1 Gross Patient Revenue Per Adjusted Patient Day: The average full patient charge, based on charge schedules, per adjusted patient day. Patient days are adjusted by case mix and by outpatient and ancillary service revenues. The desired direction is toward a lower value.

2 Net Patient Revenue Per Adjusted Patient Day: The average dollar amount expected to be collected per adjusted patient day. Patient days are adjusted by case mix and by outpatient and ancillary service revenues. The desired direction is toward a lower value.

3 Cost Per Adjusted Patient Day: The average total operating cost per adjusted patient day. Patient days are adjusted by case mix and by outpatient and ancillary service revenues. The desired direction is toward a lower value.

4 Labor Cost Per Adjusted Patient Day: The average personnel expense per adjusted patient day. Patient days are adjusted by case mix and by outpatient and ancillary service revenues. The desired direction is toward a lower value.

5 Non-Labor Cost Per Adjusted Patient Day: The average supply, maintenance and non-personnel expense per adjusted admission or patient day. Patient days are adjusted by case mix and by outpatient and ancillary service revenues. The desired direction is toward a lower value.

6 Capital Cost Per Adjusted Patient Day: 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 patient day. Patient days are adjusted by case mix and by outpatient and ancillary service revenues. The desired direction is toward a lower value.

7 Paid Hours Per Adjusted Patient Day: The average number of hours the nursing facility paid to employees or an agency, per adjusted patient day. Patient days are adjusted by case mix and by outpatient and ancillary service revenues. The desired direction is toward a lower value.

8 Total Margin: Expressed as a percentage, the profit or loss after tax expense that the facility generates in relation to its expenses. The desired direction is toward a higher value.

9 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.

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

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

12 Charity Care, Bad Debt and Taxes: Expressed as a percentage, it is 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.

13 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.