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TABLE OF CONTENTS
1. Introduction
a. The Health Care Cost Review Authority (HCCRA)
b. Programs and Agency Administration
c. Overview of Hospitals, FY 1996 - Key Data Indicators
2. Nongovernmental Allowed Rates
a. Comparison of Nongovernmental Gross Inpatient Revenue Re(
b. Nongovernment Allowed Rates for General Acute Care Hospita
& Actual
1. Alphabetical Order
2. Type of Ownership & Bed Size Group
c. Casemix-Adjusted Nongovernment Allowed Rates for General I Hospitals
1. Alphabetical Order
2. Type of Ownership & Bed Size Group
d. Nongovernment Inpatient Rate per Discharge for General Acute
e. Nongovernment Outpatient Rate per Visit for General Acute Cat
3. Capital Expenditure Summary
Capital Expenditure Summary by Calender Year for General Acute
4. Revenue & Adjusted Expenses (AROE)
a. All Payor Revenue & Adjusted Expenses for All Hospitals
b. Medicare Revenue & Adjusted Expenses for All Hospitals
c. Medicaid Revenue & Adjusted Expenses for All Hospitals
d. PElA Revenue & Adjusted Expenses for All Hospitals
e. Other Payor Revenue & Adjusted Expenses for All Hospitals
f. Bad Debt & Charity Care for All Hospitals
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jested, Allowed
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2
14
20
21
22
:Ute Care
:are Hospitals
! Hospitals
Care Hospitals
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5. Uncompensated Care
Uncompensated Care for All Hospitals
1. Alphabetical Order
2. Type of Ownership & Bed Size Group
6. Summary of Hospital Adjusted Costs
(Excluding Welch)
Hospitals (Excluding Welch)
a. All Payor Hospital Adjusted Costs Summary for General Acute
b. Non-Medicare & Non-Medicaid Adjusted Costs Summary for C
7. Inpatient Utilization
a. All Payor Utilization Data for Acute Care Units of General Hosp
b. All Payor Utilization Data for All Hospitals
c. Discharges by Hospital by Payor for All Services except Long-1
8. Wage & Salary (Including Benefits) Summary
Comparison of Total FTE’s & Total Wages and Salaries (includinc Hospitals
1. Alphabetical Order
2. Type of Ownership & Bed Size Group
ii
are Hospitals
ieral Acute Care
Is
m Care
Page Number
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45
47
48
50
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enefits) for All
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9. Statement of Operations (EROE)
a. Composite Statement of Operations for General Acute Care Hospitals
b. Statement of Operations for All Hospitals
1. Alphabetical Order
2. Type of Ownership & 6ed Size Group
c. Rate of Return for All Hospitals
1. Alphabetical Order
2. Type of Ownership & Bed Size Group
d. Gross Inpatient & Outpatient Revenue for All Hospitals
1. Alphabetical Order
2. Type of Ownership & Bed Size Group
10. Margins
Statement of Margins for All Hospitals
11. Balance Sheet
a. Composite Balance Sheet for General Acute Care Hospitals
b. Hospital Balance Sheet for All Hospitals (Assets)
c. Hospital Balance Sheet for All Hospitals (Liabilities & Equity)
12. Psychiatric Services
Psychiatric Utilization Data & Financial Data for Licensed Psychiatric Hospitals & Psychiatric Units of General Acute Care Hospitals
13. Graphs - All Hospitals
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THE HEALTH CARE COST REVIEW AUTHORITY
In 1983, the Legislature created the Health Care Cost Review Authority (HCCRA) as an autonomous agency within state government, charged with the responsibility of gathering information on health care costs, developing a system of cost control and ensuring continued accessibility to appropriate acute care services. The Legislative findings state that the citizens were to be protected from unreasonable increases in the cost of acute care hospital services and the unreasonable loss of economic resources. In keeping with these goals, the Legislature authorized the HCCRA to administer two previously enacted cost containment programs: The Certificate of Need (CON) program, originally enacted in 1977; and the Health Care Financial Disclosure Act, originally enacted in 1981.
In 1995, the Legislature expanded the responsibilities of the HCCRA by authorizing the agency to make necessary amendments to the State Health Plan and expanded the budget of the agency to include an audit division, to ensure compliance with rate orders, CON orders and the periodic review of health care entities experiencing financial difficulty.
In 1996, the Legislature further expanded the agency’s responsibilities to include the administration of the Rural Health Systems Program. This program, administered jointly with the Office of Community and Rural Health, permits the HCCRA to offer both financial and technical assistance to the State’s rural health care systems.
Therefore, the HCCRA’s statutory duties include the following:
Protecting the citizens from unreasonable and possibly unnecessary increases in the cost of acute care hospital services and deterring cost shifting through review of discount contracts and rates for nongovernment payors;
Determining if proposed health care services, new construction, renovations and purchases of major medical equipment are needed, financially feasible and consistent with the State Health Plan through the CON program;
Gathering, reporting, analyzing, and maintaining financial information on a wide range of health care facilities through the Health Care Financial Disclosure Act;
Implementing health planning through the State Health Plan; and,
Providing economic and technical assistance to rural health systems through the Rural Health Systems Program.
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PROGRAMS AND AGENCY ADMINISTRATION
The programs administered by HCCRA generally have two primary purposes: to constrain the rising cost of health care and to assure reasonable access to necessary health services. In the Rural Health Systems Program and CON standards, access to necessary health service is reviewed. To accomplish these goals, programs such as Rate Review and CON can demonstrate quantitatively some of the costs they constrain. Health Care Financial Disclosure and Health Planning programs can only draw logical implications on how those programs work to constrain costs. Additionally, the HCCRA assures public access to the information compiled under its programs, and publishes a newsletter detailing applications received and processed.
The following is a brief description of the statutorily created programs administered by the HCCRA and some indications of the programs’ effectiveness:
Hospital Rate Review. W. Va. Code §§ 76-298-79, 79a and 20.
The stated purpose of developing a rate-setting system was cost containment of acute care hospital services. The original “revenue-based” system was changed to a “cost-based” system in 1993. The regulations to implement this system are contained in the C.S.R. $5 65-5-1 et sea. The focus of the cost-based system is the “determination of revenues which determine the rates to be charged to nongovernmental payors.” C.S.R. 5 65-5-4. These rates are characterized as the average charge per discharge (inpatient services) and the average charge per visit (outpatient services).
Each acute care hospital submits an annual rate application in which it provides the information needed (expense, revenue and utilization data) to establish an approved rate for its next fiscal year. The statute requires the HCCRA to establish the revenue limits and set the rates prospectively. The legislative rule permits the hospitals to adjust their schedule of rates throughout the fiscal year in order to remain within their approved revenue limits. If a hospital exceeds its approved revenue limits and cannot justify that increase as permitted by statute and rule, the amount of the increase is generally deducted from the next year’s allowable charges. In this manner, the purchasers of health care services (or classes of purchasers) who were harmed when the hospital exceeded its allowable revenue limits are benefited by the decrease in the approved rates for the next fiscal year.
In conjunction with the rate review activities, the statute directs the HCCRA to review all discount contracts between hospitals and third party payors. The stated concern was the possibility of cost shifting, which can occur when large percentage discounts are granted to one payor while increasing the charges to other payors to make up the difference. The statute prohibits cost shifting; therefore, the HCCRA can only approve those contracts in which the hospital can demonstrate that none will occur.
The rate review activities provide another avenue for requiring accountability in health care costs by requiring hospitals to (1) detail the costs from previous years; (2)
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propose a budget for the next fiscal year; (3) describe cost saving measures implemented since the last rate request; (4) justify any increase in rates; (5) advertise the increase requested; (6) subject their data to examination by the public, payors and agency staff; and (7) if requested, defend their requests in a public hearing.
Prouram Administration
The rate review program is to be administered in a manner that protects the citizens of West Virginia from paying unreasonable rates for health care services at acute care facilities. The following is a (1) a synopsis of rate review increases compared to the rates requested, and (2) a comparison of West Virginia rates to those of selected states.
1. Rate Requests
Averaue Rates Reauested
Inpatient
- FY
96
95
94
- FY
96
95
94
Average Amount Requested
$5,383
5,092
5,185
Out patient
Average Amount Reauested
$298
$269
$27 1
3
Average Amount Granted Yo Difference
$5,255 (2.38)'/0
4,882 (4.24) Yo
4,970 (4.23) Yo
Average Amount Granted Yo Difference
$292 (1.78)%
$259 (3.67) Yo
$257 (4.38) Yo
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- FY
96
95
94
Fy
96
95
94
Percentaae Increase In Gross Patient Revenue Requested
Inpatient
YO Increase Yo Increase % Incr./(Decr.) Requested Requested Allowed Over
Over Allowed Over Actual Actual
3.10% 7.20% 4.00%
6.90% 5.60% (1.20)Yo
6.80% 6.40% (0.40) '/o
Out patient
% of Requested Over Actual
6.60%
5.45%
NIA
4
% Granted Over Actual
4.50%
NIA
w a a a a 2. Comparison with Selected Other States' Rates'
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Inpatient
Managed Care State Penetration %*
Maryland Over 24.3%
West Virginia 0.0% - 6.9%
Kentucky 7.0% - 16.1 Yo Ohio 16.2% - 24.3%
Virginia 7.0% - 16.1% Pennsylvania 16.2% - 24.3%
Texas 7.0% - 16. l Yo
United States 16.2% - 24.3%
1996 Estimated Population3
5,072,000
1,884,000
3,884,000
1 1 , 173,000
6,675,000
12,056,000
17,046,000
265,284,000
Gross Price Per Discharae4
$5,751
6,098
6,643
7,139
7,412
9,195
10,093
7,854
1995 is the most recent year for which data is available from each of these states.
Cost Per Discharae5
$4,924
4,260
4,469
4,716
4,471
4 , 772
6,227
5,103
* "Report to the Georgia State Health Planning Agency and the Georgia Certificate of Need Program", a a December 1995.
a a Census Bureau.
The Almanac of Hospital Financial and Operating Indicators 1996-97 Edition pg. 185.
' The Almanac of Hospital Financial and Operating Indicators 1996-97 Edition pg. 257.
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Maryland
West Virginia
Kentucky
Ohio
Vi rg in ia
Pennsylvania
Texas
United States
Managed Care Penetration %
Over 24.3%
0.0% - 6.9%
7.0% - 16.1 Yo
1 6.2% - 24.3%
7.0% - 16.1 Yo
1 6.2% - 24.3%
7.0% - 16.10°/o
16.2% - 24.3%
1996 Estimated P o w lation
5,072,000
1,884,000
3,884,000
11,173,000
6,675,000
12,056,000
17,046,000
265,284,000
Gross Price Per Visit‘
$232
267
31 8
388
322
395
385
334
Cost Per Visit’
$207
173
226
265
176
207
267
21 7
This comparison indicates that West Virginia, despite having the lowest managed care penetration percentage, had the second lowest gross price per discharge and visit, and the second lowest cost per discharge and the lowest cost per visit . It should be noted that (1) Maryland is the only state with an “all payor rate system”; and (2) Pennsylvania and Virginia do not have rate-setting programs and had only limited CON programs in 1995~.
As previously stated, “rate review” is somewhat of a misnomer. The HCCRA does not set rates for individual procedures, although it must be notified and must approve all changes in hospital charges. The HCCRA does not set or compare individual DRG rates but the hospital must demonstrate to the HCCRA that the combined average charge for all patient services will not exceed the revenue limits set by the HCCRA. Under the cost- based system, the HCCRA establishes revenue limits for inpatient and outpatient hospital services for nongovernment payors. Penalties may be assessed if a hospital exceeds its revenue limits without justification within the confines established in statute and rules.
The statutory purpose given for “rate-setting” is cost-containment and to prevent
The Almanac of Hospital Financial and Operating Indicators 1996-97 Edition pg. 197.
The Almanac of Hospital Financial and Operating Indicators 1996-97 Edition pg. 263.
Pennsylvania inadvertently sunset its CON program in late 1996, the effects of which are still undetermined.
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cost-shifting amongst payor classes. This is important in that 76% of employers in West Virginia have fewer than 20 employees, which severely limits their ability to use volume to negotiate favorable contracts with providers and payors.
The HCCRA also uses “rate-setting” to monitor the hospitals during health care market changes.
Certificate of Need. W. Va. Code 39 16-20-1 et seq.
Certificate of Need programs are often associated with cost containment measures. However, the Legislative findings in our statute declare the need for health services to be provided in an orderly, economical manner that discourages unnecessary duplication.
Although some states have repealed their CON statutes, thirty-six (36) states and the District of Columbia retain some form of review. Of that number, three limit their review to long-term care. The structure of the programs varies widely, with some states using other regulatory mechanisms instead of or in conjunction with CON programs.
In West Virginia, all health care providers, unless otherwise exempt, must obtain a CON before (1) providing or expanding new health care services; (2) exceeding the capital expenditure threshold of $750,000; or (3) obtaining major medical equipment valued at $300,000 or more.
The statutorily mandated review process includes determination of need, consistency with the State Health Plan and financial feasibility. “Need” is based on CON Standards, which generally include population-based quantifiable need methodologies. Financial feasibility includes evaluations of the reasonableness of proposed charges to patients, and determinations as to whether the expense and revenue projections demonstrate fiscal viability with the implementation of the proposed project.
CON programs are noted for being effective in encouraging the rational distribution of health care services, particularly by limiting purchases of new technology. States that have eliminated CON programs report that expensive new technology is purchased as soon as it is available, while states retaining their CON programs report being able to control costs and placement by delaying purchases until lower cost and more efficient generations are available.
The “public aspect” of CON programs are that they encourage accountability by providing an avenue for public comment; discourage or limit unnecessary services; and promote community planning. In West Virginia, the CON program may offer some protection for small rural hospitals and the underinsured population they serve by ensuring the availability and accessibility of services and to some extent the financial viability of the f ac i I i t y .
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Proaram Administration
Decisions, Determination Rulinus and Orders Issued
Decisions Deter mi nat ion Orders, etc. - FY Issued Rulinus Issued Issued Total
96 102 295 128 525
95 106 31 5 NIA 42 1
94 110 236 N/A 346
Hospital Approved/Denied Proiects
Calender Year
June 30, 1997
1996
1995
1994
Total
Total Dollar Amounts
Total Hospital CON Total Hospital CON Expenditures Approved Expenditures Denied
$84,089,693 $ 125,000
51,352,325 75,000
120,959,150 2,026,829
90.355,520 6,601,812
$346,756,688 $8,828,641
Approved Proiects
Equipment
Angiography
CT
Teleradiology
CathLab
Information Systems
Acq u is it ions
R & F * Replacement applications
FY96 - # FY95
$ 1,327,184 2 N/A
1,698,005 1* N/A
7,447,225 9* N/A
2,500,000 1 N/A
6,487,499 4** N/A
10,507,649 7 N/A
23,482,514 5 N/A
2,914,750 3* N/A ** Replacement applications but one.
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FY94
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
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Cardiac Cath Labs
Open Heart Surgery
Lithotripsy
MRI
Amb. Surgical Centers
Acute Care Hospitals
Licensed Beds Staffed Beds
Occupancy Level
Psychiatric Facilities
Licensed Beds Occupancy Level
Fy96
13
5
19
29
9
56
8,158 6,939
42.90% of Lic Beds
18
1022 45.80% of Lic Beds
CON and Managed Care
- FY95
N/A
NIA
N/A
N/A
N/A
NIA
N/A
Fy94
NIA
NIA
NIA
N/A
NIA
NIA
N/A
Although the goal of the CON program is to allocate scarce resources and prevent rapid growth of unneeded or duplicated services, it has been argued that a mature managed care market would serve the same function. Theoretically, in such a market, providers would be discouraged from buying, building or initiating unnecessary, inefficient or duplicative projects. However, it should be noted that “managed care” is a term that covers a diverse group of employer/employee/provider arrangements; therefore, it may be necessary to determine the types of managed care arrangements, the portion of the market served by those arrangements and the attributes of the population covered by those arrangements in order to determine which types promote efficient market forces. In 1995, approximately 7% of the citizens of West Virginia were enrolled in managed care programs, the majority of whom were covered by governmental payors.
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The following tables show the relationship of managed care and CON regulation in all states and the District of Columbiag:
Yo of # of # of States Manaued Care States With Con
0.0 to 6.9% 12 8
7.0 to 16.1% 14 11
16.2 to 24.3% 15 12
24.3% and up - 10
Total 51
- 6
37
Yo of Total States with CON
66.70%
78.60%
80.00%
60.00%
72.50%
Ranue of CON Dollar Amounts
% of Capital Equipment New Manaued Care Expenditures Expenditures Services
0.0 to 6.9% $ 500,000 to $1,500,000 $300,000 to $1,000,000 $0 to Any
7.0 to 16.1% 500,000 to 5,000,000 400,000 to 1,567,500 $0 to Any
16.2 to 24.3% 1,000,000 to 5,000,000 600,000 to 2,000,000 $0 to Any
24.3% and up 1,000,000 to 8,668,395 400,000 to 1,300,000 $600,000 to Any
(The above managed care penetration rates are for 1995, all other data are for 1996.)
West Virginia is ranked in the lowest category of managed care penetration. In 1996, our CON thresholds were $750,000 for capital expenditures and $300,000 for major medical equipment,’’which were consistent with other states in the same managed care penetration rate category. As the states’ managed care market increases, the percentage of states with CON increases until the market penetration is over 24.3%.
“Report to the Georgia State Health Planning Agency and the Georgia Certificate of Need Program”, December 1995 and American Health Planning Assoc. Eighth Edition, December 24, 1996.
lo These thresholds were raised during the 1997 Legislative session to $1,000,000 and $750,000 respectively, which will be consistent with the thresholds in the next managed care penetration category .
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Health Planning. W. Va. Code 9 76-20-5
The HCCRA, through its health planning responsibilities, leads the development of the State Health Plan prior to submission to the Governor for approval. The plan establishes overall health care goals and objectives for the State. As part of the effort, the HCCRA planning staff develops Certificate of Need Standards that are used to determine whether a proposed service, equipment acquisition or major capital expenditure is needed.
The planning efforts of the HCCRA are intended to enable the health care system in the state to develop in an organized, cost-effective manner that includes sufficient resources to meet the health care needs of the residents of the State.
Proaram Administration
During 1996 the HCCRA reviewed and developed new standards for Home Health, Behavioral Health, and Renovations-Replacement of Acute Care Facilities and Services. The HCCRA has started to look at long-term care in West Virginia.
Health Care Financial Disclosure. W. Va. Code §§ 76-5F-7 et seq.
The HCCRA is responsible for the collection of information required under the Health Care Financial Disclosure Act. Only hospitals and nursing homes were required to report until the Act was amended in 1991 to include kidney disease treatment centers, ambulatory health care facilities, ambulatory surgical facilities, home health agencies, rehabilitation facilities, health maintenance organizations, behavioral health centers, related organizations, and in 1996 to include hospice.
All covered facilities and related organizations must file financial statements annually. All except ambulatory health care facilities which are primary care centers must also submit the following:
Statement of services available and rendered Approved budget Schedule of current rates for all patient services Copies of Medicare, Medicaid and any other cost reports required to be filed with governmental funding agencies Statement of charges, fees and salaries in excess of $55,000 paid for goods or services Statement of charges, fees and other sums in excess of $55,000 collected by the facility If applicable, a copy of Form 10K filed with the Federal Securities and Exchange Commission Copies of all contracts entered into by the facility with any individual or group of health care providers Copies of all income tax returns and applicable substitutes
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(10) Copy and proof of publication of a Class I legal advertisement, to include a statement of revenue and expenses, balance sheet, statement of changes in retained earnings and a statement of ownership
In lieu of the statement of services, nursing homes must complete and submit the Annual Report of Nursing Homes which contains utilization and rate data by payor group, and hospitals must submit the American Hospital Association Annual Survey. In addition, hospitals must complete the Uniform Financial Report (UFR), which contains detailed utilization, revenue and expense, and wage and salary information. Hospitals must also submit a trial balance and a copy of the Uniform Bill (UB) for each inpatient discharged from a hospital.
Program Administration
The data collected from the financial filings are used to compile the annual report required by the Legislature. The information is also used in the Rate Review and CON programs pursuant to the review of respective applications. All of the information collected is available for public inspection, with the exception of tax forms and any UB data that directly or indirectly identifies patients.
In addition to the financial review, the health care provider information is useful in identifying gaps in needed services, trends in health care and quality issues. The information is essential for policy-makers as a tool in identifying the utilization, supply and distribution of health care resources. Data from the filings are compiled and provided to the public upon request. The program responds to approximately 500 data requests a year.
The Rural Health Systems Program. W. Va. Code Q 76-20-5
During the 1996 Legislative session, the HCCRA and the Bureau of Public Health, Office of Community and Rural Health, were given this program to administer jointly. This program provides assistance to probably the most fragile aspect of the State’s health care system - rural health care. Through technical assistance, grants, and loans, the program helps rural communities integrate and strengthen their health care delivery systems to assure people of the community reasonable access to necessary health care services.
Proaram Administration
Grants, loans and technical assistance are available to financially vulnerable health care facilities located in underserved areas. Applicants must demonstrate a collaborative effort with other community health care entities in the provision of cost-effective health care services. This program should help maintain access to health care in rural communities.
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The following applicants received funding in 1996:
Entitv County TvPe Webster County Memorial Planning
Hospital Webster County Grant
Hospital Nicholas County Grant/ Loan Richwood Area Community
Planning Pleasant Valley Hospital Mason County Grant
Minnie Hamilton Health Center Calhoun County Grant
Sistersville General Hospital Tyler County Grant/ Loan
Boone Memorial Hospital Boone County Grant
Broaddus Hospital Planning Association Barbour County Grant
Totals
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Purpose
EMS
Cash flow
EMS
Various
Convert to RPCH
Emergency Room
Senior Sew i c e s
Amount
$ 15,000
$104,000
$ 15,000
$1 30,484
$95,000
$ 55,000
$ 15,000
$314,000
OVERVIEW OF HOSPITALS, FY 1996
The hospital financial data presented here are derived from the Uniform Report submitted to the Authority by each West Virginia hospital for its fiscal year ending in 1996, from the hospital’s Audited Financial Statements, and from CON and Rate applications. Because the audits do not break the data by payor or by inpatienVoutpatient services, this results in some discrepancies. Utilization data are taken from the Uniform Report as well as from the Authority’s Uniform Bill (UB-92) discharge data base. Data for one hospital is omitted from this report. Beckley Hospital, Inc. did not file the Uniform Financial Report in time for production of this report. Minnie Hamilton Health Care Center completed its first year of operation as a hospital.
Key Data Indicators of General Acute Care Hospitals
Gross Patient Revenues (GPR)
- FY
96
95
94
- FY
96
95
94
- FY
96
95
94
Total GPR
$3,427,663,009
3,232,235,456
3,067,485,904
Net Patient Revenue (NPR)
Total NPR
$2,245,075,251
2,135,983,022
2,008,079,654
Adjusted Expenses (AE)
Total AE
$2,113,867,335
2,039,894,293
1,940,262,959
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YO Increase Over Previous Fiscal Year
6.04%
5.37%
2.99%
% Increase Over Previous Fiscal Year
5.10%
6.37%
2.28%
% Increase Over Previous Fiscal Year
3.62 ‘/o
5.13%
4.15%
Medicare
Medicaid
PElA
Other Payors
Total from Operations
Other Oped Nonoper Revenue
Total Profit
- FY
96
95
94
Excess Revenue Over Expenses (EROE)
% Increase Over Total EROE Previous Fiscal Year
$1 31,207,916 37.00%
95,773,468 42.22%
67,816,695 (32.45)%
Net Gain/Loss from Operations by Pavor Group
FY95 Yo of Profit - FY94 - FY 96 Yo of Profit - $(15,380,248) ( 40.87) $ (34,440,528) (1 50.35) $(88,940,513)
(12,787,760) (33.98) 20,621,686 90.02 34,916,404
12,299,483 32.68 14,015,941 61.19 14,205,445
53.500.71 5 142.17 22,710.304 99.14 36,559.654
$ 37,632,190 100.00 $22,907,403 100.00 $ (3,259,010)
93.575.729
$131,207,919
72,866.065
$95,773,468
71.075,705
$67,816,695
Net Gain or Loss from Operations and Other Operatina Income and Nonoperatinu Revenue
% of Profit - FY95 % of Profit Fy94
Total from Patient Service $ 37,632,190 28.68 $22,907,403 23.92 $ (3,259,010)
Other Oped Nonoper Revenue 93.575.729 71.32 72.866,065 76.08 71.075.705
Total Profit $131,207,919 100.00 $95,773,468 100.00 $67,816,695
15
% of Profit
2,729.00
(1,071.38)
( 435.82)
L1,121.80)
100.00
% of Profit
( 4.80)
104.80
100.00
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Profit Margin as a Percentaue of Net Patient Revenue
Income from Other Operating/ Net Patient Nonoperating Revenue Total Profit
- FY Services Marain** Profit Marain*** Marain
96 1.68% 4.1 6% 5.84%
95 1.09 3.41 4.50
94 ( -16) 3.36 3.20
**Net Patient Service Margin -
Gross patient revenue less contractual allowances, uncompensated care, other discounts and operating expenses divided by net patient revenue. The HCCRA sets rates that determine the operating margin.
***Other Operating/Nonoperating Revenue Margin -
Is determined from nonpatient related activities (e.9. investment income, cafeteria sales, etc.) divided by the sum of net patient revenue plus other operating and nonoperating revenue .
Uncompensated Care (includina Welch Emeraencv)
Fy
96
95
94
Total Bad Charity Uncompensated Percentage of Debt Care Care GPR
$1 22,211,304 $74,908,806 $197,120,110 5.71 Yo
$1 15,635,576 $81,265,199 $1 96,900,775 6.05%
$1 13,934,419 $85,444,020 $1 99,378,439 6.45%
16
- FY
96
95
94
- FY
96
95
94
Waaes & Salaries for All Services Provided
Total FTE’s
30,677.3 1
30,493.27
30,272.94
Balance Sheet Data
Total Waaes & Salaries
$1,13521 8,893
1,089,987,778
1,038,122,090
Total Total Fund Cash Total Assets Liabilities Ba I an ces
$96,656,612 $2,383,728,519 $999,280,753 $1,384,447,737
$81,805,044 $2,279,829,598 $1,059,972,876 $1,219,856,722
$1 03,537,905 $2,134,385,640 $1,025,480,877 $1,1 08,904,763
Inpatient Data
Revenues
- FY
96
95
94
Total Inpatient Revenues
$2,118,742,167
$2,080,845,191
N/A
17
Fy
96
95
94
Averaae Amount Granted per Discharae
Averaae Rate
$5,255
4,882
4,970
Licensed Acute Beds
- FY Licensed Beds Staffed
96 8,158 6,939
95 8 , 442 7,055
94 8,474 7,130
Outpatient Data (Started Collecting Data in Late 1994)
Revenues
- FY
96
95
94
- FY
96
95
94
Total Revenues
$1,263,907,563
$1 , 151,339,724
N/A
Averaae Amount Granted per Visit
Average Rate
$269.10
$246.04
N/A
18
Acute Care Occupancy of Licensed Beds
42.9 0%
44.30%
47.10%
e e e e
a
a a
e
a a
e e
e e a
a
a e e a
a e
a
e
a a a a -
This section contains seven tables. The first compares the gross inpatient revenue requested by hospitals for nongovernment payors to the revenue allowed by the Authority, from 1987 through 1996. In 1996, overall nongovernment rates allowed were 4.0% more than the actual rates. These tables include rates for both Calhoun General, which has since closed, and Minnie Hamilton Health Care Center which has assumed its operations as a new facility. It is clear from this table that the allowed rate of increase for nongovernment gross inpatient revenue has declined over the past three years. This is a direct indication that the HCCRA has played an important role in keeping hospital rates low.
The second and third tables show nongovernment allowed rates per discharge for FY 1994-1 997. The second table shows hospitals in alphabetical order, while the third by type of ownership and bed size group. It should be noted, that the rates listed in the column labeled 1996, are rates that are approved in CY1 996 and are effective through FY1996. The median rate per discharge increased slightly (2.98% per year) over this period, as acute care discharges continued to decline.
The fourth and fifth tables show the effect of casemix adjustment on the allowed nongovernment rates. Each discharge is assigned to a Diagnostic Related Group (DRG) for which the Health Care Financing Administration (HCFA) determines a relative weight (casemix) indicating the intensity of services required (i.e. amount of resources used), and thus the expected cost. Dividing the allowed rate by the average caseweight permits comparison of rates independent of intensity of services. As would be expected, the adjusted rates show less variation. For example, West Virginia University Hospitals, whose allowed rate for 1996 was $12,638 but which has a very high casemix (1.4535) has an adjusted allowed rate of $8,695. Boone Memorial, whose allowed rate for 1996 was $3,928 and whose casemix was a low 571 1, has an adjusted rate of $6,877. Other factors contribute to the need for differential rates, such as variety of services offered, complexity of cases treated, amount of uncompensated care, hospital-employed physician costs, costs of graduate medical education, age of facilities’ plant and equipment, and payor mix.
The sixth table shows rates requested and allowed along with any overages and the extent to which they were found to be justified. Overages can be justified primarily by increases in casemix, outliers (i.e. charges to a patient(s) that may be significantly higher than the average), or by other special and unique circumstances affecting a particular hospital.
The seventh table is similar to the sixth, except that it addresses outpatient rather than inpatient rates.
19
West Virginia Health Care Cost Review Authority
COMPARISON OF NONGOVERNMENT GROSS INPATIENT REVENUE REQUESTED. ALLOWED AND ACTUAL FOR GENERAL ACUTE CARE HOSPITALS, FY1987-1996
STANDARD APPLICATIONS
N 0
YEAR
FY 1987 FY 1988 FY 1989 FY 1990 FY 1991 FY 1992
* FY 1993 FY 1994 FY 1995 FY 1996
TOTALS
YEAR
FY 1988 FY 1989 FY 1990 FY 1991 FY 1992 FY 1993 FY 1994 FY 1995 FY 1996
TOTALS
YEAR
FY 1987 FY 1988 FY 1989 FY 1990 FY 1991 FY 1992 FY 1993 FY 1994 FY 1995 FY 1996
TOTALS
NONGOVERNMENT GROSS
INPATIENT REVENUE
REQUESTED
$361,067,544 $239,542,268 $206,183.841 $51 3,124,563 $576,406,513 $492,654,580 $334,521,438 $422,092,661 $401,665,440 $400,880.976
$3,948,139,824
NONGOVERNMENT GROSS
INPATIENT REVENUE
REQUESTED
$1 96,009,952 $308,563,693 $37,198.505 $41,908,138 $23,174,008 $4,055,751
$0 $0 $0
$61 0,910,247
NONGOVERNMENT GROSS
INPATIENT REVENUE
REQUESTED
$361,067,544 $435,552,220 $514,747,734 $550,323.068 $61 8,314,651 $51 5,828,588 $338,577,189 $422,092,661 $401,665,440 $400,880,976
$4,559,050,071
NONGOVERNMENT GROSS
INPATIENT REVENUE ALLOWED
$352,799,066 $238,488,760 $201,208,214 $505,686,977 $570,793,646 $472,168,051 $325,738,162 $395,071,701 $375,709,316 $388,851,815
$3,826,515,710
NONGOVERNMENT GROSS
INPATIENT REVENUE ALLOWED
$1 96,009,952 $308,563,893 $36,772,999 $41,908,138 $23,155,621
$4,055,751 $0 $0 $0
$61 0,466,354
NONGOVERNMENT GROSS
INPATIENT REVENUE ALLOWED
$352,799,066 $434,498,712 $509,772,107 $542,459,976 $612,701,784 $495,323,872 $329,793,913 $395,071,701 $375,709,318 $388,851,815
$4,436,982,064
DIFFERENCE NONGOVERNMENT PERCENTAGE INCREASE / (DECREASE)
BETWEEN PERCENTAGE GROSS REVENUE INCREASE INPATIENT
REQUESTED REQUESTED REVENUE ALLOWED OVER AND ALLOWED OVER ALLOWED ACTUAL ACTUAL
$8,268,478 $1,053,508 $4,975,627 $7,437,586 $5,612,867
$20,486,529 $8,783.276
$27,020,960 $25,956,122 $1 2,029,161
2.3% 0.4% 2.5% 1.5% 1 .O% 4.3% 2.7% 6.8% 6.9% 3.1%
$333,562,549 $215,766,161 $1 73,796,894 $475,294,128 $539,435,518 $469,130,490 $31 0,766,411 $396,623,203 $380,267,469 $374,038,241
5.8% 10.5% 15.8% 6.4% 5.8% 0.6% 4.8% -0.4% -1.2% 4.0%
$1 21,624,114 3.2% $3,668,681,064 4.3%
AUTOMATIC APPLICATIONS
DIFFERENCE NONGOVERNMENT PERCENTAGE BETWEEN PERCENTAGE GROSS INCREASE / REVENUE INCREASE INPATIENT (DECREASE)
REQUESTED REQUESTED REVENUE ALLOWED OVER AND ALLOWED OVER ALLOWED ACTUAL ACTUAL
$0 $0
$425,506 $0
$18.387 $0 $0 $0 $0
0.0% 0.0% 1.2% 0.0% 0.1% 0.0% 0.0% 0.0% 0.0%
$181,111,476 $286,633,954 $32,619,327 $37,205,984 $22,534,429
$3,871,569 $0 $0 $0
8.2% 7.6% 12.7% 12.6% 2.8% 4.8% 0.0% 0.0% 0.0%
$443,893 0.1% $564,176,739 8.2%
TOTAL APPLICATIONS
DIFFERENCE NONGOVERNMENT PERCENTAGE INCREASE /
INCREASE INPATIENT (DECREASE) BETWEEN PERCENTAGE GROSS REVENUE
REQUESTED REQUESTED REVENUE ALLOWED OVER AND ALLOWED OVER ALLOWED ACTUAL ACTUAL
$8,268,478 $1,053,508 $4,975,627 $7,863,092 $5,612,867
$20,504,916 $8,783,276
$27,020,960 $25,956,122 $1 2,029,161
2.3% 0.2% 1 .O% 1.4% 0.9% 4.1% 2.7% 6.8% 6.9% 3.1%
$333,562,549 $396,877,637 $460,630,848 $507,913,455 $576,641,502 $491,664,919 $31 $396,623,203 4,637,980
$380,267,469 $374,038.241
5.8% 9.5% 10.7% 6.8% 6.3% 0.7% 4.8% -0.4% -1.2% 4.0%
$1 22,068,007 2.8% $4,232,857,803 4.8%
NONGOVERNMENT GROSS
INPATIENT REVENUE
REQUESTED
$361,067,544 $239,542.268 $206,183,841 $513,124,563 $576,406,513 $492,654,580 $334,521,438 $422,092,661 $401,665,440 $400,880.976
$3.948.1 39,824
NONGOVERNMENT GROSS
INPATIENT REVENUE
REQUESTED
$1 96,009,952 $308,563,893
$37,198,505 $41,908,138 $23,174,008
$4,055,751 $0 $0 $0
$610,910,247
NONGOVERNMENT GROSS
INPATIENT REVENUE
REQUESTED
$361,067,544 $435,552,220 $514,747,734 $550,323,068 $618,314,651 $5 15,828.588 $336,577,189 $422,092,661 $401,665,440 $400,880,976
$4,559,050,071
PERCENTAGE INCREASE I (DECREASE)
REQUESTED OVER ACTUAL
8.2% 11 .O% 18.6% 8.0% 6.9% 5.0% 7.6% 6.4% 5.6% 7.2%
7.6%
PERCENTAGE INCREASE /
(DECREASE) REQUESTED OVER
ACTUAL
8.2% 7.6% 14.0% 12.6% 2.8% 4.8% 0.0% 0.0% 0.0%
8.3%
PERCENTAGE INCREASE I
(DECREASE) REQUESTED OVER
ACTUAI
8.2% 9.7% 11.7% 8.3% 7.2% 4.9% 7.6% 6.4% 5.6% 7.2%
7.7%
Two methods of rate analysis were used during the 1993 fiscal year.
West Virginia Health Care Cost Review Authority
NONGOVERNMENT ALLOWED RATES FOR GENERAL ACUTE CARE HOSPITALS, FY1994-1997
ALPHABETICAL O R D E R
HOSPITAL NAME
Beckley Appalachian Regional Hospital Beckley Hospital, Inc. Bluefield Regional Medical Center Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Cabell Huntington Hospital Camden-Clark Memorial Hospital Charleston Area Medical Center City Hospital, Inc. Davis Memorial Hospital, Inc. Eye & Ear Clinic of Charleston, Inc. Fairmont General Hospital Grafton City Hospital Grant Memorial Hospital Greenbrier Valley Medical Center Guyan Valley Hospital Hampshire Memorial Hospital Jackson General Hospital Jefferson Memorial Hospital Logan General Hospital Man Appalachian Regional Hospital Minnie Hamilton Health Care Center Monongalia General Hospital Montgomery General Hospital Morgan County War Memorial Hospital Ohio Valley Medical Center Plateau Medical Center Pleasant Valley Hospital Pocahontas Memorial Hospital Potomac Valley Hospital Preston Memorial Hospital Princeton Community Hospital Putnam General Hospital Raleigh General Hospital Reynolds Memorial Hospital Richwood Area Community Hospital Roane General Hospital Sistersville General Hospital St. Francis Hospital St. Joseph's Hospital - Buckhannon St. Joseph's Hospital - Parkersburg St. Luke's Hospital St. Mary's Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Summersville Memorial Hospital Thomas Memorial Hospital United Hospital Center Webster County Memorial Hospital Weirton Medical Center Welch Emergency Hospital West Virginia University Hospitals, Inc. Wetzel County Hospital Association Wheeling Hospital Williamson Memorial Hospital
AVERAGE
LICENSED FISCAL YEAR BEDS END
173 135 265
38 40 72
293 370 91 9 260 139 35
136 65
122 19 47 82
114 132 74 19
234 99 60
625 91
228 27 63 76
21 1 68
275 233 21 80 26
200 95
375 79
440 70 95
109 294 375
6 240 124 350
68 277
76
268
30-Jun 31 -Dec 30-Jun 30-Jun 31 -Dec 31 -Dec 30-Sep 30-Jun 31 -Dec 31 -Dec 30-Sep 31-Dec 31 -Dec 30-Jun 30-Jun 31 -Dec
30-Jun 30-Sep 30-Sep 31 -Dec 30-Jun 31 -Dec 30-Jun 31 -Dec 30-Jun 31-Dec
30-Sep 30-Jun 30-Jun 31 -Dec 30-Jun 31 -Dec 31 -Dec 30-Sep 31-Dec 30-Sep 31 -Dec 31 -Dec 30-Sep 37-Dec 31-Dec 30-Sep 30-Sep 30-Jun 31-Dec 30-Sep 30-Sep 30-Jun 30-Jun 30-Jun 31-Dec 30-Jun 30-Sep 30-Sep
31 -0Ct
31 -Aug
- 1997
4,166
5,984 9,596 3,305 3,368 6,937 5,271 9,828 4,820 4,851 3,219 5,810 3,555 4,005 4,804 4,639 4,259 3,611
6,050 2,805 3,802 7,267 7,049 3,902 7,540 4,953 5,523 2,432 4,119 5,475 6,112 6,954 5,443 5,397
4,928
3,831
4,980 3,627 8,148 4,406 5,540 6,170 7,767 4,462 3.797 4,745 6,027 5,109 4,015 4,358 5,460 13,597 4,735 6,344 4.803
5.341
1 A L L W E D RATE PER'DISCHARGE I 1995 199q
3,803
5,661 3,928 3,30S 3,367 7,464 5,734
5,077 4,362 3,219 6,120 3.558
4,570 4,639 4,785 3,296 3,730 6,050 2.805 3.802 6,063 7,049 4,475 7,540 6.507 5,729 2,432 3,985 4,636 5,971 6,211 5,443 5,472
4,928
9,828
3,858
4,980 3,666 7,788 4,175 5,270
7,541
3,797 4,155 6,015 5,119 401 5 4,094 5,460 12,638 4,290 6,354 4,957
5,153
5,889
3,840
3,754 5,002 5,676 3.864 3,308 3,367 6,232 5,231 9,828 5,172 4,191 3,219 5,938 3,565 3,788 4,592 4,639 3,644 2 I 547 3,524 6,050 2,696
6,251 6,933 4,250 6,807 5,573 5,371 3,839 3,782 4,223 5,459 5,861 5,540 5,278
4,214 3,245 7,726 3,850 5,121 5,563 7,246
3,797 3,733 6,486 5.153 3,737 3,937 5,347 11,502 4,457 5,983 4,757
4,976
3,891
3,599 5,127 4,927 3.729 3,842 3,367 6,357 5,257
4,990 4,219 3,219 5,601 3,513 3,678 4,214
3,600 2,336 3,381 6,050 2,805
6,112 6,933 4,583 6,751 6,461 5,443 3,831 3,826 4.923 5,310 5.570 5,619
9,828
6,685
5,13q
4,242 3,069 7,726 3,885 5,051 8,040 6,934 3,156 3,797
6,696 4,833 1,040 3,858 3,004 11,980 3,660 5,610 4,462
4,867
3,668
NOTE 1997 Rates approved In calendar year 1996 are effective through FY1997.
21
West Virginia Health Care Cost Review Authority
NONGOVERNMENT ALLOWED RATES FOR GENERAL ACUTE CARE HOSPITALS, FY1994-1997
BY TYPE OF OWNERSHIP & BED SIZE GROUP
LICENSED FISCAL YEAR I ALLOWED RATE PER DISCHARGE I BEDS 1997 1996 1995 1994 HOSPITAL NAME
Non-Profit Hospitals with more than 300 beds
Camden-Clark Memorial Hospital Charleston Area Medical Center Ohio Valley Medical Center St. Joseph's Hospital - Parkersburg St. Mary's Hospital United Hospital Center West Virginia University Hospitals, Inc.
Non-Profit Hospitals with 100-300 beds
Beckley Appalachian Regional Hospital Bluefield Regional Medical Center Cabell Huntington Hospital City Hospital, Inc. Davis Memorial Hospital, Inc. Fairmont General Hospital Grafton City Hospital Jefferson Memorial Hospital Logan General Hospital Monongalia General Hospital Pleasant Valley Hospital Princeton Community Hospital Reynolds Memorial Hospital Summersville Memorial Hospital Thomas Memorial Hospital Weirton Medical Center Wheeling Hospital
Non-Profit Hospitals with fewer than 100 beds
Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Grant Memorial Hospital Guyan Valley Hospital Jackson General Hospital Man Appalachian Regional Hospial Minnie Hamilton Health Care Center Montgomery General Hospital Morgan County War Memorial Hospital Pocahontas Memorial Hospital Preston Memorial Hospital Richwood Area Medical Center Roane General Hospital St. Joseph's Hospital - Buckhannon Sistersville General Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Webster County Memorial Hospital Wetzel County Hospital Association
Proprietary Hospitals
Becklev Hospital, Inc. Eye & Ear Clinic of Charleston, Inc Greenbrier Vallev Medical Center Hampshire Memorial Hospital Plateau Medical Center Potomac Vallev Hospital Putnam General Hospital Raleigh General Hospital St. Francis Hospital St. Luke's Hospital Williamson Memorial Hospital
State Operated
Welch Emerqencv Hospital
370 30-Jun 919 31-Dec 625 31-Dec 375 31-Dec 440 30-Sep 375 30-Sep 350 31-Dec
5,271 5,734 5,231 5,257 9,828 9,828 9.828 9,828 7,540 7,540 6,807 6,751 5,540 5,270 5,121 5,051 7.767 7,541 7,246 6,934 5,109 5,119 5,153 4,833 13,597 12,638 11,502 11,980
173 30-Jun 265 30-Jun 293 30-Sep 260 31-Dec 139 30-Sep 268 31-Dec 136 30-Jun 114 30-Sep 132 31-Dec 234 30-Jun 228 30-Sep 211 30-Jun 233 30-Sep 109 30-Jun 294 30-Sep 240 30-Jun 277 30-Sep
4,166 5,984 6,937 4,820 4,851 5,810 3,555 3.831 6,050 7,267 5,523 6,112 5,397 4,745 6,027 4,358 6,344
3.803 5,661 7,464 5,077 4,362 6.120
3,754 5,676 6,232 5,172 4,191 5,938 3,555 3,524 6,050 6,251 5,371 5,459 5,278 3,733 6,486 3,937 5,983
3,599 4,922 6,357 4,990 4,219 5,601 3,513 3,381 6,050 6,112 5,443 5,310 5,138 3,668 6,696 3,858 5,610
3,555 3,730 6,050 6,063 5,729 5,971 5,472 4,155 6,015 4,094 6,354
38 30-Jun 40 31-Dec 72 31-Dec 65 31-Dec 19 30-Jun
74 30-Sep 19 30-Jun 99 31-Dec 60 31-Dec 27 30-Jun 76 30-Jun 21 31-Dec 80 31-Dec 95 30-Sep 26 31-Dec 70 30-Sep 95 30-Sep 6 31-Dec
68 30-Jun
82 31-Oct
9,596 3,305 3,368 4,005 4,639 3,611 2,805 3.802 7,049 3,902 2,432 5,475
4.980 4,406 3,627 4,462 3,797 4,015 4,735
3,928 3,305 3,367 3,858 4,639 3,296 2,805 3,802 7,049 4,475 2,432 4,636
4,980 4,175 3,666 3,840 3,797 4,015 4,290
3,864 3,305 3,367 3,788 4,639 2,547 2,696
6,933 4,250 3,839 4,223
4,214 3,850 3,245 3,891 3,797 3,737 4,457
3,729 3.842 3,367 3,678 6,685 2,336 2,805
6,933 4,583 3,831 4,223
4,242 3,885 3,069 3,156 3,797 1,040 3,660
135 31-Dec 35 31-Dec
122 31-Dec 47 30-Jun 91 31-Aug 63 30-Jun 68 31-Dec
275 31-Dec 200 31-Dec
79 31-Dec 76 30-Sep
4,928 3,219 4.804 4,259 4,953 4,119 6,954 5,443 8.148 6,170 4,883
4.928 3,219 4,570 4,785 6,507 3.985 6.21 1 5,443 7,788 5.889 4,957
5,002 3,219 4,592 3,644 5,573 3,782 5.861 5,540 7,726 5,563 4,757
5,127 3,219 4,210 3,600 6,461 3,826 5,570 5,619 7,726 6,040 4,462
124 30-Jun 5,460
5,341
5,460 5,347 3,004
AVERAGE 5,153 4,976
22
West Virginia Health Care Cost Review Authority
HOSPITALTYPE ANDNAME
Beckley Appalachian Regional Hospital Beckley Hospital, Inc. Bluefield Regional Medical Center Boone Memorial Hospital Braxion County Memorial Hospital Broaddus Hospital Association Cabell Huntington Hospital Camden-Clark Memorial Hospital Charleston Area Medical Center City Hospital, Inc. Davis Memorial Hospital, Inc. Eye & Ear Clinic of Charleston, Inc. Fairmont General Hospital Graflon City Hospital Grant Memorial Hospital Greenbrier Valley Medical Center Guyan Valley Hospital Hampshire Memorial Hospital Jackson General Hospital Jefferson Memorial Hospital Logan General Hospital Man Appalachian Regional Hospital Minnie Hamilfon Health Care Center Monongalia General Hospital Montgomery General Hospital Morgan County War Memorial Hospital Ohio Valley Medical Center Plateau Medical Center Pleasant Valley Hospital Pocahontas Memorial Hospital Potomac Valley Hospital Preston Memorial Hospital Princeton Community Hospital Putnam General Hospital Raleigh General Hospital Reynolds Memorial Hospital Richwood Area Community Hospital Roane General Hospital Sistersville General Hospital St. Francis Hospital St. Joseph's Hospital - Buckhannon St. Joseph's Hospital - Parkersburg St. Luke's Hospital St. Mary's Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Summersville Memorial Hospital Thomas Memorial Hospital United Hospital Center Webster County Memorial Hospital Welch Emergency Hospital Weirton Medical Center West Virginia University Hospitals, Inc. Wetzel County Hospital Association Wheeling Hospital Williamson Memorial Hospital
AVERAGE
CASEMIX-ADJUSTED NONGOVERNMENT ALLOWED RATES FOR GENERAL ACUTE CARE HOSPITALS, FY1994-1996
LICENSED - BEDS
173 135 265 38 40 72 293 370 919 260 139 35 268 136 65 122 19 47 82 114 132 74 19 234 99 60 625 91 228 27 63 76 21 1 68 275 233 21 80 26 200 95 375 79 440 70 95 109 294 375 6
124 240 350 68 277 76
ALPHABETICAL ORDER
I 1996 I I 1995 I 1 1994 I ALLOWED
RATE - $3,803 $4,928 $5,661 $3,928 $3,305 $3,367 $7,464 $5,734 $9,828 $5,077 $4,362 $3,219 $6,120 $3,555 $3,858 $4,570 $4,639 $4,785 $3,296 $3,730 $6,050 $2,805 $3,802 $6,063 $7,049
$7,540 $6,507 $5,729 $2,432 $3,985 $4,636 $5,971 $6,211
$4,475
$5,443 $5,472
$4,980 $3,666 $7,788 $4,175 $5,270 $5,889 $7,541 $3.840 $3,797 $4,155 $6,015 $5,119 $4,015 $5,460 $4,094 $12,638 $4,290 $6,354 $4,957
$5,153
CASEMIX
0.8804 0.8496 0.8349 0.571 1 0.8198 0.6892 0.8761 0.8723 1.3755 0.8232 0.7438 1.1833 0.8402 0.9689 0.6470 0.8642
N/A 0.8220 0.8250 0.7346
NIA 0.9199
N/A 1.1563 0.8520 0.6024 1.0216 0.9429 0.7553 0.7939 0.8313 0.5939 0.8581 1.0979 0.8989 0.9362
0.8194 0.8974 1.6423 0.6980 0.8482 0.9871 1.3097 0.9414 1.1111 0.8372 0.8822 0.9361
NfA 0.9523 0.9176 1.4535 0.8504 0.9553 0.8135
I ,
CASEMIX
ADJUSTED RATE - $4,319 $5,800 $6,780 $6,877 $4,031 $4,885 $8,520 $6,573 $7,145 $6,168 $5,865 $2,720 $7,284 $3,669 $5,963 $5,288
$5.821
$5,078
$3,049
$5,244 $8,273 $7,428 $7.381 $6,901
$3,064
$7,806 $6,958 $5,657 $6,055 $5,845
$6,077 $4,085 $4,742 $5,981 $6,213 $5,966 $5,758 $4,079 $3,417 $4,962 $6,818 $5,468
$3,995
$7,585
$4,794
$5,734 $4,461 $8,695 $5,044 $6,652 $6,094
$5,375
ALLOWED
$3.754
$3,864
$5,002 $5,676
$3,305 $3,367 $6,232 $5,231 $9.828 $5,172
$3,219 $4.191
$5,938 $3,555 $3,788 $4,592 $4,639 $3,644 $2.547 $3,524 $6,050 $2,696
$6,251 $6,933 $4,250 $6,807 $5,573 $5,371 $3.839 $3,782 $4,223 $5,459 $5,861 $5,540 $5,278
$4.214 $3,245 $7,726 $3,850 $5,121 $5,563 $7,246 $3,891 $3,797 $3,733
$3,737 $5,347 $3,937 $1 1,502 $4,457 $5,983 $4,757
$4,976
$6.486 $5,153
CASEMIX
0.8677 0.8226 0.8028 0.5703 0.7918 0.7212 0.8625 0.8618 1.3404 0.8157 0.6946 0.9490 0.8721 0.9014 0.61 14 0.8385 0.6924 0.8285 0.7943 0.7440 0.7693 0.8826
1.1077 0.8353
NIA 1.0557 0.9886 0.7388 0.8352 0.8108 0.7085 0.8014 0.9481 0.8170 0.8770
0.8703 N/A
1.31 60 0.7253 0.8266 1.0595 1.1618 0.8392 0.8419 0.7785 0.91 60 0.8732 0.7324 0.8542 0.8477 1.4080 0.7625 0.9625 0.7563
CASEMIX ADJUSTED
RATE - $4,326 $6,081 $7,071 $6,776 $4,174 $4,668 $7,226 $6,070 $7,332 $6,341 $6,034 $3,392 $6,809 $3,944 $6.1 95 $5,476 $6,700
$3,206
$7.864 $3,055
$4,398
$4,737
$5,643 $8,300
$6,448 $5,637 $7,270
$4,664 $5,960 $6,812 $6,182 $6,781 $6,018
$4,597
$4,842
$5.871 $5.308 $6,195 $5,251 $6,237 $4,637 $4,510 $4,795 $7,080 $5,901 $5,102 $6,259 $4,645 $8,169 $5,846 $6,216 $6,290
$4,928
ALLOWED RATE - $3,599 $5,127 $4,922 $3,729 $3,842 $3,367 $6,357 $5.257 $9,828 $4,990 $4.219 $3.21 9 $5,601 $3,513 $3,678
$6.685 $3,600 $2,336 $3,381 $6,050 $2,805
$6,112 $6,933 $4,583 $6,751 $6,461 $5,443 $3,831 $3,826 $4,223 $5,310 $5,570 $5,619 $5,138
$4,242 $3,069 $7,726 $3,885 $5,051 $6,040 $6,934 $3,156 $3,797 $3,668 $6,696 $4,833 $1,040 $3,004 $3,858 $1 1,980
$4,210
$3,660 $5,610 $4,462
$4,867
CASEMlX
0.8748 0.8008 0.8224 0.7490 0.7588 0.7682 0.7597 0.7570 1.2035 0.7398 0.8709 0.9813 0.8228 0.8007 0.6296 0.8160 0.6551 0.7317 0.7849 0.7012 0.7364 0.8245
0.8768 1.0450 0.7060 1.0243 0.8675 0.7178 0.7360 0.7791 0.6308 0.8736 0.9249 0.7931 0.7608
0.7872 0.7326 1.441 1 0.6856 0.8403 0.9501 1.1668 0.7482 0.9810 0.7502 0.9943 0.8939 0.6991 0.8720 0.8108 1.3156 0.7125 0.7724 0.7657
CASEMIX ADJUSTED - RATE
$4,114 $6,402 $5,985
$5,064
$8,367 $6,944 $8,166 $6,745
$3,281 $6,807
$5,842 $5,159
$4,920 $2,976
$8,216 $3,402
$6,970 $6,635 $6,492 $6,591 $7,448 $7,583 $5.206 $4,911 $6,695 $6,078 $6,023 $7,085 $6,753
$5,389 $4,189 $5,361 $5,666 $6,010 $6,357 $5,943 $4,219 $3.870 $4,890 $6,734 $5,407 $1,488 $3,445 $4,758 $9,106 $5,137 $7,263 $5,828
$4,585
$4,978
$4,383
$4,844
$4,387
$1 0,204
$4.822
23
West Virginia Health Care Cost Review Authority
CASEMIX-ADJUSTED NONGOVERNMENT ALLOWED RATES FOR GENERAL ACUTE CARE HOSPITALS, FY1994-1996
BVTYPE OF OWNERSHIP & BED SIZE
HOSPITAL TYPE AND NAME
Non-Profit Hospitals with more than 300 beds
Camden-Clark Memorial Hospital Charleston Area Medical Center Ohio Valley Medical Center St. Joseph's Hospital - Parkersburg St. Mary's Hospital United Hospital Center West Virginia University Hospitals, Inc.
Non-Profit Hospitals with 100-300 beds
Beckley Appalachian Regional Hospital Bluefield Regional Medical Center Cabell Huntington Hospital City Hospital, Inc. Davis Memorial Hospital, Inc. Fainont General Hospital Grafton City Hospital Jefferson Memorial Hospital Logan General Hospital Monongalia General Hospital Pleasant Valley Hospital Princeton Community Hospital Reynolds Memorial Hospital Summersville Memorial Hospital Thomas Memorial Hospital Weirton Medical Center Wheeling Hospital
Non-Profit Hospitals with fewer than 100 beds
Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Grant Memorial Hospital Guyan Valley Hospital Jackson General Hospital Man Appalachian Regional Hospial Minnie Hamilton Health Care Center Montgomery General Hospital Morgan County War Memorial Hospital Pocahontas Memorial Hospital Preston Memorial Hospital Richwood Area Medical Center Roane General Hospital St. Joseph's Hospital - Buckhannon Sistersville General Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Webster County Memorial Hospital Wetre1 County Hospital Association
Proprietary Hospitals
Becklev Hospital, Inc. Eve & Ear Clinic of Charleston, Inc. Greenbrier Valley Medical Center Hampshire Memorial Hospital Plateau Medical Center Potomac Valley Hospital Putnam General Hospital Raleiqh General Hospital St. Francis Hospital St. Luke's Hospital Williamson Memorial Hospital
State Operated
Welch Emerqencv Hospital
AVERAGE
LICENSED BEDS -
370 91 9 625 375 440 375 350
173 265 293 260 139 268 136 114 132 234 228 21 1 233 109 294 240 277
38 40 72 65 19 82 74 19 99 60 27 76 21 80 95 26 70 95 6
68
135 35
122 47 91 63 68
275 200 79 76
124
ALLOWED RATE -
$5,734 $9,828 $7,540 $5,270 $7,541 $5,119
$12,638
$3,803 55,661 $7,464 $5,077 $4,362 $6,120 $3,555 $3,730 $6,050 $6,063 $5,729 $5,971 $5,472 $4,155 $6,015 $4,094 $6,354
$3,928 $3,305 $3,367 $3,858 $4,639 $3,296 $2,805 $3,802 $7,049 $4,475 $2,432 $4,636
$4,980 $4,175 $3,666 $3,840 $3,797 $4,015 $4,290
$4,928 $3,219 $4,570 $4,785 $6,507 $3,985 $6.21 1 $5,443 $7,788 $5,889 $4,957
$5,460
$5.153
1996 I I 1995
CASEMIX
0.8723 1.3755 1.0216 0.8482 1.3097 0.9361 1.4535
0.8804 0.8349 0.8761 0.8232 0.7438 0.8402 0.9689 0.7346
NIA 1.1563 0.7553 0.8581 0.9362 0.8372 0.8822 0.9176 0.9553
0.571 1 0.8198 0.6892 0.6470
NIA 0.8250 0.9199
NIA 0.8520 0.6024 0.7939 0.5939
0.8194 0.6980 0.8974 0.9414 1.1111
NIA 0.8504
0.8496 1.1833 0.8642 0.8220 0.9429 0.8313 1.0979 0.8989 1.6423 0.9871 0.8135
0.9523
CASEMIX ADJUSTED
RATE -
$6,573 $7,145 $7,381 $6,213 $5,758 $5,468 $8,695
$4,319 $6,780 $8,520 $6,168 $5,865 $7,284 $3,669 $5,078
$5,244 $7,585 $6,958 $5,845 $4.962 $6,818 $4,461 $6,652
$6,877 $4,031 $4,885 $5,963
$3,995 $3,049
$8,273 $7,428 $3,064 $7,806
$6,077 $5,981 $4,085 $4,079 $3,417
$5.044
$5,800 $2.720 $5,288 $5,821 $6,901 $4,794 $5,657 $6,055 $4,742 $5,966 $6,094
$5,734
$5.375
ALLOWED RATE -
$5,231 $9,828 $6.807 $5,121 $7,246 $5,153
$1 1,502
$3,754 $5,676 $6,232 $5,172 $4,191 $5,938 $3,555 $3.524 $6,050 $6,251 $5,371 $5,459 $5,278 $3,733 $6,486 $3,937 $5,983
$3,864 $3,305 $3,367 $3,788 $4,639 $2,547 $2,696
$6,933 $4,250 $3,839 $4,223
$4,214 $3,850 $3,245 $3,891 $3,797 $3,737 $4,457
$5,002 $3,219 $4.592 53,644 $5,573 $3.782 $5,861 $5,540 $7,726 $5.563 $4,757
$5,347
$4.976
CASEMIX
0.8618 1.3404 1.0557 0.8266 1.1618 0.8732 1.4080
0.8677 0.8028 0.8625 0.8157 0.6946 0.8721 0.9014 0.7440 0.7693 1.1077 0.7388 0.8014 0.8770 0.7785 0.9160 0.8477 0.9625
0.5703 0.7918 0.7212 0.6114 0.6924 0.7943 0.8826
0.8353 N/A
0.8352 0.7085
0.8703 0.7253
NIA 0.8392 0.8419 0.7324 0.7625
0.8226 0.9490 0.8385 0.8285 0.9886 0.8108 0.9481 0.8170 1.3160 1.0595 0.7563
0.8542
, I
CASEMIX ADJUSTED
RATE -
$6,070 $7,332 $6,448 $6,195 $6,237 $5.901 $8.169
$4,326 $7,071 $7,226 $6,341 $6,034 $6,809 $3,944 $4,737 $7,864 $5,643 $7,270 $6,812 $6,018
$7,080 $4,645 $6,216
$4,795
$6,776 $4,174 $4,668 $6,195 $6,700 $3,206 $3,055
$8,300
$4,597 $5,960
$4,842 $5,308
$4,637 $4,510 $5,102 $5,846
$6,081 $3,392 $5,476 $4,398 $5,637 $4,664 $6,182 $6,781 $5,871 55,251 $6,290
$6.259
$4,928
ALLOWED RATE _.
$5,257 $9,828 $6,751 $5,051 $6,934 $4,833
$11,980
$3,599 $4,922 $6,357 $4,990 $4,219 $5,601 $3,513 $3,381 $6,050 $6,112 $5.443 $5,310 $5,138 $3,668 $6,696 $3,858 $5,610
$3,729 $3,842 $3,367 $3,678 $6,685 $2,336 $2,805
$6,933 $4,583 $3,831 $4,223
$4,242 $3,885 $3,069 $3,156
$1,040 $3,660
$3,797
$5,127 $3,219 $4,210 $3,600 $6,461 $3,826 $5,570 $5,619 $7,726 $6,040 54,462
$3,004
$4,667
_______~~ 1994 -1
CASEMIX ADJUSTED
CASEMIX
0.7570 1.2035 1.0243 0.8403 1.1668 0.8939 1.3156
0.8748 0.8224 0.7597 0.7398 0.8709 0.8228 0.8007 0.7012 0.7364 0.8768 0.7178 0.8736 0.7608 0.7502 0.9943 0.8108 0.7724
0.7490 0.7588 0.7682 0.6296 0.6551 0.7849 0.8245
1.0450 0.7060 0.7360 0.6308
0.7872 0.6856 0.7326 0.7482 0.9810 0.6991 0.7125
0.8008 0.9813 0.8160 0.7317 0.8675 0.7791 0.9249 0.7931 1.441 1 0.9501 0.7657
0.8720
RATE -
$6,944 $8,166 $6,591 $6,010 $5,943 $5,407 $9,106
$4,114 $5,985 $8,367 $6,745 $4.844 $6,807 $4,387 $4,822 $8,216 56,970 $7,583 $6,078 $6,753 $4,890 $6,734 $4,758 $7,263
$4,978 $5,064 $4,383 $5,842
$10,204 $2.976 $3,402
$6,635 $6,492 55,206 $6,695
$5,389 $5,666 $4,189 $4,219 $3,870 $1,488 $5,137
$6,402 $3,281 $5,159 $4.920 $7.448 $4,911 $6.023 $7,085 $5,361 $6,357 $5.828
$3,445
$4.545
24
HOSPITAL TYPE AND NAME
Becklev Appalachian Regional Hospital Beckley Hospital, Inc. Bluefield Regional Medical Center Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Cabell Huntington Hospital Camden-Clark Memorial Hospital Charleston Area Medical Center City Hospital, Inc. Davis Memorial Hospital, Inc. Eye & Ear Clinic of Charleston, Inc. Fairmont General Hospital Grafton City Hospital Grant Memorial Hospital Greenbrier Valley Medical Center Guyan Valley Hospital Hampshire Memorial Hospital Jackson General Hospital Jefferson Memorial Hospital Logan General Hospital Man Appalachian Regional Hospital Minnie Hamilton Health Care Center Monongalia General Hospital Montgomery General Hospital Morgan County War Memorial Hospital Ohio Valley Medical Center Plateau Medical Center Pleasant Valley Hospital Pocahontas Memorial Hospital Potomac Valley Hospital Preston Memorial Hospital Princeton Community Hospital Putnam General Hospital Raleigh General Hospital Reynolds Memorial Hospital Richwood Area Community Hospital Roane General Hospital Sistersville General Hospital St. Francis Hospital St. Joseph's Hospital - Buckhannon St. Joseph's Hospital - Parkersburg St. Luke's Hospital St. Mary's Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Summersville Memorial Hospital Thomas Memorial Hospital United Hospital Center Webster County Memorial Hospital Weirton Medical Center West Virginia University Hospitals, Inc. Wetzel County Hospital Association Wheeling Hospital Williamson Memorial Hospital
SUBTOTAL GENERAL ACUTE CARE HOSPITALS (EXCLUblNG WELCH)
AVERAGE
West Virginia Health Care Cost Review Authority
NONGOVERNMENT INPATIENT RATE PER DISCHARGE FOR GENERAL ACUTE CARE HOSPITALS, FY1996
ALPHABETICAL ORDER
LICENSED EQs
173 135 265 38 40 72 293 370 919 260 139 35 268 136 65 I22 19 47 82 114 132 74 19 234 99 60 625 91 228 27 63 76 21 1 68 275 233 21 80 26 200 95 375 79 440 70 95 109 294 375 6
240 350 68 277 76
9,303
INPATIENT RATE
REOUESTED
$3,803 $4,992 $5,865 $4,160
$7,730 $5,859
$5,250 $4,380
$6,235
$3,910 $4,719
$4,927 $3,296 $3,743
$2,805 $3,802 $6,184 $7,049 $4,860 $7,540 $6,702 $5,864
$4,006 $4,750 $6,430 $6,543 $5,606 $5,687
$4,980 $3,666 $7,874 $4,262 $5,288 $6,079 $7,746 $4,006
$4,419 $6,085
$4,015 $421 4 $12,890 $4,290 $6,877 $5,027
$2,437
INPATIENT RATE
GRANTED
$3.803 $4,928 $5,661 $3,928
$7,464 $5,734
$5,077 $4,362
$6,120
$3,858 $4,570
$4,785 $3,296 $3,730
$2,805 $3,802 $6,063 $7,049 $4,475 $7,540 $6,507 $5,729 $2,432 $3,985 $4,636 $5,971 $621 1 $5,443 $5,472
$4,980 $3,666
$4,175 $5,270 $5,889 $7,541 $3,840
$4,155 $6,015
$4,015 $4,094 $12,638 $4,290 $6,354
$7,788
$4,957
$5,352 $5,224
DIFFERENCE REOUESTED /
GRANTED
$0 $65 $204 $232
$266 $125
$173 $1 8
$115
$52 $149
$143 $0 $1 2
$0 $0
$120 $0
$385 $0
$1 95 $135 $5 $21 $114 $460 $332 $163 $215
$0 $0 $86 $88 $19 $1 90 $205 $1 66
$265 $70
$0 $120 $252 $0
$522 $69
DIFFERENCE PERCENTAGE
0.00% 1.29% 3.47% 5.58%
3.44% 2.14%
3.30% 0.40%
1.85%
1.33% 3.16%
2.89% 0.00% 0.33%
0.00% 0.00% 1.95% 0.00% 7.93% 0.00% 2.91% 2.30% 0.20% 0.51% 2.40% 7.1 5% 5.08% 2.91% 3.78%
0.00% 0.00% 1.09% 2.06% 0.36% 3.1 3% 2.65% 4.15%
5.99% 1.15%
0.00% 2.86% 1.96% 0.00% 7.59% 1.38%
$1 20 2.39%
FY95 UNJUSTIFIED PER DISCHARGE
INPATIENT OVERnOE
None None $56 None None None
All justified All justified
None None None None
All justified None None None None
All justified None None None None None None None None None
All justified None None None $255 $31 8 $226 None None None
All justified $196 $24 $1 4 None None
All justified None None $259 None None None None
All justified None
All justified All justified
1995 * TOTAL
DOLLAR UNJUSTIFIED
$4,923
$63,663 $628,449 $170,201
$5,091 $26,634 $5,209
$1 36,540
$1,040,709
* Does not indicate that a penalty was assessed.
25
HOSPITAL TYPE AND NAME
Becklev Appalachian Reqional Hospital Beckley Hospital, Inc. Bluefield Regional Medical Center Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Cabell Huntington Hospital Camden-Clark Memorial Hospital Charleston Area Medical Center City Hospital, Inc. Davis Memorial Hospital, Inc. Eye & Ear Clinic of Charleston, Inc. Fairmont General Hospital Grafton City Hospital Grant Memorial Hospital Greenbrier Valley Medical Center Guyan Valley Hospital Hampshire Memorial Hospital Jackson General Hospital Jefferson Memorial Hospital Logan General Hospital Man Appalachian Regional Hospital Minnie Hamilton Health Care Center Monongalia General Hospital Montgomery General Hospital Morgan County War Memorial Hospital Ohio Valley Medical Center Plateau Medical Center Pleasant Valley Hospital Pocahontas Memorial Hospital Potomac Valley Hospital Preston Memorial Hospital Princeton Community Hospital Putnam General Hospital Raleigh General Hospital Reynolds Memorial Hospital Richwood Area Community Hospital Roane General Hospital Sistersville General Hospital St. Francis Hospital St. Joseph's Hospital - Buckhannon St. Joseph's Hospital - Parkersburg St. Luke's Hospital St. Mary's Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Summersville Memorial Hospital Thomas Memorial Hospital United Hospital Center Webster County Memorial Hospital Weirton Medical Center West Virginia University Hospitals, Inc. Wetzel County Hospital Association Wheeling Hospital Williamson Memorial Hospital
SUBTOTAL: GENERAL ACUTE CARE HOSPITALS (EXCLUDING WELCH)
AVERAGE
West Virginia Health Care Cost Review Authority
NONGOVERNMENT OUTPATIENT RATE PER VISIT FOR GENERAL ACUTE CARE HOSPITALS, FY1996
ALPHABETICAL ORDER
TOTAL OUTPT. REVENUE
REQUESTED
$5,762,087 $2,675,468 $12,817,777 $1,708,521
$1 4,750,752 $21 ,I 19,343
$1 0,954,935 $1 0,231,009
$12,094,561
$3,236,299 $8,591,776
$1,223,933 $4,688,032 $6,251,514
$5,105,462 $61 5,525
$1 5,697,304 $4,139,368 $1,953,115 $16,978,228 $2,577,288 $8,119,336 $520,951
$3,466,504 $2,818.832 $1 0,665,824 $6,634,624 $9,396,637 $8,670,820
$2,417,548 $1,235,844 $10,234,047 $4,498,679 $1 3,629,330 $4,034,813 $18,802,198 $2,988,576
$4,456,005 $1 8,128,971 $19,035,716
$220,694 $1 1,811,380 $26,660,000 $6,365,924 $35,627,570 $6,166,237
TOTAL OUTPT. REVENUE GRANTED
$5,762,087 $2,623,733 $12,372,463 $1,658,336
NO APPLICATION PENDING $1 421 9,072 $20,673,702
NO APPLICATION $1 0,588,551 $10,189,509
$1 1,809,046
$3.1 89,148 $8,330,649
NO APPLICATION $1,218,469 $4,688,032 $6,230,907
NO APPLICATION $5,105,474 $615,525
$15,391,328 $4,139,368 $1,799,595 $1 6,978,070 $2,502,146 $7,932,864 $51 9,912
$3,450,214 $2,751,290 $1 0,602,445 $6,310,039 $9,123,002 $8,342,911
$2,417,548 $1,235,844 $1 0,150,007 $4,406,165 $13,580,653 $4,175,713 $1 8,697,164 $2,696,789
$4,439,285 $1 7,909,737 $1 8,938,706
$220,694 $1 1,233,844 $26,258,809 $6,365,924 $34,252,947 $6,081,423
PENDING
PENDING
NO APPLICATION
NO APPLICATION
95 ACTUAL PER
$341 39 $262.52 $320.40 $94.37
$227.52 $269.24
$237.52 $306.38
$220.45
$242.24 $429.30
$230.61 $324.91 $265.20
$286.32 NIA $21 3.71 $173.09 $268.59 $351.74 $268.76 $370.66 $1 37.78 $233.75 $186.56 $328.10 $343.23 $449.72 $240.33
$297.69 $205.76 $570.72 $190.47 $188.95 $366.78 $347.30 $182.05
$215.02 $308.87 $266.98 $1 12.70 $300.33 $145.16 $251.67 $256.26 $455.84
$399,779,357 $392,179,139
$8,690,856 $8,525,633 $273.05
96 OUTPT. PER VISIT
REQUESTED
$342.37 $271.70 $348.62 $99.09
$246.90 $288.08
$249.05 $305.85
$229.78
$251.93 $429.52
$245.92 $301 2 1 $291.54
$302.26 $1 91.04 $213.71 $432.31 $273.66 $353.43 $288.48 $402.17 $144.67 $247.78 $216.60 $346.15 $352.13 $450.81 $264.52
$304.55 $221.20 $581.78 $201.86 $195.18 $377.91 $371.28 $1 87.22
$238.60 $319.35 $268.72 $132.23 $31 5.77 $158.82 $271.75 $277.1 4 $483.40
$288.87
% PER VISIT REQUESTED
OVER 95 ACTUAL
0.14% 3.50% 8.81% 5.00%
8.52% 7.00%
4.85% -0.17%
4.23%
4.00% 0.05%
6.64% -7.29% 9.93%
5.57%
0.00% 149.76% 1.89% 0.48% 7.34% 8.50% 5.00% 6.00%
5.50% 16.10%
2.59% 0.24% 10.07%
2.30% 7.50% 1.94% 5.98% 3.30% 3.03% 6.90% 2.84%
10.97% 3.39% 0.65% 17.33% 5.14% 9.41% 7.98% 8.15% 6.05%
96 OUTPT. PER VlSW GRANTED
$342.37 $266.45 $336.51 $96.18
$238.00 $282.00
$240.72 $304.61
$21 3.75
$248.26 $41 6.47
$244.82 $301 2.1 $290.58
$302.26 $1 91.04 $21 1.46 $432.31 $252.15 $353.43 $280.07 $392.93 $144.38 $246.62 $21 1.41 $344.09 $334.91 $437.68 $254.52
$304.55 $221.20 $577.00 $1 97.71 $1 94.49 $366.58 $369.21 $168.94
$237.70 $315.39 $265.62 $132.23 $300.33 $1 56.43 $271.75 $266.45 $476.75
5.79% $283.34
% PER VISIT GRANTED
OVER 95 ACTUAL
0.14% 1.50% 5.03% 1.92%
4.61 % 4.74%
1.35% -0.58%
-3.04%
2.49% -2.99%
6.16% -7.29% 9.57%
5.57%
-1.05% 149.76% -6.12% 0.48% 4.21% 6.01% 4.79% 5.51% 13.32% 4.87% -2.42% -2.68% 5.90%
2.30% 7.50% 1.10% 3.80% 2.93%
6.31% -0.05%
-7.20%
10.55% 2.11% -0.51 % 17.33% 0.00% 7.76% 7.98% 3.98% 4.59%
3.77%
26
w a a a a a a a a
a a a a a a a a
This section contains one table that lists the capital expenditures approved and denied for general acute care hospitals for the calendar years 1993 through 1996, and the first six months of 1997.
It is apparent from the attached chart that CON requests have increased in three of the past four years as hospitals continue to grow and position themselves in the competitive market. The HCCRA has the obligation to review this expansion to ensure no unnecessary duplication of services as the hospitals expand. Without this process, an avoidable increase of health care cost could follow.
27
West Virginia Health Care Cost Review Authority CERTIFICATE OF NEED CAPITAL EXPENDITURE SUMMARY BY CALENDAR YEAR
FOR GENERAL ACUTE CARE HOSPITALS, JANUARY 1,1993 THROUGH JUNE 30,1997
1997 - 1996 - 1995 - 1993 - 1994 - GRAND
TOTAL CON TOTAL CON TOTAL CON TOTAL CON TOTAL CON TOTAL CON TOTAL CON TOTAL CON TOTAL CON TOTAL CON TOTAL CON EXPENDITURES' EXPENDITURES EXPENDITURES' EXPENDITURES EXPENDITURES. EXPENDITURES EXPENDITURES* EXPENDITURES EXPENDITURES' EXPENDITURES EXPENDITURES'
GRAND TOTAL CON
EXPENDITURES DENlED
$2.186.241 50
$1,433,863 $0 50 $0 $0 $0 $0
52,523,029 $0 $0 $0 $0 50 50 50 $0 50 $0 $0
$650.000 580,000
50 $0 $0 $0
$45.000 $0 $0 $0 $0 $0 $0 $0 50 $0 $0 50
$75.000 50 $0 $0 $0 50 $0 50 50
53221.725 50
$305,000 50 50 50 50
511,677.887 SO
522,197,745
DENlED APPROVED
$249.315 5644.787
$1,720,000
DENlED
$2,026,829
DENlED APPROVED DENlED APPROVED
53.21 3.01 8 $644.787
59,553,317 $215,000 561,000
$0 $51,648,604
$335,000 516,987,675 $29,929.517
$770,756 $3,290,000
$70,000 $6,700,760
5141.000 $8,372,700 51,401,240
566,590 5470.300
$1.791.751 $3,800,178
580,000 $2,039,270 56,406,583
5656,025 $15,000
$8.653.053 545.000 $791,657
53,124,521 $57,003 531,465
$845,029 58.824.050 168,363,362
518.946.000 $5,073,000 $2,176,500
5557,692 50
550,700,950 $1,595,000
$24,163.137 $1,367,000
$18.31 1,920 $740,000
56.000.000 $3.000.000 57.568.096
$12.943.835 525,000
$7,654,274 $0
$661,099 $21,824.037 $3.574.000
924,274,234 50
5125,000 1390,437,985
$12,000
APPROVED
5381,463
52,624,217 $150,000 $61,000
577,000
5509,300
51,325,000
5449,000
$8,000,000 5141,000
$225.000
5656,025 515,000
$6.1 82.794
$57,003 $7.000
$836,529 51,405.340
52,358,000 $2,168,000
$1,420,000 5400.000
$1,090,000
$6.000.000
$3,130.1 90
$2,007,170
$2,005,266
1643.681.297
APPROVED DENlED $2,186,241 $2,582,240
$1,433,863 520,000 523,000
APPROVED
512.000
$330,000 $977,500
$2,248,005
$2,609.000
HOSPITALS
Beckley Appalachian Regional Beckley Hospital Bluefield Regional Med Center Boone Memorial Hospital Braxton County Memorial Broaddus Hospital Cabell Huntington Hospital Calhoun General Hospital Camden-Clark Memorial Charleston Area Medical Center City Hospital Davis Memorial Hospital Eye & Ear Clinic Fairmont General Hospital Grafton City Hospital Grant Memorial Hospital Greenbrier Valley Hospital Guyan Valley Hospital Hampshire Memorial Hospital Jackson General Hospital Jefferson Memorial Hospital Logan General Hospital Man Appalachian Regional Monongalia General Hospital Montgomeiy General Hospital Morgan County War Memorial Ohio Valley Medical Center Plateau Medical Center Pleasant Valley Hospital Pocahontas Memorial Hospital Potomac Valley Hospital Preston Memorial Hospital Princeton Community Hospital Putnam General Hospital Raleigh General Hospital Reynolds Memorial Hospital Richwood Area Medical Center Roane General Hospital Sistersville General St Francis Hospital St Joseph's - Buckhannon St Joseph's - Parkersburg St Luke's Hospital St Mary's Hospital Stonewall Jackson Memorial Summers County Appalachian Reg. Hosp. Summersville Memorial Thomas Memorial Hospital United Hospital Center Webster County Memorial Weirton Medical Center Weirton Osteopathic Wetzel County Hospital Wheeling Hospital Williamson Memorial Hospital WVU Hospitals Wyoming General Hospital STATE TOTALS
55,189,100 $30.000
$25,271,604 55.000
$3,112,455 56.807.660
5218,281 51,670,000
570,000 $3,432,760
$25,350,000
5431.372 5496,200 512,099,357
5552,475 5160,000
$25,000
5950,000
51 2,466,348 $8,265.1 95
5135,000
$185.000
5372,700 $1,248.000 5153.240
$12.000 556,145 534,800 576.174
$650,000 $13,000 510,000
$3,796,583
$10,445 $200.000
$1.21 1,875 $1,804,270 $1,560,000
$235.500 $375,000
51,220,623
91.050.000
51,340,577 51,354,680
$749.900 5300,000 5992,350
$18,965
52.549367 53,210,362
$1,720.359
51.828.827 5372,280 $303,344
51 19,377
$5,500 $8,500
54,164,110 $175,000 550,000
92,715,000 58.500
5705,233 54.978.000
517,306,000 51,590,000
5462,692
5362.800
$95,000
5170,000
$21,583.137
547,000.000 5175.000
$1,040.000 5145.000
520.000
575,000 $3,168.150
51.140.000 51,218,000 51399,867
$720,000
54,000 $15,322,053
$3.000.000 $2.986.576
53,221,725 $5,644,270 525,000
$305,000 $12,242
5170,000 56.119.305
575,000 52,578,887 53.572.387
54,581,520 54,169,375
53,524,700 $412,300
$491,099 $581,070
53,449,000 169,099,000 $1 1,237,860
$1,697.862
$4,145,525
89,463,987
88,972,871 $50.000
$13,369,104 $90,355,520 $6,601.812 $120,959,150 52,026,829 $51,352,325 575,000 $84,089,693
* Expenditures represent projected estimated costs and include CON projects approved, projects determined not reviewable, and exemptions.
w 0 e e a e
e a
e e 0 e * * 0 e 0 e e e e e 0 0 e 0 e 0
e
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e
e
e a
e
a a
This section, Revenue and Adjusted Expenses, shows revenue and adjusted cost by payor category (Medicare, Medicaid, PElA and all other). Calculation of adjusted cost as defined below permits approximation of the cost of bad debt and charity care, which are normally reported in terms of gross revenues lost.
The following definitions apply to the Revenue and Adjusted Expenses Seation, as well as to the Summary of Hospital Adjusted Cost.
GROSS PATIENT REVENUE: The amount charged by the hospital for services provided to patients. It is the standard charge made by the hospital before discounts an4 contractual allowances. This same definition applies to Gross Medicare Patient Revenue, Gross Medicaid Patient Revenue, Gross PElA Patient Revenue, and Gross Other Patient Revenue.
TOTAL OPERATING EXPENSES: The amount recorded by the hospital for items purchased or accrued as normal operating expenses. It includes, but is rlot limited to, items such as salaries, employee benefits, medical supplies, utilities, depreciatign, interest on debt, income and provider taxes (if applicable), extraordinary items, and all other necessary supplies.
OTHER OPERATING REVENUE: Other operating revenue is the amount the hospital receives form sales of items that are not the direct result of treating patients. It includes such items as cafeteria sales and the sale of copies of medical records.
NON-OPERATING REVENUE: Non-operating revenue is the amount the hospital receives from items that are neither directly or indirectly the result of treating patients. Examples of revenue in this category are investment income and donations.
ADJUSTED OPERATING EXPENSES: As used on the Revenue and Expense Section, adjusted operating expenses represent the Total Operating Expenses minus Other Operating/Non-Operating Revenue. (Also see next definition.)
ADJUSTED COST: This definition was agreed upon by the Legislative Subcommittee on Cost Shifting. The purpose is to ascertain an approximate cost of patient care for each of the major third party payors. It is calculated as follows:
1. Total Operating Expenses minus (Other Operating Revenue plus Non- operating Revenue) equals Adjusted Operating Expenses,
2. Adjusted Operating Expenses divided by Total Gross Patient Revenue equals the percentage relationship of Total Expenses to Total Gross Patient Revenue.
3. Operating Expenses as a percent of total Gross Patient Revenue multiplied by total payor revenues for each major payor classification equals Adjusted Cost for each payor.
29
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a e 0 e 0 e 0 e 0 e a e e e e e a
a 0 a e e a * e e a 0 a e a e e
e
a
e
m
This definition assumes that the charges bear the same relationship to costs across payors. It applies to Adjusted Medicare Cost, Adjusted Medicaid Cost, Adjusted PElA Cost and Adjusted Other Cost.
NET PATIENT REVENUE: Net patient revenue represents the amount the hospital receives or expects to receive from patients and/or third party payors for the services provided by the hospital. This definition also applies to Net Medicare Revenue, Net Medicaid Revenue, Net PElA Revenue, and Net Other Revenue.
NET REVENUE LESS ADJUSTED MEDICARE COST: This amount is the difference between Net Medicare Revenue and Adjusted Medicare Cost. It is the net gain (loss) from providing services to Medicare patients. This same definition applies to Net Revenue Less Adjusted Medicaid Cost, Net Revenue Less Adjusted PElA Cost, and Net Revenue Less Adjusted Other Cost.
ADJUSTED REVENUE OVER EXPENSES: As used on the Summary of Hospital Adjusted Cost Section, this is the Adjusted Revenue Over (Under) Expenses, or Profit (Loss). It is the amount before income taxes and extraordinary gains or losses are applied.
The total net patient revenue by payor will not equal the total net patient revenue for some hospitals, primarily because of rounding differences. However, in some instances, there were variances in treatment of bad debt, contractual allowances, and disproportionate share revenues between a hospital’s Uniform Report and its Audited Financial Statements.
30
West Virginia Health Care Cost Review Authority
ALL PAYOR REVENUE AND ADJUSTED EXPENSES FOR ALL HOSPITALS. FY1996
A B C D E (B-C) (DIA'l 00)
F
NET PATIENT
REVENUE
OTHER ADJUSTED TOTAL OPERATING/ ADJUSTED OP. EXP.
OPERATING NON-OPERATING OPERATING AS A % EXPENSES REVENUE EXPENSES OF GPR
GROSS PATIENT LIC - BEDS
370 91 9 625 375 440 375 350
3,454
173 265 293 260 139 268 136 114 132 234 228 21 I 233 109 294 240 277
3,606
HOSPITAL TYPE AND NAME
GENERAL ACUTE CARE
Non-Profit Hospitals with more than 300 beds
Camden-Clark Memorial Hospital Charleston Area Medical Center Ohio Valley Medical Center St. Joseph's Hospital - Parkersburg St. Mary's Hospital United Hospital Center West Virginia University Hospitals, Inc.
$1 10,772,469 $547,913,930 $106,262,503 $89,965,300 $177,317,801 $1 33.1 63,459 $244,191,049
$1,409,586,591
$67,861,993 $391,578,442 $6521 5,745 $57,591,614 $1 19,900,500 $86,287,353 $172,457,174
$960,892,821
$2,031,811 $1 1,173,296 $2,624,992 $1,659,452 $5,557,727 $5,583,513 $15,309,629
$43,940,420
$65,830,182 59.43% $380,405,146 69.43% $62,590,753 58.90%
$1 14,342,773 64.48%
$1 57.1 47,545 64.35%
$916,952,401
$55,932,162 62.17%
$80,703,840 60.61%
$73,213,615 $392,431,947 $62,712,347 $60,406,845 $127,407,099 $90,605,065 $1 67,258,669
$974,035,587
Non-Profit Hospitals with 100-300 beds
Beckley Appalachian Regional Hospital Bluefield Regional Medical Center Cabell Huntington Hospital City Hospital, Inc. Davis Memorial Hospital, Inc. Fainont General Hospital Grafton City Hospital Jefferson Memorial Hospital Logan General Hospital Monongalia General Hospital Pleasant Valley Hospital Princeton Community Hospital Reynolds Memorial Hospital Summersville Memorial Hospital Thomas Memorial Hospital Weitton Medical Center Wheeling Hospital
$58,358,107 $101,813,812 $1 32,247,980 $63,507,663 $68,085,654 $81.887,326 $1 1,229,356 $21,721,598 $129,379,415 $106,190,181 $59,656,421 $98,273,181 $36,285,122 $26,080,008 $1 06,993,6 10 $64,559,395 $151,027,642
$1,317,297,271
$665,477 $1,891,338 $3,838,852 $2,198,790 $1,916,946
$0 $378,592 $945,763
$3,086,736 $5,083,350 $485.078
$3,987,120 $1,754,389 $1 12,600
$0 $2,452,849 $9,082,249
$37,880,129
$33,473,991 $55,929,949 $95,127,672 $43,290,634 $38,759,720 $46,609,760 $8,148,836
$1 5,781,459 $66,165,750 $65,674,201 $36,933,388 $53,200,929 $25,073,620 $17,695,600 $58,935,812 $40,027,880 $86,994,914
$787,832,195
57.36% 54.93% 71.93% 68.18%
56.92% 72.57%
56.93%
72.65% 51.14% 61.85% 61.91% 54.1 4% 69.10% 67.85% 55.08% 62.00% 57.60%
$34,742,530 $59,089,447 $98,388,164 $46,386,508 $41,452,866 $47,696,040 $8,573,801 $14,964,487 $66,524,035 $76,394,497 $35,499,827 $56,862,713 $25,287,828 $17,771,463 $65,635,949 $44,324,547 $98,082,113
$837,676,815
$34,139,468 $57,821,207 $98,966,524 $45,497,424 $40,676,666 $46,609,760 $8,527,428 $16,727,222 $69,252,486 $70,757,631 $37,418,466 $57,188,049 $26,828,009 $1 7,808,200 $58,935,812 $42,400,729 $96,077,163
$825,712,324
Non-Profit Hospitals with fewer than 100 beds
38 40 72 65 19 82 74 19 99 60 27 76 21 80 95 26 70 95 6 68
1,132
$8,767,841 $9,462,504 $6,996,846 $23.1 16,373 $7,062,366 $23,617,236 $21,069,668
$32,377,162 $9,443,284 $6,416,255 $1721 9,109 $4,933,550 $16,167,039 $27,714,711 $5,305,278 $25,906,263 $1 1,443,015 $3,750,283 $21,152,671
$285,356,809
$3,435,355
$5,596,887 $6500,174 $5,741,969 $1 5,1 28,883 $4,302,469
$1 8,213,554 $1 4,554,958 $3,536,207 $21,795,362 $6,391,587 $3,834,858 $10,890,070 $3,008,991 $10,959,432 $1 7,379,592 $3,372,023 $14,750,423 $9,330,607 $2,855,516 $14,697,879
$1 92,930,241
$474,198 $709,045 $157,116 $887,335 $39,530 $249,241 $322,559 $354,769 $635,083
$0 $76,429 $312,780 $323,623 $710,131 $871,860 $164,825 $743,634 $414,724 $1 30,837 $779,073
$8,356,792
$5,122,689 $5,791,129 $5,584,853 $14,241,548 $4,342,939 $17,964,313 $14,232,399 $3,101,438 $21,160,279 $6,391,587 $3,758,429 $1 0,577,290 $2,685,368 $10,249,301 $16,507,732 $3,207,998
$1 4,006,789 $8,923,883 $2,724,679 $13,918,806
$1 84,573,449
58.43% 61.20% 79.82% 61.61% 61.49% 76.06% 67.55% 92.61% 65.36% 67.68% 58.58% 61.43% 54.43% 63.40% 59.56% 60.47% 54.07% 77.99% 72.65% 65.80%
$5,211,049 $6,352,871 $5,302,949 $15,298,442 $4,559,250
$1 6,868,980 $12,090,442 $3,051,164 $1 9,528,703 $6,545,163 $4,016.857 $9,967,223 $2,442,067 $1 0,122,982 $17,546,249 $3,380,328 $17,209,822 $7,622,762 $3,335,297 $14,093,730
$185,346,330
Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Grant Memorial Hospital Guyan Valley Hospital Jackson General Hospital Man Appalachian Regional Hospial Minnie Hamilton Health Care Center Montgomery General Hospital Morgan County War Memorial Hospital Pocahontas Memorial Hospital Preston Memorial Hospital Richwood Area Medical Center Roane General Hospital St. Joseph's Hospital - Buckhannon Sistersville General Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Webster County Memorial Hospital Wetzel County Hospital Association
31
West Virginia Health Care Cost Review Authority
HOSPITAL TYPE AND NAME
Proprietary Hospitals
Beckley Hospital, Inc. Eye & Ear Clinic of Charleston, Inc. Greenbrier Valley Medical Center Hampshire Memorial Hospital Plateau Medical Center Potomac Valley Hospital Putnam General Hospital Raleigh General Hospital St. Francis Hospital St. Luke's Hospital Williamson Memorial Hospital
SUBTOTAL: GENERAL ACUTE CARE HOSPITALS (EXCLUDING WELCH)
Welch Emergency Hospital
TOTAL GENERAL ACUTE CARE HOSPITALS
Chestnut Ridge Hospital Highland Hospital Huntington Rehabilitation Hospital Huntington State Hospital Mountainview Regional Rehabilitation River Park Hospital Sharpe Hospital Southem Hills Regional Rehab. Hospital West Virginia Rehabilitation Center Westem Hills Regional Rehab. Hospital TOTAL: PSYCHIATRIC AND REHAB HOSPITALS
TOTAL: ALL HOSPITALS
LIC - BEDS
35 122 47 91 63 68 275 200 79 76
1,056
9,240
124
9,372
70 80 40 90 80 165 150 40 40 40
795
10,167
A
GROSS PATIENT REVENUE
$8,208,348 $50,631,348 $9,506,805 $30,532,886 $16,044,006 $40,169,032
$1 14,671 ,I 03 $82,617,768 $27,039,364 $36,001,678
$41 5,422,330
$3,427,663,009
$24,540,337
$3,452,203,346
$15,620,147 $10,548,428 $13,020,625 $10,753,254 $32,528,360 $20,903,013 $33,468,558 $21,270,248 $5,107,098 $15,954,824
$1 79,174,555
$3,631,377,901
ALL PAYOR REVENUE AND ADJUSTED EXPENSES FOR ALL HOSPITALS, FY1996
B
TOTAL OPERATING EXPENSES
$5,869,022 $29,559,311 $5,790,857
$1 6,317,001 $1 1,137,531
$59,288,285 $45,437,169 $16,350,161 $1 6,358,342
$227,907,670
$21,799,999
$2,207,443,064
$1 7,702,482
$2,225,145,546
$8,392,618 $6,795,912 $8,500,394 $1 0,546,867 $1 8,156,745 $1 1,133,808 $20,264,094 $9,128,594 $9,792,494 $8,865,920
$1 11,577,446
$2,336,722,992
C
OTHER OPERATING1
REVENUE NON-OPERATING
$598,917 $299,351 $1 18,263 $463,551 $1 28,836 $776,000 $389,231 $433,546 $69,991
$1 20,702
$3,390,300
$93,575,729
$4,921,155
$90,496,004
$70,317 $34,935
$1,386,562 $0
$128,883 $65,430 $347,786 $46,920
$9,024,028 $98,542
$1 1,203,403
$109,700,207
D E (B-C) (DlA'l 00)
ADJUSTED ADJUSTED OPERATING EXPENSES
$5,270,105 $29,259,960 $5,672,594
$1 5,853,450 $1 1,008,695 $21,023,999 $58,899,054 $45,003,623 $16,280,170 $16,237,640
$224,509,290
$2,113,067,335
$12,781,327
$2,126,640,662
$8,322,301 $6,760,977 $7,113,832 $1 0,546,867 $18,027,862 $1 1,068,378 $1 9,916,308 $9,081,674 $768,466
$8,767,378
$1 00,374,043
$2,227,022,705
OP. EXP. ASA% OF GPR
64.20% 57.79% 59.67% 51.92% 68.62% 52.34% 51.36% 54.47% 60.21% 45.10%
52.08%
53.28% 64.09% 54.64% 98.08% 55.42% 52.95% 59.51% 42.70% 15.05% 54.95%
F
NET PATIENT REVENUE
$5,273,545 $32,421,757 $5,699,002 $16,815,886 $1 0,965,235 $23,687,214 $65,533,682 $50,687,450 $16,579,447 $20,353,304
$240,016,522
$2,245,075,254
$1 1,528,969
$2,256,604,223
$9,090,491 $6,981,955 $9,495,133 $2,400,990 $21,719,764 $1 1,621,688 $2,985,819 $12,188,772 $849,140
$9,363,387
$06,697,139
$2,343,301,362
32
West Virginia Health Care Cost Review Authority
HOSPITAL TYPE AND NAME
GENERAL ACUTE CARE
Non-Profit Hospitals with more than 300 beds
Camden-Clark Memorial Hospital Charleston Area Medical Center Ohio Valley Medical Center St. Joseph's Hospital - Parkersburg St. Mary's Hospital United Hospital Center West Virginia University Hospitals, Inc.
Non-Profit Hospitals with 100-300 beds
Beckley Appalachian Regional Hospital Bluefield Regional Medical Center Cabell Huntington Hospital City Hospital, Inc. Davis Memorial Hospital, Inc. Fairmont General Hospital Grafton City Hospital Jefferson Memorial Hospital Logan General Hospital Monongalia General Hospital Pleasant Valley Hospital Princeton Community Hospital Reynolds Memorial Hospital Summersville Memorial Hospital Thomas Memorial Hospital Weirton Medical Center Wheeling Hospital
Non-Profit Hospitals with fewer than 100 beds
Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Grant Memorial Hospital Guyan Valley Hospital Jackson General Hospital Man Appalachian Regional Hospial Minnie Hamilton Health Care Center Montgomery General Hospital Morgan County War Memorial Hospital Pocahontas Memorial Hospital Preston Memorial Hospital Richwood Area Medical Center Roane General Hospital St. Joseph's Hospital - Buckhannon Sistersville General Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Webster County Memorial Hospital Wetzel County Hospital Association
LIC - BEDS
370 91 9 625 375 440 375 350
3,454
173 265 293 260 139 268 136 114 132 234 228 21 1 233 109 294 240 277
3,606
38 40 72 65 19 82 74 19 99 60 27 76 21 80 95 26 70 95 6
68
1,132
G
MEDICARE REVENUE AND ADJUSTED EXPENSES FOR ALL HOSPITALS, FY1996
GROSS MEDICARE PATIENT
REVENUE
$55,085,598 $240,301,196
$51,930,449 $49,527,951 $90,600,260 $72,787.1 26 $81,001,496
$641,234,076
$35,053,389 $57,376,022 $42,911,318 $29,424,307 $34,057,724 $44,428,315 $4,925,277 $7,717,868
$55,316,553 $56,966,692 $26,534,197 $53,016,435 $1 7,620,102 $1 0,618,641 $54,665,761 $35,684,464 $72,613,605
$638,930,670
$3,961,105 $4,829,027 $2,967,087
$10,698,035 $4,311,478
$1 0.81 6,605 $8,594,350 $1,460,799
$16,213,523 $5,303,487 $4,317,641 $8,122,235 $2,147,949 $7,451,726
$1 2,799,936 $2,731,247
$14,190,472 $5,767,617 $1,867,155 $8,999,047
$137,550,521
H
NET REVENUE NET ADJUSTED LESS ADJUSTED
MEDICARE MEDICARE MEDICARE REVENUE - COST - COST
$29,737,210 $161,730,831
$28,771,673 $28,746,103 $60,275,783 $47,939,056 $57,539,728
$414,790,384
$1 9,505,966 $29,121,160 $34,665,950 $21,277,232 $19,530,073 $22,773,525 $3,792,837 $5,051,622
$26,617,938 $35,809,169 $12,829,669 $29,893,770 $1 1,374,394 $6,007,068
$29,225,802 $22,713,364 $42,008,823
$372,198,362
$2,098,649 $3,799,051 $1,765,259 $7,337,951 $2,712,370 $6,815,927 $4,210,731 $1,420,053 $7,824,529 $3,190,473 $2,491,264 $4,339,172 $1,105,761 $4,752,520 $7,379,369 $1,752,378 $8,661,871 $3,724,615 $1,920,864 $6,051,658
$83,354,465
$32,736,428 $1 66,836,079
$30,588,080 $30,791,904 $58,423,265 $44,112,706 $52,127,980
$415,616,443
$20,106,492 $31,518,690 $30,866,663 $20,061,080 $19,388,341 $25,288,322 $3,574,139 $5,607,286
$28,289,363 $35,231,568 $16,427,365 $28,700,848 $12,175,782
$7,204,655 $30,111,808 $22,124,951 $41,826,875
$378,504,226
$2,314,311 $2,955,404 $2,368,316 $6,590,851 $2,651,305 $8,227,588 $5,805,417 $1,352,827
$1 0,596,440 $3,589,609 $2,529,131 $4,989,296 $1 , I 69,145 $4,724,117 $7,624,035 $1,651,532 $7,672,390 $4,497,900 $1,356,537 $5,921,521
$88,587,672
($2,999,218) ($5,105,248) ($1,816,407) ($2,045,801) $1,852,518 $3,826,350 $541 1,748
($876,059)
($600,526) ($2,397,530) $3,799,287 $1,216,152
$141,732 ($2,514,797)
$218,698 ($555,664)
($1,671,425) $577,601
($3,597,696) $1,192,922 ($801,388)
($1,197,587) ($886,006) $588,413 $181,948
($6,305,864)
($21 5,662) $843,647
($603,057) $747,100
$61,065 ($1,411,661) ($1,594,686)
$67,226 ($2,771,911)
($399,136) ($37,867)
($650,124) ($63,384) $28,403
($244,666) $100,846 $989,481
($773,285) $564,327 $1 30,137
($5,233,207)
33
HOSPITAL TYPE AND NAME
Proprietary Hospitals
Beckley Hospital, Inc. Eye & Ear Clinic of Charleston, Inc. Greenbrier Valley Medical Center Hampshire Memorial Hospital Plateau Medical Center Potomac Valley Hospital Putnam General Hospital Raleigh General Hospital St. Francis Hospital St. Luke's Hospital Williamson Memorial Hospital
SUBTOTAL GENERAL ACUTE CARE HOSPITALS (EXCLUDING WELCH)
Welch Emergency Hospital
TOTAL: GENERAL ACUTE CARE HOSPITALS
Chestnut Ridge Hospital Highland Hospital Huntington Rehabilitation Hospital Huntington State Hospital Mountainview Regional Rehabilitation River Park Hospital Shape Hospital Southern Hills Regional Rehab. Hospital West Virginia Rehabilitation Center Westem Hills Regional Rehab. Hospital TOTAL: PSYCHIATRIC AND REHAB HOSPITALS
TOTAL: ALL HOSPITALS
West Virginia Health Care Cost Review Authority
MEDICARE REVENUE AND ADJUSTED EXPENSES FOR ALL HOSPITALS, FY1996
LIC BEDS -
35 122 47 91 63 68 275 200 79 76
1,056
9,248
124
9,372
70 80 40 90 80 165 150 40 40 40
795
10,167
G
GROSS MEDICARE PATIENT
REVENUE
$3,949,867 $25,552,228 $4,755,080
$1 8,957,433 $8,153,197 $21,218,895 $51,950,439 $47,818,642 $1 5,396,929 $15,461,524
$213,214,234
$1,630,929,501
$8,920,769
$1,639,850,270
$5,129,651 $1,772,584 $10,181,558 $3,230,663 $22,107,914 $6,578,368 $5,447,926 $1 6,103,102
$444,889 $12,888,588
$03,885,243
$1,723,735,513
34
H
NET MEDICARE REVENUE
$1,928,155 $14,545,489 $2,527,038 $10,192,930 $5,250,429 $1 0,214,703 $24,646,413 $26,796,649 $7,918,805 $8,672,748
$112,693,359
$982,906,570
$4,576,005
$987,562,575
$2,458,692 $690,239
$7,380,837 $1,138,607 $15,049,889 $2,956,924 $2,130,321 $8,495,334 $275,297
$7,453,405
$48,029,545
$1,035,592,120
1 (E"G)
ADJUSTED MEDICARE
COST -
$2,535,981 $14,766,685 $2,837,298 $9,843,181 $5,594,367 $1 1,105,720 $26,683,547 $26,047,813 $9,270,359 $6,973,527
$1 15,658,477
$998,366,818
$4,646,198
$1,003,013,016
$2,733,041 $1,136,131 $5,562,705 $3,168,657 $12,252,644 $3,483,319 $3,241,926 $6,875.478
$66,943 $7,082,442
$45,603,286
$1,048,616,302
J (H-1)
NET REVENUE LESS ADJUSTED
MEDICARE COST
($607,826) ($221 , I 96) ($310,260) $349,749 ($343,938) ($891,017)
($2,037,134) $748,836
($1,351,554) $1,699,221
($2,965,118)
($1 5,380,248)
($70,193)
($15,450,441)
($274,349) ($445,892) $1 $1 8,132 ($2,030,050) $2,797,245 ($526,395)
($1 ,I 1 1,605) $1,619,856 $208,354 $370,963
$2,426,259
($13,024,182)
West Virginia Health Care Cost Review Authority
HOSPITAL TYPE AND NAME
GENERAL ACUTE CARE
Non-Profit Hospitals with more than 300 beds
Camden-Clark Memorial Hospital Charleston Area Medical Center Ohio Valley Medical Center St. Joseph's Hospital - Parkersburg St. Mary's Hospital United Hospital Center West Virginia University Hospitals, Inc.
Non-Profit Hospitals with 100-300 beds
Beckley Appalachian Regional Hospital Bluefield Regional Medical Center Cabell Huntington Hospital City Hospital, Inc. Davis Memorial Hospital, Inc. Fairmont General Hospital Grafton City Hospital Jefferson Memorial Hospital Logan General Hospital Monongalia General Hospital Pleasant Valley Hospital Princeton Community Hospital Reynolds Memorial Hospital Summersville Memorial Hospital Thomas Memorial Hospital Weirton Medical Center Wheeling Hospital
Non-Profit Hospitals with fewer than 100 beds
Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Grant Memorial Hospital Guyan Valley Hospital Jackson General Hospital Man Appalachian Regional Hospial Minnie Hamilton Health Care Center Montgomery General Hospital Morgan County War Memorial Hospital Pocahontas Memorial Hospital Preston Memorial Hospital Richwood Area Medical Center Roane General Hospital St. Joseph's Hospital - Buckhannon Sistersville General Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Webster County Memorial Hospital Wetzel County Hospital Association
LIC BEDS -
370 919 625 375 440 375 350
3,454
173 265 293 260 139 268 136 114 132 234 228 21 1 233 109 294 240 277
3,606
38 40 72 65 19 82 74 19 99 60 27 76 21 80 95 26 70 95 6 68
1,132
K
MEDICAID REVENUE AND ADJUSTED EXPENSES FOR ALL HOSPITALS, FY1996
GROSS MEDICAID PATIENT REVENUE
$1 1,170,720 $82,704,682 $14,376,149 $9,460,238 $1 8,953,461 $13,961,553 $57,694,113
$208,320,916
$9,236,357 $12,353,235 $39,210,033 $7,677,183 $1 0,244,643 $1 1,433,310 $3,100,430 $2,511,500 $26,035,148 $4,744,997 $13,089,393 $17,526,447 $3,637,073 $5,627,750 $1 1,001,641 $6,752,943 $7,419,401
$191,601,484
$1,863,271 $1,420,992 $1,914,216 $4,085,449 $930,643
$4,008,802 $5,044,424 $841,891
$5,637,732 $1,012,487 $532,322
$3,708,302 $1,492,097 $3,919,318 $5,737,963 $754,308
$3,840,663 $2,713,687 $676,013
$2,857,577
$52,992,157
L
NET MEDICAID
$6,405,857 $52,875,526 $8,878,071 $7,379,138 $1 3,377,197 $8,707,334 $3501 1,094
$132,634,217
$4,719,927 $6,734,202 $24,389,191 $4,849,193 $5,114,468 $6,263,920 $2,695,863 $1,763,607 $10.1 10,941 $2,643,280 $7,844,496 $9,478,485 $2,730,884 $4,109,782 $6,184,798 $4,437,718 $6,328,148
$110,398,903
$885,486 $1,137,239 $1,900,981 $2,005,288 $592,319
$3,162,747 $2,919,739 $913,911
$5,317,970 $838,944 $320,530
$2,162,270 $768,129
$1,879,693 $3,929,115 $498,628
$2,800,355 $1,791,183 $66 1,473
$1,569,492
$36,055,492
ADJUSTED MEDICAID
COST -
$6,638,568 $57,420,126 $8,467,841 $5,881,502 $12,222,074 $8,461,412 $37,128,667
$136,220,190
$5,297,940 $6,786,071 $28,204,281 $5,234,196 $5,832,058 $6,507,769 $2,249,897 $1,824,688 $13,314,599 $2,934,586 $8,103,665 $9,488,074 $2,513,278 $3,818,379 $6,060,088 $4,186,935 $4,273,722
$1 16,630,227
$1,088,633 $869,659
$1,527,919 $2,516,966 $572,291
$3,049,272 $3,407,470 $779,664
$3,684,572 $685,291 $31 1,817
$2,277,922 $81 2,160
$2,484,702 $3,417,707 $456,115
$2,076,539 $2,116,280 $491,14 1
$1,880,333
$34,506,450
N (L-M)
NET REVENUE LESS ADJUSTED
MEDICAID - COST
($232,711) ($4,544,600) $41 0,230
$1,497,636 $1 ,I 55,123 $245,922
($2,117,573)
($3,585,973)
($578,013) ($51,869)
($3,815,090) ($385,003) ($717,590) ($243,849) $445,966 ($61,081)
($3,203,658) ($291,306) ($259,169)
$217,606 $291,403 $124,710 $250,783
$2,054,426
($6,231,324)
($9,589)
($203,147) $267,580 $373,062 ($51 1,678) $20,028 $113,475 ($487,731) $134,247
$1,633,398 $153,653 $8,713
($115,652) ($44,031) ($605,009) $51 1,408 $42,513 $723,816 ($325,097) $170,332 ($310,841)
$1,549,042
35
W 0 a e e
e e e e a e 0 a e a 0 e e a 0 e e e e
e e e * * 0
e e e 0 0 e 0 * a a
HOSPITAL TYPE AND NAME
Proprietary Hospitals
Beckley Hospital, Inc. Eye & Ear Clinic of Charleston, Inc. Greenbrier Valley Medical Center Hampshire Memorial Hospital Plateau Medical Center Potomac Valley Hospital Putnam General Hospital Raleigh General Hospital St. Francis Hospital St. Luke's Hospital Williamson Memorial Hospital
SUBTOTAL: GENERAL ACUTE CARE HOSPITALS (EXCLUDING WELCH)
Welch Emergency Hospital
TOTAL GENERAL ACUTE CARE HOSPITALS
Chestnut Ridge Hospital Highland Hospital Huntington Rehabilitation Hospital Huntington State Hospital Mountainview Regional Rehabilitation River Park Hospital Sharpe Hospital Southem Hills Regional Rehab. Hospital West Virginia Rehabilitation Center Western Hills Regional Rehab. Hospital TOTAL PSYCHIATRIC AND REHAB HOSPITALS
TOTAL: ALL HOSPITALS
West Virginia Health Care Cost Review Authority
MEDICAID REVENUE AND ADJUSTED EXPENSES FOR ALL HOSPITALS, FY1996
LIC - BEDS
35 122 47 91 63 68 275 200 79 76
1,056
9,248
124
9,372
70 80 40 90 80 165 150 40 40 40
795
10,167
K
GROSS MEDICAID PATIENT REVENUE
$1,101,665 $7,074,925 $2,308,911 $5,214,255 $1,918,010 $4,037,482 $23,291.475 $6,688,683 $3,450,486 $9,618,442
$64,704,334
$517,618,891
$8,565,243
$526,184,134
$3,563,183 $4,810,130 $313,249 $574,677
$3,153,186 $6,313,357 $3,888.547
$87,523 $581,026 $66,646
$23,351,524
$549,535,658
36
L
NET MEDICAID REVENUE
$558,369 $3,981,988 $1,675,409 $2,682,071 $1,128,665 $1,903,992 $9,771,347 $2,971,363 $1,929,738 $3,210,215
$29,813,157
$308,901,769
$4,926,741
$313,828,510
$2,057,344 $3,203,491 $169,208 $465,970
$1,243,281 $2,552,660 $294,678 $72,057 $201,138 ($92,548)
$10,167,279
$323,995,789
h4 ( E T
ADJUSTED MEDICAID
COST -
$707,315 $4,088,614 $1,377,699 $2,707,374 $1,316,055 $2,113,171 $1 1,963,309 $3,643,465 $2,077,508 $4,338,153
$34,332,662
$321,689,529
$4,461,030
$326,150,559
$1,898,438 $3,083,036 $171,144 $563,647
$1,747,558 $3,342,993 $2,313,978
$37,369 $87,427 $36,623
$1 3,282,213
$339,432,772
N (L-M)
NET REVENUE LESS ADJUSTED
MEDICAID COST
($148,946) ($106,626) $297,710 ($25,303) ($1 87,390) ($209,179)
($2,191,962) ($672,102) ($147,770)
($1 ,I 27,938) ($4,519,505)
($1 2,787,760)
$465.71 1
($1 2,322,049)
$1 58,906 $120,455 ($1,936) ($97,677) ($504,277) ($790,333)
($2,019,300) $34,688 $1 13,711 ($129,171)
($3,114,934)
($15,436,983)
West Virginia Health Care Cost Review Authority
PEIAREVENUEANDADJUSTEDEXPENSES FOR ALL HOSPITALS, FY1996
HOSPITAL TYPE AND NAME
GENERAL ACUTE CARE
Non-Profit Hospitals with more than 300 beds
Camden-Clark Memorial Hospital Charleston Area Medical Center Ohio Valley Medical Center St. Joseph's Hospital - Parkersburg St. Mary's Hospital United Hospital Center West Virginia University Hospitals, Inc.
Non-Profit Hospitals with 100-300 beds
Beckley Appalachian Regional Hospital Bluefield Regional Medical Center Cabell Huntington Hospital City Hospital, Inc. Davis Memorial Hospital, Inc. Fairmont General Hospital Grafton City Hospital Jefferson Memorial Hospital Logan General Hospital Monongalia General Hospital Pleasant Valley Hospital Princeton Community Hospital Reynolds Memorial Hospital Summersville Memorial Hospital Thomas Memorial Hospital Weirton Medical Center Wheeling Hospital
Non-Profit Hospitals with fewer than 100 beds
Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Grant Memorial Hospital Guyan Valley Hospital Jackson General Hospital Man Appalachian Regional Hospial Minnie Hamilton Health Care Center Montgomery General Hospital Morgan County War Memorial Hospital Pocahontas Memorial Hospital Preston Memorial Hospital Richwood Area Medical Center Roane General Hospital St. Joseph's Hospital - Buckhannon Sistersville General Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Webster County Memorial Hospital Wetzel County Hospital Association
LIC - BEDS
370 919 625 375 440 375 350
3,454
173 265 293 260 139 268 136 114 132 234 228 21 1 233 109 294 240 277
3,606
38 40 72 65 19 82 74 19 99 60 27 76 21 80 95 26 70 95 6 68
1,132
0
GROSS PElA
PATIENT REVENUE
$3,231,356 $31,114,214
$463,59 1 $2,048,212 $7,392,872 $5,032,444 $1 6,l 86,044
$65,460,733
$1,092,282 $2,480,261 $5,094,678 $1,565,916 $4,500,048 $2,301,979 $236,201 $614,991
$4,617,782 $7,058,258 $1,800.024 $3,228.072 $249,480
$1,072,617 $4,318,754 $490,942
$1,799,741
$42,522,026
$193,958 $273,449 $200,483 $799,650 $1 1 1,024
$1,292,498 $181,983 $70,241
$1,546,887 $1 03,090 $249,148 $639,694 $1 30,040 $581,479
$1,025,905 $1 20,308
$1,923,840 $276,475 $172,460 $510,893
$10,403,505
P R P-Q)
NET REVENUE NET ADJUSTED LESS ADJUSTED PElA PElA PElA
REVENUE COST - COST
$2,341,856 $22,734,895
$306,649 $1,624,790 $5,676,484 $3,560,726 $12,134,385
$40,379,705
$859,252 $1,652,942 $4,132,531 $858,881
$3,235,799 $1,790,892 $175,074 $523,032
$2,735,605 $5,416,614
$2,277.280 $21 5,025 $856.908
$2,284.771 $364,651 $984.662
$29,022,496
$1,458,577
$151,648 $218,437 $1 12,484 $545,430 $100,974
$1,018,535 $1 16,620 $57,568
$1,118,922 $72,653 $167,965 $344,911 $66,945 $427,866 $566,795 $84,478
$1,439,359 $1 97,839 $147,343 $402,169
$7,350,941
$1,920,340 $21,601,946
$273,064 $1,273,389 $4,767,268 $3,049,917 $1 0,416,422
$43,302,347
$626,529 $1,362,496 $3,664,667 $1,067,620 $2,561,782 $1,310,272 $171,405 $446,811
$2,361,574 $4,365,244 $1,114,398 $1,747,541 $172,395 $727,761
$2,378,920 $304,392
$1,036,686
$25,420,493
$1 13,322 $1 67,353 $160,025 $492,649 $68,273 $983,131 $122,928 $65,049
$1,010,977 $69,775 $1 45,943 $392,949 $70,782 $368,636 $61 1,060 $72,748
$1,040,166 $21 561 0 $125,297 $336,176
$6,632,049
$42 1,5 16 $1,132,949
$33.585 $351,401 $909,216 $510,809
$1,717,963
$5,077,430
$232,723 $290,446 $467,864 ($208,739) $674,017 $480,620 $3,669 $76,221 $374,031
$1,051,370 $344,179 $529,739 $42,630 $1 29,147 ($94,149) $60,259 ($52,024)
$4,402,003
$38,326 $51,084 ($47,541) ,, $52,781 $32,701 $35,404 ($6,308) ($7,481)
$1 07,945 $2,878 $22,022 ($48,038) ($3.837) $59,230 ($44,265) $1 1,730 $399,193 ($17,771) $22,046 $65,993
$726,092
37
West Virginia Health Care Cost Review Authority
PEIAREVENUEANDADJUSTEDEXPENSES FOR ALL HOSPITALS, FY1996
HOSPITAL TYPE AND NAME
Proprietary Hospitals
Beckley Hospital, Inc. Eye & Ear Clinic of Charleston, Inc. Greenbrier Valley Medical Center Hampshire Memorial Hospital Plateau Medical Center Potomac Valley Hospital Putnam General Hospital Raleigh General Hospital St. Francis Hospital St. Luke's Hospital Williamson Memorial Hospital
SUBTOTAL: GENERAL ACUTE CARE HOSPITALS (EXCLUDING WELCH)
Welch Emergency Hospital
TOTAL GENERAL ACUTE CARE HOSPITALS
Chestnut Ridge Hospital Highland Hospital Huntington Rehabilitation Hospital Huntington State Hospital Mountainview Regional Rehabilitation River Park Hospital Sharpe Hospital Southem Hills Regional Rehab. Hospital West Virginia Rehabilitation Center Westem Hills Regional Rehab. Hospital TOTAL: PSYCHIATRIC AND REHAB HOSPITALS
TOTAL: ALL HOSPITALS
LIC BEDS -
35 122 47 91 63 68 275 200 79 76
1,056
9,248
124
9,372
70 80 40 90 80 165 150 40 40 40
795
10,167
0
GROSS PElA
PATIENT
$409,482 $2,544,259 $259,672 $792,033 $690,944 $768,720
$5,115,728 $4,137,130 $41 9,350
$1,066,724
$16,204,042
$134,598,306
$554,215
$135,152,521
$638,235 $632,612
$0 $11,580
$0 $91 2,651
$0 $0
$299,109 $0
$2,494,187
$1 37,646,708
P
NET PElA
REVENUE
$279.908 $1,636,267 $172,097 $636,541 $515,001 $304,267
$3,065,123 $2,965,306 $326,542 $983,558
$10,884,610
$96,445,832
$433,522
$96,879,354
$422,274 $433,730
$0 $8,867
$0 $824,185
$0 $0
$5,413 50
$1,694,469
$98,573,823
Q (Ego)
ADJUSTED PElA COST -
$262,905 $1,470,333 $154,943 $41 1,244 $474,096 $402,339
$2,627,615 $2,253,581 $252,487 $481 ,I 19
$8,790,661
$84,146,349
$288.651
$84,435,000
$340,047 $405,470
$0 $1 1,358
$0 $483,259
$0 $0
$45,007 $0
$1,285,141
$85,720,141
R (P-Q)
NETREVENUE LESS ADJUSTED
PElA COST
$17,003 $1 65,934 $17,154 $225,297 $40,905 ($98,072) $437,508 $71 1,725 $74,055 $502,439
$2,093,949
$1 2,299,483
$144,871
$1 2,444,354
$82,227 $28,260
$0 ($2,491)
$0 $340,926
$0 $0
($39,594) $0
$409,328
$12,853,682
38
West Virginia Health Care Cost Review Authority
HOSPITAL TYPE AND NAME
GENERAL ACUTE CARE
Non-Profit Hospitals with more than 300 beds
Camden-Clark Memorial Hospital Charleston Area Medical Center Ohio Valley Medical Center St. Joseph's Hospital - Parkersburg St. Mary's Hospital United Hospital Center West Virginia University Hospitals, Inc.
Non-Profit Hospitals with 100-300 beds
Beckley Appalachian Regional Hospital Bluefield Regional Medical Center Cabell Huntington Hospital City Hospital, Inc. Davis Memorial Hospital, Inc. Fairmont General Hospital Grafton City Hospital Jefferson Memorial Hospital Logan General Hospital Monongalia General Hospital Pleasant Valley Hospital Princeton Community Hospital Reynolds Memorial Hospital Summersville Memorial Hospital Thomas Memorial Hospital Weirton Medical Center Wheeling Hospital
Non-Profit Hospitals with fewer than 100 beds
Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Grant Memorial Hospital Guyan Valley Hospital Jackson General Hospital Man Appalachian Regional Hospial Minnie Hamilton Health Care Center Montgomery General Hospital Morgan County War Memorial Hospital Pocahontas Memorial Hospital Preston Memorial Hospital Richwood Area Medical Center Roane General Hospital St. Joseph's Hospital - Buckhannon Sistersville General Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Webster County Memorial Hospital Wetzel County Hospital Association
LIC BEDS -
370 919 625 375 440 375 350
3,454
173 265 293 260 139 268 136 114 132 234 228 21 1 233 109 294 240 277
3,606
38 40 72 65 19 82 74 19 99 60 27 76 21 80 95 26 70 95 6 68
1,132
OTHERPAYORSREVENUEANDADJUSTEDEXPENSES FOR ALL HOSPITALS, FY1996
S (A-G-K-0)
T U (E'S)
GROSS NET REVENUE OTHER NET ADJUSTED LESS ADJUSTED
PATIENT OTHER OTHER OTHER REVENUE REVENUE COST - COST
$41,284,795 $1 93,793,838 $39,492,314 $28,928,979 $60,371,208 $41,382,336 $89,309,396
$494,562,866
$12,976,079 $29,604,294 $45,031,951 $24,840,257 $1 9,283,239 $23,723,722 $2,967,448 $1 0,877,239 $43,409,932 $37,420,234 $1 8,232,807 $24,502,227 $1 4,778,467 $8,761,800 $37,007,454 $21,631,046 $69,194,895
$444,243,091
$2,749,507 $2,939,036 $1,915,060 $7,533,239 $1,709,221 $7,499,331 $7,248,911 $1,062,424 $8,979,020 $3,024,220 $1,317,144 $4,748,878 $1,163,464 $4,214,516 $8,150,907 $1,699,415 $5,951,288 $2,685,236 $1,034,655 $8,785,154
$84,410,626
$34,728,692 $1 55,090,695 $24,755,954 $22,656,814 $48,077,635 $30,397,949 $62,573,462
$370,281,201
$9,657,385 $21,581,143 $35,200,492 $1 9,401,202 $13,572,526 $1 6,867,703 $1,910,027 $7,626,226 $27,059,551 $32,525,434 $13,367,085 $1 5,213,178 $10,967,525 $6,797,705 $27,940,578 $16,808,814 $48,760,480
$325,257,054
$2,075,266 $1 ,I 98,144 $1,524,225 $5,409,773 $1,153,587 $5,871,771 $5,643,352 $659,632
$5,267,282 $2,443,093 $1,037,098 $3,120,870 $501,232
$3,062,903 $5,670,970 $1,044,844 $4,308,237 $1,909,125 $605,617
$6,070,411
$58,577,432
$24,534,847 $1 34,546,996 $23,261,768 $1 7,985,367 $38,930,165 $25,079,804
$321,013,421
$57,474,475
$7,443,030 $16,262,692 $32,392,061 $16,935,739 $10,977,539 $13,503,396 $2,153,396 $7,902,674 $22,200,214 $23,142,883 $1 1,287,961 $13,264,466 $10,212,165 $5,944,805 $20,384,996 $13,411,602 $39,857,630
$267,277,249
$1,606,424 $1,798,714 $1,528,593 $4,641,082 $1,051,070 $5,704,322 $4,896,584 $983,897
$5,868,290 $2,046,911 $771,539
$2,917,123 $633,282
$2,671,846 $4,854,930 $1,027,603 $3,217,694 $2,094,093 $751,704
$5,780,776
$54,846,470
$1 0,193,845 $20,543,699 $1,494,186 $4,671,447 $9,147,470 $5,318,145 $5,098,987
$56,467,780
$2,214,355 $5,318,451 $2,808,431 $2,465,463 $2,594,987 $3,364,307 ($243,369) ($276,448) $4,859,337 $9,382,551 $2,079,124 $1,948,712 $755,360 $852,900
$7,555,582 $3,397,212 $8,902,850
$57,979,805
$468,842 ($600,570) ($4,368)
$768,691 $102,517 $167,449 $746,768 ($324,265) ($601,008) $396,182 $265,559 $203,747 ($132,050) $391,057 $816,040 $17,241
$1,090,543 ($184,968) ($146,087) $289,635
$3,730,954
39
w a a a a a a a
a a a
a
a a
a a a a a e a
a a a a e e a a a a a a
0
0
e e
a 0
0
0
e
0
a
HOSPITAL TYPE AND NAME
Proprietary Hospitals
Beckley Hospital, Inc. Eye & Ear Clinic of Charleston, Inc Greenbrier Valley Medical Center Hampshire Memorial Hospital Plateau Medical Center Potomac Valley Hospital Putnam General Hospital Raleigh General Hospital St. Francis Hospital St. Luke's Hospital Williamson Memorial Hospital
SUBTOTAL: GENERAL ACUTE CARE HOSPITALS (EXCLUDING WELCH)
Welch Emergency Hospital
TOTAL: GENERAL ACUTE CARE HOSPITALS
Chestnut Ridge Hospital Highland Hospital Huntington Rehabilitation Hospital Huntington State Hospital Mountainview Regional Rehabilitation River Park Hospital Shape Hospital Southem Hills Regional Rehab. Hospital West Virginia Rehabilitation Center Westem Hills Regional Rehab. Hospital TOTAL: PSYCHIATRIC AND REHAB HOSPITALS
TOTAL: ALL HOSPITALS
West Virginia Health Care Cost Review Authority
OTHER PAYORSREVENUEANDADJUSTEDEXPENSES FOR ALL HOSPITALS, FY1996
LIC BEDS -
35 122 47 91 63 68
275 200
79 76
1,056
9,248
124
9,372
70 80 40 90 80
165 150 40 40 40
795
10,167
S (A-G-K-0)
GROSS OTHER
PATIENT REVENUE
$2,747,334 $1 5,459,936
$2,183,142 $5,569,165 $5,281,855
$14,143,935 $34,313,461 $23,973.31 3
$7,772,599 $9,854,988
$121,299,728
$1 ,I 44,516,311
$6,500,110
$1,151,016,421
$6,289,078
$2,525,818 $6,936,334 $7,267,260 $7,098,637
$24,132,085 $5,079,623 $3,782,074 $2,999,590
$69,443,601
$1,220,460,022
$3,333,102
40
T
NET OTHER
REVENUE
$2,507,113 $1 2,258,013
$1,324,458 $3,304,344 $4,071,140
$1 1,264,252 $28,050,799 $1 7,954,132
$6,404,362 $7,486,783
$94,625,396
$856,741,083
$1,592,701
$858,333,784
$4,152,181 $2,654,495 $1,945,088
$787,546 $5,426,594 $5,287,919
$560,820 $3,621,381
$367,292 $2,002,530
$26,805,846
$885,139,630
U (E'S)
ADJUSTED OTHER COST -
$1,763,904 $8,934,329 $1,302,654 $2,891,652 $3,624,178 $7,402,769
$17,624,583 $13,058,764
$4,679,815 $4,44434 1
$65,727,490
$709,664,639
$3,385,448
$713,050,087
$3,350,775 $2,136,340 $1,379,983 $6,803,205 $4,027,660 $3.758,807
$1 4,360,405 $2,168,827
$569,089 $1,648,313
$40,203,404
$753,253,490
V (T-U)
NET REVENUE LESS ADJUSTED
OTHER - COST
$743,209 $3,323,684
$21,804 $412,692 $446,962
$3,861,483 $1 0,426,216
$4,895,368 $1,724,547 $3,041,942
$28,897,906
$147,076,444
($1,792,747)
$1 45,283,697
$801,406 $518,155 $565,105
($6,015,659) $1,398,934 $1,529,112
($1 3,799,585) $1,452,554
$354,217
($13,397,558)
$131,886,140
($201,797)
West Virginia Health Care Cost Review Authority
BAD DEBT AND CHARITY CARE FOR ALL HOSPITALS, FY1996
W Y 2 ( Y W
TOTAL CHARITY
ADJUSTED COST HOSPITAL TYPE AND NAME
GENERAL ACUTE CARE
Non-Profit Hospitals with more than 300 beds
CamdenClark Memorial Hospital Charleston Area Medical Center Ohio Valley Medical Center St. Joseph's Hospital - Parkersburg St. Mary's Hospital United Hospital Center West Virginia University Hospitals, Inc.
Non-Profit Hospitals with 100-300 beds
Beckley Appalachian Regional Hospital Bluefield Regional Medical Center Cabell Huntington Hospital City Hospital, Inc. Davis Memorial Hospital, Inc. Fairmont General Hospital Grafton City Hospital Jefferson Memorial Hospital Logan General Hospital Monongalia General Hospital Pleasant Valley Hospital Princeton Community Hospital Reynolds Memorial Hospital Summersville Memorial Hospital Thomas Memorial Hospital Weirton Medical Center Wheeling Hospital
Non-Profit Hospitals with fewer than 100 beds
Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Grant Memorial Hospital Guyan Valley Hospital Jackson General Hospital Man Appalachian Regional Hospial Minnie Hamilton Health Care Center Montgomery General Hospital Morgan County War Memorial Hospital Pocahontas Memorial Hospital Preston Memorial Hospital Richwood Area Medical Center Roane General Hospital St. Joseph's Hospital - Buckhannon Sistersville General Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Webster County Memorial Hospital Wetzel County Hospital Association
TOTAL LIC BAD - BEDS - DEBT
370 91 9 625 375 440 375 350
3,454
173 265 293 260 139 268 136 114 132 234 228 21 1 233 109 294 240 277
3,606
38 40 72 65 19 82 74 19 99 60 27 76 21 80 95 26 70 95 6 68
1,132
$2,656,943 $19,103,559 $3,287,710 $2,039,614 $5,870,582 $3,810,541 $9,183,800
$45,952,749
$2,075,102 $3,865,019 $5,035,494 $4,263.568 $2,680,422 $3,769,500 $614,434
$2,074,467 $5,359,025 $2,217,992 $3,450,495 $4,094,624 $828,652
$1,168,878 $3,683,497 $1,671,514 $2,283.168
$49,135,851
$342,784 $1 ,I 50,723 $270,405
$1,263,897 $503,626
$1,038,403 $746,500 $378,553
$1,428.844 $337,580 $136,639 $896,316 $96,961 $803,950
$1,108,609 $489,974 $795,613 $272.01 5 $367.1 1 1 $963,179
$13,391,682
TOTAL BAD DEBT ADJUSTED TOTAL
COST CHARITY
$1,578,976 $13,263,200 $1,936,527 $1,268,044 $3,785,625 $2,309,382 $5,910,174
$30,051,928
$1,190,271 $2,123,192 $3,622,096 $2,906,841 $1,525,907 $2,145,576 $445.878
$1,507,169 $2,740,652 $1,371,737 $2,136,207 $2,216,656 $572,612 $793,073
$2,028,999 $1,036,366 $1,315,150
$29,678,382
$200,275 $704,252 $215,836 $778,662 $309,700
$504,255 $350,573 $933.829 $228,487 $80,039 $550,586 $52,777 $509,674 $660,322 $296,278 $430,166 $21 2.1 32 $266,716 $633,788
$8,708,201
$789,855
$1,876,047 $13,894,643 $1,317,353 $3,139,392 $4,886,338 $5,669,446 $8,548,010
$39,331,229
$821,976 $1,660,576 $3,150,769 $370,414'
$1,427,977 $591,678 $360,083 $896,872
$1,883,859 $1,345,322 $510,499
$3,255,574 $544,478 $510,905
$3,383,816 $366,304
$2,403,265
$23,484,367
$1 15,117 $0
$100,907 $657,991 $6,462
$342,307 $343,911 $15,684
$1,587,801 $158,977 $57,506 $485,997
$755 $285,275
$1,094,963 $66,579 $253,800 $296,372 $53.848 $632,491
$6,556,743
$1 ,I 14,903 $9,646,759
$1,951,784 $3,150,938 $3,435,973 $5,501,016
$25,577,320
$775,947
$471,482 $912,213
$2,266,389 $252,543 $812,917 $336,779 $261,302 $651,607 $963,422 $832,027 $316,051
$1,762,430 $376,243 $346,645
$1,863,924 $227,114
$1,384,328
$1 4,037,417
$67,258 $0
$80,544 $405,375 $3,974
$260,374 $232,309 $14,525
$1,037,716 $107,602 $33,685 $298,536
$41 1 $1 80,854 $652,194 $40,259 $137,223 $231 ,I 27 $39,122 $416,189
$4,239,277
41
West Virginia Health Care Cost Review Authority
BAD DEBT AND CHARITY CARE FOR ALL HOSPITALS, FY1996
w X W'E)
TOTAL BAD DEBT ADJUSTED
COST -
Y L
Y E )
TOTAL CHARITY
ADJUSTED COST
TOTAL BAD
DEBT - LIC BEDS
TOTAL CHARITY HOSPITAL TYPE AND NAME
Proprietary Hospitals
Beckley Hospital, Inc. Eye & Ear Clinic of Charleston, Inc. Greenbrier Valley Medical Center Hampshire Memorial Hospital Plateau Medical Center Potomac Valley Hospital Putnam General Hospital Raleigh General Hospital St. Francis Hospital St. Luke's Hospital Williamson Memorial Hospital
35 122 47 91 63 68
275 200 79 76
1,056
$108,857 $2,285,420
$589,925 $1,133,000
$774,803 $1,545,800 $2,072,532 $1,130,792
$628,509 $61 9,020
$10,000,650
$69,891 $1,320,749
$352,001 $588,282 $531,636 $809,054
$1,064,524 $615,966 $378,420 $279,193
$6,009,716
$34,326 $31,585
$201,154 $360,000 $286.124 $1 13,903
$1,571,599 $892,904 $17,241
$137,647
$3,646,403
$22,039 $18,253
$120,026 $1 86,92 1 $1 96,326 $59,615
$807,228 $486,383
$62,082
$1,969,254
$10,381
SUBTOTAL: GENERAL ACUTE CARE HOSPITALS (EXCLUDING WELCH)
Welch Emergency Hospital
TOTAL GENERAL ACUTE CARE HOSPITALS
$73,010,022
$1,889,904
$45,023,260
$984,359
9,240
124
$1 19,360,940
$2,842,364
$74,440,226
$1,480,387
$75,920,613
$143,881 $14,244 $26,771
$1,611,678 $25,332
$265,071 $0
$65.488 $59,795
$145,215
$2,357,475
$70,206,000
$74,900,006
$344,143 $21 9,366
$0 $6,032,922
$0 $18.837
$0 $0
$2,999,107 $0
$9,614,375
$04,523,101
$46,007,627
$1 83,357 $140,602
$0 $5.91 7,1 32
$0 $9,974
$0 $0
$451,276 $0
$6,702,342
$53,509,969
9,372 $122,211,304
$270,050 $22,224 $49,000
$1,643,216 $45,708
$500,596 $0
$1 53,379
$264,262
$3,345,020
$125,557,124
$397,385
Chestnut Ridge Hospital Highland Hospital Huntington Rehabilitation Hospital Huntington State Hospital Mountainview Regional Rehabilitation River Park Hospital Sharpe Hospital Southern Hills Regional Rehab. Hospital West Virginia Rehabilitation Center Westem Hills Regional Rehab. Hospital TOTAL PSYCHIATRIC AND REHAB HOSPITALS
TOTAL ALL HOSPITALS
70 80 40 90 80
165 150 40 40 40
795
10,167
42
This section shows uncompensated care with its component parts, bad debt and charity care, as a percent of gross patient revenue. This percentage has continued to decline as shown below:
1996 General Acute Care
Hospital 5.71 Yo
All Hospitals 5.79%
1995
6.05%
6.12%
A summary for FY1996 general acute care hospitals is as follows:
Bad Debt Charity Care
Non-Profit (more than 300 beds) 3.26% 2.79%
Non-Profit (100 to 300 beds) 3.73% 1.78%
Non-Profit (fewer than 100 beds) 4.69% 2.30%
Proprietary (all) 2.62% .88%
1994
6.45%
6.59%
Total
6.05%
5.51%
6.99%
3.50%
It will be important to develop a system to review non-profit hospitals with less than 100 beds to determine how bad debt impacts their bottom line. It must be determined what comprises the bad debt and whether the HCCRA, in association with the West Virginia Hospital Association, can assist the smaller hospitals developing a program to manage collections.
Economic conditions, services provided, and accounting policies can impact the level of charity care provided by each individual hospital and may explain the differences in level of charity care provided. To determine the total community benefit of individual hospitals, a review of total taxes (local, state, federal and income tax paid by proprietary hospitals) should be considered.
The larger percentage for all hospitals is primarily due to the inclusion of state- operated psychiatric hospitals which have extremely high rates (65-71 "/") of uncompensated care.
43
West Virginia Health Care Cost Review Authority
UNCOMPENSATED CARE FOR ALL HOSPITALS, FY1996
ALPHABETICAL ORDER
TOTAL
CARE UNCOMPENSATED %OF
GPR - - $2,897,078 4.96%
$5,525.595 5.43%
GROSS PATIENT REVENUE
$58,358,107
LICENSED BEDS -
173
265 38 40 72 293 370 919 260 139 35 268 136 65 122 19 47 82 114 132 74 19
234 99 60 625 91 228 27 63 76 21 1 68 275 233 21 80 26 200 95 375 79 440 70 95 109 294 375 6
240 350 68 277 76
9,248
124
9,372
70 80 40 90 80 165 150 40 40 40
795
10.167
BAD DEBT
$2,075,102
$3.865.019 $342.784
$1,150,723 $270,405
$5,035,494 $2,656,943 $1 9,103,559 $4,263,568 $2,680,422 $108.857
$3,769,500 $6 14,434
$1,263,897 $2.285.420 $503,626 $589.925
$1,038.403 $2,074,467 $5,359,025 $746,500 $378,553
$2,217,992 $1,428,844 $337,580
$3.287,710 $1,133,000 $3,450,495 $136,639 $774,803 $896,316
$4,094,624 $1,545,800 $2,072,532 $828.652 $96,961 $803.950 $489,974
$1,130,792 $1,108,609 $2,039,614 $628,509
$5,870,582 $795,613 $272,015
$1,168,878 $3,683,497 $3,810,541 $367,111
$1,671,514 $9,183.800 $963,179
$2,283.168 $61 9,020
$1 19,368,940
$2.842.364
$1 22,211,304
$270.050 $22.224 $49.000
$1,643.216 $45,708 $500,596
$0 $153,379 $397.385 $264,262
$3,345,820
$1 25,557,124
X OF GPR 3.56%
3.80%
12.16% 3.86% 3.81% 2.40% 3.49% 6.71% 3.94% 1.33% 4.60% 5.47% 5.47% 4.51% 7.13% 6.21% 4.40% 9.55% 4.14% 3.54% 11.02% 2.09% 4.41% 3.57% 3.09% 3.71% 5.78% 2.13% 4.83% 5.21% 4.17% 3.85% 1.81% 2.28% 1.97% 4.97% 9.24% 1.37% 4.00% 2.27% 2.32% 3.31% 3.07% 2.38% 4.48% 3.44% 2.86% 9.79% 2.59% 3.76% 4.55% 1.51 % 1.72%
3.91%
3.48%
11.58%
3.54%
1.73% 0.21% 0.38% 15.28% 0.14% 2.39% 0.00% 0.72% 7.78% 1.66%
1.87%
3.46%
CHARITY - CARE
$821,976
$1,660,576 $1 15.1 17
$0 $1 00,907
$3,150,769 $1,876,047 $13,894,643
$370,414 $1,427,977
$34,326 $591,678 $360,083 $657,991 $31,585 $6,462
$201,154 $342,307 $896,872
$1,883,859 $343,911 $15,684
$1,345,322 $1,587,801 $1 58,977
$1,317,353 $360,000 $510,499 $57,506 $286,124 $485,997
$3,255,574 $1 13,903
$1,571,599 $544.478
$755 $285,275 $66,579 $892,904
$1,094,963 $3,139,392
$17,241 $4,886,338 $253,800 $296,372 $510,905
$3,383,816 $5,669,446
$53,848 $366,304
$8,548.01 0 $632,491
$2,403,265 $137,647
$73.01 8,822
$1,889,984
$74,908,806
$344,143 $21 9,366
$0 $6,032,922
$0 $18,837
$0 $0
$2.999.107 $0
$9,614,375
% OF m 1.41 %
1.63% 1.31% 0.00% 1.44% 2.38% 1.69% 2.54% 0.58% 2.10% 0.42% 0.72% 3.21% 2.85% 0.06% 0.09% 2.12% 1.45% 4.13% 1.46% 1.63% 0.46%
4.90% 1.68% 1.24% 1.18% 0.86% 0.90% 1.78% 2.82% 3.31 % 0.28% 1.37% 1.50% 0.02% 1.76% 1.25% 1.08% 3.95% 3.49% 0.06% 2.76% 0.98% 2.59% 1.96% 3.16% 4.26% 1.44% 0.57% 3.50% 2.99% 1.59% 0.38%
1.27%
2.13%
7.70%
2.17%
2.20% 2.08% 0.00% 56.10% 0.00% 0.09% 0.00% 0.00% 58.72% 0.00%
5.37%
HOSPITAL TYPE AND NAME
Beckley Appalachian Reqional Hospital Beckley Hospital. Inc. Bluefield Reqional Medical Center Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Cabell Huntington Hospital Camden-Clark Memorial Hospital Charleston Area Medical Center City Hospital, Inc. Davis Memorial Hospital, Inc. Eye 8 Ear Clinic of Charleston, Inc. Fairmont General Hospital Grafton City Hospital Grant Memorial Hospital Greenbrier Valley Medical Center Guyan Valley Hospital Hampshire Memorial Hospital Jackson General Hospital Jefferson Memorial Hospital Logan General Hospital Man Appalachian Regional Hospital Minnie Hamilton Health Care Center Monongalia General Hospital Montgomery General Hospital Morgan County War Memorial Hospital Ohio Valley Medical Center Plateau Medical Center Pleasant Valley Hospital Pocahontas Memorial Hospital Potomac Valley Hospital Preston Memorial Hospital Princeton Community Hospital Putnam General Hospital Raleigh General Hospital Reynolds Memorial Hospital Richwood Area Community Hospital Roane General Hospital Sistersville General Hospital St. Francis Hospital St. Joseph's Hospital - Buckhannon St. Joseph's Hospital - Parkersburq St. Luke's Hospital St. Marv's Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Reqional Summersville Memorial Hospital Thomas Memorial Hospital United Hospital Center Webster County Memorial Hospital Weirton Medical Center West Virginia University Hospitals, Inc. Wetzel County Hospital Association Wheeling Hospital Williamson Memorial Hospital
SUBTOTAL: GENERAL ACUTE CARE HOSPITALS (EXCLUDING WELCH)
Welch Emeroencv Hospital
TOTAL: GENERAL ACUTE CARE HOSPITALS
Chestnut Ridqe Hospital Highland Hospital Huntinaton Rehabilitation Hospital Huntinaton State Hospital Mountainview Reqional Rehabilitation River Park Hospital Sharpe Hospital Southern Hills Reaional Rehab. Hospital West Virginia Rehabilitation Center Western Hills Regional Rehab. Hospital
TOTAL: PSYCHIATRIC AND REHAB HOSPITALS
TOTAL: ALL HOSPITALS
5457,901 5.22% $1,150,723 12.16% 5371.312 5.31% $6;996;846
$1 32,247,980 $1 10,772,469 $547,913,930 $63,507,663 $68,085,654
$8,186,263 6.19% $4,532,990 4.09% $32,998,202 6.02%
$4,108,399 6.03% $143,183 1.74%
$4,361,178 5.33% $974,517 8.68%
$1,921,888 8.31% $2.317.005 4.58%
$4,633,982 7.30%
$50:631:348 $7.062.366 $9,506,805 $23.617.236
$510,088 7.22% $791,079 8.32%
$1,380,710 5.85% $2,971,339 13.68% $7,242,884 5.60% $1,090,411 5.18%
$3.563.314 3.36% $394,237 1 1.48%
521 1721 1598 $129,379,415 $21,069,668 $3,435,355
$106,190,181 $32,377,162 $9,443,284
$1 06,262,503 $30,532,886 $59,656,421 $6,416,255 $16,044,006 $17,219,109 $98,273,181 $40.169.032
$3,016,645 9.32% $496,557 5.26%
$4,605,063 4.33% $1,493,000 4.89% $3,960,994 6.64% $194,145 3.03%
$1.060.927 6.61% $1.382.313 8.03% $7,350,198 7.48% $1,659,703 4.13% $3,644,131 3.18% $1,373,130 3.78%
$97,716 1.98% $1,089,225 6.74% $556,553 10.49%
$2,203,572 7.95% $5,179,006 5.76%
$10,756,920 6.07% $1,049,413 4.05% $568,387 4.97%
$1,679,783 6.44% $7,067,313 6.61% $9,479.987 7.12% $420,959 11.22%
52.037.818 3.16% $17,731.810 7.26% $1,595,670 7.54% $4,686,433 3.10% $756,667 2.10%
$2,023,696 2.45%
$645,750 2.39%
$1 14,671,103 $36,285,122 $4.933.550 $16,167,039 $5.305.278 $82.61 7,768 $27,714,711 $89.965.380 $2710391364 $1 77.31 7,801 $25,906,263 $1 1,443,015 $26,080.808 $106,993,610 $1 33,163,459 $3,750,283 $64,559,395 $244,191,049 $21,152,671 $151,027,642 $36,001678
$3,427,663,009 $192,387,762 5.61%
$4.732.348 19.28% $24,540,337
53,452,203,346 $197,120.1 10 5.71%
$614,193 3.93% $241.590 2.29% $49.000 0.38%
$1 5,620,147 $1 0,548,428 $13.020.625 $10.753.254 $32.528.360 $20,903,013 $33,468,558 $21.270.248 $5.107.098 $15.954.824
$7,676,138 71.38% $45,708 0.14% $519,433 2.48%
$0 0.00% $153,379 0.72%
$3,396,492 66.51% $264,262 1.66%
$1 79,174,555 $12,960,195 7.23%
$3,631,377,901 $84,523.1 81 2.33% $210,080,305 5.79%
44
West Virginia Health Care Cost Review Authority
UNCOMPENSATED CARE FOR ALL HOSPITALS, FY1996
HOSPITAL TYPE AND NAME
Non-Profit Hospitals with more than 300 beds
Camden-Clark Memorial Hospital Charleston Area Medical Center Ohio Valley Medical Center St. Joseph's Hospital - Parkersburq St. Mary's Hospital United Hospital Center West Virqinia University Hospitals, Inc.
Non-Profit Hospital$ with 100-300 beds
Beckley Appalachian Regional Hospital Bluefield Regional Medical Center Cabell Huntington Hospital City Hospital. Inc. Davis Memorial Hospital, Inc. Fairmont General Hospital Grafton City Hospital Jefferson Memorial Hospital Logan General Hospital Monongalia General Hospital Pleasant Valley Hospital Princeton Community Hospital Reynolds Memorial Hospital Summersville Memorial Hospital Thomas Memorial Hospital Weirton Medical Center Wheeling Hospital
Non-Profit Hospitals with fewer than 100 beds
Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Grant Memorial Hospital Guvan Valley Hospital Jackson General Hospital Man Appalachian Regional Hospial Minnie Hamilton Health Care Center Montgomery General Hospital Morgan County War Memorial Hospital Pocahontas Memorial Hospital Preston Memorial Hospital Richwood Area Medical Center Roane General Hospital SI. Joseph's Hospital - Buckhannon Sistersville General Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Webster County Memorial Hospital Wetzel County Hospital Association
Proprietary Hospitals
Beckley Hospital. Inc. Eve & Ear Clinic of Charleston, Inc Greenbrier Valley Medical Center Hampshire Memorial Hospital Plateau Medical Center Potomac Valley Hospital Putnam General Hospital Raleiah General Hospital St. Francis Hospital St. Luke's Hospital Williamson Memorial HosPital
SUBTOTAL: GENERAL ACUTE CARE HOSPITALS (EXCLUDING WELCH)
Welch Emerqency Hospital
TOTAL: GENERAL ACUTE CARE HOSPITALS
Chestnut Ridqe Hospital Hiahland Hospital Huntington Rehabilitation Hospital Huntinqton State Hospital Mountainview Reqional Rehabilitation River Park Hospital Sharpe Hospital Southern Hills Reqional Rehab. Hospital West Virqinia Rehabilitation Center Western Hills Reaional Rehab. Hospital
TOTAL: PSYCHIATRIC AND REHAB HOSPITALS
LICENSED BEDS
370 919 625 375 440 375 350
173 265 293 260 139 268 136 114 132 234 228 21 1 233 109 294 240 277
38 40 72 65 19 82 74 19 99 60 27 76 21 80 95 26 70 95 6
68
35 122 47 91 63 68
275 200 79 76
9.248
124
9,372
70 80 40 90 80
165 150 40 40 40
795
10.167
GROSS PATIENT REVENUE
$1 10.772.469 $547.91 3,930 $1 06,262,503 $89,965,380
$1 77,317.801 $1 33,163,459 $244,191,049
$1,409,586,591
$58,358,107 $101,813,812 $1 32,247,980 $63,507,663 $68,085,654 $81,887,326 $1 1,229,356 $21,721.598
$1 29,379.41 5 $1 061 90.1 81 $59,656,421 $98273.181 $36,285,122 $26,080.808
$106,993,610 $64.559.395
$151,027,642
$1.317.297.271
$8,767,841 $9,462,504 $6.996.846
$23.1 16,373 $7.062.366
$23,617,236 $21,069,668
$32,377,162 $9,443.284 $6,416,255
$17.219.109 $4,933,550
$16,167,039 $27.714.71 1 $5,305,278
$25.906.263 $1 1,443,015 $3,750.283
$21,152,671
5285,356,809
$3,435,355
$8208,348 $50,631.348 $9,506,805
$30,532.886 $16,044,006 $40,169,032
$1 14.671.103 $82617.768 $27.039.364 $36.001.678
$415.422.338
$3,427,663.009
$24,540,337
$3.452.203.346
$15,620,147 $10,548,428 $1 3,020.625 $10,753,254 $32.528.360 $20,903,013 $33,468,558 $21,270,248 $5.1 07.098
$1 5.954.824
$179.174.555
$3.631.377.901
BAD DEBT -
$2,656,943 $1 9,103,559 $3,287.710 $2,039,614 $5370,582 $3,810,541 $9,183,800
$45.952.749
$2,075,102 $3,865,019 $5,035,494 $4,263,568 $2,680,422 $3,769,500
$614,434 $2,074,467 $5,359,025 $2,217.992 $3,450,495 $4,094,624
$828,652 $1,168,878 $3,683.497 $1,671.514 $2283.168
$49,135,851
$342.784 $1,150,723
$270,405 $1.263.897
$503.626 $1,038,403
$746,500 $378.553
$1,428.844 $337.580 $136,639 $896,316 $96,961
$803.950 $1,108,609
$489.974 $795,613 $272.015 $367.1 11 $963,179
$13,391,682
$108,857 $2.285.420
$589.925 $1,133,000
$774.803 $1,545,800 $2.072.532 $1,130,792
$628.509 $619,020
$10.888.658
$1 19.368.940
$2,842,364
$122.21 1.304
$270,050 $22,224 $49,000
$1,643,216 $45.708
$500,596 $0
$153.379 $3 9 7.3 8 5 $264,262
$3.345.820
$125.557.124
%OF GPR -
2.40% 3.49% 3.09% 2.27% 3.31 % 2.86% 3.76%
3.26%
3.56% 3.80% 3.81 % 6.71% 3.94% 4.60% 5.47% 9.55% 4.14% 2.09% 5.78% 4.17% 2.28% 4.48% 3.44% 2.59% 1.51%
3.73%
3.91% 12.16% 3.86% 5.47% 7.13% 4.40% 3.54%
1 1.02% 4.41% 3.57% 2.13% 5.21% 1.97% 4.97% 4.00% 9.24% 3.07% 2.38% 9.79% 4.55%
4.69%
1.33% 4.51% 6.21% 3.71 % 4.83% 3.85% 1.81% 1.37% 2.32% 1.72%
2.62%
3.48%
11.58%
3.54%
1.73% 0.21% 0.38%
15.28% 0.14% 2.39% 0.00% 0.72% 7.78% 1.66%
1.87%
3.46%
BY TYPE OF OWNERSHIP & BED SIZE GROUP
45
TOTAL CHARITY %OF UNCOMPENSATED
CARE - GPR CIRE
$1 376.047 1.69% $4.532.990 $13,894,643 2 54% $32,998.202 $1,317,353 1 24% $4,605,063 $3,139,392 3 49% $5,179,006
$10,756,920 $4,886,338 2 76% $5 669 446 4 26% $9 479 987 $8548,010 3 50% $17,731,810
$85,283,978 $39,331,229 2.79%
$821.976 1.41 % $2.897.078 $1,660,576 1.63% $5,525,595
$8,186.263 $3,150,769 2.38% $370,414 0.58% $4,633.982
$1,427,977 2.10% $4,108,399 $591.678 0.72% $4,361.178 $360,083 3.21% $974,517 $896.872 4.13% $2,971,339
$1,883.859 1.46% $7,242,884 $3,563,314 $1,345322 1.27% $3,960,994 $510,499 0.86%
$3,255,574 3.31% $7,350,198 $544,478 1.50% $1,373,130 $510,905 1.96% $1,679,783
$3.383.816 3.16% $7,067,313 $366.304 0.57% $2.037.818
$2.403265 1 59% $4,686,433
$23,484,367 1.78% $72,620.218
$115,117 $0
$100,907 $657,991
$6,462 $342,307 $343,911 $15,684
$1.587.801 $158,977 $57,506
$485,997 $755
$285,275 $1,094,963
$66,579 $253.800 $296,372 $53.848
$632,491
1.31% $457,901 0.00% $1,150,723 1.44% $371.312 2.85% $1,921,888 0.09% $51 0,088 1.45% $1,380,710 1.63% $1.09O.411 0.46% $394,237 4.90% $3,016,645 1.68% $496,557 0.90% $194,145 2.82% $1,382,313 0.02% $97,716 1.76% $1,089,225 3.95% $2.203.572 1.25% $556,553 0.98% $1,049,413 2.59% $568.387 1.44% $420,959 2.99% $1,595,670
$6.556743 2.30% $19,948,425
$34,326 0.42% $143.1 83 $31,585 0.06% $2,317,005
$201.154 2.12% $791,079 $360.000 1.18% $1.493.000 $286.124 $113,903
$1,571,599 $892.904 $17.241
1.78% 0.28% 1.37% 1 .08% 0.06%
$137:647 0.38%
$3.646.483 0.88%
573,018,822 2.13%
$1,889.984 7.70%
$74.908.806 2.17%
$344,143 2.20% $219,366 2.08%
$0 0.00% $6.032.922 56.1 0%
$0 0.00% $18.837 0.09%
$0 0.00% $0 0.00%
$2,999,107 58.72% $0 0.00%
$9.614.375 5.37%
$84523,181 2.33%
$1,060,927 $1,659,703 $3,644,131 $2,023.696
$645,750 $756,667
$14.535.141
$1 92,387,762
$4.732.348
$197,120,110
$61 4.1 93 $241,590 $49,000
$7.676.138 $45.708
$519,433 $0
$153,379 $3,396,492
$264.262
$12,960,195
$210.080.305
% OF - GPR
4.09% 6.02% 4.33% 5.76% 6.07% 7.12% 7.26%
6.05%
4.96% 5.43% 6.19% 7.30% 6.03% 5.33% 8.68%
13.68% 5.60% 3.36% 6.64% 7.48% 3.78% 6.44% 6.61% 3.16% 3.10%
5.51%
5.22% 12.16% 5.31%
7.22% 5.85% 5.18%
11.48% 9.32% 5.26% 3.03% 8.03% 1.98% 6.74% 7.95%
10.49% 4.05% 4.97%
11.22% 7.54%
6.99%
1.74% 4.58% 8.32% 4.89% 6.61% 4.13% 3.18% 2.45% 2.39% 2.10%
3.50%
5.61%
19.28%
5.71%
3.93% 2.29% 0.38%
71.38% 0.14% 2.48% 0.00% 0.72%
66.51% 1.66%
7.23%
5.79%
There are two tables. revenue, adjusted expense
The first shows changes in gross patient revenue, net patient and adjusted revenue over expenses for all payors, for FY
1986-1 996. As in the Revenue & Adjusted Expenses Section (AROE), the total net patient revenue does not equal the sum of the component payors net patient revenue by payor because of differences in hospital uniform reports and audits, as well as rounding.
In 1996, the AROE for various Payor Groups were as follows:
FY 1996 FY 1995
Medicare $( 15,380,248) $( 34,440,528)
Medicaid (1 2,787,760) 20,621,686
Other** 159.375.927 109,592,310
Total Profit $1 31,207,919 $95,773,468
**Other includes the following:
PElA $1 2,299,483 $1 4,015,941
Other Payers*** 53,500,715 22,710,304
Other Operating/Nonoperating Revenue 93.575.729 72 -866,065
$1 59,375,927 $1 09,592,310
*** Other Payors include Commercial Insurance (including commercial HMOs and PPOs), Workers Comp, Vocational Rehab, UMWA, Self Pay, Maternal & Child Health, Charity and all Other Payors.
The second table in the Summary of Hospital Adjusted Cost Section shows the adjusted cost summary for non-Medicare and nowMedicaid revenues and expenses for FY 1986-1 996. Based on the assumption of the adjusted cost calculation, it indicates the proportion of nowMedicare and non-Medicaid net patient revenue required to absorb the cost of bad debt, charity care, and depending on the year, Medicare and/or Medicaid.
46
West Virginia Health Care Cost Review Authority w e e e e e e e e e e e e e
e e
e e e e e e e e e e e e a
ALL PAYOR HOSPITAL ADJUSTED COST SUMMARY FOR GENERAL ACUTE CARE HOSPITALS (EXCLUDING WELCH), FY1986-1996
MEDICARE GROSS
PATIENT YEAR REVENUE
1986 $598,772,204 1987 $653,892,743 1988 $741,277,472 1989 $855,722,208 1990 $976,280,776 1991 $1,171,704,401 1992 $1,315,247,078 1993 $1,396,458,871 1994 $1,447,021,499 1995 $1,523,367,021 1996 $1,630,929,501
MEDICAID GROSS
PATIENT YEAR REVENUE
1986 $1 40,600,450 1987 $1 56,277,17 1 1988 $181,254,735 1989 $200,927,964 1990 $280,861,833 1991 $304,714,724 1992 $380,049,825 1993 $432,739,521 1994 $465,864,067 1995 $508,193,405 1996 $51 7,618,891
Yo CHANGE
9.21% 13.36% 15.44% 14.09% 20.02% 12.25% 6.17% 3.62% 5.28% 7.06%
% CHANGE
11.15% 15.98% 10.85% 39.78% 8.49%
24.72% 13.86% 7.65% 9.09% 1.85%
OTHER (INCLUDES PEIA) GROSS
PATIENT % - YEAR REVENUE CHANGE
1986 $71 2,802,526 1987 $757,083,701 6.21% 1988 $807,628,807 6.68% 1989 $890,998,131 10.32% 1990 $974,943,324 9.42% 1991 $1,092,286,955 12.04% 1992 $1,116,161,743 2.19% 1993 $1,149,358,931 2.97% 1994 $1,154,600,338 0.46% 1995 $1,200,675,030 3.99% 1996 $1,279,114,617 6.53%
TOTAL
YEAR 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996
GROSS PATIENT
REVENUE
$1,452,175,180 $1,567,253,615 $1,730,161,014 $1,947,648,303 $2,232,085,933 $2,568,706,080 $2,811,458,646 $2,978,557,323 $3,067,485,904 $3,232,235,456 $3,427,663,009
Yo CHANGE
7.92% 10.39% 12.57% 14.60% 15.08% 9.45% 5.94% 2.99% 5.37% 6.05%
NET PATIENT
REVENUE
$443,086,345 $451,433,769 $465,801,844 $531,290,668 $567,665,671 $620,642,197 $725,864,752 $800,479,049 $822,493,005 $91 9,806,137 $982,986,570
NET PATIENT
REVENUE
$89,026,983 $93,903,022
$102,731,495 $1 09,523,699 $1 49,648,432 $183,582,196 $288,509,185 $303,771,433 $329,392,360 $342,748,687 $308,901,769
NET PATIENT
REVENUE
$578,224,936 $608,048,473 $651,968,323 $700,516,138 $740,981,042 $829,792,897 $829,842,261 $859,037,937 $856,194,289 $873,112,937 $953,186,915
NET PATIENT
REVENUE
$1,110,338,264 $1,153,385,264 $1,220,501,662 $1,341,330,505 $1,458,295,145 $1,634,017,290 $1,844,216,198 $1,963,288,419 $2,008,079,654 $2,135,667,76 1 $2,245,075,254
Yo CHANGE
1.88% 3.18%
14.06% 6.85% 9.33%
16.95% 10.28% 2.75%
11.83% 6.87%
Yo CHANGE
5.48% 9.40% 6.61%
36.64% 22.68% 57.16% 5.29% 8.43% 4.05%
-9.88%
% CHANGE
5.16% 7.22% 7.45% 5.78%
11.99% 0.01% 3.52%
-0.33% 1.98% 9.17%
Yo CHANGE
3.88% 5.82% 9.90% 8.72%
12.05% 12.86% 6.46% 2.28% 6.35% 5.12%
ADJUSTED EXPENSE
$440,233,716 $468,228,545 $505,581,451 $566,176,219 $61 8,919,106 $714,531,445 $802,078,659 $871,347,061 $91 1,433,518 $954,246,665 $998,366,818
ADJUSTED EXPENSE
$1 03,373,300 $1 11,904,335 $123,623,117 $132,941,080 $1 78,054,059 $1 86,132,592 $231,373,195 $269,284,309 $294,475,956 $322,127,001 $321,689,529
ADJUSTED EXPENSE
$524,071,931 $542,119,795 $550,835,766 $589,516,023 $618,071,221 $668,679,187 $683,579,842 $722,266,232 $734,353,485 $763,520,627 $793,810,988
ADJUSTED EXPENSE
$1,067,678,947 $1,122,252,675 $1,180,040,334 $1,288,633,322 $1,415,044,386 $1,569,343,224 $1,717,031,696 $1,862,897,602 $1,940,262,959 $2,039,894,293 $2,113,867,335
Yo CHANGE
6.36% 7.98%
11.99% 9.32%
15.45% 12.25% 8.64% 4.60% 4.70% 4.62%
% CHANGE
8.25% 10.47% 7.54%
33.93% 4.54%
24.3 1 '/o 16.39% 9.36% 9.39%
-0.14%
% CHANGE
3.44% 1.61% 7.02% 4.84% 8.19% 2.23% 5.66% 1.67% 3.97% 3.97%
% CHANGE
5.11% 5.15% 9.20% 9.81%
10.90% 9.41% 8.50% 4.15% 5.13% 3.63%
ADJUSTED REVENUE
OVER {EXPENSES)
$2,852,629 ($1 6,794,776) ($39,779,607) ($34,885,551 ) ($51,253,435) ($93,889,248) ($76,213,907) ($70,868,012) ($88,940,513) ($34,440,528) ($1 5,380,248)
ADJUSTED REVENUE
OVER IEXPENSES)
($1 4,346,317) ($18,001,313) ($20,891,622) ($23,417,381) ($28,405,627) ($2,550,396) $57,135,990 $34,487,124 $34,916,404 $20,621,686
($12,787,760)
ADJUSTED REVENUE
OVER {EXPENSES)
$54,153,005 $65,928,678
$101,132,557 $1 1 1,000,115 $1 22,909,821 $1 61,113,710 $146,262,419 $136,771,705 $121,840,804 $1 09,592,310 $1 59,375,927
ADJUSTED REVENUE
OVER {EXPENSES)
$42,659,317 $31,132,589 $40,461,328 $52,697,183 $43,250,759 $64,674,066
$127,184,502 $100,390,817 $67,816,695 $95,773,468
$131,207,919
Yo CHANGE
-688.75% -136.86%
12.30% -46.92% -83.19% 18.83% 7.01%
-25.50% 61.28% 55.34%
Yo CHANGE
-25.48% -1 6.06% - 12.09% -21.30% 91.02%
2340.28% -39.64%
1.24% -40.94%
-162.01%
% CHANGE
21.75% 53.40% 9.76%
10.73% 31.08% -9.22% -6.49%
-10.92% -1 0.05% 45.43%
Yo CHANGE
-27.02% 29.96% 30.24%
-1 7.93% 49.53% 96.65%
-21.07% -32.45% 4 1.22% 37.00%
47
West Virginia Health Care Cost Review Authority
NON-MEDICARE AND NON MEDICAID HOSPITAL ADJUSTED COST SUMMARY FOR GENERAL ACUTE CARE HOSPITALS (EXCLUDING WELCH), FY1986-1996
YEAR
1986
-
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
REVENUEEXPENSE
Net Patient Revenue Adiusted Expense Bad Debt Charity Medicaid Adjusted EROE
Net Patient Revenue Adiusted Expense Bad Debt Charity Medicare Medicaid Adiusted EROE
Net Patient Revenue Adiusted Expense Bad Debt Charity Medicare Medicaid Adiusted EROE
Net Patient Revenue Adjusted Expense Bad Debt Charity Medicare Medicaid Adjusted EROE
Net Patient Revenue Adiusted Expense Bad Debt Charity Medicare Medicaid Adjusted EROE
Net Patient Revenue Adiusted Expense Bad Debt Charity Medicare Medicaid Adjusted EROE
Net Patient Revenue Adjusted Expense Bad Debt Charity Medicare Adjusted EROE
Net Patient Revenue Adiusted Expense Bad Debt Charity Medicare Adjusted EROE
Net Patient Revenue Adjusted Expense Bad Debt Charity Medicare Adiusted EROE
Net Patient Revenue Adiusted Expense Bad Debt Charity Medicare Adiusted EROE
Net Patient Revenue Adiusted Expense Bad Debt Charity Medicare Medicaid Adiusted EROE
AMOUNT
$570,224,936 $437,927,864 $53,051,064 $33,093,003 $14,346,317 $39,806,688
$608,048.473 $451,455,225 $57,436,571 $33,227,999 $1 6,794,776 $18,001,313 $31,132,589
$651,968,323 $461,306,491 $57,638,112 $31,891,163 $39,779,607 $20,891,622 $40,461,328
$700,516.1 38 $494,485,470 $57,334,451 $37,696,102 $34,885,551 $23,417,381 $52,697,183
$740,981,042 $506,807,259 $67,399,542 $43,864,420 $51,253,435 $28,405,627 $43,250,759
$829,792.897 $554,927,490 $64,467,689 $49,284,008 $93,889,248 $2,550,396 $64,674,066
$829,842,261 $566,368,452 $69,327,746
$76,213,907 $70,048,512
$859.037.937 $601,960,669 $73.1 78,750 $47,126.81 3 $70,868.012 $65,903,693
$856.194.289 $610.816.491 $70,215,544 $53,321,450 $88.940.513 $32,900,291
$873,112.937 $640,864,078 $72,226,117 $50,430,432 $34,440,528 $75,151.782
$953.186.915 $673,539.494 $74,448,226 $45.823.268 $1 5,380.248 $12,787,760 $131,207,919
$47,883,644
EXPENSE AS % OF NPR
75.74% 9.17% 5.72% 2.48% 6.88%
74.25% 9.45% 5.46% 2.76% 2.96% 5.12%
70.76% 8.84% 4.89% 6.10% 3.20% 6.21%
70.59% 8.18% 5.38% 4.98% 3.34% 7.52%
68.40% 9.10% 5.92% 6.92% 3.83% 5.84%
66.88% 7.77% 5.94% 11.31% 0.31% 7.79%
68.25% 8.35% 5.77% 9.18% 8.44%
70.07% 8.52% 5.49% 8.25% 7.67%
71 3% 8.20% 6.23% 10.39% 3.84%
73.40% 8.27% 5.78% 3.94% 8.61%
70.66% 7.81% 4.81% 1.61% 1.34% 13.77%
NPR Net Patient Revenue. ADJ. EXP. Adiusted Expenses less Adiusted Total Bad Debt and Charity. ADJ. EROE Adiusted Excess Revenue over Emenses. 1
48
w a e a a a a a a a a a a a a a e 0
a a a a a a a a a a a a e 0
a a a a
a a
e e
a
a
a a
The Inpatient Utilization Section includes three reports. The first two show data from the Uniform Report for acute care units of general hospitals, including psychiatric services." Patient days and discharges for newborns, such subacute services as chemical dependency and medical rehabilitation, and long-term care are excluded. The second report shows total facility data, excluding newborns. Occupancy levels are calculated using licensed beds.
Acute care occupancy levels continue to decline slightly, as did the number of licensed acute care beds.
1996 1995 1994
Acute Occupancy (% of Licensed Beds Utilized) 42.9% 44.3% 47.1 Yo
Acute Beds (Licensed) 8,158 8,442 8,474
Average Daily Census 3,516 3,744 3,990
The third report, discharges by hospital by payor includes all currently-available UB- 92 discharge data, including chemical dependency, medical rehabilitation and newborns, but excludes long-term care. The data base is 90% complete for 1996; approximately 10% of discharge records have not yet been submitted and/or processed.
One hospital, Beckley Hospital, Inc. did not file a Uniform Report. Total licensed beds in the state remain stable, with l o l l 67 reported in 1996, although shifts from acute to subacute and long-term services continue.
"The State Health Plan and Standards for Certificate of Need define psychiatric services as acute care. However, psychiatric programs may he distinct from general acute care services for rate-setting and, frequently, for reimbursement purposes.
49
West Virginia Health Care Cost Review Authority
HOSPITAL MPE AND NAME
Beckley Appalachian Regional Hospital Beckley Hospital, Inc. Bluefield Regional Medical Center Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Cabell Huntington Hospital Camden-Clark Memorial Hospital Charleston Area Medical Center City Hospital, Inc. Davis Memorial Hospital, Inc. Eye 8 Ear Clinic of Charleston, lnc. Fairmont General Hospital Graflon City Hospital Grant Memorial Hospital Greenbrier Valley Medical Center Guyan Valley Hospital Hampshire Memorial Hospital Jackson General Hospital Jefferson Memorial Hospital Logan General Hospital Man Appalachian Regional Hospital Minnie Hamilton Health Care Center
Ln Monongalia General Hospital 3 Montgomery General Hospital
Morgan County War Memorial Hospital Ohio Valley Medical Center Plateau Medical Center Pleasant Valley Hospital Pocahontas Memorial Hospital Potomac Valley Hospital Preston Memorial Hospital Princeton Community Hospital Putnam General Hospital Raleigh General Hospital Reynolds Memorial Hospital Richwood Area Community Hospital Roane General Hospital St. Francis Hospital St. Joseph's Hospital - Buckhannon St. Joseph's Hospital - Parkersburg SI. Luke's Hospital St. Mary's Hospital Sistersville General Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Summersville Memorial Hospital Thomas Memorial Hospital United Hospital Center Webster County Memorial Hospital Weirton Medical Center Welch Emergency Hospital West Virginia University Hospitals, Inc. Wetzel County Hospital Association Wheeling Hospital Williamson Memorial Hospital
TOTALS
ALL PAYOR UTILIZATION DATA FOR ACUTE CARE UNITS OF GENERAL HOSPITALS, FYI996 EXCLUDING NURSERY AND NEONATAL INTENSIVE CARE
INPATIENT DAYS I MEDICARE MEDICAID -- PElA OTHGOVT NONGOVT - - -
25,509
27,662 1,895 2,011
901 21,508 29,234 91,366 20,963 16,059
79 22,142 2,236 5.846
13,320 98
1,010 7,005 5,186
20,103 1,809
508 27,736 5,944 2,069
21.628 10,520 11,013 2,591 3,566 2.804
20,694 9,941
24,955 10,909
504 2,535
16,531 5,379
24,298 5,540
47,995 337
8,136 2,771 4,691
25,890 38,207
492 20,977 4,195
26,728 3,301
32,519 8.426
750,272
7,461
4,479 288 231 86
13,126 4,205
26,765 4,141 3,047
20 6,091
339 909
2,673 0
217 976 894
6,125 51 9 186
1,680 658 160
5,605 1.686 2,539
91 617 762
7,677 905
10,295 986 110 660
1.743 2,371 4,689
704 10,180
22 1.528
437 1,451 3,834 5,299
100 2,473 1,720
19.138 742
2,492 2,947
593
672 21 50 20
1,685 963
8.307 869
1,195 5
315 33
258 668
3 42
528 191 788 24 11
2.173 198 14
120 414 430 130 190 81
1,110 180
1,635 90 9
49 869 197 630 124
3,126 5
723 79
124 1,184 1,525
17 176 111
3,947 129 575 395
179,079 38,000
439
974 23 98 56
1,213 493
8,118 447 178
0 1,701
39 78
1,193 7
39 42
108 1,349
103 6
532 73 6
886 515 241 39 66
139 1,551
87 2.743
138 73 28
623 187 386 285
2,238 2
305 20
441 454 651
0 110 54
1,928 29
579 443
32,556
6,953
6,459 236 410 106
13,587 11,099 46,684 9.416 3.978
36 6,472
310 2,067 3,474
63 362
1,907 2,526 5.647
957 119
9,936 1,334
664 9,472 1,234 2,907
321 1,134
624 7.742 2,413 8,317 2,768
74 598
3,566 1,957 9,737
909 22,656
117 1.598
407 1,090 8,291
11.282 130
6,336 1,256
20,641 1,219
17.108 2.718
283,428
TOTAL
40,955
40,246 2,463 2,800 1,169
51,119 45,994
181.240 35,836 24,457
142 36,721 2,957 9.158
21,328 171
1,670 10,458 8,905
34,012 3,412
830 42,057 8,207 2,913
37,711 14,369 17,130 3,172 5,573 4,410
38,774 13,526 47,945 14.891
770 3,870
23,332 10,091 39,740 7,562
86,195 483
12,290 3,714 7,797
39,653 56,964
739 30,074
7,336 72,382 5,420
53,273 14,929
1,283,335
I I DISCHARGES MEDICARE MEDICAID - - - - PElA OTHGOVT
3,492
3,892 358 609 316
3,549 4,924
12,959 2.723 2,951
32 3,234
474 1,257 2,257
34 323
1,260 970
3.222 359 204
4,420 942 515
3,366 1,853 2,221
460 829 552
3,204 1,582 3,654 1,835
123 61 3
2,861 1,153 4,212
970 7.41 2
121 1,489
549 942
4,088 5,740
171 3,821
616 4,577
809 5,167 1.737
122,203
1,142
1,152 73
102 38
3,235 1,230 5,998 1,091 1,020
4 1,181
74 348 807
0 64
290 372
1,553 172 104 428 142 37
1,139 343 772 23
212 268
1.885 231
2,990 244 33
248 350 641
1,121 171
1,691 10
527 110 480 915
1,362 40
656 40 1
3,659 28 1 781
1,008
43,249
135
164 9
17 11
440 226
1,850 233 366
5 82 12 78
193 1
18 128 63
213 8 7
544 55 6
38 107 156 41 71 35
332 54
473 18 3
21 228 82
180 37
642 2
187 21 55
264 365
8 55 39
837 35
167 112
9,529
81
202 5
32 17
222 113
1,374 101 56 0
232 15 25
240 2
12 6
47 297 35 4
120 24 4
181 134 70 11 21 26
40 1 30
520 30 24 8
142 48
1 02 67
326 1
68 8
102 104 165
0 31 14
427 11
156 117
6,611
NON GOVT
1,337
1.836 82
186 48
3,787 3,026
11,029 2,526 1,367
28 1,674
117 789
1,098 26
151 683 902
1,603 293 80
2,550 368 242
2,411 377
1,031 88
432 214
1,723 721
2,564 704 25
199 917 620
2,549 307
4,885 42
462 121 466
2,077 2,897
46 1,770
374 4,315
426 4,923 1,022
6.187
7,246 527 946 430
11,233 9,519
33,210 6,674 5.760
69 6,403
692 2,497 4,595
63 568
2.367 2,354 6.888
867 399
8.062 1,531
804 7,135 2.814 4,250
623 1,565 1,095 7,545 2,618
10,401 2.831
208 1,089 4,498 2.544 8,164 1,552
14,956 176
2,733 809
2,045 7,448
10,529 265
6,333 1,444
13,615 1,562
11,194 3,996
74,536 256,128
LICENSED STAFFED - - 173
240 38 40 12
278 370 834 241 139 35
207 59 55
122 19 11 82
114 132 74 19
214 55 44
453 91
128 27 63 54
188 68
275 213 21 71
170 79
355 79
392 12 60 71 57
266 343
6 207 65
326 58
277 76
8,158
163
240 38 30 12
278 212 729 143 139 26
153 59 55
122 19 11 74
114 132 36 19
182 55 28
230 66
108 27 63 37
188 66
275 106
6 56
170 77
274 79
392 12 60 71 57
196 277
6 207 65
287 58
276 76
6,939
ACUTE CARE OCCUPANCY
64.7%
45.8% 17.7% 19.1% 26.6% 50.2% 34.0% 59.4% 40.6% 48.1%
1.1% 48.5% 13.7% 45.5% 47.8% 2.5%
41.5% 34.8% 21.3% 70.4% 12.6% 11.9% 53.7% 40.8% 18.1% 22.7% 43.1 % 36.6% 32.1% 24.2% 22.3% 56.4% 54.3% 47.6% 19.1% 5.8%
14.9% 37.5% 34.9% 30.6% 26.2% 60.1% 11 .O% 56.0% 14.3% 37.4% 40.7% 45.4% 33.7% 39.7% 30.8% 60.7% 25.5% 52.5% 53.7%
42.9%
West Virginia Health Care Cost Review Authority
ALL PAYOR UTILIZATION DATA FOR ALL HOSPITALS, FY1996 ALL UNITS EXCLUDING NURSERY AND NEONATAL INTENSIVE CARE
HOSPITAL N P E AND NAME
Beckley Appalachian Regional Hospital Beckley Hospital, Inc. Bluefield Reqional Medical Center Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Cabell Huntington Hospital Camden-Clark Memorial Hospital Charleston Area Medical Center Chestnut Ridge Hospital City Hospital, Inc. Davis Memorial Hospital, Inc. Eye 8 Ear Clinic of Charleston, Inc. Fairmont General Hospital Grafton City Hospital Grant Memorial Hospital Greenbrier Valley Medical Center Guyan Valley Hospital Hampshire Memorial Hospital Highland Hospital Huntington Rehabilitation Hospital Huntington State Hospital Jackson General Hospital Jefferson Memorial Hospital Logan General Hospital Man Appalachian Regional Hospital Minnie Hamilton Health Care Center - Monongalia General Hospital Montgomery General Hospital Morgan Countv War Memorial Hospital Mountainview Regional Rehabilitation Ohio Valley Medical Center Plateau Medical Center Pleasant Valley Hospital Pocahontas Memorial Hospital Potomac Valley Hospital Preston Memorial Hospital Princeton Community Hospital Putnam General Hospital Raleigh General Hospital Reynolds Memorial Hospital Richwood Area Community Hospital River Park Hospital Roane General Hospital St. Francis Hospital St. Joseph's Hospital - Buckhannon SI. Joseph's Hospital - Parkersburg St. Luke's Hospital St. Mary's Hospital Sharpe Hospital Sistersville General Hospital Southern Hills Regional Rehab. Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Reqional Summersville Memorial Hospital Thomas Memorial Hospital United Hospital Center Webster County Memorial Hospital Weirion Medical Center Welch Emergency Hospital West Virginia Rehabilitation Center West Virginia University Hospitals, Inc. Western Hiiis Regional Rehab. Hospital Wetzel County Hospital Association Wheeling Hospital Williamson Memorial Hospital
TOTALS
I INPATIENT DAYS I I DISCHARGES I I TOTAL BEDS I I FACILITY 1 MEDICARE
25,509
30,907 2,042 2.01 1 2,666 26,512 29,234 100,453 4,517 26,370 16,059
79 33,820 5,305 10,416 14,161 2,399 1,246 2,352 10,612 7,039 7,005 5,186 20,103 1,809 508
32,283 6,235 3,853 18.967 32,576 10,520 15,273 3,973 3,566 3,804 28,599 9,941 24,955 16,141
504 6,772 4,889 24,279 5,483 31,029 6.381 55,409 5.984 560
12,024 11,018 3,320 5,911 26,664 48,331
492 30,538 4,195 51 0
32,568 11,355 4,172 32,519 8,426
974,339
MEDICAID
7,461
4,479 288 231
14,326 13,126 4,205 27,228 2,823 4,141 3,047
20 12.885 20,087 1,351 2,673
0 10,529 5,092 245
1,496 976 894
6,125 519 186
1.680 11,908 4,869 117
34,001 1,686 25,727
91 617
2,563 7,677 905
10,295 986 110
6,493 1,084 1,743 5,100 4,693 704
11,913 3,780
22 32
1,528 7,562 15,315 5.189 5,299 100
2,658 20,308
70 19.343
48 742
2,492 2,947
PEIP. OTHGOVT NONGOVT
593
672 21 50 20
1,694 963
8,787 541 869
1,195 5
315 56 330 668 3 42 802 0 28 526 191 786 24 1 1
2,173 723 14 0
126 414 430 130 190 130
1,110 180
1,635 104 9
923 49 869 197 630 124
3,303 0 5 0
723 79 125
1,424 1,525
17 I67 1 1 1 395
4,390 0
129 575 395
366,830 42,741
439
974 23 98 56
1,213 493
8,478 139 447 178 0
1,918 1,036 105
1,193 21 39 263 148 39 42
1 08 1,349 103 6
532 216 6 0
1,104 515 241 39 66 142
1,551 87
2,743 141 73 652 28 623 187 386 285
2,355 0 2
177 305 20 623 482 651 0
112 54 0
1,980 0 44 579 443
36,352
6,953
6,459 3,342 41 0
5,698 13,653 11,099 49,255 5,401 9,422 3,978
38 6,507 3,090 2,266 3,474 241
1,027 3,109 1,526 18,988 1,907 2,526 5,647 957 119
10,228 2,460 2,159 6.384 27.308 1,234 10,367 1,827 1,935 1,681 7,742 2,413 8.317 5.538
74 6,318 2,675 4,091 4,861 9,779 938
23,969 24,016 3,955 1,799 1,598 1,502 5,674 9,680 11,282
130 6,706 2.843 2,736 21,430 2,040 1,231 17,108 2.718
40,955
43,491 5,716 2,800 22,766 56,198 45,994 194,201 13,421 41,249 24,457
142 55,445 29,574 14,468 22,169 2,664 12.883 11.618 12,531 27,590 10,458 8.905 34,012 3,412 830
46,896 23,542 10,901 25,468 95,117 14,369 52,038 6,060 6,374 8,320 46,679 13.526 47.945 22,910
770 21,158 8,725 31,605 15.828 46,517 8.432 96,949 33.780 4,544 14,032 15,172 12,483 27,648 43.439 67.088
739 40,201 27,511 3.71 1 79,711 13,443 6,318 53,273 14,929
425,838 1,846,100
MEDICARE MEDICAID PElA OTHGOVT "GOYT
3,492
4,112 375 609 376
3,819 4,924 13,543
370 3,022 2,951
32 3,588 660
1,460 2,356 199 354 153 599 180
1,260 970
3,222 359 204
4,662 1,001 631 901
3,929 1.853 2,324 525 829 620
3,650 1,582 3.854 2,211 123 639 71 1
3,433 1,155 4,677 970
7.873 135 140 557
1,719 601 995
4,150 6,243 171
4.281 616 15
4,967 557 924
5,167 1,737
134,317
1,142
1,152 73 102 54
3,235 1,230 6,023 265
1,091 1,020
4 1.218 298 355 807 0 88 377 12 36 290 372
1,553 172 104 428 220 38 3
1,150 343 817 23 212 383
1,885 231
2,990 244 33 428 253 350 643
1,122 171
1.798 49 10 2
527 132 495
1,013 1,362
40 666 543 4
3,670 30 281 781
1,008
135
164 9 17 1 1
44 1 226
1,880 70 233 366 5 82 14 80 193
1 18 85 0 1
128 63 213 8 7
544 59 6 0 39 107 156 41 71 39 332 54 473 19 3 89 21 228 82 180 37 660 0 2 0
187 21 56 287 365 8 56 39 6
867 0 35 167 112
45,451 9,898
81
202 5 32 17 222 113
1,397 15 101 56 0
246 32 25 240 3 I2 26 20 1 6 47 297 35 4
120 25 4 0
185 134 70 1 1 21 27 401 30 520 31 24 67 8
142 48 102 67 329 0 1
1 1 68 8
104 107 165 0 32 14 0
434 51 12 156 117
6,881
1,337
1,836 205 186 55
3,791 3,026 11,193
586 2,526 1,367
28 1,676 157 803
1,098 37 176 235 70 452 683 902
1,603 293 80
2,581 361 243 244
2,500 377
1,060 159 505 280
1,723 721
2,564 777 25 815 281 956 624
2,552 307
5,026 2,037 60 85 462 123 477
2,182 2,897
46 1,798 392 129
4.381 0
427 4,923 1,022
80,543
I , a LICENSED
6,187
7,466 667 946 513
11,508 9,519 34,036 1,306 6,973 5,760
69 6,810 1,161 2,723 4,694 240 648 876 701 670
2,367 2,354 6,880 867 399
8,335 1,686 922
1.148 7.803 2,814 4,427 759
1,638 1,349 7,991 2,618 10,401 3,282 208
2,038 1,274 5,109 2,552 8,633 1,552 15,686 2,221 213 655
2,963 885
2,127 7,739 11,032
265 6,833 1,604 154
14,319 638
1,679 11,194 3,996
277,090
173
265 38 40 72 293 370 919 70 260 139 35 268 136 65 122 19 47 80 40 90 82 114 132 74 19
234 99 60 80 625 91 228 27 63 76 21 1 68 275 233 21 165 80 200 95 375 79 440 150 26 40 70 95 109 294 375 6
240 124 40 350 40 68 277 76
10,167
STAFFED
163
265 38 30 72 293 212 779 70 162 139 26 214 136 65 122 19 47 58 40 90 74 114 132 36 19
202 99 44 80 402 66 208 27 63 59 21 1 68 275 134 6
165 65 200 93 294 79 440 150 26 40 70 95 109 216 309 6
240 124 40 31 1 40 68 276 76
8,891
OCCUPANCY
64.7%
44.8% 41.1% 19.1% 86.4% 52.4% 34.0% 57.7% 52.4% 43.3% 48.1% 1.1% 56.5% 59.4% 60.8% 49.6% 38.3% 74.9% 39.7% 85.6% 83.8% 34.8% 21.3% 70.4% 12.6% 11.9% 54.8% 65.0% 49.6% 87.0% 41.6% 43.1% 62.4% 61.3% 27.6% 29.9% 60.4% 54.3% 47.6% 26.9% 5.8% 35.0% 29.8% 43.2% 45.5% 33.9% 29.2% 60.2% 61.5% 47.8% 95.8% 59.2% 35.9% 69.3% 40.4% 48.9% 33.7% 45.8% 60.6% 25.3% 62.2% 91.8% 25.4% 52.5% 53.7%
49.5%
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The following two tables show full-time equivalent employees (FTE’s), total wages and salaries (including benefits) for all services provided, and average wage and salary per FTE for FY 1994-1 996. Total FTE’s increased 1.34% from 1994 to 1996. Average salaries increased 3.52% from 1995 to 1996 and 7.33% from 1994 to 1996. It should be noted that Logan General Hospital has a greater proportion of physician employees than do other hospitals, which contributes to a higher average salary.
0
53
West Virginia Health Care Cost Review Authority
COMPARISON OF TOTAL FULL TIME EQUIVALENT'S (FTE's) AND TOTAL WAGES AND SALARIES (INCLUDING BENEFITS)
HOSPITAL TYPE AND NAME
Becklev ADDalachian Regional Hospital Becklev Hospital. Inc. Bluefield Regional Medical Center Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Cabell Huntington Hospital Camden-Clark Memorial Hospital Charteston Area Medical Center City Hospital, Inc. Davis Memorial Hospital, Inc. Eye & Ear Clinic of Charleston. Inc. Fairmont General Hospital Grafton City Hospital Grant Memorial Hospital Greenbrier Valley Medical Center Guyan Valley Hospital Hampshire Memorial Hospital Jackson General Hospital Jefferson Memorial Hospital Logan General Hospital Man Appalachian Regional Hospital Minnie Hamilton Health Care Center Monongalia General Hospital Montgomery General Hospital Morgan County War Memorial Hospital Ohio Valley Medical Center Plateau Medical Center Pleasant Valley Hospital Pocahontas Memorial Hospital Polomac Valley Hospital Preston Memorial Hospital Princeton Community Hospital Putnam General Hospital Raleigh General Hospital Reynolds Memorial Hospital Richwood Area Community Hospital Roane General Hospital Sistersville General Hospital St. Francis Hospital SI. Joseph's Hospital - Buckhannon St. Joseph's Hospital - Parkersburg St. Luke's Hospital St. Mary's Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Summersville Memorial Hospital Thomas Memorial Hospital United Hospital Center Webster County Memorial Hospital Weirton Medical Center Wesl Virginia University Hospitals. Inc. Welzel County Hospital Association Wheeling Hospital Williamson Memorial Hospital
SUBTOTAL: GENERAL ACUTE CARE HOSPITALS (EXCLUDING WELCH)
Welch Emeraencv Hospital
TOTAL GENERAL ACUTE CARE HOSPITALS
Chestnut Ridge Hospital Highland Hospital Huntinaton Rehabilitation HOSDital Huntinaton State Hospital Mountainview Reqional Rehabilitation River Park Hospital Shame HosDital Southem Hills Regional Rehab. Hospital West Virqinia Rehabilitation Center Weslern Hills Reqional Rehab. Hospital
TOTAL PSYCHIATRIC AND REHAB HOSPITALS
TOTAL ALL HOSPITALS
LIC BEDS
173
265 38 40 72 293 370 919 260 139 35 268 136 65 122 19 47 82 114 132 74 19 234 99 60 625 91 228 27 63 76 21 1 68 275 233 21 80 26 200 95 375 79 440 70 95 109 294 375 6
240 350 68 277 76
9,248
124
9.372
70 80 40 90 80 165 150 40 40 40
795
10,167
FOR ALL HOSPITALS, FY1994-1996
ALPHABETICAL ORDER
I 1996 I I 1995 I I 1994
TOTAL FTE's
532.60
829.40 113.13 123.80 143.90
1,286.70 1,001 .IO 4.499.02 669.00 541.72 79.30 728.00 183.80 313.07 322.20 105.00 106.60 284.73 273.90 822.13 192.80 64.50 896.32 274.00 104.40 966.30 260.00 613.00 84.23 178.40 185.50 954.42 252.70 693.20 470.00 60.20 260.49 80.60 510.80 285.50 852.10 194.70
1,576.90 251.60 156.99 31 1.90 888.30
1 .I 80.20 49.60 695.06
2,307.20 240.10
1371.60 254.60
30,677.31
286.30
30,963.61
112.44 143.80 126.60 297.20 243.70 134.40 422.80 145.80 21 1.90 120.70
1,959.34
32,922.95
AVERAGE TOTAL WAGES 6 WAGE 6
SALARIES SALARY PER
$19,529,535
$30,805.327 $2,845.024 $3,820.048 $3,260.908 $59,118.402 $35.682.266
$23.1 03,522 $1 9,906,463 $2,860,415 $28,160,376 $4,229,485 $6,326,575 $1 1,227,010 $2,876,690 $2,577.981 $1 0,743.1 05 $9,517,164 $43,286,348 $7,921,601 $1,878.718 $34,581,241 $12,473,430 $3.1 77,183 $32,539,036 $7393,488 $23,374,454 $1,966,559 $4,986,180 $5,810.603 232,859,487 $8,542.634 $22,033,236 $16,629,531 $1,523,448 $6,038,559 $1,871,743 $18,347,780 $8,435,568 $31,312,334 $6,746,483 $64,383,998 $7,406,360 $5,611,522 $9,692,597 $32,562,390 $46,427,809 $1,699,394 $23,490,717 $81,504,181 $7,391,942 $50,317,237
9183,957,333
$8,453.473
$1,135,218,893
$7,723,599
$1,142,942,492
$3,383,936 $4,362,733 55,025,478 $8,480326 $8,652.357 $5,052,629 $1 1,163,898 $5,282,541 $7.274.478 $3,978.547
$62,656,923
$1,205,599,415
FTE
$36.668
$37,142 $25,148 $30,857 $22,661 $45,946 $35,643 $40,666 $34,534 $36,747 $36,071 $38,682 $23,011 $26,597 $34.845 $2 7,3 9 7 $24,184 $37,731
$52,651 $41,087 $29,127 $38,581 $45,523 $30,433 $33,674 $28.436 $38.131 $23,347 $27,949 $31,324 $34,429 $33,805 $31,785 $35,382 $25,306 $23,182 $23.223 $35,920 $29,547 $36,747 $34,651 $40,829 $29,437 $35,744 $31,076 $36,657 $39,339 $3 4,2 6 2 $33,797 $35,326 $30,787 $36,685 $33,203
$34,747
$37,005
$26,977
$36,912
$30,095 $30,339 $39,696 $28,534 $35,504 $3 7,5 9 4 $26,405 $36,231 $34,330 $32,962
$31,979
$36,619
TOTAL FTEo
482.89 296.10 843.50 120.00 120.50 107.96
1.248.90 1.053.80 4.412.51 650.60 524.52 86.10 736.20 196.60 31 1.27 357.30 82.00 104.00 311.70 294.20 790.00 183.56
869.76 326.06 93.30 888.82 216.50 605.80 79.96 176.70 198.10 986.40 227.90 686.50 487.50 58.30 259.99 73.89 531.00 282.93 973.20 188.10
1,558.30 227.90 156.93 298.61 863.90
1.148.30 42.80 638.51
2,213.50 223.50
1,347.10 249.00
30,493.27
245.10
30,738.37
120.24 143.60 138.30 304.40 270.31 187.80 433.70 144.90 226.00 129.00
2,098.25
32,836.62
AVERAGE TOTAL WAGES 6 WAGE 6
SALARIES SALARY PER
$16.804.663 $8.203.976 $29,960,558 $2,895,788 $3,939,859 $2,214,829 $55,885,800 $38,020.070 $1 74,513,942 $21,107.587 $19,441,756 $2,874.833 $27,920.487 $4,215,273 $8,019,216 $11,488,683 $2,402,413 $2,605,578 $10,458,610 $9,725,417 $40,002,463 $6,120,394
$33,344,385
$2,745,753 $1 2,284,141
$28,447,003 $7,152,413 $21,252,278
$4,900,760 $5,882,822 $32339,833 97,802,304 $22,315,032 $1 7,199.985 $1,046,782 $6,939,095 $1,640,307 $15,550,679 $7,976,426 $32,361,746 $6,545,928 $60,570,114 $7,072,695 $4,737,126 $8,771,792 $32,168,714 $43,554,528 $1,443,028 $22.463.081 $78,431,171 $6,955,141 $47,937,572
$1,799,455
$7,533,494
$1,089,987,778
57,754,632
$1,097,742,410
$3,641,764 $4,316,786 $4,192,762 $9,598.381 $10,507,025 $6,347,601
$1 1,717,709 $5,382,131 $6.805.941 $4,216,478
$66,726,578
$1.1 64,468,988
FTE
$34.800 $27,707 $35,519 $24,132 $32,696 $20,515
$36.079 $39,550 $32,443 $37,066
$37,925 $21,441 $25,763 $32,154 $29,298 $25,054 $33,553 $33,057 $50,636 $33,343
$38,337 $37,674 $29,429 $32,005 $33,037 $35,081 $22,504 $27.735 $29.696 $32,786 $34.236 $32,506 $35.282
$26,690 $22,199 $29,286 $28.192 $33,253 $34,800 $38,869 $31,034 $30,186 $29,375 $37,237 $37,930 $33,716 $35,180
$31 ,I 19 $35,586 $30.255
$44,748
$33.389
$17,955
$35,433
$35,745
$31,639
$35,712
$30,287 $30,061 $30,316 $31,532 $38.870 $33.800 $27,018 $37,144 $30,115 $32.686
$31,801
$35,463
TOTAL F W s
445.06 274.20 836.00 116.51 125.50 145.72
1,236.60 1,088.80 4.305.83 636.90 528.60 84.70 744.30 176.80 288.73 320.20 85.30 100.33 265.50 329.10 668.10 179.80
909.56 241.84 88.60 941.40 235.30 555.80 79.27 170.20 193.80 934.70 215.40 765.70 503.10
232.50 73.90 662.20 290.84
1,015.80 216.30
1.552.40 233.60 167.87 278.32 879.20
1,157.30 41.16 673.62
2,295.40 232.48
1,219.40 233.40
30,272.94
232.10
30,505.04
128.20 153.50 123.70 329.10 249.01 218.30
135.70 233.80 134.00
1,705.31
32,210.35
AVERAGE TOTAL WAGES 6 WAGE 6
SALARIES SALARY PER
$1 5.61 5,743 $7,071,392 $27,151,622 $2.743,851 $4,115,472 $3.1 46,360
$52,510,655 $37690,854 $164,280,969 $20,331,702 $18,050,394 $2,662,134 $27,080,781 $3,820,068 $7,193,729 $1 1,943,366 $2,370,921 $2,406,169 $8,888,099 $9,881,909 $23,022,088 $4.786.716
$33,602.865 $10,205,339 $2,496.167 $31,239,266 $1 $6,374,263 8,420.276
$4,626,431 $1,736,120
$5,567,532 $29,701,089 $7,749,726 $24,405,039 $17,046,455
$6,563,822 $1,789,537 $22,340,366 $8,017,976 $32,147.700 $7,026,392 $57,802.688 $7,276,298 $3,913,928 58,054,631 $30,609,118 $43,789,725 $1,125,057 $22,635,539 $78,708.713 $6,731,372 $42,743,506 $6,910.118
$1,038,122,090
$7,470,299
$1,045,592,389
53,920,908 $4,102,554 $3,891.419 $8,976.436 $9,539,619 $7,172,752
$5,495,153 $6,718.698 $4,653,009
$54,470,548
$l,lOO,O62,937
FTE
$35.087 $25.789 $32,478 $23.550 $32,793 $21,592 $42,464 $34,617 $38,153 $31,923 $34,148 $31,430 $3 6,3 8 4 $21,607 $24,915 $37,300 $27,795 $23,983 $33,477 $30,027 $34,459 $26,622
$36,944 $42,199 $28,173
$27,090 $33,142
$27,182 $28,728 $31.776 $35,976 $31,873
$33,184
$21,900
$33.883
$28,231 $24,216 $33,737 $27,568 $31,648 $32,484 $37,234 $31,149 $23,315 $28.940 $34,815
$27,334 $33,603 $34,290 $28.955 $35,053 $29,606
$3 7.8 3 8
$34,292
$32.186
$34,276
$30,564 $26,727 $31,459 $27,276 $38.310 $32.857
$40,495 $28.737 $34,724
$31,942
$34,152
54
West Virginia Health Care Cost Review Authority
COMPARISON OF TOTAL FULL TIME EQUIVALENT'S (FTE's) AND TOTAL WAGES AND SALARIES (INCLUDING BENEFITS) FOR ALL HOSPITALS, FY1994-1996
BY TYPE OF OWNERSHIP li BED SIZE GROUP
I
AVERAGE
WAGE (i SALARY PER FTE
LICENSED
BEDS
370 919 625 3 75 440 375 350
173 265 293 260 139 268 136 114 132 234 228 211 233 109 294 240 277
38 40 72 65 19 82 74 19 99 60 27 76 21 80 95 26 70 95 6
68
0 35
122 47 91 63 68
275 200 79 76
9,248
124
9,372
70 80 40 90 80
165 I50 40 40 40
795
10.167
AVERAGE AVERAGE
WAGE li SALARY PER FTE
TOTAL
WAGES li SALARIES
TOTAL
WAGES 6 SALARIES
TOTAL
WAGES 6 SALARIES
HOSPITALTYPE AND NAME
Non-Profit Hospitals with more than 3W beds
Camden-Clark Memorial Hospital Charleston Area Medical Center Ohio Valley Medical Center SI. Joseph's Hospiial - Parkersburg St. Mary's Hospltal Unlted Hospital Center West Virginia Uniersny Hospitals, Inc
TOTAL FTES
1.001 10 4,499 02
966.30 852 10
1,576 90 1,180 20 2.307.20
12,382.82
532 60 829 40
1.286.70 669 00 541 72 728 00 183 80 273 90 822 13 896 32 61300 954.42 470 00 311 90 888 30 695 06
1.371 60
12,067.85
113.13 12380 143.90 31307 10500 284 73 19280 64 50
274 00 104.40 84.23
18550 60 20
260 49 285 50 80 60
251 60 15699 49 60
240 10
3,374.14
79 30 322.20 106 60 260 00 178 40 252 70 693 20 510 80 19470 254 60
2,852.50
30.677.31
286.30
30.963.61
11244 143.80 126 60 297 20 243 70 13440 422 80 145 80 21 1.90 12070
1.959.34
32,922.95
WAGE b SALARY PER FTE
TOTAL FTE's
1,053 80 4,412 51
888 82 973.20
1.558 30 1.14830 2.213 50
12,248.43
482 89 843 50
1.248 90 650 60 524.52 736 20 19660 294 20 790 00 869 76 605 80 986 40 487.50 298 61 863 90 638 51
1.347.1 0
11,864.99
12000 12050 107.96 311 27 82 00
311 70 183 56
326 06 93 30 79 96
19810 58 30
259 99 282 93 73 89
227 90 156.93 42.80
223 50
3,260.65
296.10 86 10
357 30 104.00 216.50 17670 227.90 686.50 531.00 188.10 249 00
3,119.20
30,49327
245 10
30.738.37
120.24 143 60 138.30 304 40 270 31 18780 433 70 144 90 226 00 129 00
2,098.25
32,836.62
TOTAL FTE's
1,088 80 4,305 83
941 40 1,015.80 1,552 40 1 .I 57.30 2,295.40
12,356.93
445.06 836 00
1,236.60 636.90 528 60 744 30 176 80 329 10 668 10 909 56 555 80 934.70 503 10 278 32 879.20 673 62
1,21940
11,555.16
116.51 125.50 145.72 288.73 85.30
265 50 179.80
241 84 88 60 79.27
193 80
232 50 290 84 73 90
233 60 167.87 41.16
232 48
3,082.92
274 20 84.70
320 20 10033 235 30 17020 21 5 40 765 70 662 20 21630 233.40
3,277.93
30,27234
232 10
30,505.04
128 20 15350 123.70 329.10 249.01 218.30
135.70 233 80 134.00
1.705.31
32,210.35
$35,682,266
$32,539,036 $31,312,334 $64,383,998 $46,427,809 $81 ,5041 81
$475,806,957
$1 83,957,333 $35,643 $40.888 $33,674 $36,747 $40,829 $39,339 $35,326
$38,425
$38,020.070 $174,513,942 $28.447.003 $32,361,746 $60.570.l14 $43,554,528 $78,431,171
5455,898,574
$36,079 $39,550 $32,005 $33,253 $38,869 $37,930 $35,433
$37.221
$37,690,854 $1 64,280,989 $31,239,268 $32,147,700 $57,802,688 $43,789,725 $78,708.713
5445,659,937
$34,617 $38,153 $33.184 $31.648 $37,234 $37,838 $34.290
$36,066
Non-Profit Hospitals with 1 W3W b d s
Beckley Appalachian Regional Hosphal Bluefield Regional Medical Center Cabell Huntington Hospital Clty Hospital. Inc Davis Memorial Hospital, Inc. Fairmont General Hospital Graflon C i y Hospital Jefferson Memorial Hospltal Logan General Hospital Monongalia General Hospiial Pleasant Valley Hospital Princeton Community Hospital Reynolds Memorial Hospital Summersville Memorial HosDital Thomas Memorial Hospital Weirton Medical Center Wheeling Hospital
$19,529,535 $30,805.327 $59,118,402 $23,103,522 $19,906,463 $28,160,376 $4,229,485 $9.51 7.1 64
$43,286,348 $34,581,241 $23,374,454 $32,859,487 $16,629,531 $9 692 597
$36,668 $37,142 $45,946
$36,747 $38.682 $23.01 1 $34,747 $52,651 $38,581 $38.131 $34,429 $35,382 $31,076 $36.657
$36,685
$38,214
$34,534
$33,797
616,804,663 $29,960,558 $55,885,800 $21,107,587 $1 9,441,756 $27,920,487 $4,215,273 $9,725,417
$40,002,463 $33,344,385 $21,252,278 $32,339,833 $17,199,985 $8,771,792
$32.1 68,714 $22,463,081 $47,937.572
5440,541,644
$34.800 $35 519
$1 5.61 5,743 $27,151,622 $52,510,655 $20,331,702 $1 8,050,394 $27,080,781 $3,820,068
523,022,088 $33,602,865
$1 8,420,276 $29.701.089 317,046,455 $8,054,631
$30,609.118 $22,635,539 $42,743.506
5400,278,441
$9,881,904
$35,087 $32,478 $42,464 $31,923 $34.148 $36,384 $21,607 $30,027 $34,459 $36,944 $33.142 $31,776 $33,883 $28,940 $34,815 $33,603 $35,053
$34,641
544:748 $32,443 $37,066 $37,925 $21,441 $33,057 $50,636 $38.337 $35.081 $32,786 $35.282 $29,375 $37,237 $35,180 $35.586
$37,130
$24,132 $32,696 $20,515 $25,763 $29,298 $33,553 $33,343
$37,674 $29.429 $22,504 $29,696 $17 955
~
$32,562,390 $23,490,717 $50,317,237
5461,164,276
Non-Profit Hospitals with fewer than 1W beds
Boom! Memorial Hcspdal Braxion County Memorial Hospital Broaddus Hosptal Association Grant Memorial Hospital Guyan Valley Hospital Jackson General Hospital Man Appalachian Regional Hospial Minnie Hamilton Health Care Center Montgomery General Hospital Morgan County War Memorial Hospital Pocahontas Memorial Hospital Preston Memorial Hospnal Richwood Area Medical Center Roane General Hospltal St. Joseph's Hospital. Buckhannon Sistersville General Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Websler County Memorial Hospital Wetzel County Hospital Association
$2,845,024 $3,820,048 $3,260.908 $8,326,575 $2,876,690
$1 0.743.1 05 $7,921,601
$12,473,430 $3,177,183 $1,966,559 $5,810,603 $1,523,448 $6,038,559 $8,435,568 $1,871,743 $7,406,360 $5.61 1,522 $1,699,394 $7,391,942
$1 05,078,980
$1.878.71 8
$25.148 $30.857 $22.661 $2 6.5 9 7 $27.397 $37.731 $41,087 $29.127
$2.a95.788 $3,939,859 $2,214.829 $8,019,216 $2.402.413
$1 0.458.61 0 $6,120,394
$1 2,284.1 41 $2,745.753 $1,799,455 $5,882,822 $1,046,782 $6,939.095 $7,976.426 $1,640.307 $7,072,695 54,737. I26 $1,443,028 $6,955.141
$96,573,880
$2,743,851 $4,115,472 $3,146,360 $7,193,729 $2,370,921
$4,786,716
$10,205,339 $2,496,167 $1,736,120 $5,567,532
$6,563,822 $8,017,976 $1,789,537 $7,276.298 $3,913,928 $1,125,057 $6,731,372
$8,888,099
588,668,296
$23,550 $32,793 $21,592 $24,915 $27,795 $33,477 $26,622
$42,199 $28,173 $21,900 $28,728
$45,523 $30,433 $23,347 $31,324 $25,306 $23,182 $29,547 $23,223 $29,437 $35,744 $34,262 $30,787
$31,142
$26:690 $28,192 $22,199 $31,034 $30,186 $33,716 $31 .I 19
628.231 $27,568 $24,216 $31,149 $23.315 $27.334 $28.955
$29,618 $28,761
Proprietary Hospitals
Beckley Hospital, Inc. Eye & Ear Clinic of Charleston. Inc Greenbrier Valley Medical Center Hampshire Memorial Hospilal Plateau Medical Cenlar
$8,203,976 $2,874,833
$1 1,488,683 $2,605,578 $7,152.41 3 $4,900,760 $7.802.304
$22,315,032 $15,550,679 $6.545.928 37,533,494
$27,707 $33,389 $32,154 $25,054 $33,037 $27,735 $34,236 $32,506 $29.286 $34,800 $30,255
$7,071,392 $2,662,134
$1 1,943,366 $2,406,189 $6,374,283 $d 676 431
$2 5.7 8 9 $31.430 $37,300 $23.983 $27.090 $27.182 $3 5.9 7 8 $31,873 $33,737 $32,484 $29,606
92,860,415 $11,227,010
$2,577,981 57,393,488 $4,986.1 80 $8,542,634
$22,033,236 $18,347,780 $6,746,483 $8.453.473
$36,071 $34,845 $24.184 $28.436 $27,949 $33.805
$35,920 $34,651 $33,203
$31,785
. . ~ ~ Potomac Vallev Hospital Putnam General Hospnal Raleigh Gsneral Hospnai SI Francis Hospnal St. Luke's Hosphal Williamson Memorial Hospital
$7.749:726 $24,405,039 $22,340,366 $7.026.392 $6.~10.118
$103,515,416 $93,168,680 $32,662
537,W5
$26.977
$36,912
$30,095 $30.339 $39,696 $28.534 $35,504 $37.594 $26.405 $36.231 $34.330 $32.962
$96,973,680 $31,089
535,745
$3 1,639
$35,712
$30.287 $30,061 $30,316 $31,532 $38,870 $33,800 $27.018 $37.144 $30,115 $32.686
$31.580
$34,292
$32.188
$34.276
$26.727 $31.459 $27.278 $38.310 $32.857
$40,495 $28.737 $34,724
$31,942
$34,152
SUBTOTAL: GENERAL ACUTE CARE HOSPITALS (EXCLUDING WELCH)
We,ch Ernerqencv hoSDlal
$1,135,218,893
$7.723.599
$1,142,942,492
51,038,122,090
$7.470.299
s i ,089,987,778
57,754,632
$1,097.742.410 TOTAL: GENERAL ACUTE CARE HOSPITALS $1.045.592.389
$3,920,908 $4.102.554 $3,891.41 9 $8.976.436 $9.539.619 $7.172.752
Chestnut Ridqe HOSDital Hiqhland Hospltal Huntinston Rehabilitation Hospital Huntinuton State Hosoital MaunlainView Reqional Rehabilitation River Park Hospital Shame HOSDRA Southern Hills Regional Rehab Hownal West Viruinia Rehabilitation Center Western Hills Reqional Rehab Hospital
$3.383.936 $4,362,733 95,025,478 $8 480 326
$3,641,764 $4316.786 $4.1 92,762 $9 598 381
98k2.357 $5,052,629
$11.163.898 $5,282,541 $7.274.478 $3,978,547
$62.656.923
$1,205,599,415
$10,507,025 $6,347,601
$1 1.717.709 $5.382.131 $6,805,941 $4.216.478
$5,495,153 $6,718,698 $4,853,009
TOTAL: PSYCHIATRIC AN0 REHAB HOSPITALS $31,979
$36,619
566,726,578
$1,164,468,988
$31.801
$35,463
$54.470.548
$1,100.062,937 TOTAL ALL HOSPITALS
55
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Two tables represent a statement of operations. The first is a composite report for general acute care hospitals; the second reports the same information in detail for all hospitals alphabetically, and the third by type of ownership and bed size group. The fourth and fifth tables show the rate of return for all hospitals. The net rate of return, calculated by dividing the EROE by the net patient revenue, for acute care hospitals was 5.84% compared to 4.50% in 1995. This profit came from the operating and nonoperating revenues and was broken down as follows:
0 t her 0 per at i ng/ Nonoperating Total Profit
- FY Net ODeratina Maruin** Revenue Marain*** Marain
96 1.68% 4.1 6% 5.84%
95 1.09% 3.41 Yo 4.50%
94 (.76)% 3.36% 3.20%
**Net Operating Margin -
Is determined from the gross patient revenue minus contractual allowances, uncompensated care, other discounts and operating expenses. The HCCRA sets rates that determine the operating margin.
***Other Operating/Nonoperating Revenue Margin -
Is determined from nonpatient related activities (e.g. investment income, cafeteria sales, etc.)
The sixth and seventh tables display gross inpatient and outpatient revenue. The data contained here are derived from the Uniform Report submitted to the Authority by each West Virginia hospital for its fiscal year ending in 1996. The inpatient and outpatient gross patient revenue were taken from Worksheet 8 (Gross Patient Revenue By Payor) as reported by the hospitals. Due to variances in the way some hospitals dealt with such items as professional fees, the revenue on Worksheet 8 may not include all patient revenues and therefore may not equal the total revenue reported on Worksheet 9. Consequently, minor variances in the total gross patient revenue for each payor may occur and may not match the amounts provided in previous reports.
Roughly 63% of gross patient revenue was from inpatient services at general acute care hospitals, while virtually all (95%) is inpatient at freestanding psychiatric and rehabilitation hospitals. Overall, 64% of gross patient revenue is inpatient.
56
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West Virginia Health Care Cost Review Authority
COMPOSITE STATEMENT OF OPERATIONS FOR ALL GENERAL ACUTE CARE HOSPITALS, FY1996 (INCLUDING WELCH EMERGENCY)
CATEGORY
Gross Patient Revenue Contractual Allowances Bad Debt Charity Care
NET PATIENT REVENUE
Operating Expenses Other Revenue
EXCESSREVENUEOVEREXPENSES
57
1996
$3,452,203,346 $998,479,015 $1 22,211,304 $74,908,806
$2,256,604,22 1
$2,225,145,546 $98,496,884
$1 29,955,559
West Virginia Health Care Cost Review Authority
STATEMENT OF OPERATIONS FOR ALL HOSPITALS, FY1996
ALPHABETICAL ORDER
HOSPITAL TYPE AND NAME
Beckley Appalachian Regional Hospital Beckley Hospital, Inc. Bluefield Regional Medical Center Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Cabell Huntington Hospital Camden-Clark Memorial Hospital Charleston Area Medical Center City Hospital, Inc. Davis Memorial Hospital, Inc. Eye & Ear Clinic of Charleston, Inc. Fairmont General Hospital Grafton City Hospital Grant Memorial Hospital Greenbrier Valley Medical Center Guyan Valley Hospital Hampshire Memorial Hospital Jackson General Hospital Jefferson Memorial Hospital Logan General Hospital Man Appalachian Regional Hospital Minnie Hamilton Health Care Center Monongalia General Hospital Montgomery General Hospital Morgan County War Memorial Hospital Ohio Valley Medical Center Plateau Medical Center Pleasant Valley Hospital Pocahontas Memorial Hospital Potomac Valley Hospital Preston Memorial Hospital Princeton Community Hospital Putnam General Hospital Raleigh General Hospital Reynolds Memorial Hospital Richwood Area Community Hospital Roane General Hospital St. Francis Hospital St. Joseph's Hospital - Buckhannon St. Joseph's Hospital - Parkersburg St. Luke's Hospital St. Mary's Hospital Sistersville General Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Summersville Memorial Hospital Thomas Memorial Hospital United Hospital Center Webster County Memorial Hospital Weirton Medical Center West Virginia University Hospitals, Inc. Wetzel County Hospital Association Wheeling Hospital Williamson Memorial Hospital
SUBTOTAL: GENERAL ACUTE CARE HOSPITALS (EXCLUDING WELCH)
Welch Emergency Hospital
TOTAL GENERAL ACUTE CARE HOSPITALS
Chestnut Ridge Hospital Highland Hospital Huntinqton Rehabilitation Hospital Huntington State Hospitaf Mountainview Reqional Rehabilitation River Park Hospital Sharpe Hospital Southern Hills Regional Rehab. Hospital West Virqinia Rehabilitation Center Western Hills Regional Rehab. Hospital
TOTAL PSYCHIATRIC AND REHAB HOSPITALS
TOTAL: ALL HOSPITALS
LICENSED - BEDS
173
265 38 40 72
293 370 91 9 260 139 35
268 136 65
122 19 47 82
114 132 74 19
234 99 60
625 91
228 27 63 76
21 1 68
275 233 21 80
200 95
375 79
440 26 70 95
109 294 375
6 240 350 68
277 76
9,248
124
9,372
70 80 40 90 80
165 150 40 40 40
795
10,167
GROSS PATIENT
REVENUE
$58,358,107
$101,813,812 $8,767,841 $9,462,504 $6,996,846
$1 32,247,980 $1 10,772,469 $547,913,930 $63,507,663 $68,085,654 $8,208,348
$81,887,326 $1 1,229,356 $23,116,373 $50,631,348 $7,062,366 $9,506,805
$23,617,236 $21,721,598
$129,379,415 $21,069,668
$1 06,l 90,1 81 $32,377,162 $9,443.284
$1 06,262,503 $30,532,886 $59,656,421 $6,416,255
$1 6,044,006 $1 7,219,109 $98,273,181 $40,169,032
$114,671,103 $36,285,122 $4,933,550
$1 6,167,039 $82,617.768 $27,714,711 $89,965,380 $27,039,364
$177,317,801 $5,305,278
$25,906,263 $1 1,443,015 $26,080,808
$1 06,993,610 $133,163,459
$3,750,283 $64,559,395
$244,191,049 $21,152,671
$1 51,027,642 $36,001,678
$3,435,355
$3,427,663,009
$24,540,337
$3,452,203,346
$1 5,620,l 47 $10,548,428 $13,020,625 $1 0,753,254 $32,528,360 $20,903,013 $33,468,558 $21,270,248 $51 07,098
$15,954,824
$1 79,174,555
$3,631,377,901
CONTRACTUAL ALLOWANCE
$20,718,499
$37,198,770 $3,098,891 $1,958,910 $1,322,585
$25,673,554 $33,025,864
$122,483,781 $12,487,173 $22,524,389 $2,791,620
$29,830,1 11 $1,681,038 $5,896,043
$15,892,586 $1,993,028 $3,016,725 $5,367,546 $3,785,772
$55,61 2,496 $7,088,815
($10,046) $26,232,371
$2,401,564 $38,945,093 $12,224,000 $20,195,600 $2,205,253 $4,017,844 $5,869,576
$34,060,262 $14,822,115 $45,493,290 $9,624,164 $2,393,767 $4,954,832
$29,906,621 $7,964,890
$24,379,530 $9,814,167
$39,153,782
$7,647,029 $3,251366 $6,629,562
$34,290,348 $33,078,407
$18,197,031 $59,200,570 $5,463,271
$48,259,095 $14,891,708
$9,831,814
$1,36a,397
($5,973)
$990,199,996
$8,279,019
$998,479,015
$5,915,464 $3,324,883 $3,476,493
$676,126 $10,762,888 $8,761,892
$30,482,739 $8,928.097
$861,464 $6,327,175
$79,517,221
$1,077,996,236
BAD DEBT
$2,0751 02
$3,865,019 $342,784
$1,150,723 $270,405
$5,035,494 $2,656,943
$1 9,103,559 $4,263,568 $2,680,422
$108,857 $3,769,500
$61 4,434 $1,263,897 $2,285,420
$503,626 $589,925
$1,038,403 $2,074,467 $5,359,025
$746,500 $378,553
$2,217,992 $1,428,844
$337,580 $3,287,710 $1,133,000 $3,450,495
$1 36,639 $774,803 $896,316
$4,094,624 $1,545,800 $2,072,532
$828,652 $96,961
$803,950 $1,130,792 $1,108,609 $2,039,614
$628,509 $5,870,582
$795,613 $272,015
$1 ,1 68,878 $3,683,497 $3,810,541
$367,111 $1,671,514
$963,179 $2,283,168
$61 9,020
$489,974
$9, ia3,aoo
$1 19,368,940
$2,842,364
$1 22.21 1,304
$270,050 $22,224 $49,000
$1,643,216 $45,708
$500,596 $0
$1 53,379 $397,385 $264,262
$3,345,820
$125,557,124
CHARITY CARE -
$821,976
$1,660,576 $115,117
$0 $100,907
$3,150,769 $1,876,047
$1 3,894,643 $370,414
$1,427,977 $34,326
$591,678 $360,083 $657,991
$6,462 $201 ,1 54 $342,307 $896,872
$343,911 $15,684
$1,345,322 $1,587,801
$1 58,977 $1,317,353
$360,000 $510,499
$57,506 $286,124 $485,997
$3,255,574 $1 13,903
$31,585
$1,883,859
$1,571,599 $544,478
$755 $285,275 $892,904
$1,094,963 $3,139,392
$17,241 $4,886,338
$66,579 $253,800 $296,372 $51 0,905
$3,383,816 $5,669,446
$366,304 $8,548,010
$632,491 $2,403,265
$1 37,647
$53,848
$73,018,822
$1,889.984
$74,908,806
$344,143 $21 9,366
$0 $6,032,922
$0 $18,837
$0 $0
$2,999,107 $0
$9,614,375
$84,523,181
NET PATIENT REVENUE
$34,742,530
$59,089,447 $5,211,049 $6,352,871 $5,302,949
$98,388,163 $73,213,615
$392,431,947 $46,386,508 $41,452,866 $5,273,545
$47,696,037 $8,573,801
$1 5,298,442 $32,421,757 $4,559,250 $5,699,001
$16,868,980 $14,964,487 $66,524,035 $1 2,890,442 $3,051,164
$76,394,496 $19,528,703 $6,545,163
$62,712,347 $16,815,886 $35,499,827 $4,016,857
$10,965,235 $9,967,220
$56,862,721 $23,687,214 $65,533,682 $25,287,828 $2,442,067
$10,122,982 $50,687,451 $17,546,249 $60,406,844 $1 6,579,447
$1 27,407,099 $3,380,328
$17,209,821 $7,622,762
$17,771,463 $65,635,949 $90,605,065 $3,335,297
$44,324,546 $1 67,258,669 $14,093,730 $98,082,114 $20,353,303
$2,245,075,251
$1 1,528,970
$2,256,604,221
$9,090,490 $6,981,955 $9,495,132 $2,400,990
$21.71 9,764 $1 1,621,688 $2,985,819
$1 2,188,772 $849,142
$9,363,387
$86,697,139
$2,343,301,360
58
West Virginia Health Care Cost Review Authority
STATEMENT OF OPERATIONS FOR ALL HOSPITALS, FYI996
ALPHABETICAL ORDER
HOSPITAL TYPE AND NAME
Beckley Appalachian Regional Hospital Beckley Hospital, Inc. Bluefield Regional Medical Center Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Cabell Huntington Hospital Camden-Clark Memorial Hospital Charleston Area Medical Center City Hospital, Inc. Davis Memorial Hospital, Inc. Eye & Ear Clinic of Charleston, Inc. Fairmont General Hospital Grafton City Hospital Grant Memorial Hospital Greenbrier Valley Medical Center Guyan Valley Hospital Hampshire Memorial Hospital Jackson General Hospital Jefferson Memorial Hospital Logan General Hospital Man Appalachian Regional Hospital Minnie Hamilton Health Care Center Monongalia General Hospital Montgomery General Hospital Morgan County War Memorial Hospital Ohio Valley Medical Center Plateau Medical Center Pleasant Valley Hospital Pocahontas Memorial Hospital Potomac Valley Hospital Preston Memorial Hospital Princeton Community Hospital Putnam General Hospital Raleigh General Hospital Reynolds Memorial Hospital Richwood Area Community Hospital Roane General Hospital Sistersville General Hospital St. Francis Hospital St. Joseph's Hospital - Buckhannon St. Joseph's Hospital - Parkersburg St. Luke's Hospital St. Mary's Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Summersville Memorial Hospital Thomas Memorial Hospital United Hospital Center Webster County Memorial Hospital Weirton Medical Center West Virginia University Hospitals, Inc. Wetzel County Hospital Association Wheeling Hospital Williamson Memorial Hospital
SUBTOTAL: GENERAL ACUTE CARE HOSPITALS (EXCLUDING WELCH)
Welch Emergency Hospital
TOTAL: GENERAL ACUTE CARE HOSPITALS
Chestnut Ridqe Hospital Hiqhland Hospital Huntinqton Rehabilitation Hospital Huntington State Hospital Mountainview Regional Rehabilitation River Park Hospital Sharpe Hospital Southern Hills Reqional Rehab. Hospital West Virqinia Rehabilitation Center Western Hills Reqional Rehab. Hospital
TOTAL: PSYCHIATRIC AND REHAB HOSPITALS
TOTAL: ALL HOSPITALS
NET PATIENT REVENUE
$34,742,530
$59,089,447 $5,211,049 $6,352,871 $5,302,949
$98,388,163 $73,213,615
$392,431,947 $46,386,508 $41,452,866 $5,273,545
$47,696,037 $8,573 ,EO 1
$15,298,442 $32,421,757 $4,559,250 $5,699,001
$1 6,868,980 $1 4,964,487 $66,524,035 $12,890,442 $3,051,164
$76,394,496 $19,528,703 $6,545,163
$62,712,347 $1 6,815,886 $35,499,827 $4,016,857
$10,965,235 $9,967,220
$56,862,721 $23,687,214 $65,533,682 $25,287,828 $2,442,067
$10,122,982 $3,380,328
$50,687,451 $1 7,546,249 $60,406,844 $1 6,579,447
$1 27,407,099 $1 7,209,821 $7,622,762
$17,771,463 $65,635,949 $90,605,065 $3,335,297
$44,324,546 $167,258,669 $14,093,730 $98,082.1 14 $20,353,303
$2,245,075,251
$11,528,970
$2,256,604,221
$9,090,490 $6,981,955 $9,495,132 $2,400,990
$21,719,764 $1 1,621,688 $2,985,819
$1 2,188,772 $849,142
$9,363,387
$86,697.139
$2,343,301,360
OPERATING EXPENSES
$34,139,468
$57,821,287 $5,596,887 $6,500,174 $5,741,969
$98,966,524 $67,861,993
$391,578,442 $45,497,424 $40,676,666 $5,869,022
$46,609,760 $8,527,428
$15,128,883 $29,559,311 $4,382,469 $5,790,857
$1 821 3,554 $16,727,222 $69,252,486 $1 4,554,958 $3,536,207
$70,757,631 $21,795,362 $6,391,587
$65,215,745 $16,317,001 $37,418,466 $3,834,858
$1 1,137,531 $1 0,890,070 $57,188,049
$59,288,285 $26,828,009 $3,008,991
$1 0,959,432 $3,372,823
$45,437,169 $17,379,592 $57,591,614 $1 6,350,161
$1 19,900,500 $14,750,423 $9,338,607
$17,808,200 $58,935,812 $86,287,353 $2,855,516
$42,480,729 $1 72,457,174 $14,697,879 $96,077,163 $16,358,342
$21,799,999
$2,207,443,064
$1 7,702,482
$2,225,145,546
$8,392,618 $6,795,912 $8,500,394
$10,546,867 $18,156,745 $11,133,808 $20,264,094 $9,128,594 $9,792,494 $8,865,920
$1 11,577,446
$2,336,722,992
59
NET OPERATING REVENUE
$603,062
$1,268,160 ($385,838) ($147,303) ($439,020) ($578,361)
$5,351,622 $853,505 $889,084 $776,200
$1,086,277 $46,373
$169,559 $2,862,446
$1 76,781 ($91,856)
($1,344,574) ($1,762,735) ($2,728,451) ($1,664,516)
($485,043) $5,636,865 ($2,266,659)
$1 53,576 ($2,503,398)
$498,885 ($1,918,639)
$181,999 ($1 72,296) ($922,850) ($325,328)
$1,887,215 $6,245,397
($1,540,181) ($566,924) ($836,450)
$7,505 $5,250,282
$1 66,657 $2,815,230
$229,286 $7,506,599 $2,459,398
($1.71 5,845) ($36,737)
$6,700,137 $4,317,712
$479,781 $1,843,817
($5,198,505) ($604,149)
$2,004,951 $3,994,961
($595,477)
$37,632,187
($6,173,512)
$31,458,675
$697,872 $186,043 $994,738
($8,145,877) $3,563,019
$487,880 ($1 7,278,275)
$3,060,178 ($8,943,352)
$497.467
($24,880,307)
$6.578.368
OTHER REVENUE
$665,477
$1,891,338 $474,198 $709,045 $157,116
$3,838,852 $2,031 ,El 1
$1 1,173,296 $2,198,790 $1,916,946
$598,917
$378,592 $887,335 $299,351 $39,530
$1 18,263 $249,241 $945,763
$3,086,736 $322,559 $354,769
$5,083,350 $635,083
$0 $2,624,992
$463,551 $485,078 $76,429
$1 28,836 $31 2,780
$3,987,120 $776,000 $389,231
$1,754,389 $323,623 $710,131 $164,825 $433,546 $871,860
$1,659,452 $69,991
$5,557,727 $743,634 $414,724 $112,600
$0 $5,583,513
$130,837 $2,452,849
$15,309,629 $779,073
$9,082,249 $1 20,702
$0
$93,575,729
$4,921 ,I 55
$98,496,884
$70,317 $34,935
$1,386,562 $0
$1 28,883 $65,430
$347,786 $46,920
$9,024,028 $98,542
$1 1,203,403
$1 09,700,287
(EROE) EXCESSREVENUE OVER EXPENSES
$1,268,539
$3,159,498 $88,360
$561,742 ($281,904)
$3,260,49 1 $7,383,433
$12,026,801 $3,087,874 $2,693,146
$3,440 $1,086,277
$424,965 $1,056,894 $3,161,797
$216,311 $26,407
($1,095,333) ($81 6,972) $358,285
($1,341,957) ($130,274)
$10,720,215 ($1,631,576)
$153,576 $1 21,594 $962,436
($1,433,561) $258,428 ($43,460)
($610,070) $3,661,792 $2,663,215 $6,634,628
$214,208 ($243,301) ($1 2631 9) $172,330
$5,683,828 $1,038,517 $4,474,682
$299,277 $13,064,326 $3,203,032
($1,301,121) $75,863
$6,700,137 $9,901,225
$610,618 $4,296,666
$1 0,111,124 $174,924
$1 1,087,200 $4,115,663
$1 31,207,916
($1,252,357)
$1 29,955,559
$768,189 $220,978
$2,381,300 ($8,145,877) $3,691,902
$553,310 ($1 6,930,489)
$3,107,098 $80,676
$596,009
($1 3,676,9041
$116,278,655
West Virginia Health Care Cost Review Authority
STATEMENT OF OPERATIONS FOR ALL HOSPITALS, FY1996
BY TYPE OF OWNERSHIP a BED SIZE GROUP
GROSS PATIENT REVENUE
NET PATIENT REVENUE
$73,213,615 $392,431,947 $62.71 2,347 $60,406,644 $127,407,099 $90,605,065 $1 67,258.669
$974,035,586
$34,742,530 $59,089,447 $98,388,163 $46,386,508 $41,452,866 $47,696,037 $8.573.801 $14.964.487 $66,524,035 $76,394,496 $35,499,627 $56,662,721 $25,287.826 $1 7,771,463 $65,635,949 $44,324.546 $98,082.1 14
$837,676,818
$521 1,049 $6,352.871 $5,302.949 $15,298,442 $4,559,250 $16,868,980 $1 2,890,442 $3,051 ,I 64 $19,528,703 $6,545.1 63 $4,016.857 $9,967,220 $2,442,067 $1 0,122,962 $17,546,249 $3,360,328 $17,209,821 $7,622,762 $3,335,297 $14,093,730
$1 85,346,326
$5,273.545 $32,421,757 $5.699.001 $16,815,886 $10,965,235 $23.687214 $65.533.682 $50.687.451 $16.579.447 $20,353,303
$248.01 6,521
$2,245,075,251
$1 1,526,970
$2,256.604.221
$9,090,490 $6.981.955 $9,495.1 32 $2.400.990 $21.719.764 $1 1,621,688 $2.985.819
$1 2.1 88.772 $849.142
$9.363.387
$86.697.139
$2,343,301,360
LICENSED
370 919 625 375 440 375 350
173 265 293 260 139 268 136 114 132 234 226 21 1 233 109 294 240 277
38 40 72 65 19 82 74 19 99 60 27 76 21 80 95 26 70 95 6
68
35 122 47 91 63 68 275 200 79 76
9,248
124
9.372
70 80 40 90 80 165 150 40 40 40
795
10.167
CHARITY CARE -
$1,876,047 $13,694,643 $1,317,353 $3,139,392 $4,886,338 $5,669,446 $8,548,010
$39,331,229
$821,976 $1,660,576 $3,150,769 $370,414
$1,427,977 $591,678 $360,063 $896.872
$1,863,859 $1,345,322 $51 0,499
$3,255,574 $544,478 $51 0,905
$3,383,816 $366,304
$2,403,265
$23,484,367
$115,117 $0
$100,907 $657,991 $6,462
$342,307 $343,911 $15.684
$1,587,801 $158,977 $57,506 $485,997
$755 $285,275
$1,094,963 $66.579 $253,800 $296,372 $53,846 $632,491
$6,556,743
$34.326 $31.565 $201,154 $360,000 $286.124 $1 13.903
$1,571,599 $892.904 $17.241 $137,647
$3,646,483
$73,018,822
$1.889.984
$74.908.806
$344.143 $219.366
$0 $6.032.922
$0 $18,637
$0 $0
$2,999,107 $0
$9.614.375
$84.523.1 81
CONTRACTUAL ALLOWANCE HOSPITAL TYPE AND NAME BAD DEBT
$2,656,943 $1 9,103,559 $3,287,710 $2,039,614 $5,670,582 $3,810,541 $9,183,800
$45,952,749
$2,075,102 $3.865.019 $5,035,494 $4,263,568 $2,680,422 $3.769.500 $614,434
$2,074,467 $5,359,025 $2,217,992 $3,450,495 $4,094,624 $828,652
$1,168,878 $3,683,497 $1,671,514 $2,283,166
$49,135,851
$342.784 $1,150,723 $270,405
$1,263.897 $503,626
$1,038,403 $746,500 $378.553
$1,428,844 $337,580 $136,639 $896,316 $96,961 $803.950
$1,108,609 $489.974 $795,613 $272,015 $367,111 $963,179
$1 3,391,682
$106.857 $2.285.420 $589.925
$1,133,000 $774.803
$1.545.800 $2,072,532 $1.130.792 $628.509 $619,020
$10,888,658
$1 19,368,940
$2.842.364
$1 22.21 1,304
$270,050 $22,224 $49.000
$1.643.216 $45,706 $500,596
$0 $153.379 $397.385 $264.262
$3345.820
$125,557,124
Non-Profit Hospitals with more than 300 beds
Camden-Clark Memorial Hospital Charleston Area Medical Center Ohio Valley Medical Center St. Joseph's Hospital - Parkersburg St. Mary's Hospital United Hospital Center West Virginia University Hospitals. Inc.
$1 10,772,469 $547.91 3.930 $1 06,262,503 $89,965,380 $177,317,801 $133,163,459 $244,191.049
$33,025,664 $122,483,781 $38,945,093 $24,379,530 $39,153,782 $33.078.407 $59,200,570
$350,267,027 $1,409,586,591 Non-Profit Hospitals with 100-300 beds
Beckley Appalachian Regional Hospital Bluefield Regional Medical Center Cabell Huntington Hospital City Hospital, Inc. Davis Memorial Hospital, Inc. Fairmont General Hospital Grafton City Hospital Jefferson Memorial Hospital Logan General Hospital Monongalia General Hospital Pleasant Valley Hospital Princeton Community Hospital Reynolds Memorial Hospital Summersviile Memorial Hosoifal Thomas Memorial Hospital Weirton Medical Center Wheeling Hospital
$58,358,107 $1 01 .81 3,812 $1 32.247.980 $63,507,663 $66,085,654 $81,887,326 $1 1,229,356 $21.721,596 $1 29,379,415 $106.190.181 $59,656,421 $98.273.181 $36285.122 $26,080.808 $1 06,993.61 0 $64,559,395 $151,027,642
$1,317,297,271
$20,718,499 $37,198,770 $25,673,554 $12,467,173 $22,524,389 $29,630,111 $1,681,038 $3,785,772 $55,612,496 $26,232,371 $20,195,600 $34,060,262 $9,624,164 $6,629.562 $34290,348 $1 8,l 97,031 $48,259.095
$407,000,235 Non-Profit Hospitals with fewer than 100 beds
Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Grant Memorial Hospital Guyan Valley Hospital Jackson General Hospital Man Appalachian Regional Hospial Minnie Hamilton Health Care Center Montgomery General Hospital Morgan County War Memorial Hospital Pocahontas Memorial Hospital Preston Memorial Hospital Richwood Area Medical Center Roane General Hospital St. Joseph's Hospital - Buckhannon Sistersville General Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Webster County Memorial Hospital Wetzel County Hospital Association
$8,767.841 $9,462,504 $6,996,846 523,l 16,373 $7,062,366 $23,617,236 $21,069,668 $3,435,355 $32.377.1 62 $9,443.284 $6,416,255 $17,219,109 $4,933,550 $1 6,167,039 $27,714,711 $5,305,278 $25,906,263 $1 1,443,015 $3.750.283 $21 ,I 52,671
$285,356,809
$3,098.891 $1,956,910 $1,322,585 $5,896.043 $1,993,028 $5,367,546 $7,088,815 ($10,046)
$9,831,814 $2,401,564 $2,205,253 $5.869.576 $2,393,767 $4,954,832 $7,964.890 $1,368,397 $7,647,029 $3,251,866
($5,9731 $5,463,271
$80,062,058 Proprietary Hospitals
Becklev Hospital. Inc. Eve 8 Ear Clinic of Charleston, Inc. Greenbrier Vallev Medical Center Hampshire Memorial HOSDital Plateau Medical Center Potomac Vallev Hospital Putnam General Hospital Raleiqh General Hospital St. Francis Hospital St. Luke's Hospital Williamson Memorial Hospital
$6,206,348 $50.631.348 $9.506.805 $30,532,886 $16,044,006 $40,169,032 $1 14,671,103 $82.617.768 $27.039.364
$2.791.620 $15.692.586 $3.016.725 $12,224,000 $4.017.644 $14.822.1 15 $45,493.290 $29.906.621 $9.814.167
$36,001,678
$41 5.422.338
$14,891,708
$1 52,870,676 SUBTOTAL: GENERAL ACUTE CARE HOSPITALS (EXCLUDING WELCH) $3,427,663,009
$24.540.337
$990,199,996
$8.279.01 9 Welch Emergency Hosdtal
TOTAL: GENERAL ACUTE CARE HOSPITALS
Chestnut Ridqe Hospital Highland Hospital Huntinqton Rehabilitation Hospital Huntinqton State Hospital Mountainview Regional Rehabilitation River Park Hospital Shame Hospital Southern Hills Reqional Rehab. HosDital West Virqinia Rehabilitation Center Western Hills Reaional Rehab. Hospital
$3.452.203.346
$1 5.620.147
$998.479.01 5
$5.915.464 $3,324,863 $3.476.493 $676.126
$10,762,888 $8,761,892 $30,482,739 $8.928.097 5861.464
$6.327.1 75 $15.954.824
$179,174,555
$3.631.377.901
60
TOTAL PSYCHIATRIC AND REHAB HOSPITALS $79.517.221
$1.077.996.236 TOTAL: ALL HOSPITALS
West Virginia Health Care Cost Review Authority
STATEMENT OF OPERATIONS FOR ALL HOSPITALS. FY1996
BY TYPE OF OWNERSHIP 8 BED SIZE GROUP
Non-Profit Hospitals with more than 300 beds
Camden-Clark Memorial Hospital Charleston Area Medical Center Ohio Valley Medical Center St. Joseph's Hospital - Parkersburg St. Mary's Hospital United Hospital Center West Virginia University Hospitals, Inc.
Non-Profit Hospitals with 100-300 beds
Beckley Appalachian Regional Hospital Bluefield Regional Medical Center Cabell Huntington Hospital City Hospital, Inc. Davis Memorial Hospital, Inc. Fairmont General Hospital Grafton City Hospital Jefferson Memorial Hospital Logan General Hospital Monongalia General Hospital Pleasant Valley Hospital Princeton Community Hospital Reynolds Memorial Hospital Summersviile Memorial Hospital Thomas Memorial Hospital Weirton Medical Center Wheeling Hospilal
Non-Profit Hospitals with fewer than 100 beds
Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Grant Memorial Hospital Guyan Valley Hospital Jackson General Hospital Man Appalachian Regional Hospial Minnie Hamilton Health Care Center Montgomery General Hospital Morgan County War Memorial Hospital Pocahontas Memorial Hospital Preston Memorial Hospital Richwood Area Medical Center Roane General Hospital St. Joseph's Hospital - Buckhannon Sistersville General Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Webster County Memorial Hospital Wetzel County Hospital Association
Proprietary Hospitals
Beckley Hospital, Inc. Eye & Ear Clinic of Charleston. Inc. Greenbrier Valley Medical Center Hampshire Memorial Hospital Plateau Medical Center Potomac Valley Hospital Putnam General Hospital Raleiah General Hospital St. Francis Hospital St. Luke's Hospital Williamson Memorial Hospital
SUBTOTAL: GENERAL ACUTE CARE HOSPITALS (EXCLUDING WELCH)
Welch Emergency Hospital
TOTAL: GENERAL ACUTE CARE HOSPITALS
Chestnut Ridge Hospital Hiahland Hospital Huntinqton Rehabilitation Hospital Huntinqton State Hospital MountainView Reqional Rehabilitation River Park Hospital Sharpe Hospital Southern Hills Reqional Rehab Hosuital West Virainia Rehabilitation Center Western Hills Reaional Rehab Hospital
TOTAL: PSYCHIATRIC AND REHAB HOSPITALS
TOTAL: ALL HOSPITALS
NET PATIENT
REVENUE
$73,213.615 $392,431,947 $62,712,347 $60,406.844 $1 27,407,099 $90,605,065 $1 67,258,669
$974,035,586
$34,742.530 $59,089,447 $98.388.163 $46.386.508 $41,452,866 $47.696.037 $8,573,801 $14,964,487 $66,524,035 $76,394.496 $35,499.827 $56,862,721 $25287,828 $1 7,771,463 $65,635,949 $44,324346 $98,082.1 14
$837,676,818
$5,211,049 $6,352,871 $5,302,949 $15298,442 $4559,250 $16,868,980 $12,890,442 $3,051 ,I 64 $19,528,703 $6.545.163 $4.016.857 $9,967,220 $2,442,067
$10,122,982 $17.546249 $3,380,328 $17,209,821 $7,622,762 $3,335,297 $14,093,730
$1 85,346,326
$5,273,545 $32,421,757 $5,699,001 $16,815,886 $10,965,235 $23,687.214 $65533.682 $50687,451 $16.579.447 $20,353.303
5248,016,521
$2.245.075.251
$1 1,528.970
$2.256.604.221
$9,090,490 $6,981.955 $9,495,132 $2,400,990 $21.719.764 $1 1,621,688 $2.985.819 $12,188,772
$849.142 $9.363.387
$86.697.139
$2,343,301,360
OPERATING EXPENSES
$67.861.993 $391,578,442 $65,215,745 $57,591,614 $1 19,900,500 $86,287,353 $1 72,457,174
$960,892,821
$34.139.468 $57,821,287 $98,966,524 $45.497.424 $40,676,666 $46,609,760 $8,527.428 $16,727,222 $69,252,486 $70.757.631 $37,418.466 $57,188,049 $26,828,009 $17,808,200 $58,935,812 $42.480.729 $96,077.163
$825,712,324
$5,596,887 $6.500.1 74 $5,741,969 $1 5,128,883 $4,382.469 $1 8,213,554 $14,554,958 $3,536,207 $21,795,362 $6,391,587
$10,890,070 $3,008,991
$10,959,432 $17,379,592 $3,372,823 $14,750,423 $9,338,607 $2,855316
$1 4,697,879
$1 92,930,241
$3,834,858
$5,869,022 $29,559.31 1 $5,790,857 $16,317,001 $1 1.137.531 $21,799,999 $59,288,285 $45.437.1 69 $1 6,350.1 61 $16.358.342
$227.907.678
$2.207.443.064
$17,702,482
$2.225.145.546
$8.392.618 $6,795,912 $8.500.394 $10,546,867 $1 8,156,745 $11.133.808 $20.264.094 $9.128594 $9,792,494 $8,865.920
$1 11.577.446
$2,336,722,992
61
NET OPERATING REVENUE
$5,351,622 $853,505
($2,503,398) $2,815,230 $7,506,599 $4,317,712 ($5.1 98.505)
$1 3,142,765
$603,062 $1,268,160 ($578.361) $889.084 $776,200
$1,086.277 $46,373
($1,762,735) ($2,728,451) $5.636.865 ($1,918,639) ($325,328)
($1,540,181) ($36.737)
$6,700,137 $1,843,817 $2.004.951
$1 1,964,494
($385.838) ($147,303) ($439.020) $169,559 $176.781
($1,664,516) ($485.043)
($2,266,659) $1 53,576 $181,999 ($922.850) ($566,924) ($836.450) $166.657 $7,505
$2.459.398 ($1,715.845) $479,781 ($604,149)
($7,583,915)
($1.344374)
($595,477) $2,862.446 ($91,856) $498.885 ($1 72.296) $1.887215 $6,245,397 $5.250.282 $229,286
$3,994,961
920,108,843
$37.632.187
($6,173.51 2)
$31.458.675
$697,872 $186,043 $994,738
($8,145,877) $3,563,019 $487.880
($1 7,278,275) $3,060,178 ($8,943,352) $497,467
($24.880.307)
$6,578,368
OTHER REVENUE
$2,031 ,81 1 $1 1,173,296 $2,624,992 $1,659,452 $5,557.727 $5,583,513 $1 5,309,629
$43,940,420
$665,477 $1,891,338 $3,838,852 $2,198.790 $1,916,946
$0 $378.592 $945,763
$3,086,736 $5,083.350 $485.078
$3.987.120 $1,754,389 $1 12,600
$0 $2,452,849 $9,082249
$37,880,129
$474,198 $709,045 $157,116 $887,335 $39,530 $249,241 $322.559 $354,769 $635,083
$0 $76,429 $312.780 $323,623 $71 0.131 $871,860 $164,825 $743,634 $414,724 $130,837 $779,073
$8,356,792
$598,917 $299.351 $1 18,263 $463,551 $128.836 $776,000 $389,231 $433,546 $69,991 $120.702
$3.398.388
$93,575,729
$4,921 ,I 55
$98.496.884
$70,317 $34.935
$1.386.562 $0
$128,883 $65,430 $347.786 $46.920
$9.024.028 $98.542
$11.203.403
$1 09,700,287
(EROE) EXCESSREVENUE OVEREXPENSES
$7.383.433 $12,026,801
$121,594 $4.474.682 $1 3,064,326 $9,901,225 $10,111,124
$57,083,185
$1,268,539 $3,159,498 $3,260,491 $3.087.874 $2,693,146 $1,086,277 $424,965 ($816,972) $358,285
$10,720,215 ($1,433,561) $3,661,792 $214,208 $75,863
$6,700,137 $4,296,666
$1 1.087.200
$49,844,623
$88,360 $561,742 ($281.904) $1,056.894 $21 6.31 1
($1,095.333) ($1,341,957) ($1 30.274)
($1,631,576) $153,576 $258.428 ($61 0.070) ($243,301) ($1 26.31 9) $1,038,517 $172,330
$3,203,032 ($1,301,121) $610,618 $174,924
$772,877
$3,440 $3,161.797
$26,407 $962,436
$2.663215 ($43,460)
$6.634.628 $5,683.828 $299,277
$4.1 15,663
$23,507,231
$1 31,207.916
($1,252,357)
$1 29.955.559
$768,189 $220.978
$2.381.300 ($8,145,877) $3,691.902 $553.31 0
($1 6,930.489) $3.107.098
$80.676 $596,009
1$13.676.904)
$1 16,278,655
West Virginia Health Care Cost Review Authority
RATE OF RETURN FOR ALL HOSPITALS, FY1996
ALPHABETICAL ORDER
HOSPITAL TYPE AND NAME
Beckley Appalachian Regional Hospital Beckley Hospital, Inc. Bluefield Regional Medical Center Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Cabell Huntington Hospital Camden-Clark Memorial Hospital Charleston Area Medical Center City Hospital, Inc. Davis Memorial Hospital, Inc. Eye & Ear Clinic of Charleston, Inc. Fairmont General Hospital Grafton City Hospital Grant Memorial Hospital Greenbrier Valley Medical Center Guyan Valley Hospital Hampshire Memorial Hospital Jackson General Hospital Jefferson Memorial Hospital Logan General Hospital Man Appalachian Regional Hospital Minnie Hamilton Health Care Center Monongalia General Hospital Montgomery General Hospital Morgan County War Memorial Hospital Ohio Valley Medical Center Plateau Medical Center Pleasant Valley Hospital Pocahontas Memorial Hospital Potomac Valley Hospital Preston Memorial Hospital Princeton Community Hospital Putnam General Hospital Raleigh General Hospital Reynolds Memorial Hospital Richwood Area Community Hospital Roane General Hospital Sistersville General Hospital St. Francis Hospital St. Joseph's Hospital - Buckhannon St. Joseph's Hospital - Parkersburg St. Luke's Hospital St. Mary's Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Summersville Memorial Hospital Thomas Memorial Hospital United Hospital Center Webster County Memorial Hospital Weirton Medical Center West Virginia University Hospitals, Inc. Wetzel County Hospital Association Wheeling Hospital Williamson Memorial Hospital
SUBTOTAL: GENERAL ACUTE CARE HOSPITALS (EXCLUDING WELCH)
Welch Emergency Hospital
TOTAL: GENERAL ACUTE CARE HOSPITALS
Chestnut Ridqe Hospital Hiqhland Hospital Huntinston Rehabilitation Hospital Huntinqton State Hospital Mountainview Regional Rehabilitation River Park Hospital Sharpe Hospital Southern Hills Regional Rehab. Hospital West Virginia Rehabilitation Center Western Hills Regional Rehab. Hospital
TOTAL PSYCHIATRIC AND REHAB HOSPITALS
TOTAL: ALL HOSPITALS
LICENSED - BEDS
173
265 38 40 72
293 370 919 260 139 35
268 136 65
122 19 47 82
114 132 74 19
234 99 60
625 91
228 27 63 76
21 1 68
275 233
21 80 26
200 95
375 79
440 70 95
109 294 375
6 240 350
68 277
76
9,248
124
9,372
70 80 40 90 80
165 150 40 40 40
795
10,167
62
NET PATIENT REVENUE
$34,742,530
$59,089,447 $5,211,049 $6,352,671 $5,302,949
$98,388,163 $73,213,615
$392,431,947 $46,386,508 $41,452,866
$5,273,545 $47,696,037
$8,573,801 $1 5,298,442 $32,421,757
$4,559,250 $5,699,001
$16,868,960 $14,964,487 $66,524,035 $1 2,890,442 $3,051,164
$76,394,496 $1 9,528,703 $6,545,163
$62,712,347 $1 6,815,886 $35,499,827
$4,016,857 $1 0,965,235
$9,967,220 $56,862,721 $23,687,214 $65,533,682 $25,287,828
$2,442,067 $10,122,962 $3,380,328
$50,687,451 $1 7,546,249 $60,406,644 $1 6,579,447
$127,407,099 $17,209,821
$7,622,762 $1 7,771,463 $65,635,949 $90,605,065 $3,335,297
$44,324,546 $1 67,258,669
$1 4,093,730 $98,082,114 $20,353,303
$2,245,075,251
$1 1,528,970
$2,256,604,221
$9,090,490 $6,981,955 $9,495,132 $2,400,990
$21,719,764 $1 1,621,688
$2,985,819 $1 2,186,772
$849,142 $9,363,387
$86,697,139
$2,343,301,360
(EROE) EXCESS REVENUE OVEREXPENSES
$1,266,539
$3,159,498 $88.360
$561,742 ($281,904)
$3,260,491 $7,383,433
$12,026,801 $3,087,874 $2,693,146
$3,440 $1,086,277
$424,965 $1,056,894 $3,16 1,797
$216,311 $26,407
($1,095,333) ($816,972) $358,285
($1,341,957) ($1 30,274)
$10,720,215 ($1,631,576)
$153,576 $1 21,594 $962,436
($1,433,561) $258,428 ($43,460)
($610,070) $3,661,792 $2,663,215 $6,634,628
$21 4,208 ($243,301) ($126,319) $1 72,330
$5,683,828 $1,038,517 $4,474,682
$299,277 $1 3,064,326
$3,203,032 ($1,301,121)
$75,863 $6,700,137 $9,901,225
$61 0,618 $4,296,666
$10,111,124 $174,924
$1 1,087,200 $4,115,663
$131,207,916
($1,252,357)
$1 29,955,559
$768,189 $220,978
$2,381,300 ($8,145,877) $3,691,902
$553,310 ($1 6,930,489)
$3,107,098 $80,676
$596,009
($13,676,904)
$1 16,278,655
(NET) RATE OF - RETURN
3.65%
5.35% 1.70% 8.84%
3.31 %
3.06% 6.66% 6.50%
-5.32%
10.08%
0.07% 2.28% 4.96% 6.91% 9.75% 4.74% 0.46%
-6.49% -5.46% 0.54%
-10.41% -4.27% 14.03% -8.35% 2.35% 0.19% 5.72%
-4.04% 6.43%
-0.40% -6.12% 6.44%
11.24% 10.12% 0.85%
-9.96% -1.25% 5.10%
11.21% 5.92% 7.41% 1.81%
10.25% 18.61%
- 1 7.07% 0.43%
10.21% 10.93% 18.31 % 9.69% 6.05% 1.24%
11.30% 20.22%
5.84%
-10.86%
5.76%
8.45% 3.16%
25.08%
17.00% 4.76%
-339.27%
-567.03% 25.49%
9.50% 6.37%
-15.78%
4.96%
West Virginia Health Care Cost Review Authority
RATE OF RETURN FOR ALL HOSPITALS, FY1996
Non-Profit Hospitals with more than 300 beds
Camden-Clark Memorial Hospital Charleston Area Medical Center Ohio Valley Medical Center St. Joseph's Hospital - Parkersburg St. Mary's Hospital United Hospital Center West Virginia University Hospitals, Inc.
8 Y TYPE OF OWNERSHIP E BED SIZE GROUP
Non-Profit Hospitals with 100-300 beds
Beckley Appalachian Regional Hospital Bluefield Regional Medical Center Cabeli Huntington Hospital Citv Hospital, Inc. Davis Memorial Hospital, Inc Fairmont General Hospital Grafton City Hospital Jefferson Memorial Hospital Logan General Hospital Monongalia General Hospital Pleasant Valley Hospital Princeton Community Hospital Reynolds Memorial Hospital Summersville Memorial Hospital Thomas Memorial Hospital Weirton Medical Center Wheeling Hospital
Non-Profit Hospitals with fewer than 100 beds
Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Grant Memorial Hospital Guyan Valley Hospital Jackson General Hospital Man Appalachian Regional Hospial Minnie Hamilton Health Care Center Montgomety General Hospital Morgan County War Memorial Hospital Pocahontas Memorial Hospital Preston Memorial Hospital Richwood Area Medical Center Roane General Hospital St. Joseph's Hospital - Buckhannon Sistersville General Hospital Stonewall Jackson Memorial Hospital Summers County ADpalachian Regional Webster County Memorial Hospital Wetzel County Hospital Association
Proprietary Hospitals
Becklev Hospital. Inc. Eye & Ear Clinic of Charleston, Inc. Greenbrier Vallev Medical Center Hampshire Memorial Hospital Plateau Medical Center Potomac Vallev Hospital Putnam General Hospital Raleigh General Hospital St. Francis Hospital St. Luke's Hospital Williamson Memorial Hospital
SUBTOTAL: GENERAL ACUTE CARE HOSPITALS (EXCLUDING WELCH)
Welch Emeraencv Hospital
TOTAL: GENERAL ACUTE CARE HOSPITALS
Chestnut Ridge Hospital Highland Hospital Huntington Rehabilitation Hospital Huntinaton State Hospital MountainView Regional Rehabilitation River Park Hospital Sharpe HOSDital Southern Hills Regional Rehab. Hospital West Virginia Rehabilitation Center Western Hills Regional Rehab. Hospital
TOTAL: PSYCHIATRIC AND REHAB HOSPITALS
TOTAL ALL HOSPITALS
LICENSED BEDS
370 919 625 375 440 375 350
173 265 293 260 139 268 136 114 132 234 228 21 1 233 109 294 240 277
38 40 72 65 19 82 74 19 99 60 27 76 21 80 95 26 70 95
6 68
35 122 47 91 63 68
275 200 79 76
9,248
124
9,372
70 80 40 90 80
165 150 40 40 40
795
10,167
63
NET PATIENT
REVENUE
$73,213,615 $392,431,947 $62,712,347 $60,406,844
$127,407,099 $90,605.065
$1 67,258,669
$974,035,586
$34,742,530 $59,089,447 $98,388,163 $46,386,508 $41,452.866 $47,696,037 $8,573,801
$14,964,487 $66,524,035 $76,394,496 $35,499,827 $56,862,721 $25,287,828 $17,771,463 $65,635,949 $44,324,546 $98,082,114
$837,676,818
$5.21 1,049 $6,352,871 $5,302,949
$15,298,442 $4,559,250
$16,868,980 $12,890,442 $3,051,164
$19,528,703 $6,545,163 $4,016,857 $9,967,220 $2,442,067
$17,546,249 $3,380,328
$17,209,821 $7,622,762 $3,335,297
$14,093,730
$1 85,346,326
$1 0,122,982
$5,273.545 $32,421,757 $5,699,001
$16.815.886 $10,965,235 $23,687,214 $65.533.682 $50,687.451 $16,579,447 $20,353,303
5248,016,521
$2,245,075,251
$1 1,528.970
$2,256,604,221
$9,090,490 $6,981.955 $9,495.1 32 $2,400,990
$21.719.764 $11.621.688 $2,985,819
$12.1 88,772 $849.142
$9.363.387
$86,697,139
2,343,301,360
(EROE) (NET) EXCESSREVENUE RATEOF OVER EXPENSES RETURN
$7,383,433 10.08% $12,026,801 3.06%
$121,594 0.19% $4,474,682 7.41%
$13,064,326 10.25% $9,901,225 10.93%
$10,111,124 6.05%
$57,083,185 5.86%
$1.268.539 3.65% $3,159.498 5.35% $3,260,491 3 31% $3,087,874 6.66% $2,693,146 6.50% $1,086,277 2.28%
$424,965 4.96% ($816.972) -5.46% $358,285 0.54%
$10,720,215 14.03% ($1,433,561) -4.04% $3,661,792 6.44%
$214,208 0.85% $75.863 0.43%
$6,700,137 10.21% $4,296,666 9.69%
$1 1,087,200 11.30%
$49,644,623 5.95%
$88.360 1.70% $561,742 8.84% ($281,904) -5.32%
$1,056,894 $216,311 4.74%
($1,095,333) -6.49% ($1,341,957) -10.41%
($130,274) -4.27% ($1,631,576) -8.35%
$153,576 2.35% $258,428 6.43% ($61 0,070) -6.1 2% ($243,301) -9.96% ($126,319) -1.25%
$1,038,517 5.92% $172,330 5.10%
$3,203,032 18.61% ($1,301.121) -17.07%
$610,618 18.31% $174,924 1.24%
$772,877 0.42%
$3,440 0.07% $3,161.797 9.75%
$26,407 0.46% $962.436 5.72% ($43.460) -0.40%
$2.663.215 11 24% $6.634.628 10.12% $5.683.828 11.21%
$299.277 1.81% $4,115.663 20.22%
523,507,231 9.48%
$131,207,916 5.84%
($1252.357) -10.86%
$129,955,559 5.76%
$768.189 8.45% $220.978 3.16%
$2.381.300 25.08% ($8.145877) -339.27% $3.691.902 17 00%
$553 310 4 76% -. . . , . . ($1 6.930.489) -567.03%
$3.107.098 25.49% $80.676 9.50%
$596.009 6.37%
($13.676.904) -15.78%
$1 16,278,655 4.96%
West Virginia Health Care Cost Review Authority
GROSS INPATIENT AND OUTPATIENT REVENUE FOR ALL HOSPITALS, FY 1996 AS A PERCENT OF GROSS PATIENT REVENUE
HOSPITAL TYPE AND NAME
Beckley Appalachian Regional Hospital Beckley Hospital, Inc. Bluefield Regional Medical Center Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Cabell Huntington Hospital Camden-Clark Memorial Hospital Charleston Area Medical Center City Hospital, Inc. Davis Memorial Hospital, Inc. Eye & Ear Clinic of Charleston, Inc. Fairmont General Hospital Grafton City Hospital Grant Memorial Hospital Greenbrier Valley Medical Center Guyan Valley Hospital Hampshire Memorial Hospital Jackson General Hospital Jefferson Memorial Hospital Logan General Hospital Man Appalachian Regional Hospital Minnie Hamilton Health Care Center Monongalia General Hospital Montgomery General Hospital Morgan County War Memorial Hospital Ohio Valley Medical Center Plateau Medical Center Pleasant Valley Hospital Pocahontas Memorial Hospital Potomac Valley Hospital Preston Memorial Hospital Princeton Community Hospital Putnam General Hospital Raleigh General Hospital Reynolds Memorial Hospital Richwood Area Community Hospital Roane General Hospital Sistersville General Hospital St. Francis Hospital St. Joseph's Hospital - Buckhannon St. Joseph's Hospital - Parkersburg SI. Luke's Hospital St. Mary's Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Summersville Memorial Hospital Thomas Memorial Hospital United Hospital Center Webster County Memorial Hospital Weirton Medical Center West Virginia University Hospitals, Inc. Wetzel County Hospital Association Wheeling Hospital Williamson Memorial Hospital
SUBTOTAL: GENERAL ACUTE CARE HOSPITALS (EXCLUDING WELCH)
Welch Emergency Hospital
TOTAL: GENERAL ACUTE CARE HOSPITALS
Chestnut Ridge Hospital Hiqhland Hospital Huntinqton Rehabilitation Hospital Huntinqton State Hospital Mountainview Reqional Rehabilitation River Park Hospital Sharpe Hospital Southern Hills Reqional Rehab. Hospital West Virqinia Rehabilitation Center Western Hills Reqional Rehab. Hospital
TOTAL: PSYCHIATRIC AND REHAB HOSPITALS
TOTAL: ALL HOSPITALS
LICENSED BEDS
173
265 38 40 72
293 370 919 260 139 35
268 136 65
122 19 47 82
114 132 74 19
234 99 60
625 91
228 27 63 76
21 1 68
275 233
21 80 26
200 95
375 79
440 70 95
109 294 375
6 240 350
68 277 76
9,248
124
9,372
70 80 40 90 80
165 150 40 40 40
795
10,167
ALPHABETICAL ORDER
GROSS PATIENT
REVENUE
$58,358,107
$97,394,320 $8,767,841 $9,462,508 $6,996,846
$1 32,247,980 $1 10,772,469 $547,913,930 $63,507,663 $68,085,654
$8,144,516 $80,405,582 $1 0,974,992 $23.1 16,373 $50,631,348 $7,062,366 $9,506,805
$23,617,236 $20,101,219
$129,379,411 $21,069,669 $2,871,825
$1 06,190,181 $29,337,936 $8,962,354
$102,832,114 $30,532,882 $50,095,601 $5,883,829
$16,044,005 $16,637,467 $98,273.1 81 $40,169,032
$114,671,107 $36,437,373
$14,434,883 $5,305,278
$82,617,768 $16,267,493 $89,636,010 $27,039,364
$1 77,317,601 $25,141,684 $1 1,443,015 $24,468,888
$1 06,993,610 $133,163,459
$3,750,282 $64,559,395
$244,191,049 $17,901,106
$151,027,642 $36,001,730
$4,933,549
$3,382,649,730
$24,036,430
$3,406,686,160
$1 5,460,972 $1 0,548,426 $1 3,080,040 $10,392,654 $33,249,108 $20,903,013 $32,760,203 $21.270.248 $4,647,241
$15.956.193
$1 78,268,300
$3,584,954,460
INPATIENT REVENUE
$35,987,997
$59,256,412 $2,929,787 $3,519,601 $3,595,572
$94,223,416 $61,648,177
$404,250,881 $40,764,725 $34,242,922
$41 4,125 $50,840,376
$6,231,447 $1 2,646,940 $28,578,821 $1,286,128 $4,396,268
$1 1,014,195 $9,826,952
$67,083,195 $3,210,841 $1,066,755
$67,974,792 $15,253,410
$4,941,449 $68,100,179 $19,783,484 $30,300,306
$2,935,437 $7,432,196 $8,615,695
$57,178,738 $24,245,782 $80,299,826 $20,046,205
$1,122,189 $6,217,249
$969,954 $48,128,540 $1 3,575,504 $56,427,186 $1 3,358,729
$1 33,840,695 $15,514,891
$5,240,781 $12,566,984 $58,736,269 $67,955,971 $1,689,956
$36,299,690 $1 84,726,038
$7,267,972 $87,247,875 $23,710,462
$2,118,742,167
$14,088,300
$2,132,830,467
$1 3,665,600 $1 0,370,265 $1 2,004,332 $10,392,854 $32,573,566 $20,345,157 $32,760,203 $1 8,275,709 $3,587,035
$15,122,183
$1 69,097,106
$2,301,927,573
%OF - GPR
61.67%
60.84% 33.42% 37.20% 51.39% 71.25% 55.65% 73.78% 64.19% 50.29%
5.08% 63.23% 56.78% 54.72% 56.44% 18.21 Yo 46.24%
48.89% 51.85%
37.84% 64.01% 51.99% 55.14%
46.64%
15.24%
66.22% 64.79% 60.48% 49.89% 46.32% 51.78% 58.18% 60.36% 70.03% 55.02% 22.75% 43.07% 18.28% 58.25% 83.45% 62.95% 49.40% 75.48% 61.71% 45.80% 51.36% 54.90% 51.03% 45.06% 56.23% 75.65% 40.60% 57.77% 65.86%
62.64%
58.61 %
62.61%
88.39% 98.31% 91.78%
IOO.OO% 97.97% 97.33%
100.00% 85.92% 77.19% 94.77%
94.86%
64.21%
OUTPATIENT REVENUE
$22,370,110
$38,137,908 $5,838,054 $5,942,907 $3,401,274
$38,024,564 $49,124,292
$1 43,663,049 $22,742,938 $33,842,732
$7,730,393 $29,565,206
$10,467,433 $22,052,527 $5,776,238 $5,110,537
$12,603,041 $10,274,267 $62,296,216 $17,858,828
$1,785,070 $38,215,389 $1 4,084,526
$4,020,905 $34,731,935 $1 0,749,398 $19,795,295
$2,948,392 $8,611,809 $8,021,772
$41,094,443 $1 5,923,250 $34,371,261 $16,391,168 $381 1,360 $8,217,634 $4,335,324
$34,489,228 $2,691,989
$33,208,824 $13,680,635 $43,477,106 $9,626,793 $6,202,234
$1 1,901,904 $48,257,341 $65,207,488 $2,060,326
$28,259,505 $59,465,011 $1 0,633,134 $63,779,767 $12,291,268
$4,743,545
$1,263,907,563
$9,948,130
$1,273,855,693
$1,795.172 $178,163
$1,075,708 $0
$675,540 $557,856
$0 $2,994,539 $1,060,206
$834.010
$9,171,194
$1,283,026,887
% OF - GPR
38.33%
39.16% 66.58%
48.61% 28.75% 44.35% 26.22% 35.81% 49.71% 94.92% 36.77% 43.22% 45.28% 43.56% 81.79% 53.76% 53.36% 51.11% 48.15% 84.76% 62.1 6% 35.99% 48.01% 44.86%
35.21% 39.52% 50.11% 53.68% 48.22% 41 32% 39.64% 29.97% 44.98% 77.25% 56.93% 81.72% 41.75% 16.55% 37.05% 50.60% 24.52% 38.29% 54.20% 48.64% 45.10% 48.97% 54.94% 43.77% 24.35% 59.40% 42.23% 34.14%
62.80%
33.78%
37.36%
41.39%
37.39%
11.61% 1.69% 8.22% 0.00% 2.03% 2.67% 0.00%
14.08% 22.81%
5.23%
5.14%
35.79%
64
West Virginia Health Care Cost Review Authority
GROSS INPATIENT AND OUTPATIENT REVENUE FOR ALL HOSPITALS, FY 1996 AS A PERCENT OF GROSS PATIENT REVENUE
BY TYPE OF OWNERSHIP 6 BED SIZE GROUP
GROSS PATIENT
REYENUE
$1 10,772,469 $547,913.930 $102,832,114 $89,636.010
$177,317.801 $1 33.1 63,459 $244,191,049
$1,405,826,832
$58,358.107 $97,394,320
$1 32,247,980 $63,507,663 $68,085,654 $80,405,582 $1 0,974,992 $20,101,219
$129,379,411 $106,190.181 $50,095,601 $98273,181 $36,437,373
$106,993,610 $64,559,395
$151,027,642
$1,274,031,911
$8,767,841 $9,462,508 $6,996,846
$23,116.373 $7,062,366
$23,617,236 $21,069,669 $2,871,825
$29,337,936 $8,962,354 $5,883.829
$16,637,467 $4,933,549
$14,434,883 $1 6,267,493 $5,305,278
$25,141,684 $11,443,015 $24,468,888 $3,750,282
$17,901,106
$287,432,428
$8,144.518 $50,631.348
$9,506805 $30,532,882 $1 6,044,005 $40,169,032
$1 14,671,107 $82,617,768 $27,039,364 $36,001,730
$41 5,358,559
$3382,649,730
$24.036.430
$3,406,686.1 60
$1 5,460,972 $10,548,428 $13,080,040 $10.392.854 $33249.108 $20,903,013 $32,760,203 $21,270,248 $4,647,241
$1 5.956.193
$1 78,268,300
53,584,954,460
65
Non-Profit Hospitals with more than 300 beds
Camden-Clark Memorial Hospital Charleston Area Medical Center Ohio Valley Medical Center St. Joseph's Hospital - Parkersburg St. Mary's Hospital United Hospital Center West Virginia University Hospitals, Inc.
LICENSED
370 919 625 375 440 375 350
173 265 293 260 139 268 136 114 132 234 228 21 1 233 294 240 277
38 40 72 65 19 82 74 19 99 60 27 76 21 80 95 26 70 95
109 6
68
35 122 47 91 63 68
275 200 79 76
9,248
124
9,372
70 80 40 90 80
165 150 40 40 40
795
10,167
INPATIENT % OF GPR -
$61,648,177 55.65% $404,250.881 73.78%
$68,100,179 66.22% $56,427,186 62.95%
$133,840,695 75.48% $67,955,971 51.03%
$184,726,038 75.65%
$976,949,127 69.49%
OUTPATIENT X OF GPR REVENVE -
$49,124,292 44.35% $143,663,049 26.22% $34,731,935 33.78% $33208.824 37.05% $43,477,106 24.52% $65207.488 48.97% $59,465,011 24.35%
$428,877,705 30.51% Non-Profit Hospitals with 100300 beds
Beckley Appalachian Regional Hospital Bluefield Regional Medical Center Cabell Huntington Hospital City Hospital, Inc. Davis Memorial Hospital, Inc. Fairmonl General Hospital Grafton City Hospital Jefferson Memorial Hospital Logan General Hospital Monongalia General Hospital Pleasant Valley Hospital Princeton Community Hospital Reynolds Memorial Hospital Thomas Memorial Hospital Weirton Medical Center Wheeling Hospital
$35,987,997 61 57% $59,256,412 60.84% $94,223,416 71.25% $40,764,725 64.19% $34,242,922 50.29% $50,840,376 63.23% $6,231,447 56.78% $9,826,952 48.89%
$67,083,195 51.85% $67,974,792 64.01% $30,300,306 60.48% $57,178,738 58.18% $20,046,205 55.02% $58.736269 54.90%
$22,370,110 38.33% $38,137.908 39.16% $38,024.564 28.75% $22,742,938 35.81% $33,842,732 49.71% $29,565,206 36.77% $4,743,545 43.22%
$10274,267 51.11% $62,296,216 48.15% $38,215,389 35.99% $19,795,295 39.52% $41,094,443 41.82% $16,391,168 44.98% $48,257.341 45.10% $28,259,505 43.77% $63,779.767 42.23%
$517,790,394 40.64%
$36,299,890 56.23% $87,247,875 57.77%
$756,241,517 59.36% Non-Profit Hospitals with fewer than 100 beds
Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Grant Memorial Hospital Guyan Valley Hospital Jackson General Hospital Man Appalachian Regional Hospial Minnie Hamilton Health Care Center Montgomery General Hospital Morgan County War Memorial Hospital Pocahontas Memorial Hospital Preston Memorial Hospital Richwood Area Medical Center Roane General Hospital St. Joseph's Hospital - Buckhannon Sistersville General Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Summersville Memorial Hospital Webster County Memorial Hospital Wetzel County Hospital Association
$2,929,787 33.42% $3,519,601 37.20% $3,595,572 51.39%
$12,648,940 54.72% $1,286,128 18.21%
$11,014,195 46.64% $3,210.841 15.24% $1,086,755 37.84%
$15,253,410 51.99% $4.941.449 55.14%
$5,838.054 66.58% $5,942,907 62.80% $3,401,274 48.61%
$10,467,433 45.28% $5,776,238 81.79%
$12,603,041 53.36% $17,858,828 84.76%
$1,785,070 62.16% $14,084.526 48.01% $4,020,905 44.86% $2,948,392 50.1 1% $8,021,772 48.22% $3.81 1,360 77.25% $8217.634 56.93% $2,691,989 16.55% $4,335,324 81.72% $9,626,793 38.29% $6,202,234 54.20%
$11,901,904 48.64% $2,060,326 54.94%
$10,633,134 59.40%
$1 52,229,138 52.96%
$2,935,437 49.89% $8,615.695 51.78% $1.122.189 22.75% $6,217,249 43.07%
$13,575,504 83.45% $969,954 18.28%
$15,514,891 61.71% $5,240.781 45.80%
$12,566,984 51.36% $1,689.956 45.06% $7,267,972 40.60%
$135,203,290 47.04% Proprietary Hospitals
Beckley Hospital. Inc. Eye & Ear Clinic of Chaileston. Inc Greenbrier Valley Medical Center Hampshire Memorial Hospital Plateau Medical Center Potomac Valley Hospital Putnam General Hospital Raleiqh General Hospital St. Francis Hospital St. Luke's Hospital Williamson Memonal Hospital
$414,125 5.08% $28,578,821 56.44% $4,396,268 46.24%
$19.783 484 64.79%
$7,730,393 94.92% $22,052,527 43.56% $5.1 10,537 53.76%
$10,749.398 35.21% $8.611.809 53.68%
$15,923,250 39.64% $34.371.281 29.97%
$7,432,196 46 32% $24245,782 60 36% $80 299 826 70 03% $48.128.540 58.25% $13,358,729 49.40% $23.710.462 65.86%
5250,348,233 60.27% $165,010,326 39.73%
$2,118,742,167 62.64%
$14.088.300 58.61%
$1,263,907,563 37.36%
$9.948.130 41.39% Welch Emerqencv Hospital
TOTAL GENERAL ACUTE CARE HOSPITALS
Chestnut Ridge Hospital Highland Hospital Huntinqton Rehabilitation Hospital Huntinqton State HosDital Mountainview Reaional Rehabilitation River Park Hospital Shame Hospital Southern Hills Reqional Rehab. Hospital West Virqinia Rehabilitation Center Western Hills Reqional Rehab. Hospltal
TOTAL PSYCHIATRIC AND REHAB HOSPITALS
TOTAL ALL HOSPITALS
$2,132,830,467 62.61%
$13,665,800 88.39% $10370.265 98.31%
$1,273,855,693 37.39%
$1,795,172 11.61% $178.163 1.69%
$12,004,332 91.78% $10,392,854 100.00% $32.573.568 97.97%
$1.075.708 8.22% $0 0.00%
$675,540 2.03% $557.856 2.67%
$0 0.00% $2,994,539 14.08% $1.060.206 22.81%
$20,345,157 97.33% $32.760.203 100.00% $18275.709 85.92%
$3.587.035 77.19% $15.122.183 94.77% $834.010 5.23%
$169,097,106 94.66%
$2,301,927,573 64.21%
$9,171,194 5.14%
$1,283,026,887 35.79%
West Virginia Health Care Cost Review Authority
STATEMENT OF MARGINS FOR ALL HOSPITALS, FY1996
ALPHABETICAL ORDER
NET PATIENT OPERATING NETOPERATING NET OPERATING OTHER REVENUE EXPENSES REVENUE MARGlN REVENUE
$34,742,530 $34,139,468 1.74% $665,477 $603,062
(EROE) EXCESSREVENUE TOTAL OVER EXPENSES
$1,268,539 3.65%
HOSPITAL TYPE AND NAME
Beckley Appalachian Regional Hospital Beckley Hospital, Inc. Bluefield Regional Medical Center Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Association Cabell Huntington Hospital Camden-Clark Memorial Hospital Charleston Area Medical Center City Hospital, Inc. Davis Memorial Hospital, Inc. Eye & Ear Clinic of Charleston. Inc. Fairmont General Hospital Grafton City Hospital Grant Memorial Hospital Greenbrier Valley Medical Center Guyan Valley Hospital Hampshire Memorial Hospital Jackson General Hospital Jefferson Memorial Hospital Logan General Hospital Man Appalachian Regional Hospital Minnie Hamilton Health Care Center Monongalia General Hospital Montgomery General Hospital Morgan County War Memorial Hospital Ohio Valley Medical Center Plateau Medical Center Pleasant Valley Hospital Pocahontas Memorial Hospital Potomac Valley Hospital Preston Memorial Hospital Princeton Community Hospital Putnam General Hospital Raleigh General Hospital Reynolds Memorial Hospital Richwood Area Community Hospital Roane General Hospital Sistersville General Hospital St. Francis Hospital St. Joseph's Hospital - Buckhannon St. Joseph's Hospital - Parkersburg St. Luke's Hospital St. Mary's Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Summersville Memorial Hospital Thomas Memorial Hospital United Hospital Center Webster County Memorial Hospital Weirton Medical Center West Virginia University Hospitals, Inc. Wetzel County Hospital Association Wheeling Hospital Williamson Memorial Hospital
SUBTOTAL: GENERAL ACUTE CARE HOSPITALS (EXCLUDING WELCH)
Welch Emergency Hospital
TOTAL: GENERAL ACUTE CARE HOSPITALS
Chestnut Ridqe Hospital Hiqhland Hospital Huntinqton Rehabilitation Hospital Huntinqton State Hospital Mountainview Reqional Rehabilitation River Park Hospital Shame Hospital Southern Hills Reqional Rehab. Hospital West Virqinia Rehabilitation Center Western Hills Reqional Rehab. Hospital
TOTAL: PSYCHIATRIC AND REHAB HOSPITALS
$59,089,447 $5,211,049 $6,352,871 $5,302,949
$98,388,163 $73,213,615
$392,431,947 $46,386,508 $41,452,866 $5,273,545
$47,696,037 $8,573,801
$15,298,442 $32,421,757 $4,559,250 $5,699,001
$16,868,980 $14,964,487 $66,524,035 $12,890,442 $3,051.164
$76,394,496 $1 9,528,703 $6,545,163
562,712,347 $16,815,886 $35,499,827 $4,016,857
$1 0,965,235 $9,967,220
$56,862,721 $23,687,214 $65,533,682 $25,287,828 $2,442,067
$10,122,982 $3,380,328
$50,687,451 $17,546,249 $60,406,844 $16,579,447
$1 27,407,099 $17,209,821 $7,622,762
$1 7,771,463 $65,635,949 $90,605,065 $3,335,297
544,324,546 $1 67,258,669 $14,093,730 $98,082,114 $20,353,303
$57,821,287 $5,596,887 $6,500,174 $5,741,969
$98,966,524 $67,861,993
$391,578,442 $45,497,424 $40,676,666 $5,869,022
$46,609,760 $8,527,428
$15,128.883 $29,559,311 54,382,469 $5,790,857
$18,213,554 $16,727,222 $69,252,486 $14,554,958 $3,536,207
$70,757,631 $21,795,362 $6,391,587
$65,215,745 $1 6,317,001 $37,418,466 $3,834,858
$1 1,137,531 $10,890,070 $57,188,049 $21,799,999 $59,288,285 $26,828,009 $3,008,991
$10,959,432 $3,372,823
$45,437,169 $17,379,592 $57,591,614 $16,350,161
$1 19,900,500 $14,750,423 $9,338,607
$17,808,200 $58,935,812 $86,287,353 $2,855,516
542,480,729 $1 72,457,174 $14,697,879 $96,077,163 $16,358,342
$1,268,160 ($385,838) ($1 47,303) ($439,020) ($578,361)
$5,351,622 $853,505 $889,084 $776,200
$1,086,277 $46,373
$169,559 $2,862,446
$176,781 ($91,856)
($1,344,574) ($1,762,735) ($2,728,451) ($1,664,516)
($485,043) $5,636,865
($2,266,659) $1 53,576
($2,503,398) $498,885
($1,918,639) $1 81,999 ($172.296) ($922,850) ($325,328)
51,887,215 $6,245,397
($1 540.1 81) ($566,924) ($836,450)
($595,477)
$7,505 $5,250,282
$166,657 $2,815,230
$229,286 $7,506,599 $2,459,398
($1,715,845) ($36,737)
$6,700,137 $4,317,712
$479,781 $1,843,817
($5,198,505) ($604,149)
$2,004,951 $3,994,961
2.15% -7.40% -2.32% -8.28% -0.59% 7.31% 0.22% 1.92% 1.87%
-1 1.29% 2.28% 0.54% 1.1 1 % 8.83% 3.88%
-1.61% -7.97%
-1 1.78% -4.10%
-12.91% -15.90%
7.38% -1 1.61%
2.35% -3.99% 2.97%
-5.40% 4.53%
-1.57% -9.26% -0.57% 7.97% 9.53%
-6.09% -23.21 % -8.26% 0.22%
10.36% 0.95% 4.66% 1.38% 5.89%
14.29% -22.51% -0.21% 10.21 % 4.77%
14.38% 4.16%
-3.11% -4.29% 2.04%
19.63%
$1,891,338 $474,198 $709,045 $157,116
$3,838,852 $2,031,811
$11,173,296 $2,198,790 $1,916,946
$598,917 $0
$378,592 $887,335 $299,351 $39,530
$1 18,263 $249,241 $945,763
$3,086,736 $322,559 $354,769
$5,083,350 $635,083
$0 $2,624,992
5463,551 $485,078 $76,429
$128,836 $312,780
$3,987,120 $776,000 $389,231
$1,754,389 $323,623 $710,131 $164,825 $433,546 $871,860
$1,659,452 $69,991
$5,557,727 $743,634 $41 4,724 $1 12,600
$0 $5,583,513
$130,837 $2,452,849
$15,309,629 $779,073
$9,082,249 $1 20,702
$3,159,498 5.35% $88.360 1.70%
$561:742 8.84% ($281,904) -5.32%
$3,260,491 3.31% $7,383,433 10.08%
$12,026,801 3.06% $3,087,874 6.66% $2,693,146 6.50%
$3,440 0.07% $1,086,277 2.28%
$424,965 4.96% $1,056,894 6.91% $3,161,797 9.75%
$21 631 1 4.74% $26,407 0.46%
(51,095,333) -6.49% ($816,972) -5.46% $358,285 0.54%
($1,341,957) -10.41% ($130,274) -4.27%
$10,720,215 14.03% ($1,631,576) -8.35%
5153,576 2.35% $121,594 0.19% $962,436 5.72%
($1,433,561) -4.04% $258,428 6.43% ($43,460) -0.40%
($610,070) -6.12% $3,661,792 6.44% $2,663,215 11 24% $6,634,628 10.12%
$214,208 0.85% ($243,301) -9.96% ($126,319) -1.25% $172,330 5.10%
$5,683,828 11.21% $1,038,517 5.92% $4,474,682 7.41%
$299,277 1.81% $1 3,064,326 10.25% $3,203,032 18.61% ($1,301,121) -17.07%
$75,863 0.43% $6,700,137 10.21% $9,901,225 10.93%
$610,618 18.31% $4,296,666 9.69%
$1 0,111,124 6.05% $1 74,924 1.24%
$1 1,087,200 11.30% $4,115,663 20.22%
$2,245,075,251 $2,207,443,064 $37,632,187 1.68% 593,575,729 $131,207,916 5.84%
($1,252,357) -10.86% $1 1,528,970 $17,702,482 ($6,173,512) -53.55% 54,921.155
$129,955,559 5.76% $2,256,604,221 $2,225,145,546 $31,458,675 1.39% $98,496,884
$9,090,490 $8,392,618 $697,872 7.68% $70,317
$9,495,132 $8,500,394 5994,738 10.48% $1,386,562
$21.71 9,764 $18,156,745 $3,563,019 16.40% $128.883 $1 1,621,688 $11,133,808 $487,880 4.20% $65,430 $2,985,819 $20,264,094 ($1 7,278,275) -578.68% $347,786
$1 2,188,772 $9,128,594 $3,060,178 25.11% $46,920 $9,024,028
$9,363,387 $8,865,920 $497,467 5.31% $98,542
$6,981,955 $6,795,912 $1 86,043 2.66% $34,935
$2,400,990 $10,546,867 ($8,145,877) -339.27% $0
$849,142 $9,792,494 ($8,943,352) -1053.22%
$768.189 8.45% $220,978 3.16%
$2,381,300 25.08% ($8.145.877) -339.27% $3,691,902 17.00%
$553,310 4.76% ($16,930,489) -567.03%
$3,107,098 25.49% $80,676 9.50%
5596,009 6.37%
$86.697.139 $1 11,577.446 ($24,880,307) -28.70% 51 1,203,403
$2,343,301,360 $2,336.722.992 $6,578,368 0.28% $109,700,287
($13,676,904) -15.78%
$116,278,655 4.96% TOTAL: ALL HOSPITALS
66
The following information briefly describes each item in the Composite Balance Sheet for General Acute Care Hospitals. It displays the sub-accounts, if any, shown on the detail Balance Sheet that goes into the account on the Composite Balance Sheet.
Cash is cash in the bank available for immediate expenditure.
Net Patient Receivables are patient receivables net of estimated allowances for bad debts and contractual allowances.
Other Receivables are receivables from sources other than patients. Consists of settlement amounts due from Medicare and Medicaid; or from physicians.
Inventory is the cost of supply items on hand that will be used in the next period. It may consist of medical supplies, surgical supplies, pharmaceutical supplies and food and other supplies.
Prepaid Expenses are the cost of items that will be expended in the current period. Consists of items such as Prepaid Insurance.
Other Current Assets are items that are expected to be used during the current period. Consists of items such as short term investments and current portion of assets whose use is limited.
Other Assets are items that are not expected to be used in the current period. Consists of such items as funds held for bond indenture requirements; investments for self insured malpractice and hospitalization programs (i.e., assets whose use is limited).
Property, Plant and Equipment is the historical cost of land, building and equipment owned by the hospital. It may also include capital leases which are leases for the approximate life of the asset.
Accumulated Depreciation is the amount that has been charged to expense through the annual amortization of the cost of the property, plant and equipment.
Net Property, Plant and Equipment is the remaining cost of the Property, Plant and Equipment after reduction of the accumulated depreciation.
a Total Assets is the total of the assets listed above.
Accounts Payable are amounts owed to others for goods, services and supplies purchased and received, but not paid for at the balance sheet date.
Current Maturities, Long Term Debt is the amount payable on bonds, mortgage loans, capital leases obligations and other long term debts that is to be paid in the next 12 months.
67
w a a a a a a a
a a a a a a a a a a a a a a a a a a a a
a
a a a
a
a a
a 0
a
a a
a
a
a
Other Current Liabilities consists of accrued expenses for wages and salaries, benefits and interest.
Long-Term Debt consists of long term debts such as notes payable to banks, revenue bonds payable and in some cases capital lease obligations.
Capital Lease Obligations consists of a portion of the long term lease obligations.
Other Liabilities consists of items such as Liabilities for self insured malpractice and employee benefit programs (pension and health care) and intercompany payables for aff i I iated hospitals .
Total Liabilities is the summation of all liabilities.
Fund Balance and/or Equity consists of tax exempt corporation fund balances and proprietary corporation owner’s equity including capital invested and retained earnings.
Total Liabilities and Fund Balances and/or Equity is the summation of such.
68
West Virginia Health Care Cost Review Authority
CATEGORY
Cash Net Patient Receivables Other Receivables Inventory Prepaid Expense Other Current Assets
TOTAL CURRENT ASSETS
Other Assets Property, Plant and Equipment (Accumulated Depreciation) Net Property, Plant and Equipment
TOTAL ASSETS
Accounts Payable Current Maturities-Long Term Debt Other Current Liabilities
TOTAL CURRENT LIABILITIES
Long Term Debt Capital Lease Obligations Other Liabilities
TOTAL LIABILITIES
TOTAL FUND BALANCE
TOTAL LIABILITIES AND FUND BALANCE
COMPOSITE BALANCE SHEET FOR GENERAL ACUTE CARE HOSPITALS, FY1994-1996
1996 - $96,656,612
$41 7,503,854 $55,977,962 $39,177,692 $24,207,917 $28,636,435
$662,160,472
$708,935,753 $2,142,8 10,952
($1 , 1 30,178,658) $1,012,632,294
$2,383,728,519
$149,169,739 $32,230,592
$1 60,130,666
$341,530,997
$513,498,197 $55,167,959 $89,083,600
$999,280,753
$1,384,447,737
$2,383,728,490
1995 - $81,805,044
$401,646,727 $61,071,364 $36,792,325 $19,246,293 $25,261,879
$625,823,632
$658,255,664 $2,030,052,582 ($1,034,302,280)
$995,750,302
$2,279,829,598
$144,170,483 $34,376,229
$1 52,860,022
$331,406,734
$61 8,956,607 $6,386,625
$103,222,910
$1,059,972,876
$1,219,856,722
$2,279,829,598
1996
OVER (UNDER) %
$14,851,568 $1 5,857,127 ($5,093,402) $2,385,367 $4,961,624 $3,374,556
$36,336,840
$50,680,089 $1 12,758,370 ($95,876,378) $16,881,992
$103,898,921
$4,999,256 ($2,145,637) $7,270,644
$10,124,263
($1 05,458,410) $48,781,334
($1 4,139,3 1 0)
($60,692,123)
$164,591,015
18.2% $103,537,905 3.9% $392,516,748
-8.3% $41,409,851 6.5% $35,696,214
25.8% $18,276,593 13.4% $28,694,373
5.8% $620,131,684
7.7% $541,589,310 5.6% $1,977,532,892 9.3% ($1,004,868,246) 1.7% $972,664,646
4.6% $2,134,385,640
3.5% $1 13,830,510 -6.2% $39,247,686 4.8% $164,909,586
3.1% $317,987,782
-17.0% $581,933,704 763.8% $9,098,296 -13.7% $116,461,095
-5.7% $1,025,480,877
13.5% $1,108,904,763
1995 CHANGE 1994
$1 03,898,892 4.6% $2,134,385,640
1995
OVER (UNDER) %
1994 CHANGE
($21,732,861) $9,129,979
$19,661,513 $1,096.1 11
$969,700 ($3,432,494)
$5,691,948
$1 16,666,354 $52,519,690
($29,434,034) $23,085,656
$1 45,443,958
$30,339,973 ($4,871,457)
($1 2,049,564)
$13,418,952
$37 ~ 022 ~ 903 ($2,711,671)
($1 3,238,185)
$34,491,999
$1 10,951,959
-21 .O%
47.5% 3.1% 5.3%
-12.0%
0.9%
2.3%
2 1 .5% 2.7% 2.9% 2.4%
6.8%
26.7% - 12.4% -7.3%
4.2%
6.4% -29.8% - 1 1.4%
3.4%
10.0%
$1 45,443,958 6.8%
West Virginia Health Care Cost Review Authority
HOSPITAL BALANCE SHEET FOR ALL HOSPITALS, FY1996 ASSETS
HOSPITAL NAME
GENERAL ACUTE CARE HOSPITALS
BecMey Appalachian Regional Hospital Beckley Hospital, Inc. Bluefield Regional Medical Center Boone Memorial Hospital Braton County Memorial Hospital Broaddus Hospital Cabell Huntington Hospital CamdenClark Memorial Hospital Charleston Area Medical Center City Hospital Davis Memorial Hospital, Inc. Eye & Ear Clinic of Charleston, Inc. Fairmont General Hospital Grafton City Hospital Grant Memorial Hospital Greenbrier Valley Medical Center Guyan Valley Hospital Hampshire Memorial Hospital Jackson General Hospital Jefferson Memorial Hospital
Man Appalachian Regional Hospital Minnie Hamilton Health Center Monongalia General Hospital Montgomery General Hospital Morgan County War Memorial Hospital Ohio Valley Medical Center Plateau Medical Center Pleasant Valley Hospital Pocahontas Memorial Hospital Potomac Valley Hospital Preston Memorial Hospitd Princeton Community Hospital Putnam General Hospital Raleigh General Hospital Reynolds Memorial Hospital Richwood Area Medical Center Roane General Hospital St. Francis Hospital Si Joseph's Hosp.-Buckhannon St Joseph's Hosp.-Parkersburg St. Luke's Hospital St. Mary's Hospital Sislersville General Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Reg. Summersville Memorial Hospital Thomas Memorial Hospital United Hospital Center Webster County Memorid Hospital Weirton Medical Center Welch Emergency Hospital West Virginia University Hospitals, Inc. Wetzel County Hospital Association Wheeling Hospital Williamson Memorial Hospital SUBTOTAL:
2 Logan General Hospital
CASH
$246,832
$2,992,956 $191,585 $516,627 $419,019
$5,383,830 $7,391,330 $8,226,000 $3,858,380 $1,387,790 $121,590
$1,746,391 $325,706
$1,703,972 ($67,605)
$200 $95,683 $335,541 $1 59,163
$2,730,959 $104,937 $21 1,273 $724,163 $770,901 $437,378
$1,062,072 $2,953,000 $1,232,260 $192,698 $25,532 $399,285
$5,084,886 ($184,981) ($86,271)
$2,004,544 $9,044
$372,295 $83,196 $581,462
$3,238,804 ($1 3,855)
$4,149,342 $169,254
$2,477.419 $67,383 $791,422
$1 1,479,073 $5,274,777 $1 ,1 00,931 $4,911,692
$0 $8,466,066 $234,1 64 $564,847 $1,670
$96,656,612
NET PATIENT
RECEIVABLES
$7,155,565
$10,788,919 $1,268,645 $1,839,385 $1,164,425 $20,859,203 $10,810,611 $73,115,000 $5,908,502 $8,209,743 $1,378,110 512,033,376 $1,569,111 $3,485,375 $5,296,304 $1,449,407 $1,404,966 $42 13,397 $3,144,128 $15,905,702 $2,258,061 $825,246
$13,582,052 $2,917,875 $1,090,828 $12,605,750
$0 $9,982,374 $585,192
$2,659,845 $1,981,798 $9,383,367 $4,813,372 $6,100,795 $7,678,256 $1,250,746 $1,781,070 $8,358,543 $2,974,252 $8,721,552 $2,872,560 $26,793,859 $613.744
$2,390,673 $992,155
$4,131,444 $1 0,125,976 $1 2,710,798 $1,254,688 $7,072,757 $3,433,814 $31,044,932 $3,600,099 $16,714,743 $3,200,764
$417,503,854
OTHER RECEIVABLES
$592,734
$0 $0
$114,609 $0 $0
$301,529 $38,627,000
$24,396 $1,356,531 $339,730
$1,090,798 $0
$202,630 $1 85,176 $795,282 $13,583 $14,620 $32,693
$0 $258,543 $10,000 $594,782 $67,387 $1 17,268 $101,496 $223,000 $426,599 $387,643
$0 $409,807 $262,160 ($382,480) $144,490 $5 0 8,2 6 6
$0 $41 6,833
($1 .1 89,717) $352,595 $130,758 ($314,653) $1,451,931 $1 6,000 $332.017 $126,842 $130,000 $783,716 $795,039
$0 $198,527
$0 $4,976,460 $250,930
$1,697,470 ($997,058)
$55,977,962
INVENTORY
$544,265
$1,012,975 $88.161 $63,694 $87,883 $268,052
$1,062,763
$615,629 $830,912 $40,224 $834,251 $1 92,726 $397.079 $925,665 $20,836 $43,258 $267,521 $100,203 $51 1,096 $214,797 $50.215
$1,483,971 $400,793 $45,873 $896,962 $216,000 $679,328 $75,681 $88,638 $346,331
$1,445,150 $541.887
$1,359,671 $760,715 $46,953 $1 25,855
$1 ,I 14,630 $229,435
$1,918,431 $530,633
$1,762,423
$516,119 $131,895 $570,405 $772,425
$1,332,753
$687,793 $301 ,O 17
$1,878,516 $344,792
$1,022,599 $332,110
$39,177,692
$8,919,000
$91,954
$34,749
PREPAID EXPENSES
$1 ,1 19,827
$1,074,517
$86,207 $10,824
$1,764,274 $418.664
$3,802,000 $846,324 $502,624 $18,178 $474,241
$1 63,145 $97,098 $15,628 $2 1,792 $57,783 $211,362 $1 86,832 $476,073 $16,781
$4,071,086 $330,567 $78,732 $433,027
$19,911
$93,349
$1.01 9,000
$2,456 $99,025 $68,168 $31 7,498 $96,059 $147,451 $393,458 $30,005 $19,890 $264,835 $187,317 $326,694 $82,781 $652,624 $75,380 $1 05,982 $305,701 $181,289 $293,948
$0 $36,218 $315,089
50 $925,379 $441,971
$1,090,304 $338,549
$24,207,917
OTHER CURRENT ASSETS
$0
$0 $58,287
$0 $550,039
$1,788,614 $897,260 $465,000
$4,206,245 $1,200,185 $174,362 $257,589 $182,972
$1,642,802 $0 $0
$91.875 $192,037 $214,028 $872,245
$0 $0 $0 $0 $0
$1,851,424 $0
$308,469 $0
$80,045 $169,435 5390,956
$0 $0
$1,222,065 $61,381
$0 $7,642 $78,282
$4,692,721 $0 $0 $0
$539,100 $0 $0
$1,003,670 $2,583,181
$0 $871,829
$0 $1,135,000 $546,667 $281,028
$0 $28,636,435
TOTAL CURRENT ASSETS
$9,659,223
$15,869,367 $1,626,589 $2,620,522 $2,232,190 $30,063,973 $20,882,157 $1 33,154,000 $1 5,459,476 $13,487,785 $2,072,194 $16,436,646 $2,363,864 $7,595,003 $6,436,638
$1,671,157 $5,080,899 $3,861,577 $20,206,834 $3,312.41 1 $1.1 13,515 $20,456,054 $4,487,523 $1,770,079 $16,950,731
$12,629,030 $1,243,670 $2,953,085 $3,394,824 $1 6,884.01 7 $4,883,857 $7,666,136 $12,567,304 $1,398,129 $2,715,943 $8,639,129 $4,403,343 $19,028,960 $3,157,466 $34,810,179 $966,332
$6,361,310 $1,623,976 $5,804,560 $24,458,808 $22,696,548 $2,426,586 $14,057,687 $3,734,831 $48,426,353 $5,418,623 $21,370,991 $2,876,035
$662,160,472
$2,281,353
$4,411,000
OTHER ASSETS
$7,276,760
$6,940,471 $921,614
$1,021,184 $263,211
$38,768,962 $17,390,326 $77,034,000 $1 2,531,642 $25,184,789 $733,690
$68,797 $9,034,613 $106,400 $97,460 $2,500
$783,733 $3,037,496 $25,715,375 $2,823,560
$0 $32,008,227 $1,419,456 $331,500
$11,188,996 $6,368,000 $4.014.778 $174,515 $92,165
$1,333,472 $30,051,458 $4.21 1,334 $11,919,265 $6,945,818
$0 $1,112,376 $11,607,117 $8,604,989
$0 $212,077
$35,237,994 $18,162
$8,546,665 ($504,740) $1,068,510 $30,363,640 $47,403,801 $185,836
$26,260,825 $0
$1 51 ,I 26,062 $909,027
$36,870,964 $941,504
$708,935,753
$9,175,547
PROPERTY PLANT AND EQUPMENT
$20,979,830
$43,618,384 $3,780,045 $6,531,428 $6,163,676 $91,885,250 $62,754,336 $407,031,000
$41,427,097 $5,203,967 $41,186,12 1 53,646,561 $1 1,388.965 $26,179,388 $3,693,069 $1,571,960
$5,941,556 $46,356,876 $6,913,747 $1,008,356 $66,756,969 $1 1,413,457 $5,407,248 $95,964,399 $16,990,000 $35,112,775 $5,380,547 $6,045,886 $10,570,708 $55,928,861 $17,505,358 $42,832,846 $37,209,476 $848,097
$6,844,146 $28,883,933 $20,689,818 $29,748,770 $16,261,442 $129,788,210 $2,230,213 $6,783,432 $756,576
$1 0.1 69,392 $80,942,892 $97,548,619 $2,338,377 $53,365,000 $14,020,061 $1 88,675,889
$55,799,351
$11,844,234
$1 2,888,888 $108,229,884 $1 9,773,586
$2,142,810,952
LESS: ACCUMULATED DEPRECIATION
($1 1,861,59 1 )
($27,664,896) ($2,252,658) ($4,164,433) ($4,353,889) ($45,701,357) ($36,960,220) ($225,809,000) ($30,030,718) ($1 5,884.451) ($2,579.722) ($25,724,438)
$0 ($4,876,214) ($1 2,533,356) ($1,719,430) ($1,060,988) ($7,356,991)
$0 ($21,961,270) ($5,164,279)
$0 ($36,978,674)
$0 ($2,903,527) ($66,659,144) ($7,802,000) ($16,919,307) ($739,961)
($4,107,793) ($6,426,420) ($32,865,328) ($6,579,259) ($18,207,562) ($23,275,831)
($60,480) ($3,850,052) ($2,250,245) ($1 1,352,783)
$0 ($9,806.21 7) ($72,511,770) ($1,548,906)
$0 ($1 13,525)
$0 ($49,841,042) ($52,457,281) ($1,664,610) ($36,648,904) ($8,460,339) ($93,936,768) ($9,411,586) ($59,865,675) ($5,253,768)
($1,130,178,658)
NET PROPERTY PLANT AND
$9.1 18,239
$15,953,488 $1,527,387 $2,366,995 $1,809,787 $46,183,893 $25,794.1 16
$181,222,000 $25,768,633 $25,542,646
$2,624,245 $15,461,683 $3,646,561 $6,512,751 $13,646,032 $1,973,639 $51 0,972
$4,487,243 $5,941,556 $24,395,606 $1,729,468 $1,008,356 $29,778,295 $1 1,413,457 $2,503,721 $29,305,255
$18,193,468 $4,640,586 $1,938,093 $4.1 44,288 $10,926,099 $23,063,533
$24,625,284 $13,933.645 $787,617
$2,994,094 $26,633,688 $29,748,770 $9,337,035
$6,455,225 $57,276,440 $681,307
$6,783,432 $643,051
$1 0,169,392 $31,101,850 $45,091,338 $673,767
$1 6,716,096 $5,559,722 $94,739,121 $3,477,302 $48,364,209 $14,519,818
$1,012,632,294
$9,188,000
TOTAL ASSETS
$26,054,222
$38,763,326 $4,075,420 $6,008,701 $4,305.188
$1 15,016,828 $64,066,599 $391,410,000 $53,759,751 $64,215,220 $5,430.1 29
$41,073,876 $6,079,222
$23,142,367 $20,189,070 $4,352,452 $10,351,875 $2,184,629
$12,840,629 $70,317,815 $7,865,439 $2,121,871 $82,242,576 $17,320,436 $57,444,982 $4,605,300
$19,967,000 $34,837,276 $6,058,771 $4,983.343 $8,872.584 $69,999,008 $20,021,290 $44,210,685 $33,446,767 $2,185,746 $6,822,413 $46,879,934 $22,345,367 $48,777,730 $9,824,768
$127,324,613 $1,665,801 $21,691,407 $1,762,287 $17,042,462 $115,191,687 $85,924,298
$3,286,189 $57,034,608 $9,294,553
$294,291,536 $9,804,952
$106,606,164 $18,337,357
$2,383,728,519
West Virginia Health Care Cost Review Authority
HOSPITAL BALANCE SHEET FOR ALL HOSPITALS, FY1996 ASSETS
HOSPITAL NAME
PsYcHvmic AND
Chestnut Ridge Hospkal Highland Hospltal Huntington Rehab Hospital Huntlngton State Hospital MountainVew Regional Hospital River Park Hospital Sharpe Hospital Southern Hills Regional Rehab. Hospltal West Virginia Rehabllitatlon Center Western Hills Rehab. Hosp.
SUBTOTAL:
TOTAL: ALL HOSPITALS
REHABlUTAllON HOSMTALS
NET OTHER TOTAL PROPERTY LESS: NET PROPERTY PATIENT OTHER PREPAID CURRENT CURRENT OTHER PLANT AND ACCUMULATED PLANT AND TOTAL
ASSETS EQUIPMENT CASH RECEIVABLES RECEIVABLES INVENTORY EXPENSES ASSETS ASSETS ASSETS EQUIPMENT DEPREMAllON
$28,733 $534,729
$5,296,676 $1 1,899,474 $7,009,327
($1,334) $6,153,460 $6.21 1,780
$172,748 $4,783,519
$42,089,112
$1,804,334 $1,908,364 $1,498,516 $1,097,535 $3,367,393
$571,597 $1,044,272 $4,695,319
($25,000) $4,011,790
$19,974,120
$1,295 $1 80,345
$0 $0 $0
$1 9.398 $0 $0
$53,821 $0
$254,859
$0 $43,101 $77,098
$153,187 $93,283
$105,845 $109.939 $114,855
$0 $35,431
$732,739
$0 $155,444 $3 6 5,2 9 9
$0 $298,009
$70,185 $0
$84,065 $0
$449,639
51,422,801
$146,149 $199,654
$0 $0 $0 $0 $0 $0 $0 $0
$345,803
$1.980.51 1 $3,021,637 $7,237.589
$13,150,196 $10,768,012
$765,691 $7,307,671
$1 1,106,019 $201,569
$9,280,379
$64,819,274
$12,985,405 $195,535
$1,943,210 $0
($4,332,319) $15,362
$2 5 6.4 7 4 $9,761,452
$0 $10,721,663
$31,546,782
$13,134,009 $1,841,102 $8,939,701
$1 1.1 57.91 6 $29,685,452 $1 4,524,384 $33,505,052 $6,250,435
$15,301,156 $5,654,582
$139,993,789
($3.41 5,403) $0
($7,806.596) ($1,221,540)
($701,167)
($1,713,162) ($523.1 80)
($8,523.386) ($441,258)
(528,844,651)
($4,498,959)
$9,718,606 $1,841,102 $7.71 8,161 $3,351,320
$28,984,285 $10,025,425 $31,791,890
$5,727.255 $6,777,770 $5.21 3,324
$1 11 , I 49,138
$24,684,522 $5,058,274
$16,898,960 $16,501,516 $35,419,978 $10,806,478 $39,356,035 $26,594,726 $6,979,339
$25,215,366
$207.515,194
$24,684.522 $5,058,274
$16,898,960 $16,501,516 $35,419,978 $10,806,478
$39,356,035 $26,594,726 $6,979,339
$2521 5,366
5207,515,194
5138,745,724 $437,477,974 556,232,821 $39,910,431 $25,630,558 $28,982,238 $726,979,746 $740,482,535 $2,282,804,741 (51,159,023,309) $1,123,781,432 $2,591,243,713 52,591,243,713
West Virginia Health Care Cost Review Authority
HOSPITAL BALANCE SHEET FOR ALL HOSPITALS, FY1996 LIABILITIES
HOSPITAL NAME
GENERAL ACUTE CARE HOSPITALS
Beckley Appalachian Regional Hospital Beckley Hospital, inc. Bluefield Regional Medical Center Boone Memorial Hospital Braxton County Memorial Hospital Broaddus Hospital Cabell Huntington Hospital Camden-Clark Memorial Hospital Charleston Area Medical Center City Hospital Davis Memorial Hospital. inc. Eye & Ear Clinic of Charleston. Inc. Fairmont General Hospital Grafton City Hospital Grant Memorial Hospital Greenbrier Valley Medical Center Guyan Valley Hospital Hampshire Memorial Hospital Jackson General Hospital Jefferson Memorial Hospital Logan General Hospital Man Appalachian Regional Hospital Minnie Hamilton Health Center Monongalia General Hospital Montgomery General Hospital Morgan County War Memorial Hospital Ohio Valley Medical Center Plateau Medical Center Pleasant Valley Hospital 7 Potomac Valley Hospital Preston Memorial Hospital Princeton Community Hospital Putnam General Hospital Raleigh General Hospital Reynolds Memorial Hospital Richwood Area Medical Center Roane General Hospital St. Francis Hospital St Joseph's Hosp.-Buckhannon St Joseph's Hosp.-Parkersburg St. Luke's Hospital St. Mary's Hospital Sistersville General Hospital Stonewall Jackson Memorial Hospital Summers County Appalachian Regional Summersville Memorial Hospital Thomas Memorial Hospital United Hospital Center Webster County Memorial Hospital Weirton Medical Center Welch Emergency Hospital West Virginia Unlverslty Hospitals. Inc. Wetzel County Hospital Association Wheeling Hospital Williamson Memorial Hospital SUBTOTAL:
ACCOUNTS PAYABLE
$1,873,180
$1,295,431 $244,534
$1,315,609 $717,779
$3,96921 1 $2,433,855
$43,276,000 $705,995
$2,318,372 $127,727
$3,546,688 $858,497 $580,334 $830,081 $1 64,546 $579,966
$2,690,130 $838,444
$5,262,852 $792,925 $368,001
$7,435,412 $364,451 $161,090
$0 $666,000
$3,067,536 $233,306
$1,426,096
$3,038,634 $831,219
$2,680,215 $1,974,968
$868,516 $274,751
$2,878,805 $740,921
$4,928,921 $462.91 9
$13,536,325 $199,831 $543,952 $952,275
$1,408,850 $4,702,489 $3,953.1 58
$1 08.343 $1,726,036 $1,325,582 $6,323,607 $1,695,484 $3,957,509 $1,022,260
$149,169,739
$890,121
CURRENT MATURITIES
OF LONG-TERM DEBT
$200,720
$21,390 $1 52,592 $174,867 $1 48,566 $655,000 $640,000
$5,079,000 $604,029 $770,307 $39,538
$813,734 $1 53,242
$0 $0
$1 61,002 $223,941
$1,391,938 $953.1 00 $230,377 $72,352
$1,416,302 $259,172 $149,718 $618,185 $300,000
$1,384,837 $1 46,985 $462,341 $1 03,829
$1,719,589 $0 $0
$1,135,000 $34,087 $17,401
$208,730 $253,489
$4,61 6 $0
$965,601 $1 19,919 $488,304
$0 $773,772 $665,000
$2,156,641 $0
$1,290,818
$1 81,995
$21,461 $3,301,811
$569,400 $920,732 $55,162
$32,230,592
OTHER CURRENT
LIABILITIES
$2,080,939
$6,168,125 $1 99,320 $214,691 $199,746
$7,446,903 $4,243,062
$1 7,416,000 $4,488,512 $3,017.91 1
$672,192 $4,705,958 $2,239,527 $3,461,691 $1,266,130
$343,125 $81 0,963
$1,089,512 $1,609,480
$15,993,634 $569,270 $1 31,610
$3,098,544 $851,123
$4,022,986 $2,044,000 $2,430,078
$126,421 $1,253,583 $1,212,140 $2,888,869
$988,737 $2,812,143 $3,105,067
$228,167 $1,619,851 $2,589,052 $2,058,046 $4,981,997
$889,521 $4,873,205
$102,881 $1,172,790
$1 55,728 $974,511
$2,303,433 $4,607,034
$208,480 $4,067.571 $1,110,795
$10,690,042 $1,049,583
$1 2,484,526 $427,682
$160,130,666
$333,779
TOTAL CURRENT
LIABILITIES
$4.1 54,839
$7,484,946 $596,446
$1,705,167 $1,066,091
$12,071.1 14 $7,316,917
$65,771,000 $5,798,536 $6,106,590
$839,457 $9,066,380 $3,251,266 $4,042,025 $2,096,211
$668,673 $1,614,870 $3,961,637 $3,839,862
$22,209,586 $1,592,572
$571,963 $9,185,493 $3,722,167 $1,161,931 $4,641,171 $3,010,000 $6,882,451
$506,712 $3,142,020 $2,206,090 $7,647,092 $1,819,956 $5,492,358 $6,215,035 $1,130,770 $1,912,003 $5,676,587 $3,052,456
$1,352,440 $1 9,395,131
$422,631 $2,205,046 $1,108,003 $3,157,133 $7,670,922
$1 0,716,833 $316,823
$7,084,425 $2,457,838
$20,315,460 $3,314,467
$1 7,362,767 $1,505,104
$341,530,997
$9,915,534
LONG TERM DEBT
$3,860,551
$5,731,913 $107,571 $954,927 $522,339
$30,798,392 $2,830,000
$89,077,000 $22,523,058 $1 8.433.1 55
$0 $8,916,647 $1,314,422 $3,419,003 ($317,501) $367,912 $190,169
$2,916,603 $903,197
$30,875,091 $0
$731,237 $18,524,984 $2,879,885
$781,045 $22,969.646
$7,800,000 $10,840,501 $1,584,038 $1,531.41 5 $3,980,555
$13,363,751 $4,448,774 $1,968,707 $1,900,000 $1,219,000
$1 50,480 $31,263,428
$6,623,963
$2458,096 $25,173,988
$443,813 $2,505,231
$0 $4,320,366
$1 3.742.31 3 $9,898,881
$0 $0 $0
$89,537,583 $3,722,814 $5,616,900
$92,354 $51 3,498,197
$0
CAPITAL LEASE
OBLIGATIONS
$0
$0 $58,310
$0 $1 25,942
$0 $0
$0 $45,326,000
$306,378 $408,346
$0 $0 $0
$1 7,025 $0
$224,563 $1 90,063
$0 $1,922,087
$0 $0
$416,418 $0 $0
$1,760,434 $0 $0
$29,130 $257,281 $132,954
$0 $0 $0 $0 $0
$19,936 $0
$72,699 $0 $0
$0 $0 $0 $0 $0
$3,813,282 $0 $0 $0 $0 $0
$18,714 $0
$55,167,959
$68,397
OTHER LIABILITIES
$0
$666,378 $773,698
$0 $449,781
$6,694,845 $3,276,754
$0 $249,404
$1,333,212
$1,436,396 $272,623
$1,280,123 $2,836,286
$0 $0 $0 $0 $0 $0
$3,548,917 $0 $0
$13,105,169 $38,000
$574,020 $604,670 $82,584
$0 $9,782,275
$0 $0
$1,814,169 $0 $0 $0
$0 $0
$0 $0 $0 $0
$0 $0
$1 7,575,141 $0
$12,053,859 $0
$532,348 $0
$89,083,600
$0
$0
$622,660
$4,813,731
$4,666,537
TOTAL LIABILITIES
$8,015,390
$1 3,883,237 $1,536,025 $2,660,094 $2,164,153
$49,564,351 $13,423,671
$200,174,000 $28,570,998 $26,179,335 $1,247,803
$1 9.41 9,423 $4,838,311 $7,461,028 $3,075,858 $3,872,871 $2,029,602 $7,068,303 $4,743,059
$55,006,764 $1,592,572 $1,303,200
$31,675,812 $6,602,052 $1,942,976
$42,476,420 $10,848,000 518,296,972 $2,724,550 $5,013,300 $6,319,599
$30,793,118 $6,268,730 $7,461,065 $9,929,224 $2,349,770 $2,082,419
$36,940,015 $1 0,371,778
$3,810,536 $49,451,247
$866,444 $4,710,277 $1,108,003 $7,477,499
$26,079,772 $24,428,996
$316,823 $24,659,566 $2,457,838
$121,906,902 $7,037,281
$23,530,729
$999,280,753
$9,915,534
$1.597.458
TOTAL FUND
BALANCE
$18,036,832
$24,880,089 $2,539,395 $3,348,607 $2,141,035
$65,452,478 $50,642,928
$191,236,000 $25,188,753 $38,035,885 $4,182,326
$21,654,453 $1,240,911
$15,681,339 $17,113,212
$479,581 $155,027
$3,283,572 $8,097,570
$1 5,311,051 $6,272,867
$818.671 $50,566,764 $10,718,384 $2,662,324
$14,968,562
$16,540,304 $3,334,221
($29.957) $2,552,985
$39,205,890 $1 3,752,560 $36,749,620 $23,517,543
($1 64.024) $4,739,994 $9,939,919
$1 1,973,589 $38,862,196 $6,014,232
$77,873,366 $799,357
$16,981,130 $654,284
$9,564,963 $59,844,526 $90,762,691 $2,969,366
$32,375,042 $6,836,715
$1 72,384,634 $2,767,671
$83,075,435 $16,739,869
$9,119,000
$1,384,447,737
TOTAL LIABILITIES AND FUND BALANCE
$26,054,222
$38,763,326 $4,075,420 $6,008,701 $4,305,188
$115,016,829 $64,066,599
$391,410,000 $53,759,751 $64,215,220 $5,430,129
$41,073,876 $6,079,222
$23,142,367 $20,189,070 $4,352,452 $2,184,629
$10,351,875 $12,840,629 $70,317,815 $7,865,439 $2,121.871
$82,242,576 $17,320,436 $57,444,982 $4,605,300
$19,967,000 $34,837,276
$6,058,771 $4,983,343 $8,872,584
$69,999,008 $20,021,290 $44,210,685 $33,446.767 $2,185,746 $6,822,413
$46,879,934 $22,345,367 $48,777,730 $9,824,768
$1 27,324,613 $1,665,801
$21,691,407 $1,762,287
$17,042,462 $85,924,298
$115,191,687 $3,286,189
$57,034,608 $9,294,553
$294,291,536 $9.804.952
$106,606,164 $18,337,327
$2,383,728,490
West Virginia Health Care Cost Review Authority
HOSPITAL BALANCE SHEET FOR ALL HOSPITALS, FY1996 LIABILITIES
HOSPITAL NAME
PSYCHIATRIC AND REHABILITATION HOSPITALS
Chestnut Ridge Hospital Highland Hospital Huntington Rehab Hospital Huntington State Hospital Mountainview Regional Hospital River Park Hospital Sharpe Hospital Southern Hills Regional Rehab. Hospital West Virginia Rehabilitation Center Western Hills Rehab. Hosp.
SUBTOTAL:
TOTAL: ALL HOSPITALS
CURRENT MATURITIES OTHER TOTAL
ACCOUNTS OF LONG-TERM CURRENT CURRENT PAYABLE DEBT LIABILITIES L I A B I L I T I E S
$301,260 $348.310 $107,860 $629.952 $209.958 $511,749
$251
$262,035 $35,042
$2,406,417
$151,576,156
$0
$0
$0 $0 $0 $0 $0 $0 $0 $0
$8,375
$8,375
$32,238,967
$889,667
$3,184,931 $1,274,603 $1.883.371
$1,568,527 $397,707
$0 $3,921,321
513,875,309
$1 74,005,975
$357,747
$397,435
$1,190,927 $714,432
$3,292,791 $1,904,555 $2,093,329 $909,184
$1,568.778 $397,707 $262,035
$3,956,363 $16,290,101
$357,821,098
TOTAL LONG CAPITAL TOTAL LIABILITIES TERM LEASE OTHER TOTAL FUND AND FUND DEBT OBLIGATIONS LIABILITIES LIABILITIES BAL AN C E BALANCE
$0 $0 $0
$60,453 ($19,841,393)
$0 $24,638.672 $7,694,119
$0 $5,115,736
$17,667,589
$531,165,786
$0 $0 $0 $0 $0 $0 $0 $0 $0 $0
$0
$55,167,959
$177,224 $0
$7,840.001 $0
$23,419,706 ($280.1 81)
$0 $0 $0
$25,000
$31,181,750
$1 20,265,350
$1,368,151 $714,432
$1 1,132,792 $1,965,008 $5,671,642 $629,003
$26,207,450 $8,091,826 $262,035
$9,097,101 $65,139,440
$1,064,420,193
$23,316,371 $4,343,842 $5,766,168 $14,536,506 $29,748.336 $1 0,177,475 $1 3,1 48,585 $18,502,900 $6,717,304 $16.1 18,265
$1 42,375,754
$1,526,823,491
$24,684,522 $5,058,274 $16,898,960 $16,501,516 $35.4 19,978 $10,806,478 $39,356,035 $26,594,726 $6,979,339 $25,215,366 $207,515,194
$2,591,243,684
$24,684,522 $5.058.274 $16,501,516 $16,898,960
$35,419,978 $10,806,478 $39,356,035 $26,594,726 $6,979,339 $25,215,366
$207,515,194
$2,591,243,684
The hospital utilization data presented here are derived from Worksheet 1 of the Uniform Financial Report, which lists inpatient days and discharges by payor. The data are provided by the hospital, except for the occupancy and average length of stay, which are calculated by Authority staff.
The Uniform Report is submitted by the state’s general acute care, psychiatric and medical rehabilitation hospitals.
Acute psychiatric services are offered at general as well as psychiatric hospitals. Raleigh General Hospital separated psychiatric utilization data but did not separate financial information associated with that utilization. This report includes any data reported by hospitals in psychiatric line items.
The number of licensed psychiatric beds reported by the Office of Health Facility Licensure and Certification (WV DHHR) for the licensure period July 1, 1996 to June 30, 1997 is included, as well as the licensed beds reported by the hospitals on the Uniform Report for their fiscal year ending in 1996. Where hospitals combined their psychiatric and chemical dependency data, the combined bed totals are used.
The financial data included come from the Uniform Report Worksheet 5 (Operating Expenses), Worksheet 6 (Cost Allocation), and Worksheet 8 (Gross Patient Revenue by Payor). The Net Expenses for Cost Allocation result form reclassification of and adjustments to the Operating Expenses from other cost centers. The Allocated Expenses include expenses from cost centers which provide no revenue, such as capital-related costs for buildings and equipment, administrative and general, maintenance and repairs, employee benefits, medical records, and other indirect costs.
Expenses and revenue per day and per discharge were calculated by the HCCRA staff. Caution should be used in interpreting these data, as revenue and expenses may not correlate directly with the utilization data, and ancillary costs are not included in the psychiatric inpatient costs.
74
West Virginia Health Care Cost Review Authority
PSYCHIATRIC UTILIZATION AND FINANCIAL DATA FOR LICENSED PSYCHIATRIC HOSPITALS AND PSYCHIATRIC
UNITS OF GENERAL ACUTE CARE HOSPITALS, FYI996
LICENSED PSYCHIATRIC BEDS
HOSPITAL NAME
Beckley Appalachian Regional Charleston Area Medical Center Chestnut Ridge City Hospital Fairmont General Hospital Highland Hospital Huntington State Hospital Ohio Valley Medical Center Princeton Community Hospital Raleigh General Hospital River Park Hospital Sharpe Hospital St Joseph's - Buckhannon St Joseph's - Parkersburg St Mary's Hospital Thomas Memorial Hospital United Hospital Center Weirton Medical Center
TOTALS
LICENSURE HCCRA PERIOD UNIFORM REPORT 719 6 -6197 FY 1996
80 20 42 10 20 80 90 64 26 17 165 150 26 57 56 20 21 20
80 20 70 25 35 80 90 64 26 17
165 150 26 57 56 20 21 20
964 1,022
* Includes chemical dependency beds; psychiatric and chemical dependency units are blended.
West Virginia Health Care Cost Review Authority
PSYCHIATRIC UTILIZATION AND FINANCIAL DATA FOR LICENSED PSYCHIATRIC HOSPITALS AND PSYCHIATRIC
UNITS OF GENERAL ACUTE CARE HOSPITALS, FY1996
INPATIENT DAYS
HOSPITAL NAME
Beckley Appalachian Regional Charleston Area Medical Center Chestnut Ridge City Hospital Fairmont General Hospital Highland Hospital Huntington State Hospital Ohio Valley Medical Center Princeton Community Hospital Raleigh General Hospital River Park Hospital Sharpe Hospital St Joseph's - Buckhannon St Joseph's - Parkersburg St Mary's Hospital Thomas Memorial Hospital United Hospital Center Weirton Medical Center
TOTALS
MEDICARE
5,469 1,497 4,517
759 2,027 2,352 7,039 1,490 2,119
766 6,772 5,984 1,004 2,284 2,002 1,898 1,133
489
MEDICAID
5,480 1,070 2,823
441 3,428 5,092 1,496 1,562 3,622 1,379 6,493 3,780 1,324 1,899 1,664
926 421 626
49,601 43,526
PElA - 107 115 541 20 40
802 28 17
111 57
923 0
55 67
224 203 87
0
3,397
OTHER NON GOVT GOVT - -
201 1,807 122 1,396 139 5,401 10 778 92 1,388
263 3,109 39 18,505
138 1,806 186 2,434 88 428
652 6,318 0 21,938
52 886 53 1,879
130 1,375 71 1,463 40 686 30 904
TOTAL
13,064 4,200
13,421 2,008 6,975
11,618 27,107 5,013 8,472 2,718
21,158 31,702
3,321 6,182 5,395 4,561 2,367 2,049
2,306 72,501 171,331
West Virginia Health Care Cost Review Authority
PSYCHIATRIC UTILIZATION AND FlNANClAL DATA FOR LICENSED PSYCHIATRIC HOSPITALS AND PSYCHIATRIC
UNITS OF GENERAL ACUTE CARE HOSPITALS, FY1996
DISCHARGES
HOSPITAL NAME
Beckley Appalachian Regional Charleston Area Medical Center Chestnut Ridge City Hospital Fairmont General Hospital Highland Hospital Huntington State Hospital Ohio Valley Medical Center Princeton Community Hospital Raleigh General Hospital River Park Hospital Sharpe Hospital St Joseph's - Buckhannon St Joseph's - Parkersburg St Mary's Hospital Thomas Memorial Hospital United Hospital Center Weirton Medical Center
TOTALS
MEDICARE
723 152 370 154 179 153 180 222 295 119 639 135 145 296 167 188 117 64
MEDICAID
759 170 265 105 387 377 36
231 602 241 428
49 238 362 144 136 89
105
4,298 4,724
OTHER PElA GOVT
17 28 26 15 70 15 5 0 5 9
85 26 1 1 4 16
24 31 15 14 89 67 0 0
11 9 14 11 21 14 29 13 17 10 0 3
433 282
NON GOVT
334 258 586 287 21 9 235 440 31 8 406 91
81 5 632 172 41 3 157 191 158 179
5,891
TOTAL
1,861 62 1
1,306 551 799 876 658 791
1,358 480
2,038 81 6 575
1,096 503 557 391 351
15,628
West Virginia Health Care Cost Review Authority
HOSPITAL NAME
Beckley Appalachian Regional Charleston Area Medical Center Chestnut Ridge City Hospital Fairmont General Hospital Highland Hospital Huntington State Hospital Ohio Valley Medical Center Princeton Community Hospital Raleigh General Hospital River Park Hospital Sharpe Hospital St Joseph's - Buckhannon St Joseph's - Parkersburg St Mary's Hospital Thomas Memorial Hospital United Hospital Center Weirton Medical Center
TOTALS
PSYCHIATRIC UTILIZATION AND FINANCIAL DATA FOR LICENSED PSYCHIATRIC HOSPITALS AND PSYCHIATRIC
UNITS OF GENERAL ACUTE CARE HOSPITALS, FY1996
AVERAGE LENGTH OF STAY
OCCUPANCY
44.6% 57.4% 52.4% 21.9% 54.4% 39.7% 82.3% 21.4% 89.0% 43.7% 35.0% 57.7% 34.9% 29.6% 26.3% 62.3% 30.8%
* * *
28.0%
45.8%
MEDICARE
7.6 9.8
12.2 4.9
11.3 15.4 39.1 6.7 7.2 6.4
10.6 44.3 6.9 7.7
12.0 10.1 9.7 7.6
MEDICAID
7.2 6.3
10.7 4.2 8.9
13.5 41.6 6.8 6.0 5.7
15.2 77.1 5.6 5.2
11.6 6.8 4.7 6.0
11.5 9.2
PElA - 6.3 4.4 7.7 4.0 8.0 9.4
28.0 4.3 4.6 3.8
10.4 0.0 5.0 4.8
10.7 7.0 5.1 0.0
7.8
OTHER GOVT
7.2 8.1 9.3 0.0
10.2 10.1 39.0 8.6 6.0 6.3 9.7 0.0 5.8 4.8 9.3 5.5 4.0
10.0
8.2
NON GOVT
5.4 5.4 9.2 2.7 6.3
13.2 42.1 5.7 6.0 4.7 7.8
34.7 5.2 4.5 8.8 7.7 4.3 5.1
TOTAL
7.0 6.8
10.3 3.6 8.7
13.3 41.2 6.3 6.2 5.7
10.4 38.9 5.8 5.6
10.7 8.2 6.1 5.8
12.3 11.0
West Virginia Health Care Cost Review Authority
HOSPITAL NAME
Beckley Appalachian Regional Charleston Area Medical Center Chestnut Ridge City Hospital Fairmont General Hospital Highland Hospital Huntington State Hospital Ohio Valley Medical Center
4 Princeton Community Hospital Raleigh General Hospital River Park Hospital Sharpe Hospital St Joseph's - Buckhannon St Joseph's - Parkersburg St Mary's Hospital Thomas Memorial Hospital United Hospital Center Weirton Medical Center
u3
TOTALS
PSYCHIATRIC UTILIZATION AND FINANCIAL DATA FOR LICENSED PSYCHIATRIC HOSPITALS AND PSYCHIATRIC
UNITS OF GENERAL ACUTE CARE HOSPITALS, FY1996
GROSS INPATIENT REVENUE FOR ROUTINE SERVICE *
MEDICARE
$1,481,811 $424,608
$4,058,314 $41 2,433 $787,340
$1,460,340 $2,486,400
$683,034 $1,030,921
$5,629,826 $5,218,048
$635,764 $1,212,763 $1,035,746
$954,125 $450,348 $244,500
$28,206,321
M ED1 CAlD
$1,484,790 $31 2,883
$2,415,581 $229,446
$1,330,333 $4,709,035
$448,800 $694,447
$1,779,166
$5,899,139 $3,191,850
$864,692 $1,187,791
$727,533 $463,600 $1 69,573 $325,000
$26,233,659
PElA - $28,99 1 $33,908
$446,568 $5,801
$27,150 $583,875
$8,400 $7,119
$53,946
$795,000
$38,592 $50,599
$1 25,367 $1 01,600 $34,805
$0
$0
$2,341,721
OTHER GOVT -
$54,460 $37,616
$1 06,990 $4,320
$27,159 $223,395 $1 1,700 $44,308 $90,396
$541,818
$36,517 $39,920 $70,645 $36,280 $1 6,965 $1 5,000
$0
$1,357,489
NON GOVT
$489,601 $398,396
$4,661,555 $435,073 $542,993
$2,850,616 $5,177,700
$802,209 $1,162,868
$5,342,711 $20,065,902
$579,938 $1,051,466
$585,599 $724,090 $279,900 $440,000
$45,590,617
TOTAL
$3,539,653 $1,207,411
$1 1,689,008 $1,087,073 $2,714,975 $9,827,261 $8,133,000 $2,231,117 $4,117,297
$1 8,208,494 $28,475,800 $2,155,503 $3,542,539 $2,544,890 $2,279,695
$951,591 $1,024,500
$1 03,729,807
* Reflects only revenue reported for inpatient cost centers; excludes ancillary revenue.
West Virginia Health Care Cost Review Authority
co 0
HOSPITAL NAME
Beckley Appalachian Regional Charleston Area Medical Center Chestnut Ridge City Hospital Fairmont General Hospital Highland Hospital Huntington State Hospital Ohio Valley Medical Center Princeton Community Hospital Raleigh General Hospital River Park Hospital Sharpe Hospital St Joseph's - Buckhannon St Joseph's - Parkersburg St Mary's Hospital Thomas Memorial Hospital United Hospital Center Weirton Medical Center
PSYCHIATRIC UTILIZATION AND FINANCIAL DATA FOR LICENSED PSYCHIATRIC HOSPITALS AND PSYCHIATRIC
UNITS OF GENERAL ACUTE CARE HOSPITALS, FY1996
GROSS INPATIENT REVENUE PER INPATIENT DAY FOR ROUTINE SERVICE *
TOTALS
ME D CARE
$271 $284 $898 $543 $388 $621 $353 $458 $487
$831 $872 $633 $531 $51 7 $503
$500 $397
$569
OTHER MEDICAID - PElA GOVT
$271 $292 $856 $520 $388 $925 $300 $445 $491
$909 $844 $653 $625 $437 $501 $403 $51 9
$271 $295 $825 $290 $679 $728 $300 $41 9 $486
$861 $0
$702 $755 $560 $500 $400
$0
$271 $308 $770 $432 $295 $849 $300 $321 $486
$831
$702 $0
$753 $543 $51 1 $424 $500
$603 $689 $589
NON GOVT
$271 $285 $863 $559 $391 $91 7 $280
$478
$846 $91 5 $655 $560 $426 $495 $408 $487
$444
$629
TOTAL
$271 $287 $871 $541 $389 $846 $300 $445 $486
$861 $898 $649 $573 $472 $500 $402 $500
$605
Reflects only revenue reported for inpatient cost centers; excludes ancillary revenue.
West Virginia Health Care Cost Review Authority
PSYCHIATRIC UTILIZATION AND FINANCIAL DATA FOR LICENSED PSYCHIATRIC HOSPITALS AND PSYCHIATRIC
UNITS OF GENERAL ACUTE CARE HOSPITALS, FYI996
GROSS INPATIENT REVENUE PER DISCHARGE FOR ROUTINE SERVICE *
HOSPITAL NAME
Beckley Appalachian Regional Charleston Area Medical Center Chestnut Ridge City Hospital Fairmont General Hospital Highland Hospital Huntington State Hospital Ohio Valley Medical Center Princeton Community Hospital Raleigh General Hospital River Park Hospital Sharpe Hospital St Joseph's - Buckhannon St Joseph's - Parkersburg St Mary's Hospital Thomas Memorial Hospital United Hospital Center Weirton Medical Center
TOTALS
ME DlCAR E
$2,050 $2,793
$1 0,968 $2,678 $4,399 $9,545
$1 3,813 $3,077 $3,495
$8,810 $38,652 $4,385 $4,097 $6,202 $5,075 $3,849 $3,820
$6,563
MEDICAID
$1,956 $1,840 $9,115 $2,185 $3,438
$1 2,491 $1 2,467 $3,006 $2,955
$1 3,783 $65,140 $3,633 $3,281 $5,052 $3,409 $1,905 $3,095
$5,553
PElA
$1,705 $1,304 $6,380 $1,160 $5,430 $6,869 $8,400 $1,780 $2,248
$8,933
$3,508 $3,614 $5,970 $3,503 $2,047
$0
$0
$5,408
OTHER GOVT
$1,945 $2,508 $7,133
$0 $3,018 $8,592
$1 1,700 $2,769 $2,916
$8,087 $0
$4,057 $3,629 $5,046 $2,791 $1,697 $5,000
$4,814
NON GOVT
$1,466 $1,544 $7,955 $1,516 $2,479
$12,130 $1 1,768
$2,523 $2,864
$6,555 $31,750 $3,372 $2,546 $3,730 $3,791 $1,772 $2,458
$7,739
TOTAL
$1,902
$8,950 $1,973 $3,398
$11,218 $1 2,360 $2,821 $3,032
$8,934 $34,897
$3,232 $5,059 $4,093 $2,434 $2,919
$1,944
$3,749
$6,637
* Reflects only revenue reported for inpatient cost centers; excludes ancillary revenue.
West Virginia Health Care Cost Review Authority
PSYCHIATRIC UTILIZATION AND FINANCIAL DATA FOR LICENSED PSYCHIATRIC HOSPITALS AND PSYCHIATRIC
UNITS OF GENERAL ACUTE CARE HOSPITALS, FY1996
GROSS PATIENT REVENUE FOR ROUTINE SERVICE *
HOSPITAL NAME
Beckley Appalachian Regional Charleston Area Medical Center Chestnut Ridge City Hospital Fairmont General Hospital Highland Hospital Huntington State Hospital Ohio Valley Medical Center
03 Princeton Community Hospital Raleigh General Hospital River Park Hospital Sharpe Hospital St Joseph's - Buckhannon St Joseph's - Parkersburg St Mary's Hospital Thomas Memorial Hospital United Hospital Center Weirton Medical Center
N
TOTALS
MEDICARE
$1,676,002 $431,337
$4,058,314 $51 6,550 $787,340
$1,460,340 $2,486,400
$683,034 $1,030,921
$5,629,826 $5,218,048
$635,764 $1,212,763 $1,035,746
$954,125 $450,348 $244,500
$28,511,358
ME DlC AI D
$2,377,727 $321,352
$2,415,581 $243,323
$1,330,333 $4,709,035
$448,800 $694,447
$1,779,166
$5,899,139 $3,191,850
$864,692 $1,187,791
$727,533 $463,600 $1 69,573 $325,000
$27,148,942
PElA - $6,500
$34,304 $446,568 $1 6,393 $27,150
$583,875 $8,400 $7,119
$53,946
$795,000 $0
$38,592 $50,599
$1 25,367 $1 01,600
$34,805 $0
$2,330,218
OTHER GOVT
$74,454 $39,036
$1 06,990 $6,173
$27,159 $223,395 $1 1,700 $44,308 $90,396
$541,818 $0
$36,860 $39,920 $70,645 $36,280 $1 6,965 $1 5,000
$1,381,099
NON GOVT
$645,422 $41 9,356
$4,661,555 $570,731 $542,993
$2,850,616 $5,177,700
$802,209 $1,162,868
$5,342,711 $20,065,902
$579,938 $1,051,466
$585,599 $724,090 $279,900 $440,000
$45,903,056
TOTAL
$4,780,105 $1,245,385
$1 1,689,008 $1,353,170 $2,714,975 $9,827,261 $8,133,000 $2,231,117 $4,117,297
$1 8,208,494 $28,475,800 $2,155,846 $3,542,539 $2,544,890 $2,279,695
$951,591 $1,024,500
$1 05,274,673
* Reflects revenues reported for inpatient & outpatient cost centers; excludes ancillary revenue.
West Virginia Health Care Cost Review Authority
HOSPITAL NAME
Beckley Appalachian Regional Charleston Area Medical Center Chestnut Ridge City Hospital Fairmont General Hospital Highland Hospital Huntington State Hospital Ohio Valley Medical Center Princeton Community Hospital Raleigh General Hospital River Park Hospital Sharpe Hospital St Joseph's - Buckhannon St Joseph's - Parkersburg St Mary's Hospital Thomas Memorial Hospital United Hospital Center Weirton Medical Center
TOTALS
PSYCHIATRIC UTILIZATION AND FINANCIAL DATA FOR LICENSED PSYCHIATRIC HOSPITALS AND PSYCHIATRIC
UNITS OF GENERAL ACUTE CARE HOSPITALS, FY1996
IN PATIENT ROUTINE
OPERATING EXPENSES
$2,565,072 $1,174,385 $2,263,956
$954,602 $877,609
$3,517,779 $3,237,943 $1,156,660 $1,803,027
$1,853,678 $4,886,097 $1,024,821 $1,111,669 $1,746,410
$830,244 $51 8,766 $765,769
$30,288,487
NETEXPENSES FOR COST
ALLOCATION
$2,569,468 $1,170,905 $1,999,857
$940,809 $2,409,344 $2,457,132 $1,185,726 $1,805,437
$954,495
$1,853,678 $4,353,421 $1,024,831 $1,028,287 $1,414,477
$839,481 $51 8,763 $766,073
$27,292,184
PER INPATIENT DAY I ALLOCATED OPERATING NET EXPENSES FOR ALLOCATED EXPENSEW) EXPENSES COST ALLOCATION EXPENSES (1 )
$4,988,388 $2,143,963 $5,316,325 $1,882,853 $2,360,439 $5,727,062 $6,720,638 $2,507,372 $2,904,418
$8,053,426 $17,166,740 $1,450,722 $2,855,938 $2,998,403 $1,760,789 $1,523,003 $1,261,594
$1 96 $280 $1 69 $475 $1 26 $303 $119 $231 $21 3
$88 $1 54 $309 $1 80 $324 $1 82 $21 9 $374
$1 97 $279 $1 49 $475 $1 35 $207 $91 $237 $21 3
$88 $1 37 $309 $1 66 $262 $1 84 $21 9 $374
$382 $51 0 $396 $938 $338 $493 $248 $500 $343
$381 $542 $437 $462 $556 $386 $643 $61 6
(2)
$71,622,073 $1 77 $1 59 $41 8
(1) Allocated expenses represent the accumulation of expenses through the Uniform Report for the routine inpatient
(2) Raleigh General Hospital did not separate revenue and costs related to psychiatric services. and outpatient services only, and do not include costs of ancillary services.
Total All Acute Care Hospitals (excluding Welch)
$3:400:000,000 $3,300,000,000 $3,200,000,000 $3,100,000,000 $3,000,000,000 $2,300,000,000 $2,800,000,000 $2,700,000,000 $2,600,000,000 $2.500.000.000
Operating Revenue vs. Other Revenue FY 1994 FY 1995 FY 1996
Total from Operations $(3,259,010) $22,907,403 $37,632,190 Other Revenue $71,075,075 $72,866,065 $93,575,729 Total Profit $67,816,695 $95,773,468 $131,207,919
--c Gross Patient Revenues (GPI
---t Net Patient Revenues (NPR)
-- -- -- -- -- -- -- -- -- -C Adjusted Expenses (AE) T
Net Gain/(Loss) from Operations by Payor Group FY 1994 FY 1995 FY 1996
Medicare ($88,940,513) ($34,440,528) ($1 5,380,248) ($1 2,787,760 Medicaid $34,916,404
PElA $1 4,205,446 $14,015,941 $12,299,483 Other Payors $36,559,654 $22,710,304 $53,500,715
$37,632,190 Total from Operations ($3,259,010) $22,907,403
$20,621,686
$500,000,000
$-
03 P
.-
I
$150,00,000 T
4 Total from Operatlons
--C Other Revenue
-C Total Profit
$130,00,000
$110,00,000
$90,00,000
$70,00,000
$50,00,000
$30,00,000
$1 o,oo,ooo
($1 0,00,000) FY 1994 FY 1995 FY 1996
~~ ~~
Salaries &Wages vs. Total Operating Expenses FY 1994 FY 1995 FY 1996
Salaries & Wages $1,038,122,090 $1,089,987,778 $1,135,218,893 Total Operating Expense $2,011,338,665 $2,112,760,358 $2,207,443,064
T $2,500,000,000
$2,000,000,000 t - 0 I $1,500,000,000 - $ -
$1,000,000,000
__ Salaries 8. Wages
t Total Operating Expense
$0 I FY 1994 96
4 Medicare
-t Medicaid
W r n ) --
mmm) - PElA --
--R- Other Payorr W r n ) (sQPaw -- $IooMx)xxxll-
--
Net Gain/(Loss) from Operations by Payor Group
Components of Excess Revenue by Payor Group FY 1994 FY 1995 FY 1996
Gross Patient Revenues (GPR) $3,067,485,904 $3,232,235,456 $3,427,663,009 Net Patient Revenues (NPR) $2,008,079,654 $2,135,983,022 $2,245,075,251 Adjusted Expenses (AE) $1,940,262,959 $2,039,894,293 $2,113,867,335 Excess Revenue Over Expenses (EROE) $67,816,695 $95,773,468 $1 31,207,916
$3600000000 $3'500'000~000 1
$2,400,000,000 $2,300,000,000 $2,200,000,000 $2,100,000,000 $2 000.000.000 $1,900,000,000
FY 1994 FY 1995 FY 1996
HCA analyst prepared 9/17/97
Total All Acute Care Hospitals
FY 1994 FY 1995 FY 1996
Uncompensated Care Bad Debt Charity Care Uncompensated Care
$1 15,635,576 $81,265,199 $1 96,900,775 $122,211,304 $74,908,806 $197,120,110
$1 13,934,419 $85,444,020 $1 99,378,439
07 500 000 92'000'000 85'000'000 77'500'000 70'000'000 62'000'000 55'000'000 47'500'000 40:OOO:OOO 32 500 000 25'000'000 17:500:000 10 000 000 02'500'000 95'000'000 87'500'000 72:500:000 65 000 000 57'500'000 50:OOO:OOO
00'000'000
80'000'000
+
*FY 1994 FY 1995 FY 1996
-&- BadDebt -+- Charity Care - Uncompensated Care
Average Charge Per inpatient Discharge (Requested vs. Granted) FY 1994 FY 1995 FY 1996
Total Average Charge per Discharge (Requested) $51 85 $5,092 $5,383 Total Average Charge per Discharge (Granted) $4,970 $4,882 $5,255 Average Percentage Increase/(Decrease) -4.23% -4.24% -2.38%
$5,500
$5,400
$5,300
$5,200
$5,100
$5,000
$4,900
$4,800
$4,700
$4,600
Total Average Charge per Discharge (Requested)
1 Total Average Charge per Discharge (Granted)
FY 1994 FY 1995 FY 1996
All Payor Utilization Data for Acute Care Units of General Hospitals Medicare Medicaid PEiA Other Govt. Non-Govt. Total
*FY 1994 118,821 48,041 9,718 n/a 86,852 263,432
T $1 40,000
$120,000
$100,000 *FY 1994
8 $80,000 'FY 1995 FY 1996
$60,000
$40,000 s
$20,000
0 Medicare Medicaid PEiA Other Govt. Non-Govt.
Payor6
Average Charge Per Outpatient Visit (Requested vs. Granted) FY 1994 FY 1995 FY 1996
Average Charge per Outpatient Visit (Requested) $271 $269 $298 Average Charge per Outpatient Visit (Granted) $257 $259 $292 Average Percentage Increase/(Decrease) -4.38% -3.67% -1.78%
$310 T *n,,r 1 SJUU
$290
$280 per Outpatient Visit
$270 Average Charge
$260 per Outpatient Visit
$250
$240
$230 FY 1994 FY 1995 FY 1996
*-FY 94 & 95 Other Governmental & Non-Governmental Discharges were not broken out Into separate categories.
HCA Analyst prepared 9/17/97