1 Gross Revenue Per Adjusted Admission: The average full patient charge based on charge schedules per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.

2 Net Revenue Per Adjusted Admission: The average dollar amount expected to be collected per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.

3 Cost Per Adjusted Admission: The average total operating costs (adjusted by the wage index) per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.

4 Labor Cost Per Adjusted Admission: The average personnel expenses (adjusted by the wage index) per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.

5 Non-labor Cost Per Adjusted Admission: The average supply, maintenance and non-personnel expenses (adjusted by the wage index) per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.

6 Capital Cost Per Adjusted Admission: The average physical facility costs (e.g., expenses for depreciation, amortization, interest, insurance and taxes as related to the acquisition of permanent assets) per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.

7 Full-time Equivalents Per Adjusted Occupied Bed: The number of staff, converted to the average number of employees who work full time, for each occupied bed. The number of occupied beds has been adjusted to account for outpatient service revenue and case mix. The desired direction is toward a lower value.

8 Paid Hours Per Adjusted Admission: The average number of hours the hospital paid to employees or an agency, per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.

9 Staffed Beds Occupancy: Expressed as a percentage, the average utilization of the average number of beds, excluding long-term care beds and normal newborn bassinets, that are operational to receive patients during the reporting period. The desired direction is toward a higher value.

10 Licensed Beds Occupancy: Expressed as a percentage, the average utilization of the number of licensed beds reported by the facility, as approved by the Virginia Department of Health. For hospitals, licensed beds exclude normal newborn bassinets, but include neonatal ICU bassinets. The desired direction is toward a higher value.

11 Special Services Utilization: Expressed as a percentage, the average utilization of high capital-cost services that are subject to Certificate of Public Need (COPN) law. Special services include: ICU/CCU, obstetrics, neonatal ICU, MRI, CT, lithotripsy, cardiac catheterization, radiation therapy and cardiac surgery. The desired direction is toward a higher value.

12 Case-mix Adjusted Average Length of Stay: The average number of days a patient stays in the hospital, adjusted for case mix using the current version of the 3M APR-DRGs. The desired direction is toward a lower value.

13 Cash Debt Coverage: A measure of the facility's ability to generate cash to cover its long-term debt. The desired direction is toward a higher value.

14 Total Margin: Total margin expresses the difference between total revenue and cost as a proportion of total revenue. The desired direction is towards a higher value.

15 Return on Assets: Expressed as a percentage, the facility's ability to generate cash on its financial resources (e.g., investments, receivables, inventory, physical plant, etc.) The desired direction is toward a higher value.

16 Fixed Asset Financing Ratio: The percentage of asset value financed by long-term debt. The desired direction is toward a lower value.

17 Charity Care, Bad Debt and Taxes: Expressed as a percentage, the amount of charity care (converted to a cost basis,) bad debt and taxes the facility incurred in relation to its total expenses. The desired direction is toward a higher value.

18 Medicaid Participation: Expressed as a percentage, it is the amount of patient days for patients enrolled in the Medicaid program in relation to total patient days. The number of patient days has been adjusted to account for outpatient service revenue. The desired direction is toward a higher value.