S&P: 34 Statistics on Nonprofit Standalone Hospital Medians

Like large health systems, standalone hospitals and health systems produced strong financial metrics in fiscal year 2012, many of which improved from 2011 despite reimbursement pressures and lagging admissions.

Standard & Poor's Ratings Services released nonprofit hospital and health system median reports last week. S&P analysts said standalone providers will most likely "feel the strain on operating results" in the future "due to continued credit pressures and limits on additional cost-saving measures."

Roughly 57 percent of the S&P's standalone provider database is rated within the "AA" or "A" categories, while 34 percent are rated within the "BBB" category. Ten percent have speculative credit ratings. Hospitals with "BBB" ratings mostly saw their net patient revenues go down in 2012, though higher-rated providers generally saw an increase in revenue.

Here are 34 median statistics comparing various financial metrics at nonprofit standalone hospitals from FY 2011 to FY 2012.

Note: The following data are based on audited financial statements for 517 nonprofit standalone hospitals within S&P's database. A standalone hospital is defined as an organization with fewer than three hospitals, usually one, and has less geographic and revenue diversity than health systems.

Statement of operations



FY 2011

FY 2012

Net patient revenue

$406.2 million

$453.3 million


$49.5 million

$53.4 million

Debt burden

3.1 percent

3 percent

EBIDA margin

11.8 percent

11.6 percent

Operating EBIDA margin

10.2 percent

9.8 percent

Operating margin

2.7 percent

2.6 percent

Excess margin

4.7 percent

4.5 percent

Maximum debt service coverage




Balance sheet



FY 2011

FY 2012

Average age of plant

10.4 years

10.5 years

Cushion ratio



Days of cash on hand



Days in accounts receivable



Cash flow to total liabilities

15.9 percent

15.3 percent

Unrestricted reserves

$200.9 million

$230.9 million

Unrestricted reserves to long-term debt

123.6 percent

135.1 percent

Long-term debt to capitalization

37 percent

36.4 percent

Defined benefit pension funded status

72.9 percent

69 percent


More Articles on Hospital Financial Metrics:
Fitch: Nonprofit Hospital Liquidity Metrics Improved in 2012
3 Metrics Community Hospitals Should Monitor Every Day
S&P: 34 Statistics on Nonprofit Health System Medians

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