Memorial Hospital of Converse County
Financial and Statistical Packet
Table of Contents - October 31, 2015
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
Oct. 2015
Admissions
120
100
80
60
40
20
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Nov.
81
81
59
Dec.
86
81
63
Jan.
83
81
77
Feb.
79
81
63
Mar.
61
81
78
Apr.
67
81
89
Current 12 mo. avg. = 81
May
80
81
92
June
103
81
100
July
90
87
89
Aug
80
87
85
Sep
89
87
94
Oct
78
87
70
Previous 12 mo. avg. = 80
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.
Nov.
6.83
6.84
4.17
Dec.
6.29
6.84
5.10
Jan.
7.32
6.84
7.32
Feb.
8.14
6.84
6.14
Mar.
5.00
6.84
6.48
Apr.
6.50
6.84
8.03
Curr. 12 mo. avg. = 6.99
May
6.74
6.84
9.42
June
7.67
6.84
7.70
July
8.52
7.32
9.23
Aug
6.45
7.32
7.58
Sep
7.77
7.32
7.23
Oct
6.68
7.32
6.61
Prev. 12 mo. avg. = 7.08
Page 1
Memorial Hospital of Converse County
(FY 2016) Average Floor Census Breakdown
Oct. 2015
(FY 2016) Average Floor Census Breakdown
14.00
12.00
1.55
10.00
1.67
1.42
2.29
8.00
0.70
1.77
1.58
0.78
0.45
0.55
6.00
4.00
8.52
7.77
7.36
6.68
6.45
2.00
0.00
SB
OBS
IP
Jul.
Aug.
Sep.
Oct.
1.55
1.42
8.52
2.29
0.55
6.45
1.67
0.70
7.77
1.58
0.45
6.68
Nov.
Dec.
Jan.
Feb.
Mar.
Apr.
May
June
Average
1.77
0.78
7.36
IP
OBS
SB
Page 2
Memorial Hospital of Converse County
Average Monthly Inpatient Admissions by Physician
Oct. 2015
Average Monthly Inpatient Admissions by Physician Based on Previous 12 Months
40.00
35.00
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
Oct. 2015
Average Length of Stay by Physician for Fiscal Year 2016
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
1.00
1.00
2.00
3.23
2.33
0.00
2.00
2.00
1.00
1.00
1.81
0.00
2.33
2.50
YTD FY 2016 Avg. Length of Stay 0.00
1.48
1.88
1.67
3.36
1.58
1.00
2.13
3.34
1.25
1.19
1.98
0.00
2.06
2.44
Page 4
Memorial Hospital of Converse County
Payor Mix Comparisons and ER Visits
Oct. 2015
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.
Nov.
546
477
384
Dec.
525
477
371
Jan.
440
477
447
Feb.
490
477
393
Mar.
561
477
429
Apr.
491
477
474
Curr. 12 mo. avg. = 526
May
479
477
582
June
553
477
565
July
579
569
626
Aug
580
569
703
Sep
559
569
661
Oct
511
569
503
Prev. 12. mo. avg. = 512
Page 5
Memorial Hospital of Converse County
Total Surgeries and Orthopedic Surgeries
Oct. 2015
Total Surgeries
140
120
100
80
60
40
20
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Nov.
89
105
94
Dec.
127
105
119
Jan.
82
105
93
Feb.
97
105
94
Mar.
66
105
77
Apr.
92
105
100
May
101
105
88
Current 12 mo. avg. = 99
June
103
105
98
July
105
100
83
Aug
100
100
88
Sep
109
100
85
Oct
121
100
110
Previous 12 mo. avg. = 94
Orthopedic Surgeries
60
50
40
30
20
10
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Nov.
46
52
56
Dec.
47
52
53
Jan.
30
52
37
Feb.
37
52
42
Mar.
28
52
40
Apr.
40
52
39
Curr. 12 mo. avg. = 43
May
44
52
49
June
48
52
37
July
55
41
43
Aug
35
41
28
Sep
54
41
36
Oct
51
41
37
Prev. 12 mo. avg. = 41
Page 6
Memorial Hospital of Converse County
General and OB/GYN Surgeries
Oct. 2015
General Surgeries
35
30
25
20
15
10
5
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Nov.
23
24
16
Dec.
32
24
22
Jan.
21
24
28
Feb.
26
24
25
Mar.
17
24
20
Apr.
16
24
22
May
25
24
22
Curr. 12 mo. avg. = 23
June
18
24
24
July
23
24
23
Aug
25
24
26
Sep
23
24
24
Oct
22
24
29
Prev. 12 mo. avg. = 23
OB/GYN Surgeries
14
12
10
8
6
4
2
0
Nov.
Dec.
Jan.
Feb.
Mar.
Apr.
Curr. 12 mo. avg. = 11
Curr. 12 mo.
May
June
July
Aug
Sep
Oct
Prev. 12 mo. avg. = 9
Current Budget
Prev. 12 mo.
Page 7
Memorial Hospital of Converse County
Procedure Core Visits
Oct. 2015
Procedure Core Visits
70
60
50
40
30
20
10
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Nov.
38
49
50
Dec.
60
49
61
Jan.
34
49
41
Feb.
41
49
49
Mar.
46
49
64
Apr.
55
49
37
May
54
49
45
June
53
49
41
Curr. 12 mo. avg. = 49
July
56
49
47
Aug
40
49
44
Sep
58
49
34
Oct
53
49
55
Prev. 12 mo. avg. = 47
Procedure Core Visit Types
70
60
50
40
42
32
27
37
34
29
40
30
20
26
23
32
29
10
22
18
6
0
32
Nov.
Curr. 12 mo. Scopes
32
Curr. 12 mo. Minor Procedures
6
15
14
15
Feb.
26
15
Mar.
32
14
Apr.
40
15
26
22
17
21
24
5
Dec.
42
18
Jan.
29
5
May
32
22
June
27
26
July
34
22
Aug
23
17
Sep
37
21
Oct
29
24
Page 8
Memorial Hospital of Converse County
Mammography Exams
Oct. 2015
Mammography Exams
140
120
100
80
60
40
20
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Nov.
81
94
117
Dec.
92
94
95
Jan.
70
94
93
Feb.
95
94
96
Mar.
85
94
102
Apr.
81
94
90
Curr. 12 mo. avg. = 94
May
72
94
90
June
97
94
82
July
103
93
95
Aug
122
93
96
Sep
108
93
92
Oct
126
93
112
Prev. 12 mo. avg. = 97
Page 9
Memorial Hospital of Converse County
MRI & Cat Scans
Oct. 2015
MRI Exams
140
120
100
80
60
40
20
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Nov.
79
84
96
Dec.
97
84
83
Jan.
80
84
90
Feb.
91
84
70
Mar.
95
84
94
Apr.
100
84
76
Curr. 12 mo. avg. = 99
May
102
84
88
June
105
84
97
July
107
99
105
Aug
95
99
82
Sep
115
99
94
Oct
118
99
93
Prev. 12 mo. avg. = 89
CT Exams
300
250
200
150
100
50
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Nov.
176
201
174
Dec.
247
201
155
Jan.
211
201
189
Feb.
228
201
152
Mar.
201
201
158
Apr.
220
201
181
Curr. 12 mo. avg. = 226
May
174
201
195
June
279
201
164
July
241
237
214
Aug
235
237
253
Sep
254
237
242
Oct
242
237
201
Prev. 12 mo. avg. = 190
Page 10
Memorial Hospital of Converse County
Nuclear Med and Ultrasound Exams
Oct. 2015
Nuclear Medicine Exams
45
40
35
30
25
20
15
10
5
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Nov.
13
25
19
Dec.
32
25
13
Jan.
32
25
26
Feb.
26
25
20
Mar.
24
25
25
Apr.
19
25
28
May
25
25
36
Curr. 12 mo. avg = 26
June
22
25
36
July
39
27
38
Aug
24
27
30
Sep
31
27
27
Oct
30
27
38
Sep
167
202
206
Oct
214
202
198
Prev. 12 mo. avg. = 28
Ultrasound Exams
250
200
150
100
50
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Nov.
144
176
148
Dec.
190
176
191
Jan.
186
176
149
Feb.
169
176
140
Mar.
177
176
192
Apr.
221
176
204
Curr. 12 mo. avg. = 186
May
191
176
224
June
196
176
199
July
204
202
214
Aug
177
202
228
Prev. 12 mo. avg. = 191
Page 11
Memorial Hospital of Converse County
Lab Procedures and Other X-Ray Exams
Oct. 2015
Lab Procedures
45,000
40,000
35,000
30,000
25,000
20,000
15,000
10,000
5,000
0
Nov.
Dec.
Jan.
Feb.
Mar.
Apr.
May
June
July
Aug
Sep
Oct
Curr. 12 mo.
26,829 29,939 29,174 30,794 29,041 29,470 24,854 34,102 33,960 32,375 33,895 34,186
Current Budget 29,531 29,531 29,531 29,531 29,531 29,531 29,531 29,531 32,981 32,981 32,981 32,981
Prev. 12 mo.
21,915 22,361 25,973 22,836 27,622 38,230 30,980 29,091 32,256 40,728 34,548 33,336
Curr. 12 mo. avg. = 30,718
Prev. 12 mo. avg. = 29,990
Total Other X-Ray Exams
700
600
500
400
300
200
100
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Nov.
450
483
399
Dec.
503
483
355
Jan.
531
483
499
Feb.
509
483
437
Mar.
442
483
505
Apr.
588
483
559
Curr. 12 mo. avg. = 555
May
537
483
602
June
597
483
486
July
641
575
625
Aug
619
575
624
Sep
614
575
598
Oct
634
575
598
Prev. 12 mo. avg. = 524
Page 12
Memorial Hospital of Converse County
Newborns and Net A/R Days
Oct. 2015
Newborns
25
20
15
10
5
0
Curr. 12 mo.
Current Budget
Prev. 12 mo.
Nov.
15
15
12
Dec.
17
15
12
Jan.
19
15
12
Feb.
14
15
12
Mar.
11
15
17
Apr.
9
15
16
May
16
15
12
Curr. 12 mo. avg. = 15
June
22
15
19
July
15
16
14
Aug
17
16
12
Sep
20
16
14
Oct
10
16
8
Sep
61.35
55.00
69.98
Oct
62.10
55.00
67.01
Prev. 12 mo. avg. = 13
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
Nov.
Curr. 12 mo.
69.09
Current Budget 53.00
Prev. 12 mo.
55.62
Dec.
64.15
53.00
53.61
Jan.
58.68
53.00
57.25
Feb.
64.29
53.00
54.43
Mar.
63.76
53.00
53.54
Apr.
64.67
53.00
61.17
May
69.70
53.00
65.31
Curr. 12 mo. avg. = 63.39
June
62.80
53.00
71.01
July
60.41
55.00
63.76
Aug
59.70
55.00
67.46
Prev. 12 mo. avg. = 61.68
Page 13
Memorial Hospital of Converse County
Respiratory and EKG Procedures
Oct. 2015
Respiratory Procedures
4500
4000
3500
3000
2500
2000
1500
1000
500
0
Nov.
Dec.
Jan.
Feb.
Mar.
Apr.
May
June
July
Aug
Sep
Current 12 mo. Avg = 3,450
Previous 12 mo. Avg. = 3,269
Curr. 12 mo.
Current Budget
Oct
Prev. 12 mo.
EKG Procedures
500
450
400
350
300
250
200
150
100
50
0
Nov.
Dec.
Jan.
Feb.
Mar.
Current 12 mo. Avg. = 354
Curr. 12 mo.
Apr.
May
June
July
Aug
Sep
Oct
Previous 12 mo. Avg. = 369
Current Budget
Prev. 12 mo.
Page 14
Memorial Hospital of Converse County
Hospital Patient Revenues
Oct. 2015
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.
Nov.
6,214,322
Dec.
6,623,555
Jan.
5,752,805
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
Current Budget
5,522,325
5,344,304
5,522,322
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
Prev. 12 mo.
3,832,418
4,681,439
5,037,823
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
Curr. 12 mo. avg. = $6,408,908
Prev. 12 mo. avg. = $5,508,405
Page 15
Memorial Hospital of Converse County
Income Statement Summary
Budget Variance Report
Current Month
Year to Date
Oct. 2015
Budget
Variance
Amount
$1,960,387
4,094,690
1,557,783
$7,612,860
$1,705,800
3,322,681
1,385,494
$6,413,975
$254,587
772,009
172,289
$1,198,885
560,288
424,259
127,772
731,670
153,447
$1,997,435
515,948
317,269
55,163
556,614
150,320
$1,595,314
5,615,425
October
Prior Year YTD
YTD Thru
Oct. 2015
YTD
Budget
Variance
Amount
YTD Thru
Oct. 2014
Change From
Prior YTD
Patient Revenue
Inpatient
Outpatient
Physician Clinics
Total Patient Revenue
$7,425,443
15,881,618
5,583,734
$28,890,796
$6,823,198
13,290,728
5,541,977
$25,655,903
$602,245
2,590,890
41,757
$3,234,893
$6,822,943
12,301,403
6,305,920
$25,430,266
$602,500
3,580,215
(722,186)
$3,460,530
44,340
106,990
72,609
175,056
3,127
$402,121
Deductions From Revenue
Medicare
Medicaid
Worker's Compensation
Other Contractuals
Other
Total Deductions
2,383,342
1,453,941
445,620
2,446,940
604,896
$7,334,739
2,063,794
1,269,062
220,652
2,226,453
601,298
$6,381,259
319,548
184,879
224,968
220,487
3,598
$953,480
2,236,557
825,437
417,994
1,799,398
545,748
$5,825,134
146,785
628,504
27,626
647,542
59,148
$1,509,605
4,818,661
796,764
Net Patient Revenue
21,556,056
19,274,644
2,281,412
19,605,132
1,950,924
97,294
$5,712,719
90,260
$4,908,921
7,034
$803,798
Other Operating Revenue
Total Operating Revenue
293,085
$21,849,142
361,035
$19,635,679
(67,950)
$2,213,463
449,446
$20,054,578
(156,361)
$1,794,564
2,470,225
793,885
694,820
67,341
84,374
2,500
32,165
98,201
24,823
12,552
32,616
137,321
32,924
53,013
373,598
626,804
$5,537,160
2,203,048
494,230
462,495
99,715
80,843
2,500
20,011
108,233
38,833
16,667
62,908
122,278
35,584
47,973
425,792
522,586
$4,743,696
267,177
299,655
232,325
(32,374)
3,531
0
12,154
(10,032)
(14,010)
(4,115)
(30,292)
15,043
(2,660)
5,040
(52,194)
104,218
$793,464
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
9,512,732
2,372,297
2,351,673
321,934
378,722
1,140
112,461
446,575
99,191
51,190
206,211
531,525
133,458
204,435
1,469,399
2,432,645
$20,625,587
8,812,193
1,976,919
1,849,998
398,855
323,348
10,000
80,010
432,934
155,333
66,667
251,640
489,106
142,334
191,902
1,703,168
2,090,342
$18,974,749
700,539
395,378
501,675
(76,921)
55,374
(8,860)
32,451
13,641
(56,142)
(15,477)
(45,429)
42,419
(8,876)
12,533
(233,769)
342,303
$1,650,838
9,264,062
2,002,429
2,014,502
348,321
341,895
2,811
69,845
376,881
187,161
173,661
199,331
577,568
136,596
197,018
1,600,116
1,506,952
$18,999,149
248,670
369,868
337,171
(26,387)
36,827
(1,671)
42,616
69,694
(87,970)
(122,471)
6,880
(46,043)
(3,138)
7,417
(130,717)
925,693
$1,626,438
175,559
165,225
10,334
Operating Income (Loss)
1,223,554
660,930
562,624
1,055,429
106,493
45,000
12,013
105,000
45,000
31,833
1,493
0
(19,820)
Non-Operating Revenue
County - Indigent Care Reimbursement
County - Ambulance Reimbursement
Other Non-Operating
437,750
180,000
169,719
420,000
180,000
127,333
17,750
0
42,386
350,000
300,000
119,107
0
$339,065
0
$347,058
0
($7,993)
Non-Operating Expense
Net Income/(Loss)
0
$2,011,023
0
$1,388,263
0
$622,760
0
$1,824,536
168,125
87,750
(120,000)
50,612
0
$186,487
Page 16
Memorial Hospital of Converse County
Financial and Statistical Highlights
Oct. 2015
Page #
Patient Volumes
IP Daily Census……….
Surgeries……………. ..
Radiology Exams………
Laboratory Tests……. ..
Emer. Rm. Visits………
At 6.68 up 0.07 from October 2014 - down 1.09 from September 2015
At 121 up 11 from October 2014 - up 2 from September 2015
At 1,364 up 124 from October 2014 - up 75 from September 2015
At 34,186 up 850 from October 2014 - up 291 from September 2015
At 511 up 8 from October 2014 - down 48 from September 2015
1-2
6-7
9-12
12
5
Income Statement
Gross Patient Revenue for the month was $7,612,000 compared to $6,384,088 last October and
$7,670,000 last month. Net Income for October is $339,000 compared to $266,947 last year
and $598,000 last month.
15
Monthly Revenue - over budget by $1,198,000
The departments that are under budget by $10,000 or more are as follows:
Obstetrics - 34,000
Swing Bed - 10,000
OTRHC - 12,000
Ambulance - 14,000
Radiologists - 29,000
Monitored Bed - 24,000
Deductions From Revenue - Over budget by $402,000
Monthly Expense Variances - Over budget by $793,000
Salaries & Wages - 267,000
Benefits - 300,000
Supplies - 232,000
Med/Surg - 19,000
Nuc Med Drugs - 25,000
Lab - 9,000
Pharmacy Drugs - 40,000
Podiatry - 3,600
Surgery - 125,000
MOB - 11,000
Purchased Services - 15,000
Administration - 6,000
Facilities - 8,000
Employee Engagement Committee - 6,000
Utilities - 5,000
Electricity - 3,000
Water - 3,000
Indigent Care - 40,000
Increased Bad Debt
Other - 3,500
PR Advertising - 15,000
Travel & Education - 12,000
Ambulance - 2,000
Ortho - 9,000
Podiatry - 1,000
Administration - 2,000
Facilities - 1,700
Education - 2,100
Cash Status
Cash balances as of October 31, 2015 are $11,320,485.
This equates to 72 days of expenses on hand.
Accounts Receivable
Net Accounts Receivable days are at 62.10 days for the end of October compared to 67.01 last year
and 61.35 last month.
Page 17
Memorial Hospital of Converse County
Statistics
For The Period Ended October 31, 2015
Monthly
Oct 2015
Oct 2014
Variance From
Prior October
Year to Date
Budget
Variance
Amount
%
78
2
70
6
8
(4)
74
5
4
(3)
80
76
4
79
1
207
49
205
93
2
(44)
226
74
(19)
(25)
256
298
(42)
300
10
15
8
13
2
2
121
110
3,552
511
YTD Thru
Oct 2014
Variance From
Prior YTD
YTD Budget
Variance
Amt.
%
A & P Admissions - Regular
-Swing Bed
337
16
338
20
(1)
(4)
296
20
41
(4)
13.9%
-20.0%
Total A & P Admissions
353
358
(5)
316
37
11.7%
-8.4%
-33.8%
A & P Patient Days - Regular
-Swing Bed
904
218
943
267
(39)
(49)
904
296
0
(78)
0.0%
-26.4%
(44)
-14.7%
Total A & P Patient Days
1,122
1,210
(88)
1,200
(78)
-6.5%
16
26
(6)
(11)
-37.5%
-42.3%
Newborn - Admissions
-Patients Days
62
103
48
85
14
18
64
104
(2)
(1)
-3.1%
-1.0%
11
98
23
23.5%
Surgeries
435
366
69
392
43
11.0%
3,369
503
183
8
3,478
576
74
(65)
2.1%
-11.3%
Outpatient Registrations
ER Registrations
13,592
2,229
13,271
2,493
321
(264)
13,912
2,304
(320)
(75)
-2.3%
-3.3%
4,063
3,872
191
4,054
9
0.2%
Total Registrations
15,821
15,764
57
16,216
(395)
-2.4%
330
324
6
333
(3)
-1.0%
327
323
4
333
(6)
-1.9%
Financial Ratios
Days Cash on Hand
Oct. 2015
Oct. 2014
72
YTD
91
N/A
5.4%
-60.0%
YTD Thru
Oct 2015
1.3%
US
69
FTEs
WY
Misc. Measurements
107 Total Revenue per FTE
YTD - 16
$262,644
YTD - 15
$236,194
Variance From
Prior Year
$26,450
WY
$145,000
Variance
From WY
$117,644
Operating Margin
5.60%
2.04%
6.49%
0.99%
0.77% Contractual Deductions
25.39%
22.91%
2.48%
26.70%
-1.31%
Net Margin
9.20%
5.20%
10.36%
2.51%
6.79% Inpatient Revenue %
31.86%
35.68%
-3.82%
31.41%
0.45%
Current Ratio
4.72
4.35
68.14%
64.32%
3.82%
66.90%
1.24%
64.46
62.10
74.42
67.01
Gross A/R Days
Net A/R Days
FTEs per Adjusted Occupied Bed - Excluding MOB
N/A
2.29
3.89 Outpatient Revenue %
Average Length of Stay
10.49
54.20
57.94
With MOB
11.39
2.67
3.24
(0.57)
Medicare Inp. Payer Mix
33.16%
34.02%
-0.86%
Average I/P Daily Census
7.35
6.61
Salaries to Total Expense
46.12%
48.76%
-2.64%
Benefits as % of Salaries
24.94%
21.62%
3.32%
0.74
3.30
31.00%
3.50
(0.63)
2.16%
3.85
Medicare Rural Hospital Flexibility Program Monitoring Team - US CAH Median-2013
46.32%
-0.20%
Medicare Rural Hospital Flexibility Program Monitoring Team -WY CAH Medium-2013
Page 18
Memorial Hospital of Converse County
Balance Sheet
October 31, 2015
October
2015
October
2014
$3,703,815
104,257
$3,808,072
$2,879,946
1,701,948
$4,581,894
0
0
7,500,000
12,413
0
$7,512,413
626,261
531,337
5,000,000
12,413
2,261,272
$8,431,283
Accounts Receivable (Gross)
Uncollectable Accts. & Contratual. Adj.
Net Patient Accounts
15,564,417
(4,173,292)
$11,391,125
15,387,251
(4,767,444)
$10,619,807
Due From Physicians
Inventories Of Supplies
Other Current Assets
Total Current Assets
107,942
991,458
3,865,615
$27,676,625
112,813
1,102,170
4,432,603
$29,280,570
30,568,390
31,406,270
199,449
0
$199,449
301,622
9,941
$311,563
$58,444,464
$60,998,403
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
1,888,046
0
2,026,325
788,856
144,589
1,000,000
12,413
$5,860,229
1,837,668
308,364
1,809,468
797,349
1,253,146
0
12,413
$6,018,408
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
90,378
(455,014)
0
0
6,500,000
955,166
$7,090,530
6,376,836
83,473
(701,091)
(30,494)
95,000
0
4,979,130
$10,802,854
ASSETS
CURRENT ASSETS
Cash On Hand And In Banks
Certificates Of Deposit - Unrestricted
Total Cash Assets
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
LAND, BUILDING AND EQUIPMENT, net
OTHER ASSETS
Investment - Big Country Rehab
Investment - Powder River Imaging
Total Other Assets
Total Assets
$12,950,759
$16,821,262
43,482,683
2,011,023
42,352,604
1,824,537
Total Fund Balance
$45,493,705
$44,177,141
Total Liabilities And Fund Equity
$58,444,464
$60,998,403
Total Liabilities
FUND EQUITY
Fund Balance
Net Income
Page 19
Cash Flow Statement for October 2015 and FYTD 2016
Cash Flow From Operations
Oct. 2015
FYTD 2016
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
$339,065
$2,011,023
373,598
(582,146)
477,839
46,827
$655,183
1,469,399
(1,732,845)
(1,721)
20,877
$1,766,733
(1,216,638)
0
(1,986,655)
0
(21,726)
(956,793)
($583,181)
($1,176,715)
Cash Flow from Capital Purchases
Equipment, Fixed Assets
Loan Advance
Cash Flow from Financing
Notes Payable
Cash Flow for the Month Ending:
Oct 2015
Page 20