How Much It Costs. An analysis of Daily Medicaid cost data For Tennessee Nursing Homes
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- Edmund Knight
- 7 years ago
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1 How Much It Costs An analysis of Daily Medicaid cost data For Tennessee Nursing Homes
2 This communication is confidential and is not intended for distribution outside the Tennessee Health Care Association. Members are reminded that the data is based on cost reports as filed with the Comptroller s Office.
3 Table of Contents Data Description.. 1 Data for All Facilities.. 2 Data for Governmental and Non-Profit Facilities.. 6 Data for Proprietary Facilities.. 10 Data by Number of Beds. 14 Data by Grand Region 21 Historical Data 31
4 Data Description How Much if Costs is based on Medicaid Level I cost reports that were used to determine nursing home Medicaid rates for the state fiscal year. The data used throughout the report is unadjusted. This means that all costs, including those not allowed for the Medicaid program, are reflected. These non-allowable costs include Comptroller s Office disallowances provider taxes, physical therapy, etc. All tables provide information for each year as follows: (1) Average --- The mean cost per patient day by category of expense. For example, the average dietary expense per patient day for all facilities in 2012 was $ The average housekeeping expense was $5.28. (2) 25 th Percentile --- This represents 25 th percentile of the cost per patient day among all facilities. For example, the 25 th percentile administrative expense per patient day for all facilities in 2012 was $ (3) 50 th Percentile --- This represents the median value of the cost per patient day among all facilities. For example, the 50 th percentile employee benefits expense per patient day for all facilities in 2012 was $ (4) 75 th Percentile --- This represents the 75 th percentile of the cost per patient day among all facilities. For example, the 75 th percentile medical and nursing expense per patient day for all facilities in 2012 was $ P age
5 2 P age DATA FOR ALL FACILITIES
6 All Facilities Unadjusted Per Patient Day Expenses PPD 25th 50th 75th Operating Expense Average Pctl. Pctl. Pctl. 1 Administrative $29.76 $24.13 $30.84 $35.20 Salaries $7.31 Operational Expenses $ Employee Benefits $20.79 $14.31 $18.57 $ Dietary $15.79 $13.52 $14.86 $16.94 Salaries $6.35 Raw Food Costs $6.69 Operational Expenses $ Housekeeping $5.28 $4.29 $5.01 $5.88 Salaries $3.50 Operational Expenses $ Laundry and Linen $2.79 $2.17 $2.75 $3.28 Salaries $1.45 Operational Expenses $ Plant Operation/Maintenance $10.14 $8.39 $9.64 $11.80 Salaries $1.87 Operational Expenses $ Medical and Nursing $70.25 $57.09 $66.25 $76.93 Salaries $58.21 Operational Expenses $ Pharmacy $7.07 $4.46 $6.57 $ Activities $1.96 $1.43 $1.82 $2.30 Salaries $1.65 Operational Expenses $ Social Services $2.01 $1.25 $1.82 $2.68 Salaries $1.86 Operational Expenses $ Physical Therapy $9.44 $5.32 $8.55 $ Medical Records $1.12 $0.63 $1.00 $ Property Expense $14.85 $6.06 $14.58 $ Depreciation, Amortization $4.08 $1.53 $2.87 $ Other Expenses $17.83 $7.86 $16.63 $21.66 Total $ $ $ $ P age
7 EXPENSES PER PATIENT DAY BY COST CATEGORY Depreciation, Amortization, $4.08 Other Expenses, $17.83 Administrative, $29.76 Medical Records, $1.12 Property Expense, $14.85 Social Services, $2.01 Physical Therapy, $9.44 Activities, $1.96 Pharmacy, $7.07 Employee Benefits, $20.79 Dietary, $15.79 Medical and Nursing, $70.25 Housekeeping, $5.28 Laundry and Linen, $2.79 Plant Operation/Maintenance, $10.14 Administrative $29.76 Employee Benefits $20.79 Dietary $15.79 Housekeeping $5.28 Laundry and Linen $2.79 Plant Operation/Maintenance $10.14 Medical and Nursing $70.25 Pharmacy $7.07 Activities $1.96 Social Services $2.01 Physical Therapy $9.44 Medical Records $1.12 Property Expense $14.85 Depreciation, Amortization $4.08 Other Expenses $17.83 Total $ P age
8 PERCENTAGE OF EXPENSES BY COST CATEGORY Depreciation, Amortization, 1.9% Other Expenses, 8.4% Medical Records, 0.5% Property Expense, 7.0% Administrative, 14.0% Social Services, 0.9% Activities, 0.9% Physical Therapy, 4.4% Pharmacy, 3.3% Employee Benefits, 9.8% Dietary, 7.4% Medical and Nursing, 33.0% Housekeeping, 2.5% Laundry and Linen, 1.3% Plant Operation/Maintenance, 4.8% Administrative 14.0% Employee Benefits 9.8% Dietary 7.4% Housekeeping 2.5% Laundry and Linen 1.3% Plant Operation/Maintenance 4.8% Medical and Nursing 33.0% Pharmacy 3.3% Activities 0.9% Social Services 0.9% Physical Therapy 4.4% Medical Records 0.5% Property Expense 7.0% Depreciation, Amortization 1.9% Other Expenses 8.4% Total 100.0% 5 P age
9 6 P age DATA FOR GOVERNMENTAL AND NON-PROFIT FACILITIES
10 Government and Non-Profit Facilities Unadjusted Per Patient Day Expenses PPD 25th 50th 75th Operating Expense Average Pctl. Pctl. Pctl. 1 Administrative $25.34 $17.74 $22.66 $30.53 Salaries $10.13 Operational Expenses $ Employee Benefits $27.39 $15.64 $21.69 $ Dietary $19.61 $16.07 $19.65 $23.12 Salaries $8.09 Raw Food Costs $7.55 Operational Expenses $ Housekeeping $6.43 $5.22 $6.12 $8.58 Salaries $4.71 Operational Expenses $ Laundry and Linen $3.25 $2.24 $3.21 $4.06 Salaries $1.46 Operational Expenses $ Plant Operation/Maintenance $11.58 $8.54 $11.19 $13.36 Salaries $2.41 Operational Expenses $ Medical and Nursing $75.29 $61.47 $70.78 $81.14 Salaries $66.16 Operational Expenses $ Pharmacy $5.58 $0.01 $4.32 $ Activities $2.12 $1.22 $1.78 $2.85 Salaries $1.78 Operational Expenses $ Social Services $1.99 $0.91 $1.99 $2.91 Salaries $1.90 Operational Expenses $ Physical Therapy $9.37 $0.00 $8.54 $ Medical Records $0.86 $0.00 $0.00 $ Property Expense $5.37 $0.21 $1.69 $ Depreciation, Amortization $5.98 $3.20 $5.37 $ Other Expenses $16.25 $6.95 $10.57 $18.37 Total $ $ $ $ P age
11 EXPENSES PER PATIENT DAY BY COST CATEGORY Depreciation, Amortization, $5.98 Property Expense, $5.37 Physical Therapy, $9.37 Social Services, $1.99 Activities, $2.12 Pharmacy, $5.58 Medical Records, $0.86 Other Expenses, $16.25 Administrative, $25.34 Employee Benefits, $27.39 Dietary, $19.61 Medical and Nursing, $75.29 Housekeeping, $6.43 Laundry and Linen, $3.25 Plant Operation/Maintenance, $11.58 Administrative $25.34 Employee Benefits $27.39 Dietary $19.61 Housekeeping $6.43 Laundry and Linen $3.25 Plant Operation/Maintenance $11.58 Medical and Nursing $75.29 Pharmacy $5.58 Activities $2.12 Social Services $1.99 Physical Therapy $9.37 Medical Records $0.86 Property Expense $5.37 Depreciation, Amortization $5.98 Other Expenses $16.25 Total $ P age
12 PERCENTAGE OF EXPENSES BY COST CATEGORY Depreciation, Amortization, 2.8% Property Expense, 2.5% Medical Records, 0.4% Physical Therapy, 4.3% Other Expenses, 7.5% Social Services, 0.9% Activities, 1.0% Pharmacy, 2.6% Administrative, 11.7% Employee Benefits, 12.7% Dietary, 9.1% Medical and Nursing, 34.8% Housekeeping, 3.0% Laundry and Linen, 1.5% Plant Operation/Maintenance, 5.4% Administrative 11.7% Employee Benefits 12.7% Dietary 9.1% Housekeeping 3.0% Laundry and Linen 1.5% Plant Operation/Maintenance 5.4% Medical and Nursing 34.8% Pharmacy 2.6% Activities 1.0% Social Services 0.9% Physical Therapy 4.3% Medical Records 0.4% Property Expense 2.5% Depreciation, Amortization 2.8% Other Expenses 7.5% Total 100.0% 9 P age
13 10 P age DATA FOR PROPRIETARY FACILITIES
14 Proprietary Facilities Unadjusted Per Patient Day Expenses PPD 25th 50th 75th Operating Expense Average Pctl. Pctl. Pctl. 1 Administrative $30.66 $25.49 $31.65 $35.47 Salaries $6.75 Operational Expenses $ Employee Benefits $19.46 $13.97 $18.08 $ Dietary $15.02 $13.31 $14.48 $16.09 Salaries $6.00 Raw Food Costs $6.51 Operational Expenses $ Housekeeping $5.04 $4.24 $4.89 $5.53 Salaries $3.25 Operational Expenses $ Laundry and Linen $2.69 $2.16 $2.69 $3.20 Salaries $1.44 Operational Expenses $ Plant Operation/Maintenance $9.85 $8.14 $9.50 $10.92 Salaries $1.77 Operational Expenses $ Medical and Nursing $69.23 $56.05 $64.41 $76.84 Salaries $56.60 Operational Expenses $ Pharmacy $7.37 $4.74 $6.72 $ Activities $1.93 $1.48 $1.82 $2.27 Salaries $1.62 Operational Expenses $ Social Services $2.02 $1.26 $1.80 $2.66 Salaries $1.86 Operational Expenses $ Physical Therapy $9.46 $5.49 $8.62 $ Medical Records $1.17 $0.71 $1.06 $ Property Expense $16.76 $8.33 $16.61 $ Depreciation, Amortization $3.70 $1.36 $2.62 $ Other Expenses $18.15 $9.51 $17.89 $22.98 Total $ $ $ $ P age
15 EXPENSES PER PATIENT DAY BY COST CATEGORY Depreciation, Amortization, $3.70 Other Expenses, $18.15 Medical Records, $1.17 Social Services, $2.02 Activities, $1.93 Pharmacy, $7.37 Property Expense, $16.76 Physical Therapy, $9.46 Administrative, $30.66 Employee Benefits, $19.46 Dietary, $15.02 Medical and Nursing, $69.23 Housekeeping, $5.04 Laundry and Linen, $2.69 Plant Operation/Maintenance, $9.85 Administrative $30.66 Employee Benefits $19.46 Dietary $15.02 Housekeeping $5.04 Laundry and Linen $2.69 Plant Operation/Maintenance $9.85 Medical and Nursing $69.23 Pharmacy $7.37 Activities $1.93 Social Services $2.02 Physical Therapy $9.46 Medical Records $1.17 Property Expense $16.76 Depreciation, Amortization $3.70 Other Expenses $18.15 Total $ P age
16 PERCENTAGE OF EXPENSES BY COST CATEGORY Depreciation, Amortization, 1.7% Other Expenses, 8.5% Medical Records, 0.6% Property Expense, 7.9% Administrative, 14.4% Social Services, 1.0% Activities, 0.9% Physical Therapy, 4.5% Pharmacy, 3.5% Employee Benefits, 9.2% Dietary, 7.1% Medical and Nursing, 32.6% Housekeeping, 2.4% Laundry and Linen, 1.3% Plant Operation/Maintenance, 4.6% Administrative 14.4% Employee Benefits 9.2% Dietary 7.1% Housekeeping 2.4% Laundry and Linen 1.3% Plant Operation/Maintenance 4.6% Medical and Nursing 32.6% Pharmacy 3.5% Activities 0.9% Social Services 1.0% Physical Therapy 4.5% Medical Records 0.6% Property Expense 7.9% Depreciation, Amortization 1.7% Other Expenses 8.5% Total 100.0% 13 P age
17 14 P age DATA BY NUMBER OF BEDS
18 Number of Beds- Less than 120 Unadjusted Per Patient Day Expenses PPD 25th 50th 75th Operating Expense Average Pctl. Pctl. Pctl. 1 Administrative $31.17 $24.81 $31.72 $36.19 Salaries $7.60 Operational Expenses $ Employee Benefits $19.08 $13.14 $17.84 $ Dietary $16.36 $13.79 $15.21 $17.30 Salaries $6.38 Raw Food Costs $6.36 Operational Expenses $ Housekeeping $5.36 $4.38 $5.15 $6.11 Salaries $3.40 Operational Expenses $ Laundry and Linen $2.93 $2.37 $2.92 $3.41 Salaries $1.40 Operational Expenses $ Plant Operation/Maintenance $10.52 $8.44 $9.77 $12.07 Salaries $1.81 Operational Expenses $ Medical and Nursing $69.38 $56.23 $64.39 $76.34 Salaries $55.63 Operational Expenses $ Pharmacy $6.94 $3.65 $6.45 $ Activities $1.92 $1.41 $1.82 $2.21 Salaries $1.58 Operational Expenses $ Social Services $2.22 $1.37 $2.09 $3.01 Salaries $2.02 Operational Expenses $ Physical Therapy $8.57 $0.00 $8.16 $ Medical Records $1.16 $0.00 $1.07 $ Property Expense $14.88 $6.06 $13.95 $ Depreciation, Amortization $4.60 $1.61 $2.87 $ Other Expenses $17.10 $7.20 $11.33 $20.12 Total $ $ $ $ P age
19 EXPENSES PER PATIENT DAY BY COST CATEGORY Depreciation, Amortization, $4.60 Other Expenses, $17.10 Medical Records, $1.16 Property Expense, $14.88 Administrative, Social Services, $2.22 Activities, $1.92 Physical Therapy, $8.57 Pharmacy, $6.94 Employee Benefits, $19.08 Dietary, $16.36 Medical and Nursing, $69.38 Housekeeping, $5.36 Laundry and Linen, $2.93 Plant Operation/Maintenance, $10.52 Administrative $31.17 Employee Benefits $19.08 Dietary $16.36 Housekeeping $5.36 Laundry and Linen $2.93 Plant Operation/Maintenance $10.52 Medical and Nursing $69.38 Pharmacy $6.94 Activities $1.92 Social Services $2.22 Physical Therapy $8.57 Medical Records $1.16 Property Expense $14.88 Depreciation, Amortization $4.60 Other Expenses $17.10 Total $ P age
20 PERCENTAGE OF EXPENSES BY COST CATEGORY Depreciation, Amortization, 2.17% Other Expenses, 8.06% Medical Records, 0.55% Property Expense, 7.01% Administrative, 14.69% Social Services, 1.05% Physical Therapy, 4.04% Employee Benefits, 8.99% Activities, 0.90% Pharmacy, 3.27% Dietary, 7.71% Medical and Nursing, 32.70% Housekeeping, 2.53% Laundry and Linen, 1.38% Plant Operation/Maintenance, 4.96% Administrative 14.69% Employee Benefits 8.99% Dietary 7.71% Housekeeping 2.53% Laundry and Linen 1.38% Plant Operation/Maintenance 4.96% Medical and Nursing 32.70% Pharmacy 3.27% Activities 0.90% Social Services 1.05% Physical Therapy 4.04% Medical Records 0.55% Property Expense 7.01% Depreciation, Amortization 2.17% Other Expenses 8.06% Total % 17 P age
21 Number of Beds- 120 or More Unadjusted Per Patient Day Expenses PPD 25th 50th 75th Operating Expense Average Pctl. Pctl. Pctl. 1 Administrative $29.03 $23.29 $29.33 $33.99 Salaries $7.17 Operational Expenses $ Employee Benefits $21.68 $15.15 $19.12 $ Dietary $15.49 $13.25 $14.54 $16.57 Salaries $6.33 Raw Food Costs $6.86 Operational Expenses $ Housekeeping $5.23 $4.24 $4.89 $5.64 Salaries $3.55 Operational Expenses $ Laundry and Linen $2.71 $2.08 $2.53 $3.08 Salaries $1.47 Operational Expenses $ Plant Operation/Maintenance $9.94 $8.28 $9.48 $10.87 Salaries $1.91 Operational Expenses $ Medical and Nursing $70.70 $57.92 $67.46 $78.29 Salaries $59.56 Operational Expenses $ Pharmacy $7.13 $4.69 $6.68 $ Activities $1.98 $1.43 $1.80 $2.41 Salaries $1.68 Operational Expenses $ Social Services $1.90 $1.18 $1.66 $2.36 Salaries $1.78 Operational Expenses $ Physical Therapy $9.90 $6.72 $9.67 $ Medical Records $1.10 $0.68 $0.97 $ Property Expense $14.83 $6.06 $15.45 $ Depreciation, Amortization $3.81 $1.38 $2.65 $ Other Expenses $18.24 $8.75 $18.22 $22.71 Total $ $ $ $ P age
22 EXPENSES PER PATIENT DAY BY COST CATEGORY Depreciation, Amortization, $3.81 Other Expenses, $18.24 Medical Records, $1.10 Social Services, $1.90 Activities, $1.98 Physical Therapy, $9.90 Pharmacy, $7.13 Property Expense, $14.83 Administrative, $29.03 Employee Benefits, $21.68 Dietary, $15.49 Medical and Nursing, $70.70 Housekeeping, $5.23 Laundry and Linen, $2.71 Plant Operation/Maintenance, $9.94 Administrative $29.03 Employee Benefits $21.68 Dietary $15.49 Housekeeping $5.23 Laundry and Linen $2.71 Plant Operation/Maintenance $9.94 Medical and Nursing $70.70 Pharmacy $7.13 Activities $1.98 Social Services $1.90 Physical Therapy $9.90 Medical Records $1.10 Property Expense $14.83 Depreciation, Amortization $3.81 Other Expenses $18.24 Total $ P age
23 PERCENTAGE OF EXPENSES BY COST CATEGORY Depreciation, Amortization, 1.78% Other Expenses, 8.54% Medical Records, 0.51% Social Services, 0.89% Activities, 0.93% Physical Therapy, 4.63% Pharmacy, 3.34% Property Expense, 6.94% Administrative, 13.59% Employee Benefits, 10.15% Dietary, 7.25% Medical and Nursing, 33.09% Housekeeping, 2.45% Laundry and Linen, 1.27% Plant Operation/Maintenance, 4.65% Administrative 13.59% Employee Benefits 10.15% Dietary 7.25% Housekeeping 2.45% Laundry and Linen 1.27% Plant Operation/Maintenance 4.65% Medical and Nursing 33.09% Pharmacy 3.34% Activities 0.93% Social Services 0.89% Physical Therapy 4.63% Medical Records 0.51% Property Expense 6.94% Depreciation, Amortization 1.78% Other Expenses 8.54% Total % 20 P age
24 21 P age DATA BY GRAND REGION
25 East Tennessee Region Unadjusted Per Patient Day Expenses PPD 25th 50th 75th Operating Expense Average Pctl. Pctl. Pctl. 1 Administrative $28.75 $23.27 $28.39 $34.55 Salaries $7.16 Operational Expenses $ Employee Benefits $20.64 $14.62 $17.29 $ Dietary $15.47 $13.06 $14.45 $16.62 Salaries $6.18 Raw Food Costs $6.44 Operational Expenses $ Housekeeping $4.96 $4.03 $4.86 $5.51 Salaries $3.55 Operational Expenses $ Laundry and Linen $2.48 $1.87 $2.37 $3.21 Salaries $1.34 Operational Expenses $ Plant Operation/Maintenance $10.21 $8.35 $10.08 $11.64 Salaries $1.75 Operational Expenses $ Medical and Nursing $66.82 $56.05 $62.11 $70.86 Salaries $56.75 Operational Expenses $ Pharmacy $6.76 $4.32 $6.20 $ Activities $1.94 $1.42 $1.80 $2.27 Salaries $1.65 Operational Expenses $ Social Services $1.89 $1.18 $1.49 $2.51 Salaries $1.78 Operational Expenses $ Physical Therapy $9.56 $5.84 $9.07 $ Medical Records $1.15 $0.63 $0.97 $ Property Expense $15.28 $6.06 $15.29 $ Depreciation, Amortization $3.94 $1.38 $2.58 $ Other Expenses $18.83 $8.70 $17.99 $22.83 Total $ $ $ $ P age
26 EXPENSES PER PATIENT DAY BY COST CATEGORY Depreciation, Amortization, $3.94 Other Expenses, $18.83 Medical Records, $1.15 Social Services, $1.89 Activities, $1.94 Pharmacy, $6.76 Property Expense, $15.28 Physical Therapy, $9.56 Administrative, $28.75 Employee Benefits, $20.64 Dietary, $15.47 Medical and Nursing, $66.82 Housekeeping, $4.96 Laundry and Linen, $2.48 Plant Operation/Maintenance, $10.21 Administrative $28.75 Employee Benefits $20.64 Dietary $15.47 Housekeeping $4.96 Laundry and Linen $2.48 Plant Operation/Maintenance $10.21 Medical and Nursing $66.82 Pharmacy $6.76 Activities $1.94 Social Services $1.89 Physical Therapy $9.56 Medical Records $1.15 Property Expense $15.28 Depreciation, Amortization $3.94 Other Expenses $18.83 Total $ P age
27 PERCENTAGE OF EXPENSES BY COST CATEGORY Depreciation, Amortization, 1.9% Other Expenses, 9.0% Medical Records, 0.6% Property Expense, 7.3% Social Services, 0.9% Activities, 0.9% Physical Therapy, 4.6% Pharmacy, 3.2% Administrative, 13.8% Employee Benefits, 9.9% Dietary, 7.4% Medical and Nursing, 32.0% Housekeeping, 2.4% Laundry and Linen, 1.2% Plant Operation/Maintenance, 4.9% Administrative 13.8% Employee Benefits 9.9% Dietary 7.4% Housekeeping 2.4% Laundry and Linen 1.2% Plant Operation/Maintenance 4.9% Medical and Nursing 32.0% Pharmacy 3.2% Activities 0.9% Social Services 0.9% Physical Therapy 4.6% Medical Records 0.6% Property Expense 7.3% Depreciation, Amortization 1.9% Other Expenses 9.0% Total % 24 P age
28 Middle Tennessee Region Unadjusted Per Patient Day Expenses PPD 25th 50th 75th Operating Expense Average Pctl. Pctl. Pctl. 1 Administrative $28.72 $23.47 $29.33 $34.55 Salaries $7.44 Operational Expenses $ Employee Benefits $21.74 $14.66 $17.92 $ Dietary $16.24 $14.12 $15.19 $17.07 Salaries $6.95 Raw Food Costs $7.21 Operational Expenses $ Housekeeping $5.60 $4.45 $4.91 $6.18 Salaries $3.90 Operational Expenses $ Laundry and Linen $3.05 $2.34 $2.84 $3.31 Salaries $1.65 Operational Expenses $ Plant Operation/Maintenance $10.56 $8.60 $9.65 $11.47 Salaries $2.06 Operational Expenses $ Medical and Nursing $73.51 $61.00 $67.46 $83.91 Salaries $59.24 Operational Expenses $ Pharmacy $7.61 $4.77 $6.43 $ Activities $2.05 $1.50 $1.85 $2.40 Salaries $1.75 Operational Expenses $ Social Services $2.23 $1.42 $2.02 $3.00 Salaries $2.00 Operational Expenses $ Physical Therapy $11.27 $6.51 $7.80 $ Medical Records $1.31 $0.74 $1.27 $ Property Expense $14.60 $7.46 $14.43 $ Depreciation, Amortization $4.46 $1.86 $3.51 $ Other Expenses $16.54 $7.34 $12.64 $20.86 Total $ $ $ $ P age
29 EXPENSES PER PATIENT DAY BY COST CATEGORY Depreciation, Amortization, $4.46 Other Expenses, $16.54 Medical Records, $1.31 Property Expense, $14.60 Administrative, $28.72 Social Services, $2.23 Activities, $2.05 Physical Therapy, $11.27 Pharmacy, $7.61 Employee Benefits, $21.74 Dietary, $16.24 Medical and Nursing, $73.51 Housekeeping, $5.60 Laundry and Linen, $3.05 Plant Operation/Maintenance, $10.56 Administrative $28.72 Employee Benefits $21.74 Dietary $16.24 Housekeeping $5.60 Laundry and Linen $3.05 Plant Operation/Maintenance $10.56 Medical and Nursing $73.51 Pharmacy $7.61 Activities $2.05 Social Services $2.23 Physical Therapy $11.27 Medical Records $1.31 Property Expense $14.60 Depreciation, Amortization $4.46 Other Expenses $16.54 Total $ P age
30 PERCENTAGE OF EXPENSES BY COST CATEGORY Depreciation, Amortization, 2.0% Other Expenses, 7.5% Medical Records, Property Expense, 6.7% 0.6% Social Services, 1.1% Physical Therapy, 5.1% Activities, 0.9% Pharmacy, 3.5% Administrative, 13.1% Employee Benefits, 9.9% Dietary, 7.4% Medical and Nursing, 33.5% Housekeeping, 2.6% Laundry and Linen, 1.4% Plant Operation/Maintenance, 4.8% Administrative 13.1% Employee Benefits 9.9% Dietary 7.4% Housekeeping 2.6% Laundry and Linen 1.4% Plant Operation/Maintenance 4.8% Medical and Nursing 33.5% Pharmacy 3.5% Activities 0.9% Social Services 1.1% Physical Therapy 5.1% Medical Records 0.6% Property Expense 6.7% Depreciation, Amortization 2.0% Other Expenses 7.5% Total 100.0% 27 P age
31 28 P age West Tennessee Region Unadjusted Per Patient Day Expenses PPD 25th 50th 75th Operating Expense Average Pctl. Pctl. Pctl. 1 Administrative $32.48 $26.31 $32.69 $36.05 Salaries $7.40 Operational Expenses $ Employee Benefits $19.94 $13.53 $16.84 $ Dietary $15.76 $13.52 $14.86 $16.44 Salaries $5.93 Raw Food Costs $6.47 Operational Expenses $ Housekeeping $5.38 $4.34 $5.29 $6.13 Salaries $2.96 Operational Expenses $ Laundry and Linen $2.96 $2.49 $2.89 $3.41 Salaries $1.37 Operational Expenses $ Plant Operation/Maintenance $9.55 $8.20 $9.21 $10.62 Salaries $1.85 Operational Expenses $ Medical and Nursing $71.72 $55.99 $68.36 $78.78 Salaries $59.25 Operational Expenses $ Pharmacy $6.92 $4.18 $6.94 $ Activities $1.89 $1.36 $1.76 $2.17 Salaries $1.53 Operational Expenses $ Social Services $1.94 $1.34 $1.87 $2.46 Salaries $1.84 Operational Expenses $ Physical Therapy $7.19 $0.00 $7.25 $10.96 $0.23 $0.77 $ Medical Records $0.85 $0.74 $1.27 $ Property Expense $14.48 $4.88 $11.86 $ Depreciation, Amortization $3.87 $1.22 $2.64 $ Other Expenses $17.80 $7.49 $13.05 $20.38 Total $ $ $ $217.72
32 EXPENSES PER PATIENT DAY BY COST CATEGORY Medical Records, $0.85 Physical Therapy, $7.19 Social Services, $1.94 Depreciation, Amortization, $3.87 Property Expense, $14.48 Other Expenses, $17.80 Administrative, $32.48 Activities, $1.89 Pharmacy, $6.92 Employee Benefits, $19.94 Dietary, $15.76 Medical and Nursing, $71.72 Housekeeping, $5.38 Laundry and Linen, $2.96 Plant Operation/Maintenance, $9.55 Administrative $32.48 Employee Benefits $19.94 Dietary $15.76 Housekeeping $5.38 Laundry and Linen $2.96 Plant Operation/Maintenance $9.55 Medical and Nursing $71.72 Pharmacy $6.92 Activities $1.89 Social Services $1.94 Physical Therapy $7.19 Medical Records $0.85 Property Expense $14.48 Depreciation, Amortization $3.87 Other Expenses $17.80 Total $ P age
33 PERCENTAGE OF EXPENSES BY COST CATEGORY Medical Records, 0.4% Physical Therapy, 3.4% Social Services, 0.9% Activities, 0.9% Depreciation, Amortization, 1.8% Pharmacy, 3.3% Property Expense, 6.8% Other Expenses, 8.4% Administrative, 15.3% Employee Benefits, 9.4% Dietary, 7.4% Medical and Nursing, 33.7% Housekeeping, 2.5% Laundry and Linen, 1.4% Plant Operation/Maintenance, 4.5% Administrative 15.3% Employee Benefits 9.4% Dietary 7.4% Housekeeping 2.5% Laundry and Linen 1.4% Plant Operation/Maintenance 4.5% Medical and Nursing 33.7% Pharmacy 3.3% Activities 0.9% Social Services 0.9% Physical Therapy 3.4% Medical Records 0.4% Property Expense 6.8% Depreciation, Amortization 1.8% Other Expenses 8.4% Total 100.0% 30 P age
34 31 P age HISTORICAL DATA
35 All Facilities Unadjusted Per Patient Day Expenses Operating Expense PPD PPD PPD Percent Average Average Difference Change Administrative $16.77 $29.76 $ % Employee Benefits $11.50 $20.79 $ % Dietary $11.43 $15.79 $ % Housekeeping $4.03 $5.28 $ % Laundry and Linen $2.28 $2.79 $ % Plant Operation/Maintenance $7.02 $10.14 $ % Medical and Nursing $45.19 $70.25 $ % Activities $1.16 $1.96 $ % Social Services $1.17 $2.01 $ % Physical Therapy $3.03 $9.44 $ % Medical Records $0.70 $1.12 $ % Property Expense $8.48 $14.85 $ % Depreciation, Amortization $3.56 $4.08 $ % Other Expenses $12.20 $24.90 $ % Total $ $ $ % 32 P age
36 2002 EXPENSES PER PATIENT DAY BY COST CATEGORY Depreciation, Amortization, $3.56 Other Expenses, $12.20 Medical Records, $0.70 Physical Therapy, $3.03 Social Services, $1.17 Property Expense, $8.48 Administrative, $16.77 Employee Benefits, $11.50 Activities, $1.16 Dietary, $11.43 Medical and Nursing, $45.19 Housekeeping, $4.03 Laundry and Linen, $2.28 Plant Operation/Maintenance, $7.02 Administrative $16.77 Employee Benefits $11.50 Dietary $11.43 Housekeeping $4.03 Laundry and Linen $2.28 Plant Operation/Maintenance $7.02 Medical and Nursing $45.19 Activities $1.16 Social Services $1.17 Physical Therapy $3.03 Medical Records $0.70 Property Expense $8.48 Depreciation, Amortization $3.56 Other Expenses $12.20 Total $ P age
37 2012 EXPENSES PER PATIENT DAY BY COST CATEGORY Depreciation, Amortization, 4.08 Other Expenses, Medical Records, 1.12 Property Expense, Administrative, Social Services, 2.01 Physical Therapy, 9.44 Activities, 1.96 Pharmacy, 7.07 Employee Benefits, Dietary, Medical and Nursing, Housekeeping, 5.28 Laundry and Linen, 2.79 Plant Operation/Maintenance, Administrative $29.76 Employee Benefits $20.79 Dietary $15.79 Housekeeping $5.28 Laundry and Linen $2.79 Plant Operation/Maintenance $10.14 Medical and Nursing $70.25 Activities $1.96 Social Services $2.01 Physical Therapy $9.44 Medical Records $1.12 Property Expense $14.85 Depreciation, Amortization $4.08 Other Expenses $24.90 Total $ P age
38 2002 PERCENTAGE OF EXPENSES BY COST CATEGORY Depreciation, Amortization, 2.8% Other Expenses, 9.5% Medical Records, 0.5% Physical Therapy, 2.4% Social Services, 0.9% Property Expense, 6.6% Administrative, 13.0% Employee Benefits, 8.9% Activities, 0.9% Dietary, 8.9% Medical and Nursing, 35.2% Housekeeping, 3.1% Laundry and Linen, 1.8% Plant Operation/Maintenance, 5.5% Administrative 13.0% Employee Benefits 8.9% Dietary 8.9% Housekeeping 3.1% Laundry and Linen 1.8% Plant Operation/Maintenance 5.5% Medical and Nursing 35.2% Activities 0.9% Social Services 0.9% Physical Therapy 2.4% Medical Records 0.5% Property Expense 6.6% Depreciation, Amortization 2.8% Other Expenses 9.5% Total 100.0% 35 P age
39 2012 PERCENTAGE OF EXPENSES BY COST CATEGORY Physical Therapy 4% Social Services 1% Activities 1% Pharmacy 3% Depreciation, Amortization 2% Medical Records 1% Property Expense 7% Other Expenses 8% Administrative 14% Employee Benefits 10% Dietary 7% Medical and Nursing 33% Housekeeping 3% Laundry and Linen 1% Plant Operation/Maintenance 5% Administrative 14.0% Employee Benefits 9.8% Dietary 7.4% Housekeeping 2.5% Laundry and Linen 1.3% Plant Operation/Maintenance 4.8% Medical and Nursing 33.0% Activities 0.9% Social Services 0.9% Physical Therapy 4.4% Medical Records 0.5% Property Expense 7.0% Depreciation, Amortization 1.9% Other Expenses 11.7% Total 100.0% 36 P age
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