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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



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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Page Number

1

2

14

20

21

22

:Ute Care

:are Hospitals

! Hospitals

Care Hospitals

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24

25

26

28

31

33

35

37

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5. Uncompensated Care

Uncompensated Care for All Hospitals



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



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are Hospitals

ieral Acute Care

Is

m Care

Page Number

44

45

47

48

50

51

52

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


2. Type of Ownership & 6ed Size Group

c. Rate of Return for All Hospitals



d. Gross Inpatient & Outpatient Revenue for All Hospitals



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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State

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



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

w e a 0

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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.


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.


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

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% 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%

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- 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


$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


$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)


$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


$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.


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


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


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


CASEMIX-ADJUSTED NONGOVERNMENT ALLOWED RATES FOR GENERAL ACUTE CARE HOSPITALS, FY1994-1996

BVTYPE OF OWNERSHIP & BED SIZE

HOSPITAL TYPE AND NAME




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


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


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


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


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


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


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

0 e e 0

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

W e a a 0

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


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


GENERAL ACUTE CARE



$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


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


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


31




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


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



GENERAL ACUTE CARE







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




SUBTOTAL GENERAL ACUTE CARE HOSPITALS (EXCLUDING WELCH)


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



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)



GENERAL ACUTE CARE







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)


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







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



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)


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)


PEIAREVENUEANDADJUSTEDEXPENSES FOR ALL HOSPITALS, FY1996


GENERAL ACUTE CARE







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


PEIAREVENUEANDADJUSTEDEXPENSES FOR ALL HOSPITALS, FY1996







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


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



GENERAL ACUTE CARE







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



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




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



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)


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)


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


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.





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


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



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




$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


UNCOMPENSATED CARE FOR ALL HOSPITALS, FY1996

ALPHABETICAL ORDER

TOTAL

CARE UNCOMPENSATED %OF

GPR - - $2,897,078 4.96%

$5,525.595 5.43%


$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%


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


Welch Emeroencv Hospital


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


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


UNCOMPENSATED CARE FOR ALL HOSPITALS, FY1996



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


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


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


Welch Emerqency Hospital


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


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


$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


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 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


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


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%


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


COMPARISON OF TOTAL FULL TIME EQUIVALENT'S (FTE's) AND TOTAL WAGES AND SALARIES (INCLUDING BENEFITS)


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


Welch Emeraencv Hospital


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


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


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


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


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


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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a

e a e e e e e e a e

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a

a

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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A


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


STATEMENT OF OPERATIONS FOR ALL HOSPITALS, FY1996

ALPHABETICAL ORDER


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




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



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


STATEMENT OF OPERATIONS FOR ALL HOSPITALS, FYI996

ALPHABETICAL ORDER


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




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



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


STATEMENT OF OPERATIONS FOR ALL HOSPITALS, FY1996

BY TYPE OF OWNERSHIP a BED SIZE GROUP


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


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


$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


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


STATEMENT OF OPERATIONS FOR ALL HOSPITALS. FY1996

BY TYPE OF OWNERSHIP 8 BED SIZE GROUP




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




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




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



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


RATE OF RETURN FOR ALL HOSPITALS, FY1996

ALPHABETICAL ORDER


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




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



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%


RATE OF RETURN FOR ALL HOSPITALS, FY1996



8 Y TYPE OF OWNERSHIP E BED SIZE GROUP


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


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


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


Welch Emeraencv Hospital


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 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%


GROSS INPATIENT AND OUTPATIENT REVENUE FOR ALL HOSPITALS, FY 1996 AS A PERCENT OF GROSS PATIENT REVENUE


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




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



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


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



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


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 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%


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%


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




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


$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


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%


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


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:


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


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


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:


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


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.



UNITS OF GENERAL ACUTE CARE HOSPITALS, FY1996

INPATIENT DAYS

HOSPITAL NAME


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


PSYCHIATRIC UTILIZATION AND FlNANClAL DATA FOR LICENSED PSYCHIATRIC HOSPITALS AND PSYCHIATRIC


DISCHARGES

HOSPITAL NAME


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


HOSPITAL NAME


TOTALS



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


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



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.


co 0

HOSPITAL NAME




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.



UNITS OF GENERAL ACUTE CARE HOSPITALS, FYI996

GROSS INPATIENT REVENUE PER DISCHARGE FOR ROUTINE SERVICE *

HOSPITAL NAME


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.




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.


HOSPITAL NAME


TOTALS



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

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