Carilion Tazewell Community Hospital

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Carilion Tazewell Community Hospital
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Why is this important?Why is this important?
Hospital financial information was originally intended to benefit of large employers and purchasers of care. However, consumers should know that financially healthy hospitals may be better able to provide charity care and invest in infrastructure, and technology.

Rankings on financial measures are found within the Efficiency tab

Financial Information

For Fiscal Year 7/1/2007 - 6/30/2008

Gross inpatient revenueGross inpatient revenue Total established full charges for all hospital services provided to inpatients, including charity care.	$14,431,579
Gross outpatient revenueGross outpatient revenue Total established full charges for all hospital services provided to outpatients, including charity care.	$24,656,624
Gross patient revenueGross patient revenue Total established full charges for all services provided to patients.	$39,088,203
Contractual allowanceContractual allowance The difference between a hospital's established charges and the rates paid by third-party payers under contractual agreements.	$20,393,615
Charity careCharity care Services provided to patients meeting the hospital's criteria for indigent care.	$673,247
Indigent care trustIndigent care trust Payments from the Indigent Care Trust Fund net of payments to the Fund, calculated on an accrual basis. A net payment from the Fund is reported as a negative number.	$0
Net patient revenueNet patient revenue Net patient service revenue is total gross patient service revenue, minus total contractual allowances, minus charity care @100% of poverty, minus charity care @200% of poverty, plus or minus accrued payments from/to the Indigent Care Trust Fund or the disproportionate share program.	$18,021,341
Other operating revenueOther operating revenue Revenue or gains from the hospital’s ongoing or central operations other than patient care. These may include such activities as educational or research programs, sales of goods and services to other than patients, and sales of personal convenience items and services to patients. Operating gains may be difficult to distinguish from non-operating gains. Providers are asked to report other revenue (or other operating revenue) and operating gains as defined per the 1990 AICPA audit guide.	$81,598

Labor expenseLabor expense All expenses related to employment of personnel by the hospital.	$8,117,936
Non-labor expenseNon-labor expense Any expenses that are not related to labor. Excluding capital and capital-related expenses.	$7,292,819
Capital expenseCapital expense Capital expenses are those defined by Medicare as capital expenses. This includes depreciation and interest for capital assets reported as used for patient care, plus Medicare inpatient costs for other capital-related expenses. Medicare inpatient costs for other capital-related expenses including leases, rentals (including license and royalty fees for the use of depreciable assets), insurance expense on depreciable assets, related-organization capital-related costs for assets that are not maintained on the hospital's premises, and taxes on land or depreciable assets used for patient care. Depreciation expenses are calculated on a straight-line basis, using Medicare useful lives. Includes the allocated portion of home office capital expenses. This capital expense amount is not necessarily the same as the Medicare-allowable cost figure.	$878,067
TaxesTaxes/Tax expense All taxes reported on the hospital's income statement, including: state income tax, federal income tax, real estate tax, business property tax, and business license fees. Does not include payroll taxes, which are reported under Labor Expenses.	$0
Bad-debt expenseBad-debt expense Bad-debt expense (or provision for bad debts) as reported on the hospital’s income statement.	$3,130,285
Total operating expenseTotal operating expense The sum of all operating expenses.	$19,419,107
Operating incomeOperating income The net of Net patient revenue plus Other operating income minus Total operating income. This is the value that should be used in the calculation of Operating margin.	($1,316,168)
Net non-operating gainsNet non-operating gains Non-operating gains and losses resulting from transactions incidental or peripheral to the hospital’s central ongoing operations. This may include such items as gifts received, tax support and subsidies, returns on investment of general funds, and gain or loss on sale of properties, as well as other items.	$0
Revenue and gains in excess of expensesRevenue and gains in excess of expenses The net amount of change in the net assets of the facility. The sum of Operating income and Non-operating income. Note: In proprietary facilities this is called Net Income. This is the value that should be used in the calculation of Total margin.	($1,316,168)

Current assetsCurrent assets Cash and other assets that are expected to be converted into cash, sold, or consumed within one year.	$6,082,214
Net fixed assetsNet fixed assets The value of property, plant, and equipment, net of accumulated depreciation using the straight-line method.	$2,970,866
Other assetsOther assets The assets, other than fixed assets, that are not expected to be converted into cash, sold, or consumed within one year.	$1,339,907
Total assetsTotal assets Total assets as reported on the hospital’s balance sheet.	$10,392,987
Current liabilitiesCurrent liabilities Obligations expected to be liquidated within one year.	$4,292,844
Long term liabilitiesLong-term liabilities/debt Obligations not expected to be liquidated within one year.	$91,425
Total liabilitiesTotal liabilities The total obligations of the hospital.	$4,384,269
Fund balanceFund balance The end-of –year sum of general, temporarily restricted, and permanently restricted fund balances. This is the net worth of the corporation at year-end.	$6,008,718

Updated on: 12/10/2009

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2008 Hospital Service Line Report

Click any column to sort.

Service LineService Line Broad categories of care based on 3M's All Patient Refined-Diagnosis Related Groups (APR-DRGs).	Inlier CasesInlier Cases The number of hospital inpatient cases that were within the pre-set range for the particular service line. Inlier cases were used to calculate length of stay and total charge values. Inlier cases do not include hospice patients. VHI removed those patients who had length of stays equal to 0 days or less or patients who had 0 dollar ($) charges or less.	Outlier CasesOutlier Cases The number of hospital inpatient cases in a calendar year that were outside the pre-set range for the particular service line. Outlier cases do not include hospice patients. VHI removed those patients who had length of stays equal to 0 days or less or patients who had 0 dollar ($) charges or less.	% of Hospital Total% of Hospital Total The number of cases for that hospital's particular service line divided by the total number of hospital cases multiplied by 100.	% of Regional Total% of Regional Total The number of cases for that hospital's particular service line divided by the total number of that service line's cases in that specified region multiplied by 100.
BurnsBurns Damage to skin and tissue due to some element of extreme temperature contact. Burns are classified as first, second or third degree burns. First degree burns are usually superficial and third degree burns have extensive damage to the point of skin or tissue death.	0	0	0.00%	0.00%
Invasive CardiologyInvasive Cardiology Diagnostic and invasive procedures that includes cardiac catheterizations, percutaneous procedures and angiograms of the heart.	0	0	0.00%	0.00%
Cardiology - MedicalCardiology - Medical The study of the heart’s action; the medical specialty that deals with the diagnosis and therapy of heart diseases.	213	13	23.16%	1.42%
Open Heart Surgery Open Heart Surgery A surgical procedure that provides through an incision of the chest cavity a full view of the heart. Procedure may be used for, but is not limited to, cardiopulmonary bypass or heart valve surgery.	0	0	0.00%	0.00%
DentalDental Medical and/or surgical treatment of the teeth and surrounding structures and oral tissues. The services may or may not include endodontics, oral pathology, maxofacial surgery, orthodontics, periodontics, etc.	0	0	0.00%	0.00%
DermatologyDermatology The study of the skin’s structure, function and diseases; includes diagnosis and treatment of skin and nail disorders.	1	0	0.10%	0.20%
EndocrinologyEndocrinology The study and treatment of the ductless organs and structures (glands) that secrete internally and of hormones. Endocrinology typically includes the endocrine glands, the hypothalamus, pituitary and adrenal glands, thyroid and parathyroid glands, pancreatic islet cells, the testes and the ovaries.	28	0	2.87%	0.65%
Ear, Nose and Throat (ENT) Surgery Ear, Nose and Throat (ENT) Surgery The combined surgical treatment that includes otology (ear), rhinology (nose) and laryngology (larynx/throat). Treatments, including surgery, may involve: · Ears — the exterior and interior portions of the otological system; · Nose — the olfactory system including exterior nasal passages and the anterior nasal cavity; and · Throat — the pharyngeal, naso-pharyngeal or laryngeal areas including tonsils, adenoids and trachea. See Also Otolaryngology	0	0	0.00%	0.00%
GastroenterologyGastroenterology Specialty involving the study and treatment of the function and disorders of the organs of digestion, the alimentary (or gastrointestinal) tract: the esophagus, the stomach, large intestines (colon and cecum) and small intestines (duodenum, jejunum, ileum), sigmoid colon, rectum, gallbladder, pancreas, liver, spleen, biliary tract and bile duct.	109	1	11.27%	0.74%
General MedicineGeneral Medicine Treatment for those disorders that can fall under family practice or primary medical needs, which may include internal medicine or the diagnosis or treatment of internal organs, and that are not otherwise grouped into the specialty services listed in this report.	56	1	5.84%	0.65%
General SurgeryGeneral Surgery Those surgical procedures not otherwise grouped into the specialty services listed in this report.	53	1	5.53%	0.73%
Gynecological SurgeryGynecological Surgery Surgical treatment of the female reproductive system including ectopic pregnancy and early abortion. See Obstetrics.	0	0	0.00%	0.00%
GynecologyGynecology The medical specialty focused on the health care of women and on the diseases of the female genital tract, as well as the endocrinology and reproductive function of the female. The breast may be treated except for surgery.	2	0	0.20%	0.87%
HematologyHematology The scientific medical study of blood and blood-forming tissues, including therapeutics and anatomy, physiology, pathology and symptomatology of blood cells. This category may include the laboratory study of the response of blood cells to radiation or chemotherapy.	13	0	1.33%	0.83%
Infectious DiseasesInfectious Diseases The clinical study and treatment of those diseases that can be caused by an infection; i.e., any communicable disease. These diseases can be transmitted from human to human, from animal to human, by direct or indirect contact; e.g., fevers of unknown origin, sexually transmitted diseases (including HIV infection), herpes, central nervous system (CNS) infections, measles, rubella, mumps, hepatitis, rabies, and rickettsial infections (such as Rocky Mountain spotted fever). Bacterial infections such as streptococcal and chlamydial infections also fall under this classification, as well as those of spirochetal, protozoal, helminthic and mycotic causes.	29	7	3.69%	0.76%
NeonatologyNeonatology A branch of medicine, often a part of pediatric medicine, that is practiced for the period of time covering the first 28 days after birth and in which the neonate requires additional treatment or care beyond a normal birth, such as intensive care for a premature infant.	0	0	0.00%	0.00%
NephrologyNephrology The medical science primarily concerned with the anatomy, physiology and diseases of the kidneys (the renal or nephric system) including treatment by dialysis and transplantation. Note: Not to be confused with urology, which deals primarily with the diseases and treatment of the genitourinary tract.	6	1	0.72%	0.27%
Neurological SurgeryNeurological Surgery Any of various kinds of surgery of the nervous system. Often included are those procedures designed to restore physiological activity of nerves (functional neurosurgery), psychosurgery and stereotactic surgery.	0	0	0.00%	0.00%
NeurologyNeurology The field of medicine dealing with the normal or diseased nervous systems (central, peripheral and autonomic, plus the neuromuscular junction and muscle). May include clinical neurology that deals with the diagnosis and treatment of nervous system disorders.	58	0	5.94%	0.83%
Normal NewbornsNormal Newborns A branch of medicine, often a part of pediatric medicine, that is practiced for the period of time covering the first 28 days after birth and in which the infant experienced a normal delivery.	0	0	0.00%	0.00%
Obstetrics/DeliveryObstetrics/Delivery The specialty of medicine concerned with the obstetrical care of a woman and the fetus during pregnancy, childbirth (delivery of the fetus vaginally or by cesarean section, a surgical procedure) and the puerperium (approximately 6 weeks following birth).	0	0	0.00%	0.00%
OncologyOncology Science/branch of medicine concerned with the study of the physical, chemical and biologic properties and features of abnormal tissue (neoplasm), including the treatment of both malignant and benign tumors.	4	0	0.41%	0.20%
Oncology SurgeryOncology Surgery Surgical procedures related to diagnostic or treatment of malignant and/or benign tumors.	0	0	0.00%	0.00%
Ophthalmologic Surgery Ophthalmologic Surgery Surgical treatment of eye and lid disorders, such as cataract removal with lens implantation.	0	0	0.00%	0.00%
OphthalmologyOphthalmology The study and treatment of the physiology, anatomy and pathology of the eye and surrounding tissues such as the eye lid. This includes ocular infections, refractive errors, glaucoma, cataracts and other ocular disorders.	0	0	0.00%	0.00%
Orthopedic Surgery Orthopedic Surgery Preservation or restoration from disease or injury by surgical means of the function or condition of the musculoskeletal system, the spine and the extremities.	0	0	0.00%	0.00%
OrthopedicsOrthopedics Branch of medicine concerned with the prevention and correction of disorders of the locomotor system of the body, including the skeleton, muscles, joints and related tissues.	7	0	0.72%	0.30%
Other ObstetricsOther Obstetrics Medical care provided by an obstetrician other than delivery; for example, nutrition counseling, immunizations, treatment for spontaneous abortion (miscarriage), prevention of preterm labor and anemia. See Obstetrics; Also see Gynecological Surgery	0	0	0.00%	0.00%
OtolaryngologyOtolaryngology Branch of medicine concerned with medical and surgical treatment of head and neck, including the ears, nose and throat. See ENT.	2	0	0.20%	0.17%
Plastic SurgeryPlastic Surgery Surgical procedures related to cosmetic or reconstructive surgery of face and body.	0	0	0.00%	0.00%
PsychiatryPsychiatry The diagnosis, prevention and treatment of mental disorders by those medical specialists trained in the science of psychiatry.	13	0	1.33%	0.13%
PulmonaryPulmonary Of or pertaining to lungs/respiratory system, to the pulmonary artery; to aperture leading from right ventricle into the pulmonary artery.	265	6	27.77%	1.39%
RehabilitationRehabilitation Following a disabling disease, injury or addiction, spontaneous or therapeutic restoration of normal function or in a nearly normal manner.	0	0	0.00%	0.00%
RheumatologyRheumatology The science and medical study relating to diseases or disorders where inflammation or degeneration of tissue occur in the musculoskeletal system.	8	0	0.82%	0.79%
Transplant SurgeryTransplant Surgery The procedures that involve the movement of tissue or organs from one part of the body, or from a separate body, for the purpose of treatment by implantation or grafting. Included in this grouping are bone marrow, heart, liver and lung transplants.	0	0	0.00%	0.00%
Trauma, Multiple SignificantTrauma, Multiple Significant Injury or injuries to the face, head and/or body. Trauma scored for severity and prevalence of injuries are categorized in the service line of Multiple Significant Trauma. Less severe or prevalent injuries may be categorized under a different, specific service line.	2	1	0.31%	0.18%
Urological SurgeryUrological Surgery Treatment provided by surgical means of urinary and genitourinary tract disorders; for example, tumors of the prostate, bladder, kidney or testis.	4	0	0.41%	0.36%
UrologyUrology The medical specialty that is concerned with the study, diagnosis and treatment of diseases of the urinary tract in the female and both urinary and genitourinary tract in the male.	71	1	7.38%	1.86%
Vascular SurgeryVascular Surgery Surgical procedures relating to the blood vessels.	0	0	0.00%	0.00%

Total	944	32	100%	0.61%

Updated on: 12/10/2009

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Efficiency Indicators

For Fiscal Year 7/1/2007 - 6/30/2008

Composite Score:Composite Score
Scores on individual measures may help with specific aspects of efficiency and productivity, whereas a Composite Score helps with the big picture. Which hospitals are the most efficient? (..Click on Composite Score to read more ..) (Lower is better)

More

3.1

Less

Efficient

Efficient

1.33.8

What are Efficiency Indicators?What are Efficiency Indicators?
VHI’s Efficiency (and Productivity) indicators were designed to help large employers, and purchasers (health insurance companies) to find the most efficient and productive health care providers. (..Click on What are Efficiency Indicators? to read more ..)

Indicator Description

Quartile Rank 1 through 4
Lower is More Efficient.

Facility value is over red arrow.

Charges

1) Gross revenue per adj. admission ($)

The average full patient charge based on charge schedules per adjusted admission.
The desired direction is toward a lower value.

Quartile	Minimum	Maximum
1	10,147.98	16,807.34
2	16,807.35	20,388.72
3	20,388.73	24,884.79
4	24,884.80	44,171.18

Financial Information

2008 Hospital Service Line Report

Efficiency Indicators

Cardiac Care Information

Patient Satisfaction Survey

· Carilion Tazewell Community Hospital's Overall

· Carilion Tazewell Community Hospital's Comfort

· Carilion Tazewell Community Hospital's Communication