Arizona Healthcare News

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1 Arizona Healthcare News Articles, Interviews and Statistics for the Healthcare Executive At Arizona Hospitals, Size Matters Large Hospitals Report Profits While Small Hospitals Struggle By David Peel Publisher and Editor Arizona Healthcare News Arizona hospitals report a wealth of data each year to the Arizona Department of Health Services (ADHS). They are required to report financial, utilization and staffing information using a form called the Uniform Accounting Report (UAR). Some hospitals have years that end in December while others end in March, June or September so UAR period end dates can vary. UAR information is made available to the public in spreadsheets available for download on the ADHS web site at We thought it would be interesting to download the most recent UAR spreadsheet to evaluate the financial health, an income statement perspective, of the Arizona hospital industry. At the same time, we wanted to be sure the UAR information was accurate so we went through the extra step of confirming the data with hospital Chief Financial Officers (CFOs) and the people they designate to report to ADHS. The Arizona Hospital Financial Results report on pages three through six of this article was prepared using information these UAR reports. Big Equals Profits The Arizona Hospital Financial Results report is sorted largest hospital, in terms of, Support, to smallest hospital., Support is operating revenues net of contractual adjustments. There are four pages to the report with twenty-seven hospitals on pages three, four, and five and eighteen hospitals on page six. Only one of the largest twentyseven hospitals, Carondelet St. Joseph's Hospital in Tucson, lost money and almost half of the $12.7 million loss came non-operating sources in the Income and column. Of the next twenty-seven hospitals on page Economies of scale favor larger organizations in almost every industry. However, the percentage of small Arizona hospitals that re- -1- four, seven lost money (26%), six hospitals lost money on page five (22%) and nine hospitals lost money on page six (50%). Comments CFOs When we asked hospital CFOs to confirm the UAR figures, we also asked them to comment on their hospital's performance. Brian Hoefle, CFO of Yavapai Regional Medical Center, said, With flat volumes and payments Medicare and AHCCCS basically frozen, Yavapai Regional Medical Center is putting even greater emphasis on managing expenses. Karen A. Francis, CFO of Casa Grande Regional Medical Center, told us, "FY2009 was our most challenging year financially following two previous years of losses. We made substantial improvements in FY2009 to essentially break even operations compared to the prior two years. We continued to experience substantial improvement in both our volumes and net income operations throughout FY 2010." Concluding Comments

2 ported a loss is unusually high and suggests consolidation or closures in the future are possible. Should Gnor Brewer find legal and contractual justification for cutting $1 billion the AHCCCS budget, which she recently said she would attempt, the likelihood that small hospitals will lose their in- dependence, or even their ability to News. He has held executive posioperate as going concerns, becomes tions at several health care organiconsiderably greater. zations throughout his twenty five year career. David can be reached Contact me if you want a copy of at [email protected] or 425the excel file used to create the re port. Visit the Arizona Healthcare News David Peel is the Publisher and web site at Editor of the Arizona Healthcare Reprinted with permission the Arizona Healthcare News. To learn more about the Arizona Healthcare News visit. Time to bring in outside help? The Consultant Marketplace, located on the Arizona Healthcare News web site, is where 50 companies that specialize in providing services or products to healthcare organizations are found. Visit /consultant to learn more. Arizona Healthcare News Articles, Interviews and Statistics for the Healthcare Executive -2-

3 Sorted by, Support, Support 4 St. Joseph's Hospital Medical Center Phoenix 6/30/ , ,515 78,009 4, ,184, ,682,986 33,501, ,364 34,252,008 Mayo Clinic Arizona Phoenix 12/31/ ,699 65,100 23,429 4, ,847, ,315,000 37,532,000 2,081,000 39,613,000 Banner Good Samaritan Medical Center Phoenix 12/31/ , ,813 58,237 3, ,673, ,655,710 56,017,565 1,258,651 57,276,216 University Medical Center Corporation Tucson 6/30/ , ,061 59,730 3, ,717, ,190,585 14,527,029 (14,066,727) 460,302 Banner Desert Medical Center Mesa 12/31/ , ,597 83,835 3, ,620, ,780,281 33,839,837 10,958 33,850,795 Maricopa Medical Center Phoenix 6/30/ , ,769 80,758 3, ,195, ,297,390 (21,101,662) 59,046,669 37,945,007 Tucson Medical Center Tucson 12/31/ , ,615 87,796 2, ,573, ,325,732 12,247,525 6,246,264 18,493,789 Phoenix Children's Hospital Phoenix 12/31/ ,358 79,212 77,962 2, ,314, ,303,180 (5,988,733) 96,846,102 90,857,369 Banner Thunderbird Medical Center Glendale 12/31/ , ,517 73,083 2, ,916, ,272,698 15,643, ,957 15,858,311 Scottsdale Healthcare Shea Scottsdale 9/30/ ,593 84,576 44,915 2, ,005, ,976,430 5,029,249-5,029,249 Flagstaff Medical Center Flagstaff 6/30/ ,969 62,853 41,830 1, ,346, ,737,000 24,609,000 (20,635,000) 3,974,000 Scottsdale Healthcare Osborn Scottsdale 9/30/ ,055 83,013 53,350 3, ,397, ,595,617 1,802,337-1,802,337 Chandler Regional Hospital Chandler 6/30/ ,513 73, ,708 1, ,556, ,547,669 28,008,946 1,846,514 29,855,461 Yuma Regional Medical Center Yuma 9/30/ ,501 70,485 72,057 1, ,941, ,415,545 33,525,971 1,298,985 34,824,956 Banner Boswell Medical Center Sun City 12/31/ , ,665 44,506 1, ,156, ,818,697 23,337,329 (491) 23,336,838 Northwest Med Center Tucson 12/31/ ,700 66, ,904 1, ,690, ,683,819 19,006,260-19,006,260 John C. Lincoln North Mountain Hospital Phoenix 12/31/ ,571 74,352 52,965 1, ,506, ,023,047 2,483,137 1,089,371 3,572,508 Banner Baywood Medical Center Mesa, 12/31/ ,200 89,855 48,240 1, ,690, ,872,396 17,817,703 2,849 17,820,552 Carondelet St. Joseph's Hospital Tucson 6/30/ ,381 93,228 57,587 1, ,405, ,133,797 (6,728,318) (5,958,632) (12,686,950) Banner Del E. Webb Medical Center Sun Cty W 12/31/ ,782 82,380 57,167 1, ,782, ,173,359 7,609, ,609,581 Banner Estrella Medical Center Phoenix 12/31/ ,853 63,880 82,847 1, ,523, ,010,163 24,512,996 (38,103) 24,474,893 St. Mary's Hospital & Health Care Center Tucson 6/30/ ,363 86,877 58,328 1, ,571, ,012,690 12,558,874 (5,233,145) 7,325,729 Mercy Gilbert Medical Center Gilbert 6/30/ ,389 45,506 63,291 1, ,230, ,886,571 13,343,646 (48,044) 13,295,602 John C. Lincoln Deer Valley Hospital Phoenix 12/31/ ,117 46,711 77,168 1, ,286, ,351,559 6,934, ,898 7,104,532 Kingman Regional Medical Center Kingman 6/30/ ,965 37,522 43,954 1, ,849, ,637,840 2,212, ,969 2,910,975 Yavapai Regional Medical Center Prescott 12/31/ ,675 29,180 36,376 1, ,033, ,042,735 5,990, ,457 6,350,374 Banner Gateway Medical Center Gilbert 12/31/ ,379 44,455 49, ,854, ,612, ,672 25, , FTEs is calculated as the total number of hours worked by all employees during the reporting period divided by the number of hours worked by a full-time employee during the same time period, typically 2080 hours. -3-

4 Sorted by, Support, Support 4 Arrowhead Hospital Glendale 6/30/ ,287 39,661 43, ,685, ,734,000 27,951,000 (10,900,000) 17,051,000 Verde Valley Medical Center Cottonwd 6/30/ ,848 23,402 28, ,032, ,600,000 16,432,000 (6,983,000) 9,449,000 Mountain Vista Medical Center, LP Mesa 9/30/ ,345 38,836 31, ,199, ,515,000 1,684,000-1,684,000 UPH Hospital at Kino Campus Tucson 6/30/ ,075 39,631 41, ,270, ,076,618 (806,544) - (806,544) Western AZ Regional Medical Center Bullhd City 12/31/ ,547 27,435 27, ,020, ,927,157 28,093,299 (3,047,102) 25,046,197 Havasu Regional Medical Center Lk Hav Cty 12/31/ ,232 26,476 21, ,483,000 98,576,000 34,907,000 (12,100,000) 22,807,000 Phx Baptist Hospital and Medical Center Phoenix 6/30/ ,892 31,949 49, ,542, ,682, ,000 (336,000) 524,000 Banner Heart Hospital Mesa 12/31/ ,904 22, ,939, ,303,991 21,635,695 (1,402) 21,634,293 Casa Grande Regional Medical Center Casa Grnd 6/30/ ,033 30,337 64, ,593, ,370, ,450 (1,147,343) (924,893) Summit Healthcare Association Show Low 12/31/ ,069 11,955 24, ,953, ,206,587 14,747,287 1,797,598 16,544,885 West Valley Hospital Goodyear 6/30/ ,997 27,436 45, ,608, ,835,000 2,773,000 (1,082,000) 1,691,000 Paradise Valley Hospital Phoenix 6/30/ ,623 25,362 33, ,025,000 97,981,000 2,044,000 (797,000) 1,247,000 Sierra Vista Regional Health Center Sierra Vst 6/30/ ,637 18,269 26, ,649,343 88,235,028 7,414,315 1,360,597 8,774,912 St. Luke's Medical Center Phoenix 9/30/ ,534 24,330 17, ,443,000 93,821,000 (4,378,000) (7,000) (4,385,000) Arizona Heart Hospital LLC Phoenix 9/30/ ,705 15,351 4, ,222,106 84,184,110 (3,962,004) (59,359) (4,021,363) Oro Valley Hospital Oro Valley 12/31/ ,154 20,112 44, ,005,424 73,425,543 6,579,881-6,579,881 Gilbert Hospital Gilbert 12/31/ ,239 5,574 40, ,828,814 61,713,809 16,115,005 (7,117,658) 8,997,347 Maryvale Hospital and Medical Center Phoenix 6/30/ ,239 22,535 46, ,163,000 72,847,000 4,316,000 (1,684,000) 2,632,000 Tucson Heart Hospital Tucson 6/30/ ,950 10,511 8, ,448,265 71,451,072 (3,002,807) (1,881) (3,004,688) Scottsdale Healthcare Thompson Peak Scottsdale 9/30/ ,673 10,606 16, ,252,186 71,134,724 (7,882,539) - (7,882,539) Valley View Medical Center Ft Mohave 12/31/ ,556 16,129 21, ,744,712 54,293,128 7,451,584 (1,882,584) 5,569,000 Payson Regional Gilbert 12/31/ ,727 8,184 12, ,661,271 42,559,739 15,101,532-15,101,532 Tempe St. Luke's Hospital Tempe 9/30/ ,438 11,279 30, ,844,000 59,854,000 (5,010,000) 26,000 (4,984,000) Mt. Graham Regional Medical Center Safford 12/31/ ,627 9,292 18, ,955,304 48,810,134 5,145,170 2,413,846 7,559,016 Yavapai Regional Medical Center Presctt Vly 12/31/ ,177 6,590 30, ,780,496 43,533,479 3,247,017-3,247,017 Sierra Tucson Tucson 12/31/ ,013 30, ,969,520 31,946,556 9,022,964 2,622,000 11,644,964 Arizona Regional Medical Center Mesa 12/31/ ,387 10,694 14, ,822,284 36,012,178 2,810,106 1,009 2,811, FTEs is calculated as the total number of hours worked by all employees during the reporting period divided by the number of hours worked by a full-time employee during the same time period, typically 2080 hours. -4-

5 Sorted by, Support, Support 4 St. Luke's Behavioral Hospital Phoenix 9/30/ ,700 40, ,986,000 29,473,000 8,513,000-8,513,000 Cobre Valley Regional Medical Center Globe 12/31/ ,520 5,041 14, ,837,130 33,151,500 2,685, ,529 3,107,159 Little Colorado Medical Center Winslow 9/30/ ,404 3,823 9, ,798,164 23,439,503 4,358,661 63,366 4,422,027 Arizona Orthopedic Surgical Hospital Chandler 12/31/ ,005 2, ,349,007 27,426,430 (77,423) 761 (76,662) White Mountain Regional Medical Center Springervll 12/31/ ,563 4, ,297,565 15,529,836 9,767, ,784 10,469,513 Navajo Health Found/Sage Mem Hosp Ganado 9/30/ ,198 24, ,944,062 24,629, ,592 43, ,481 Healthsouth Rehab Institute of Tucson Tucson 12/31/ ,494 21, ,688,842 18,823,913 3,037,113-3,037,113 Banner Behavioral Health Hospital Scottsdale 12/31/ ,993 23, ,396,928 22,832, , ,176 Carondelet Holy Cross Hospital Nogales 6/30/ ,479 3,085 13, ,562,535 20,556,339 2,006,196 (1,220) 2,004,975 HealthSouth Valley of the Sun Rehab Glendale 12/31/ ,440 18, ,399,602 16,071,409 6,328,193 (1,113,652) 5,214,541 Scottsdale Healthcare Greenbaum Surg Scottsdale 9/30/ , ,434,524 16,290,057 5,144,467-5,144,467 Trillium Specialty Hospital - East Valley Mesa 12/31/ ,092 26, ,376,384 21,130, ,878 3, ,326 Kindred Hospital Arizona - NW Phoenix Peoria 12/31/ , ,326,541 18,445,088 2,881,453 (1,144,073) 1,737,380 Aurora Behavioral Healthcare-Phoenix Glendale 12/31/ ,680 27, ,111,240 22,264,387 (1,153,147) 43,536 (1,109,611) Kindred Hospital Arizona - Phoenix Phoenix 12/31/ , ,562,997 22,582,944 (1,524,776) - (1,524,776) Surgical Specialty Hospital of Arizona Phoenix 5/31/ ,534 2, ,472,115 21,101,010 (628,894) 2,808,028 2,179,134 Select Sepcialty Hospital - Phoenix Phoenix 12/31/ , ,935,512 19,281, ,008 (393,452) 260,556 La Paz Regional Parker 9/30/ ,615 12, ,810,696 18,902, , ,673 1,261,710 HealthSouth Scottsdale Rehab Hospital Scottsdale 12/31/ ,246 16, ,048,116 12,680,208 6,367,908 (954,234) 5,413,674 Copper Queen Comm Hosp Bisbee 6/30/ ,552 6, ,598,345 16,938,389 1,659, ,688 1,923,644 Arizona Spine & Joint Hospital Mesa 12/31/ ,364 n/a 69 18,158,302 18,505,645 (347,343) 686 (346,657) Cncr Trtmnt Ctrs of Am - W Reg. Med Goodyear 6/30/ ,930,609 39,992,941 (22,062,332) (3,076,132) (25,138,464) HealthSouth So Az Rehab Hospital Tucson 12/31/ ,218 16, ,826,718 15,181,647 2,645,070 (885,728) 1,759,342 Mountain Valley Reg Rehab Hospital Presctt Val 12/31/ , ,555,171 13,904,750 5,365,596-5,365,596 Southeast Arizona Medical Center Douglas 3/31/ ,382 8, ,356,303 18,816,127 (1,459,824) 356,053 (1,103,771) Los Ninos Hospital Phoenix 6/30/ , ,102,255 14,454,926 2,647, ,589 2,881,918 Page Hospital Page 12/31/ ,396 8, ,923,874 15,026,904 1,896,970-1,896, FTEs is calculated as the total number of hours worked by all employees during the reporting period divided by the number of hours worked by a full-time employee during the same time period, typically 2080 hours. -5-

6 Sorted by, Support, Support 4 Northern Cochise Community Hospital Willcox 6/30/ ,750 5, ,649,829 17,023,318 (373,489) (192,567) (566,056) Kindred Hospital of Tucson Tucson 12/31/ , ,814,941 15,591, ,000 (90,000) 133,000 Kindred Hospital Arizona - Scottsdale Scottsdale 12/31/ , ,537,358 15,455,000 (338,000) - (338,000) Yuma Rehabilitation Hospital Yuma 12/31/ , ,536,100 9,049,185 5,486,915-5,486,915 Trillium Specialty Hospital - West Valley Sun City 12/31/ , ,235,166 14,621,621 (386,455) 2,749 (383,706) Sonora Behavioral Health Hospital Tucson 12/31/ ,157 17, ,564,550 11,901,151 1,663,399 1,383,109 3,046,508 Wickenburg Community Hospital Wickenbrg 12/31/ ,051 5, ,229,780 13,346,865 (117,085) 105,705 (11,380) Benson Hospital Benson 6/30/ ,404 7, ,708,885 13,137,138 (428,253) 19,172 (409,081) Cornerstone Hospital of SE Arizona Tucson 12/31/ , ,646,600 12,267, ,167 (47,493) 331,674 Select Specialty Hospital - Phoenix Phoenix 12/31/ , ,607,755 12,236, ,624 50, ,327 Select Speciality Hospital - Scottsdale Scottsdale 12/31/ , ,280,327 10,518, , , ,541 Promise Hospital of Phoenix Phoenix 5/31/ , ,692,003 17,027,948 (8,335,945) 552 (8,335,393) Haven Senior Horizons Phoenix 12/31/ , ,602,449 5,972,368 1,630,081-1,630,081 Windhaven Psychiatric Hospital Presctt Val 6/30/ , ,764,277 3,737,030 1,027,247 5,975 1,033,222 St. Mary's Behavioral Health Unit Tucson 6/30/ ,287 7, ,749,505 10,883,105 (7,133,600) (165,535) (7,299,135) The Guidance Center, Inc. Flagstaff 6/30/ , ,058,398 2,319, , ,074 Carondelet St. Joseph's Hospital BH IP Tucson 6/30/ , ,923,621 4,038,893 (1,115,272) - (1,115,272) HealthSouth East Valley Rehab Hospital Mesa 12/31/ , ,176,894 2,996,393 (1,819,500) - (1,819,500) 3. FTEs is calculated as the total number of hours worked by all employees during the reporting period divided by the number of hours worked by a full-time employee during the same time period, typically 2080 hours. -6-

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