Fiscal Year 2017 Statistical Profile

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1 Fiscal Year 2017 Statistical Profile Oct. 1, Sept. 30, 2017

2 We re on a journey to transform the health care experience for our patients and their families. is the largest and most comprehensive integrated health care system in the South Carolina Midlands region. Nearly 15,000 team members, physicians and volunteers are dedicated to working together to fulfill s Vision: To be remembered by each patient as providing the care and compassion we want for our families and ourselves. Our locally owned, not-for-profit system includes six Joint Commission-accredited acute-care hospitals with 1,392 patient beds Baptist, Baptist Parkridge, Children s Hospital, Heart Hospital, Richland and Tuomey. In the South Carolina upstate region, also co-owns the 109-bed Baptist Easley Hospital with Greenville Health System. In June 2017, we announced our intention to join with Greenville Health System to create a new, not-for-profit health company. The new company Areas of specialty at include: Bariatric surgery Behavioral care Breast care Cancer care Geriatrics Heart and vascular care (including the Advanced Heart Health Center and the Midlands only Left Ventricular Assist Device program) Musculoskeletal Neuroscience is designed to improve the health and well-being of the communities we serve.* is supported by a network of physicians and advanced practice providers in the -USC Medical Group and the Palmetto Health Quality Collaborative, as well as two 501(c)(3) foundations. trains the next generation of physicians through its 26 residency and fellowship programs affiliated with the University of South Carolina School of Medicine. Obstetrics (including high-risk pregnancy and genetic counseling, and the area s only two Level III Neonatal Intensive Care Units) Orthopedics Pediatrics Surgery (including the Midlands region s first da Vinci robotic surgical systems) Trauma care (the region s only Level I trauma center and the state s first Level II pediatric trauma center) Women s care *In November 2017, we finalized our partnership with Greenville Health System and began operating as one health company under the leadership of co-ceos Charles D. Beaman, Jr., and Michael C. Riordan, who previously led and Greenville Health System, respectively. 1

3 Our providers Two large networks of providers - USC Medical Group and the Quality Collaborative serve as the primary entry points for patients being cared for by. -USC Medical Group, launched in April 2016, is a not-for-profit company that brings together health care providers from two of South Carolina s most respected organizations Palmetto Health and the University of South Carolina School of Medicine. With more than 700 providers* and almost 2,000 team members, in nearly 100 practices and more than 100 locations, it is the region s largest multispecialty medical group. PHQC physicians by specialty 108 Surgeons (including bariatric, heart and vascular, general, neurological, orthopedic, pediatric and plastic) 137 Pediatricians (including pediatric specialists) 164 Primary Care (including family medicine, geriatrics, internal medicine and OB/GYN) The Quality Collaborative (PHQC) is a nationally recognized clinically integrated system of physicians that drives targeted improvements in health care quality and efficiency. Since its inception in 2010, the PHQC has been committed to increasing the quality of care patients receive by setting higher performance and quality expectations for participating physicians. All physicians in the -USC Medical Group are members of the PHQC. * Includes more than 200 advanced practice providers 570 Specialists (including heart and vascular, emergency medicine, gastroenterology and neurology) 979 Total Includes nearly 500 physicians (97 primary care and specialty practices) in the -USC Medical Group Oct. 1, Sept. 30, 2017 Baptist Baptist Parkridge Richland (including Children s Hospital and Heart Hospital) Tuomey Admissions Number of licensed beds ,392 Inpatient admissions 23,357 5,501 34,019 11,019 73,896 Births 2, ,199 1,301 7,205 Surgical Procedures Inpatient 4,686 1,592 7,945 2,067 16,290 Outpatient 7,958 7,574 11,349 4,732 31,613 Open heart procedures Catheterization lab procedures 927 9, ,191 Patient Days Adult and pediatric (including newborns) 101,003 20, ,724 61, ,201 Average daily census ,086 Average length of stay (in days) Outpatient Services Emergency Department visits 47,218 35,041 93,658 63, ,406 Outpatient visits 246, , , ,441 1,152,040 (including ED, O/P and other clinics) HomeCare admissions 4,178 4,178 Mammograms 34,023 Team Members Total team members 2, ,921 1,613 14,693* System team members (including RNs) 1,908 Volunteers (includes 58 Hospice volunteers) USC Medical Group 1,816 Baptist Easley (performance is reported by 833 Greenville Health System) Registered nurses , ,761** (including full-time, part-time and PRNs) Medical Staff Physicians ,756 Of 1,756 physicians, 734 have privileges on multiple campuses including Baptist, Baptist Parkridge, Children s Hospital, Heart Hospital, Richland and Tuomey. Quality Collaborative Physicians Includes nearly 500 physicians (97 primary care and specialty practices) in the - USC Medical Group. 979 *Figure includes hospital, ambulatory services and system team members, -USC Medical Group, Baptist Easley and volunteers. **Figure includes 541 system and -USC Medical Group registered nurses. 2 3

4 Awards and honors s economic impact was recognized by readers of The State as best in health care for the eighth year in a row. won three health care categories: Best Hospital System, Best Hospital for Heart Health and Best Doctor, Mickey Plymale, MD. was awarded The Advisory Board Company s 2017 Workplace of the Year Award. The annual award recognizes hospitals and health care systems nationwide that have outstanding levels of employee engagement. is one of 20 organizations nationwide to receive the award. Richland was recognized by the American Heart Association/American Stroke Association Get With The Guidelines program for heart failure and stroke care. Richland received the Heart Failure Gold Plus Quality Achievement Award and the Stroke Gold Plus Achievement Award with Target: Stroke SM Honor Roll Elite Plus. IDG s Computerworld recognized among the 2017 Best Places to Work in IT, one of 100 top organizations that challenge their IT staffs while providing great benefits, career opportunities and an enjoyable work environment. Palmetto Health ranked 20th among large organizations on the list. Tuomey was awarded the 2017 I SEE YOU CARE Award by Advanced ICU (AICU). The award recognizes outstanding collaboration between hospital staff and AICU s remote critical care team. was honored as one of four hospitals selected to receive an award for Best Overall Project by the Disparities Solutions Center at Massachusetts General Hospital. Palmetto Health was selected from among 16 U.S. health care organizations participating in the Disparities Leadership Program s class. Palmetto Health s project was chosen for its work with African-American patients diagnosed with Chronic Obstructive Pulmonary Disease (COPD). In 2017, was recognized for the 10th time as one of the Most Wired organizations by Hospitals & Health Networks magazine. Palmetto Health is one of only seven Most Wired health care provider organizations in South Carolina to meet the magazine s strict criteria. previously won the award in 2003, 2005, 2010, 2011, 2012, 2013, 2014, 2015 and Baptist, Richland and Tuomey were designated as Blue Distinction Centers+ for maternity care by BlueCross Blue Shield of South Carolina and BlueChoice Health Plan of South Carolina. In addition, Baptist was designated a Blue Distinction Center for bariatric surgery; Palmetto Health Baptist Parkridge was designated a Blue Distinction Center for spine surgery; and Palmetto Health Richland was designated a Blue Distinction Center for spine surgery, cardiac care and knee and hip replacement. The national Blue Distinction Specialty Care program recognizes hospitals for delivering quality, affordable specialty care safely and effectively, based on objective measures developed with input from the medical community. s Weight Management Center received the three-year Comprehensive Center designation in 2016 after a series of extensive evaluations from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP), in partnership with the American Society for Metabolic and Bariatric Surgery. was awarded the American Hospital Association s (AHA) NOVA Award for improving community health through its dental initiative. This is the third time has won a NOVA Award in 12 years. The award recognizes hospitals and health systems for their collaborative efforts toward improving community health. Heart Hospital was recognized by U.S. News & World Report as a high-performing hospital for heart failure for Total team members 13,085 Team members by county of residence* Richland 6,522 Lexington 3,016 Sumter 1,562 Kershaw 612 Fairfield 139 Newberry 156 Other SC counties 789 Non SC counties 149 * Baptist Easley, leased team members and volunteers are not included in county data. generally defines uninsured care as care provided for which no payment was received from patients and/or insurers. It is a sum of the bad debt and charity care the system provides. Uninsured care excludes other unfunded costs of care, such as underpayment from Medicaid and Medicare. *Charity care consists of services for which neither received nor expected to receive payment, because it was determined the patient was financially unable to pay a bill. The amount of charity care provided by Palmetto Health in FY2017 was nearly seven times greater than it was in FY2001, increasing from $33.5 million to nearly $221 million an average annual increase of 8 percent. Salaries and benefits Goods and services purchased Revenue (after expenses) Charity care provided* $966 million $662 million ($2.7) million $221 million Non-payment for services (bad debt)** $329 million Community programs and services 2016 (most recent data available) $50.3 million Foundation Donations $6.1 million Donors 14,163 The Tuomey Foundation Donations $962,000 Donors 750 **Bad debt consists of services for which Palmetto Health expected to receive payment but did not because the patient was unable or unwilling to pay a bill. Bad debt often is generated by uninsured patients, making it reasonable to consider bad debt as one component of Palmetto Health s total cost of providing care to such patients. The amount of bad debt written off by has grown more than seven times since 2001, increasing from $44.7 million in FY2001 to more than $329 million in FY2017 an average annual increase of 10 percent. A small percentage of bad debt is caused by insured patients who fail to pay their deductibles or co-payments, but the vast majority of bad debt is attributable to uninsured patients. 4 5

5 2017 PALMETTO HEALTH 12/17 MC-14253

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