Delta Regional Medical Center
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- Bryce Asher Watkins
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1 Top 15 Admitting Physicians The following table presents information on the Medical Centers's admitting physicians ranked by order of total admissions for fiscal year Specialty #of Admits % Med-Cardiovascular % Neonatology % Psychiatry % Internal Medicine % Gynecology-Obstetrics % Internal Medicine % Internal Medicine % Internal Medicine % Internal Medicine % Gynecology-Obstetrics % Rehabilitation % Internal Medicine % Internal Medicine % Internal Medicine % Internal Medicine % Source: Cerner Analytics - Medical Center Records Grancl Tot.al I 6!]58 Top i.s T~tal : 5448 i9.4% I During fiscal year 2017, the top 15 admitting physicians accounted for 5,448 admissions, representing 77.7% of all Medical Center admissions in the year. G:\FY 2017\Surveys\DAC\1 DAC Operating Data-Top Admitting Physicians FY 2017, Data Used 1/26/2018, 1:51 PM
2 DAC Operational Data -Annual Reporting Discharges by Service Area Discharges by service area for acute, psychiatric and rehabilitation serivces for the Medical Center Service Area: 2010 Washington County Mississippi 6,017 Subtotal Primary: 6, ,314 6, ,398 6, ,316 5,563 5,843 5,814 5,430 6,316 5,563 5,843 5,814 5,430 Sunflower County Mississippi 652 Bolivar County Mississippi 540 Chicot County Arkansas 264 Subtotal Secondary: 1, , , ,438 1,499 1,554 1,443 1,307 All Others Grand Total: 8,002 8,039 8,422 8,463 7,720 8,098 7,827 7,346 Source: Discern Analytics - Medical Center Records-Al_ALL_Dlscharges I G:\FY 2017\Surveys\DAC\2 DAC Operating Data- Dsch by County FY 2017, Reported 1/26/2018, 1:51 PM
3 Operating Levels Operating levels for the years 2010 through 2017 for acute care services from all service areas are as follows: Operational Patient Occupancy Year Beds* Discharges Days** ALOS ADC Rate ,515 37, % ,668 39, % ,003 39, % ,099 37, % ,290 34, % ,078 33, % ,888 32, % ,471 30, % Operational beds are staffed beds and beds that are lmmediately ready for occupancy. ** Excluding Nursey. source: Medical Center Records - CR# 3, & CR# 4 Operating levels for the years 2010 through 2017 for psychiatric unit services from all service areas are as follows: Operational Patient Occupancy Year Beds* Discharges Days** ALOS ADC Rate , % , % , % , % , % , % , % % * Operational beds are staffed beds and beds that are Immediately ready for occupancy. ** Excluding Nursey. Source: Medical Center Records - CR # 3, & CR# 4 Operating levels for the years 2010 through 2017 for rehabilitation services from all service areas are as follows: Operational Patient Occupancy Year Beds* Discharges Days** ALOS ADC Rate , % , % , % , % , % , % , % , % Operational beds are staffed beds and beds that are immediately ready for occupancy. 0 Excluding Nursey. Source: Medical Center Records - CR# 3, & CR# 4 G:\FY 2017\Surveys\DAC\3 DAC Operating Data - Operating Levels FY 2017, Reported 1/26/2018, 1:54 PM
4 DAC Operational Data Annual Reporting Operating History The following table provides a condensed statement of operations, on an audited basis, for the Medical Center for its fiscal years ended September 30, 2010 through The notes to the financial statements are an integral part of such financial statements and the statements and notes should be read in their entirety in the audited financial statements. Statement of Operations Fiscal Years Ended September 30 (OOOs) RESTATED FYE FYE FYE FYE FYE FYE FYE FYE Net Patient Service Revenue $ 124,286 $ 125,907 $ 122,880 $ 121,338 $ 119,854 $ 123,446 $ 123,003 $118,051 Other Operating Revenue $ 1,246 $ 2,603 $ 4,871 $ 1,880 $ 3,452 $ 2,666 $ 2,546 $ 1,937 Total Operating Revenue $ 125,532 $ 128,510 $ 127,751 $ 123,218 $ 123,306 $ 126,112 $ 125,549 $119,988 Total Operating Expenses $ 122,425 $ 127,750 $ 124,061 $ 121,526 $ 113,863 $ 112,558 $ 114,276 $111,207 Operating Income $ 3,107 $ 760 $ 3,690 $ 1,692 $ 9,443 $ 13,554 $ 11,273 $ 8,781 Non Operating Revenues (Expenses): Investment Income I Grants $ 1,027 $ 961 $ 743 $ 801 $ 740 $ 826 $ 917 $ 801 Interest Expense $ (1,685) $ (1,568) $ (1,514) $ (1,390) $ (1,531) $ (1,507) $ (1,517) $ (1,340) Net Non-Operating Rev./(Exp) $ (658) $ (607) $ (771) $ (589) $ (791) $ (681) $ (600) $ (539) Increase in Net Assets $ 2,449 $ 153 $ 2,919 $ 1,103 $ 2,205 $ 5,444 $ 4,233 $ 1,215 Beginning Net Assets $ 55,411 $ 57,861 $ 58,014 $ 60,933 $ 61,463 $ 58,546 $ 62,779 $ 63,994 G:\FY 2017\Surveys\DAC\4 DAC Operating Data - Operating History FY2017, Reported
5 Sources of Revenues The following table shows the distribution of Medical Center patient service revenues by category as an approximate percentage of total patient service revenues for the Medical Center for the past five fiscal years Medicare 46.0% 45.0% 46.0% 46.0% 48.0% Medicaid 23.0% 25.0% 25.0% 26.0% 26.0% Commercial and Self Pay 31.0% 30.0% 29.0% 28.0% 26.0% Total 100% 100% 100% 100% 100% G:\FY 2017\Surveys\DAC\S DAC Operating Data - Revenues FY2017, Reported
6 UPL, MHAP & DSH payments (DRMC) participates in the Mississippi Medicaid Disproportionate Share Hospital (DSH) Program, in the Medicare Upper Payment Limit (UPL) Program, and in the Ms Hospital Access Program (MHAP). Under these programs, DRMC receives enhanced reimbursement through a matching mechanism. The following chart shows the enhanced reimbursements received through DSH, UPL and MHAP for fiscal years 2011 through 2017 Fiscal Year DSH UPL/MHAP ,419, ,000 8,770, ,945, ,177, ,703, I 0 15,850, ,778,520 G:\FY 2017\Surveys\DAC\6 DAC Operating Data~ UPL DSH MHAP FV2017, Reported
7 Types of Indebtedness The following ta I be sets forth all of the outstanding indebtedness of the Medical Center as of September 30, Outstanding Final Balance at Type of Indebtedness 9/30/17 Interest Rate Date Pa~ment Sarullo Property* 966, % 7/1/2030 Series 2007 Bonds** 27,680,000 Variable 8/1/2033 * The Sarullo property is a captial lease obligation collaterialized by leased land with an imputed interest rate of 7%. The Sarullo property is located in the front of the main hospital adjacent to hightway #1. **These bonds are FHA - Insured Mortgage Revenue Bonds, Issue, Series 2007 (the Series 2007 Bonds) with a final payment of 8/1/2033. The Medical Center makes monthly payments of interest at the rate of 6.25% per annum up to including (30) days prior to the commencement of amortization thereafter the nqte provides that the interest shall be paid monthly at the rate of 4.7% per annum on the outstanding balance of such principle. G:\FY 2017\Surveys\DAC\7 DAC Operating Data - Indebtedness FY2017, Reported
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