2 Tales of 1 CitySt. Petersburg, FL – Two health systems on different trajectories…

Nationally, Operating Profit Margins for investor owned facilities are rising. In St. Petersburg Fl, HCA and CHS have very different trends. Below is a visualization of three key indicators of financial performance.

HCA’s St. Petersburg General

Operating Margin
Net Patient Revenue / Adj Discharge
Cash Flow / Bed

CHS’s Bayfront Health

Operating Margin
Net Patient Revenue / Adj Discharge
Cash Flow / Bed

Diving into these trajectories:

 St Petersburg General (HCA) is growing.

  • Inpatient growth comes from pricing and share gain
  • Captures a majority share of affiliated Practitioners
  • Over half of Patient Revenue comes from Outpatient
  • Outpatient growth comes from volume and pricing
  • Net patient revenue / CMI adj. disch. is up +8.6%

Bayfront Health (CHS) is flattening out.

  • Inpatient is stagnant with share loss in most markets
  • Occupancy is dropping
  • Outpatient is less than 30% of total revenue
  • Outpatient growth is softening
  • Net patient revenue / CMI adj. disch. is down -20%

HCA’s St. Petersburg General (168 Beds)

Outpatient Revenue
Inpatient Revenue

Continued growth in outpatient services that represent 50+% of Total Patient Revenue; strong I/P growth.

CHS’s Bayfront Health (358 Beds)

Outpatient Revenue
Inpatient Revenue

Flattening growth in both I/P and O/P services; with O/P representing a smaller portion of Total Revenue.

Service-line mix can define an organization’s strengths:

St. Petersburg
Bayfront

The Service-line mix is supported by the affiliated & referring physicians. With a larger footprint, HCA has more physician affiliations in the market supporting a significant General Medicine service line.

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