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INCOME STATEMENT
Gross patient revenue decreased by $317,793 from February to March. Clinic revenues decreased by
11.4% with March showing 651 fewer clinic visits. Inpatient and Outpatient revenues decreased by
10.4% and 6.65% respectively due to decreased volume. Home Health and EMS increased 17.5% and
26.9% respectively.
Revenue Deductions
This Month Last Month Last Year
Month $ 2,084,184 $ 2,422,499 $ 1,749,765
Year-to-Date 20,949,480 18,865,296 17,923,732
Revenue Deductions for the month were favorably lower than normal at 52.3% of Gross Revenue as
compared to 56.3% in February and 53.9% for the year. (Note: the annual rate would have been 52.1%
without the Medicare RAC take-backs)
Though Gross Revenues decreased from February to March, Net Revenue actually increased a small amount
due to more favorable revenue deductions in March.
Operating Expenses increased by $75,550 (4.55%) from February. Material variances are as follows:
Salaries - Decreased $23,164 (2.4%) from February to March. As a percent of Net Revenue,
this improved from 51.3% to 49.8%. Total FTE's for March were 253.5, down from February's
268.8 and January's 288.0.
Benefits - Increased by $53,589 from February. This is because February's benefit expense was
down due to receipt of a stop-loss payment of$64,000.
Contract Labor - Increased by $77,292 from February to March. This increase is due to the
new contract for ER Physician coverage.
Supplies - Supply expense increased by 14.8% ($28,552) from February to March. The most
significant increases occurred in Medical-Surgical Nursing ($5,011), Emergency Department
($5,279), Nuclear Medicine ($6,302), Family Practice ($5,339), and Pediatric and Family
Medicine ($8,705 total increase, with $4,148 of the increase in Drugs).
Repairs and Maintenance - Increased by 10.4% ($3,432) from February. March expenses
included repairs in OR of$II,538 and repairs in MRI of$6,806.
Insurance - March insurance expense was up from February's due to receipt in February of a
$69,577 refund from our Workers Compensation carrier for prior years.
Equipment and Buildin2 Lease - Equipment lease expense is negative $38,578 due to
reversal of current YTD lease expense in the amount of $84,987 for CPSI and CIT leases
reclassified as a Capital Lease, as identified in FY2007 audit. This negative lease expense
amount is offset by the correlating depreciation and interest expense of $134,024 resulting from
capitalizing this equipment. This had a net bottom line effect of increasing expenses by $49,037.
Note this is a non-cash transaction.
Other Expense - Increased $10,720 (91.6%) due to payments for the CAH study ($5,000),
medical necessity database ($2,700) and AHCA Laboratory license ($3,397).
Non-Operatin2 Revenue/Expenses
Depreciation and Interest expense for March were increased due to reversal of current year lease
expense for CPSI and CIT leases reclassified in FY2007 audit adjustments, as explained in the
Equipment and Building Lease item above.
THE 10 MONTHS
CONSOLIDATED
Salaries
Medicare
FOR
Inpatient INCOMEENDING 03/31/08
STATEMENT
SIN G L E
12
Doctors' Memorial Hospital
Patient Activity Trends
250
2,500
200
2,000
150
100 1,500
50
1,000
o
500
#' ~~'t-.J>",JlrP-<!'''<I'-#,,<{j>.$.!~"':I'
~~~rP~"<I'~~,<{j>.$«2~"':f~~'t-.J>",~rP~o~<I'~~,<J>.$,.<t~
.•.
~ ~ ~
• FY 2006 • FY 2007 • FY 2008 Annualized
Annual Totals
Patient Days
9,000
1000
900 8,000
800 7,000
700
6,000
600
500 5,000
400
4,000
300
3,000
200
100 2,000
o
1,000
~
#' ~~'t-.J>",~rP
~<I'~~~J>.$.!~"':I'
~
~ ,g#,# ~~
~~.J>",~rP~<5'<I'~~,<J>
~
~<I'~~~J>.$
't-.J>",e~cF .!~.•.
• FY 2006 • FY 2007 • FY 2008 Annualized
Annual Totals
Emergency Room Visits
1800 18,000
1600 16,000
1400
14,000
1200
12,000
1000
800 10,000
600 8,000
400
6,000
200
4,000
o
2,000
#' ~V.<oJlrP-<!'''<I'-#,,<if>.$~"':I'~~.J>",JlcF
~"<I'-#',<if>
.$~¥ ~~'t-~rP~"<I''P'''~if>
.$~'"
~ ~ ~
• FY 2006 • FY 2007 • FY 2008 Annualized
Annual Totals
Outpatient Visits
30,000
2500
25,000
2000
20,000
1500
1000 15,000
500 10,000
o 5,000
~
#' ~~'t-.J>",~rP~<5'<I'~",\if>.$~"':I'
~
~\.~cF-<!'''<I''P''',<if>.$'t-~'''¥~~'t-.J>",~rP~0"<l'~"''''~if>
~
.$~'"
• FY 2006 • FY 2007 • FY 2008 Annualized
28
Doctors' Memorial Hospital
Patient Activity Trends
4000 50,000
3000 40,000
2000 30,000
1000
20,000
o
10,000
140 1,200
120
1,000
100
80 800
60
600
40
20 400
o 200
~
#' )~,.cJ>qflcP~~~)",•."J>~~~"'~
~
,,~~~~~'V
)~,..§>qflcP~~~.•••.
~
)~,.cJ>qflcP~~~)",,,,,<J>~~~""
Annual Totals
Endoscopic Procedures 900
100 800
90
700
80
600
70
60 500
50
400
40
300
30
20 200
10
100
Annual Totals
Radiology Procedures
30,000
2500
25,000
2000
20,000
1500
1000 15,000
500 10,000
5,000
Annual Totals
Laboratory Procedures
14000 140,000
12000
120,000
1()()()()
100,000
8000
6000 80,000
4000
60,000
2000
o 40,000
$'t-~~ ~~~.§IcF~o"V'#,,,~$'t-<t~~
"~~'t-~.§IcF~o"~I\"<'';;> ~~~.§IcP~o~.f''§'<',,~$-rt~
.•. 20,000
~ ~ ~
• FY 2006 • FY 2007 • FY 2008 Annualized
30
Doctors' Memorial Hospital
Trending Graphs
Annual Totals
Gross Revenue 50,000,000
5,000,000
4,500,000 .EMS
4,000,000 45,000,000
3,500,000 • Clinics
3,000,000 40,000,000
2,500,000 • Home
2,000,000 Health 35,000,000
1,500,000 • Out-
1,000,000 patient
30,000,000
500,000 .In-
o Patient
25,000,000
Jun-06 Sep-06 Dec-06 Mar-Q7 Jun-07 Sep-07 Dec-07 Mar-08
• FY 2007
• FY2008 Annualized
• FY2007
• FY2008 Annualized
Annual Totals
Contractual Adjustments - % of Gross Revenue 45.0% 5.0% • FY 2007 • FY2008
0.0%
40.0%
30.0%
20.0%
10.0%
35.0%
25.0%
15.0%
50.0%
40.0%
30.0%
20.0%
10.0%
0.0%
16.0%
20.0% 14.0%
12.0%
15.0% 10.0%
• Bad Debt
• Bad Debt 8.0%
10.0%
• Charity 6.0% • Charity
4.0%
5.0%
2.0%
0.0%
0.0%
FY 2007 FY 2008
Jun-06 Sep-06 Dee-06 Mar-07 Jun-07 Sep-07 Dee-07 Mar-08
32
Doctors' Memorial Hospital
Trending Graphs
Annual Totals
Net Revenue & Operating Expenses
2,500,000 30,000,000
25,000,000
20,000,000
2,000,000
15,000,000
10,000,000
1,500,000 5,000,000
--NET REVENUE
--TOTAL OPEREXP. FY2007 FY2008 YTD FY2008
1,000,000
Annualized
Jun-06 Sep-06 Dee-06 Mar-07 Jun-07 Sep-07 Dee-07 Mar-08
• NET REVENUE • TOTAL OPER EXP.
Annual Totals
Wages & Contract Labor Cost 16,000,000
1,400,000 .Iabor
14,000,000
1,200,000 12,000,000
.,000,000 10,000,000
• Contract
800,000 8,000,000
Labor
600,000 • Salaries 6,000,000
400,000
4,000,000
200,000
2,000,000
o
Jun-06 Oet-06 Feb-07 Jun-07 Oct-07 Feb-08
FY 2007 FY 2008 YTD
50.0%
40.0%
30.0%
20.0%
• ').0%
J.O%
Jun-06 Sep-06 Dee-06 Mar-07 Jun-07 Sep-07 Dec-07 Mar-OB FY 2007 FY 2008
33
Doctors' Memorial Hospital, Inc.
Uncompensated Care
3,000,000
• FY2006
• FY2007
• FY2008 Annualized
35