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May 2019
Expense
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Expense by Region ?
Most regions performed favorably in Total Expense per Adjusted Discharge, except for the Northeast/Mid-Atlantic. This performance is mirrored for Non-Labor Expense per Adjusted Discharge. Supply Expense per Adjusted Discharge and Drug Expense per Adjusted Discharge performed unfavorably nearly universally, regardless of region. Purchased Services Expense per Adjusted Discharge continued consistent positive performance, with performance highest in the Great Plains.
Labor
Non-Labor
Supply
Drug
Purchased Service
FTE/AOB
Labor Expense
Non-Labor Expense
Supply Expense
Drug Expense
Purchased Service Expense
FTE per AOB
National Expense Observations
Nationally, most expense indicators were favorable in April, with the exception of both Supply Expense per Adjusted Discharge and Drug Expense per Adjusted Discharge. Total Expense per Adjusted Discharge decreased both year over year and month over month, and performed favorably to budget. Non-Labor Expense per Adjusted Discharge was down -4 percent year over year, supporting the favorable Total Expense per Adjusted Discharge performance. The favorable -3.6 year-over-year drop in Purchased Service Expense per Adjusted Discharge likely is indicative of the trend to insource services in the industry’s current environment of cost management.
Increased volumes combined with a 7.1 percent year-over-year increase in Supply Expense per Adjusted Discharge, and a 5.6 percent year-over-year increase in Drug Expense, indicate a potential increase in patient severity.
Unless noted, figures are Actuals and Medians
Budget Variance
Month Over Month
Year Over Year
Year Over Year Distributions
(Click to enlarge)
Total Expense per Adj. Discharge
(1.9%)
(0.7%)
(1.8%)
total_expense.svg
Labor Expense per Adj. Discharge
(3.9%)
(1.4%)
(3.7%)
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FTEs per AOB
(0.7%)
(0.9%)
(1.6%)
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Non-Labor Exp per Adj. Discharge
(1.9%)
1.0%
(4.0%)
non_labor.svg
Supply Expense per Adj. Discharge
0.1%
3.0%
7.1%
supply.svg
Drug Expense per Adj. Discharge
(5.8%)
4.1%
5.6%
drug.svg
Purchased Service Exp per Adj. Discharge
(1.3%)
2.9%
(3.6%)
purchased_service.svg
By Region
By Bed Size
National Observations
Expense by Bed Size
Total Expense per Adjusted Discharge was inversely proportional to bed size, with the smaller facilities leading year-over-year and budget variance performance. Non-Labor Expense per Adjusted Discharge followed a similar trend, with the larger facilities performing less favorably to budget and year over year. Purchased Services Expense per Adjusted Discharge performance bucked the trend, with nearly universal positive performance.
Labor
Non-Labor
Supply
Drug
Purchased Service
FTE/AOB
Labor Expense
Non-Labor Expense
Supply Expense
Drug Expense
Purchased Service Expense
FTE per AOB
By Region
By Bed Size
National Observations
©2019 Kaufman, Hall & Associates, LLC
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