HEALTHCARE FINANCIAL MANAGEMENT A SSOCIAT ASSOCIA ION

Transcription

1 HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION March 26-27, 2015

2 FY STRATEGIC PLAN

3 FY STRATEGIC PLAN

4 LOCATION FROM MAJOR CITIES

5 SERVICE AREA

6 MARKET SHARE PRIMARY SERVICE AREA Inpatient 83.98% Outpatient 70.01% Clinics TBD SECONDARY SERVICE AREA Inpatient 3.02% Outpatient 7.49% Clinics TBD PRIMARY SERVICE AREA Alcorn County (population 37,316) SECONDARY SERVICE AREA Tishomingo County (population 19,529) Tippah County (population 22,084) Prentiss County (population 25,388) Hardin County, TN (population 26,034) McNairy County, TN (population 26,140) Hardeman County, TN (population 26,306)

7 SUMMARY OF STRENGTHS Low Physician/Hospital Competition Graduate Medical Education Program Age of Facility State of the Art Technology & CPOE High Performing Indicators (Customer Sat., Quality Measures, etc.) Lean Process Improvement Model

8 SUMMARY OF WEAKNESSES Meditech Magic System Governmental Status (PERS) Geographic Location (TennCare) State Politics (MS did not expand Mdi Medicaid) id)

9 KEY STATISTICAL INDICATORS FY 2015 FY 2014 FY 2013 FY 2012 BUDGET ACTUAL ACTUAL ACTUAL Patient Days - Acute 30,179 29,338 31,541 31,090 Patient Days - Psychiatric 4,644 4,388 4,044 3,841 Patient Days - Total Excluding Newborn 34,823 33,726 35, ,931 Average Daily Census Excluding Newborn Adjusted Patient Days - Total Excl Newborn 84,604 81,914 83,109 85,405 Acute Admissions 6,918 6,787 7,134 6,862 Psych Admissions Admissions - Total Excluding Newborn 7,627 7,485 7,769 7,530 Adjusted Admissions - Total Excluding Newborn 18,530 18,180 18,145 18,410 ALOS - Acute ALOS - Psychiatric ALOS - Total Excluding Newborn

10 KEY STATISTICAL INDICATORS FY 2015 FY 2014 FY 2013 FY 2012 BUDGET ACTUAL ACTUAL ACTUAL Surgery Stats Inpatient OR Cases OR Cases , , , ,698 ENDO Cases Litho Cases CVOR Cases Total Inpatient OR Cases 2,466 2,396 2,497 2,431 Outpatient OR Cases OR Cases 2,574 2,546 2,492 2,636 OP Litho ENDO Cases ,101 1,300 ASC Cases 4,532 4,454 4,183 4,026 Total Outpatient OR Cases 8,017 7,913 7,853 8,061 Surgeries - Total 10,483 10,309 10,350 10,492

11 KEY STATISTICAL INDICATORS FY 2015 FY 2014 FY 2013 FY 2012 BUDGET ACTUAL ACTUAL ACTUAL Outpatient Visit Stats Emergency Room Visits 35,672 35,164 34,620 33,869 OBS Visits 4,041 3,926 3,858 3,937 OBS Days 5,424 5,435 4,530 5,959 Home Health Visits 14,268 14,005 19,417 21,840 Hospice Days 3,927 3,689 4,659 5,412 Clinic Visits 46,886 42,880 40,227 35,496 Productivity Stats Hospital FTE's - Worked 1, Hospital FTE's - Paid 1, , , ,065 Hospital & Contract FTE's - Worked 1,102 1,076 1,047 1,026 Hospital & Contract FTE's - Paid 1,189 1,162 1,131 1,110 Worked Hours per Adj Pat Day - Hospital & Contract Paid Hours per Adj Pat Day- Hospital & Contract

12 KEY FINANCIAL INDICATORS FY 2015 FY 2014 FY 2013 FY 2012 BUDGET ACTUAL ACTUAL ACTUAL Revenue Net patient Revenue ($) $ 166,844,900 $ 158,960,461 $ 151,354,812 $ 147,445,617 Inpatient Revenue ($) $ 62,984,335 $ 60,007,942 $ 65,616,103 $ 63,921,369 Outpatient Revenue ($) $ 103,860,564 $ 98,952, $ 85,738, $ 83,524, Total Operating Revenue ($) $ 171,753,395 $ 163,637,000 $ 157,195,000 $ 152,695,855 Expenses Personnel ($) $ 85,812,566 $ 82,830,662 $ 80,762,471 $ 81,500,244 Non Personnel ($) $ 64,642,196 $ 62,112,733 $ 57,830,457 $ 56,020,874

13 KEY FINANCIAL INDICATORS PAYORMIX TRENDS FY 2015 FY 2014 BUDGET ACTUAL FY 2013 ACTUAL FY 2012 ACTUAL Medicare 57.27% 57.15% 57.04% 55.57% Medicaid 12.46% 12.59% 13.18% 12.88% Commercial 19.81% 19.78% 18.72% 19.37% Self Pay 6.88% 6.85% 7.52% 8.35% Other 3.58% 3.63% 3.54% 3.83% % % % %

14 KEY FINANCIAL INDICATORS FY 2015 Budget FY 2014 ACTUAL FY 2013 ACTUAL FY 2012 ACTUAL Key Credit Ratios Days Cash on Hand ($) Debt to Capitalization (%) 43.5% 44.7% 46.4% 47.0% Unrestricted Cash to Debt (%) 98% 91% 80% 83% Debt Service Coverage Ratio (x) Total Capital Expenditures as % of Total Operating Rev (%) 6.0% 3.1% 5.9% 16.1%

15 KEY FINANCIAL INDICATORS FY 2015 Budget Debt Structure Amount of Long Term Debt ($) 79,971,128 Amount of Short Term Debt ($) 3,261,332 % of Fixed Rate/Variable Debt FY 2014 ACTUAL FY 2013 ACTUAL FY 2012 ACTUAL $ $ 82,593,796 $ 85,705,919 $ 86,730,566 $ $ 3,164,450 $ 2,873,218 $ 2,600,065 Underlying (%) 100%/0% 100%/0% 100%/0% 100%/0% Effective (%) 100%/0% 100%/0% 100%/0% 100%/0% % of Puttable vs. Non Puttable Debt (%) 0%/100% 0%/100% 0%/100% 0%/100% % of Total Debts Subject to Bank/Line/Loan Renewals (%) 0% 0% 0% 0%

16 KEY FINANCIAL INDICATORS FY 2015 FY 2014 FY 2013 FY 2012 BUDGET ACTUAL ACTUAL ACTUAL Operating Income Income ($) $ 11,786,265 $ 9,446,000 $ 9,665,514 $ 6,776,179 Operating Margin (%) 6.86% 5.77% 6.15% 4.44% Net Income (%) 3.59% 2.43% 2.88% 1.80% Total EBITDA ($) $ 21,298,633 $ 18,694,000 $ 18,603,000 $ 15,715,000 EBDITA Margin (%) 12.40% 11.42% 11.83% 10.29%

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