FY 16 Average Granite County Hospital District Utilization Recap FY 17 Average Jan-18 Philipsburg Clinic Visits 225 222 233 Drummond Clinic Visits 44 42 *Working on splitting out Drummond Hospital Billable Days 7 3 6 Hospital Patients 1 1 2 Swingbed Billable Days 16 17 52 Swingbed Patients 2 2 3 Observation Patients 1 1 1 ER Visits 27 24 22 Physical Therapy Visits 69 101 104 Lab/Rad 134 131 75 *Previous on Tests; Jan on Patients NH Residents 22 21 19 NH Days 659 629 443 *Reviewing for missed days Dental Visits 44 45 *Working on tying out Dental Page 1
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Granite County Hospital District Income Statement - Detail As of January 31, 2018 Month To Date Year To Date 01/31/2018 01/31/2018 Actual Granite Budget 1 Granite Budget 1 Actual Granite Budget 1 Granite Budget 1 Net Income Income before Expenses Net Patient Revenue Patient Revenue 291,583.75 293,600.00 (0.68) % 2,272,656.29 2,055,115.00 10.58 % Revenue Deductions Contractual Adjustments (23,188.10) 19,184.00 (220.87) % 87,737.75 134,280.00 (34.66) % Bad Debt 3,659.99 7,751.00 (52.78) % 3,584.92 54,245.00 (93.39) % Revenue Deductions 78.15 1,958.00 (96.00) % 587.90 13,710.00 (95.71) % Total Revenue Deductions (19,449.96) 28,893.00 (167.31) % 91,910.57 202,235.00 (54.55) % Other Patient Revenue 321.37 11,417.00 (97.18) % 54,155.36 79,915.00 (32.23) % Total Net Patient Revenue 311,355.08 276,124.00 12.75 % 2,234,901.08 1,932,795.00 15.63 % Other Operating Revenue 0.00 8.00 (100.00) % 26,784.47 60.00 44,540.78 % Non-Operating Revenue Non-Operating Revenue, Net of Interest and Tax Grant Revenue Grant Revenue 0.00 0.00 0.00 % 96.00 0.00 0.00 % County Contribution 168.60 0.00 0.00 % 372,767.34 380,000.00 (1.90) % Entitlement Funds 0.00 667.00 (100.00) % 0.00 4,665.00 (100.00) % Stip Interest 0.00 0.00 0.00 % 1,845.81 0.00 0.00 % Guest and Employee Meals 0.00 0.00 0.00 % 10.00 0.00 0.00 % Supplies Sold 0.00 0.00 0.00 % 12.00 0.00 0.00 % Rebate 0.00 0.00 0.00 % 3,908.73 0.00 0.00 % RHOG Grant Revenue 4,010.73 (16,513.00) (124.28) % 53,559.87 (115,595.00) (146.33) % Total Grant Revenue 4,179.33 (15,846.00) (126.37) % 432,199.75 269,070.00 60.62 % Donations 0.00 0.00 0.00 % 575.00 0.00 0.00 % Other Non-Operating Income Misc Non-Operating Revenue 35.00 0.00 0.00 % 241.70 0.00 0.00 % Total Other Non-Operating Income 35.00 0.00 0.00 % 241.70 0.00 0.00 % Total Non-Operating Revenue, Net of Interest and Tax 4,214.33 (15,846.00) (126.59) % 433,016.45 269,070.00 60.93 % Tax Revenue 0.00 0.00 0.00 % 5.69 0.00 0.00 % Total Non-Operating Revenue 4,214.33 (15,846.00) (126.59) % 433,022.14 269,070.00 60.93 % Total Income before Expenses 315,569.41 260,286.00 21.23 % 2,694,707.69 2,201,925.00 22.37 % Expenses Operating Expenses Departmental Expenses Employee Related Expenses Salary 145,266.46 123,031.00 18.07 % 991,691.42 861,185.00 15.15 % Benefits 42,231.08 38,366.00 10.07 % 293,737.01 268,500.00 9.39 % Non-Benefit Expenses Dues/Fees/Licences/Sub 2,205.00 1,929.00 14.30 % 11,261.82 13,515.00 (16.67) % Travel/Meals Expense (914.92) 832.00 (209.96) % 25,975.79 5,840.00 344.79 % Education Expense 15,676.53 997.00 1,472.37 % 57,453.65 6,985.00 722.52 % Total Non-Benefit Expenses 16,966.61 3,758.00 351.47 % 94,691.26 26,340.00 259.49 % Total Employee Related Expenses 204,464.15 165,155.00 23.80 % 1,380,119.69 1,156,025.00 19.38 % Supplies Chargeable Supplies (879.77) 5,167.00 (117.02) % 52,704.75 36,165.00 45.73 % Non-Chargeable Supplies 33,898.20 22,845.00 48.38 % 148,540.01 159,905.00 (7.10) % Total Supplies 33,018.43 28,012.00 17.87 % 201,244.76 196,070.00 2.63 % Contract Services Professional Service 54,402.66 38,628.00 40.83 % 356,843.51 270,400.00 31.96 % Purchased Service 43,009.21 49,807.00 (13.64) % 390,759.31 348,638.00 12.08 % Collection Fee 106.77 15,125.00 (99.29) % 11,313.25 105,875.00 (89.31) % Total Contract Services 97,518.64 103,560.00 (5.83) % 758,916.07 724,913.00 4.69 % Other Department Expenses Page 5
Granite County Hospital District Income Statement - Detail As of January 31, 2018 Month To Date Year To Date 01/31/2018 01/31/2018 Actual Granite Budget 1 Granite Budget 1 Actual Granite Budget 1 Granite Budget 1 Advertising/Marketing 646.45 0.00 0.00 % 6,003.20 0.00 0.00 % Total Other Department Expenses 646.45 0.00 0.00 % 6,003.20 0.00 0.00 % Total Departmental Expenses 335,647.67 296,727.00 13.11 % 2,346,283.72 2,077,008.00 12.96 % General and Administrative Expenses Income/Expense from Cost Reporting Medicare Settlement Income/Expense 0.00 0.00 0.00 % (8,232.00) 0.00 0.00 % Total Income/Expense from Cost Reporting 0.00 0.00 0.00 % (8,232.00) 0.00 0.00 % Hospital Insurance Expenses 10,926.00 5,000.00 118.52 % 44,346.60 35,000.00 26.70 % Utilities 997.57 5,209.00 (80.84) % 34,408.61 36,455.00 (5.61) % Depreciation and Amortization 10,067.00 10,067.00 0.00 % 70,469.00 70,465.00 0.00 % Other Fees Misc Fees 0.00 0.00 0.00 % 261.39 0.00 0.00 % Total Other Fees 0.00 0.00 0.00 % 261.39 0.00 0.00 % Other Operating Expenses Bed Tax Op Expense 0.00 208.00 (100.00) % 0.00 1,460.00 (100.00) % Total Other Operating Expenses 0.00 208.00 (100.00) % 0.00 1,460.00 (100.00) % Total General and Administrative Expenses 21,990.57 20,484.00 7.35 % 141,253.60 143,380.00 (1.48) % Total Operating Expenses 357,638.24 317,211.00 12.74 % 2,487,537.32 2,220,388.00 12.03 % Non-Operating Expenses Interest Expenses Interest Expense 0.00 2,417.00 (100.00) % 8,295.04 16,915.00 (50.96) % Total Interest Expenses 0.00 2,417.00 (100.00) % 8,295.04 16,915.00 (50.96) % Total Non-Operating Expenses 0.00 2,417.00 (100.00) % 8,295.04 16,915.00 (50.96) % Total Expenses 357,638.24 319,628.00 11.89 % 2,495,832.36 2,237,303.00 11.55 % Total Net Income (42,068.83) (59,342.00) (29.10) % 198,875.33 (35,378.00) (662.14) % Page 6
)ΤΧΠΚςΓ%ΘΩΠς[ ΘΥΡΚςΧΝ&ΚΥςΤΚΕς 4ΓΞΓΠΩΓ [.ΓΞΓΝΘΗ%ΧΤΓΧΠΦ(ΚΠΧΠΕΚΧΝ%ΝΧΥΥ;6& #ΥΘΗ,ΧΠΩΧΤ[ +ΠςΓΤΟΓΦΚΧςΓ 5ΨΚΠΙ +ΠΡΧςΚΓΠς 1ΩςΡΧςΚΓΠς 1 ΥΓΤΞΧςΚΘΠ %ΝΚΠΚΕ 5ΨΚΠΙ ΓΦ #ΝΝ.ΓΞΓΝΥΘΗ %ΧΤΓ 2ΓΤΕΓΠςΘΗ 4ΓΞΓΠΩΓ ΟΓΤΙΓΠΕ[ (ΚΠΧΠΕΚΧΝ%ΝΧΥΥΓΥ ΝΩΓ%ΤΘΥΥ %ΘΟΟΓΤΕΚΧΝ %ΘΤΡΘΤΧςΓ5ΓΝΗ(ΩΠΦΓΦ /ΓΦΚΕΧΤΓ#ΦΞΧΠςΧΙΓ /ΓΦΚΕΧΤΓ /ΓΦΚΕΧΚΦ /ΓΦΚΕΧΚΦ4ΓΡΝΧΕΓΟΓΠς /ΘςΘΤ8ΓϑΚΕΝΓ 5ΝΚΦΚΠΙ(ΓΓ 5ΓΝΗ2Χ[ 64+%#4 8ΓςΓΤΧΠΥ#ΦΟΚΠΚΥςΤΧςΚΘΠ 9ΘΤΜΓΤΥ%ΘΟΡ 6ΘςΧΝ(ΚΠΧΠΕΚΧΝ%ΝΧΥΥΓΥ Page 7
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Granite County Hospital District A/R Aging Report - by last billed date As of January 31, 2018 Row Labels < 31 Sum of 31-60 Sum of 61-90 Sum of 91-120 Sum of > 120 Sum of TOTAL DRUMMOND CLINIC 7,020 870 560 55-8,505 EMERGENCY DEPARTMENT 53,406 13,675 9,994 2,598 3,288 82,960 INPATIENT 70,617 9,064 - - - 79,681 LAB/RAD 40,500 7,391 845 360 413 49,508 LONG TERM CARE 311,915 16,063 - - - 327,978 OBSERVATION 14,714 176 - - - 14,890 OP NURSING - - 5,513 - - 5,513 PHILIPSBURG CLINIC 57,280 9,584 3,502 1,762 3,911 76,038 PHYSICAL THERAPY 31,454 841 958 - - 33,253 SWING BED 143,022 - - - - 143,022 Grand Total 729,929 57,663 21,372 4,774 7,612 821,350 Page 9
A/R Aging - as of Last Day of Last Month Insurance Reporting Category # of Charges <31 31-60 61-90 91-120 121-150 151-180 >180 Total AARP - 1,141 71 - - - - - 1,211 Aetna & Aetna/US Healthcare 13 841 185 561 - - - - 1,587 Aetna Life Insurance Company - 186 - - - - - - 186 Allegiance Benefit Plan Mgmt 42 2,237 1,974 140 - - - 885 5,237 Allied Benefit Systems - - 40 - - - - - 40 Altius Health Plans 2-71 - - - - - 71 American Postal Workers Union 1-22 - - - - - 22 American Retirement Life Ins - 28 - - - - - - 28 BCBS-AK 2 - - - - 182 - - 182 BCBS-ID Blue Cross 2 140 - - - - 50-190 BCBS-IL - - 27 - - - - - 27 BCBS-MI 1 115 - - - - - - 115 BCBS-MT 96 6,545 16,671 508 202 - - 20 23,945 BCBS-OR 2-295 - - - - - 295 BCBS-TN 1-175 - - - - - 175 BCBS-WA Premera 1 175 - - - - - - 175 BCBS-WA Regence - - 35 - - - - - 35 BMI (Benefit Management Inc) 3 - - 638 - - - - 638 Bankers Life & Casualty - 40-32 - - - - 72 Blue Cross-CA 2-350 - - - - - 350 Blue Medicare Advantage 150 6,074 2,429 2,419 3,431 277 260 180 15,070 Blue Shield-CA 8 1,393 - - - - - - 1,393 Champus/Tricare PGBA 10 955 44 727 - - - - 1,726 Champus/Tricare WPS 6 251 240 556-100 509-1,657 Champva 11 700 536 219 - - - - 1,455 Cigna 44 3,624 602 140 774 385 - - 5,525 Cigna Health & Life Insurance - 212 149 - - - - - 361 Colonial Penn Life Ins Co - 19 - - - - - - 19 Community Health Plan of WA 3 - - 488 - - - - 488 CommunityCare OK - - 27 - - - - - 27 Continental General Ins - 177 35 - - - - - 212 Page 10
A/R Aging - as of Last Day of Last Month Insurance Reporting Category # of Charges <31 31-60 61-90 91-120 121-150 151-180 >180 Total Contracts 1 - - 25 - - - - 25 Corporate Billing 13 330-460 260 650-130 1,830 EBMS 41 1,632 460 165 1,258 180 - - 3,695 Equitable Life and Casualty - 28 - - - - - - 28 Health Choice of Utah 1 140 - - - - - - 140 Humana 25 1,907 0-351 - 755-3,013 IHC Health Solutions 1 140 - - - - - - 140 Indian Health Services 10 - - - 1,925 - - - 1,925 KG Administrative Services 3 - - - - 555 - - 555 Kaiser Permanente of North CA 2-220 - - - - - 220 Key Benefit Administrators 1 140 - - - - - - 140 Legal 1 140 - - - - - - 140 Managed Health Services 1 - - - 200 - - - 200 Medicaid-MT 321 151,338 26,052 25,071 821 233 333 620 204,467 Medicaid-NV 1-175 - - - - - 175 Medicaid-WA 1 35 35 30-175 - - 275 Medicaid-WY 1 - - - 180 - - - 180 Medicare A-MN 7-872 - - - - - 872 Medicare A-MT 800 107,527 106,745 13,272 43,914 7,609 1,459 2,597 283,123 Medicare B-MT 19 3,533 30 55-198 - - 3,816 Meritain Health 32 1,587 - - - - - - 1,587 Mutual of Omaha - 271 - - - - - - 271 Old Surety Life - 33 - - - - - - 33 Other Commercial 14 1,268 403 - - - - - 1,671 PacificSource Health Plans 41 4,041 712-23 - - 140 4,916 Partnership Health Plan of CA 1 200 - - - - - - 200 Planned Administrators Inc 3 288 - - - - - - 288 Providence Health Plan 2-240 - - - - - 240 Puritan Life - 53 - - - - - - 53 Rocky Mountain Health Plan 4 - - - - - 448-448 Self-Pay (cash) 298 129,198 44,743 15,019 14,678 10,758 4,792 486 219,674 Page 11
A/R Aging - as of Last Day of Last Month Insurance Reporting Category # of Charges <31 31-60 61-90 91-120 121-150 151-180 >180 Total State Farm Insurance - 20 - - - - - - 20 Sterling Life Insur Co - 237 - - - - - - 237 Transamerica Life Insurance Co - 140 - - - - - - 140 United American Ins - - 38 - - - - - 38 United Commercial Travelers - 226 99 - - - - - 325 United Healthcare 6 487 - - - 200-140 827 United World Life Insurance Co - - (20) - - - - - (20) Unity Health Insurance 1 - - - - 7 - - 7 University Health Plans (UT) 8 938 - - - - - - 938 Unspecified Remit Payor - (21) - - - - - - (21) Veterans Admin Federal 23 340 2,481 - - - - - 2,821 WC - Gallagher 1 140 - - - - - - 140 WC - Travelers 4 807 - - - - - - 807 WC - US Dept of Labor 22 1,082 380 1,008-1,277 796-4,543 WC - WA Labor & Industries 3 - - - 715 - - - 715 WC - Workers Comp Other 82 5,488 4,366-1,650 280 1,193-12,978 **TOTAL** 2,195 438,568 212,008 61,534 70,382 23,065 10,595 5,198 821,350 Page 12