 9.90 9.78 163 10.11 10.06 176 10.28 10.14 1694th Quartile 15.33 14.63 163 15.40 14.93 177 15.40 14.78 170
Total Population 8.83 8.38 650 8.84 8.51 705 8.95 8.83 677Excluded Cost Reports 134 155 182
Total Cost Reports 784 860 859
Mean Median Count Mean Median Count Mean Median Count1st Quartile 2.78 2.79 164 2.78 2.67 138 2.50 2.43 992nd Quartile 7.23 7.37 164 7.52 7.66 138 7.49 7.60 993rd Quartile 10.61 10.59 164 11.07 10.98 139 11.16 11.24 994th Quartile 15.91 15.71 165 16.47 15.93 139 16.35 15.53 99
Total Population 9.14 8.89 657 9.48 9.33 554 9.37 9.53 396Excluded Cost Reports 150 123 179
Total Cost Reports 807 677 575
Average Age of Plant and Equipment
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 53
Peer Group Comparison - Average Age of Plant and Equipment
All General Acute Care Hospitals in the United States with Between 26 and 100 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 2.91 2.95 162 2.74 2.69 177 2.66 2.48 1762nd Quartile 7.02 7.02 162 7.06 7.30 178 7.04 7.20 1763rd Quartile 10.33 10.19 163 10.08 10.01 178 10.06 9.95 1764th Quartile 15.34 14.49 163 15.11 14.67 178 15.02 14.45 177
Total Population 8.91 8.80 650 8.75 8.62 711 8.70 8.65 705Excluded Cost Reports 124 137 156
Total Cost Reports 774 848 861
Mean Median Count Mean Median Count Mean Median Count1st Quartile 2.65 2.74 174 2.81 2.82 177 2.69 2.63 542nd Quartile 7.09 7.24 175 7.18 7.26 177 7.12 7.24 543rd Quartile 10.15 10.05 175 10.16 10.25 177 10.02 9.85 544th Quartile 14.99 14.36 175 14.96 14.52 178 15.28 14.91 55
Total Population 8.73 8.66 699 8.78 8.64 709 8.81 8.77 217Excluded Cost Reports 138 175 764
Total Cost Reports 837 884 981
Quartile Rank2006 2005 2004
Average Age of Plant and Equipment
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 54
Peer Group Comparison - Average Age of Plant and Equipment
All General Acute Care Hospitals in the United States with Between 101 and 200 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.04 2.84 150 2.89 2.74 167 3.16 3.20 1682nd Quartile 7.46 7.61 150 7.50 7.63 167 7.61 7.60 1683rd Quartile 10.39 10.46 151 10.41 10.48 167 10.57 10.55 1684th Quartile 15.10 14.28 151 15.03 14.44 167 15.13 14.22 168
Total Population 9.01 8.90 602 8.96 9.02 668 9.12 9.06 672Excluded Cost Reports 122 146 156
Total Cost Reports 724 814 828
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.02 3.00 170 3.20 3.30 167 2.00 1.72 312nd Quartile 7.44 7.50 170 7.65 7.68 167 5.89 6.21 313rd Quartile 10.45 10.49 170 10.49 10.40 167 8.48 8.53 314th Quartile 15.19 14.67 170 15.21 14.75 167 12.71 12.46 31
Total Population 9.02 8.86 680 9.14 9.09 668 7.27 7.62 124Excluded Cost Reports 144 166 706
Total Cost Reports 824 834 830
Quartile Rank2006 2005 2004
Average Age of Plant and Equipment
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 55
Peer Group Comparison - Average Age of Plant and Equipment
All General Acute Care Hospitals in the United States with Between 201 and 300 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.74 3.90 85 4.07 4.81 94 4.46 4.83 942nd Quartile 8.45 8.53 86 8.56 8.62 94 8.59 8.62 943rd Quartile 11.20 11.16 86 11.27 11.16 94 11.31 11.22 944th Quartile 15.59 15.14 86 15.91 16.02 94 15.81 15.24 95
Total Population 9.76 10.03 343 9.95 9.94 376 10.06 9.91 377Excluded Cost Reports 75 87 89
Total Cost Reports 418 463 466
Mean Median Count Mean Median Count Mean Median Count1st Quartile 4.45 4.81 93 4.51 4.95 94 5.13 5.70 152nd Quartile 8.71 8.83 93 8.42 8.45 94 8.25 7.97 163rd Quartile 11.46 11.51 94 11.21 11.15 95 11.41 11.75 164th Quartile 15.59 14.96 94 15.93 15.38 95 15.86 15.07 16
Total Population 10.07 9.85 374 10.04 9.65 378 10.24 9.96 63Excluded Cost Reports 102 96 413
Total Cost Reports 476 474 476
Quartile Rank2006 2005 2004
Average Age of Plant and Equipment
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 56
Peer Group Comparison - Average Age of Plant and Equipment
All General Acute Care Hospitals in the United States with Between 301 and 400 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 5.17 5.74 55 4.71 5.21 64 4.59 5.11 652nd Quartile 9.23 9.28 55 8.80 8.75 64 8.45 8.51 653rd Quartile 11.62 11.47 55 11.45 11.13 64 11.21 11.23 654th Quartile 16.00 15.96 56 16.05 15.17 64 15.51 15.04 65
Total Population 10.53 10.48 221 10.25 10.17 256 9.94 9.94 260Excluded Cost Reports 48 48 50
Total Cost Reports 269 304 310
Mean Median Count Mean Median Count Mean Median Count1st Quartile 4.74 5.40 66 4.75 5.43 63 3.15 2.35 82nd Quartile 8.73 8.86 66 8.72 8.76 63 9.15 9.30 83rd Quartile 11.10 10.99 66 11.16 11.16 63 12.06 12.27 84th Quartile 15.84 15.44 67 15.14 14.87 63 14.25 13.52 8
Total Population 10.12 9.83 265 9.94 9.88 252 9.65 10.74 32Excluded Cost Reports 43 59 284
Total Cost Reports 308 311 316
Quartile Rank2006 2005 2004
Average Age of Plant and Equipment
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 57
Peer Group Comparison - Average Age of Plant and Equipment
All General Acute Care Hospitals in the United States with Between 401 and 500 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 5.83 6.26 33 5.46 5.84 38 5.36 6.06 362nd Quartile 9.43 9.47 33 9.78 9.72 38 9.59 9.84 363rd Quartile 11.77 11.82 33 11.65 11.60 38 11.88 11.80 364th Quartile 15.93 15.46 33 16.09 15.59 38 16.20 15.84 37
Total Population 10.74 10.44 132 10.75 10.68 152 10.80 11.00 145Excluded Cost Reports 28 28 36
Total Cost Reports 160 180 181
Mean Median Count Mean Median Count Mean Median Count1st Quartile 5.14 5.77 37 4.99 5.47 35 5.35 5.60 32nd Quartile 9.55 9.45 37 9.61 9.74 35 9.04 9.72 33rd Quartile 12.05 11.76 37 11.40 11.35 35 11.89 11.55 44th Quartile 16.80 16.74 37 16.10 15.82 36 15.38 15.02 4
Total Population 10.89 10.63 148 10.56 10.43 141 10.87 11.12 14Excluded Cost Reports 33 37 167
Total Cost Reports 181 178 181
Quartile Rank2006 2005 2004
Average Age of Plant and Equipment
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 58
Peer Group Comparison - Average Age of Plant and Equipment
All General Acute Care Hospitals in the United States with Over 500 Licensed Beds
Mean Median Count Mean Median Count Mean Median Count1st Quartile 6.44 6.99 45 6.43 7.10 52 6.23 6.81 522nd Quartile 9.30 9.28 45 9.23 9.28 53 9.25 9.24 523rd Quartile 11.39 11.38 45 11.46 11.52 53 11.54 11.72 524th Quartile 15.10 14.22 46 15.59 15.20 53 15.38 14.80 52
Total Population 10.58 10.48 181 10.70 10.39 211 10.60 10.29 208Excluded Cost Reports 40 44 48
Total Cost Reports 221 255 256
Mean Median Count Mean Median Count Mean Median Count1st Quartile 6.16 6.85 52 6.39 6.46 51 6.21 6.48 62nd Quartile 8.98 9.07 52 8.99 8.94 51 9.28 9.30 63rd Quartile 11.37 11.28 52 11.44 11.34 51 10.73 10.92 74th Quartile 15.29 14.81 52 15.50 14.82 51 13.37 12.55 7
Total Population 10.45 9.84 208 10.58 10.11 204 10.06 9.95 26Excluded Cost Reports 49 53 231
Total Cost Reports 257 257 257
Quartile Rank2006 2005 2004
Average Age of Plant and Equipment
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 59
Peer Group Comparison - Average Age of Plant and Equipment
All General Acute Care Hospitals in the United States Regardless of Bed Size
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.64 3.44 692 3.52 3.35 768 3.60 3.46 7602nd Quartile 7.71 7.71 693 7.73 7.82 770 7.76 7.87 7603rd Quartile 10.59 10.64 696 10.59 10.66 770 10.66 10.67 7604th Quartile 15.38 14.64 698 15.42 14.93 771 15.35 14.77 764
Total Population 9.34 9.31 2779 9.32 9.31 3079 9.35 9.27 3044Excluded Cost Reports 571 645 717
Total Cost Reports 3350 3724 3761
Mean Median Count Mean Median Count Mean Median Count1st Quartile 3.53 3.44 756 3.64 3.52 725 2.82 2.54 2162nd Quartile 7.79 7.95 757 7.89 8.00 725 7.36 7.37 2173rd Quartile 10.74 10.75 758 10.78 10.79 727 10.55 10.45 2194th Quartile 15.49 14.99 760 15.54 15.02 729 15.35 14.96 220
Total Population 9.40 9.25 3031 9.47 9.43 2906 9.05 8.98 872Excluded Cost Reports 659 709 2744
Total Cost Reports 3690 3615 3616
Quartile Rank2006 2005 2004
Average Age of Plant and Equipment
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 60
Introduction to Healthcare Management Partners
Who 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.
HMP’s senior management has deep experience in building and operating thriving healthcare organizations. Part of that experienceincludes taking decisive action in crises or turnaround situations. This knowledge base gives HMP a unique perspective and all the toolsnecessary to handle the issues facing any healthcare provider organization. HMP provides Hospital Contract Management, TurnaroundManagement and Interim or Crisis Management 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 (continued)
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 heart
and 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:
62
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.
63
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 andregulators, and if required•Bankruptcy process planning and administration
64
Introduction to Healthcare Management Partners (continued)
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 (continued)
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
Telephone 713.968.6521
Mobile 602.363.1140
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.
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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:
Healthcare Management Partners LLC1185 Avenue of the Americas30th FloorNew York, NY 10036
• Phone: 212.461.4243• Fax: 212.461.4252
Houston• Contact: Mike Morgan
Managing Director• Address:
Healthcare Management Partners LLC5100 WestheimerSuite 200Houston, TX 77056
• Phone: 713.968.6521• Fax: 866.422.6176
Birmingham• Contact: Derek Pierce
Managing Director• Address:
Healthcare Management Partners LLC402 Office Park Drive, Suite 108Birmingham, AL 35223
• Phone: 205.202.0459• Fax: 615.523.1835
Phoenix• Contact: Bruce Buchanan
Managing Director• Address:
Healthcare Management Partners LLC243 E. Glenn DrivePhoenix, AZ 85020
• Phone: 602.363.1140 • Fax: 866.794.9501
London, UK• Contact: Tim Bolot
Founder and Managing Director• Address:
Bolt Partners LLP 192 Haverstock Hill,Belsize Park,London NW3 2AJ
• Phone: +44 (0)20 7435 7349
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