HCA Holdings 2011 Annual Report Download - page 62

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2011 2010 2009 2008 2007
Operating Data:
Number of hospitals at end of
period(a) ........................ 163 156 155 158 161
Number of freestanding outpatient
surgical centers at end of period(b) .... 108 97 97 97 99
Number of licensed beds at end of
period(c) ........................ 41,594 38,827 38,839 38,504 38,405
Weighted average licensed beds(d) ...... 39,735 38,655 38,825 38,422 39,065
Admissions(e) ...................... 1,620,400 1,554,400 1,556,500 1,541,800 1,552,700
Equivalent admissions(f) .............. 2,595,900 2,468,400 2,439,000 2,363,600 2,352,400
Average length of stay (days)(g) ........ 4.8 4.8 4.8 4.9 4.9
Average daily census(h) .............. 21,123 20,523 20,650 20,795 21,049
Occupancy(i) ....................... 53% 53% 53% 54% 54%
Emergency room visits(j) ............. 6,143,500 5,706,200 5,593,500 5,246,400 5,116,100
Outpatient surgeries(k) ............... 799,200 783,600 794,600 797,400 804,900
Inpatient surgeries(l) ................. 484,500 487,100 494,500 493,100 516,500
Days revenues in accounts
receivable(m) ..................... 53 50 50 55 60
Gross patient revenues(n) ............. $ 141,516 $ 125,640 $ 115,682 $ 102,843 $ 92,429
Outpatient revenues as a % of patient
revenues(o) ...................... 37% 36% 39% 39% 39%
(a) Excludes eight facilities in 2010, 2009, 2008 and 2007 that were not consolidated (accounted for using the equity method) for financial
reporting purposes.
(b) Excludes one facility in 2011, nine facilities in 2010 and 2007 and eight facilities in 2009 and 2008 that were not consolidated
(accounted for using the equity method) for financial reporting purposes.
(c) Licensed beds are those beds for which a facility has been granted approval to operate from the applicable state licensing agency.
(d) Represents the average number of licensed beds, weighted based on periods owned.
(e) 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.
(f) 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.
(g) Represents the average number of days admitted patients stay in our hospitals.
(h) Represents the average number of patients in our hospital beds each day.
(i) 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.
(j) Represents the number of patients treated in our emergency rooms.
(k) 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.
(l) 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.
(m) Revenues per day is calculated by dividing the revenues for the period by the days in the period. Days revenues in accounts receivable is
then calculated as accounts receivable, net of the allowance for doubtful accounts, at the end of the period divided by revenues per day.
With our adoption of ASU 2011-07, “revenues” used in this computation are net of the provision for doubtful accounts and the
computations for all prior periods presented have been restated.
(n) Gross patient revenues are based upon our standard charge listing. Gross charges/revenues typically do not reflect what our hospital
facilities are paid. Gross charges/revenues are reduced by the provision for doubtful accounts, contractual adjustments, discounts and
charity care to determine reported revenues.
(o) Represents the percentage of patient revenues related to patients who are not admitted to our hospitals.
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