Memorial Hospital of Converse County
Financial and Statistical Packet
Table of Contents - January 31, 2016
Admissions and Avg. IP Daily Census Graphs
Page #
1
Average Floor Census Breakdown Graph
2
Average Monthly Inpatient Admissions by Physician Graph
3
Average Length of Stay by Physician Graph
4
Payor Mix Comparisons and Emergency Room Visits Graphs
5
Total Surgeries and Orthopedic Surgeries Graphs
6
General and OB/GYN Surgery Graphs
7
Procedure Core Visits Graphs
8
Mammography Exams Graph
9
MRI and Cat Scan Graphs
10
Nuclear Medicine and Ultrasound Exams Graphs
11
Lab Procedures and Other X-Ray Graphs
12
Newborns and Net Days of Revenue in A/R Graphs
13
Respiratory and EKG Procedures Graphs
14
Hospital Revenue Graph
15
Income Statement and Budget Variance Report
16
Financial and Statistical Highlights
17
Statistics (Ratios - Productivity Indicators)
18
Balance Sheet
19
Cash Flow Statement
20
Memorial Hospital of Converse County
Admissions and Avg. IP Daily Census
Jan. 2016
Admissions
120
100
80
60
40
20
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Feb.
79
81
63
Mar.
61
81
78
Apr.
67
81
89
May
80
81
92
June
103
81
100
July
90
87
89
Aug
80
87
85
Current 12 mo. avg. = 80
Sep
89
87
94
Oct
78
87
70
Nov
78
87
81
Dec
74
87
86
Jan
82
87
83
Previous 12 mo. avg. = 84
Average IP Daily Census
10.00
9.00
8.00
7.00
6.00
5.00
4.00
3.00
2.00
1.00
0.00
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Feb.
8.14
6.84
6.14
Mar.
5.00
6.84
6.48
Apr.
6.50
6.84
8.03
May
6.74
6.84
9.42
June
7.67
6.84
7.70
July
8.52
7.32
9.23
Curr. 12 mo. avg. = 7.20
Aug
6.45
7.32
7.58
Sep
7.77
7.32
7.23
Oct
6.68
7.32
6.61
Nov
8.60
7.32
6.83
Dec
6.65
7.32
6.29
Jan
7.71
7.32
7.32
Prev. 12 mo. avg. = 7.41
Page 1
Memorial Hospital of Converse County
(FY 2016) Average Floor Census Breakdown
Jan. 2016
(FY 2016) Average Floor Census Breakdown
14.00
12.00
1.55
10.00
1.27
1.67
1.42
2.29
8.00
0.70
0.55
0.67
1.58
1.71
0.45
0.48
1.42
1.64
0.58
0.69
7.71
7.48
6.00
4.00
8.60
8.52
7.77
6.68
6.45
6.65
2.00
0.00
SB
OBS
IP
Jul.
Aug.
Sep.
Oct.
Nov.
Dec.
Jan.
1.55
1.42
8.52
2.29
0.55
6.45
1.67
0.70
7.77
1.58
0.45
6.68
1.27
0.67
8.60
1.71
0.48
6.65
1.42
0.58
7.71
IP
OBS
Feb.
Mar.
Apr.
May
June
Average
1.64
0.69
7.48
SB
Page 2
Memorial Hospital of Converse County
Average Monthly Inpatient Admissions by Physician
Jan. 2016
Average Monthly Inpatient Admissions by Physician Based on Previous 12 Months
30.00
25.00
20.00
15.00
10.00
5.00
0.00
Page 3
Memorial Hospital of Converse County
Average Length of Stay by Physician
Jan. 2016
Average Length of Stay by Physician for Fiscal Year 2016
4.50
4.00
3.50
3.00
2.50
2.00
1.50
1.00
0.50
0.00
Retherford
Lansang
Starks
Hospitalist
Grosdidier
Murphy
White, W.
Croft
Skuza
Yost
Engle
Rupp
Campbell
Robertson
Current Month Avg. Length of Stay 0.00
0.00
0.00
3.00
4.16
1.00
0.00
3.50
2.67
2.00
3.00
1.95
0.00
2.60
3.00
YTD FY 2016 Avg. Length of Stay 0.00
1.71
1.64
2.36
3.53
2.35
2.50
2.67
3.30
2.00
1.45
1.91
0.00
2.23
2.94
Page 4
Memorial Hospital of Converse County
Payor Mix Comparisons and ER Visits
Jan. 2016
Payor Mix Comparisons
50.00%
45.00%
40.00%
35.00%
30.00%
25.00%
20.00%
15.00%
10.00%
5.00%
0.00%
Insurance
Medicare
Medicaid
Self Pay
Workers Comp.
Other
Payors
Fiscal Year 2016
Fiscal Year 2015
Emergency Room Visits
800
700
600
500
400
300
200
100
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Feb.
490
477
393
Mar.
561
477
429
Apr.
491
477
474
May
479
477
582
June
553
477
565
July
579
569
626
Curr. 12 mo. avg. = 519
Aug
580
569
703
Sep
559
569
661
Oct
511
569
503
Nov
496
569
546
Dec
466
569
525
Jan
459
569
440
Prev. 12. mo. avg. = 537
Page 5
Memorial Hospital of Converse County
Total Surgeries and Orthopedic Surgeries
Jan. 2016
Total Surgeries
140
120
100
80
60
40
20
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Feb.
97
105
94
Mar.
66
105
77
Apr.
92
105
100
May
101
105
88
June
103
105
98
July
105
100
83
Aug
100
100
88
Current 12 mo. avg. = 102
Sep
109
100
85
Oct
121
100
110
Nov
110
100
89
Dec
124
100
127
Jan
93
100
82
Previous 12 mo. avg. = 93
Orthopedic Surgeries
60
50
40
30
20
10
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Feb.
37
52
42
Mar.
28
52
40
Apr.
40
52
39
May
44
52
49
June
48
52
37
July
55
41
43
Curr. 12 mo. avg. = 44
Aug
35
41
28
Sep
54
41
36
Oct
51
41
37
Nov
48
41
46
Dec
53
41
47
Jan
37
41
30
Prev. 12 mo. avg. = 40
Page 6
Memorial Hospital of Converse County
General and OB/GYN Surgeries
Jan. 2016
General Surgeries
35
30
25
20
15
10
5
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Feb.
26
24
25
Mar.
17
24
20
Apr.
16
24
22
May
25
24
22
June
18
24
24
July
23
24
23
Aug
25
24
26
Curr. 12 mo. avg. = 23
Sep
23
24
24
Oct
22
24
29
Nov
24
24
23
Dec
28
24
32
Jan
23
24
21
Prev. 12 mo. avg. = 24
OB/GYN Surgeries
14
12
10
8
6
4
2
0
Feb.
Mar.
Apr.
May
June
July
Curr. 12 mo. avg. = 11
Curr. 12 mo.
Aug
Sep
Oct
Nov
Dec
Jan
Prev. 12 mo. avg. = 9
Current Budget
Prev. 12 mo.
Page 7
Memorial Hospital of Converse County
Procedure Core Visits
Jan. 2016
Procedure Core Visits
80
70
60
50
40
30
20
10
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Feb.
41
49
49
Mar.
46
49
64
Apr.
55
49
37
May
54
49
45
June
53
49
41
July
56
49
47
Aug
40
49
44
Sep
58
49
34
Curr. 12 mo. avg. = 53
Oct
53
49
55
Nov
54
49
38
Dec
69
49
60
Jan
62
49
34
Prev. 12 mo. avg. = 46
Procedure Core Visit Types
80
70
60
50
49
40
32
27
37
34
36
40
30
26
45
29
32
23
20
10
0
22
15
Feb.
Curr. 12 mo. Scopes
26
Curr. 12 mo. Minor Procedures 15
14
15
Mar.
32
14
Apr.
40
15
26
22
17
May
32
22
June
27
26
July
34
22
Aug
23
17
21
Sep
37
21
24
Oct
29
24
18
20
Nov
36
18
Dec
49
20
17
Jan
45
17
Page 8
Memorial Hospital of Converse County
Mammography Exams
Jan. 2016
Mammography Exams
140
120
100
80
60
40
20
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Feb.
95
94
96
Mar.
85
94
102
Apr.
81
94
90
May
72
94
90
June
97
94
82
July
103
93
95
Curr. 12 mo. avg. = 100
Aug
122
93
96
Sep
108
93
92
Oct
126
93
112
Nov
120
93
81
Dec
111
93
92
Jan
75
93
70
Prev. 12 mo. avg. = 92
Page 9
Memorial Hospital of Converse County
MRI & Cat Scans
Jan. 2016
MRI Exams
140
120
100
80
60
40
20
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Feb.
91
84
70
Mar.
95
84
94
Apr.
100
84
76
May
102
84
88
June
105
84
97
July
107
99
105
Curr. 12 mo. avg. = 101
Aug
95
99
82
Sep
115
99
94
Oct
118
99
93
Nov
96
99
79
Dec
104
99
67
Jan
83
99
80
Prev. 12 mo. avg. = 85
CT Exams
350
300
250
200
150
100
50
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Feb.
228
201
152
Mar.
201
201
158
Apr.
220
201
181
May
174
201
195
June
279
201
164
July
241
237
214
Curr. 12 mo. avg. = 241
Aug
235
237
253
Sep
254
237
242
Oct
242
237
201
Nov
296
237
176
Dec
264
237
247
Jan
252
237
211
Prev. 12 mo. avg. = 200
Page 10
Memorial Hospital of Converse County
Nuclear Med and Ultrasound Exams
Jan. 2016
Nuclear Medicine Exams
50
45
40
35
30
25
20
15
10
5
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Feb.
26
25
20
Mar.
24
25
25
Apr.
19
25
28
May
25
25
36
June
22
25
36
July
39
27
38
Aug
24
27
30
Curr. 12 mo. avg = 29
Sep
31
27
27
Oct
30
27
38
Nov
17
27
13
Dec
41
27
32
Jan
44
27
32
Dec
165
202
190
Jan
203
202
186
Prev. 12 mo. avg. = 30
Ultrasound Exams
250
200
150
100
50
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Feb.
169
176
140
Mar.
177
176
192
Apr.
221
176
204
May
191
176
224
June
196
176
199
July
204
202
214
Curr. 12 mo. avg. = 188
Aug
177
202
228
Sep
167
202
206
Oct
214
202
198
Nov
171
202
144
Prev. 12 mo. avg. = 194
Page 11
Memorial Hospital of Converse County
Lab Procedures and Other X-Ray Exams
Jan. 2016
Lab Procedures
45,000
40,000
35,000
30,000
25,000
20,000
15,000
10,000
5,000
0
Feb.
Mar.
Apr.
May
June
July
Aug
Sep
Oct
Nov
Dec
Jan
Curr. 12 mo.
30,794 29,041 29,470 24,854 34,102 33,960 32,375 33,895 34,186 29,028 28,811 29,995
Current Budget 29,531 29,531 29,531 29,531 29,531 32,981 32,981 32,981 32,981 32,981 32,981 32,981
Prev. 12 mo.
22,836 27,622 38,230 30,980 29,091 32,256 40,728 34,548 33,336 26,829 29,939 29,174
Curr. 12 mo. avg. = 30,876
Prev. 12 mo. avg. = 31,297
Total Other X-Ray Exams
700
600
500
400
300
200
100
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Feb.
509
483
437
Mar.
442
483
505
Apr.
588
483
559
May
537
483
602
June
597
483
486
July
641
575
625
Curr. 12 mo. avg. = 575
Aug
619
575
624
Sep
614
575
598
Oct
634
575
598
Nov
555
575
450
Dec
604
575
503
Jan
560
575
531
Prev. 12 mo. avg. = 543
Page 12
Memorial Hospital of Converse County
Newborns and Net A/R Days
Jan. 2016
Newborns
25
20
15
10
5
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Feb.
14
15
12
Mar.
11
15
17
Apr.
9
15
16
May
16
15
12
June
22
15
19
July
15
16
14
Aug
17
16
12
Curr. 12 mo. avg. = 15
Sep
20
16
14
Oct
10
16
8
Nov
12
16
15
Dec
12
16
17
Jan
17
16
19
Dec
58.46
55.00
64.15
Jan
56.22
55.00
58.68
Prev. 12 mo. avg. = 15
Net Days of Revenue in A/R
80.00
70.00
60.00
50.00
40.00
30.00
20.00
10.00
0.00
Feb.
Curr. 12 mo.
64.29
Current Budget 53.00
Prev. 12 mo.
54.43
Mar.
63.76
53.00
53.54
Apr.
64.67
53.00
61.17
May
69.70
53.00
65.31
June
62.80
53.00
71.01
July
60.41
55.00
63.76
Aug
59.35
55.00
67.46
Curr. 12 mo. avg. = 61.92
Sep
61.01
55.00
69.98
Oct
61.16
55.00
67.01
Nov
61.26
55.00
69.09
Prev. 12 mo. avg. = 63.80
Page 13
Memorial Hospital of Converse County
Respiratory and EKG Procedures
Jan. 2016
Respiratory Procedures
4500
4000
3500
3000
2500
2000
1500
1000
500
0
Feb.
Mar.
Apr.
May
June
July
Aug
Sep
Oct
Nov
Current 12 mo. Avg = 3,350
Previous 12 mo. Avg. = 3,411
Curr. 12 mo.
Current Budget
Dec
Jan
Prev. 12 mo.
EKG Procedures
700
600
500
400
300
200
100
0
Feb.
Mar.
Apr.
May
June
Current 12 mo. Avg. = 396
Curr. 12 mo.
July
Aug
Sep
Oct
Nov
Dec
Jan
Previous 12 mo. Avg. = 372
Current Budget
Prev. 12 mo.
Page 14
Memorial Hospital of Converse County
Hospital Patient Revenues
Jan. 2016
Hospital Patient Revenues
9,000,000
8,000,000
7,000,000
6,000,000
5,000,000
4,000,000
3,000,000
2,000,000
1,000,000
0
Curr. 12 mo.
Feb.
5,798,463
Mar.
5,148,635
Apr.
6,010,185
May
5,869,108
June
6,599,027
July
6,725,357
Aug
6,882,579
Sep
7,669,999
Oct
7,612,860
Nov
7,350,420
Dec
8,296,381
Jan
6,844,648
Current Budget
5,522,317
5,344,310
5,522,314
5,344,307
5,522,316
6,417,517
6,406,894
6,417,517
6,413,975
6,417,513
6,413,977
6,417,515
Prev. 12 mo.
4,732,954
4,679,530
5,688,110
6,044,398
5,973,921
6,284,035
6,179,897
6,582,246
6,384,088
6,214,322
6,623,555
5,752,805
Curr. 12 mo. avg. = $6,733,972
Prev. 12 mo. avg. = $5,928,322
Page 15
Memorial Hospital of Converse County
Income Statement Summary
Budget Variance Report
Current Month
Year to Date
Variance
Amount
January
YTD Thru
Jan. 2016
YTD
Budget
Prior Year YTD
Variance
Amount
YTD Thru
Jan. 2015
Change From
Prior YTD
Jan. 2016
Budget
$1,741,235
3,657,170
1,446,243
$6,844,648
$1,705,800
3,325,209
1,386,506
$6,417,515
$35,435
331,961
59,737
$427,133
Patient Revenue
Inpatient
Outpatient
Physician Clinics
Total Patient Revenue
$13,102,802
28,082,190
10,197,254
$51,382,245
$11,940,596
23,263,826
9,700,486
$44,904,908
$1,162,206
4,818,364
496,768
$6,477,337
$11,563,876
21,037,942
11,419,130
$44,020,948
$1,538,926
7,044,248
(1,221,876)
$7,361,297
685,503
379,896
128,724
705,363
254,296
$2,153,782
533,147
327,838
55,162
575,166
155,333
$1,646,646
152,356
52,058
73,562
130,197
98,963
$507,136
Deductions From Revenue
Medicare
Medicaid
Worker's Compensation
Other Contractuals
Other
Total Deductions
4,483,446
2,973,531
871,407
4,654,483
1,137,675
$14,120,542
3,646,037
2,242,003
386,140
3,933,399
1,062,297
$11,269,876
837,409
731,528
485,267
721,084
75,378
$2,850,666
3,890,914
2,052,321
661,231
3,494,978
910,652
$11,010,096
592,532
921,210
210,176
1,159,505
227,023
$3,110,446
4,690,866
4,770,869
(80,003)
Net Patient Revenue
37,261,703
33,635,032
3,626,671
33,010,852
4,250,851
95,811
$4,786,678
90,260
$4,861,129
5,551
($74,451)
Other Operating Revenue
Total Operating Revenue
577,948
$37,839,652
631,810
$34,266,842
(53,862)
$3,572,810
700,427
$33,711,279
(122,479)
$4,128,373
2,530,125
632,928
247,273
88,282
106,344
9,450
13,415
131,529
17,900
(8,659)
33,153
60,134
33,750
41,082
368,615
1,106,234
$5,411,556
2,276,382
494,229
462,504
99,713
80,851
2,500
20,011
108,235
38,833
16,667
62,909
122,279
35,584
47,976
425,792
522,585
$4,817,050
253,743
138,699
(215,231)
(11,431)
25,493
6,950
(6,596)
23,294
(20,934)
(25,326)
(29,756)
(62,145)
(1,834)
(6,894)
(57,177)
583,649
$594,506
Operating Expenses
Salaries & Wages
Benefits
Supplies
Lease & Rentals
Other Expenses
Legal
Travel & Education
Maintenance & Repair
Physician Fees
Interest
Professional Fees
Purchased Services
Insurance
Utilities
Depreciation
Indigent Care
Total Expenses
17,025,616
4,175,680
3,939,321
575,333
662,729
15,478
181,492
791,115
160,271
68,329
362,556
826,125
232,956
345,347
2,556,264
4,986,043
$36,904,655
15,568,010
3,459,607
3,237,503
697,995
565,855
17,500
140,010
757,635
271,833
116,667
440,372
855,934
249,084
335,831
2,980,554
3,658,098
$33,352,488
1,457,606
716,073
701,818
(122,662)
96,874
(2,022)
41,482
33,480
(111,563)
(48,338)
(77,816)
(29,809)
(16,128)
9,516
(424,290)
1,327,945
$3,552,167
15,977,430
3,613,602
3,402,965
624,123
622,938
7,655
124,034
729,135
311,055
427,960
332,854
889,064
243,119
341,539
2,692,841
3,436,530
$33,776,844
1,048,186
562,078
536,356
(48,790)
39,791
7,823
57,458
61,980
(150,785)
(359,631)
29,702
(62,939)
(10,163)
3,808
(136,577)
1,549,513
$3,127,811
(624,878)
44,079
(668,957)
Operating Income (Loss)
934,997
914,354
20,643
(65,565)
Non-Operating Revenue
County - Indigent Care Reimbursement
County - Ambulance Reimbursement
Other Non-Operating
759,527
315,000
236,896
735,000
315,000
222,833
24,527
0
14,063
612,500
412,500
258,457
0
$2,246,419
0
$2,187,187
0
$59,232
0
$1,217,892
107,453
45,000
624
105,000
45,000
31,833
2,453
0
(31,209)
0
($471,801)
0
$225,912
0
($697,713)
Non-Operating Expense
Net Income/(Loss)
1,000,562
147,027
(97,500)
(21,561)
0
$1,028,527
Page 16
Memorial Hospital of Converse County
Financial and Statistical Highlights
Jan. 2016
Page #
Patient Volumes
IP Daily Census……….
Surgeries……………. ..
Radiology Exams………
Laboratory Tests……. ..
Emer. Rm. Visits……….
At 7.71 up 0.379 from January 2015 - up 1.07 from December 2015
At 93 up 11 from January 2015 - down 31 from December 2015
At 1,217 up 107 from January 2015 - down 72 from December 2015
At 29,995 up 821 from January 2015 - up 1,184 from December 2015
At 459 up 19 from January 2015 - down 7 from December 2015
1-2
6-7
9-12
12
5
Income Statement
Gross Patient Revenue for the month was $6,800,000 compared to $5,753,000 last January and
$8,296,000 last month. Net Income for January is ($471,000) compared to ($949,000) last year
and $400,000 last month.
15
Monthly Revenue - over budget by $427,000
The departments that are under budget by $10,000 or more are as follows:
Ambulance - 29,000
ICU - 17,000
Med/Surg - 86,000
Swing Bed - 18,000
MRI - 13,000
Health Management - 14,000
Physical Therapt - 15,000
Hospitalists - 28,000
Surgery - 172,000
Deductions From Revenue - Over budget by $507,000
Monthly Expense Variances - Over budget by $594,000
Salaries & Wages - 253,000
Benefits - 138,000
Other - 25,000
Lab Relocation - 1,600
Hospitalists Dues - 1,900
Practitioners Collection - 5,000
Physician Services Dues - 2,100
Administration Dues - 1,300
Business Office Collection -3000
Information System Licenses - 1,300
Employee Engagement Donations - 2,700
Public Relations Advertising - 17,000
Public Relations Dues - 6,700
Maintenance & Repair - 23,000
Ambulance Vehicle - 7,700
Radiology Maintenance - 14,000
MRI Maintenance - 11,000
Housing & Storage - 10,000
Indigent Care - 583,001
Increased Bad Debt
Legal - 6,900
Administration - 6,900
Cash Status
Cash balances as of January 31, 2016 are $13,592,896.
This equates to 87 days of expenses on hand.
Accounts Receivable
Net Accounts Receivable days are at 56.22 days for the end of January compared to 58.68 last year
and 54.75 last month.
Page 17
Memorial Hospital of Converse County
Statistics
For The Period Ended January 31, 2016
Monthly
Jan 2016
Jan 2015
Variance From
Prior January
Year to Date
Budget
Variance
Amount
%
YTD Budget
Variance
Amt.
%
588
32
(17)
(4)
518
35
53
(7)
Total A & P Admissions
599
620
(21)
553
46
A & P Patient Days - Regular
-Swing Bed
1,607
353
1,392
449
215
(96)
1,582
518
25
(165)
1.6%
-31.9%
-5.7%
Total A & P Patient Days
1,960
1,841
119
2,100
(140)
-6.7%
1
9
6.3%
34.6%
Newborn - Admissions
-Patients Days
103
184
99
178
4
6
112
182
(9)
2
-8.0%
1.1%
98
(5)
-5.1%
Surgeries
762
664
98
686
76
11.1%
90
26
3,478
576
(273)
(110)
-7.8%
-19.1%
Outpatient Registrations
ER Registrations
23,093
3,705
22,394
4,004
699
(299)
24,346
4,032
(1,253)
(327)
-5.1%
-8.1%
3,555
116
4,054
(383)
-9.4%
Total Registrations
26,798
26,398
400
28,378
(1,580)
-5.6%
321
20
333
333
323
10
333
(0)
0.0%
18
(3)
74
5
8
(2)
85
70
15
79
6
239
44
191
78
48
(34)
226
74
13
(30)
5.8%
-40.5%
283
269
14
300
(17)
17
35
19
36
(2)
(1)
16
26
93
82
11
3,205
466
3,115
440
3,671
341
Operating Margin
Variance From
Prior YTD
571
28
64
6
Days Cash on Hand
YTD Thru
Jan 2015
A & P Admissions - Regular
-Swing Bed
82
3
Financial Ratios
YTD Thru
Jan 2016
Jan. 2016
Jan. 2015
87
8
YTD
106
N/A
10.8%
-40.0%
7.6%
2.3%
US
69
FTEs
WY
Misc. Measurements
107 Total Revenue per FTE
YTD - 16
$264,516
YTD - 15
$233,636
Variance From
Prior Year
$30,880
WY
$145,000
-27.57%
2.47%
0.99%
0.77% Contractual Deductions
27.48%
25.01%
2.47%
26.70%
0.78%
Net Margin
-9.86%
-23.53%
5.94%
2.51%
6.79% Inpatient Revenue %
31.81%
35.47%
-3.66%
31.41%
0.40%
Current Ratio
4.94
5.56
68.19%
64.53%
3.66%
66.90%
1.29%
53.32
56.22
65.95
58.68
Gross A/R Days
Net A/R Days
FTEs per Adjusted Occupied Bed - Excluding MOB
2.29
3.89 Outpatient Revenue %
Average Length of Stay
54.20
10.50
With MOB
2.82
2.44
0.38
3.30
8.3%
Variance
From WY
$119,516
-13.05%
N/A
10.2%
-20.0%
(0.48)
57.94
Medicare Inp. Payer Mix
32.79%
33.36%
-0.57%
Average I/P Daily Census
7.47
7.30
Salaries to Total Expense
46.13%
47.30%
-1.17%
Benefits as % of Salaries
24.53%
22.62%
1.91%
31.00%
1.79%
11.33
0.17
3.50
3.97
Medicare Rural Hospital Flexibility Program Monitoring Team - US CAH Median-2013
46.32%
-0.19%
Medicare Rural Hospital Flexibility Program Monitoring Team -WY CAH Medium-2013
Page 18
Memorial Hospital of Converse County
Balance Sheet
January 31, 2016
January
2016
January
2015
$6,568,220
139,715
$6,707,936
$6,682,650
0
$6,682,650
Assets Whose Use is Restricted
Bond Reserve Fund - (Bond Covenant Requirement)
Bond Payment Fund-(Bond Covenant Requirement)
Certificates of Deposit Securing Loan
Reserve Account - (Patient Contracts)
Additional (Bond Covenant Requirement)
Total Restricted Assets
0
0
7,500,000
12,413
0
$7,512,413
0
121,448
8,500,000
12,413
0
$8,633,861
Accounts Receivable (Gross)
Uncollectable Accts. & Contratual. Adj.
Net Patient Accounts
13,052,185
(3,261,839)
$9,790,346
13,387,487
(4,469,751)
$8,917,736
ASSETS
CURRENT ASSETS
Cash On Hand And In Banks
Certificates Of Deposit - Unrestricted
Total Cash Assets
Due From Physicians
Inventories Of Supplies
Other Current Assets
Total Current Assets
LAND, BUILDING AND EQUIPMENT, net
OTHER ASSETS
Investment - Big Country Rehab
Investment - Powder River Imaging
Total Other Assets
Total Assets
104,803
977,831
3,421,618
$28,514,946
104,575
1,165,940
2,707,147
$28,211,909
31,987,463
30,985,848
170,321
0
$170,321
220,517
0
$220,517
$60,672,731
$59,418,274
LIABILITIES AND FUND EQUITY
CURRENT LIABILITIES
Accounts Payable
Accrued Bond Interest/Principal Payable
Accrued Salaries
Accrued Taxes And Deductions
Current Portion Of Capital Leases
Current Portion of CD Secured Note
Contingent Liability-(Patient Contracts)
Total Current Liabilities
1,301,440
0
2,787,898
530,290
144,589
1,000,000
12,413
$5,776,630
1,973,267
(57,766)
2,320,561
570,939
253,146
0
12,413
$5,072,560
OTHER LIABILITIES
Revenue Bonds Payable
Long Term EIB Accrual
Deferred Loss On Early Retirement Of Bonds
Discount On Bonds
Medicare Cost Report Settlement
Long Term CD Secured Note Obligations
Long Term Capital Lease Obligations
Total Other Liabilities
0
100,076
(455,014)
0
2,153,716
6,500,000
868,422
$9,167,199
1,970,586
84,025
(499,808)
0
0
0
9,422,868
$10,977,671
Total Liabilities
$14,943,829
$16,050,230
43,482,683
2,246,219
42,126,062
1,241,982
Total Fund Balance
$45,728,902
$43,368,044
Total Liabilities And Fund Equity
$60,672,731
$59,418,274
FUND EQUITY
Fund Balance
Net Income
Page 19
Cash Flow Statement for January 2016 and FYTD 2016
Cash Flow From Operations
Net Earnings/(Loss)
Additions/(Subtractions) to Cash
Depreciation/Non-cash Interest
Decrease/(Increase) in Accounts Receivable
(Decrease)/Increase in Accounts Payable
Decrease/(Increase) in Inventory
Net Cash Flow From Operations
Cash Flow from Capital Purchases
Equipment, Fixed Assets
Loan Advance
Cash Flow from Financing
Notes Payable
Cash Flow for the Month Ending:
Jan 2016
Jan. 2016
FYTD 2016
($471,801)
$2,246,220
368,615
830,150
68,258
(8,976)
$786,246
2,556,264
779,387
(588,327)
34,504
$5,028,048
(123,659)
0
(2,710,040)
0
(43,198)
(1,000,146)
$619,389
$1,317,862
Page 20