1. CAHMPAS Financial Indicators for Our Hospital
CAHMPAS Team
North Carolina Rural Health Research and Policy Analysis Center
Cecil G. Sheps Center for Health Services Research
725 Martin Luther King, Jr. Boulevard
Chapel Hill, NC 27514

2. Profitability: Total Margin
Measures the control of expenses relative to revenues
2015
Our Hospital
2015 Median CAH
Peer Group
State
U.S.
3.09%
Definition
Net income
Total revenue

3. Profitability: Cash Flow Margin
Measures the ability to generate cash flow from providing patient care services
2015
Our Hospital
2015 Median CAH
Peer Group
State
U.S.
8.08%
Definition
Net income – (Contributions, investments, & appropriations +
Depreciation expense + Interest expense)
Net patient revenue + Other income –
Contributions, investments, and appropriations

4. Profitability: Return on Equity
Measures the net income generated by equity investment (net assets)
2015
Our Hospital
2015 Median CAH
Peer Group
State
U.S.
5.97%
Definition
Net income
Net assets

5. Profitability: Operating Margin
Measures the control of operating expenses relative to operating revenues
2015
Our Hospital
2015 Median CAH
Peer Group
State
U.S.
1.79%
Definition
Net patient revenue + Other revenue – Total operating expenses
Net patient revenue + Other revenue

6. Liquidity: Current Ratio
Measures the number of times short-term obligations can be paid using short-term assets
2015
Our Hospital
2015 Median CAH
Peer Group
State
U.S.
2.35
Definition
Current assets
Current liabilities

7. Liquidity: Days Cash on Hand
Measures the number of days an organization could operate if no cash was collected or received
2015
Our Hospital
2015 Median CAH
Peer Group
State
U.S.
76.26 days
Definition
Cash + Temporary investments + Investments
(Total expenses – Depreciation) / Days in period

8. Liquidity: Days in Net Accounts Receivable
Measures the number of days that it takes an organization to collect its receivables
2015
Our Hospital
2015 Median CAH
Peer Group
State
U.S.
52.46 days
Definition
Net patient accounts receivable
(Net patient revenue) / Days in period

9. Liquidity: Days in Gross Accounts Receivable
Measures revenue cycle performance (compared with days in net accounts receivable)
2015
Our Hospital
2015 Median CAH
Peer Group
State
U.S.
50.37 days
Definition
Gross patient accounts receivable
(Gross patient revenue) / Days in period

10. Capital Structure: Equity Financing
Measures the percentage of total assets financed by equity
2015
Our Hospital
2015 Median CAH
Peer Group
State
U.S.
57.82%
Definition
Net assets
Total assets

11. Captial Structure: Debt Service Coverage
Measures the ability to pay obligations related to long-term debt, principal payments, and interest
2015
Our Hospital
2015 Median CAH
Peer Group
State
U.S.
2.89 times
Definition
Net income + Depreciation Expense + Interest expense
Notes and loans payable (short-term) * (365 / DIP1) + Interest expense
1. Days in Period

12. Capital Structure: Long-Term Debt to Capitalization
Measures the percentage of total capital that is debt
2015
Our Hospital
2015 Median CAH
Peer Group
State
U.S.
27.72%
Definition
Long-term debt
Long-term debt + Net assets

13. Revenue: Outpatient Revenues to Total Revenues
Measures the percentage of total revenues that are for outpatient revenues (e.g., Rural Health Clinics, free-standing clinics, and home health clinics)
2015
Our Hospital
2015 Median CAH
Peer Group
State
U.S.
76.36%
Definition
Total outpatient revenues
Total patient revenues

14. Revenue: Patient Deductions
Measures the allowances and discounts per dollar of total patient revenue
2015
Our Hospital
2015 Median CAH
Peer Group
State
U.S.
42.73%
Definition
Contractual allowances + Discounts
Gross total patient revenue

15. Revenue: Medicare Inpatient Payer Mix
Measures the percentage of total inpatient days that are provided to Medicare patients
2015
Our Hospital
2015 Median CAH
Peer Group
State
U.S.
73.24%
Definition
Medicare inpatient days
Total inpatient days – Nursery bed days – NF Swing bed days

16. Revenue: Hospital Medicare Outpatient Payer Mix
Measures the percentage of total outpatient charges that are for Medicare patients
2015
Our Hospital
2015 Median CAH
Peer Group
State
U.S.
36.83%
Definition
Hospital outpatient Medicare charges
Hospital total outpatient charges

17. Revenue: Hospital Medicare Outpatient Cost to Charge
Measures outpatient Medicare costs per dollar of outpatient Medicare charges
2015
Our Hospital
2015 Median CAH
Peer Group
State
U.S.
0.45
Definition
Hospital outpatient Medicare outpatient costs
Hospital Medicare outpatient charges

18. Revenue: Medicare Acute Inpatient Cost per Day
Measures the average daily cost of a Medicare acute inpatient
2015
Our Hospital
2015 Median CAH
Peer Group
State
U.S.
$2,493
Definition
Medicare acute inpatient cost
(Medicare inpatient days (excluding HMO))

19. Cost: Salaries to Net Patient Revenue
Measures the percentage of net patient revenue that are labor costs
2015
Our Hospital
2015 Median CAH
Peer Group
State
U.S.
44.68%
Definition
Salary expense
Net patient revenue

20. Cost: Average Age of Plant
Measures the average age in years of the fixed assets of an organization
2015
Our Hospital
2015 Median CAH
Peer Group
State
U.S.
10.18 years
Definition
Accumulated depreciation
Depreciation expense * (365 / DIP1)
1. Days in Period

21. Cost: FTEs per Adjusted Occupied Bed
Measures the number of full-time employees per each occupied bed
2015
Our Hospital
2015 Median CAH
Peer Group
State
U.S.
5.51 FTEs
Definition
Number of FTEs
Adjusted occupied beds1
1. (Inpatient days – NF Swing days – Nursery days) * (Total patient revenue / (Total inpatient revenue – Inpatient NF revenue – Other LTC Revenue)) / Days in period

22. Cost: Average Salary per FTE
Measures the price and mix of labor
2015
Our Hospital
2015 Median CAH
Peer Group
State
U.S.
$54,306
Definition
Salary expense
Number of FTEs

23. Utilization: Average Daily Census Swing-SNF Beds
Measures the average number of swing-SNF beds occupied per day
2015
Our Hospital
2015 Median CAH
Peer Group
State
U.S.
1.53 beds
Definition
Inpatient swing bed SNF days
Days in period

24. Utilization: Average Daily Census Acute Beds
Measures the average number of acute care beds occupied per day
2015
Our Hospital
2015 Median CAH
Peer Group
State
U.S.
2.91 beds
Definition
Inpatient acute care bed days
Days in period

25. Summary of Results for Our Hospital