Fiscal Year 2018 Statistical Profile

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Fiscal Year 2018 Statistical Profile Oct. 1, 2017 - Sept. 30, 2018

Greenville Health System and are now Prisma Health We re excited to be united under one name and one logo. Together, we re looking at health in a completely new way. Our 30,000 team members are dedicated to supporting the health and well-being of you and your family. Our promise is to: Inspire health. Serve with compassion. Be the difference. We ll continue to honor the sacred relationships our patients and families have with their physicians and advanced practice providers. Your doctor won t change. Your hospital won t change. To learn more about how we will serve you, visit PrismaHealth.org

is the largest and most comprehensive integrated health care system in the South Carolina Midlands region. We re on a journey to transform the health care experience for our patients and their families. Our more than 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, nonprofit system includes six Joint Commission-accredited acute-care hospitals with 1,352 patient beds Baptist, Baptist Parkridge, Children s Hospital, Heart Hospital, Richland and Tuomey. In the South Carolina upstate region, has been coowner of Baptist Easley Hospital with Greenville Health System, but as of Oct. 1, Baptist Easley became part of Greenville Health System. is supported by a network of physicians and advanced practice providers in the - USC Medical Group and the Quality Collaborative, as well as two 501(c)(3) foundations. trains the next generation of physicians through its 33 residency and fellowship programs affiliated with the University of South Carolina School of Medicine. 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 Obstetrics (including high-risk pregnancy and genetic counseling, and the area s only two Level III Neonatal Intensive Care Units) Orthopedics Pediatrics Spine Center 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 1

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 is a not-for-profit company that brings together health care providers from two of South Carolina s most respected organizations and the University of South Carolina School of Medicine. With more than 800 providers* and 2,200 team members, 116 practices and 164 locations, it is the region s largest multispecialty medical group. In late 2019, -USC Medical Group will become Prisma Health-USC Medical Group. 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 nearly 300 advanced practice providers PHQC physicians by specialty 113 Surgeons (including bariatric, heart and vascular, general, neurological, orthopedic, pediatric and plastic) 149 Pediatricians (including pediatric specialists) 604 Specialists (including heart and vascular, emergency medicine, gastroenterology and neurology) 1,100 Total Includes nearly 520 physicians (89 primary care and specialty practices) in the Palmetto Health-USC Medical Group 234 Primary Care (including family medicine, geriatrics, internal medicine and OB/GYN) 2

Oct. 1, 2017 - Sept. 30, 2018 Admissions Baptist Baptist Parkridge Richland (including Children s Hospital and Heart Hospital) Tuomey Number of licensed beds 352 76 641 283 1,352 Inpatient admissions 22,720 5,274 33,919 10,436 72,349 Births 2,866 660 2,383 1,296 7,205 Surgical Procedures Inpatient 3,687 1,531 7,964 1,859 15,041 Outpatient 8,382 7,758 11,707 4,050 31,897 Open heart procedures 377 377 Catheterization lab procedures 847 11,205 528 12,580 Patient Days Adult and pediatric (including newborns) 89,111 21,613 221,471 52,464 384,659 Average daily census 244 59 607 144 1,054 Average length of stay (in days) 3.92 4.10 6.53 5.03 5.32 Outpatient Services Emergency Department visits 46,048 34,762 94,650 61,463 236,923 Outpatient visits (including ED, O/P and other clinics) 248,759 110,838 572,378 143,322 1,075,297 HomeCare admissions 4,099 4,099 Mammograms 34,256 Team Members Total team members 2,016 696 4,995 1,596 15,734* System team members (including RNs) 2,005 Volunteers (includes 44 Hospice volunteers) 217 123 216 125 725 -USC Medical Group 2,245 Baptist Easley (performance is reported by Greenville Health System) Registered nurses (including full-time, part-time and PRNs) Medical Staff Physicians Of 2,485 physicians, 771 have privileges on multiple campuses including Baptist, Baptist Parkridge, Children s Hospital, Heart Hospital, Richland and Tuomey. Quality Collaborative Physicians Includes nearly 533 physicians (116 primary care and specialty practices) in the - USC Medical Group. 728 744 302 1,673 547 4,218** 802 616 884 183 2,485 1,100 *Figure includes hospital, ambulatory services and system team members, -USC Medical Group, Baptist Easley and volunteers. **Figure includes 464 system, 211 Baptist Easley and 277 -USC Medical Group registered nurses. 3

Awards and honors 4 was recognized by readers of The State as best in health care for the ninth year in a row. Palmetto Health won four health care categories: Best Hospital System, Best Hospital for Heart Health, Best Hospice and Best Doctor, Mickey Plymale, MD, - USC Orthopedic Center. Tuomey was named Best Hospital and Best Imaging Facility in the Sumter Item s first Best Of readers choice contest. Members of the Sumter practices of the -USC Medical Group were honored by readers as well: Best Cardiology, Palmetto Heart; Best Obstetrics and Gynecology, Sumter OB/GYN; Best Orthopedist, Danny Ford, MD, -USC Orthopedic Center; and Best Vein Specialist, Michael Naylor, MD, Sumter Surgical. celebrated several anniversaries this year including the 20th anniversary of the creation of and the 30th anniversary of Palmetto SeniorCare PACE. Children s Hospital also celebrated its 35th anniversary and 10 years in its freestanding facility. Richland was recognized by the American Heart Association/American Stroke Association Get With The Guidelines program for heart failure care at Heart Hospital. Richland received the Heart Failure Gold Plus Quality Achievement Award. Richland was recognized for its commitment to improving quality of life by enhancing standards of care. The hospital s Pulmonary Rehabilitation Program, which serves patients with all types of lung disease, received its certification from the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR). Richland s Cardiovascular Rehabilitation Program also obtained this same certification in 2017. BlueCross BlueShield of South Carolina recognized Baptist, Baptist Parkridge, Richland and Tuomey as Blue Distinction Centers for Maternity Care. Blue Distinction Centers are nationally designated hospitals that show expertise in delivering improved patient safety and better health outcomes, based on objective measures developed with input from the medical community. Baptist was recognized as a Baby- Friendly designated birth facility by Baby-Friendly, USA, Inc., the U.S. authority for the implementation of the Baby-Friendly Hospital initiative. The Baby-Friendly designation is given after a rigorous on-site survey is completed. Richland and Palmetto Health Tuomey also are Baby-Friendly designated birth facilities. 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 the first facility in South Carolina to implant the HeartMate 3 Left Ventricular Assist Device (LVAD) outside of research trials. An LVAD is a mechanical pump that assists heart function and blood flow. Powered by a battery pack worn outside the patient s body, LVAD can provide increased quality of life, allowing patients to carry out daily activities with minimal restrictions. IDG s Computerworld recognized among the 2018 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. Heart Hospital was recognized by U.S. News & World Report as a high-performing hospital for heart failure for 2017-18.

s economic impact Total team members 13,392 Team members by county of residence* Richland 6,688 Lexington 3,142 Sumter 1,553 Salaries and benefits Goods and services purchased Revenue (after expenses) Charity care provided* Non-payment for services (bad debt)** $856 million $759 million ($7.6) million $231 million $344 million Kershaw 619 Fairfield 138 Newberry 153 Other SC counties 801 Non SC counties 159 * Baptist Easley, leased team members and volunteers are not included in county data. Community programs and services 2017 (most recent data available) $50 million Foundation Donations $6 million Donors 11,813 The Tuomey Foundation Donations $845,000 Donors 547 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 Palmetto Health 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 in FY2018 was nearly seven times greater than it was in FY2001, increasing from $33.5 million to nearly $231 million an average annual increase of 8 percent. **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 s total cost of providing care to such patients. The amount of bad debt written off by has grown more than eight times since 2001, increasing from $44.7 million in FY2001 to more than $344 million in FY2018 an average annual increase of 9 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. 5

2018 PALMETTO HEALTH 12/18 MC-16256