Partners HealthCare Heywood Healthcare Tenet Cape Cod ......Tenet Healthcare Corporation Kindred...

Partners HealthCare

System

CareGroup

UMass Memorial

Health Care

Steward Health

Care System

Baystate Health

Lahey Health

System

Cape Cod

Healthcare

Berkshire

Health Systems

Heywood Healthcare

Health System Profiles: Comparative Overview Circle areas are scaled based on system operating revenue

Shriners Hospitals for

Children

Tenet

Healthcare

Corporation

Kindred Healthcare

This page left intentionally blank

Newton-

Wellesley

$438M $201M

North

Shore

$417M $2M

Other Organizations OO

Health Plans HP Physician Organizations PO Non-Acute Hospitals NH Acute Hospitals AH

Partners HealthCare System, Inc. is an

integrated organization that provides health

care services throughout Massachusetts.

($92M) Total Profit/Loss

-0.8% Total Margin

66K Employees

(Approximately)

$1.7B Annual Research

Revenue

8 Acute Hospitals

5 Non-Acute Hospitals

Partners HealthCare System $11.7 Billion Operating Revenue

$6.1 Billion Net Assets

Other Health Care Providers OP

Mass.

General Hosp.

$3.5B

$2.1B

$2.6B

$252M

Neighborhood

Health Plan

$2.0B

$157M

Fiscal Year 2015:

See the technical appendix for details

Consolidating

Eliminations:

($1.1B)

($865M)

At a Glance

PHS

& Other

$812M $2.7B

B&W –

Faulkner

$217M $86M

Martha’s

Vineyard

$76M $104M

Cooley

Dickinson

$156M $60M

Nantucket

Cottage

$41M $66M

Not applicable

Brigham &

Women’s

Mass. General

Phys. Org.

$930M $463M

B & W

Phys. Org.

$734M $296M

North Shore

Phys. Group

$138M $6M

Partners Com.

Phys. Org.

$154M $27M

N-W

Ambulatory

Services

$65M $10M

CD

Practice

Associates

$40M $1M

McLean

Hospital

$199M $128M

Spaulding

Rehab

$123M $213M

Spaulding

Cape Cod

$41M $6M

Spaulding

Cambridge

$73M $45M

Spaulding

North Shore*

$30M ($7M)

Notes

* Spaulding North Shore closed inpatient

operations 7/31/2015 % of System’s Operating Revenue: < 10% 10-20% > 20% Operating Revenue Net Assets

Entity Profit (Loss)

in Millions

Total

Margin

AH Brigham & Women's Faulkner

Hospital $1.0 0.4%

AH Brigham & Women's Hospital $60.8 2.3%

AH Cooley Dickinson Hospital $3.7 2.4%

AH Martha's Vineyard Hospital $2.4 3.1%

AH Massachusetts General Hospital $201.1 5.8%

AH Nantucket Cottage Hospital $1.0 2.3%

AH Newton-Wellesley Hospital $19.2 4.3%

AH North Shore Medical Center ($36.0) -8.6%

NH McLean Hospital $3.0 1.5%

NH Spaulding Cambridge $0.4 0.6%

NH Spaulding Rehab ($9.1) -7.4%

NH Spaulding Cape Cod $3.0 7.2%

NH Spaulding North Shore ($18.8) -62.7%

PO Brigham & Women's Physicians

Org ($5.3) -0.7%

PO CD Practice Associates ($14.0) -35.0%

PO Mass. General Physicians Org. $11.4 1.2%

PO N-W Ambulatory Services ($0.3) -0.5%

PO North Shore Physicians Group ($5.2) -3.8%

PO Partners Community Physicians

Org ($8.9) -5.8%

HP Neighborhood Health Plan ($10.0) -0.5%

$2.6B

Fiscal Year 2015:

CENTER FOR HEALTH INFORMATION AND ANALYSIS

http://chiamass.gov

System Hospitals

Acute Hospital Discharges per Zip Code

Partners HealthCare System 156,274 Acute Hospital Discharges

System’s Percentage of all Massachusetts

Acute Hospital… AH AH

PO

8 Acute Hospitals

0-25 26-99 100-499 500-999 1000-2499 2500+

Physician Organization Alternative Payment Adoption



CareGroup, Inc. is a corporate entity that

controls several regional teaching and

community hospitals and physician groups.

$20M Total Profit/Loss

0.7% Total Margin

14K Employees

(Approximately)

6 Acute Hospitals



Consolidating

Eliminations:

($221M)

$0

Not applicable

$3.0 Billion Operating Revenue


At a Glance

Beth Israel

Deaconess Med.

Center (BIDMC)

$1.5B

$850M

Mt. Auburn

Hospital

$335M

$269M

Harvard Med.

Faculty Physicians

$532M

$176M

Affiliated

Physicians

Group

$85M $0

Mt. Auburn

Professional

Services

$67M $16M

Jordan

Physician

Associates

$17M $3M

CareGroup

& Other

$20M $27M

Not applicable

NE Baptist

Hospital

$245M $121M

BIDH –

Plymouth

$219M $71M

BIDH –

Milton

$96M $67M

BIDH –

Needham

$78M $43M

NE Baptist

Med. Associates

$13M $2M

Community

Physicians

Associates

$2M $0.3M

CareGroup

Hospice

$1M $7M

CareGroup Fiscal Year 2015:

% of System’s Operating Revenue: < 10% 10-20% > 20% Operating Revenue Net Assets

HP


in Millions

Total

Margin

AH Beth Israel Deaconess Hospital -

Milton $1.1 1.2%


Needham $3.7 4.7%


Plymouth $6.6 3.0%

AH Beth Israel Deaconess Medical

Center $29.7 2.0%

AH Mt. Auburn Hospital $24.7 7.4%

AH NE Baptist Hospital $5.9 2.4%

PO Affiliated Physicians Group ($20.0) -23.6%

PO Community Physicians Associates ($1.2) -75.1%

PO Harvard Medical Faculty Physicians ($2.2) -0.4%

PO Jordan Physician Associates ($6.2) -35.7%

PO Mt. Auburn Professional Services ($17.6) -26.3%

PO NE Baptist Medical Associates ($3.1) -24.4%

Fiscal Year 2015:


http://chiamass.gov

System Hospitals

CareGroup 77,482 Acute Hospital Discharges

AH AH

PO

6 Acute Hospitals

0-25 26-99 100-499 500-999 1000-2499 2500+

Acute Hospital Discharges per Zip Code System’s Percentage of all Massachusetts

Acute Hospital…




UMass Memorial Health Care, Inc. is an




2.1% Total Margin

12K Employees

(Approximately)

4 Acute Hospitals


Consolidating

Eliminations:

($317M)

($64M)

UMass Memorial Health Care $2.2 Billion Operating Revenue

$868 Million Net Assets

Fiscal Year 2015

:

At a Glance

UMass

Memorial

$1.5B

$286M

UMass Memorial

Medical Group

$468M

$80M

Health Ventures

& Other

$231M

$348M

Not applicable

HealthAlliance

Hospital

$167M $157M

Marlborough

Hospital

$81M $32M

Clinton

Hospital

$27M $17M

Not applicable




Behavioral

Health Systems

$68M $9M

HealthAlliance

Home Health

and Hospice

$8M $2M


HP


in Millions

Total

Margin

AH Clinton Hospital ($1.2) -4.6%

AH HealthAlliance Hospital $7.0 4.2%

AH Marlborough Hospital $4.6 5.7%

AH UMass Memorial Medical Center $60.1 3.9%

PO UMass Memorial Medical Group ($23.5) -5.0%

$2.6B

Fiscal Year 2015:


http://chiamass.gov

System Hospitals

UMass Memorial Health Care

54,210 Acute Hospital Discharges

AH AH

PO

4 Acute Hospitals

0-25 26-99 100-499 500-999 1000-2499 2500+


Acute Hospital…


($323M)

($11M)


Health Plans HP

Physician Organizations PO

Non-Acute Hospitals NH Acute Hospitals AH


See Technical Appendix for details

Consolidating

Eliminations:

Steward Health Care System, LLC is an



Steward Health Care System $2.2 Billion Operating Revenue


Fiscal Year 2015:

At a Glance

New

England Sinai

$43M ($6M)

Steward

St. Elizabeth’s

$325M

$63M

Steward

Good Samaritan

$260M

$42M

Steward

Norwood

$180M $20M

Morton

Hospital

$116M $35M

Steward

Carney

$114M ($22M)

Nashoba

Valley

$51M $3M


5.3% Total Margin

17K Employees

(Approximately)

8 Acute Hospitals

1 Chronic Care

Hospital

See Technical Appendix for details

Steward

Saint Anne’s

$252M

$120M

Steward

Holy Family

$234M

$25M Steward Medical

Group

$482M

($19M)

Steward

Home Care

$33M ($13M)

Steward Good

Sam. Cancer Ctr.

$5M $2M

Steward

Occupational

Health

$0 ($1M)

SHCS.

& Other

$408M ($10M)


HP


in Millions

Total

Margin

AH Morton Hospital $5.4 4.7%

AH Nashoba Valley Medical Center $3.6 6.9%

AH Steward Carney Hospital ($8.3) -7.3%

AH Steward Good Samaritan Medical

Center $22.4 8.6%

AH Steward Holy Family Hospital $17.2 7.3%

AH Steward Norwood Hospital $13.8 7.6%

AH Steward Saint Anne's Hospital $25.3 10.0%

AH Steward St. Elizabeth's Medical

Center $13.6 4.2%

NH New England Sinai Hospital ($1.1) -2.6%

PO Steward Medical Group $3.7 0.8%

$2.6B

Fiscal Year 2015:

System Hospitals

Steward Health Care System 77,812 Acute Hospital Discharges

AH AH

PO

8 Acute Hospitals

0-25 26-99 100-499 500-999 1000-2499 2500+

System Hospitals closed in FY15 Quincy Medical Center closed December 2014 – map reflects 3 months of data


Acute Hospital…


http://chiamass.gov




Baystate Health, Inc. is an organization that

provides health care services throughout

western Massachusetts.


1.6% Total Margin

12K Employees

(Approximately)

5 Acute Hospitals



Consolidating

Eliminations:

($457M)

($109M)

Baystate Health $2.1 Billion Operating Revenue


Fiscal Year 2015:

At a Glance

Baystate

Medical Center

$1.1B

$662M

Baystate

Franklin

$94M $50M

Baystate

Mary Lane

$27M $17M

Not applicable

Baystate

Medical Practices

$251M

($52M)

Health

New England

$832M

$34M

Admin.

& Other

$146M $188M

Visiting Nurse

Assoc. & Hospice

$20M ($1M)

Baystate

Wing

$74M $43M

Baystate

Westfield*

$3M $1M

Baystate

Noble*

$15M $2M

* Baystate Health Systems acquired The

Trustees of Noble Hospital and subsidiaries

on July 1, 2015. Data for these components

reflect the time period from July 1 –

September 30, 2015.

Noble Visiting

Nurse & Hospice*

$3M ($1M)

Notes


HP


in Millions

Total

Margin

AH Baystate Franklin Medical Center $10.6 10.7%

AH Baystate Mary Lane Hospital $0.3 1.0%

AH Baystate Medical Center $76.8 6.7%

AH Baystate Noble Hospital $0.8 1.3%

AH Baystate Wing Hospital ($5.4) -7.3%

PO Baystate Medical Practices ($22.0) -8.3%

PO Baystate Westfield ($1.0) -37.6%

HP Health New England ($32.5) -3.9%

$2.6B

Fiscal Year 2015:

System Hospitals

Baystate Health 46,671 Acute Hospital Discharges

AH AH

PO

5 Acute Hospitals

0-25 26-99 100-499 500-999 1000-2499 2500+


Acute Hospital…


http://chiamass.gov




Lahey Health System, Inc. is an integrated

health care system acting as the parent

organization of Lahey Affiliates; Lahey Clinic

Foundation, Inc. and Affiliates; Northeast

Hospital Corp. and Affiliate; and Winchester

Healthcare Management, Inc. and Affiliates.


3.6% Total Margin

14K Employees

(Approximately)

3 Acute Hospitals


Consolidating

Eliminations:

($225M)

($20M)


Lahey Health System $1.9 Billion Operating Revenue


Fiscal Year 2015:

At a Glance

Lahey Hospital

& Medical Center

$837M

$141M

Not applicable

Lahey Clinic

$280M

($12M)

Not applicable

NE Beh.

Health Corp.

$86M $12M

NE Senior

Health Corp.

$23M $3M

Seacoast

Nursing & Rehab.

Center

$13M $3M

VNA of

Middlesex-East

$17M $27M

Northeast

Hospital

$346M

$190M

Winchester

Hospital

$274M

$254M

Winchester

Physician

Assoc.

$47M

$3M

Northeast

Medical Practice

$16M ($14M)

Lahey Physician

Comm. Org.

$0.2M ($0.1M)

Shared

Services

& Other

$201M

$442M


HP


in Millions

Total

Margin

AH Lahey Hospital & Medical Center $31.4 3.8%

AH Northeast Hospital $13.9 3.9%

AH Winchester Hospital $50.3 15.9%

PO Lahey Clinic ($80.3) -28.8%

PO Lahey Physician Community Org. ($0.1) -69.1%

PO Northeast Medical Practice ($3.3) -20.2%

PO Winchester Physician Association ($1.7) -3.6%

$2.6B

Fiscal Year 2015:

System Hospitals

Lahey Health System 56,823 Acute Hospital Discharges

AH AH

PO

3 Acute Hospitals

0-25 26-99 100-499 500-999 1000-2499 2500+


Acute Hospital…


http://chiamass.gov


% of System’s Operating Revenue: < 10% 10-20% > 20%


Health Plans HP

Acute Hospitals AH


Consolidating

Eliminations:

($45M)

($0.1M)

Wellforce*

Tufts

Medical Center

$684M

$96M

Health Plans HP


Circle Health

Physicians

$35M

($0.2M)

Tufts Medical Ctr.

Physicians Org.

$232M

$30M

NE Long-Term

Care

$11M $7M

NEQCA

& Other

$32M $50M

Tufts Medical Center Parent Fiscal Year 2015:^

$915 Million Operating Revenue


Not applicable


Wellforce provides health care services in

Boston and eastern Massachusetts. It is

comprised of the parent companies of Tufts

Medical Center and Circle Health and was

not financially consolidated in FY 2015.

-$17M Total Profit/Loss

-1.8% Total Margin

5K Employees

(Approximately)

1 Acute Hospital

At a Glance

Circle Health Fiscal Year 2015:^ $465 Million

Operating Revenue


Other Organizations OO Acute Hospitals AH


Consolidating

Eliminations:

($6M)

$0M

Lowell

General Hospital

$430M

$158M


LGH Services

& Other

$7M $1M



0.6% Total Margin

4K Employees

(Approximately)

1 Acute Hospital

Circle Health

* Wellforce was not financially consolidated in FY15.

^ Operating revenue percentages are calculated based

on Tufts Medical Center Parent and Circle Health’s

respective total FY15 values.

Tufts Medical Center Parent

Notes

Operating Revenue Net Assets


in Millions

Total

Margin

AH Tufts Medical Center ($18.2) -2.6%

PO Tufts Medical Center Physicians

Org. ($2.9) -1.2%


in Millions

Total

Margin

AH Lowell General Hospital $10.7 2.5%

PO Circle Health Physicians ($6.3) -18.1%

$2.6B

Fiscal Year 2015:

System Hospitals

Wellforce 51,265 Acute Hospital Discharges

AH AH

PO

2 Acute Hospitals

0-25 26-99 100-499 500-999 1000-2499 2500+


Acute Hospital…


http://chiamass.gov


$16M $13M



Cape Cod Healthcare, Inc. provides health

care services on Cape Cod, Massachusetts.


5.2% Total Margin

5K Employees

(Approximately)

2 Acute Hospitals



Consolidating

Eliminations:

($55M)

($167M)

Cape Cod Healthcare $777 Million Operating Revenue


Fiscal Year 2015:

At a Glance

Cape Cod

Hospital

$471M

$301M

Falmouth

Hospital

$157M

$186M

Not applicable Not applicable Med. Affiliates

of Cape Cod

$72M $15M

$4M $12M

JML

Care Center

Falmouth

Assisted Living

$54M $22M

Cape & Islands

Health Services

$9M $0.4M

VNA of

Cape Cod

$3M $0

Cape Cod

Human Services

CCHC

& Other

$46M $177M


HP


in Millions

Total

Margin

AH Cape Cod Hospital $38.5 8.0%

AH Falmouth Hospital $14.8 9.3%

PO Medical Affiliates of Cape Cod ($16.0) -22.3%

$2.6B

Fiscal Year 2015:

System Hospitals

Cape Cod Healthcare 23,116 Acute Hospital Discharges

AH AH

PO

2 Acute Hospitals

0-25 26-99 100-499 500-999 1000-2499 2500+

Note: “Not Reported” indicates that providers in this system did not meet the reporting threshold for APM.

See Technical Appendix for more details.


Acute Hospital…


http://chiamass.gov



Tenet Healthcare Corporation is a national

company with two Massachusetts hospitals

that provide health care services in Metro

West and Central Massachusetts.


0.4% Total Margin

4K MA Employees

(Approximately)

2 Acute Hospitals Other Health Care Providers OP

Consolidating

Eliminations:

$0

$0

Tenet Healthcare Corporation $18.6 Billion Operating Revenue


Fiscal Year 2015:

At a Glance

$258M

($63M)

Not applicable Not applicable

$17.9B

$635M

Other



Saint Vincent

Hospital

$431M $386M

MetroWest

Medical Center

$258M ($63M)

MetroWest PET/CT at Shields*

MetroWest Imaging Center*

MetroWest

Physician Services

$12M $0.0M

St Vincent

Medical Co.

$39M $0.4M


Notes

* Other Health Care Providers listed are

not included in financial filings, but were

submitted as part of the MA Registration

of Provider Organizations filing

HP


in Millions

Total

Margin

AH MetroWest Medical Center $3.9 1.5%

AH Saint Vincent Hospital $44.9 10.4%

PO MetroWest Physician Services ($2.8) -22.6%

PO Saint Vincent Medical Company ($3.8) -9.8%

$2.6B

Fiscal Year 2015:

System Hospitals

Tenet Healthcare Corporation 32,001 Acute Hospital Discharges

AH AH

PO

2 Acute Hospitals

0-25 26-99 100-499 500-999 1000-2499 2500+




Acute Hospital…


http://chiamass.gov




Berkshire Health Systems, Inc. is a not-for-

profit organization that provides health care

services to western Massachusetts.


6.4% Total Margin

3K Employees

(Approximately)

2 Acute Hospitals



Consolidating

Eliminations:

($46M)

$0

Berkshire Health Systems $533 Million Operating Revenue


Fiscal Year 2015:

At a Glance

$439M

$330M

Berkshire

Faculty Services

$30M $0

Williamstown

Medical Associates

$5M $0.2M

Indemnity &

Management Co.

$57M

$6M

Berkshire

Medical Center

Fairview

Hospital

$49M $27M

Not applicable



HP


in Millions

Total

Margin

AH Berkshire Medical Center $46.4 10.2%

AH Fairview Hospital $5.2 10.2%

PO Berkshire Faculty Services ($15.5) -51.4%

PO Williamstown Medical Associates ($0.9) -18.4%

$2.6B

Fiscal Year 2015:

System Hospitals

Berkshire Health Systems 16,086 Acute Hospital Discharges

AH AH

PO

2 Acute Hospitals

0-25 26-99 100-499 500-999 1000-2499 2500+




Acute Hospital…


http://chiamass.gov




Heywood Healthcare, Inc. operates two not-

for-profit acute care hospitals in central

Massachusetts.


0.7% Total Margin

1K Employees

(Approximately)

2 Acute Hospitals



Consolidating

Eliminations:

($4M)

$0

Heywood Healthcare $140 Million Operating Revenue


Fiscal Year 2015:

At a Glance

$106M

$54M

Athol

Hospital

$23M

$3M

Heywood

Medical Group

$13M ($1M)

Heywood

Hospital Realty

$1M $4M

Heywood

Hospital

Not applicable



HP


in Millions

Total

Margin

AH Athol Hospital ($0.4) -1.7%

AH Heywood Hospital $4.6 4.3%

PO Heywood Medical Group ($3.2) -24.4%

$2.6B

Fiscal Year 2015:

System Hospitals

Heywood Healthcare 5,597 Acute Hospital Discharges

AH AH

PO

2 Acute Hospitals

0-25 26-99 100-499 500-999 1000-2499 2500+


Acute Hospital…


http://chiamass.gov




Kindred Healthcare, Inc. is a national

company that provides health care services

following long-term illnesses with facilities in

more than 47 states. Locally, Kindred

Healthcare, Inc. provides health care

services in eastern Massachusetts.


-1.3% Total Margin

65K Employees

(Approximately)

2 Acute Hospitals


Consolidating

Eliminations:

$0

$0

Kindred Healthcare $7.1 Billion Operating Revenue


Fiscal Year 2015:

At a Glance

Not applicable Kindred –

Boston

$22M $1M

Kindred –

North Shore

$19M ($16M)

Not applicable

$7.0B

$1.7B

Other



Kindred –

Northeast

$32M $11M

1 Non-Acute Hospital

Skilled Nursing Facilities

Home Health and Hospice Services


HP


in Millions

Total

Margin

AH Kindred Hospital - Boston ($0.2) -0.9%

AH Kindred Hospital – Boston North

Shore ($1.7) -9.0%

NH Kindred Hospital - Northeast ($1.6) -4.8%

$2.6B

Fiscal Year 2015:

Kindred Healthcare 953 Acute Hospital Discharges

AH AH

PO

2 Acute Hospitals



Kindred Healthcare had 953 acute hospital discharges in

Massachusetts in FY 2015. Map has been suppressed as no

community accounted for more than 25 of the system’s total

discharges

Case Mix Data is not available

for this system


Acute Hospital…


http://chiamass.gov





Shriners Hospitals for Children is a health

care system dedicated to pediatric specialty

care, research, and teaching programs for

medical professionals. Children up to 18

with certain conditions are eligible for care

and receive all services regardless of a

family’s ability to pay. Shriners Hospitals for

Children has 22 facilities in North America,

including 2 in Massachusetts.


-117.3% Total Margin

4K MA Employees

(Approximately)

2 Acute Hospitals



Consolidating

Eliminations:

$0

$0

Shriners Hospitals for Children $153 Million Operating Revenue


Fiscal Year 2015:

At a Glance

Not applicable Not applicable Shriners -

Springfield

$6M $14M

Shriners –

Boston

$2M $52M

Not applicable

$151M

$8.6B

Other

Not applicable


HP


in Millions

Total

Margin

AH Shriners Hospitals for Children -

Boston ($3.2) -8.8%

AH Shriners Hospitals for Children -

Springfield ($0.1) -0.3%

$2.6B

Fiscal Year 2015:

Shriners Hospitals for Children 260 Acute Hospital Discharges

AH AH

PO

2 Acute Hospitals



Shriners Hospitals for Children had 260 acute hospital discharges

in Massachusetts in FY 2015. Map has been suppressed as no

community accounted for more than 25 of the system’s total

discharges


Acute Hospital…


http://chiamass.gov


Partners HealthCare Heywood Healthcare Tenet Cape Cod ......Tenet Healthcare Corporation Kindred...

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