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 www.azdhs.gov. 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
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 dpeel@wahcnews.com or 425the excel file used to create the re577-1334. port. Visit the Arizona Healthcare News David Peel is the Publisher and web site at www.. 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-
Sorted by, Support, Support 4 St. Joseph's Hospital Medical Center Phoenix 6/30/2009 627 39,378 189,515 78,009 4,646 928,184,630 894,682,986 33,501,645 750,364 34,252,008 Mayo Clinic Arizona Phoenix 12/31/2009 244 13,699 65,100 23,429 4,109 793,847,000 756,315,000 37,532,000 2,081,000 39,613,000 Banner Good Samaritan Medical Center Phoenix 12/31/2009 638 37,589 184,813 58,237 3,795 686,673,275 630,655,710 56,017,565 1,258,651 57,276,216 University Medical Center Corporation Tucson 6/30/2009 351 20,076 115,061 59,730 3,524 561,717,614 547,190,585 14,527,029 (14,066,727) 460,302 Banner Desert Medical Center Mesa 12/31/2009 571 34,228 149,597 83,835 3,035 519,620,118 485,780,281 33,839,837 10,958 33,850,795 Maricopa Medical Center Phoenix 6/30/2009 718 19,180 142,769 80,758 3,805 476,195,728 497,297,390 (21,101,662) 59,046,669 37,945,007 Tucson Medical Center Tucson 12/31/2009 568 34,500 145,615 87,796 2,961 420,573,257 408,325,732 12,247,525 6,246,264 18,493,789 Phoenix Children's Hospital Phoenix 12/31/2009 345 12,358 79,212 77,962 2,304 402,314,448 408,303,180 (5,988,733) 96,846,102 90,857,369 Banner Thunderbird Medical Center Glendale 12/31/2009 437 30,574 124,517 73,083 2,439 388,916,052 373,272,698 15,643,354 214,957 15,858,311 Scottsdale Healthcare Shea Scottsdale 9/30/2009 433 22,593 84,576 44,915 2,767 383,005,679 377,976,430 5,029,249-5,029,249 Flagstaff Medical Center Flagstaff 6/30/2009 271 12,969 62,853 41,830 1,698 367,346,000 342,737,000 24,609,000 (20,635,000) 3,974,000 Scottsdale Healthcare Osborn Scottsdale 9/30/2009 337 19,055 83,013 53,350 3,224 328,397,954 326,595,617 1,802,337-1,802,337 Chandler Regional Hospital Chandler 6/30/2009 225 18,513 73,985 109,708 1,631 321,556,615 293,547,669 28,008,946 1,846,514 29,855,461 Yuma Regional Medical Center Yuma 9/30/2009 333 18,501 70,485 72,057 1,800 314,941,516 281,415,545 33,525,971 1,298,985 34,824,956 Banner Boswell Medical Center Sun City 12/31/2009 397 22,805 101,665 44,506 1,777 311,156,026 287,818,697 23,337,329 (491) 23,336,838 Northwest Med Center Tucson 12/31/2009 270 18,700 66,997 117,904 1,658 289,690,079 270,683,819 19,006,260-19,006,260 John C. Lincoln North Mountain Hospital Phoenix 12/31/2009 266 17,571 74,352 52,965 1,536 276,506,184 274,023,047 2,483,137 1,089,371 3,572,508 Banner Baywood Medical Center Mesa, 12/31/2009 336 20,200 89,855 48,240 1,685 267,690,099 249,872,396 17,817,703 2,849 17,820,552 Carondelet St. Joseph's Hospital Tucson 6/30/2009 434 22,381 93,228 57,587 1,923 265,405,479 272,133,797 (6,728,318) (5,958,632) (12,686,950) Banner Del E. Webb Medical Center Sun Cty W 12/31/2009 373 18,782 82,380 57,167 1,480 238,782,437 231,173,359 7,609,078 503 7,609,581 Banner Estrella Medical Center Phoenix 12/31/2009 214 17,853 63,880 82,847 1,194 237,523,159 213,010,163 24,512,996 (38,103) 24,474,893 St. Mary's Hospital & Health Care Center Tucson 6/30/2009 397 16,363 86,877 58,328 1,923 236,571,564 224,012,690 12,558,874 (5,233,145) 7,325,729 Mercy Gilbert Medical Center Gilbert 6/30/2009 206 13,389 45,506 63,291 1,003 213,230,218 199,886,571 13,343,646 (48,044) 13,295,602 John C. Lincoln Deer Valley Hospital Phoenix 12/31/2009 203 12,117 46,711 77,168 1,121 205,286,193 198,351,559 6,934,634 169,898 7,104,532 Kingman Regional Medical Center Kingman 6/30/2009 160 8,965 37,522 43,954 1,134 180,849,846 178,637,840 2,212,006 698,969 2,910,975 Yavapai Regional Medical Center Prescott 12/31/2009 136 8,675 29,180 36,376 1,235 179,033,652 173,042,735 5,990,917 359,457 6,350,374 Banner Gateway Medical Center Gilbert 12/31/2009 165 13,379 44,455 49,527 970 166,854,935 166,612,263 242,672 25,090 267,762 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. -3-
Sorted by, Support, Support 4 Arrowhead Hospital Glendale 6/30/2009 220 12,287 39,661 43,425 768 158,685,000 130,734,000 27,951,000 (10,900,000) 17,051,000 Verde Valley Medical Center Cottonwd 6/30/2009 110 5,848 23,402 28,400 726 152,032,000 135,600,000 16,432,000 (6,983,000) 9,449,000 Mountain Vista Medical Center, LP Mesa 9/30/2009 178 9,345 38,836 31,753 603 143,199,000 141,515,000 1,684,000-1,684,000 UPH Hospital at Kino Campus Tucson 6/30/2009 163 7,075 39,631 41,356 891 139,270,073 140,076,618 (806,544) - (806,544) Western AZ Regional Medical Center Bullhd City 12/31/2009 139 6,547 27,435 27,026 639 135,020,456 106,927,157 28,093,299 (3,047,102) 25,046,197 Havasu Regional Medical Center Lk Hav Cty 12/31/2009 181 6,232 26,476 21,507 542 133,483,000 98,576,000 34,907,000 (12,100,000) 22,807,000 Phx Baptist Hospital and Medical Center Phoenix 6/30/2009 206 8,892 31,949 49,346 717 123,542,000 122,682,000 860,000 (336,000) 524,000 Banner Heart Hospital Mesa 12/31/2009 111 5,904 22,680 0 431 122,939,686 101,303,991 21,635,695 (1,402) 21,634,293 Casa Grande Regional Medical Center Casa Grnd 6/30/2009 188 8,033 30,337 64,208 706 116,593,042 116,370,592 222,450 (1,147,343) (924,893) Summit Healthcare Association Show Low 12/31/2009 81 4,069 11,955 24,513 614 114,953,874 100,206,587 14,747,287 1,797,598 16,544,885 West Valley Hospital Goodyear 6/30/2009 164 7,997 27,436 45,815 579 110,608,000 107,835,000 2,773,000 (1,082,000) 1,691,000 Paradise Valley Hospital Phoenix 6/30/2009 136 8,623 25,362 33,493 543 100,025,000 97,981,000 2,044,000 (797,000) 1,247,000 Sierra Vista Regional Health Center Sierra Vst 6/30/2009 88 5,637 18,269 26,343 677 95,649,343 88,235,028 7,414,315 1,360,597 8,774,912 St. Luke's Medical Center Phoenix 9/30/2009 232 4,534 24,330 17,507 469 89,443,000 93,821,000 (4,378,000) (7,000) (4,385,000) Arizona Heart Hospital LLC Phoenix 9/30/2009 59 3,705 15,351 4,032 359 80,222,106 84,184,110 (3,962,004) (59,359) (4,021,363) Oro Valley Hospital Oro Valley 12/31/2009 144 5,154 20,112 44,126 484 80,005,424 73,425,543 6,579,881-6,579,881 Gilbert Hospital Gilbert 12/31/2009 19 2,239 5,574 40,956 329 77,828,814 61,713,809 16,115,005 (7,117,658) 8,997,347 Maryvale Hospital and Medical Center Phoenix 6/30/2009 232 7,239 22,535 46,292 491 77,163,000 72,847,000 4,316,000 (1,684,000) 2,632,000 Tucson Heart Hospital Tucson 6/30/2009 59 2,950 10,511 8,862 309 68,448,265 71,451,072 (3,002,807) (1,881) (3,004,688) Scottsdale Healthcare Thompson Peak Scottsdale 9/30/2009 64 3,673 10,606 16,603 425 63,252,186 71,134,724 (7,882,539) - (7,882,539) Valley View Medical Center Ft Mohave 12/31/2008 66 3,556 16,129 21,108 295 61,744,712 54,293,128 7,451,584 (1,882,584) 5,569,000 Payson Regional Gilbert 12/31/2009 44 2,727 8,184 12,315 274 57,661,271 42,559,739 15,101,532-15,101,532 Tempe St. Luke's Hospital Tempe 9/30/2009 87 3,438 11,279 30,326 297 54,844,000 59,854,000 (5,010,000) 26,000 (4,984,000) Mt. Graham Regional Medical Center Safford 12/31/2009 55 2,627 9,292 18,537 439 53,955,304 48,810,134 5,145,170 2,413,846 7,559,016 Yavapai Regional Medical Center Presctt Vly 12/31/2009 44 2,177 6,590 30,982 354 46,780,496 43,533,479 3,247,017-3,247,017 Sierra Tucson Tucson 12/31/2009 139 1,013 30,884 0 196 40,969,520 31,946,556 9,022,964 2,622,000 11,644,964 Arizona Regional Medical Center Mesa 12/31/2009 103 2,387 10,694 14,372 231 38,822,284 36,012,178 2,810,106 1,009 2,811,115 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. -4-
Sorted by, Support, Support 4 St. Luke's Behavioral Hospital Phoenix 9/30/2009 124 4,700 40,956 0 286 37,986,000 29,473,000 8,513,000-8,513,000 Cobre Valley Regional Medical Center Globe 12/31/2009 25 1,520 5,041 14,899 192 35,837,130 33,151,500 2,685,630 421,529 3,107,159 Little Colorado Medical Center Winslow 9/30/2009 25 1,404 3,823 9,232 151 27,798,164 23,439,503 4,358,661 63,366 4,422,027 Arizona Orthopedic Surgical Hospital Chandler 12/31/2009 24 1,005 2,654 0 99 27,349,007 27,426,430 (77,423) 761 (76,662) White Mountain Regional Medical Center Springervll 12/31/2009 16 483 1,563 4,800 186 25,297,565 15,529,836 9,767,729 701,784 10,469,513 Navajo Health Found/Sage Mem Hosp Ganado 9/30/2009 25 357 3,198 24,536 175 24,944,062 24,629,470 314,592 43,889 358,481 Healthsouth Rehab Institute of Tucson Tucson 12/31/2009 80 1,494 21,155 0 206 23,688,842 18,823,913 3,037,113-3,037,113 Banner Behavioral Health Hospital Scottsdale 12/31/2009 78 3,993 23,594 0 101 23,396,928 22,832,752 564,176-564,176 Carondelet Holy Cross Hospital Nogales 6/30/2008 23 1,479 3,085 13,659 222 22,562,535 20,556,339 2,006,196 (1,220) 2,004,975 HealthSouth Valley of the Sun Rehab Glendale 12/31/2009 75 1,440 18,604 0 169 22,399,602 16,071,409 6,328,193 (1,113,652) 5,214,541 Scottsdale Healthcare Greenbaum Surg Scottsdale 9/30/2009 26 7,592 493 0 90 21,434,524 16,290,057 5,144,467-5,144,467 Trillium Specialty Hospital - East Valley Mesa 12/31/2009 120 1,092 26,143 0 171 21,376,384 21,130,506 245,878 3,448 249,326 Kindred Hospital Arizona - NW Phoenix Peoria 12/31/2009 58 460 13,139 0 84 21,326,541 18,445,088 2,881,453 (1,144,073) 1,737,380 Aurora Behavioral Healthcare-Phoenix Glendale 12/31/2009 90 4,680 27,695 0 184 21,111,240 22,264,387 (1,153,147) 43,536 (1,109,611) Kindred Hospital Arizona - Phoenix Phoenix 12/31/2009 58 400 13,490 0 149 20,562,997 22,582,944 (1,524,776) - (1,524,776) Surgical Specialty Hospital of Arizona Phoenix 5/31/2009 33 1,534 2,552 0 88 20,472,115 21,101,010 (628,894) 2,808,028 2,179,134 Select Sepcialty Hospital - Phoenix Phoenix 12/31/2009 48 459 12,521 0 109 19,935,512 19,281,504 654,008 (393,452) 260,556 La Paz Regional Parker 9/30/2009 35 950 3,615 12,486 141 19,810,696 18,902,659 908,037 353,673 1,261,710 HealthSouth Scottsdale Rehab Hospital Scottsdale 12/31/2009 60 1,246 16,020 0 123 19,048,116 12,680,208 6,367,908 (954,234) 5,413,674 Copper Queen Comm Hosp Bisbee 6/30/2009 14 335 1,552 6,166 145 18,598,345 16,938,389 1,659,956 263,688 1,923,644 Arizona Spine & Joint Hospital Mesa 12/31/2009 23 976 2,364 n/a 69 18,158,302 18,505,645 (347,343) 686 (346,657) Cncr Trtmnt Ctrs of Am - W Reg. Med Goodyear 6/30/2009 14 123 743 0 206 17,930,609 39,992,941 (22,062,332) (3,076,132) (25,138,464) HealthSouth So Az Rehab Hospital Tucson 12/31/2008 60 1,218 16,684 0 150 17,826,718 15,181,647 2,645,070 (885,728) 1,759,342 Mountain Valley Reg Rehab Hospital Presctt Val 12/31/2009 40 850 12,543 0 240 17,555,171 13,904,750 5,365,596-5,365,596 Southeast Arizona Medical Center Douglas 3/31/2009 25 396 1,382 8,529 134 17,356,303 18,816,127 (1,459,824) 356,053 (1,103,771) Los Ninos Hospital Phoenix 6/30/2009 15 295 3,599 0 75 17,102,255 14,454,926 2,647,329 234,589 2,881,918 Page Hospital Page 12/31/2009 25 612 1,396 8,906 99 16,923,874 15,026,904 1,896,970-1,896,970 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. -5-
Sorted by, Support, Support 4 Northern Cochise Community Hospital Willcox 6/30/2009 24 343 1,750 5,714 138 16,649,829 17,023,318 (373,489) (192,567) (566,056) Kindred Hospital of Tucson Tucson 12/31/2008 49 476 11,531 0 127 15,814,941 15,591,941 223,000 (90,000) 133,000 Kindred Hospital Arizona - Scottsdale Scottsdale 12/31/2009 50 375 8,765 0 84 14,537,358 15,455,000 (338,000) - (338,000) Yuma Rehabilitation Hospital Yuma 12/31/2009 41 887 11,999 0 132 14,536,100 9,049,185 5,486,915-5,486,915 Trillium Specialty Hospital - West Valley Sun City 12/31/2009 120 585 19,059 0 118 14,235,166 14,621,621 (386,455) 2,749 (383,706) Sonora Behavioral Health Hospital Tucson 12/31/2008 56 2,157 17,668 0 134 13,564,550 11,901,151 1,663,399 1,383,109 3,046,508 Wickenburg Community Hospital Wickenbrg 12/31/2009 19 600 2,051 5,439 96 13,229,780 13,346,865 (117,085) 105,705 (11,380) Benson Hospital Benson 6/30/2009 19 366 1,404 7,736 129 12,708,885 13,137,138 (428,253) 19,172 (409,081) Cornerstone Hospital of SE Arizona Tucson 12/31/2009 32 290 8,536 0 79 12,646,600 12,267,433 379,167 (47,493) 331,674 Select Specialty Hospital - Phoenix Phoenix 12/31/2009 29 357 8,320 0 72 12,607,755 12,236,131 371,624 50,703 422,327 Select Speciality Hospital - Scottsdale Scottsdale 12/31/2009 29 325 6,986 0 62 11,280,327 10,518,193 762,134 151,407 913,541 Promise Hospital of Phoenix Phoenix 5/31/2009 36 281 9,632 0 84 8,692,003 17,027,948 (8,335,945) 552 (8,335,393) Haven Senior Horizons Phoenix 12/31/2009 30 633 9,231 0 48 7,602,449 5,972,368 1,630,081-1,630,081 Windhaven Psychiatric Hospital Presctt Val 6/30/2009 16 439 4,470 0 23 4,764,277 3,737,030 1,027,247 5,975 1,033,222 St. Mary's Behavioral Health Unit Tucson 6/30/2009 24 1,287 7,654 0 47 3,749,505 10,883,105 (7,133,600) (165,535) (7,299,135) The Guidance Center, Inc. Flagstaff 6/30/2008 16 672 3,753 0 36 3,058,398 2,319,324 739,074-739,074 Carondelet St. Joseph's Hospital BH IP Tucson 6/30/2009 15 731 4,840 0 21 2,923,621 4,038,893 (1,115,272) - (1,115,272) HealthSouth East Valley Rehab Hospital Mesa 12/31/2009 40 114 1,330 0 66 1,176,894 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-