Southeastern Health Budget Summary Income Statement For the Budget Year Ending September 30, 2015

Transcription

1 Southeastern Health Budget Summary Income Statement Actual Projected Budget SRMC OPERATIONS 8,993,310 10,590,656 12,733,626 PHYSICIAN SERVICES (6,151,169) (8,305,637) (8,446,299) HOME HEALTH AGENCY 179,128 (113,664) 219,133 HOSPICE (272,483) (126,888) (12,664) HOME MEDICAL EQUIPMENT 425, , ,643 HOME CARE SERVICES TOTAL 331,889 (82,239) 427,112 SRMC FOUNDATION 167, , ,800 WOODHAVEN 8,886 (47,828) 577,766 NET INCOME FROM OPERATIONS 3,350,500 2,515,120 5,840, ,465,959 OPERATING MARGIN % 1.3% 1.0% 2.0% INVESTMENT INCOME 13,779,479 13,591,990 7,390,000 PENSION PLAN ADJUSTMENT 13,209,465 NET INCOME 30,339,444 16,107,110 13,230,005

2 BUDGET ASSUMPTIONS Operating Margin of 2.0%. 2. Increase in department specific hospital patient charge rates of 4%. 3. Acute patient discharges increase 12.2%. 4. Inpatient length of stay of 4.0 days. 5. Patient days increased 1.2%. 6. Inpatient Surgery procedures increased 5%. 7. During the year 1,500 OP surgery cases transfer to ASC. 8. Emergency visits decreased 3.4%. 9. Clinic visits increased 17.2%. 10. Salaries & Wages includes a 2% Cost of Living Adjustment (effective 1/1/2015)

3 Southeastern Regional Medical Center Budgeted Income Statement For The Fiscal Year Ending Patient Revenue Actual Projected Budget Variance Var % Inpatient 412,303, ,093, ,029,732 32,936, % Outpatient 421,758, ,003, ,437,216 (1,566,663) -0.4% Total Patient Revenue 834,061, ,097, ,466,948 31,369, % Deductions from Revenue (595,251,054) (593,485,639) (608,490,873) (15,005,234) -71.4% -71.5% -70.6% Net Patient Revenue 238,810, ,611, ,976,075 16,364, % Other Revenue Other Revenue 10,996,506 14,602,477 11,999,679 (2,602,798) -17.8% Fitness Center Revenue 1,630,294 1,771,687 2,232, , % Total Other Revenue 12,626,800 16,374,164 14,232,143 (2,142,021) -13.1% Net Revenue 251,437, ,985, ,208,218 14,222, % Operating Expenses Salaries and Benefits 133,669, ,669, ,684,749 5,014, % Medical Supplies and Drugs 33,663,435 37,753,604 39,261,382 1,507, % Other Expenses 62,589,572 63,446,929 68,944,006 5,497, % Depreciation, Amortization and Interest 12,521,893 13,524,678 13,584,455 59, % Total Expenses 242,444, ,395, ,474,592 12,079, % Operating Income 8,993,310 10,590,656 12,733,626 2,142, % Other Operating Income 13,524,927 13,344,788 7,210,000 (6,134,788) -46.0% Pension Plan Adjustment 13,209,465 Net Income 35,727,702 23,935,444 19,943,626 (3,991,818) -16.7% Patient Days 71,823 66,222 67, % Discharges 16,264 14,932 16,760 1, % ALOS (0.3) -7.0% Average Daily Census % Operating Margin 3.77% 4.48% 5.03% Gross Revenue Per Adjusted Discharge $ 25, $ 25, $ 25, $ % Net Revenue Per Adjusted Discharge $ 7, $ 7, $ 7, $ % Expenses Per Adjusted Discharge $ 7, $ 7, $ 7, $ %

4 Southeastern Home Care Service Budgeted Income Statement For the Fiscal Year Ending Patient Revenue Actual Projected Budget Variance Var % Outpatient 3,800,749 3,746,406 4,209, , % Total Patient Revenue 3,800,749 3,746,406 4,209, , % Deductions from Revenue (1,089,901) (1,173,451) (1,359,713) (186,262) -28.7% -31.3% -32.3% Net Patient Revenue 2,710,848 2,572,955 2,849, , % Other Revenue % Total Net Revenue 2,711,104 2,572,992 2,850, , % Operating Expenses Salaries and Benefits 1,514,911 1,964,680 1,976,919 12, % Medical supplies and drugs 165, , ,153 9, % Other expenses 845, , ,980 (70,952) -13.0% Depreciation & Amortization 6,106 16,963 10,815 (6,148) -36.2% Total Expenses 2,531,976 2,686,656 2,630,867 (55,789) -2.1% Net Income 179,128 (113,664) 219, , % Operating Margin 6.6% -4.4% 7.7% Home Health Visits 18,725 19,918 21,511 1, % Revenue Per Patient Day $ $ $ $ % Net Revenue Per Patient Day $ $ $ $ % Expense Per Patient Day $ $ $ $ (12.58) -9.3%

5 Southeastern Hospice Budgeted Income Statement For The Fiscal Year Ending Patient Revenue Actual Projected Budget Variance Var % Outpatient 1,713,862 1,956,758 2,049,294 92, % Total Patient Revenue 1,713,862 1,956,758 2,049,294 92, % Less: Deductions (119,131) (225,413) (184,436) 40, % -7.0% -11.5% -9.0% Net Patient Revenue 1,594,731 1,731,345 1,864, , % Other Revenue 68,159 86,773 50,000 (36,773) -42.4% Net Revenue 1,662,890 1,818,118 1,914,858 96, % Operating Expenses Salaries and Benefits 1,091, , ,082 81, % Medical supplies and drugs 32,454 55,134 41,615 (13,519) -24.5% Other Expenses 811,227 1,145,418 1,059,825 (85,593) -7.5% Depreciation & Amortization Total Expenses 1,935,373 1,945,006 1,927,522 (17,484) -0.9% Operating Income (272,483) (126,888) (12,664) 114, % Other Operating Income Net Income (272,483) (126,888) (12,664) 114, % Operating Margin -17.1% -7.3% -0.7% Hospice Visits 6,467 6,847 7, % Revenue Per Day of Care $ $ $ $ (6.28) Net Revenue Per Day of Care $ $ $ $ 1.48 Expense Per Day of Care $ $ $ $ (21.18)

6 Southeastern Home Medical Equipment Budgeted Income Statement For The Fiscal Year Ending Revenue Actual Projected Budget Variance Var % Gross Sales 1,165,378 1,238,795 1,327,454 88,659 Rental Income 2,042,655 2,119,169 2,104,994 (14,175) Total Other Revenue 3,208,033 3,357,964 3,432,448 74, % Deductions from Revenue (890,265) (1,212,444) (1,191,060) 21, % -36.1% -34.7% Net Patient Revenue 2,317,768 2,145,520 2,241,388 74, % Cost Of Goods Sold 430, , ,000 (18,370) -4.0% 36.9% 37.0% 33.1% -10.4% Net Service Revenue 1,887,188 1,687,150 1,801, , % Operating Expenses Salaries and Benefits 640, , ,301 15, % Medical supplies and drugs 292, , ,267 17, % Other Expenses 271, , ,045 27, % Depreciation & Amortization 257, , ,132 (8,368) -2.9% Total Expenses 1,461,944 1,528,837 1,580,745 51, % Operating Income 425, , ,643 62, % Operating Margin 13.3% 4.7% 6.4%

7 Southeastern Physician Services Budgeted Income Statement For the Fiscal Year Ending Patient Revenue Actual Projected Budget Variance Var % Clinic 38,955,125 38,535,718 43,793,788 5,258,070 Total Patient Revenue 38,955,125 38,535,718 43,793,788 5,258, % Deductions from Revenue (17,994,053) (18,022,252) (20,721,601) (2,699,349) -46.2% -46.8% -47.3% Net Patient Revenue 20,961,072 20,513,466 23,072,187 2,558, % Other Operaing Income 1,346,686 1,024, ,675 (157,288) -15.3% Total Operating Revenue 22,307,758 21,538,429 23,939,862 2,401, % Operating Expenses Salaries and Benefits 22,431,922 24,459,990 26,379,644 1,919, % Medical supplies and drugs 756, , ,677 (450,226) -53.0% Other Expenses 4,380,952 3,605,425 4,618,510 1,013, % Depreciation & Amortization 889, , ,330 59, % Total Expenses 28,458,927 29,844,066 32,386,161 2,542, % Net Income (6,151,169) (8,305,637) (8,446,299) 16, % Operating Margin -29.3% -40.5% -36.6% Patient Visits 228, , ,710 35, % Revenue Per Visit $ $ $ $ (5.65) -3.0% Net Revenue Per Visit $ $ $ $ (4.00) -4.0% Expenses Per Visit $ $ $ $ (10.68) -7.4%

8 Southeastern Physicians Services Budget FY 2015 Operating Income VISITS Increase/ % Projected Budgeted (Decrease) Projected Budgeted variance Family Practice vs. Proj vs. Proj. AJ Robinson (123,930) (100,004) 23,926 11,428 12, % Fairmont 2,370 (70,973) (73,343) 11,089 12, % Clarkton (43,760) (118,550) (74,790) 12,473 10, % St. Paul's (168,042) (86,938) 81,104 5,315 8, % Rowland (57,623) 68, ,878 4,498 5, % Lumberton Medical (75,046) (202,071) (127,025) 27,301 24, % North Lumberton 63,234 6,099 (57,135) 11,814 11, % Maxton (58,818) (52,543) 6,275 5,000 4, % Gray's Creek (175,440) (137,711) 37,729 10,747 16, % Red Springs (203,206) (203,956) (750) 9,515 5, % White Lake (27,103) (116,503) (89,399) 2,675 3, % Bladenboro 53,366 23,300 (30,065) 6,064 5, % Walmart (39,981) (76,581) (36,600) 7,098 6, % Medical Specialists (237,064) (634,767) (397,703) 3,762 9, % Subtotal (1,091,044) (1,702,940) (611,897) 128, , % Speciality Clinics Pembroke Urgent Care 95,980 82,791 (13,189) 11,174 11, % Digestive (45,589) (104,684) (59,095) 7,843 7, % Arthritis/Diabetes (151,757) (263,188) (111,431) 1,430 5, % Pain Management (925,888) (863,455) 62,433 7,844 10, % Neuromuscular (40,491) (27,437) 13,054 3,037 3, % Pulmonary & Sleep (434,891) (277,993) 156,898 3,400 3, % Southeastern Orthopaedic (1,451,348) (1,380,088) 71,259 12,473 14, % Southeastern Women's Health (1,067,087) (985,822) 81,266 12,242 12, % SE Surgical (748,744) (358,344) 390,400 6,501 8, % Opthalmology (291,382) (46,479) 244,903 2, % Urology (398,485) (334,228) 64,257 9,800 10, % NEW Transition Clinic 0 214, , , % NEW Urgent Care Lumberton 0 277, , , % OR Time-Surgeons (1,754,913) (2,676,330) (511,765) % Subtotal (7,214,593) (6,743,359) 880,886 78, , % TOTAL PHYSICIAN CLINICS (8,305,637) (8,446,299) (140,662) 207, , % Other 0 0 Grand Total (8,305,637) (8,446,299) (140,662)

9 Southeastern Health Foundation Summary Income Statement For The Fiscal Year Ending Donations Actual Projected Budget Variance Var % SRMC Employees 71,952 69,348 71,000 1, % Donation - Annual Giving 182, , , , % Donation - Planned Giving 55, ,372 25,000 (288,372) -92.0% Academic Endowment 25, ,000 25,000 Special Program - Boots & BBQ 0 18,152 20,000 1, % Special Program - Gala 105, , ,000 2, % Special Program - Golf 21,040 21,530 22, % Special Program - Book Sales 4,866 2,401 4,800 2, % Special Program - Holiday Ornaments 0 2,335 2, % SE Hospice 49,151 62,303 50,000 (12,303) -19.7% Grants 304, ,900 1,600, , % Memorial & Other Gifts 35,003 38,244 35,000 (3,244) -8.5% Total Donations/Income 856,334 1,687,679 2,364, , % Special Program Expenses Boots & BBQ 275 6,658 6, % Golf 5,917 4,120 6,100 1, % Gala 35,443 37,426 37,300 (126) -0.3% Ornaments % Donor Recognition 830 1,639 1,500 (139) -8.5% Others ,116 5,200 (46,916) -90.0% Subtotal Special Program Expenses 43, ,439 57,300 (45,139) -44.1% Scholarship/Grants Expenses Scholarship 70,122 88,836 69,200 (19,636) -22.1% SE Hospice 49,151 63,540 50,000 (13,540) -21.3% Grants Expenses 526,112 1,072,696 1,640, , % Subtotal Sholarship/Grants Expenses 645,385 1,225,072 1,759, , % Total Expenses 688,750 1,327,511 1,816, , % Operating Income 167, , , , % Other Operating Income 254, , ,000 (67,201) -27.2% Net Income 422, , , , %

10 Woodhaven Skilled Nursing Services Summary Income Statement Southeastern Regional Medical Center Patient Revenue Actual Projected Budget Variance Var % Inpatient Revenue 11,863,532 12,610,981 13,327, ,329 Total Patient Revenue 11,863,532 12,610,981 13,327, , % Deductions from Revenue (3,657,919) (4,151,546) (4,331,376) (179,830) -30.8% 32.9% 32.5% Net Patient Revenue 8,205,613 8,459,435 8,995, , % Other Revenue Other Revenue 64,566 47,596 63,517 15, % Net Revenue 8,270,179 8,507,031 9,059, , % Operating Expenses Salaries and Benefits 5,960,660 6,270,632 6,423, , % Medical supplies and drugs 134, , ,650 9, % Other Expenses 1,925,169 1,873,054 1,676,298 (196,756) -10.5% Depreciation & Amortization 241, , ,984 (39,468) -15.0% Total Expenses 8,261,293 8,554,859 8,481,685 (73,174) -0.9% Operating Income 8,886 (47,828) 577, , % Other Operating Income Net Income 8,886 (47,828) 577, , % Operating Margin 0.11% -0.57% 6.42% Total Patient Days 40,339 38,610 40,058 1, % Revenue Per Patient Day $ $ $ $ % Net Revenue Per Patient Day $ $ $ $ % Expense Per Patient Day $ $ $ $ (9.84) -4.4%

11 Southeastern Regional Medical Center Inpatient Volume Trend 17,000 Discharges 16,500 16,000 15,500 15,000 14,500 14,000 FY2009 FY2010 FY2011 FY2012 FY2013 FY2014 FY2015 Indicator FY2009 FY2010 FY2011 FY2012 FY2013 FY2014 FY2015 Discharges 14,453 14,881 15,855 15,972 16,264 14,932 16,760 % Change -5.5% 3.0% 6.5% 0.7% 2.0% -9.0% 12.2%

12 Southeastern Regional Medical Center Inpatient Volume Trend 4.80 Average Length of Stay FY2009 FY2010 FY2011 FY2012 FY2013 FY2014 FY2015 Indicator FY2009 FY2010 FY2011 FY2012 FY2013 FY2014 FY2015 ALOS

13 Southeastern Regional Medical Center Inpatient Volume Trend 74,000 Patient Days 72,000 70,000 68,000 66,000 64,000 62,000 60,000 FY2009 FY2010 FY2011 FY2012 FY2013 FY2014 FY2015 Indicator FY2009 FY2010 FY2011 FY2012 FY2013 FY2014 FY2015 Patient Days 68,099 64,326 61,158 69,916 71,823 66,222 67,040 % Change -5.5% 3.0% 6.5% 0.7% 2.0% -7.8% 1.2%

14 Southeastern Regional Medical Center Statistical Graphs ER Visits 85,000 80,000 75,000 70,000 65,000 60,000 55,000 FY2009 FY2010 FY2011 FY2012 FY2013 FY2014 FY2015 Year FY2009 FY2010 FY2011 FY2012 FY2013 FY2014 FY2015 ER Visits 76,929 79,937 75,965 74,650 68,452 63,388 61,230 % Change 9.4% 3.9% -5.0% -1.7% -8.4% -7.4% -3.4%

15 Southeastern Regional Medical Center Statistical Graphs Clinic Visits 255, , , , , , , ,000 95,000 75,000 FY2009 FY2010 FY2011 FY2012 FY2013 FY2014 FY2015 Year FY2009 FY2010 FY2011 FY2012 FY2013 FY2014 FY2015 Clicnic Visits 105, , , , , , ,710 % Change 65.3% 26.3% 26.7% 19.7% 7.7% -9.4% 17.2%

16 Southeastern Regional Medical Center Inpatient Volume Trend Woodhaven Average Daily Census FY2009 FY2010 FY2011 FY2012 FY2013 FY2014 FY2015 Year FY2009 FY2010 FY2011 FY2012 FY2013 FY2014 FY2015 Average Daily % Change 9.4% 3.9% -5.0% -1.7% -8.4% -0.5% 0.5%

17 Southeastern Regional Medical Center Outpatient Volume Trend 24,000 Home Health Visits 22,000 20,000 18,000 16,000 14,000 12,000 10,000 FY2009 FY2010 FY2011 FY2012 FY2013 FY2014 FY2015 Year FY2009 FY2010 FY2011 FY2012 FY2013 FY2014 FY2015 HH Visits 13,663 15,086 16,738 16,163 18,725 19,918 21,511 % Change 22.1% 10.4% 11.0% -3.4% 15.9% 6.4% 8.0%

18 Southeastern Regional Medical Center Outpatient Volume Trend Hospice Visits 11,000 10,000 9,000 8,000 7,000 6,000 5,000 4,000 FY2009 FY2010 FY2011 FY2012 FY2013 FY2014 FY2015 Year FY2009 FY2010 FY2011 FY2012 FY2013 FY2014 FY2015 Hospice Visits 10,370 10,239 6,647 6,141 6,467 6,847 7,332 % Change 23.9% -1.3% -35.1% -7.6% 5.3% 5.9% 7.1%

19 CAPITAL BUDGET (in Thousands) Actual Actual Projected Projects FY 2013 FY 2014 FY 2015 Medical Equipment 6,500 7,800 6,000 Other Equipment 1,700 2,000 3,000 Information Technology / Network 1,700 2,800 10,600 Renovations and Expansions 4,000 5,900 6,400 Master Facility Plan 7,100 17,500 4,000 Total Capital Budget 21,000 36,000 30,000