200 Hospital Benchmarks - Benchmarks 104-200


Quartiled Financial Benchmarks [8]


104. Total profit margin, all hospitals
• 1st Quartile — 13.40 percent
• 2nd Quartile — 4.85 percent
• 3rd Quartile — 0.57 percent
• 4th Quartile — -6.80 percent

105. Total profit margin, non-profit hospitals
• 1st Quartile — 11.42 percent
• 2nd Quartile — 4.04 percent
• 3rd Quartile — 0.15 percent
• 4th Quartile — -7.04 percent

106. Total profit margin, investor-owned hospitals
• 1st Quartile — 19.16 percent
• 2nd Quartile — 10.43 percent
• 3rd Quartile — 4.30 percent
• 4th Quartile — -4.48 percent

107. Total operating profit margin, all hospitals
• 1st Quartile — 12.32 percent
• 2nd Quartile — 2.24 percent
• 3rd Quartile — -2.91 percent
• 4th Quartile — -11.94 percent

108. Total operating profit margin, investor-owned hospitals
• 1st Quartile — 20.03 percent
• 2nd Quartile — 10.48 percent
• 3rd Quartile — 2.85 percent
• 4th Quartile — -7.79 percent

109. Total operating profit margin, non-profit hospitals
• 1st Quartile — 9.60 percent
• 2nd Quartile — 1.71 percent
• 3rd Quartile — -2.54 percent
• 4th Quartile — -10.89 percent

110. Days net patient revenue in accounts receivable, all hospitals
• 1st Quartile — 33.71 days
•  2nd Quartile — 44.91 days
•  3rd Quartile — 53.16 days
•  4th Quartile — 70.26 days

111. Days net patient revenue in accounts receivable, investor-owned hospitals
• 1st Quartile — 35.31 days
• 2nd Quartile — 45.42 days
• 3rd Quartile — 53.21 days
• 4th Quartile — 70.09 days

112. Days net patient revenue in accounts receivable, non-profit hospitals
• 1st Quartile — 32.36 days
• 2nd Quartile — 43.26 days
• 3rd Quartile — 50.64 days
• 4th Quartile — 65.65 days

113. Total labor costs as percentage of net operating revenues, all hospitals
• 1st Quartile — 37.97 percent
• 2nd Quartile — 45.71 percent
• 3rd Quartile — 51.58 percent
• 4th Quartile — 59.40 percent

114. Total labor costs as percentage of net operating revenues, investor-owned hospitals
• 1st Quartile — 34.05 percent
• 2nd Quartile — 39.04 percent
• 3rd Quartile — 44.26 percent
• 4th Quartile — 53.87 percent

115. Total labor costs as percentage of net operating revenues, non-profit hospitals
• 1st Quartile — 41.26 percent
• 2nd Quartile — 46.22 percent
• 3rd Quartile — 50.29 percent
• 4th Quartile — 56.77 percent

Hospital Merger & Acquisition Benchmarks

Applies to acquisitions announced, not closed. [9]

116. Average price per bed in 2010 — $427,000

117. Average price per bed in 2009 — $398,000

118. Average price to revenue in 2010 — 0.7 times

119. Average price to revenue in 2009 — 0.78 times

Operational Benchmarks

Inpatient Benchmarks [10]


120. Average length of stay in days — 4.6

121. Hospital stays accounted for by Medicaid — 14 percent

122. Hospital stays accounted for by Medicare — 46 percent

123. Hospital stays accounted for by private insurance — 32 percent

124. Hospital stays accounted for by uninsured — 4 percent

125. Hospital stays accounted for by patients 65-84 years old — 35 percent

126. Average cost per discharge  — $9,100

127. Average cost per discharge for patients <1— $3,600

128. Average cost per discharge for patients 1-17 — $7,300–$7,800 (range due to maternal and neonatal discharges)

129. Average cost per discharge for patients 18-44 — $6,700–$9,100 (range due to maternal and neonatal discharges)

130. Average cost per discharge for patients 45-64 — $11,600

131. Average cost per discharge for patients 65-84 — $11,900

132. Average cost per discharge for patients 85+ — $9,400

Full-Time Equivalent and Facility Benchmarks [11]


133. Full-time equivalent staff per adjusted occupied bed, all hospitals
• 1st Quartile — 3.45 FTE
• 2nd Quartile — 4.37 FTE
• 3rd Quartile — 5.12 FTE
• 4th Quartile — 6.48 FTE

134. Full-time equivalent staff per adjusted occupied bed, investor-owned hospitals
• 1st Quartile — 3.21 FTE
• 2nd Quartile — 3.93 FTE
• 3rd Quartile — 4.51 FTE
• 4th Quartile — 5.76 FTE

135. Full-time equivalent staff per adjusted occupied bed, non-profit hospitals
• 1st Quartile — 3.61 FTE
• 2nd Quartile — 4.55 FTE
• 3rd Quartile — 5.27 FTE
• 4th Quartile — 6.55 FTE

136. Average age of plant, all hospitals
• 1st Quartile — 3.63
• 2nd Quartile — 7.70
• 3rd Quartile — 10.59
• 4th Quartile — 15.39

137. Average age of plant, investor-owned hospitals
• 1st Quartile — 2.12
• 2nd Quartile — 4.83
• 3rd Quartile — 8.23
• 4th Quartile — 12.96

138. Average age of plant, non-profit hospitals
• 1st Quartile — 4.90
• 2nd Quartile — 8.65
• 3rd Quartile — 11.28
• 4th Quartile — 15.75

Census Disparity Index Benchmarks

Data highlights the gap between 24-hour census and midnight census, with lower percentages indicating less disparity. The index may be used to inform hospital leadership decisions about patient load measurement, budgeting and projection of staffing needs. [12]

139. Total — 25 percent

140. Cardiovascular — 21.95 percent

141. Critical care — 27.66 percent

142. Emergency department — 44.71 percent

143. Intensive care — 26.67 percent

144. Medical — 19.69 percent

145. Medical/surgical — 25.95 percent

146. Neonatal intensive care —10.15 percent

147. Neurology — 27.24 percent

148. Oncology — 20.91 percent

149. Orthopedics — 23.38 percent

150. Pediatric intensive care — 29.48 percent

151. Pediatrics — 29.79 percent

152. Psychiatric — 13.38 percent

153. Rehabilitation — 12.25 percent

154. Respiratory — 12.25 percent

155. Surgical — 23.16 percent

156. Telemetry — 25.91 percent

157. Women's and children's — 39.51 percent

Admissions, Discharges and Transfers Index Benchmarks

Data indicates the proportion of the unit's population that is turning over during a shift. Lower percentages indicate less flow. The ADT Index can be used to determine if there is a need to reallocate resources to better manage patient flow. [13]

158. Total — 26.11 percent

159. Cardiovascular — 27.56 percent

160. Critical care — 28.46 percent

161. Emergency department — 66.94 percent

162. Intensive care — 26.21 percent

163. Medical —16.42 percent

164. Medical/surgical — 24.7 percent

165. Neonatal intensive care — 9.7 percent

166. Neurology — 28.06 percent

167. Oncology — 20.97 percent

168. Operating room — 71.45 percent

169. Orthopedics — 21.75 percent

170. Pediatric intensive care — 28.46 percent

171. Pediatrics — 28.02 percent

172. Psychiatric — 9.9 percent

173. Rehabilitation — 12.46 percent

174. Respiratory — 3.78 percent

175. Surgical — 26.71 percent

176. Telemetry — 51.64 percent

177. Women's and children's — 43.98 percent

Workload Contribution Factor Benchmarks

Data indicates the proportion of the unit's admission, discharge and transfer activity that is attributed to each component — admissions, discharges and transfers. [14]

178. Hospital-wide
• Day shift — 39.02 percent
• Evening shift — 22.41 percent
• Night shift — 17.8 percent

179. Cardiovascular
• Day shift — 49.93 percent
• Evening shift — n/a
• Night shift — 14.69 percent

180. Critical care
• Day shift — 42.04 percent
• Evening shift — n/a
• Night shift — 17.9 percent

181. Emergency department
• Day shift — 68.69 percent
• Evening shift — n/a
• Night shift — 18.44 percent

182. Intensive care
• Day shift — 37.47 percent
• Evening shift — 24.94 percent
• Night shift — 18.44 percent

183. Medical
• Day shift — 25.76 percent
• Evening shift — 18.55 percent
• Night shift — 9.34 percent

184. Medical/surgical
• Day shift — 35.83 percent
• Evening shift — 30.75 percent
• Night shift — 15.57 percent

185. Neonatal intensive care
• Day shift — 14.38 percent
• Evening shift — 8.33 percent
• Night shift — 6.11 percent

186. Neurology
• Day shift — 41.76 percent
• Evening shift — n/a
• Night shift — 18.95 percent

187. Oncology
• Day shift — 33.78 percent
• Evening shift — n/a
• Night shift — 12.86 percent

188. Operating room
• Day shift — 82.7 percent
• Evening shift — n/a
• Night shift — 49.29 percent

189. Orthopedics
• Day shift — 38.51 percent
• Evening shift — 18.84 percent
• Night shift — 9.89 percent

190. Pediatric intensive care
• Day shift — 41.89 percent
• Evening shift — n/a
• Night shift — 16.49 percent

191. Pediatrics
• Day shift — 43.09 percent
• Evening shift — 31.98 percent
• Night shift — 14.06 percent

192. Psychiatric
• Day shift — 18.72 percent
• Evening shift — 10.86 percent
• Night shift — 5.55 percent

193. Rehabilitation
• Day shift — 21.47 percent
• Evening shift — 13.37 percent
• Night shift — 6.16 percent

194. Respiratory
• Day shift — 5.91 percent
• Evening shift — n/a
• Night shift — 2.53 percent

195. Surgical
• Day shift — 39.98 percent
• Evening shift — 19.32 percent
• Night shift — 19.23 percent

196. Telemetry
• Day shift — 39.17 percent
• Evening shift — 25.43 percent
• Night shift — 16.08 percent

197. Women's and children's
• Day shift — 55.71 percent
• Evening shift — 37.8 percent
• Night shift — 35.61 percent

Emergency Department Benchmarks


198. Average time between patient entering ED and seeing physician — 56 minutes  [15]

199. Average length of stay in ED — 4 hours, 7 minutes  [16]

200. Average number of ED visits — 51,265  [17]


__________________________________________________

[1] Source: iVantage Health Analytics, Sept. 2011.
[2] Source: Hospital Compare, U.S. Department of Health & Human Services. Last updated Aug. 5, 2011.
[3] Source: The Joint Commission's Annual Report on Quality and Safety, 2011.
[4] Source: iVantage Health Analytics, Sept. 2011.
[5] Source: Press Ganey's 2010 Hospital Pulse Report.
[6] Source: Press Ganey's 2010 Hospital Pulse Report.
[7] Source: Merritt Research Services' 2010 Hospital Benchmarks.
[8] The following data is from Healthcare Management Partners' HMP Metrics Quarterly Report, 2010, the latest data available. Quartile rankings were assigned based on mean values calculated for the hospitals within peer groups. The first quartile contains the top 25 percent of the best performing hospitals in an applicable peer group. The fourth represents those falling below 76 percent.
[9] Source: Irving Levin Associates, Inc.
[10] Source: Agency for Healthcare Research and Quality and its Healthcare Cost & Utilization Project, 2008. Discharge refers to the hospital stay.
[11] The following data is from Healthcare Management Partners' HMP Metrics Quarterly Report, 2010, the latest data available. Quartile rankings were assigned based on mean values calculated for the hospitals within peer groups. The first quartile contains the top 25 percent of the best performing hospitals in an applicable peer group. The fourth represents those falling below 76 percent. FTE reflects full-time equivalents.
[12] Source: OptiLink and Nursing Executive Center, The Advisory Board Company.
[13] Source: OptiLink and Nursing Executive Center, The Advisory Board Company.
[14] Source: OptiLink and Nursing Executive Center, The Advisory Board Company.
[15] Source: Centers for Disease Control and Prevention, 2010.
[16] Source: Press Ganey, Emergency Department Pulse Report, 2010.
[17] Source: Merritt Research Services' 2010 Hospital Benchmarks.





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