and Financial Information This page provides information about the hospital's finances, workforce, and patient admissions and visits. Income, Expenses & Margin Definition 2014 2015 Gross Patient Care Revenue Total of all patients' bills. $277,724,612 $301,005,474 $332,365,981 $349,042,779 Uncompensated Care Total of bad debt and free care. ($9,024,077) ($8,836,620) ($8,451,592) ($10,153,000) Contractual Allowances Discounts or amounts of charges not paid by insurers,, and. ($114,731,448) ($130,815,094) ($149,923,730) ($164,893,493) Other Operating Revenue Money collected for non-medical services such as cafeteria services. $9,499,488 $10,818,672 $12,210,941 $11,630,699 Total Net Operating Revenue money collected for services. $163,468,575 $172,172,432 $186,201,600 $185,626,985 Salaries & Fringe Wages and benefits for all hospital employees. Includes contracted physicians. $104,377,750 $109,138,404 $116,807,993 $117,386,361 Depreciation Amortization Current costs of buildings, property, and equipment. $9,306,316 $9,380,706 $9,770,912 $9,926,476 Other Operating Expense Non-wage costs such as supplies, drugs, utilities, insurance, etc. $48,970,939 $48,778,862 $54,296,523 $53,018,702 Total Operating Expense Total of the above three items. $162,655,005 $167,297,972 $180,875,428 $180,331,539 Operating Margin Revenues remaining after expenses are paid. $813,570 $4,874,460 $5,326,172 $5,295,446 Non-Operating Revenue Revenues earned from non-patient services such as investments and contributions. $1,521,330 $3,747,329 $1,206,103 $1,850,334 Total Margin The sum of Operating Margin and Non-Operating Revenue. $2,334,900 $8,621,789 $6,532,275 $7,145,780 Operating Indicators Definition 2014 2015 Acute Admissions Number of hospital patients who stay overnight. 3,323 3,495 3,877 3,680 Average Length Of Stay How long the average patient stays in the hospital (in days). 4.8 4.9 4.7 4.8 Emergency Room Visits Patient visits to the emergency department. 28,390 26,119 24,784 23,500 Physician Office Visits Patient visits to hospital-employed doctors. Does not include clinic visits. 155,331 180,895 192,997 219,587 Clinic Visits Patient visits to clinics. 0 0 0 0 Outpatient Gross Revenue % Percentage of billings for those receiving care in outpatient settings 72.4% 71.3% 70.9% 72.4% Physician Gross Revenue % 2 Percentage of billings for those receiving physician care in outpatient settings 0.0% 0.0% 0.0% 0.0% Direct Service Nurses Nurses providing hands-on care. Does not include agency nurses. 378 378 403 400 Non-MD Employees 1 Number of full-time employees who are not doctors. 1,054 1,050 1,135 1,151 Physician FTEs 1 Number of full-time hospital-employed doctors. 74 76 81 86 Note: 1 Mid-Level Providers and Residents are now included in Non-MD Employees, prior to they were included in Physician FTEs 2 Physician Gross Revenue % reporting change started in, if a hospital does not report separately, revenues are included in Outpatient Gross Revenue %
and Financial Information Thousands $190,000 $185,000 Operating Revenue Compared to $186,202 $185,627 Total Net Operating Revenue 2015 8% $180,000 $177,409 $175,000 $170,000 $165,000 $165,702 $163,469 $170,704 $172,172 $160,000 $155,000 $150,000 2014 2015 92% Other VT Hospitals Net Patient Revenue by Payer 2015 Acute Admissions 2015 9% Commercial 91% Other VT Hospitals
Cost Shift A hospital incurs costs to provide services to their patients. All patients, regardless of their ability to pay, are billed the same price for the same service. Sometimes the payment received by the hospital is less than cost for the services provided. This includes payments from uninsured,, and patients. When the payment doesn't cover the cost to provide those services, this unreimbursed cost is passed on to other payers; this is the cost shift. The ability to cost shift helps the hospital maintain its financial health. Uncompensated Care Total Costs Shifted by Payer Type 2015 This graph shows the costs shifted by,, and Uncompensated Care (bad debt, free care) to other payers. The bottom line shows the total cost shift, which is the sum of the costs shifted to others who pay. $0 $5 $10 $15 $20 $25 Millions Commercial Amount Collected for each $1 of Expense and Surplus 2015 $0.00 $0.20 $0.40 $0.60 $0.80 $1.00 $1.20 $1.40 $1.60 All VT Hospitals This graph shows amount of money collected for each dollar of expense and surplus. If a payer (Commercial,, or ) is above $1.00, then it pays more on average than the costs of its patients. If a payer is below $1.00, then it pays less on average than the costs of its patients.
Financial Health Benchmarks & Indicators This page provides information about the hospital's financial health. It includes information on the hospital's ability to pay its bills and how much it costs to run the hospital. National Benchmarks 1 Vermont Medians Cash & Revenue Indicators Definition All Teaching 100-199 Beds Other Non- Profit Northeast CAH 2014 2015 Days Cash on Hand The number of days of cash available to run the hospital. 39.5 24.2 57.7 84.8 106.3 119.8 109.7 129.4 135.1 Current Ratio 2 Ability to pay short-term bills. 1.8 1.9 1.9 2.4 3.4 3.1 2.9 3.7 2.8 Outpatient Gross Revenue % Percentage of billings for those receiving care in less than 24 44.4% 50.4% 57.1% 75.9% 72.4% 71.3% 70.9% 72.4% 74.3% hours. Physician Gross Revenue % Percentage of billings for those receiving physician care in N/A N/A N/A N/A 0.0% 0.0% 0.0% 0.0% N/A less than 24 hours. Total Margin % A measure of total surplus as a % of net patient revenue. 5.3% 4.2% 4.0% 2.5% 1.4% 4.9% 3.5% 3.8% 3.0% Productivity & Cost Indicators National Benchmarks are not available 2014 2015 Return On Assets One measure of how a hospital is doing financially. 4.8% 3.4% 3.1% 1.7% 1.6% 5.5% 4.3% 4.1% 2.8% FTEs per 100 Adj Discharges A measure of employee efficiency. N/A N/A N/A N/A 6.9 7.0 7.0 7.0 6.0 Overhead Expense w/ fringe, as a % of Total Operating Exp Another measure of efficiency. N/A N/A N/A N/A 20.6% 20.0% 20.3% 20.1% 27.0% Salary & Benefits per FTE - Non-MD Total average cost for a full time employee who is not a N/A N/A N/A N/A $77,646 $81,270 $80,366 $79,327 $77,348 doctor. Cost per Adjusted Admission An industry recognized per unit cost measure. 7645 8045 7557 N/A $10,679 $11,085 $11,217 $10,894 $10,217 1 INGENIX/OPTIMUM 2015 ed., data 2 The calculation of current ratio includes funded depreciation, which is not included in the national benchmarks shown.
Hospital Capital Investments This page provides information about the hospital's capital spending plans for the next four years. Capital spending is money spent on purchases and improvements to the hospital including buildings, property, and equipment. Certificate of Need (CON) projects may have changed since the publication of this report. Capital Indicators Definition Major Teaching National Benchmarks 1 100-199 Beds Other Non- Profit Vermont Northeast CAH 2014 2015 Age of Plant Age of Plant Building Age of Plant Equipment Net Prop, Plant & Equip per Staffed Bed Long Term Debt to Total Assets Capital Acquisitions as a % of Net Patient Rev The average age (in years) of buildings and equipment. 11.1 11.1 10.4 10.9 8.4 9.0 9.0 10.4 11.8 The average age (in years) of buildings. N/A N/A N/A N/A 11.4 12.0 12.0 14.3 14.9 The average age (in years) of equipment. N/A N/A N/A N/A 5.8 6.3 6.5 7.0 10.4 On average, the amount of buildings, property, and equipment for each hospital bed. N/A N/A N/A N/A $282,557 $290,750 $282,632 $322,049 $562,720 The hospital's borrowing compared to what it owns. N/A N/A N/A N/A 15.1% 12.7% 11.2% 10.5% 17.2% A measure of spending on buildings, property, and equipment. N/A N/A N/A N/A 4.3% 3.5% 5.3% 7.5% 5.3% Capital Plans 2015 2017 Plan 2018 Plan 2019 Plan Building & Property Capital Expenditures Money spent to buy hospital buildings and property. $3,947,989 $7,500,000 $5,000,000 $5,500,000 $5,000,000 Equipment Capital Expenditures Money spent to buy hospital equipment. $5,358,077 $5,500,000 $6,000,000 $6,000,000 $6,500,000 Total Non-Certificate of Need Capital Expenditures Total money spent on buildings, property, and equipment. $9,306,066 $13,000,000 $11,000,000 $11,500,000 $11,500,000 Certificate of Need Proposals Projects the hospital needs approval from the state to build or acquire. (See Below) Total Capital Expenditures Total money spent on buildings, property, equipment, and proposed CONs. $9,306,066 $13,000,000 $11,000,000 $11,500,000 $11,500,000 Certificate of Need Proposals 1 INGENIX/OPTIMUM 2015 ed., data