You have ${pages_left} free articles remaining.
Subscribe now to continue getting the industry’s most current and thoughtful review of hospital performance.
November 2019
Revenue
Revenue by Region *
Hospitals’ revenue performance was mixed across different regions in October. NPSR per Adjusted Discharge varied widely, for example. The Great Plains saw the greatest year-over-year increase at 6.2 percent for this metric, but fell -7.8 percent below budget expectations. Meanwhile, the West had the greatest performance relative to budget at 5.6 percent, but saw NPSR per Adjusted Discharge fall -3.6 percent year over year.
Most regions performed close to budget expectations for NPSR per Adjusted Patient Day. The Great Plains was the exception, falling -15.6 percent below budget and down -4.5 percent year over year. The Northeast/Mid-Atlantic saw the biggest year-over-year increase in NPSR per Adjusted Patient Day at 5.7 percent.
NPSR per Adjusted Discharge
NPSR per Adjusted Patient Day
IP/OP Adjustment Factor
Bad Debt And Charity
Bad Debt and Charity as a Percent of Gross was a positive contributor to revenue performance, as results were down year over year and below budget expectations for hospitals in the Northeast/Mid-Atlantic, Midwest, West, and Great Plains. The South was the only region to see a year-over-year increase at 2.3 percent, but still fell -0.9 percent below budget.
All regions saw the IP/OP Adjustment Factor increase year over year and perform above budget. The South saw the least year-over-year increase at just 1.0 percent for the IP/OP Adjustment Factor, while the Northeast/Mid-Atlantic saw the greatest year-over-year increase at about 3.0 percent.
National Revenue Observations
Hospitals across the country saw modest revenue gains in October both year over year and over September, coupled with decreases in Bad Debt and Charity care. Net Patient Service Revenue (NPSR) per Adjusted Patient Discharge rose 1.5 percent year over year, and 1.2 percent month over month, performing essentially on par with budget expectations. NPSR per Adjusted Patient Day also rose 1.5 percent year over year, and 2.2 percent month over month, but fell slightly below budget expectations at -0.9 percent. National revenue performance for October was consistent with positive volume performance for the month.
The Inpatient/Outpatient (IP/OP) Adjustment Factor increased 1.8 percent year over year and 2.3 percent month over month, performing 3.0 percent above budget expectations. Meanwhile, Bad Debt and Charity as a Percent of Gross was down -4.8 percent both year over year and month over month, and was -5.2 percent below budget.
Budget Variance
Month Over Month
Year Over Year
Year Over Year Distributions
(Click to enlarge)
NPSR per Adj. Discharge
0.1%
1.2%
1.5%
NPSR_Per_Adj_Discharge.svg
NPSR per Adj. Patient Day
(0.9%)
2.2%
1.5%
NPSR_Per_Patient_Day.svg
IP/OP Adjustment Factor
3.0%
2.3%
1.8%
IP_OP_Adj_Factor.svg
Bad Debt and Charity as a % of Gross
(5.2%)
(4.8%)
(4.8%)
Bad_Debt_And_Charity.svg
Unless noted, figures are Actuals and Medians
Revenue by Bed Size
Revenue performance across bed-size cohorts was mixed relative to budget expectations, but most cohorts exceeded last year’s performance. For NPSR per Adjusted Discharge, the smallest hospitals of 0-25 beds were -3.5 percent below budget, but up 2.1 percent year over year. Mid-sized hospitals with 200-299 beds were up 3.6 percent both year over year and compared to budget. Hospitals with 26-99 beds saw the least variance year over year, up just 0.3 percent for NPSR per Adjusted Discharge.
Most bed-size cohorts were up year over year for NPSR per Adjusted Patient Day. The nation’s smallest hospitals of 0-25 beds were the exception, falling significantly -7.9 percent below budget and down -7.2 percent year over year. This cohort was an outlier for October relative to budget expectations, as it was the only cohort that underperformed both net patient service revenue metrics.
NPSR per Adjusted Discharge
NPSR per Adjusted Patient Day
IP/OP Adjustment Factor
Bad Debt And Charity
IP/OP Adjustment Factor performance was up year over year and above budget for all but one bed-size cohort. Hospitals with 200-299 beds fell slightly, -0.3 percent compared to October 2018, but was 2.1 percent above budget. Hospitals with 0-25 beds saw the greatest variance, with the IP/OP Adjustment Factor jumping 7.1 percent year over year and about 10 percent above budget expectations.
Most bed-size cohorts were below budget and down year over year for Bad Debt and Charity as a Percent of Gross, with two exceptions. Hospitals with 500 beds or more were up 4.6 percent year over year and 2.7 percent above budget, while hospitals with 200-299 beds were up 7.6 percent year over year, but -7.8 percent below budget.
©2019 Kaufman, Hall & Associates, LLC
scroll_up.svg
kha_logo.svg
National Hospital Flash Report
menu_icon.svg
mail.svg
Share article
Sign up now for access to the latest news and reports
SUBMIT