Submitted by tim
on
Vermont Business Magazine The initial budget submissions by Vermont’s 14 non-profit hospitals continue the trend toward aligning health spending more closely with general economic growth, according to data made public today by the Green Mountain Care Board. This fiscal year, FY18, the submissions of an aggregate Net Patient Revenue (NPR) of 3.6% (just over the 3.4% target set bythe Board; the difference equates to $4.7 million or .19% of a $2.5 billion
hospital health care system in Vermont) indicate historically low rates of growth, a continued downward trend, and are in line with the GMCB's hospital budget instructions for FY18. The proposed weighted average of 2.4% is the second lowest submitted growth rate in 17 years, and follows last year’s historic 2.2% submitted rate.
This year, for the first time, the Board will also be reviewing key performance indicators, which will provide a greater understanding of the quality of care that Vermonters experience.
“It is encouraging to see Vermont hospitals continue to work towards meeting our hospital budget instructions, and the continued downward trend in net patient revenue,” said Andy Pallito, Director Health Systems Finance. “While we recognize the hospitals put in a tremendous amount of work to meet our growth rate targets, we must also focus on promoting greater access to quality care and driving down health care costs for all Vermonters.” Pallito reminded the Board and members of the public that the budget submissions are preliminary and that between now and September 7, when the Board will vote on the budgets at its weekly public meeting, he and staff members will be verifying the data’s accuracy and its consistency with the Board’s directives and guidelines.
"These hospital budgets reflect solid progress toward bending the cost curve and moving towards population health given the slate of challenges hospitals face, including managing ongoing uncertainly at the federal level while also making significant investments in value-based health reform," said Jeff Tieman, president and CEO of the Vermont Association of Hospitals and Health Systems.
VAHHS noted that each hospital has a unique set of circumstances that inform and impact their financial picture, "No two hospitals in our system are identical which is important to remember as the GMCB digs in on these budgets," Tieman continued. Factors that have a meaningful impact on budgets include health care utilization, payer mix, pharmaceutical costs, and unique community health needs. In an effort to manage these unknows, hospitals collectively proposed a 2.4% price increase for FY18, a number near inflation and also one of the lowest increases in 17 years.
Four Vermont hospitals, University of Vermont Medical Center, Central Vermont Medical Center, Northwestern Medical Center and Porter Medical Center submitted budgets for the second year that reflect their participation in the Next Generation Medicaid program through the All-Payer Model. These hospitals are assuming the risk for 30,000 Medicaid patients and receive a lump sum for providing care, which must be shared with all providers in the continuum not just those at the hospitals. And all of Vermont's hospitals are carefully considering how and when to move forward with this value based model of health care delivery.
Additionally, these budgets reflect important investments in Vermont communities including those identified by the Community Health Needs Assessments.
"Hospitals are working in concert with community partners to focus on wellness and chronic care management as part of slowing health care cost growth. We are making important progress as these budgets suggest, while fostering one of the strongest health care systems in the country."
The 2017 edition of theCommonwealth Fund Scorecard on State Health System Performanceranked Vermont's health care system number one overall, evaluating health care access, quality, avoidable hospital use and costs, health outcomes, and health care equity.
The GMCB hospital budget review process began in March when the Board provided instructions to the hospitals for their July 1 budget submissions. Upcoming milestones in the process and opportunities for public participation include:
• July 27: GMCB staff will present an initial analysis of the submitted budgets in the GMCB’s weekly public meeting, held from 1 to 4 p.m. on the second floor of City Center,89 Main St., Montpelier.
• August 15, 17, 22, 24: Each hospital’s leadership will appear before the GMCB to discuss the budget requests. A detailed schedule for the hearings is available on the GMCB website: Calendar
• September 7: The GMCB is scheduled to vote on budgets during its regular weekly meeting.
• September 15: GMCB staff will provide written notice to the hospitals of their approved budgets.
• September 29: Formal budget orders will be sent to hospitals.
For more information, see the hospital budget review section of the GMCB website: Hospital Budget Review
Hospital budget submission information will be posted to the site by next week.
| Report 7 - Financial and Statistical Trends | Net Revenue per Adjusted Admission | ||||||||||||||||||||||||
| Net Revenue per Adjusted Admission | ACTUAL 2015 | ACTUAL 2016 | BUDGET 2017 | PROJECTION 2017 | BUDGET 2018 | PERCENT CHANGE | |||||||||||||||||||
| RANKING | RANKING | RANKING | RANKING | RANKING | 2016A - 2017B | 2016A - 2017P | 2017P - 2018B | 2017B - 2018B | |||||||||||||||||
| CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | |||||||||||
| 25-99 BEDS | |||||||||||||||||||||||||
| Critical Access Hospitals | COPLEY HOSPITAL | $11,528 | 7 | 9 | 11 | $11,726 | 7 | 9 | 11 | $11,865 | 7 | 9 | 11 | $13,061 | 8 | 10 | 12 | $13,432 | 8 | 10 | 12 | 1.2% | 11.4% | 2.8% | 13.2% |
| GIFFORD MEDICAL CENTER | $10,110 | 5 | 7 | 8 | $10,606 | 5 | 7 | 8 | $10,933 | 6 | 8 | 10 | $11,003 | 5 | 7 | 9 | $11,472 | 5 | 7 | 9 | 3.1% | 3.7% | 4.3% | 4.9% | |
| GRACE COTTAGE HOSPITAL | $ 6,474 | 3 | 3 | 3 | $ 6,494 | 2 | 2 | 2 | $ 7,044 | 2 | 2 | 2 | $ 7,110 | 3 | 3 | 3 | $ 7,475 | 3 | 3 | 3 | 8.5% | 9.5% | 5.1% | 6.1% | |
| MT. ASCUTNEY HOSPITAL & HEALTH CTR | $ 5,815 | 1 | 1 | 1 | $ 6,794 | 3 | 3 | 3 | $ 6,454 | 1 | 1 | 1 | $ 7,031 | 2 | 2 | 2 | $ 7,009 | 2 | 2 | 2 | -5.0% | 3.5% | -0.3% | 8.6% | |
| NORTH COUNTRY HOSPITAL | $ 8,172 | 4 | 4 | 4 | $ 8,318 | 4 | 4 | 4 | $ 8,749 | 4 | 5 | 5 | $ 8,784 | 4 | 5 | 5 | $ 9,160 | 4 | 5 | 5 | 5.2% | 5.6% | 4.3% | 4.7% | |
| NORTHEASTERN VT REGIONAL HOSPITAL | $12,296 | 8 | 10 | 12 | $10,910 | 6 | 8 | 10 | $10,877 | 5 | 7 | 9 | $11,798 | 6 | 8 | 10 | $12,202 | 6 | 8 | 10 | -0.3% | 8.1% | 3.4% | 12.2% | |
| PORTER MEDICAL CENTER | $11,096 | 6 | 8 | 10 | $12,089 | 8 | 10 | 12 | $12,222 | 8 | 10 | 12 | $12,432 | 7 | 9 | 11 | $12,467 | 7 | 9 | 11 | 1.1% | 2.8% | 0.3% | 2.0% | |
| SPRINGFIELD HOSPITAL | $ 6,191 | 2 | 2 | 2 | $ 5,478 | 1 | 1 | 1 | $ 7,215 | 3 | 3 | 3 | $ 5,733 | 1 | 1 | 1 | $ 6,812 | 1 | 1 | 1 | 31.7% | 4.7% | 18.8% | -5.6% | |
| BRATTLEBORO MEMORIAL HOSPITAL | $ 8,935 | 5 | 5 | $ 8,934 | 6 | 7 | $ 9,179 | 6 | 6 | $ 9,072 | 6 | 6 | $10,195 | 6 | 7 | 2.7% | 1.5% | 12.4% | 11.1% | ||||||
| NORTHWESTERN MEDICAL CENTER | $ 9,227 | 6 | 6 | $ 8,532 | 5 | 5 | $ 8,695 | 4 | 4 | $ 8,317 | 4 | 4 | $ 8,558 | 4 | 4 | 1.9% | -2.5% | 2.9% | -1.6% | ||||||
| 100-249 BEDS | |||||||||||||||||||||||||
| CENTRAL VERMONT MEDICAL CENTER | $10,790 | 2 | 9 | $10,816 | 2 | 9 | $10,606 | 2 | 8 | $10,718 | 2 | 8 | $11,023 | 2 | 8 | -1.9% | -0.9% | 2.8% | 3.9% | ||||||
| RUTLAND REGIONAL MEDICAL CENTER | $13,269 | 3 | 13 | $13,733 | 3 | 13 | $13,998 | 3 | 13 | $14,494 | 3 | 13 | $14,899 | 3 | 13 | 1.9% | 5.5% | 2.8% | 6.4% | ||||||
| SOUTHWESTERN VT MEDICAL CENTER | $ 9,503 | 1 | 7 | $ 8,855 | 1 | 6 | $ 9,404 | 1 | 7 | $ 9,322 | 1 | 7 | $ 9,564 | 1 | 6 | 6.2% | 5.3% | 2.6% | 1.7% | ||||||
| OVER 400 BEDS | |||||||||||||||||||||||||
| THE UNIVERSITY OF VERMONT MEDICAL CENTER | $16,855 | 14 | $16,677 | 14 | $18,288 | 14 | $18,306 | 14 | $18,731 | 14 | 9.7% | 9.8% | 2.3% | 2.4% | |||||||||||
| COMPARATIVE DATA | |||||||||||||||||||||||||
| SYSTEM TOTAL OR AVG. - ALL VT HOSPITALS | $13,126 | $13,084 | $13,819 | $13,939 | $14,365 | 5.6% | 6.5% | 3.1% | 4.0% | ||||||||||||||||
| MEDIAN - ALL VERMONT HOSPITALS | $ 9,807 | $ 9,770 | $10,005 | $10,020 | $10,609 | 2.4% | 2.6% | 5.9% | 6.0% | ||||||||||||||||
| MEDIAN - CRITICAL ACCESS (CAH) HOSPITALS | $ 9,141 | $ 9,462 | $ 9,813 | $ 9,894 | $10,316 | 3.7% | 4.6% | 4.3% | 5.1% | ||||||||||||||||
| Report 7 - Financial and Statistical Trends | Salary & Benefits per FTE - Non-MD | ||||||||||||||||||||||||
| Salary & Benefits per FTE - Non-MD | ACTUAL 2015 | ACTUAL 2016 | BUDGET 2017 | PROJECTION 2017 | BUDGET 2018 | PERCENT CHANGE | |||||||||||||||||||
| RANKING | RANKING | RANKING | RANKING | RANKING | 2016A - 2017B | 2016A - 2017P | 2017P - 2018B | 2017B - 2018B | |||||||||||||||||
| CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | |||||||||||
| 25-99 BEDS | |||||||||||||||||||||||||
| Critical Access Hospitals | COPLEY HOSPITAL | $77,163 | 6 | 8 | 9 | $80,052 | 5 | 6 | 7 | $80,055 | 5 | 7 | 8 | $81,598 | 6 | 8 | 9 | $82,069 | 4 | 6 | 6 | 0.0% | 1.9% | 0.6% | 2.5% |
| GIFFORD MEDICAL CENTER | $69,779 | 1 | 1 | 1 | $74,775 | 2 | 3 | 3 | $80,186 | 6 | 8 | 9 | $74,070 | 2 | 3 | 3 | $80,192 | 3 | 5 | 5 | 7.2% | -0.9% | 8.3% | 0.0% | |
| GRACE COTTAGE HOSPITAL | $77,843 | 8 | 10 | 11 | $81,583 | 8 | 10 | 11 | $85,261 | 8 | 10 | 12 | $82,981 | 8 | 10 | 11 | $87,704 | 7 | 9 | 13 | 4.5% | 1.7% | 5.7% | 2.9% | |
| MT. ASCUTNEY HOSPITAL & HEALTH CTR | $73,192 | 3 | 3 | 3 | $75,376 | 3 | 4 | 5 | $80,679 | 7 | 9 | 10 | $81,143 | 5 | 7 | 8 | $88,750 | 8 | 10 | 14 | 7.0% | 7.7% | 9.4% | 10.0% | |
| NORTH COUNTRY HOSPITAL | $76,410 | 5 | 7 | 8 | $80,718 | 6 | 7 | 8 | $78,012 | 3 | 5 | 5 | $78,896 | 4 | 5 | 5 | $82,680 | 5 | 7 | 8 | -3.4% | -2.3% | 4.8% | 6.0% | |
| NORTHEASTERN VT REGIONAL HOSPITAL | $77,811 | 7 | 9 | 10 | $80,758 | 7 | 8 | 9 | $77,414 | 2 | 4 | 4 | $82,067 | 7 | 9 | 10 | $84,531 | 6 | 8 | 9 | -4.1% | 1.6% | 3.0% | 9.2% | |
| PORTER MEDICAL CENTER | $75,653 | 4 | 6 | 7 | $75,833 | 4 | 5 | 6 | $78,037 | 4 | 6 | 6 | $76,432 | 3 | 4 | 4 | $77,821 | 2 | 3 | 3 | 2.9% | 0.8% | 1.8% | -0.3% | |
| SPRINGFIELD HOSPITAL | $72,677 | 2 | 2 | 2 | $71,618 | 1 | 1 | 1 | $76,459 | 1 | 3 | 3 | $71,582 | 1 | 1 | 1 | $74,436 | 1 | 2 | 2 | 6.8% | -0.1% | 4.0% | -2.6% | |
| BRATTLEBORO MEMORIAL HOSPITAL | $75,002 | 4 | 5 | $73,279 | 2 | 2 | $73,197 | 1 | 1 | $73,475 | 2 | 2 | $72,503 | 1 | 1 | -0.1% | 0.3% | -1.3% | -0.9% | ||||||
| NORTHWESTERN MEDICAL CENTER | $75,510 | 5 | 6 | $80,900 | 9 | 10 | $76,096 | 2 | 2 | $79,300 | 6 | 7 | $79,762 | 4 | 4 | -5.9% | -2.0% | 0.6% | 4.8% | ||||||
| 100-249 BEDS | |||||||||||||||||||||||||
| CENTRAL VERMONT MEDICAL CENTER | $80,366 | 2 | 12 | $84,471 | 3 | 13 | $80,688 | 2 | 11 | $84,736 | 2 | 12 | $85,971 | 2 | 10 | -4.5% | 0.3% | 1.5% | 6.5% | ||||||
| RUTLAND REGIONAL MEDICAL CENTER | $84,339 | 3 | 14 | $83,379 | 2 | 12 | $85,921 | 3 | 13 | $85,011 | 3 | 13 | $86,835 | 3 | 11 | 3.0% | 2.0% | 2.1% | 1.1% | ||||||
| SOUTHWESTERN VT MEDICAL CENTER | $74,889 | 1 | 4 | $75,319 | 1 | 4 | $79,209 | 1 | 7 | $78,923 | 1 | 6 | $82,331 | 1 | 7 | 5.2% | 4.8% | 4.3% | 3.9% | ||||||
| OVER 400 BEDS | |||||||||||||||||||||||||
| THE UNIVERSITY OF VERMONT MEDICAL CENTER | $84,327 | 13 | $84,588 | 14 | $88,080 | 14 | $91,028 | 14 | $87,635 | 12 | 4.1% | 7.6% | -3.7% | -0.5% | |||||||||||
| COMPARATIVE DATA | |||||||||||||||||||||||||
| SYSTEM TOTAL OR AVG. - ALL VT HOSPITALS | $80,704 | $81,921 | $83,669 | $85,414 | $85,010 | 2.1% | 4.3% | -0.5% | 1.6% | ||||||||||||||||
| MEDIAN - ALL VERMONT HOSPITALS | $76,031 | $80,385 | $79,632 | $80,221 | $82,506 | -0.9% | -0.2% | 2.8% | 3.6% | ||||||||||||||||
| MEDIAN - CRITICAL ACCESS (CAH) HOSPITALS | $76,031 | $77,942 | $79,046 | $80,020 | $82,374 | 1.4% | 2.7% | 2.9% | 4.2% | ||||||||||||||||
| Report 7 - Financial and Statistical Trends | Salary per FTE - Non-MD | ||||||||||||||||||||||||
| Salary per FTE - Non-MD | ACTUAL 2015 | ACTUAL 2016 | BUDGET 2017 | PROJECTION 2017 | BUDGET 2018 | PERCENT CHANGE | |||||||||||||||||||
| RANKING | RANKING | RANKING | RANKING | RANKING | 2016A - 2017B | 2016A - 2017P | 2017P - 2018B | 2017B - 2018B | |||||||||||||||||
| CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | |||||||||||
| 25-99 BEDS | |||||||||||||||||||||||||
| Critical Access Hospitals | COPLEY HOSPITAL | $61,854 | 8 | 10 | 13 | $65,115 | 8 | 10 | 13 | $64,194 | 8 | 10 | 12 | $65,081 | 8 | 10 | 11 | $65,462 | 6 | 8 | 9 | -1.4% | -0.1% | 0.6% | 2.0% |
| GIFFORD MEDICAL CENTER | $52,845 | 1 | 1 | 1 | $56,812 | 2 | 2 | 2 | $60,594 | 5 | 6 | 6 | $60,128 | 3 | 4 | 4 | $62,864 | 4 | 6 | 6 | 6.7% | 5.8% | 4.6% | 3.7% | |
| GRACE COTTAGE HOSPITAL | $60,148 | 7 | 9 | 10 | $62,147 | 7 | 8 | 9 | $63,589 | 7 | 9 | 11 | $63,181 | 7 | 9 | 10 | $65,997 | 8 | 10 | 11 | 2.3% | 1.7% | 4.5% | 3.8% | |
| MT. ASCUTNEY HOSPITAL & HEALTH CTR | $57,454 | 4 | 5 | 5 | $58,972 | 3 | 4 | 4 | $60,541 | 4 | 5 | 5 | $61,681 | 5 | 6 | 7 | $65,474 | 7 | 9 | 10 | 2.7% | 4.6% | 6.1% | 8.1% | |
| NORTH COUNTRY HOSPITAL | $57,460 | 5 | 6 | 6 | $59,587 | 4 | 5 | 6 | $57,527 | 1 | 2 | 2 | $57,802 | 2 | 3 | 3 | $59,854 | 2 | 3 | 3 | -3.5% | -3.0% | 3.5% | 4.0% | |
| NORTHEASTERN VT REGIONAL HOSPITAL | $56,595 | 3 | 3 | 3 | $60,103 | 5 | 6 | 7 | $58,572 | 2 | 3 | 3 | $62,775 | 6 | 7 | 8 | $64,472 | 5 | 7 | 8 | -2.5% | 4.4% | 2.7% | 10.1% | |
| PORTER MEDICAL CENTER | $57,620 | 6 | 7 | 7 | $60,314 | 6 | 7 | 8 | $61,525 | 6 | 8 | 10 | $60,507 | 4 | 5 | 5 | $62,190 | 3 | 4 | 4 | 2.0% | 0.3% | 2.8% | 1.1% | |
| SPRINGFIELD HOSPITAL | $54,296 | 2 | 2 | 2 | $54,963 | 1 | 1 | 1 | $58,728 | 3 | 4 | 4 | $55,115 | 1 | 1 | 1 | $57,322 | 1 | 2 | 2 | 6.9% | 0.3% | 4.0% | -2.4% | |
| BRATTLEBORO MEMORIAL HOSPITAL | $57,355 | 4 | 4 | $57,360 | 3 | 3 | $57,261 | 1 | 1 | $57,779 | 2 | 2 | $56,914 | 1 | 1 | -0.2% | 0.7% | -1.5% | -0.6% | ||||||
| NORTHWESTERN MEDICAL CENTER | $58,984 | 8 | 9 | $64,534 | 9 | 12 | $60,639 | 7 | 7 | $63,039 | 8 | 9 | $62,488 | 5 | 5 | -6.0% | -2.3% | -0.9% | 3.0% | ||||||
| 100-249 BEDS | |||||||||||||||||||||||||
| CENTRAL VERMONT MEDICAL CENTER | $61,408 | 3 | 12 | $64,066 | 3 | 11 | $61,378 | 2 | 9 | $65,983 | 3 | 13 | $66,436 | 3 | 13 | -4.2% | 3.0% | 0.7% | 8.2% | ||||||
| RUTLAND REGIONAL MEDICAL CENTER | $60,554 | 2 | 11 | $63,124 | 2 | 10 | $64,365 | 3 | 13 | $65,145 | 2 | 12 | $66,110 | 2 | 12 | 2.0% | 3.2% | 1.5% | 2.7% | ||||||
| SOUTHWESTERN VT MEDICAL CENTER | $58,282 | 1 | 8 | $59,508 | 1 | 5 | $61,243 | 1 | 8 | $61,677 | 1 | 6 | $63,527 | 1 | 7 | 2.9% | 3.6% | 3.0% | 3.7% | ||||||
| OVER 400 BEDS | |||||||||||||||||||||||||
| THE UNIVERSITY OF VERMONT MEDICAL CENTER | $64,327 | 14 | $65,471 | 14 | $67,082 | 14 | $68,651 | 14 | $68,705 | 14 | 2.5% | 4.9% | 0.1% | 2.4% | |||||||||||
| COMPARATIVE DATA | |||||||||||||||||||||||||
| SYSTEM TOTAL OR AVG. - ALL VT HOSPITALS | $61,326 | $63,250 | $63,883 | $65,371 | $66,001 | 1.0% | 3.4% | 1.0% | 3.3% | ||||||||||||||||
| MEDIAN - ALL VERMONT HOSPITALS | $57,951 | $60,209 | $60,941 | $62,228 | $63,999 | 1.2% | 3.4% | 2.8% | 5.0% | ||||||||||||||||
| MEDIAN - CRITICAL ACCESS (CAH) HOSPITALS | $57,457 | $59,845 | $60,567 | $61,094 | $63,668 | 1.2% | 2.1% | 4.2% | 5.1% | ||||||||||||||||
| All Vermont Community Hospitals | |||||||||||
| Hospital Summary | |||||||||||
| Actual | Actual | Budget | Projected | Budget | Y to Y | Y to Y | Y to Y | Y to Y | Ave Ann | ||
| 2015 | 2016 | 2017 | 2017 | 2018 | A16-B17 | A16-P17 | P17-B18 | B17-B18 | A15-B18 | ||
| Income Statement Summary | |||||||||||
| Gross Revenue | $4,823,931,803 | $5,022,142,447 | $5,016,332,354 | $5,077,150,357 | $5,287,893,346 | -0.1% | 1.1% | 4.2% | 5.4% | 3.1% | |
| Inpatient | $1,269,276,281 | $1,317,785,611 | $1,345,819,970 | $1,375,969,490 | $1,454,351,975 | 2.1% | 4.4% | 5.7% | 8.1% | 4.6% | |
| Outpatient | $2,527,106,987 | $2,612,263,272 | $2,616,838,069 | $2,616,551,457 | $2,753,143,892 | 0.2% | 0.2% | 5.2% | 5.2% | 2.9% | |
| Physician | $949,902,175 | $1,017,957,058 | $973,351,525 | $1,005,611,914 | $996,533,484 | -4.4% | -1.2% | -0.9% | 2.4% | 1.6% | |
| Other Rev - Chronic, Swing, SNF | $77,646,363 | $74,136,506 | $80,322,789 | $79,017,495 | $83,863,996 | 8.3% | 6.6% | 6.1% | 4.4% | 2.6% | |
| Bad Debt | ($63,368,233) | ($63,720,674) | ($65,795,440) | ($63,364,767) | ($65,757,528) | -3.3% | 0.6% | -3.8% | 0.1% | 1.2% | |
| Free Care | ($35,384,897) | ($34,941,876) | ($33,158,889) | ($38,397,903) | ($41,331,672) | 5.1% | -9.9% | -7.6% | -24.6% | 5.3% | |
| All Other Deductions | ($2,446,908,368) | ($2,545,273,080) | ($2,501,335,520) | ($2,546,444,701) | ($2,677,898,599) | 1.7% | 0.0% | -5.2% | -7.1% | 3.1% | |
| Net Patient Care Revenue | $2,278,270,306 | $2,378,206,818 | $2,416,042,505 | $2,428,942,986 | $2,502,905,547 | 1.6% | 2.1% | 3.0% | 3.6% | 3.2% | |
| Total Operating Revenue | $2,419,651,402 | $2,519,280,695 | $2,560,697,817 | $2,585,005,149 | $2,667,712,812 | 1.6% | 2.6% | 3.2% | 4.2% | 3.3% | |
| Total Operating Expenses | $2,309,283,512 | $2,419,805,495 | $2,489,822,131 | $2,519,434,754 | $2,593,832,180 | 2.9% | 4.1% | 3.0% | 4.2% | 3.9% | |
| Operating Surplus | $110,367,890 | $99,475,201 | $70,875,686 | $65,570,395 | $73,880,632 | -28.8% | -34.1% | 12.7% | 4.2% | -12.5% | |
| Non-Operating Revenue | ($20,910,214) | $41,449,741 | $36,146,043 | $55,663,897 | $38,755,106 | -12.8% | 34.3% | -30.4% | 7.2% | -222.8% | |
| Total Surplus | $89,457,676 | $140,924,941 | $107,021,729 | $121,234,292 | $112,635,738 | -24.1% | -14.0% | -7.1% | 5.2% | 8.0% | |
| Utilization Statistics | |||||||||||
| Acute Staffed Beds | 942 | 953 | 954 | 962 | 961 | 0.1% | 0.9% | -0.1% | 0.7% | 0.7% | |
| Acute Admissions | 45,414 | 47,232 | 46,431 | 46,707 | 47,422 | -1.7% | -1.1% | 1.5% | 2.1% | 1.5% | |
| Physician Office Visits | 3,621,172 | 3,767,171 | 3,880,507 | 3,962,451 | 4,166,027 | 3.0% | 5.2% | 5.1% | 7.4% | 4.8% | |
| All Outpatient Visits | 3,272,889 | 3,312,260 | 3,494,721 | 3,519,525 | 3,561,598 | 5.5% | 6.3% | 1.2% | 1.9% | 2.9% | |
| Adjusted Admissions* | 173,569 | 181,771 | 174,837 | 174,257 | 174,236 | -3.8% | -4.1% | 0.0% | -0.3% | 0.1% | |
| Staffing Information | |||||||||||
| Total Non-MD $/FTE | $61,326 | $63,250 | $63,883 | $65,371 | $66,001 | 1.0% | 3.4% | 1.0% | 3.3% | 2.5% | |
| Compensation Ratio | 56.0% | 56.1% | 57.3% | 57.7% | 57.1% | 2.0% | 2.7% | -1.1% | -0.4% | 0.6% | |
| Total Non-MD FTEs | 12,491 | 12,777 | 13,074 | 13,014 | 13,331 | 2.3% | 1.9% | 2.4% | 2.0% | 2.2% | |
| Physician FTEs | 1,006 | 1,036 | 1,087 | 1,088 | 1,147 | 4.9% | 5.0% | 5.4% | 5.6% | 4.5% | |
| Actual | Actual | Budget | Projected | Budget | Y to Y | Y to Y | Y to Y | Y to Y | Ave Ann | ||
| 2015 | 2016 | 2017 | 2017 | 2018 | A16-B17 | A16-P17 | P17-B18 | B17-B18 | A15-B18 | ||
| Uncompensated Care | |||||||||||
| Free Care % of Gross Revenue | 0.7% | 0.7% | 0.7% | 0.8% | 0.8% | -5.0% | 8.7% | 3.4% | 18.2% | 2.1% | |
| Bad Debt % of Gross Revenue | 1.3% | 1.3% | 1.3% | 1.2% | 1.2% | 3.4% | -1.6% | -0.4% | -5.2% | -1.8% | |
| % share of total Gross Revenue | |||||||||||
| Medicare | 42.1% | 42.6% | 42.2% | 43.3% | 43.5% | -1.0% | 1.6% | 0.5% | 3.1% | 1.1% | |
| Medicaid | 17.6% | 17.9% | 18.6% | 17.5% | 17.1% | 3.7% | -2.6% | -2.3% | -8.2% | -1.0% | |
| Commercial | 40.4% | 39.4% | 39.2% | 39.2% | 39.4% | -0.6% | -0.6% | 0.5% | 0.5% | -0.8% | |
| % share of total Net Revenue | |||||||||||
| Medicare (w/o DSH) | 32.5% | 32.8% | 32.3% | 33.2% | 32.7% | -1.4% | 1.3% | -1.3% | 1.4% | 0.3% | |
| Medicaid (w/o DSH) | 12.3% | 12.2% | 12.2% | 11.8% | 11.5% | 0.3% | -3.5% | -2.0% | -5.8% | -2.1% | |
| Commercial (w/o DSH) | 55.3% | 55.0% | 55.5% | 55.1% | 55.7% | 0.8% | 0.0% | 1.2% | 0.5% | 0.3% | |
| Capital & Assets | |||||||||||
| Capital Budget - no unapproved CONs | $137,979,707 | $152,674,108 | $284,448,668 | $286,988,065 | $131,460,158 | 86.3% | 88.0% | -54.2% | -53.8% | -1.6% | |
| Unapproved CONs | $161,439,665 | ||||||||||
| Financial Indicators | |||||||||||
| Days Cash on Hand | 179 | 183 | 166 | 186 | 167 | -9.5% | 1.6% | -10.5% | 0.5% | -2.3% | |
| *The summary total may differ slightly from the actual sum of individual hospitals because of weighted calculations. | |||||||||||
| Report 7 - Financial and Statistical Trends | Average Daily Census | ||||||||||||||||||||||||
| Average Daily Census | ACTUAL 2015 | ACTUAL 2016 | BUDGET 2017 | PROJECTION 2017 | BUDGET 2018 | PERCENT CHANGE | |||||||||||||||||||
| RANKING | RANKING | RANKING | RANKING | RANKING | 2016A - 2017B | 2016A - 2017P | 2017P - 2018B | 2017B - 2018B | |||||||||||||||||
| CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | |||||||||||
| 25-99 BEDS | |||||||||||||||||||||||||
| Critical Access Hospitals | COPLEY HOSPITAL | 14.3 | 2 | 2 | 2 | 14.7 | 2 | 2 | 2 | 14.9 | 2 | 2 | 2 | 16.5 | 3 | 3 | 3 | 17.0 | 3 | 3 | 3 | 1.4% | 12.2% | 2.7% | 13.6% |
| GIFFORD MEDICAL CENTER | 49.1 | 8 | 10 | 11 | 18.4 | 6 | 7 | 7 | 22.0 | 6 | 7 | 7 | 17.6 | 6 | 7 | 7 | 17.3 | 6 | 7 | 7 | 19.4% | -4.6% | -1.4% | -21.2% | |
| GRACE COTTAGE HOSPITAL | 10.3 | 1 | 1 | 1 | 10.6 | 1 | 1 | 1 | 10.1 | 1 | 1 | 1 | 10.2 | 1 | 1 | 1 | 10.2 | 1 | 1 | 1 | -4.9% | -3.7% | 0.0% | 1.2% | |
| MT. ASCUTNEY HOSPITAL & HEALTH CTR | 26.7 | 7 | 9 | 9 | 27.4 | 8 | 10 | 10 | 27.2 | 8 | 10 | 10 | 28.0 | 8 | 10 | 10 | 27.6 | 8 | 10 | 10 | -0.9% | 1.9% | -1.3% | 1.5% | |
| NORTH COUNTRY HOSPITAL | 16.7 | 4 | 5 | 5 | 16.4 | 4 | 4 | 4 | 16.0 | 4 | 5 | 5 | 17.3 | 5 | 6 | 6 | 17.3 | 5 | 6 | 6 | -2.3% | 5.3% | 0.0% | 7.8% | |
| NORTHEASTERN VT REGIONAL HOSPITAL | 14.7 | 3 | 3 | 3 | 15.4 | 3 | 3 | 3 | 15.2 | 3 | 3 | 3 | 15.4 | 2 | 2 | 2 | 15.3 | 2 | 2 | 2 | -1.6% | -0.3% | -0.5% | 0.7% | |
| PORTER MEDICAL CENTER | 17.4 | 5 | 6 | 6 | 16.7 | 5 | 6 | 6 | 17.0 | 5 | 6 | 6 | 17.1 | 4 | 5 | 5 | 17.1 | 4 | 4 | 4 | 1.7% | 2.5% | -0.1% | 0.6% | |
| SPRINGFIELD HOSPITAL | 24.9 | 6 | 8 | 8 | 23.4 | 7 | 8 | 8 | 24.4 | 7 | 8 | 8 | 22.2 | 7 | 8 | 8 | 23.7 | 7 | 8 | 8 | 4.2% | -5.4% | 6.9% | -2.9% | |
| BRATTLEBORO MEMORIAL HOSPITAL | 16.5 | 4 | 4 | 16.5 | 5 | 5 | 15.8 | 4 | 4 | 16.8 | 4 | 4 | 17.2 | 5 | 5 | -4.1% | 1.8% | 2.7% | 9.1% | ||||||
| NORTHWESTERN MEDICAL CENTER | 24.5 | 7 | 7 | 24.3 | 9 | 9 | 25.5 | 9 | 9 | 23.6 | 9 | 9 | 24.4 | 9 | 9 | 4.8% | -2.9% | 3.5% | -4.1% | ||||||
| 100-249 BEDS | |||||||||||||||||||||||||
| CENTRAL VERMONT MEDICAL CENTER | 173.1 | 3 | 13 | 170.8 | 3 | 13 | 189.1 | 3 | 13 | 183.0 | 3 | 13 | 192.4 | 3 | 13 | 10.8% | 7.1% | 5.2% | 1.7% | ||||||
| RUTLAND REGIONAL MEDICAL CENTER | 81.5 | 2 | 12 | 86.3 | 2 | 12 | 84.3 | 2 | 12 | 88.3 | 2 | 12 | 88.5 | 2 | 12 | -2.3% | 2.3% | 0.2% | 5.0% | ||||||
| SOUTHWESTERN VT MEDICAL CENTER | 38.2 | 1 | 10 | 33.4 | 1 | 11 | 33.1 | 1 | 11 | 36.0 | 1 | 11 | 34.8 | 1 | 11 | -1.0% | 7.8% | -3.2% | 5.4% | ||||||
| OVER 400 BEDS | |||||||||||||||||||||||||
| THE UNIVERSITY OF VERMONT MEDICAL CENTER | 328.5 | 14 | 329.4 | 14 | 315.7 | 14 | 332.4 | 14 | 344.0 | 14 | -4.2% | 0.9% | 3.5% | 8.9% | |||||||||||
| COMPARATIVE DATA | |||||||||||||||||||||||||
| SYSTEM TOTAL OR AVG. - ALL VT HOSPITALS | 836.4 | 803.8 | 810.3 | 824.1 | 846.8 | 0.8% | 2.5% | 2.7% | 4.5% | ||||||||||||||||
| MEDIAN - ALL VERMONT HOSPITALS | 24.7 | 20.9 | 23.2 | 19.9 | 20.5 | 10.9% | -5.0% | 3.3% | -11.6% | ||||||||||||||||
| MEDIAN - CRITICAL ACCESS (CAH) HOSPITALS | 17.1 | 16.6 | 16.5 | 17.2 | 17.2 | -0.3% | 3.9% | -0.1% | 4.1% | ||||||||||||||||
| Report 7 - Financial and Statistical Trends | Adjusted Admissions | ||||||||||||||||||||||||
| Adjusted Admissions | ACTUAL 2015 | ACTUAL 2016 | BUDGET 2017 | PROJECTION 2017 | BUDGET 2018 | PERCENT CHANGE | |||||||||||||||||||
| RANKING | RANKING | RANKING | RANKING | RANKING | 2016A - 2017B | 2016A - 2017P | 2017P - 2018B | 2017B - 2018B | |||||||||||||||||
| CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | |||||||||||
| 25-99 BEDS | |||||||||||||||||||||||||
| Critical Access Hospitals | COPLEY HOSPITAL | 5,505 | 4 | 4 | 4 | 5,356 | 3 | 3 | 3 | 5,463 | 3 | 3 | 3 | 5,117 | 3 | 3 | 3 | 5,186 | 3 | 3 | 3 | 2.0% | -4.5% | 1.3% | -5.1% |
| GIFFORD MEDICAL CENTER | 5,331 | 2 | 2 | 2 | 5,166 | 2 | 2 | 2 | 5,283 | 2 | 2 | 2 | 5,089 | 2 | 2 | 2 | 5,186 | 2 | 2 | 2 | 2.3% | -1.5% | 1.9% | -1.8% | |
| GRACE COTTAGE HOSPITAL | 2,477 | 1 | 1 | 1 | 2,655 | 1 | 1 | 1 | 2,727 | 1 | 1 | 1 | 2,438 | 1 | 1 | 1 | 2,495 | 1 | 1 | 1 | 2.7% | -8.2% | 2.3% | -8.5% | |
| MT. ASCUTNEY HOSPITAL & HEALTH CTR | 7,827 | 6 | 6 | 6 | 6,830 | 6 | 6 | 6 | 7,397 | 6 | 6 | 6 | 6,634 | 6 | 6 | 6 | 6,905 | 6 | 6 | 6 | 8.3% | -2.9% | 4.1% | -6.7% | |
| NORTH COUNTRY HOSPITAL | 8,970 | 7 | 8 | 8 | 9,352 | 7 | 8 | 8 | 9,280 | 8 | 9 | 9 | 8,810 | 7 | 8 | 8 | 8,698 | 7 | 8 | 8 | -0.8% | -5.8% | -1.3% | -6.3% | |
| NORTHEASTERN VT REGIONAL HOSPITAL | 5,331 | 3 | 3 | 3 | 6,561 | 5 | 5 | 5 | 6,559 | 5 | 5 | 5 | 6,442 | 5 | 5 | 5 | 6,506 | 5 | 5 | 5 | 0.0% | -1.8% | 1.0% | -0.8% | |
| PORTER MEDICAL CENTER | 6,362 | 5 | 5 | 5 | 6,209 | 4 | 4 | 4 | 6,226 | 4 | 4 | 4 | 6,199 | 4 | 4 | 4 | 6,311 | 4 | 4 | 4 | 0.3% | -0.2% | 1.8% | 1.4% | |
| SPRINGFIELD HOSPITAL | 9,034 | 8 | 9 | 9 | 9,792 | 8 | 9 | 9 | 8,198 | 7 | 7 | 7 | 9,206 | 8 | 9 | 9 | 8,716 | 8 | 9 | 9 | -16.3% | -6.0% | -5.3% | 6.3% | |
| BRATTLEBORO MEMORIAL HOSPITAL | 8,477 | 7 | 7 | 8,189 | 7 | 7 | 8,324 | 8 | 8 | 8,268 | 7 | 7 | 7,867 | 7 | 7 | 1.6% | 1.0% | -4.9% | -5.5% | ||||||
| NORTHWESTERN MEDICAL CENTER | 10,599 | 10 | 10 | 11,708 | 10 | 10 | 11,724 | 10 | 10 | 12,108 | 10 | 10 | 12,359 | 10 | 10 | 0.1% | 3.4% | 2.1% | 5.4% | ||||||
| 100-249 BEDS | |||||||||||||||||||||||||
| CENTRAL VERMONT MEDICAL CENTER | 16,125 | 2 | 12 | 17,709 | 2 | 12 | 18,086 | 3 | 13 | 17,957 | 3 | 13 | 18,029 | 3 | 13 | 2.1% | 1.4% | 0.4% | -0.3% | ||||||
| RUTLAND REGIONAL MEDICAL CENTER | 17,208 | 3 | 13 | 17,901 | 3 | 13 | 17,390 | 2 | 12 | 16,920 | 2 | 12 | 16,884 | 2 | 12 | -2.9% | -5.5% | -0.2% | -2.9% | ||||||
| SOUTHWESTERN VT MEDICAL CENTER | 15,024 | 1 | 11 | 17,157 | 1 | 11 | 16,201 | 1 | 11 | 16,205 | 1 | 11 | 16,678 | 1 | 11 | -5.6% | -5.6% | 2.9% | 2.9% | ||||||
| OVER 400 BEDS | |||||||||||||||||||||||||
| THE UNIVERSITY OF VERMONT MEDICAL CENTER | 66,174 | 14 | 69,349 | 14 | 64,127 | 14 | 65,248 | 14 | 64,805 | 14 | -7.5% | -5.9% | -0.7% | 1.1% | |||||||||||
| COMPARATIVE DATA | |||||||||||||||||||||||||
| SYSTEM TOTAL OR AVG. - ALL VT HOSPITALS | 173,569 | 181,771 | 174,837 | 174,257 | 174,236 | -3.8% | -4.1% | 0.0% | -0.3% | ||||||||||||||||
| MEDIAN - ALL VERMONT HOSPITALS | 8,723 | 8,771 | 8,261 | 8,539 | 8,282 | -5.8% | -2.6% | -3.0% | 0.3% | ||||||||||||||||
| MEDIAN - CRITICAL ACCESS (CAH) HOSPITALS | 5,934 | 6,385 | 6,392 | 6,320 | 6,409 | 0.1% | -1.0% | 1.4% | 0.3% | ||||||||||||||||
| Report 7 - Financial and Statistical Trends | Debt per Staffed Bed | ||||||||||||||||||||||||
| Debt per Staffed Bed | ACTUAL 2015 | ACTUAL 2016 | BUDGET 2017 | PROJECTION 2017 | BUDGET 2018 | PERCENT CHANGE | |||||||||||||||||||
| RANKING | RANKING | RANKING | RANKING | RANKING | 2016A - 2017B | 2016A - 2017P | 2017P - 2018B | 2017B - 2018B | |||||||||||||||||
| CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | |||||||||||
| 25-99 BEDS | |||||||||||||||||||||||||
| Critical Access Hospitals | COPLEY HOSPITAL | $ 340,821 | 2 | 2 | 3 | $ 350,718 | 2 | 2 | 2 | $ 578,706 | 3 | 5 | 6 | $ 609,222 | 3 | 5 | 7 | $ 580,027 | 3 | 5 | 7 | 65.0% | 73.7% | -4.8% | 0.2% |
| GIFFORD MEDICAL CENTER | $ 453,693 | 3 | 4 | 5 | $ 735,404 | 4 | 6 | 8 | $ 1,060,915 | 7 | 9 | 12 | $ 666,517 | 4 | 6 | 8 | $ 888,997 | 5 | 7 | 10 | 44.3% | -9.4% | 33.4% | -16.2% | |
| GRACE COTTAGE HOSPITAL | $ 296,562 | 1 | 1 | 1 | $ 321,974 | 1 | 1 | 1 | $ 285,520 | 1 | 1 | 1 | $ 306,564 | 1 | 1 | 1 | $ 310,192 | 1 | 1 | 1 | -11.3% | -4.8% | 1.2% | 8.6% | |
| MT. ASCUTNEY HOSPITAL & HEALTH CTR | $ 760,724 | 5 | 7 | 9 | $ 815,792 | 5 | 7 | 10 | $ 758,500 | 4 | 6 | 8 | $ 710,583 | 5 | 7 | 9 | $ 762,190 | 4 | 6 | 9 | -7.0% | -12.9% | 7.3% | 0.5% | |
| NORTH COUNTRY HOSPITAL | $ 1,313,963 | 8 | 10 | 14 | $ 1,129,629 | 8 | 10 | 13 | $ 1,193,852 | 8 | 10 | 13 | $ 1,247,275 | 8 | 10 | 13 | $ 1,197,743 | 8 | 10 | 13 | 5.7% | 10.4% | -4.0% | 0.3% | |
| NORTHEASTERN VT REGIONAL HOSPITAL | $ 860,601 | 6 | 8 | 11 | $ 924,864 | 6 | 8 | 11 | $ 814,459 | 5 | 7 | 9 | $ 852,843 | 6 | 8 | 11 | $ 1,021,803 | 7 | 9 | 12 | -11.9% | -7.8% | 19.8% | 25.5% | |
| PORTER MEDICAL CENTER | $ 973,996 | 7 | 9 | 12 | $ 966,348 | 7 | 9 | 12 | $ 977,795 | 6 | 8 | 11 | $ 984,934 | 7 | 9 | 12 | $ 984,258 | 6 | 8 | 11 | 1.2% | 1.9% | -0.1% | 0.7% | |
| SPRINGFIELD HOSPITAL | $ 509,273 | 4 | 6 | 7 | $ 516,345 | 3 | 3 | 4 | $ 494,595 | 2 | 3 | 4 | $ 520,657 | 2 | 3 | 4 | $ 481,525 | 2 | 3 | 4 | -4.2% | 0.8% | -7.5% | -2.6% | |
| BRATTLEBORO MEMORIAL HOSPITAL | $ 499,440 | 5 | 6 | $ 562,284 | 4 | 5 | $ 417,415 | 2 | 3 | $ 417,150 | 2 | 3 | $ 400,901 | 2 | 2 | -25.8% | -25.8% | -3.9% | -4.0% | ||||||
| NORTHWESTERN MEDICAL CENTER | $ 394,700 | 3 | 4 | $ 581,002 | 5 | 6 | $ 549,963 | 4 | 5 | $ 561,848 | 4 | 5 | $ 554,740 | 4 | 6 | -5.3% | -3.3% | -1.3% | 0.9% | ||||||
| 100-249 BEDS | |||||||||||||||||||||||||
| CENTRAL VERMONT MEDICAL CENTER | $ 311,399 | 1 | 2 | $ 365,693 | 1 | 3 | $ 301,195 | 1 | 2 | $ 410,787 | 1 | 2 | $ 407,857 | 1 | 3 | -17.6% | 12.3% | -0.7% | 35.4% | ||||||
| RUTLAND REGIONAL MEDICAL CENTER | $ 805,582 | 3 | 10 | $ 791,096 | 3 | 9 | $ 965,354 | 3 | 10 | $ 784,319 | 3 | 10 | $ 749,427 | 3 | 8 | 22.0% | -0.9% | -4.4% | -22.4% | ||||||
| SOUTHWESTERN VT MEDICAL CENTER | $ 691,892 | 2 | 8 | $ 732,984 | 2 | 7 | $ 629,886 | 2 | 7 | $ 577,165 | 2 | 6 | $ 528,372 | 2 | 5 | -14.1% | -21.3% | -8.5% | -16.1% | ||||||
| OVER 400 BEDS | |||||||||||||||||||||||||
| THE UNIVERSITY OF VERMONT MEDICAL CENTER | $ 1,238,579 | 13 | $ 1,490,503 | 14 | $ 1,462,192 | 14 | $ 1,544,388 | 14 | $ 1,576,376 | 14 | -1.9% | 3.6% | 2.1% | 7.8% | |||||||||||
| COMPARATIVE DATA | |||||||||||||||||||||||||
| SYSTEM TOTAL OR AVG. - ALL VT HOSPITALS | $ 787,911 | $ 912,185 | $ 901,109 | $ 922,625 | $ 932,082 | -1.2% | 1.1% | 1.0% | 3.4% | ||||||||||||||||
| MEDIAN - ALL VERMONT HOSPITALS | $ 600,582 | $ 734,194 | $ 694,193 | $ 637,870 | $ 664,727 | -5.4% | -13.1% | 4.2% | -4.2% | ||||||||||||||||
| MEDIAN - CRITICAL ACCESS (CAH) HOSPITALS | $ 634,999 | $ 775,598 | $ 786,479 | $ 688,550 | $ 825,594 | 1.4% | -11.2% | 19.9% | 5.0% | ||||||||||||||||
| Report 7 - Financial and Statistical Trends | Free Care % | ||||||||||||||||||||||||
| Free Care % | ACTUAL 2015 | ACTUAL 2016 | BUDGET 2017 | PROJECTION 2017 | BUDGET 2018 | PERCENT CHANGE | |||||||||||||||||||
| RANKING | RANKING | RANKING | RANKING | RANKING | 2016A - 2017B | 2016A - 2017P | 2017P - 2018B | 2017B - 2018B | |||||||||||||||||
| CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | |||||||||||
| 25-99 BEDS | |||||||||||||||||||||||||
| Critical Access Hospitals | COPLEY HOSPITAL | 0.7% | 2 | 3 | 5 | 0.7% | 5 | 7 | 10 | 0.8% | 5 | 6 | 10 | 0.7% | 4 | 5 | 7 | 0.7% | 4 | 5 | 7 | 5.7% | -6.4% | 0.0% | -11.5% |
| GIFFORD MEDICAL CENTER | 0.3% | 1 | 1 | 1 | 0.4% | 1 | 1 | 1 | 0.5% | 1 | 1 | 3 | 0.3% | 1 | 1 | 1 | 0.4% | 2 | 2 | 2 | 37.3% | -12.0% | 39.8% | -10.4% | |
| GRACE COTTAGE HOSPITAL | 0.9% | 5 | 6 | 9 | 0.5% | 2 | 2 | 2 | 0.7% | 4 | 4 | 7 | 0.4% | 2 | 2 | 2 | 0.4% | 1 | 1 | 1 | 39.8% | -26.9% | 2.6% | -46.4% | |
| MT. ASCUTNEY HOSPITAL & HEALTH CTR | 0.9% | 6 | 7 | 10 | 0.7% | 4 | 5 | 8 | 0.9% | 6 | 7 | 11 | 0.9% | 5 | 7 | 10 | 0.8% | 5 | 6 | 8 | 21.4% | 32.5% | -8.4% | 0.0% | |
| NORTH COUNTRY HOSPITAL | 0.8% | 3 | 4 | 6 | 0.6% | 3 | 4 | 6 | 0.7% | 2 | 2 | 4 | 0.7% | 3 | 4 | 6 | 0.7% | 3 | 4 | 6 | 4.1% | 8.6% | -0.1% | 4.2% | |
| NORTHEASTERN VT REGIONAL HOSPITAL | 1.7% | 7 | 8 | 12 | 1.8% | 8 | 10 | 14 | 2.0% | 7 | 8 | 12 | 1.7% | 8 | 10 | 14 | 1.7% | 7 | 9 | 13 | 9.3% | -7.5% | -1.7% | -16.8% | |
| PORTER MEDICAL CENTER | 0.8% | 4 | 5 | 7 | 0.9% | 6 | 8 | 11 | 0.7% | 3 | 3 | 5 | 1.1% | 6 | 8 | 11 | 1.1% | 6 | 8 | 11 | -28.5% | 15.9% | 2.0% | 65.5% | |
| SPRINGFIELD HOSPITAL | 2.2% | 8 | 9 | 13 | 1.8% | 7 | 9 | 13 | 2.1% | 8 | 10 | 14 | 1.6% | 7 | 9 | 13 | 2.1% | 8 | 10 | 14 | 19.2% | -7.1% | 28.6% | 0.3% | |
| BRATTLEBORO MEMORIAL HOSPITAL | 2.3% | 10 | 14 | 0.6% | 3 | 5 | 2.0% | 9 | 13 | 0.9% | 6 | 8 | 0.9% | 7 | 9 | 239.3% | 55.3% | -5.9% | -56.9% | ||||||
| NORTHWESTERN MEDICAL CENTER | 0.7% | 2 | 4 | 0.7% | 6 | 9 | 0.7% | 5 | 9 | 0.5% | 3 | 3 | 0.7% | 3 | 5 | 1.9% | -33.1% | 40.6% | -7.7% | ||||||
| 100-249 BEDS | |||||||||||||||||||||||||
| CENTRAL VERMONT MEDICAL CENTER | 1.3% | 3 | 11 | 0.7% | 2 | 7 | 0.7% | 2 | 6 | 0.9% | 2 | 9 | 1.0% | 2 | 10 | -1.7% | 36.3% | 5.4% | 46.0% | ||||||
| RUTLAND REGIONAL MEDICAL CENTER | 0.8% | 2 | 8 | 1.1% | 3 | 12 | 0.7% | 3 | 8 | 1.2% | 3 | 12 | 1.2% | 3 | 12 | -35.4% | 4.4% | 0.0% | 61.8% | ||||||
| SOUTHWESTERN VT MEDICAL CENTER | 0.4% | 1 | 2 | 0.5% | 1 | 3 | 0.5% | 1 | 2 | 0.6% | 1 | 5 | 0.6% | 1 | 4 | -4.0% | 21.9% | -4.4% | 21.4% | ||||||
| OVER 400 BEDS | |||||||||||||||||||||||||
| THE UNIVERSITY OF VERMONT MEDICAL CENTER | 0.5% | 3 | 0.5% | 4 | 0.4% | 1 | 0.6% | 4 | 0.6% | 3 | -19.7% | 10.8% | 0.9% | 39.4% | |||||||||||
| COMPARATIVE DATA | |||||||||||||||||||||||||
| SYSTEM TOTAL OR AVG. - ALL VT HOSPITALS | 0.7% | 0.7% | 0.7% | 0.8% | 0.8% | -5.0% | 8.7% | 3.4% | 18.2% | ||||||||||||||||
| MEDIAN - ALL VERMONT HOSPITALS | 0.8% | 0.7% | 0.7% | 0.8% | 0.8% | 1.4% | 17.3% | -4.2% | 10.9% | ||||||||||||||||
| MEDIAN - CRITICAL ACCESS (CAH) HOSPITALS | 0.8% | 0.7% | 0.7% | 0.8% | 0.8% | 1.9% | 12.4% | -4.8% | 5.0% | ||||||||||||||||
| Report 7 - Financial and Statistical Trends | Operating Margin % | ||||||||||||||||||||||||
| Operating Margin % | ACTUAL 2015 | ACTUAL 2016 | BUDGET 2017 | PROJECTION 2017 | BUDGET 2018 | PERCENT CHANGE | |||||||||||||||||||
| RANKING | RANKING | RANKING | RANKING | RANKING | 2016A - 2017B | 2016A - 2017P | 2017P - 2018B | 2017B - 2018B | |||||||||||||||||
| CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | |||||||||||
| 25-99 BEDS | |||||||||||||||||||||||||
| Critical Access Hospitals | COPLEY HOSPITAL | 6.2% | 8 | 9 | 12 | -0.1% | 2 | 3 | 3 | 0.5% | 3 | 4 | 4 | 1.7% | 5 | 7 | 8 | 1.3% | 4 | 5 | 5 | 478.2% | 1366.9% | -21.0% | 164.7% |
| GIFFORD MEDICAL CENTER | 2.7% | 5 | 5 | 6 | 3.9% | 8 | 10 | 12 | 1.9% | 7 | 8 | 9 | 3.6% | 8 | 10 | 13 | 2.2% | 8 | 10 | 11 | -49.7% | -6.3% | -38.3% | 15.0% | |
| GRACE COTTAGE HOSPITAL | -9.8% | 1 | 1 | 1 | -8.0% | 1 | 1 | 1 | -1.0% | 2 | 2 | 2 | -6.6% | 1 | 1 | 1 | -3.0% | 1 | 1 | 1 | 87.8% | 17.1% | 55.3% | -203.2% | |
| MT. ASCUTNEY HOSPITAL & HEALTH CTR | -2.4% | 2 | 2 | 2 | 0.3% | 4 | 5 | 5 | -2.5% | 1 | 1 | 1 | 0.6% | 4 | 6 | 7 | -2.3% | 2 | 2 | 2 | -965.2% | 102.6% | -501.9% | 5.9% | |
| NORTH COUNTRY HOSPITAL | 3.5% | 6 | 7 | 9 | 0.2% | 3 | 4 | 4 | 1.3% | 5 | 6 | 6 | -1.1% | 3 | 3 | 3 | 1.5% | 5 | 6 | 6 | 641.0% | -731.2% | 241.5% | 20.6% | |
| NORTHEASTERN VT REGIONAL HOSPITAL | 2.2% | 4 | 4 | 5 | 2.0% | 7 | 8 | 9 | 1.9% | 6 | 7 | 8 | 2.0% | 6 | 8 | 9 | 1.8% | 7 | 8 | 9 | -4.4% | 0.4% | -12.1% | -7.7% | |
| PORTER MEDICAL CENTER | -2.4% | 3 | 3 | 3 | 1.9% | 6 | 7 | 8 | 1.0% | 4 | 5 | 5 | 2.3% | 7 | 9 | 10 | 0.2% | 3 | 3 | 3 | -48.7% | 20.6% | -92.9% | -83.3% | |
| SPRINGFIELD HOSPITAL | 3.9% | 7 | 8 | 11 | 0.3% | 5 | 6 | 6 | 2.9% | 8 | 9 | 11 | -3.1% | 2 | 2 | 2 | 1.7% | 6 | 7 | 7 | 779.1% | -1041.3% | 155.4% | -40.7% | |
| BRATTLEBORO MEMORIAL HOSPITAL | 2.8% | 6 | 7 | -0.6% | 2 | 2 | 0.2% | 3 | 3 | -0.6% | 4 | 4 | 0.4% | 4 | 4 | 134.0% | -3.2% | 172.0% | 118.6% | ||||||
| NORTHWESTERN MEDICAL CENTER | 9.7% | 10 | 14 | 3.4% | 9 | 11 | 3.1% | 10 | 13 | -0.5% | 5 | 5 | 2.1% | 9 | 10 | -10.2% | -115.7% | 484.1% | -32.9% | ||||||
| 100-249 BEDS | |||||||||||||||||||||||||
| CENTRAL VERMONT MEDICAL CENTER | 2.9% | 2 | 8 | 1.0% | 1 | 7 | 1.8% | 1 | 7 | 0.3% | 1 | 6 | 1.8% | 1 | 8 | 79.9% | -74.5% | 592.2% | -1.8% | ||||||
| RUTLAND REGIONAL MEDICAL CENTER | 1.9% | 1 | 4 | 4.2% | 3 | 13 | 2.4% | 2 | 10 | 2.7% | 2 | 11 | 2.4% | 2 | 12 | -43.4% | -36.6% | -11.3% | -0.7% | ||||||
| SOUTHWESTERN VT MEDICAL CENTER | 3.6% | 3 | 10 | 3.4% | 2 | 10 | 3.0% | 3 | 12 | 2.9% | 3 | 12 | 3.9% | 3 | 14 | -12.9% | -15.9% | 34.4% | 29.8% | ||||||
| OVER 400 BEDS | |||||||||||||||||||||||||
| THE UNIVERSITY OF VERMONT MEDICAL CENTER | 6.3% | 13 | 5.9% | 14 | 3.8% | 14 | 4.0% | 14 | 3.8% | 13 | -36.3% | -32.9% | -4.3% | 0.7% | |||||||||||
| COMPARATIVE DATA | |||||||||||||||||||||||||
| SYSTEM TOTAL OR AVG. - ALL VT HOSPITALS | 4.6% | 3.9% | 2.8% | 2.5% | 2.8% | -29.9% | -35.8% | 9.2% | 0.1% | ||||||||||||||||
| MEDIAN - ALL VERMONT HOSPITALS | 2.8% | 1.4% | 1.9% | 1.1% | 1.7% | 29.8% | -22.1% | 54.6% | -7.2% | ||||||||||||||||
| MEDIAN - CRITICAL ACCESS (CAH) HOSPITALS | 2.5% | 0.3% | 1.1% | 1.1% | 1.4% | 262.7% | 268.2% | 25.8% | 27.7% | ||||||||||||||||
| Report 7 - Financial and Statistical Trends | Adjusted Admissions Per FTE | ||||||||||||||||||||||||
| Adjusted Admissions Per FTE | ACTUAL 2015 | ACTUAL 2016 | BUDGET 2017 | PROJECTION 2017 | BUDGET 2018 | PERCENT CHANGE | |||||||||||||||||||
| RANKING | RANKING | RANKING | RANKING | RANKING | 2016A - 2017B | 2016A - 2017P | 2017P - 2018B | 2017B - 2018B | |||||||||||||||||
| CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | |||||||||||
| 25-99 BEDS | |||||||||||||||||||||||||
| Critical Access Hospitals | COPLEY HOSPITAL | 16.2 | 4 | 4 | 7 | 15.7 | 1 | 1 | 4 | 15.4 | 2 | 2 | 5 | 14.7 | 1 | 1 | 4 | 14.5 | 2 | 2 | 4 | -1.6% | -6.2% | -1.0% | -5.5% |
| GIFFORD MEDICAL CENTER | 14.7 | 2 | 2 | 4 | 16.1 | 3 | 3 | 6 | 17.3 | 4 | 4 | 7 | 17.0 | 4 | 4 | 7 | 17.4 | 4 | 5 | 8 | 7.1% | 5.8% | 2.0% | 0.7% | |
| GRACE COTTAGE HOSPITAL | 18.8 | 5 | 5 | 8 | 19.5 | 5 | 6 | 9 | 19.4 | 5 | 7 | 10 | 17.9 | 5 | 5 | 8 | 17.6 | 5 | 6 | 9 | -0.5% | -8.3% | -1.9% | -9.5% | |
| MT. ASCUTNEY HOSPITAL & HEALTH CTR | 25.5 | 7 | 9 | 13 | 22.2 | 7 | 9 | 12 | 24.0 | 7 | 9 | 13 | 21.5 | 7 | 9 | 12 | 22.7 | 7 | 9 | 13 | 8.2% | -3.0% | 5.4% | -5.5% | |
| NORTH COUNTRY HOSPITAL | 21.0 | 6 | 8 | 12 | 21.1 | 6 | 8 | 11 | 19.9 | 6 | 8 | 11 | 19.3 | 6 | 6 | 9 | 18.9 | 6 | 7 | 10 | -5.7% | -8.3% | -2.0% | -4.6% | |
| NORTHEASTERN VT REGIONAL HOSPITAL | 13.5 | 1 | 1 | 2 | 16.3 | 4 | 4 | 7 | 15.8 | 3 | 3 | 6 | 15.3 | 3 | 3 | 6 | 15.1 | 3 | 3 | 6 | -2.8% | -5.8% | -1.6% | -4.7% | |
| PORTER MEDICAL CENTER | 15.0 | 3 | 3 | 6 | 15.8 | 2 | 2 | 5 | 14.9 | 1 | 1 | 4 | 15.2 | 2 | 2 | 5 | 14.2 | 1 | 1 | 3 | -5.5% | -3.8% | -6.5% | -4.8% | |
| SPRINGFIELD HOSPITAL | 30.3 | 8 | 10 | 14 | 32.6 | 8 | 10 | 14 | 27.0 | 8 | 10 | 14 | 30.3 | 8 | 10 | 14 | 27.8 | 8 | 10 | 14 | -17.1% | -6.9% | -8.2% | 3.1% | |
| BRATTLEBORO MEMORIAL HOSPITAL | 20.6 | 7 | 11 | 19.5 | 5 | 8 | 19.0 | 6 | 9 | 19.5 | 8 | 11 | 16.7 | 4 | 7 | -2.5% | 0.1% | -14.4% | -12.1% | ||||||
| NORTHWESTERN MEDICAL CENTER | 19.5 | 6 | 9 | 19.8 | 7 | 10 | 18.5 | 5 | 8 | 19.4 | 7 | 10 | 20.2 | 8 | 11 | -6.3% | -2.1% | 4.1% | 8.7% | ||||||
| 100-249 BEDS | |||||||||||||||||||||||||
| CENTRAL VERMONT MEDICAL CENTER | 14.2 | 1 | 3 | 14.6 | 2 | 3 | 14.4 | 2 | 3 | 14.3 | 2 | 3 | 14.7 | 2 | 5 | -1.2% | -1.6% | 2.3% | 1.9% | ||||||
| RUTLAND REGIONAL MEDICAL CENTER | 14.8 | 2 | 5 | 14.4 | 1 | 2 | 13.5 | 1 | 2 | 13.3 | 1 | 2 | 13.0 | 1 | 2 | -6.0% | -7.5% | -2.6% | -4.2% | ||||||
| SOUTHWESTERN VT MEDICAL CENTER | 20.1 | 3 | 10 | 22.9 | 3 | 13 | 21.4 | 3 | 12 | 21.5 | 3 | 13 | 22.2 | 3 | 12 | -6.6% | -6.0% | 2.9% | 3.5% | ||||||
| OVER 400 BEDS | |||||||||||||||||||||||||
| THE UNIVERSITY OF VERMONT MEDICAL CENTER | 11.4 | 1 | 11.7 | 1 | 10.7 | 1 | 10.9 | 1 | 10.4 | 1 | -8.8% | -7.5% | -3.9% | -2.5% | |||||||||||
| COMPARATIVE DATA | |||||||||||||||||||||||||
| SYSTEM TOTAL OR AVG. - ALL VT HOSPITALS | 13.9 | 14.2 | 13.4 | 13.4 | 13.1 | -6.0% | -5.9% | -2.4% | -2.3% | ||||||||||||||||
| MEDIAN - ALL VERMONT HOSPITALS | 17.5 | 17.9 | 17.9 | 17.5 | 17.0 | 0.1% | -2.3% | -2.5% | -4.8% | ||||||||||||||||
| MEDIAN - CRITICAL ACCESS (CAH) HOSPITALS | 17.5 | 17.9 | 18.3 | 17.5 | 17.5 | 2.5% | -2.4% | 0.0% | -4.7% | ||||||||||||||||
| Report 7 - Financial and Statistical Trends | Cost per Adjusted Admission | ||||||||||||||||||||||||
| Cost per Adjusted Admission | ACTUAL 2015 | ACTUAL 2016 | BUDGET 2017 | PROJECTION 2017 | BUDGET 2018 | PERCENT CHANGE | |||||||||||||||||||
| RANKING | RANKING | RANKING | RANKING | RANKING | 2016A - 2017B | 2016A - 2017P | 2017P - 2018B | 2017B - 2018B | |||||||||||||||||
| CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | CAH | BEDS | STATE | |||||||||||
| 25-99 BEDS | |||||||||||||||||||||||||
| Critical Access Hospitals | COPLEY HOSPITAL | $11,057 | 6 | 8 | 9 | $12,008 | 7 | 9 | 11 | $12,075 | 7 | 9 | 11 | $13,153 | 8 | 10 | 12 | $13,511 | 8 | 10 | 12 | 0.6% | 9.5% | 2.7% | 11.9% |
| GIFFORD MEDICAL CENTER | $10,386 | 5 | 7 | 8 | $10,611 | 5 | 7 | 8 | $10,994 | 6 | 8 | 9 | $10,893 | 5 | 7 | 8 | $11,387 | 5 | 7 | 8 | 3.6% | 2.7% | 4.5% | 3.6% | |
| GRACE COTTAGE HOSPITAL | $ 7,514 | 3 | 3 | 3 | $ 7,367 | 3 | 3 | 3 | $ 7,552 | 3 | 3 | 3 | $ 8,084 | 3 | 3 | 3 | $ 8,212 | 3 | 3 | 3 | 2.5% | 9.7% | 1.6% | 8.7% | |
| MT. ASCUTNEY HOSPITAL & HEALTH CTR | $ 6,273 | 2 | 2 | 2 | $ 7,259 | 2 | 2 | 2 | $ 7,010 | 1 | 1 | 1 | $ 7,502 | 2 | 2 | 2 | $ 7,667 | 2 | 2 | 2 | -3.4% | 3.3% | 2.2% | 9.4% | |
| NORTH COUNTRY HOSPITAL | $ 8,655 | 4 | 4 | 4 | $ 8,963 | 4 | 5 | 6 | $ 9,195 | 4 | 5 | 5 | $ 9,527 | 4 | 5 | 6 | $ 9,688 | 4 | 5 | 6 | 2.6% | 6.3% | 1.7% | 5.4% | |
| NORTHEASTERN VT REGIONAL HOSPITAL | $12,263 | 8 | 10 | 12 | $10,947 | 6 | 8 | 9 | $10,903 | 5 | 7 | 8 | $11,794 | 6 | 8 | 10 | $12,217 | 6 | 8 | 10 | -0.4% | 7.7% | 3.6% | 12.1% | |
| PORTER MEDICAL CENTER | $11,791 | 7 | 9 | 11 | $12,172 | 8 | 10 | 12 | $12,420 | 8 | 10 | 12 | $12,755 | 7 | 9 | 11 | $12,844 | 7 | 9 | 11 | 2.0% | 4.8% | 0.7% | 3.4% | |
| SPRINGFIELD HOSPITAL | $ 6,158 | 1 | 1 | 1 | $ 5,636 | 1 | 1 | 1 | $ 7,216 | 2 | 2 | 2 | $ 6,069 | 1 | 1 | 1 | $ 6,861 | 1 | 1 | 1 | 28.0% | 7.7% | 13.0% | -4.9% | |
| BRATTLEBORO MEMORIAL HOSPITAL | $ 9,021 | 6 | 6 | $ 9,285 | 6 | 7 | $ 9,626 | 6 | 7 | $ 9,591 | 6 | 7 | $10,601 | 6 | 7 | 3.7% | 3.3% | 10.5% | 10.1% | ||||||
| NORTHWESTERN MEDICAL CENTER | $ 8,822 | 5 | 5 | $ 8,739 | 4 | 5 | $ 8,911 | 4 | 4 | $ 8,798 | 4 | 4 | $ 8,843 | 4 | 4 | 2.0% | 0.7% | 0.5% | -0.8% | ||||||
| 100-249 BEDS | |||||||||||||||||||||||||
| CENTRAL VERMONT MEDICAL CENTER | $11,217 | 2 | 10 | $11,405 | 2 | 10 | $11,032 | 2 | 10 | $11,393 | 2 | 9 | $11,581 | 2 | 9 | -3.3% | -0.1% | 1.6% | 5.0% | ||||||
| RUTLAND REGIONAL MEDICAL CENTER | $13,552 | 3 | 13 | $13,611 | 3 | 13 | $14,280 | 3 | 13 | $14,793 | 3 | 13 | $15,254 | 3 | 13 | 4.9% | 8.7% | 3.1% | 6.8% | ||||||
| SOUTHWESTERN VT MEDICAL CENTER | $ 9,339 | 1 | 7 | $ 8,705 | 1 | 4 | $ 9,292 | 1 | 6 | $ 9,294 | 1 | 5 | $ 9,422 | 1 | 5 | 6.7% | 6.8% | 1.4% | 1.4% | ||||||
| OVER 400 BEDS | |||||||||||||||||||||||||
| THE UNIVERSITY OF VERMONT MEDICAL CENTER | $17,036 | 14 | $16,897 | 14 | $18,978 | 14 | $19,021 | 14 | $19,605 | 14 | 12.3% | 12.6% | 3.1% | 3.3% | |||||||||||
| COMPARATIVE DATA | |||||||||||||||||||||||||
| SYSTEM TOTAL OR AVG. - ALL VT HOSPITALS | $13,305 | $13,312 | $14,241 | $14,458 | $14,887 | 7.0% | 8.6% | 3.0% | 4.5% | ||||||||||||||||
| MEDIAN - ALL VERMONT HOSPITALS | $ 9,863 | $ 9,948 | $10,264 | $10,242 | $10,994 | 3.2% | 3.0% | 7.3% | 7.1% | ||||||||||||||||
| MEDIAN - CRITICAL ACCESS (CAH) HOSPITALS | $ 9,521 | $ 9,787 | $10,049 | $10,210 | $10,537 | 2.7% | 4.3% | 3.2% | 4.9% | ||||||||||||||||
Source: GMCB 7.27.2017