Number of freestanding outpatient surgical centers at end of period
123
120
118
116
113
Number of licensed beds at end of period(a)
47,199
46,738
44,290
43,771
43,356
Weighted average licensed beds(b)
46,857
45,380
44,077
43,620
43,132
Admissions(c)
2,003,753
1,936,613
1,891,831
1,868,789
1,795,312
Equivalent admissions(d)
3,420,406
3,286,432
3,191,519
3,122,746
2,958,674
Average length of stay (days)(e)
4.9
4.9
4.9
4.9
4.8
Average daily census(f)
26,663
26,000
25,340
25,084
23,835
Occupancy(g)
57
%
57
%
58
%
58
%
55
%
Emergency room visits(h)
8,764,431
8,624,137
8,378,340
8,050,159
7,450,748
Outpatient surgeries(i)
971,537
941,231
*
932,213
909,386
891,633
Inpatient surgeries(j)
548,220
540,304
*
537,306
529,900
518,881
Days revenues in accounts receivable(k)
51
52
50
53
54
Outpatient revenues as a % of patient revenues(l)
38
%
38
%
38
%
40
%
38
%
(a)
Licensed beds are those beds for which a facility has been granted approval to operate from the applicable state licensing agency.
(b)
Represents the average number of licensed beds, weighted based on periods owned.
(c)
Represents the total number of patients admitted to our hospitals and is used by management and certain investors as a general measure of inpatient volume.
(d)
Equivalent admissions are used by management and certain investors as a general measure of combined inpatient and outpatient volume. Equivalent admissions are computed by multiplying admissions (inpatient volume) by the sum of gross inpatient revenue and gross outpatient revenue and then dividing the resulting amount by gross inpatient revenue. The equivalent admissions computation “equates” outpatient revenue to the volume measure (admissions) used to measure inpatient volume, resulting in a general measure of combined inpatient and outpatient volume.
(e)
Represents the average number of days admitted patients stay in our hospitals.
(f)
Represents the average number of patients in our hospital beds each day.
(g)
Represents the percentage of hospital licensed beds occupied by patients. Both average daily census and occupancy rate provide measures of the utilization of inpatient rooms.
(h)
Represents the number of patients treated in our emergency rooms.
(i)
Represents the number of surgeries performed on patients who were not admitted to our hospitals. Pain management and endoscopy procedures are not included in outpatient surgeries.
(j)
Represents the number of surgeries performed on patients who have been admitted to our hospitals. Pain management and endoscopy procedures are not included in inpatient surgeries.
(k)
Revenues per day is calculated by dividing the revenues for the fourth quarter of each year by the days in the quarter. Days revenues in accounts receivable is then calculated as accounts receivable at the end of the period divided by revenues per day.
(l)
Represents the percentage of patient revenues related to patients who are not admitted to our hospitals.
*
Reclassifications between inpatient surgery cases and outpatient surgery cases for 2017 have been made to conform to the 2018 presentation.
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