Beruflich Dokumente
Kultur Dokumente
PHONE NO:
OWNER:
95128
GENERAL INFORMATION
TYPE OF CONTROL: Church
TYPE OF CARE:
General
LICENSED BEDS*
32
ACUTE
302
LONG-TERM
24
TOTAL
OCCUPANCY RATE
Santa Clara
07
HFPA NO:
0431
EMERGENCY SERVICES
INTENSIVE
32
ACUTE
358
38.00%
289
LONG-TERM
24
ORTHOPEDIC
345
PSYCHIATRIC
39.40%
HELICOPTER
TOTAL
OCCUPANCY RATE
EMERGENCY ROOM
OTHER
OTHER
NO. BASSINETS
25
TOTAL
MEDICARE
TRADITIONAL
18,848
3,272
5.8
5.3
68,988
9,084
$347,817,535
$186,407,073
$443,582,393
$59,014,413
$31,627,802
$3,131
$18,036
$458
MEDICARE
MANAGED CARE
4,079
950
4.3
4.2
14,078
1,993
$93,402,505
$48,851,604
$120,460,786
$14,309,259
$7,484,064
$3,508
$15,062
$532
MEDI-CAL
TRADITIONAL
9,675
1,812
5.3
2.9
8,417
4,398
$113,143,876
$30,534,511
$127,694,459
$12,587,026
$3,396,902
$1,301
$6,946
$404
MEDI-CAL
MANAGED CARE
5,452
1,841
3
2.8
28,114
14,771
$104,781,252
$93,941,545
$177,674,673
$11,098,117
$9,950,007
$2,036
$6,028
$354
CO. INDIGENT
TRADITIONAL
CO. INDIGENT
MANAGED CARE
THIRD PARTY
TRADITIONAL
138
40
3.5
3.5
2,176
1,029
$5,006,530
$6,378,321
$8,961,904
$1,065,500
$1,357,447
$7,721
$26,638
$624
THIRD PARTY
MANAGED CARE
10,549
OTHER
INDIGENT
OTHER
PAYERS
922
49,663
10,971
4.5
3.8
183,538
51,640
$870,695,041
$555,671,302
$1,177,156,750
$152,635,064
$96,574,529
$3,073
$13,913
$526
81,358
$3,063
2,783
3.8
273
3.4
3.3
3.4
53,039
8,726
14,428
5,937
$190,277,043
$16,266,300
$159,981,040
$243,957,472
$29,577,208
$54,825,063
$57,747,606
($3,186,857)
$48,553,005
($5,794,698)
6/24/2015
1 OF 5
07/01/2013
06/30/2014
(408)947-2500
DAUGHTERS OF CHARITY HEALTH SYSTEM
COUNTY:
HSA NO:
AVAILABLE BEDS
INTENSIVE
DATE PREPARED:
PAGE:
REPORT PERIOD:
THRU
$5,474
($3,456)
$20,750
($11,673)
$915
($664)
FACILITY NO:106430837
O'CONNOR HOSPITAL
LIVE BIRTH SUMMARY
NATURAL BIRTHS
CESAREAN SECTIONS
TOTAL LIVE BIRTHS
$1,426,366,343
$11,612,383
$441,680,405
$118,615,213
$126,886,774
$173,979,371
$8,814,199
$239,413,303
$19,248,021
$36,907,081
$1,177,156,750
$249,209,593
$4,680,678
$310,603,352
($56,713,081)
$17,060,225
$3,430,208
($43,083,064)
$139,681,459
$49,070,395
$8,841,865
$2,181,637
$42,793,309
$34,269,305
$12,525,335
$3,178,577
$3,163,811
$14,897,659
$310,603,352
$68,898,411
$21,727,708
$94,109,288
$2,460,816
$46,319,287
$4,748,805
$54,835,328
$17,503,709
$310,603,352
$344,179,417
$213,791,518
$868,395,408
$1,426,366,343
PERCENT OF TOTAL
24.1
15.0
60.9
100.0
3 OF 5
$61,071,361
$56,833,000
$51,114,881
$169,019,242
EQUITY
TOTAL LIABILITIES AND EQUITY
$99,866,602
($69,152,640)
$99,866,602
FORMULAS
CURRENT RATIO
0.81% (PROVISION FOR BAD DEBTS / TOTAL GROSS PATIENT REVENUE) X 100
PROFITABILITY RATIOS
NET RETURN ON OPERATING ASSETS
( 55.46%) ((NET FROM OPERATIONS + INTEREST-WORKING CAPITAL + INTERESTOTHER) / (TOTAL CURRENT ASSETS + NET PROPERTY, PLANT AND
EQUIPMENT)) X 100
62.30% (NET INCOME / EQUITY) X 100
( 22.34%) (NET FROM OPERATIONS / TOTAL OPERATING REVENUE) X 100
2.63 TOTAL OPERATING REVENUE / (TOTAL CURRENT ASSETS + NET PROPERTY,
PLANT, AMD EQUIPMENT)
UNITS OF
SERVICE
UNIT
CODE
GROSS REV
PER UNIT
4,484
$13,901.30
$2,815.42
CORONARY CARE
BURN CARE
DEFINITIVE OBSERVATION
MEDICAL/SURGICAL ACUTE
PEDIATRIC ACUTE
1
1
$6,627.87
$1,195.28
1,294
$6,723.87
$2,308.17
$8,674.96
$770.11
$6,930.30
$1,292.82
1
7,706
ADJ DIRECT
EXP PER UNIT
26,872
ADJ REV
PER UNIT
1
49,663
6,094
57,868
$2,881.88
$226.28
9,546
$2,091.21
$385.88
89,863
$301.13
$54.60
$770.11
ADJ TOTAL
EXP PER UNIT
PROFIT/LOSS
PER UNIT
UNITS OF
SERVICE
UNIT
CODE
GROSS REV
PER UNIT
3,019
630,125
80,242
592,649
2,680
40,907
4,132
13,109
80,360
52,678
7
8
9
10
11
11
11
11
14
12
11
27
$14,214.35
$209.30
$1,425.86
$241.36
$27,980.38
$687.83
$2,075.29
$4,598.92
$1,176.72
$744.68
$3,464.01
$18.68
$274.57
$21.04
$1,557.40
$51.44
$158.54
$255.27
$62.04
$81.36
$82.43
$30.32
161,836
ADJ REV
PER UNIT
UNITS OF
SERVICE
141,267
1,194,651
18,170
365,159
ADJ DIRECT
EXP PER UNIT
$14.96
$0.74
$38.63
$14.22
1,426,366
10,991
UNIT
CODE
16
17
18
19
20
21
22
UNITS OF
SERVICE
1,232
81,358
440
10,991
4
1,426,366
397,248
UNIT
CODE*
23
24
25
22
26
21
20
ADJ DIRECT
EXP PER UNIT
$21,091.79
$36.80
$5,472.98
$591.45
$140.25
$0.73
$7.96
$0.79
$262.17
DATE PREPARED:
PAGE:
REPORT PERIOD:
THRU
6/24/2015
5 OF 5
07/01/2013
06/30/2014
MANAGEMENT
AND
SUPERVISION
2.72%
3.09%
3.47%
3.10%
TECHNICAL
AND
SPECIALIST
6.98%
13.12%
43.63%
23.52%
REGISTERED
NURSES
67.22%
66.87%
27.53%
50.21%
LICENSED
VOCATIONAL
NURSES
4.64%
0.97%
%
2.13%
AIDES
AND
ORDERLIES
11.42%
2.78%
18.22%
13.10%
%
1.81%
6.14%
12.69%
21.51%
%
1.71%
34.56%
2.91%
44.68%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
%
6.49%
%
26.86%
%
31.56%
%
1.34%
%
8.23%
%
$0.00
$0.00
$0.00
$0.00
$0.00
ENVIRON.
AND
FOOD SERV.
%
%
%
%
%
%
53.70%
%
0.51%
CLERICAL
AND OTHER
EMPLOYEES
5.75%
10.93%
6.35%
6.74%
%
96.48%
5.60%
84.40%
33.29%
REGISTRY
AND
TEMP HELP
1.26%
2.23%
0.80%
1.20%
%
%
8.15%
%
2.58%
TOTAL
PRODUCTIVE
HOURS
593,149
196,055
588,987
1,378,191
TOTAL
PAID
HOURS
725,566
234,710
717,250
1,677,526
52,080
339,193
62,809
324,629
57,673
419,402
72,999
386,739
8.38%
%
14.74%
%
2.40%
%
2,192,898
2,614,339
$0.00
$0.00
$0.00
1,029
8
440
6
8. Street Address:
2105 FOREST AVENUE
9. City:
SAN JOSE
10.Zip Code:
95128
12. City:
REDWOOD CITY
15. Title:
CEO
30. State :
OR
37.
Through:
06/30/2014
39.
Through:
06/30/2014
40. Was this disclosure report completed after an independent financial audit ?
__X__
Yes
____
No
41. Are audit adjustments made by the independent auditor reflected in this report ?
__X__
Yes
____
No
HOSPITAL DESCRIPTION
O'CONNOR HOSPITAL
MISC INFORMATION
(1)
TYPE OF CONTROL
(2)
06/30/2014
TYPE OF CARE
358
Church
Available Beds
345
Non-Profit Corporation
Short-Term - Childrens
10
15
144
Non-Profit Other
Short-Term - Psychiatric
15
20
HSA No
Investor - Individual
Short-Term - Specialty
20
25
Investor - Partnership
Long-Term - General
25
30
Investor - Corporation
Long-Term - Childrens
30
35
State
Long-Term - Psychiatric
35
40
County
Long-Term - Specialty
40
45
Regional
City/County
45
50
Community
City
50
55
Intermediate
District
Line
No
GOVERNMENT PROGRAMS
(1)
Short-Term - General
Line
No
10
(3)
55
PREPAID PROGRAMS
(2)
No.of
Each Type
24 HR. ON PREMISES
COVERAGE
(3)
Line
No
60
60
Medicare
HospitalBased
Emergency Services
65
Medi-Cal
Psychiatric ER
70
State Contracts
Physician
70
75
Short-Doyle
Federal Contracts
Pharmacist
75
80
CHAMPUS
Operating Room
80
85
County Indigent
Laboratory Services
85
90
Other (Specify)
Other (Specify)
Radiology Services
90
Anesthesiologist
95
65
95
100
100
105
105
ACTIVE MEDICAL STAFF PROFILE - MD's, DO's, Podiatrists and Dentists (Enter No)
Line
No
CLINICAL SPECIALTY
HOSPITAL BASED
Board
Certified
(1)
Board
Eligible
(2)
Other
(3)
NON-HOSPITAL BASED
Board
Certified
(4)
Board
Eligible
(5)
Other
(6)
RESIDENTS/FELLOWS
(Enter FTEs)
Residents
(7)
Line
No
Fellows
(8)
110
115
120 Anesthesiology
21
120
28
125
140 Dental
130
2
135
140
145 Dermatology
145
150
155
160 Gastroenterology
14
37
160
19
175
73
31
180
190 Neurology
24.00
165
170
1
29
210 Oncology
215 Ophthalmology
11
185
3
190
195
200
205
210
1
215
220
HOSPITAL DESCRIPTION
O'CONNOR HOSPITAL
CLINICAL SPECIALTY
HOSPITAL BASED
Board
Certified
(1)
Board
Eligible
(2)
NON-HOSPITAL BASED
Other
(3)
Board
Certified
(4)
22
230 Otolaryngology
11
235 Pathology
Board
Eligible
(5)
Other
(6)
06/30/2014
RESIDENTS/FELLOWS
(Enter FTEs)
Residents
(7)
Line
No
Fellows
(8)
225
3
230
235
240 Pediatric-Allergy
240
245 Pediatric-Cardiology
245
250 Pediatric-Surgery
255 Pediatrics
36
250
14
255
270 Podiatry
270
275 Psychiatry
275
260
265
280
9
8
285
21
290
295
305 Urology
426
76
42
320 TOTAL
55
300
305
310
315
83
24.00
320
SERVICES INVENTORY
O'CONNOR HOSPITAL
Line
No
(1)Co
de
10
Burn
15
Coronary
20
06/30/2014
(2)
Code
(3)Co
de
Microbiology
Dental
Necropsy
Dermatology
Serology
Diabetes
Medical
Surgical Pathology
Drug Abuse
25
Neonatal
Family Therapy
30
Neurosurgical
Computed Tomography
Group Therapy
35
Pediatric
Cystoscopy
Hypertension
40
Pulmonary
Metabolic
45
Surgical
Neurology
50
Ultrasonography
Neonatal
55
X-Ray - Radiology
Obesity
60
DIAGNOSTIC/THERAPEUTIC
SERVICES
Obstetrics
65
Geriatric
Audiology
Ophthalmology
70
Medical
Biofeedback Therapy
Orthopedic
75
Neonatal
Cardiac Catheterization
Otolaryngology
80
Oncology
Cobalt Therapy
Pediatric
85
Orthopedic
Diagnostic Radioisotope
Pediatric Surgery
90
Pediatric
Echocardiology
Podiatry
95
Physical Rehabilitation
Electrocardiology
Psychiatric
100
Post Partum
Electroencephalography
Renal
105
Surgical
Electromyography
Rheumatic
107
110
Endoscopy
Rural Health
Surgery
115
Gastro-Intestinal Laboratory
120
125
Lithotripsy
130
Hospice Care
Nuclear Medicine
135
Occupational Therapy
140
LONG-TERM CARE
Physical Therapy
145
150
155
Intermediate Care
Radiation Therapy
160
Residential/Self Care
Radium Therapy
165
Self Care
Radioactive Implants
Jail Care
170
Recreational Therapy
175
Sub-Acute Care
177
Sub-Acute Care-Pediatric
179
180
Speech-Language Pathology
AMBULATORY SERVICES
185
Alcohol
Spotcare Medicine
190
Drug
Stress Testing
195
Therapeutic Radioisotope
200
Alcohol
205
Drug
PSYCHIATRIC SERVICES
CODE
1- Service is available at the hospital.
SERVICES INVENTORY
O'CONNOR HOSPITAL
Line
No
(1)Co
de
06/30/2014
(2)
Code
(3)Co
de
210
PSYCHIATRIC SERVICES
215
220
OTHER SERVICES
225
Milieu Therapy
230
Night Care
Dietetic Counseling
Psychiatric Therapy
Psychopharmacological Therapy
Family Planning
Genetic Counseling
235
240
OBSTETRIC SERVICES
245
Abortion Services
Sheltered Workshop
250
RENAL DIALYSIS
Medical Research
255
Hemodialysis
260
Infertility Services
Patient Representative
265
Peritoneal
270
SURGERY SERVICES
Self-Dialysis Training
275
Dental
Organ Acquisition
Toxicology/Antidote Information
280
General
Blood Bank
Vocational Services
285
Gynecological
290
Heart
Pharmacy
295
Kidney
300
Neurosurgical
EMERGENCY SERVICES
305
Open Heart
310
Ophthalmologic
315
Organ Transplant
320
325
Approved Fellowship
Non-Approved Residency
Orthopedic
Otolaryngologic
Heliport
330
Pediatric
Medical Transportation
335
Plastic
340
Podiatry
345
Thoracic
350
Urologic
Nurse Anesthetist
355
Anesthesia Services
Trauma Treatment E. R.
Nurse Practitioner
Nurse Midwife
Occupational Therapist
360
365
LABORATORY SERVICES
CLINIC SERVICES
370
Anatomical Pathology
AIDS
Pharmacy Intern
375
Chemistry
Alcoholism
Physician's Assistant
380
Clinical Pathology
Allergy
Physical Therapist
385
Cytogenetics
Cardiology
Registered Nurse
390
Cytology
Chest Medical
Respiratory Therapist
395
Hematology
Child Diagnosis
400
Histocompatibility
Child Treatment
405
Immunology
Communicable Disease
CODE
1- Service is available at the hospital.
O'CONNOR HOSPITAL
06/30/2014
A. Are any costs included which are a result of transactions with a related organizations as defined in 42 CFR 413.17?
1.
Yes
B. Are any costs included which are a result of transactions with a related organization of which a hospital employee, board member or member of
the which medical staff, or relative of such person is an officer or owner ? (Ignore stock ownership less than 3%)
2.
Yes
C. Complete the following to show the relationships of the hospital with related organizations and with organizations with related personnel from
the hospital obtained services, facilities, or supplies during the reporting period.
Line
No
Code
(1)
Percent
Ownership of
Hospital (3)
Related Organizations
Name
3
(4)
DAUGHTERS OF CHARITY
HEALTH SYSTEM
Percent
Ownership(5)
100
Type of Business
(6)
CORPORATE OFFICE
4
5
6
7
8
9
10
11
12
Expense Included on
Line
No
3
Amount
(7)
(8)
ADMINISTRATION
Page
$8,671,317
(9)
Column (10)
18
4
5
6
7
8
9
10
11
12
COMMENTS:
13
14
15
16
Codes
Use Codes A,B, and G to indicate the relationship of the hospital to related organizations and codes C,D,E,F and G to indicate relationship of hospital with organizations
with related personnel.
A. Corporation, partnership or other organization has ownership interest in hospital. [Complete columns (4) through (11).]
B. Hospital has ownership interest (stockholder, partner, etc.) in both related organization and hospital. [Complete columns (4) through (11).]
C. Individual has ownership interest (stockholder, partner, etc.) in both related organization and hospital. (Complete all columns.)
D. Director, officer, administrator or key person or relative of such person has ownership interest in related organization. [Complete columns(2),(4) through (11).]
E. Individual is director, officer, administrator or key person of hospital and related organization. [Complete columns(2), (4) through (11).]
F. Director, officer, administrator or key person or related organization or relative of such person has ownership interest in hospital. [Complete columns(2),(4) through (11).]
G. Other (ownership or non-financial) interest, specify on lines 13-16. (complete columns as applicable.)
NOTE: Relatives are defined as: spouse, son, daughter, grandchild, great grandchild, stepchild, brother, sister, half-brother, half-sister, stepbrother,
stepsister, parent, grandparent, great grandparent, stepmother, stepfather, niece, nephew, aunt, uncle, son-in-law, daughter-in-law,
father-in-law, mother-in-law, brother-in-law, or sister-in-law.
Line (11)
205
O'CONNOR HOSPITAL
06/30/2014
Partners
Corporation Officers
prietorship
Line
No
Name
(1)
Percentage
of
Customary
Work Week
Devoted to
Business
(3)
Percent
Share of
Operation
Profit or
(Loss)
(4)
Percentage
of
Customary
Work Week
Devoted to
Business
(5)
Percent of
Provider's
Stock
Owned
(6)
Percentage
of
Customary
Work Week
Compensation
Devoted to Included in Costs
Business for the Period
(7)
(8) *
17
18
19
20
21
* Compensation as used in this schedule has the same definition as 42CFR 413.102
NOTE: Relatives are defined as: spouse, son, daughter, grandchild, great grandchild, stepchild, brother, sister, half-brother, half-sister, stepbrother,
stepsister, parent, grandparent, great grandparent, stepmother, stepfather, niece, nephew, aunt, uncle, son-in-law, daughter-in-law,
father-in-law, mother-in-law,brother-in-law, or sister-in-law.
E. Are any funds held in trust by an outside party which are not reflected on the Balance Sheet ?
22.
Yes
F. Section 1191 of the Hospital Accounting and Reporting Manual references six general types of financial arrangements which exist between
hospital and hospital-based physicians. Check the appropriate boxes below to indicate the type of financial arrangement which exists in
your hospital for the various hospital cost centers having such arrangements. If none of the six types of financial arrangements described
are appropriate, check the Other column and describe the arrangement in the comment section. For cost centers other than those listed
below, please complete the Other line
Financial Arrangement
Line
No
Joint
(2)
Contracted
(3)
23
24
25
Nuclear Medicine
26
Cardiology Services
27
Emergency Services
28
Gastro-Intestinal Services
29
30
Psychiatric Therapy
31
Anesthesiology
32
Other (Specify)
COMMENTS:
33
34
35
36
Rental
(4)
Independent
(5)
Agency
(6)
Salaried
(7)
Other
(8)
O'CONNOR HOSPITAL
06/30/2014
Line
No
Name
Occupation
(2)
(1)
Check if
Owner
(3)
Percentage of Check if
Hospital
Board
Ownership
Member
(4)
(5)
Compensation*
(6)
37
$0
38
HEALTH COUNCILOR
$0
39
NUN
$0
40
NUN
$0
41
NUN
$0
42
ROBERT ISSAI
$0
43
NUN
$0
44
JEFFREY ANDERSON, MD
PHYSICIAN
$0
45
MARIO CORDERO, MD
PHYSICIAN
$0
46
GERRY DEYOUNG
RETIRED
$0
47
N. THAD PADUA, MD
PHYSICIAN
$0
48
HUGH WALSH, MD
PHYSICIAN
$0
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
* Compensation paid to the individual from all sources for services rendered personally to or on behalf of the hospital.
O'CONNOR HOSPITAL
06/30/2014
To be completed by all closely held corporations. If a physician is an owner or an owner of the corporation which owns the hospital,
identify all business relationships between the physician and the hospital. This would include percentage of stock owned by the physician,
all contracts between the physician and the hospital, and all lease arrangements between the physician and the hospital. If more than ten
owners, provide data for the ten with the largest percentage of stock owned.
Line
No
(1)
Physician Name
(2)
Percent of Stock Owned
(3)
Describe Contract, Lease and Other Arrangements
70
71
72
73
74
75
76
77
78
79
J. Is this facility operated by a management firm ?
80.
Yes
84. State:
86. Amount paid to the management firm for the reporting period:
Yes
No
93
89
94
90
95
91
96
92
97
M. Are the amounts paid to the management firm functionally accounted and reported as required ?
98.
Yes
No.
Please explain why amounts paid to the management firm are not functionally accounted and reported.
99
100
101
102
O'CONNOR HOSPITAL
Line
No
(1)
Licensed
(End of
Period)
(2)
Available
(Average)
(3)
Staffed
(Average)
(4)
Adult
22
22
13
4,484
(5)
Pediatric
06/30/2014
DISCHARGES
(11)
Service
(12)
Total
10
Coronary Care
15
20
25
25
30
Burn Care
30
35
35
40
Definitive Observation
45
Medical/Surgical Acute
236
223
79
50
Pediatric Acute
27
27
55
60
65
Obstetrics Acute
70
70
75
75
80
80
85
85
90
1,087
Line
No
5
10
15
10
10
1,391
107
20
40
26,872
1,294
6,406
45
313
50
55
60
39
39
23
7,706
3,034
65
90
24
24
20
7,916
24
100
101
105
110
115
120
125
145
150 Total
358
345
144
43
25
25
46,978
2,685
10,971
150
155
O'CONNOR HOSPITAL
ACCOUNT DESCRIPTION
06/30/2014
(1)
Total Units of
Service [Sum of
columns (7) and
(13)]
(7)
Total Inpatient Units
of Service
(13)
Total Outpatient
Units of Service
Line
No.
57,868
6,228
51,640
160
AMBULATORY SERVICES
160 Emergency Services
Visits
Occasions of Service
Visits
175 Clinics
Visits
Visits
180
Operating Minutes
185
Visits
Observation Hours
200
205
Visits
210
Visits
215
ANCILLARY SERVICES
230 Labor and Delivery Services
Deliveries
3,019
3,019
Operating Minutes
630,125
334,395
Operating Minutes
121,950
245 Anesthesiology
Anesthesia Minutes
630,125
80,242
Tests
592,649
355,035
237,614
260
Tests
17,427
5,988
11,439
265
5,800
4,359
1,441
270
275 Echocardiology
Procedures
Procedures
2,680
1,166
1,514
280
Procedures
28,093
12,073
16,020
285
290 Electromyography
Procedures
295 Electroencephalography
Procedures
483
230
253
295
Procedures
40,907
15,172
25,735
300
Procedures
7,411
456
6,955
305
Procedures
3,161
555
2,606
310
Procedures
4,132
1,067
3,065
315
320 Ultrasonography
Procedures
9,841
2,561
7,280
320
Procedures
13,109
4,730
8,379
325
80,360
330
52,678
335
Procedures
Hours of Treatment
350 Lithotripsy
Procedures
Procedures
Sessions
Sessions
365
Sessions
370
Treatments
380
Sessions
385
Sessions
390
Organs acquired
395
165
170
9,546
9,546
175
190
89,863
7,947
334,395
81,916
195
230
295,730
235
121,950
240
295,730
245
250
255
275
290
340
7,072
6,308
764
345
350
355
161,836
97,511
64,325
360
O'CONNOR HOSPITAL
OTHER STATISTICS
(1)
Total Units of
Service
(7)
Inpatient Units of
Service
06/30/2014
(13)
Outpatient Units of
Service
Surgeries
505
Surgeries
520
525
530
Surgeries
535
510
14,815
3,832
10,983
515
540
3,744
3,413
545
191
191
550
107,765
107,765
555
183,538
183,538
560
331
(1)
Total Births [Sum of
columns (7) and
(13)]
(7)
Natural Births
(13)
Cesarean Sections
3,032
2,143
889
600
605
610
615
620
3,032
2,143
889
625
O'CONNOR HOSPITAL
06/30/2014
(1)
Medicare Traditional
(2)
Medicare Managed Care
(3)
Medi-Cal Traditional
(4)
Medi-CalManaged Care
17,173
4,018
5,211
5,229
(5)
County
Indigent
Programs Traditional
(6)
Line
County
No
Indigent
Programs Managed Care
Acute Care
10
Psychiatric Care
10
15
15
20
Rehabilitation Care
25
Long-Term Care
30
Other Care
35
Total
40
Nursery Acute
45
20
1,675
61
4,464
223
25
18,848
4,079
9,675
5,452
35
1,781
2,156
40
30
45
(7)
Other Third
Parties
Traditional
138
(8)
(9)
Other Third
Other Indigent
Parties
Managed Care
9,060
(10)
Other Payors
(11)
Total Patient
Days
918
41,747
Line
No
Acute Care
10
Psychiatric Care
10
15
15
20
Rehabilitation Care
25
Long-Term Care
30
Other Care
35
Total
40
Nursery Acute
45
20
1,489
7,916
25
10,549
922
49,663
35
2,075
82
6,094
40
30
138
45
DISCHARGES
TYPE OF CARE
Line
No
(12)
Medicare Traditional
(13)
Medicare Managed Care
(14)
Medi-Cal Traditional
(15)
Medi-CalManaged Care
3,267
948
1,803
1,839
(16)
County
Indigent
Programs Traditional
(17)
County
Line
Indigent
No
Programs Managed Care
Acute Care
10
Psychiatric Care
10
15
15
20
Rehabilitation Care
25
Long-Term Care
30
Other Care
35
Total
40
Nursery Acute
45
20
5
25
3,272
950
1,812
1,841
35
926
926
40
30
45
DISCHARGES
TYPE OF CARE
Line
No
(18)
Other Third
Parties
Traditional
40
(19)
(20)
Other Third
Other Indigent
Parties
Managed Care
2,778
(21)
Other Payors
272
(22)
Total
Discharges
Line
No
Acute Care
10
Psychiatric Care
10,947
10
15
15
20
Rehabilitation Care
25
Long-Term Care
30
Other Care
35
Total
40
Nursery Acute
45
20
5
24
25
2,783
273
10,971
35
976
50
2,878
40
30
40
45
O'CONNOR HOSPITAL
06/30/2014
OUTPATIENT VISITS
TYPE OF OUTPATIENT VISIT
(1)
Medicare Traditional
(2)
Medicare Managed Care
(3)
Medi-Cal Traditional
(4)
Medi-CalManaged Care
(5)
County
Indigent
Programs Traditional
(6)
County
Indigent
Line
Programs No
Managed Care
Line
No
60
9,084
1,993
4,398
14,771
60
65
4,363
873
295
951
65
70
1,177
340
43
544
70
75
75
80
80
85
Hospice - Outpatient
90
Outpatient Surgeries
5,020
1,004
340
1,094
95
Private Referred
49,257
9,851
3,335
10,735
95
87
17
19
100
68,988
14,078
8,417
28,114
105
100 Other *
105 Total
85
90
OUTPATIENT VISITS
TYPE OF OUTPATIENT VISIT
(7)
Other Third
Parties Traditional
(8)
Other Third
Parties Managed Care
(9)
Other Indigent
(10)
Other Payors
(11)
Total
OutPatient
Visits
Line
No
Line
No
60
1,029
14,428
5,937
51,640
60
65
78
2,779
207
9,546
65
70
96
1,202
11
3,413
70
75
75
80
80
85
Hospice - Outpatient
90
Outpatient Surgeries
90
3,198
237
10,983
95
Private Referred
881
31,376
2,330
107,765
95
56
191
100
2,176
53,039
8,726
183,538
105
100 Other *
105 Total
85
Includes Chemical Dependency Services, Adult Day Health Care, & Renal Dialysis Visits
90
O'CONNOR HOSPITAL
Line
No
ASSETS
06/30/2014
Account No
$1,198,501
$22,942,103
Line
No
CURRENT ASSETS
5
Cash
1000
10
Marketable securities
1010
15
1020
$201,795,787
$208,448,943
15
20
1040
($168,159,503)
($171,401,392)
20
25
1050
25
30
1060
30
35
1070
40
Inventory
1080
$5,096,040
$4,884,557
40
45
Intercompany receivables
1090
$8,419,579
$8,143,607
45
50
1100
$1,391,155
$9,499,391
50
55
$49,741,559
$82,517,209
55
$200,466
$9,850,221
60
10
35
1110
65
1120
70
1130
75
65
70
$200,466
$9,850,221
75
Land
1200
$727,429
$727,429
80
85
Land improvements
1210
$5,034,875
$5,034,875
85
90
1220
$83,086,479
$83,332,307
90
95
Leasehold improvements
1230
$69,586,784
$69,609,889
95
1240
$115,588,277
$106,853,958
100
$274,023,844
$265,558,458
105
1260
($227,214,768)
($215,640,537)
195
$46,809,076
$49,917,921
200
$3,061,988
$3,200,959
205
100 Equipment
105 TOTAL PROPERTY, PLANT AND EQUIPMENT (Sum of lines 80 through 100)
195 Less accumulated depreciation and amortization
200 NET TOTAL PROPERTY, PLANT AND EQUIPMENT (Sum of lines 105 & 195)
205 Construction in progress
1250
1310
210
1320
215
1330
220
1340
1350
235 TOTAL INVESTMENTS IN OTHER ASSETS (Sum of lines 210 through 230)
225
$53,513
$1,962,506
230
$53,513
$1,962,506
235
INTANGIBLE ASSETS
245 Goodwill
1360
245
1370
250
1380
255
1390
260
265
TOTAL
270 TOTAL ASSETS (Sum of lines 55, 75,200,205,235 , and 265)
Line
No
OTHER INFORMATION
$99,866,602
$147,448,816
270
Line
No
405 Current market value - current assets marketable securities (Line 10)
405
410
415
$3,061,988
$3,200,959
420
Line
No
Account No
(4)Prior Year
Line
No
CURRENT LIABILITIES
5
2010
$932,826
10
Accounts payable
2020
$11,135,359
$5,278,150
10
15
2030
$16,489,360
$16,737,600
15
20
2040
25
2050
30
2060
35
2070
40
2080
$1,649,021
45
Intercompany payables
2090
$23,102,054
$10,268,667
50
55
2100
$7,628,932
$10,134,180
55
60
$61,071,361
$43,971,755
60
20
25
$1,066,635
$620,332
30
35
40
45
50
DEFERRED CREDITS
65
2110
70
2120
75
2130
80
65
70
$56,833,000
$57,914,000
75
$56,833,000
$57,914,000
80
Mortgages payable
2210
85
90
Construction loans
2220
90
95
2230
95
2240
100
2250
2260
2270
$51,114,881
$76,711,183
105
110
115
$51,114,881
$76,711,183
$51,114,881
$76,711,183
130
$169,019,242
$178,596,938
135
($69,152,640)
($31,148,122)
140
125 Less amount shown as current maturities (Must agree with line 50)
120
125
2310
2310
145
2320
150
2330
155
2340
160
2350
165
2310
170
2320
175
2710
180
2720
185
2730
190
2740
195
2750
200
($69,152,640)
($31,148,122)
205
$99,866,602
$147,448,816
270
TOTAL
270 TOTAL LIABILITIES AND EQUITY (Sum of lines 135 and 205)
(a) Complete Report Page 5.1 to provide detailed long-term debt information.
O'CONNOR HOSPITAL
Line
No
(6)Date Obligation
Incurred (Year Only*)
105
2002
(8) Interest
Rate (a)
7.45
06/30/2014
Line
No
5
10
10
15
15
20
20
25
25
30
30
35
35
40
40
45
45
50
50
55
55
60
60
65
65
70
70
75
75
80
80
85
85
90
90
95
95
100
100
105
105
110
110
115
115
120
120
125
125
130
130
135
135
140
140
145
145
150
150
155
155
160
160
165
165
170
170
175
175
180
180
185
185
190
190
195
195
200
200
205
205
210
210
215
215
220
220
225
225
230
230
235
235
240
240
245
245
250
250
O'CONNOR HOSPITAL
(6)Date Obligation
Incurred (Year Only*)
(8) Interest
Rate (a)
06/30/2014
Line
No
255
255
260
260
265
265
270
270
275
275
280
280
285
285
290
290
295
295
300
300
305
305
310
310
315
315
320
320
O'CONNOR HOSPITAL
(1)
(3)
(4)
(5)
06/30/2014
(6)
Additions
Line
Line
No
Description
Beginning
Balance(a)
Purchase
Donation
Transfers
Disposals and
Retirements
Ending
Balance (b)
No
Land
$727,429
$727,429
10
Land Improvements
$5,034,875
$5,034,875
10
15
$83,332,307
($245,828)
$83,086,479
15
20
Leasehold Improvements
$69,609,889
($23,105)
$69,586,784
20
25
Equipment
$106,853,958
$115,588,277
25
30
Construction-in-progress
($138,971)
$3,061,988
30
35
TOTAL
($407,904)
$277,085,832
35
$8,734,319
$3,200,959
$268,759,417
$8,734,319
(a) Column(1), line 35 must agree with page 5, column(2), sum of lines 105 and 205.
(b) Column(6), line 35 must agree with page 5, column(1), sum of lines 105 and 205.
O'CONNOR HOSPITAL
Line
No
ASSETS
(1)
Current Year
06/30/2014
(2)
Prior Year
Line
No
Cash
1510
10
1521
10
15
Other Investments
1529
15
20
Receivables
1530
20
25
1540
25
30
Other assets
1550
30
75
75
Cash
1410
105
110
1421
110
115
Mortgages investments
1422
115
120
1423
1424
120
125
Other Investments
1429
125
130
Receivables
1430
130
135
1440
135
140
Other assets
1450
140
170
170
ENDOWMENT FUNDS
205
Cash
1610
205
210
1621
210
215
Mortgages
1622
215
220
1623
1624
220
225
Other investments
1629
225
230
Receivables
1630
230
235
1640
235
240
Other assets
1650
240
275
Line
No
OTHER INFORMATION
275
(1)
Current Year
(2)
Prior Year
Line
No
405
Current market value - specific purpose funds marketable securities (Line 10)
405
410
Current market value - Property Replacement & Exp. funds marketable securities (line
110)
410
415
415
O'CONNOR HOSPITAL
(3)
Current Year
06/30/2014
(4)
Prior Year
Line
No
2510
10
2520
10
15
2530
15
70
Fund balance
2570
70
75
75
2410
105
110
2420
110
115
2430
115
165
Fund balance
2470
165
170
170
ENDOWMENT FUNDS
205
Mortgages
2610
205
210
2620
210
215
2630
215
220
2640
220
225
2650
225
270
Fund balance
2670
270
275
275
O'CONNOR HOSPITAL
06/30/2014
RESTRICTED FUNDS
Line
No
ASSETS
(1) Funds
Unrestricted
(4) Endowment
Line
No
10
10
15
15
($31,148,122)
20
20
25
25
30
30
35
35
40
40
45
45
50
($31,148,122)
50
55
ADDITIONS (DEDUCTIONS):
Net Income (Loss)
($43,083,064)
55
60
60
65
65
70
70
75
75
80
80
85
85
90
Dividends declared
90
95
95
100
Intercompany transfers
100
105
110
105
$5,078,546
110
115
115
120
120
125
130
TRANSFERS:
Property and equipment additions
($38,004,518)
125
130
135
135
140
140
145
145
150
150
155
155
160
160
165
165
170
170
175
185
175
($69,152,640)
185
O'CONNOR HOSPITAL
Line SECTION I
No
06/30/2014
(2)
Prior Year
Line
No
OPERATING REVENUES:
Daily hospital services
$344,179,417
$365,232,495
10
Ambulatory services
$213,791,518
$232,593,158
10
15
Ancillary services
$868,395,408
$866,603,926
15
30
$1,426,366,343
$1,464,429,579
30
105
$1,177,156,750
$1,179,993,046
105
107
110
NET PATIENT REVENUE (Line 30 minus line 105 plus line 107)
$249,209,593
$284,436,533
110
135
$4,680,678
$2,384,212
135
140
$253,890,271
$286,820,745
140
146
OPERATING EXPENSES:
Daily Hospital Services
$68,898,411
$71,526,385
146
151
Ambulatory Services
$21,727,708
$22,519,125
151
156
Ancillary Services
$94,109,288
$91,741,642
156
161
Research Costs
166
Education Costs
$2,460,816
$2,786,695
166
171
General Services
$46,319,287
$45,932,706
171
176
Fiscal Services
$4,748,805
$5,549,693
176
181
Administrative Services
$54,835,328
$66,249,075
181
186
Unassigned Costs
$17,503,709
$10,707,393
186
190
195
200
$310,603,352
$317,012,714
200
205
($56,713,081)
($30,191,969)
205
210
$13,630,017
$7,337,228
210
215
($43,083,064)
($22,854,741)
215
220
220
225
Deferred
225
230
NET INCOME BEFORE EXTRAORDINARY ITEMS: (Line 215 minus 220 and
225)
107
161
190
195
($43,083,064)
($22,854,741)
230
EXTRAORDINARY ITEMS:(Specify)
235
235
240
245
240
NET INCOME (Line 230 minus lines 235 and 240)
($43,083,064)
(a) Report Page 8, Section II must be completed to provide detailed deductions from revenue information.
(b) Report Page 8, Section II must be completed to provide detailed capitation premium revenue information.
(c) Report Page 8, Section III must be completed to provide detailed non-operating revenue and expense information.
($22,854,741)
245
O'CONNOR HOSPITAL
Line SECTION II
No
06/30/2014
(2)
Prior Year
Line
No
300
$11,612,383
$10,721,209
300
305
$441,680,405
$460,120,788
305
310
$118,615,213
$97,483,421
310
315
$126,886,774
$124,997,896
315
320
$173,979,371
$163,409,900
320
325
Disproportionate share payments for Medi-Cal patient days (SB 855) (credit bal)
(d)
325
330
330
335
340
345
350
355
360
360
365
365
370
370
375
Policy discounts
380
Administrative adjustments
385
395
430
430
435
435
440
440
445
445
450
450
335
$8,814,199
$10,115,916
340
$239,413,303
$246,561,737
345
$23,897,306
350
($1)
355
$19,248,021
375
$42,684,874
$36,907,081
$1,177,156,750
(d) Disproportionate share funds transferred back to a related public entity must be reported on page 7, column(1), line 105.
380
385
$1,179,993,046
395
O'CONNOR HOSPITAL
06/30/2014
Account
No
(1)
Current Year
(2)
Prior Year
$10,124,020
$66,679
$1,458,552
$1,582,449
$271,086
$2,210,017
Line
No
500
NON-OPERATING REVENUES:
Gains on sale of hospital property
9010
505
9030
510
Unrestricted contributions
9040
515
Donated services
9050
520
9060
525
9070
525
530
9080
530
535
9090
535
540
9100
540
545
9150
545
550
9160
550
555
9170
555
560
9180
560
565
9190
565
570
State appropriation
9200
570
575
9210
575
580
9220
580
585
9230
590
9250
595
9260
595
600
9270
600
605
9280
610
9290
$211,740
$309,316
610
615
9400
$3,013,440
$2,755,346
615
625
$17,060,225
$9,308,779
625
640
NON-OPERATING EXPENSES:
Loses on sale of hospital property
9020
645
9030
650
9510
655
9520
655
660
9530
660
665
9540
670
9550
$642,867
$190,065
670
675
9800
$1,867,837
$355,664
675
685
$3,430,208
$1,971,551
685
700
$13,630,017
$7,337,228
700
705
500
505
510
515
520
585
$1,981,387
$2,384,972
590
605
640
645
$919,504
$1,425,822
650
665
705
O'CONNOR HOSPITAL
Line
No
06/30/2014
Line
No
($43,083,064)
($22,854,741)
$12,543,209
$14,144,314
15
15
Adjustments to reconcile net income to net cash provided by (used for) operating activities and
non-operating revenue :
Depreciation and amortization
17
20
30
Change in accounts and notes receivable, net of allowance for uncollectible receivables and
third-party contractual withholds
35
35
40
40
45
50
Change in inventory
($211,483)
($93,501)
50
55
($275,972)
$318,349
55
57
$8,108,236
$894,546
57
60
$5,857,209
($57,165)
60
65
($248,240)
$1,153,791
65
70
75
80
85
87
$1,649,021
90
$12,833,387
$6,058,830
95
($2,505,248)
($6,465,603)
95
($1,081,000)
($3,333,777)
100
17
20
$3,411,267
$1,180,181
30
45
70
75
$446,303
($616,745)
80
85
87
90
102
103
104
$40,526,689
$13,183,220
105
115 NET CASH PROVIDED BY (USED FOR) OPERATING ACTIVITIES (Sum of lines 5 and 105)
($2,556,375)
($9,671,521)
115
$9,649,755
$28,220,731
130
($8,734,319)
($1,490,514)
135
140
141
142
NET CASH PROVIDED BY (USED FOR) INVESTING ACTIVITIES (Sum of lines 130 through
145 142)
CASH FLOW FROM FINANCING ACTIVITIES:
160 Proceeds from issuance of long-term debt
$915,436
$26,730,217
145
($25,596,302)
($932,826)
160
($932,826)
$932,826
165
170
175
180
185
$5,078,546
$1,347,919
($324,333)
190
191
192
NET CASH PROVIDED BY (USED FOR) FINANCING ACTIVITIES (Sum of lines 160 through
195 192)
($20,102,663)
($324,333)
195
205 NET INCREASE (DECREASE) IN CASH (Sum of lines 115, 145 and 195)
($21,743,602)
$16,734,363
205
$22,942,103
$6,207,740
215
$1,198,501
$22,942,103
225
O'CONNOR HOSPITAL
(1)Units of
Service
from Page 17,
Column (13)
(3)Allocated
Costs
Column
(4) minus (2)
(4)Total Patient
Care Costs from
Page 20, Column
(16),Lines 505 - 915
06/30/2014
(5)Average Unit
Patient Care
Costs, Column
(4) (1)
Line
No
10
Coronary Care
10
15
15
20
20
25
25
30
Burn Care
30
35
35
40
Definitive Observation
40
45
Medical/Surgical Acute
45
50
Pediatric Acute
50
55
55
60
60
65
Obstetrics Acute
65
70
70
75
75
80
80
85
85
90
90
95
Nursery Acute
95
100
101
105
110
115
120
125
145
150
AMBULATORY SERVICES:
160 Emergency Services
160
165
170
175 Clinics
175
180
185
190
195
200
205
210
215
220
225
O'CONNOR HOSPITAL
06/30/2014
10
Coronary Care
10
15
15
20
20
25
25
30
Burn Care
30
35
35
40
Definitive Observation
40
45
Medical/Surgical Acute
45
50
Pediatric Acute
50
55
55
60
60
65
Obstetrics Acute
65
70
70
75
75
80
80
85
85
90
90
95
Nursery Acute
95
100
101
105
110
115
120
125
145
150
AMBULATORY SERVICES:
160 Emergency Services
160
165
170
175 Clinics
175
180
185
190
195
200
205
210
215
220
225
O'CONNOR HOSPITAL
(11) Gross
Revenue from
Page 12,
Columns (21) +
(22)
06/30/2014
(15)Average Unit Line
Net Revenue
No
Column (14) (1)
10
Coronary Care
10
15
15
20
20
25
25
30
Burn Care
30
35
35
40
Definitive Observation
40
45
Medical/Surgical Acute
45
50
Pediatric Acute
50
55
55
60
60
65
Obstetrics Acute
65
70
70
75
75
80
80
85
85
90
90
95
Nursery Acute
95
100
101
105
110
115
120
125
145
150
AMBULATORY SERVICES:
160 Emergency Services
160
165
170
175 Clinics
175
180
185
190
195
200
205
210
215
220
225
O'CONNOR HOSPITAL
(16) Net
(17) Average Line
Revenue Minus
Unit Net
No
Net Costs
Column (16)
Column (14)
(1)
minus (9)
5
10 Coronary Care
10
15
20
25
30 Burn Care
30
35
40 Definitive Observation
40
45 Medical/Surgical Acute
45
50 Pediatric Acute
50
55
60
65 Obstetrics Acute
65
70
75
80
85
90
95 Nursery Acute
95
100
101
105
110
115
120
125
145
150
AMBULATORY SERVICES:
160 Emergency Services
160
165
170
175 Clinics
175
180
185
190
195
200
205
210
215
220
225
06/30/2014
O'CONNOR HOSPITAL
(1)Units of
Service
from Page 17,
Column (13)
(3)Allocated
Costs
Column
(4) minus (2)
06/30/2014
(4)Total Patient
Care Costs from
Page 20, Column
(16),Lines 505 - 915
(5)Average Unit
Patient Care
Costs, Column
(4) (1)
Line
No
ANCILLARY SERVICES:
230 Labor and Delivery Services
230
235
240
245 Anesthesiology
245
250
255
260
265
270
275 Echocardiology
275
280
285
290 Electromyography
290
295 Electroencephalography
295
300
305
310
315
320 Ultrasonography
320
325
330
335
340
345
350 Lithotripsy
350
355
360
365
370
375
380
385
390
395
400
405
410
411
415
420
425
430
435
O'CONNOR HOSPITAL
06/30/2014
ANCILLARY SERVICES:
230 Labor and Delivery Services
230
235
240
245 Anesthesiology
245
250
255
260
265
270
275 Echocardiology
275
280
285
290 Electromyography
290
295 Electroencephalography
295
300
305
310
315
320 Ultrasonography
320
325
330
335
340
345
350 Lithotripsy
350
355
360
365
370
375
380
385
390
395
400
405
410
411
415
420
425
430
435
O'CONNOR HOSPITAL
(11) Gross
Revenue from
Page 12,
Columns (21) +
(22)
06/30/2014
(15)Average Unit Line
Net Revenue
No
Column (14) (1)
ANCILLARY SERVICES:
230 Labor and Delivery Services
230
235
240
245 Anesthesiology
245
250
255
260
265
270
275 Echocardiology
275
280
285
290 Electromyography
290
295 Electroencephalography
295
300
305
310
315
320 Ultrasonography
320
325
330
335
340
345
350 Lithotripsy
350
355
360
365
370
375
380
385
390
395
400
405
410
411
415
420
425
430
435
O'CONNOR HOSPITAL
(16) Net
(17) Average Unit Line
Revenue Minus Net Column (16) No
Net Costs
(1)
Column (14)
minus (9)
ANCILLARY SERVICES:
230 Labor and Delivery Services
230
235
240
245 Anesthesiology
245
250
255
260
265
270
275 Echocardiology
275
280
285
290 Electromyography
290
295 Electroencephalography
295
300
305
310
315
320 Ultrasonography
320
325
330
335
340
345
350 Lithotripsy
350
355
360
365
370
375
380
385
390
395
400
405
410
411
415
420
425
430
435
06/30/2014
O'CONNOR HOSPITAL
06/30/2014
MEDICARE
Traditional
(1) Gross
Inpatient Revenue
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Managed Care
(2) Gross
Outpatient
Revenue
(3) Gross
Inpatient Revenue
(4) Gross
Outpatient
Revenue
Account
No
Revenue Subclassifications
Line
No
.04
.44
.14
.54
3010
10
Coronary Care
3030
15
3050
20
3070
25
3090
25
30
Burn Care
3110
30
35
3130
35
40
Definitive Observation
3150
45
Medical/Surgical Acute
3170
50
Pediatric Acute
3290
50
55
3340
55
60
3360
65
Obstetrics Acute
3380
70
3400
70
75
3420
75
80
3440
80
85
3470
85
90
3510
90
95
Nursery Acute
3530
$31,778,620
$9,060,539
5
10
15
$379
20
40
$95,521,678
$21,967,120
45
60
$27,697
$18,753
65
95
3560
3570
101
3580
105
3610
110
3630
115
3680
120
3780
125
3900
$2,350,708
$118,728
100
145
$129,678,703
$31,165,519
150
AMBULATORY SERVICES:
160 Emergency Services
4010
4040
4060
175 Clinics
4070
4180
180
4200
185
4220
4230
4260
200
4290
205
4310
210
4320
215
4390
$16,322,284
$21,953,564
$4,418,601
$6,319,583
160
165
170
$132,700
$14,626,886
$2,277
$1,539,836
175
190
$2,136,301
$8,320,266
$541,180
$3,485,060
195
220
$18,591,285
$44,900,716
$4,962,058
$11,344,479
225
O'CONNOR HOSPITAL
06/30/2014
MEDI-CAL
Traditional
(5) Gross
Inpatient Revenue
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Managed Care
(6) Gross
Outpatient
Revenue
(7) Gross
Inpatient Revenue
(8) Gross
Outpatient
Revenue
Account
No
Revenue Subclassifications
Line
No
.05
.45
.15
.55
3010
10
Coronary Care
3030
15
3050
20
3070
25
3090
25
30
Burn Care
3110
30
35
3130
35
40
Definitive Observation
3150
45
Medical/Surgical Acute
3170
$14,323,286
$11,165,570
45
50
Pediatric Acute
3290
$1,578,180
$3,989,211
50
55
3340
60
3360
65
Obstetrics Acute
3380
70
3400
70
75
3420
75
80
3440
80
85
3470
85
90
3510
90
95
Nursery Acute
3530
$5,313,565
$5,369,171
5
10
15
$2,748,080
$7,174,583
20
40
55
60
$20,353,492
$20,806,339
65
95
3560
3570
101
3580
105
3610
110
3630
115
3680
120
3780
125
3900
$8,560,819
$874,753
100
145
$52,877,422
$49,379,627
150
AMBULATORY SERVICES:
160 Emergency Services
4010
4040
4060
175 Clinics
4070
4180
180
4200
185
4220
4230
4260
200
4290
205
4310
210
4320
215
4390
$4,298,734
$12,726,946
$3,725,426
$38,608,536
160
165
170
$1,060
$11,320
$247,880
175
190
$451,349
$1,264,611
$450,714
$2,230,285
195
220
$4,751,143
$14,002,877
$4,176,140
$41,086,701
225
O'CONNOR HOSPITAL
06/30/2014
PATIENT
REVENUE PRODUCING CENTERS
Managed Care
(10) Gross
Outpatient
Revenue
(11) Gross
Inpatient Revenue
(12) Gross
Outpatient
Revenue
Account
No
Revenue Subclassifications
Line
No
.07
.47
.17
.57
3010
10
Coronary Care
3030
10
15
3050
15
20
3070
20
25
3090
25
30
Burn Care
3110
30
35
3130
35
40
Definitive Observation
3150
40
45
Medical/Surgical Acute
3170
45
50
Pediatric Acute
3290
50
55
3340
55
60
3360
60
65
Obstetrics Acute
3380
65
70
3400
70
75
3420
75
80
3440
80
85
3470
85
90
3510
90
95
Nursery Acute
3530
95
3560
100
3570
101
3580
105
3610
110
3630
115
3680
120
3780
125
3900
145
150
AMBULATORY SERVICES:
160 Emergency Services
4010
160
4040
165
4060
170
175 Clinics
4070
175
4180
180
4200
185
4220
190
4230
195
4260
200
4290
205
4310
210
4320
215
4390
220
225
O'CONNOR HOSPITAL
06/30/2014
PATIENT
REVENUE PRODUCING CENTERS
(14) Gross
Outpatient
Revenue
Managed Care
(15) Gross
Inpatient Revenue
(16) Gross
Outpatient
Revenue
Account
No
Revenue Subclassifications
Line
.02, .03, .06
.12,.13,.16
No
3010
10
Coronary Care
3030
15
3050
20
3070
25
3090
25
30
Burn Care
3110
30
35
3130
35
40
Definitive Observation
3150
45
Medical/Surgical Acute
3170
50
Pediatric Acute
3290
55
3340
60
3360
65
Obstetrics Acute
3380
70
3400
70
75
3420
75
80
3440
80
85
3470
85
90
3510
90
95
Nursery Acute
3530
$723,827
$8,708,428
5
10
15
$3,779,353
20
40
$843,852
$30,759,162
45
$2,840,719
50
55
60
$24,480,947
65
95
3560
3570
101
3580
105
3610
110
3630
115
3680
120
3780
125
3900
$2,582,014
100
145
$1,567,679
$73,150,623
150
AMBULATORY SERVICES:
160 Emergency Services
4010
4040
4060
175 Clinics
4070
4180
180
4200
185
4220
4230
4260
200
4290
205
4310
210
4320
215
4390
$111,795
$2,379,187
$6,684,520
$33,675,464
160
165
170
$221,150
$2,914
$3,170,538
175
190
$19,319
$143,024
$908,870
$5,959,023
195
220
$131,114
$2,743,361
$7,596,304
$42,805,025
225
O'CONNOR HOSPITAL
OTHER INDIGENT
(17) Gross
Inpatient Revenue
Line
No
PATIENT
REVENUE PRODUCING CENTERS
(18) Gross
Outpatient
Revenue
06/30/2014
OTHER PAYORS
(19) Gross
Inpatient Revenue
(20) Gross
Outpatient
Revenue
Account
No
Revenue Subclassifications
Line
.08
.48
.00, .09
.40, .49
No
3010
10
Coronary Care
3030
15
3050
20
3070
25
3090
25
30
Burn Care
3110
30
35
3130
35
40
Definitive Observation
3150
45
Medical/Surgical Acute
3170
$3,523,466
45
50
Pediatric Acute
3290
$292,584
50
55
3340
60
3360
65
Obstetrics Acute
3380
70
3400
70
75
3420
75
80
3440
80
85
3470
85
90
3510
90
95
Nursery Acute
3530
95
3560
100
3570
101
3580
105
3610
110
3630
115
3680
120
3780
125
3900
$1,379,288
5
10
15
$2,509
20
40
55
60
$1,161,997
65
145
$6,359,844
150
AMBULATORY SERVICES:
160 Emergency Services
4010
4040
4060
175 Clinics
4070
4180
180
4200
185
4220
4230
4260
200
4290
205
4310
210
4320
215
4390
$1,081,997
$14,461,992
160
165
170
$6,104
175
190
$152,004
$998,218
195
220
$1,234,001
$15,466,314
225
O'CONNOR HOSPITAL
06/30/2014
TOTAL
(21) Gross
Inpatient Revenue
Line
No
PATIENT
REVENUE PRODUCING CENTERS
(22) Gross
Outpatient
Revenue
Account
No
Line
3010
10
Coronary Care
3030
15
3050
20
3070
25
3090
25
30
Burn Care
3110
30
35
3130
35
40
Definitive Observation
3150
45
Medical/Surgical Acute
3170
$178,104,134
$178,104,134
45
50
Pediatric Acute
3290
$8,700,694
$8,700,694
50
55
3340
60
3360
65
Obstetrics Acute
3380
70
3400
70
75
3420
75
80
3440
80
85
3470
85
90
3510
90
95
Nursery Acute
3530
$62,333,438
$62,333,438
5
10
15
$13,704,904
$13,704,904
20
40
55
60
$66,849,225
$66,849,225
65
95
3560
3570
101
3580
105
3610
110
3630
115
3680
120
3780
125
3900
$14,487,022
$14,487,022
100
145
$344,179,417
$344,179,417
150
$166,768,629
160
AMBULATORY SERVICES:
160 Emergency Services
4010
4040
4060
175 Clinics
4070
4180
180
4200
185
4220
4230
4260
200
4290
205
4310
210
4320
215
4390
$36,643,357
$130,125,272
165
170
$138,951
$19,823,714
$19,962,665
175
190
$4,659,737
$22,400,487
$27,060,224
195
220
$41,442,045
$172,349,473
$213,791,518
225
O'CONNOR HOSPITAL
06/30/2014
MEDICARE
Traditional
Line
No
PATIENT
REVENUE PRODUCING CENTERS
(1) Gross
Inpatient Revenue
Account
No
Revenue Subclassifications
.04
Managed Care
(2) Gross
Outpatient
Revenue
(3) Gross
Inpatient Revenue
.44
.14
(4) Gross
Outpatient
Revenue
Line
No
.54
ANCILLARY SERVICES:
230 Labor and Delivery Services
4400
$24,114
$8,011
$9,365
$1,676
230
4420
$31,244,412
$19,431,686
$12,804,916
$6,665,764
235
4430
$6,506
$1,924,091
$8,824
$592,347
240
245 Anesthesiology
4450
$3,297,831
$2,291,580
$1,226,834
$770,878
245
4470
$27,137,545
$15,845,580
$9,059,761
$4,615,685
250
4480
4500
$39,166,874
$15,035,445
$10,288,857
$4,695,687
260
4520
$787,157
$929,267
$292,737
$267,491
265
4540
$615,788
$217,827
$194,719
$64,525
270
275 Echocardiology
4560
4570
$17,308,927
$19,145,149
$5,434,770
$4,710,695
280
4590
$7,924,659
$5,499,724
$2,015,580
$1,553,387
285
290 Electromyography
4610
295 Electroencephalography
4620
$215,275
$109,940
$61,265
295
4630
$6,900,887
$6,745,606
$1,923,622
300
4640
$5,102,306
$1,613,765
305
4650
$4,713,509
$394,102
$1,004,991
310
4660
$2,831,739
$691,981
$309,205
315
320 Ultrasonography
4670
$1,744,855
$1,651,477
$471,166
$343,859
320
4680
$10,907,633
$12,159,762
$3,257,191
$3,188,756
325
4710
$27,185,835
$16,515,958
$5,793,391
$2,692,627
330
4720
$18,428,409
$795,294
$4,296,769
$269,306
335
4730
4740
$349,870
$487,144
$86,992
350 Lithotripsy
4750
4760
4770
4780
365
4790
370
4800
375
4820
380
4830
385
4840
390
4860
4870
255
275
290
340
345
350
355
$4,322,848
$3,083,505
$2,981
$282,138
360
395
$2,327,992
$7,119,031
$543,840
$1,792,464
400
$199,547,547
$141,506,357
$57,274,928
$37,507,125
405
$347,817,535
$186,407,073
MEDICARE
Traditional
Inpatient
Outpatient
$93,402,505
MEDICARE
Managed Care
Total
$48,851,604
415
$1,238,327
$663,661
$1,845,573
420
$287,564,795
$154,115,610
$118,615,213
425
426
430 Charity
430
435
440
445
450
$288,803,122
$154,779,271
$120,460,786
$59,014,413
$31,627,802
$21,793,323
455
457
460
O'CONNOR HOSPITAL
06/30/2014
MEDI-CAL
Traditional
Line
No
PATIENT
REVENUE PRODUCING CENTERS
(6) Gross
Outpatient
Revenue
(7) Gross
Inpatient Revenue
(8) Gross
Outpatient
Revenue
.05
.45
.15
.55
Account
No
Revenue Subclassifications
Managed Care
(5) Gross
Inpatient Revenue
Line
No
ANCILLARY SERVICES:
230 Labor and Delivery Services
4400
$11,281,457
$2,112,369
$11,607,292
$2,550,170
230
4420
$3,507,640
$1,096,786
$5,053,471
$7,185,458
235
4430
$63,183
$1,063
$880,031
240
245 Anesthesiology
4450
$455,795
$148,236
$628,596
$1,018,432
245
4470
$7,008,328
$1,551,771
$7,510,327
$6,578,369
250
4480
4500
$10,623,913
$4,796,129
$9,265,453
$10,300,452
260
4520
$143,492
$48,044
$175,755
$243,887
265
4540
$98,130
$1,989
$79,921
$11,897
270
275 Echocardiology
4560
4570
$3,828,940
$424,046
$3,144,973
$3,743,832
280
4590
$1,408,508
$670,803
$1,018,722
$1,851,057
285
290 Electromyography
4610
295 Electroencephalography
4620
$14,943
$19,640
295
4630
$871,396
$3,645,571
300
4640
$42,793
$393,087
305
4650
$121,998
$415,794
310
4660
$637,877
$99,030
$274,577
315
320 Ultrasonography
4670
$630,384
$873,127
$605,699
$1,655,433
320
4680
$2,333,749
$2,354,260
$1,737,549
$4,742,917
325
4710
$6,088,503
$832,892
$6,070,858
$3,861,773
330
4720
$5,648,471
$88,300
$3,168,790
$427,697
335
4730
4740
$572,548
$12,975
$324,678
$43,177
350 Lithotripsy
4750
4760
4770
4780
365
4790
370
4800
375
4820
380
4830
385
4840
390
4860
4870
255
275
290
$52,577
$165,646
340
345
350
355
$530,358
$42,328
$262,773
$693,087
360
395
$664,641
$279,179
$388,976
$2,318,506
400
$55,515,311
$16,531,634
$51,225,485
$52,854,844
405
$113,143,876
$30,534,511
$104,781,252
$93,941,545
415
MEDI-CAL
Traditional
Total
MEDI-CAL
Managed Care
Total
$2,578,185
420
$126,886,774
$173,979,371
425
$807,685
$1,117,117
426
430
435
440
445
450
$127,694,459
$177,674,673
$15,983,928
$21,048,124
455
457
460
O'CONNOR HOSPITAL
06/30/2014
PATIENT
REVENUE PRODUCING CENTERS
Account
No
Revenue Subclassifications
Managed Care
(9) Gross
Inpatient Revenue
(10) Gross
Outpatient
Revenue
(11) Gross
Inpatient Revenue
(12) Gross
Outpatient
Revenue
.07
.47
.17
.57
Line
No
ANCILLARY SERVICES:
230 Labor and Delivery Services
4400
230
4420
235
4430
240
245 Anesthesiology
4450
245
4470
250
4480
255
4500
260
4520
265
4540
270
275 Echocardiology
4560
275
4570
280
4590
285
290 Electromyography
4610
290
295 Electroencephalography
4620
295
4630
300
4640
305
4650
310
4660
315
320 Ultrasonography
4670
320
4680
325
4710
330
4720
335
4730
340
4740
345
350 Lithotripsy
4750
350
4760
355
4770
360
4780
365
4790
370
4800
375
4820
380
4830
385
4840
390
4860
395
4870
400
405
415
COUNTY INDIGENT PROGRAMS
Traditional
Inpatient
Outpatient
CO. INDIGENT
PROGRAMS
Managed Care
Total
420
425
426
430 Charity
430
435
440
445
450
455
457
460
O'CONNOR HOSPITAL
06/30/2014
PATIENT
REVENUE PRODUCING CENTERS
Account
No
Revenue Subclassifications
Managed Care
(13) Gross
Inpatient Revenue
(14) Gross
Outpatient
Revenue
(15) Gross
Inpatient Revenue
(16) Gross
Outpatient
Revenue
.12,.13,.16
$3,827
$13,009,969
$1,305,682
230
$1,017,731
$835,449
$20,096,432
$21,542,926
235
$106,370
$3,360
$1,686,848
240
Line
No
ANCILLARY SERVICES:
230 Labor and Delivery Services
4400
4420
4430
245 Anesthesiology
4450
$100,700
$140,717
$2,397,204
$2,944,830
245
4470
$651,203
$504,822
$18,409,104
$13,399,712
250
4480
4500
$346,211
$247,769
$16,401,063
$14,109,788
260
4520
$6,471
$8,759
$707,378
$683,228
265
4540
$549
$184,881
$98,336
270
275 Echocardiology
4560
4570
$227,986
$8,678,468
$7,424,391
280
4590
$2,523,873
$4,069,361
285
290 Electromyography
4610
295 Electroencephalography
4620
4630
4640
4650
4660
320 Ultrasonography
255
275
$87,411
290
$7,899
$315,622
295
$1,064,147
$5,209,492
300
$216,869
$6,200,826
305
$47,785
$625,703
$3,328,573
310
$42,814
$123,277
$1,417,802
$1,895,905
315
4670
$10,102
$23,532
$979,808
$2,698,612
320
4680
$130,004
$414,651
$4,532,248
$11,124,778
325
4710
$347,681
$164,439
$11,819,967
$11,497,111
330
4720
$203,831
$11,141
$4,795,711
$561,002
335
4730
4740
$614,371
$97,205
350 Lithotripsy
4750
4760
4770
4780
365
4790
370
4800
375
4820
380
4830
385
4840
390
4860
4870
$43,019
$405,923
340
345
350
355
$178,937
$486,471
$1,003,523
$2,220,626
360
395
$498
$14,718
$48,235
$4,761,161
400
$3,307,737
$3,634,960
$109,530,116
$117,176,015
405
$5,006,530
$6,378,321
OTHER THIRD PARTIES
Traditional
$159,981,040
415
Inpatient
420 Provision for Bad Debts
425 Contractual Adjustments (exclude capitation revenue)
Outpatient
$190,277,043
OTHER THIRD
PARTIES
Managed Care
Total
$64,954
$82,751
$4,544,169
420
$3,876,076
$4,938,123
$239,413,303
425
426
430 Charity
430
435
440
445
450
$3,941,030
$5,020,874
$243,957,472
$1,065,500
$1,357,447
$106,300,611
455
457
460
O'CONNOR HOSPITAL
OTHER INDIGENT
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Account
No
Revenue Subclassifications
06/30/2014
OTHER PAYORS
(17) Gross
Inpatient Revenue
(18) Gross
Outpatient
Revenue
(19) Gross
Inpatient Revenue
(20) Gross
Outpatient
Revenue
.08
.48
.00, .09
.40, .49
Line
No
ANCILLARY SERVICES:
230 Labor and Delivery Services
4400
$729,107
$270,070
230
4420
$916,824
$487,871
235
4430
$10,219
240
245 Anesthesiology
4450
$130,764
$50,562
245
4470
$1,036,618
$1,104,970
250
4480
4500
$1,995,994
$5,767,178
260
4520
$24,822
$16,843
265
4540
$21,445
$4,547
270
275 Echocardiology
4560
4570
$768,507
$146,738
280
4590
$114,594
$924,214
285
290 Electromyography
4610
295 Electroencephalography
4620
$3,503
$5,871
295
4630
$183,765
$1,143,671
300
4640
4650
$26,266
$51,920
310
4660
$168,231
$82,646
315
320 Ultrasonography
4670
$147,955
$484,103
320
4680
$624,062
$2,779,618
325
4710
$1,133,133
$557,145
330
4720
$440,494
$92,795
335
4730
340
4740
345
350 Lithotripsy
4750
350
4760
4770
4780
365
4790
370
4800
375
4820
380
4830
385
4840
390
4860
4870
255
275
290
305
355
$141,502
$89,549
360
395
$64,869
$40,364
400
$8,672,455
$14,110,894
405
$16,266,300
$29,577,208
OTHER PAYORS
415
OTHER INDIGENT
Inpatient
Outpatient
Inpatient
Outpatient
$211,035
$383,728
425
420
426
$6,146,665
$11,176,554
430
435
440
445
$13,095,457
$23,811,624
450
$19,453,157
$35,371,906
455
($3,186,857)
($5,794,698)
457
460
O'CONNOR HOSPITAL
06/30/2014
TOTAL
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Account
No
(21) Gross
Inpatient Revenue
(22) Gross
Outpatient
Revenue
ANCILLARY SERVICES:
230 Labor and Delivery Services
4400
$36,661,304
$6,251,805
$42,913,109
230
4420
$74,641,426
$57,245,940
$131,887,366
235
4430
$19,753
$5,263,089
$5,282,842
240
245 Anesthesiology
4450
$8,237,724
$7,365,235
$15,602,959
245
4470
$70,812,886
$43,600,909
$114,413,795
250
4480
4500
$88,088,365
$54,952,448
$143,040,813
260
4520
$2,137,812
$2,197,519
$4,335,331
265
4540
$1,195,433
$399,121
$1,594,554
270
275 Echocardiology
4560
4570
$39,392,571
$35,594,851
$74,987,422
280
4590
$15,005,936
$14,655,957
$29,661,893
285
290 Electromyography
4610
295 Electroencephalography
4620
$286,298
$520,237
$806,535
295
4630
$8,191,818
$19,945,281
$28,137,099
300
4640
$216,869
$13,352,777
$13,569,646
305
4650
$1,211,717
$9,684,570
$10,896,287
310
4660
$2,958,705
$5,616,379
$8,575,084
315
320 Ultrasonography
4670
$4,589,969
$7,730,143
$12,320,112
320
4680
$23,522,436
$36,764,742
$60,287,178
325
4710
$58,439,368
$36,121,945
$94,561,313
330
4720
$36,982,475
$2,245,535
$39,228,010
335
4730
4740
$1,998,741
$590,219
$2,588,960
350 Lithotripsy
4750
4760
4770
4780
365
4790
370
4800
375
4820
380
4830
385
4840
390
4860
4870
255
275
290
340
345
350
355
$6,442,922
$6,897,704
$13,340,626
360
395
$4,039,051
$16,325,423
$20,364,474
400
$485,073,579
$383,321,829
$868,395,408
405
$870,695,041
$555,671,302
$1,426,366,343
415
Total Inpatient
Total Outpatient
Total
$11,612,383
420
$1,109,389,265
425
426
$19,248,021
430
435
440
445
$36,907,081
450
$1,177,156,750
455
457
$249,209,593
460
O'CONNOR HOSPITAL
(1)
06/30/2014
Other Operating
Revenue
Line
No
5650
10
5660
10
15
5670
15
20
5680
20
25
Other Commissions
5710
25
30
5730
30
35
Other (Specify)
40
35
$68,893
45
40
45
50
50
65
5470
70
Donated Blood
5750
75
5690
80
Television/Radio Rentals
5720
80
85
5520
85
90
5760
90
95
100
65
70
$33,063
95
SPORTS MEDICINE
100
105
110
75
105
FAMILY PLANNING REVENUES
$42,972
110
$144,928
120
$1,233,510
130
115
115
120
130
5320
135
5340
135
140
5350
140
145
5370
145
150
5380
150
155
5390
155
160
Parking Revenue
5430
160
165
5440
165
170
5480
175
5700
180
5740
180
185
5790
185
190
5782
190
195
5770
195
196
Reinsurance Recoveries
5781
200
170
$12,054
175
196
$3,290,186
200
205
205
210
210
215
215
220
$4,535,750
225
220
5010
225
230
5220
230
235
5230
235
240
5240
240
245
5250
245
250
5260
250
255
5270
255
260
5280
260
270
5790
270
275
TOTAL PART IV
280
275
$4,680,678
280
O'CONNOR HOSPITAL
06/30/2014
COMPENSATION
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Account
(1)
Salaries
and Wages
No
.07
(2)
Employee
Benefits
.10-.19
(3)
Professional Fees
(4)
Total
Compensation
Line
No
.20
6010
10
Coronary Care
6030
$72,000
$72,000
15
6050
20
6070
25
6090
25
30
Burn Care
6110
30
35
6130
35
40
Definitive Observation
6150
45
Medical/Surgical Acute
6170
50
Pediatric Acute
6290
50
55
6340
55
60
6360
60
65
Obstetrics Acute
6380
65
70
6400
70
75
6420
75
80
6440
80
85
6470
85
90
6510
90
95
Nursery Acute
6530
10
15
$127,365
$127,365
20
40
$14,300
$14,300
45
95
6560
6570
101
6580
105
6610
110
6630
115
6680
120
6780
125
6900
$4,820
$4,820
100
145
$218,485
$218,485
150
$3,479,620
$3,479,620
160
AMBULATORY SERVICES
160 Emergency Services
7010
7040
7060
175 Clinics
7070
7180
180
7200
185
7220
190
7230
195
7260
200
7290
205
7310
210
7320
215
7390
165
170
$39,600
$39,600
175
220
$3,519,220
$3,519,220
225
O'CONNOR HOSPITAL
06/30/2014
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Account
No
(5)
Research
Supported by
Hospital
(6)
Medical
Education
Supported by
Hospital (NonInservice)
(7)
General
Administration
and Hospital
Committees
(8)
Nursing and
Paramedical Care Line
of Hospital
No
Patients
6010
10
Coronary Care
6030
$72,000
15
6050
20
6070
25
6090
25
30
Burn Care
6110
30
35
6130
35
40
Definitive Observation
6150
45
Medical/Surgical Acute
6170
50
Pediatric Acute
6290
50
55
6340
55
60
6360
60
65
Obstetrics Acute
6380
65
70
6400
70
75
6420
75
80
6440
80
85
6470
85
90
6510
90
95
Nursery Acute
6530
10
15
$127,365
20
40
$14,300
45
95
6560
6570
101
6580
105
6610
110
6630
115
6680
120
6780
125
6900
$4,820
100
145
$218,485
150
$3,479,620
160
AMBULATORY SERVICES
160 Emergency Services
7010
7040
7060
175 Clinics
7070
7180
180
7200
185
7220
190
7230
195
7260
200
7290
205
7310
210
7320
215
7390
165
170
$39,600
175
220
$3,519,220
225
O'CONNOR HOSPITAL
06/30/2014
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Account
No
(9)
Physician and
Intern/Resident
Care of Hospital
Patients
(10)
(13)
Supervision and
Allocation of
Other Functions
Page 16, Column Line
of the Cost Center (9), to Revenue
No
Centers (See
Instructions)
6010
10
Coronary Care
6030
10
15
6050
15
20
6070
20
25
6090
25
30
Burn Care
6110
30
35
6130
35
40
Definitive Observation
6150
40
45
Medical/Surgical Acute
6170
45
50
Pediatric Acute
6290
50
55
6340
55
60
6360
60
65
Obstetrics Acute
6380
65
70
6400
70
75
6420
75
80
6440
80
85
6470
85
90
6510
90
95
Nursery Acute
6530
95
6560
100
6570
101
6580
105
6610
110
6630
115
6680
120
6780
125
6900
145
150
AMBULATORY SERVICES
160 Emergency Services
7010
160
7040
165
7060
170
175 Clinics
7070
175
7180
180
7200
185
7220
190
7230
195
7260
200
7290
205
7310
210
7320
215
7390
220
225
O'CONNOR HOSPITAL
06/30/2014
COMPENSATION
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Account
(1)
Salaries
and Wages
No
.07
(2)
Employee
Benefits
.10-.19
(3)
Professional
Fees
(4)
Total
Compensation
Line
No
.20
ANCILLARY SERVICES
230 Labor and Delivery Services
7400
$1,782,795
$1,782,795
230
7420
$135,000
$135,000
235
7430
240
245 Anesthesiology
7450
245
7470
250
7480
7500
7520
265
7540
270
275 Echocardiology
7560
7570
$158,508
$158,508
280
7590
$7,200
$7,200
285
290 Electromyography
7610
295 Electroencephalography
7620
$950
$950
295
7630
$532,929
$532,929
300
7640
$18,950
$18,950
305
7650
7660
$60,000
$60,000
320 Ultrasonography
7670
320
7680
325
7710
7720
7730
7740
350 Lithotripsy
7750
350
7760
355
7770
360
7780
365
7790
370
7800
375
7820
380
7830
385
7840
390
7860
395
7870
255
$243,813
$243,813
260
275
290
310
315
330
$364,842
$364,842
$7,475
$7,475
335
340
345
400
$3,312,462
$3,312,462
405
O'CONNOR HOSPITAL
06/30/2014
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Account
No
(5)
Research
Supported by
Hospital
(6)
Medical
Education
Supported by
Hospital (NonInservice)
(7)
General
Administration
and Hospital
Committees
(8)
Nursing and
Paramedical Care Line
of Hospital
No
Patients
ANCILLARY SERVICES
230 Labor and Delivery Services
7400
$1,782,795
230
7420
$135,000
235
7430
240
245 Anesthesiology
7450
245
7470
250
7480
7500
7520
265
7540
270
275 Echocardiology
7560
7570
$158,508
280
7590
$7,200
285
290 Electromyography
7610
295 Electroencephalography
7620
$950
295
7630
$532,929
300
7640
$18,950
305
7650
7660
320 Ultrasonography
7670
320
7680
325
7710
7720
7730
7740
350 Lithotripsy
7750
350
7760
355
7770
360
7780
365
7790
370
7800
375
7820
380
7830
385
7840
390
7860
395
7870
255
$243,813
260
275
290
310
$60,000
315
330
$364,842
335
340
$7,475
345
400
$3,312,462
405
O'CONNOR HOSPITAL
06/30/2014
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Account
No
(9)
Physician and
Intern/Resident
Care of Hospital
Patients
(10)
(13)
Supervision and
Allocation of
Other Functions
Page 16, Column Line
of the Cost Center (9), to Revenue
No
Centers (See
Instructions)
ANCILLARY SERVICES
230 Labor and Delivery Services
7400
230
7420
235
7430
240
245 Anesthesiology
7450
245
7470
250
7480
255
7500
260
7520
265
7540
270
275 Echocardiology
7560
275
7570
280
7590
285
290 Electromyography
7610
290
295 Electroencephalography
7620
295
7630
300
7640
305
7650
310
7660
315
320 Ultrasonography
7670
320
7680
325
7710
330
7720
335
7730
340
7740
345
350 Lithotripsy
7750
350
7760
355
7770
360
7780
365
7790
370
7800
375
7820
380
7830
385
7840
390
7860
395
7870
400
405
O'CONNOR HOSPITAL
06/30/2014
COMPENSATION
Line
No
Account
No
(1)
Salaries
and Wages
(2)
Employee
Benefits
(3)
Professional
Fees
(4)
Total
Compensation
Line
No
.07,.09
.10-.19
.20
RESEARCH COSTS
5
10
TOTAL RESEARCH
8010
5
10
EDUCATION COSTS
15
8210
15
20
School of Nursing
8220
20
25
8230
30
8240
35
Paramedical Education
8250
35
40
Student Housing
8260
40
45
8290
50
TOTAL EDUCATION
25
$1,376,836
$1,376,836
30
45
$1,376,836
$1,376,836
50
ADMINISTRATIVE SERVICES
205 Hospital Administration
8610
205
8620
210
8630
215
8640
220
225 Personnel
8650
225
8660
230
8670
235
8680
240
8690
245
8700
8710
8720
260
8730
265
8740
8750
8760
8790
250
$107,000
$107,000
255
270
$275,713
$275,713
275
$32,149
$32,149
295
$414,862
$414,862
300
$8,841,865
$8,841,865
305
280
TOTAL
305 TOTAL PAGES 15 AND 16
O'CONNOR HOSPITAL
06/30/2014
Line
No
(5)
Research
Supported by
Hospital
PATIENT
REVENUE PRODUCING CENTERS
Account
No
(6)
Medical
Education
Supported by
Hospital (NonInservice)
(7)
General
Administration
and Hospital
Committees
(8)
Nursing and
Paramedical Care Line
of Hospital
No
Patients
RESEARCH COSTS
5
10
TOTAL RESEARCH
8010
5
10
EDUCATION COSTS
15
8210
15
20
School of Nursing
8220
20
25
8230
30
8240
35
Paramedical Education
8250
35
40
Student Housing
8260
40
45
8290
50
TOTAL EDUCATION
25
$1,376,836
30
45
$1,376,836
50
ADMINISTRATIVE SERVICES
205 Hospital Administration
8610
205
8620
210
8630
215
8640
220
225 Personnel
8650
225
8660
230
8670
235
8680
240
8690
245
8700
8710
8720
260
8730
265
8740
8750
8760
8790
250
$107,000
255
270
$275,713
275
280
$32,149
295
$414,862
300
TOTAL
305 TOTAL PAGES 15 AND 16
$8,841,865
TOTAL LINE 305
LINES 15-50
TOTAL LINE 305
TO PAGE 18,
PAGE 16,TO
TO PAGE 18,
COLUMN(3), LINE SAME LINES ON COLUMN(3) LINE
5
PAGE 18, COL.(3);
295
OTHERS TO
PAGE 18,
COLUMN(3), LINE
15
305
LINE ITEMS TO
PAGE 17,
COLUMN(3)
LINES AS
APPROPRIATE
(SEE
INSTRUCTIONS)
O'CONNOR HOSPITAL
Line
No
PATIENT
REVENUE PRODUCING CENTERS
Account
No
(9)
Physician and
Intern/Resident
Care of Hospital
Patients
(10)
Supervision and
Other Functions Line
of the Cost Center No
RESEARCH COSTS
5
10
TOTAL RESEARCH
8010
5
10
EDUCATION COSTS
15
8210
15
20
School of Nursing
8220
20
25
8230
25
30
8240
30
35
Paramedical Education
8250
35
40
Student Housing
8260
40
45
8290
45
50
TOTAL EDUCATION
50
ADMINISTRATIVE SERVICES
205 Hospital Administration
8610
205
8620
210
8630
215
8640
220
225 Personnel
8650
225
8660
230
8670
235
8680
240
8690
245
8700
250
8710
255
8720
260
8730
265
8740
270
8750
275
8760
280
8790
295
300
TOTAL
305 TOTAL PAGES 15 AND 16
305
LINE 50 TO PAGE
15, COLUMN(13)
(SEE
INSTRUCTIONS)
LINE ITEMS TO
PAGES 17 & 18,
COLUMN(3),
LINES AS
APPROPRIATE
(SEE
INSTRUCTIONS)
06/30/2014
Line
No
O'CONNOR HOSPITAL
PATIENT
REVENUE PRODUCING CENTERS
Account
No
(2)
Employee
Benefits
.00-.06,.08,
.09,.91,.95
.10-.19,.92-.96
$8,908,465
$3,129,563
06/30/2014
(3)
Reclassified
Physician and
Student
Compensation
Pages 15 &16,
Cols. (8) & (10)
(4)
Professional Fees
.07,.10-.19,.20
.21-.29
Line
No
6010
10
Coronary Care
6030
15
6050
20
6070
25
6090
25
30
Burn Care
6110
30
35
6130
35
40
Definitive Observation
6150
45
Medical/Surgical Acute
6170
$22,742,915
$7,989,637
$361,506
45
50
Pediatric Acute
6290
$2,180,605
$766,051
$4,815
50
55
6340
60
6360
65
Obstetrics Acute
6380
70
6400
70
75
6420
75
80
6440
80
85
6470
85
90
6510
95
Nursery Acute
6530
$3,357,361
$1,179,448
$2,446
95
6560
$2,883,769
$1,013,074
$36,968
100
6570
101
6580
105
6610
110
6630
115
6680
120
6780
125
6900
$34,483
5
10
15
$3,402,943
$1,195,461
$35,932
20
40
55
60
$4,245,458
$1,491,438
$3,092
65
90
145
$47,721,516
$16,764,672
$479,242
150
$9,121,043
$3,204,242
$279,840
160
AMBULATORY SERVICES
160 Emergency Services
7010
7040
7060
175 Clinics
7070
7180
180
7200
185
7220
7230
7260
200
7290
205
7310
210
7320
215
7390
165
170
$1,956,447
$687,304
175
190
$3,530,815
$1,240,383
$24,893
195
220
$14,608,305
$5,131,929
$304,733
225
Line
No
O'CONNOR HOSPITAL
PATIENT
REVENUE PRODUCING CENTERS
Account
No
(6)
Purchased
Services
.31-.50,.93,.97
.61-.69
$518,922
$11,088
(7)
Depreciation
.71-.74
06/30/2014
(8)
Leases
and Rentals
Line
No
.75-.76
6010
10
Coronary Care
6030
15
6050
20
6070
25
6090
25
30
Burn Care
6110
30
35
6130
35
40
Definitive Observation
6150
45
Medical/Surgical Acute
6170
$1,004,696
$7,776
50
Pediatric Acute
6290
$33,624
$1,058
55
6340
60
6360
65
Obstetrics Acute
6380
70
6400
70
75
6420
75
80
6440
80
85
6470
85
90
6510
95
Nursery Acute
6530
$102,378
$29,672
6560
$294,539
$1,555,923
6570
101
6580
105
6610
110
6630
115
6680
120
6780
125
6900
$16,950
5
10
15
$99,316
$4,715
20
40
$968
45
50
55
60
$129,459
$37,521
$5,963
65
90
$4,715
95
100
145
$2,182,934
$1,647,753
$28,596
150
$360,466
$84,859
$2,066
160
AMBULATORY SERVICES
160 Emergency Services
7010
7040
7060
175 Clinics
7070
7180
180
7200
185
7220
7230
7260
200
7290
205
7310
210
7320
215
7390
165
170
$159,093
$102,708
$811,732
175
190
$109,618
195
220
$629,177
$187,567
$813,798
225
Line
No
O'CONNOR HOSPITAL
Account
No
Natural Classification Code
PATIENT
REVENUE PRODUCING CENTERS
(10)
Total Direct
Expenses
Columns (1) thru
(9)
(11)
Adjustments of
Direct Expenses
from Page 14,
Parts I & II
06/30/2014
(12) (Optional)
Adjusted Direct
Expenses [Cols. Line
(10) minus (11)] to No
Page 20, Column
(1)
.77-.90,.94-.98
6010
10
Coronary Care
6030
15
6050
20
6070
25
6090
25
30
Burn Care
6110
30
35
6130
35
40
Definitive Observation
6150
45
Medical/Surgical Acute
6170
$12,034
$32,119,532
45
50
Pediatric Acute
6290
$617
$2,986,770
50
55
6340
60
6360
65
Obstetrics Acute
6380
70
6400
70
75
6420
75
80
6440
80
85
6470
85
90
6510
95
Nursery Acute
6530
$17,016
$4,693,036
95
6560
$785
$5,785,058
100
6570
101
6580
105
6610
110
6630
115
6680
120
6780
125
6900
$4,883
$12,624,354
5
10
15
$16,846
$4,755,213
20
40
55
60
$21,517
$5,934,448
65
90
145
$73,698
$68,898,411
150
$41,894
$13,094,410
160
AMBULATORY SERVICES
160 Emergency Services
7010
7040
7060
175 Clinics
7070
7180
180
7200
185
7220
7230
7260
200
7290
205
7310
210
7320
215
7390
165
170
$9,338
$3,726,622
$42,972
175
190
$967
$4,906,676
195
220
$52,199
$21,727,708
$42,972
225
Line
No
O'CONNOR HOSPITAL
PATIENT
REVENUE PRODUCING CENTERS
Account
No
(14)(Optional)
Adjusted Direct
Expenses Per
Unit Column (12)
(13)
Line
No
6010
10
Coronary Care
6030
10
15
6050
15
20
6070
20
25
6090
25
30
Burn Care
6110
30
35
6130
35
40
Definitive Observation
6150
40
45
Medical/Surgical Acute
6170
45
50
Pediatric Acute
6290
50
55
6340
55
60
6360
60
65
Obstetrics Acute
6380
65
70
6400
70
75
6420
75
80
6440
80
85
6470
85
90
6510
90
95
Nursery Acute
6530
95
6560
100
6570
101
6580
105
6610
110
6630
115
6680
120
6780
125
6900
145
150
AMBULATORY SERVICES
160 Emergency Services
7010
160
7040
165
7060
170
175 Clinics
7070
175
7180
180
7200
185
7220
190
7230
195
7260
200
7290
205
7310
210
7320
215
7390
220
225
06/30/2014
Line
No
O'CONNOR HOSPITAL
PATIENT
REVENUE PRODUCING CENTERS
Account
No
(2)
Employee
Benefits
.00-.06,.08,
.09,.91,.95
.10-.19,.92-.96
06/30/2014
(3)
Reclassified
Physician and
Student
Compensation
Pages 15 &16,
Cols. (8) & (10)
(4)
Professional
Fees
.07,.10-.19,.20
.21-.29
Line
No
ANCILLARY SERVICES
230 Labor and Delivery Services
7400
$7,105,441
$2,496,157
7420
$7,681,322
$2,698,465
7430
$1,898,668
$667,006
245 Anesthesiology
7450
245
7470
250
7480
7500
$6,219,814
$2,185,034
7520
$446,864
$156,984
7540
275 Echocardiology
7560
7570
$2,518,479
$884,747
7590
$460,192
$161,666
290 Electromyography
7610
295 Electroencephalography
7620
$130,304
$45,776
$5,090
295
7630
$1,357,628
$476,938
$15,716
300
7640
$507,241
$178,195
305
7650
$748,918
$263,096
310
7660
$436,342
$153,288
315
320 Ultrasonography
7670
$436,458
$153,329
320
7680
$2,129,137
$747,970
325
7710
7720
$2,948,526
$1,035,823
$186,354
7730
7740
$726,554
$255,240
$39,085
350 Lithotripsy
7750
7760
7770
7780
365
7790
370
7800
375
7820
380
7830
385
7840
390
7860
7870
230
$12,659
235
240
255
$33,940
260
265
270
275
$9,111
280
285
290
330
335
340
345
350
355
$3,457,239
$1,214,535
360
395
$1,668,690
$586,214
$40,877,817
$14,360,463
400
$301,955
405
7900
7950
410
411
$103,207,638
$36,257,064
$1,085,930
415
Line
No
O'CONNOR HOSPITAL
PATIENT
REVENUE PRODUCING CENTERS
Account
No
.31-.50,.93,.97
(6)
Purchased
Services
.61-.69
(7)
Depreciation
.71-.74
06/30/2014
(8)
Leases
and Rentals
Line
No
.75-.76
ANCILLARY SERVICES
230 Labor and Delivery Services
7400
$804,595
$44,423
230
7420
$742,994
$602,971
235
7430
$50,429
$1,020
240
245 Anesthesiology
7450
$33,970
245
7470
$22,032,411
250
7480
7500
$2,466,270
$1,437,185
7520
$210,997
$79,191
7540
$1,266,287
275 Echocardiology
7560
7570
$313,323
$32,573
7590
$11,316
$2,672
290 Electromyography
7610
295 Electroencephalography
7620
$1,438
$3,080
295
7630
$70,860
$144,146
300
7640
$14,010
$150,872
305
7650
$849,799
$467,712
310
7660
$7,081
$2,750
315
320 Ultrasonography
7670
$31,675
$208
320
7680
$465,840
$3,384
325
7710
$4,985,135
7720
$42,713
$9,340
7730
7740
$107,503
$999
350 Lithotripsy
7750
7760
7770
7780
365
7790
370
7800
375
7820
380
7830
385
7840
390
7860
7870
255
$23,777
260
265
270
275
$388,708
280
285
290
330
$56,221
335
340
345
350
355
$38,345
$3,147
$178,219
360
395
$64,710
$16,232
$175
400
$34,611,701
$3,001,905
$647,100
405
7900
7950
410
411
$37,423,812
$4,837,225
$1,489,494
415
Line
No
O'CONNOR HOSPITAL
Account
No
Natural Classification Code
PATIENT
REVENUE PRODUCING CENTERS
(10)
Total Direct
Expenses
Columns (1) thru
(9)
(11)
Adjustments of
Direct Expenses
from Page 14,
Parts I & II
06/30/2014
(12) (Optional)
Adjusted Direct
Expenses [Cols. Line
(10) minus (11)] to No
Page 20, Column
(1)
.77-.90,.94-.98
ANCILLARY SERVICES
230 Labor and Delivery Services
7400
$7,231
$10,457,847
230
7420
$33,134
$11,771,545
235
7430
$6,447
$2,623,570
240
245 Anesthesiology
7450
$33,970
245
7470
$22,032,411
250
7480
7500
$102,106
$12,468,126
260
7520
$76
$894,112
265
7540
$721
$1,267,008
270
275 Echocardiology
7560
7570
$26,884
$4,173,825
280
7590
$2,038
$637,884
285
290 Electromyography
7610
295 Electroencephalography
7620
$2,566
$188,254
295
7630
$38,802
$2,104,090
300
7640
$80
$850,398
305
7650
$9,817
$2,339,342
310
7660
$55,640
$655,101
315
320 Ultrasonography
7670
$604
$622,274
320
7680
$3,346,331
325
7710
$4,985,135
330
7720
$4,286,068
335
7730
7740
350 Lithotripsy
7750
7760
7770
7780
365
7790
370
7800
375
7820
380
7830
385
7840
390
7860
7870
255
275
290
$7,091
340
$1,129,381
345
350
355
$15,007
$4,906,492
360
395
$103
$2,336,124
400
$308,347
$94,109,288
405
7900
7950
410
411
$434,244
$184,735,407
$42,972
415
Line
No
O'CONNOR HOSPITAL
PATIENT
REVENUE PRODUCING CENTERS
Account
No
(14)(Optional)
Adjusted Direct
Expenses Per
Unit Column (12)
(13)
Line
No
ANCILLARY SERVICES
230 Labor and Delivery Services
7400
230
7420
235
7430
240
245 Anesthesiology
7450
245
7470
250
7480
255
7500
260
7520
265
7540
270
275 Echocardiology
7560
275
7570
280
7590
285
290 Electromyography
7610
290
295 Electroencephalography
7620
295
7630
300
7640
305
7650
310
7660
315
320 Ultrasonography
7670
320
7680
325
7710
330
7720
335
7730
340
7740
345
350 Lithotripsy
7750
350
7760
355
7770
360
7780
365
7790
370
7800
375
7820
380
7830
385
7840
390
7860
395
7870
400
405
7900
7950
410
411
415
06/30/2014
O'CONNOR HOSPITAL
NON-REVENUE
PRODUCING CENTERS
Line
No
Account
No
.00-.06,.08,
.09,.91,.95
(2)
Employee
Benefits
.10-.19,.92-.96
06/30/2014
(3)
Reclassified
Physician and
Student
Compensation
Pages 15 &16,
Cols. (5),(6),(7),
(8)& (10)
(4)
Professional
Fees
.07,.10-.19,.20
.21-.29
Line
No
RESEARCH COSTS
5
10
TOTAL RESEARCH
8010
5
10
EDUCATION COSTS
15
8210
15
20
School of Nursing
8220
20
25
8230
30
8240
35
Paramedical Education
8250
35
40
Student Housing
8260
40
45
8290
50
TOTAL EDUCATION
25
$1,492,027
$524,152
30
45
$1,492,027
$524,152
50
$40,135
$14,100
55
GENERAL SERVICES
55
8310
60
Kitchen
8320
65
8330
$1,704,977
$598,962
65
70
Dietary
8340
$1,161,803
$408,144
70
75
8350
80
8360
$432,062
$151,784
85
Central Transportation
8370
90
8380
$607,099
$213,275
95
Pharmacy
8390
$3,530,299
$1,240,202
95
8400
$883,509
$310,379
100
105 Grounds
8410
110 Security
8420
$103
$36
115 Parking
8430
120 Housekeeping
8440
$2,844,553
$999,298
8450
8460
$2,359,451
$828,880
135 Communications
8470
$380,403
$133,636
135
8480
$516,744
$181,533
140
8490
$14,461,138
$5,080,229
$454,865
$159,795
60
75
80
85
90
105
$713,989
110
115
120
125
$12,933
130
145
$726,922
150
FISCAL SERVICES
155 General Accounting
8510
8530
8550
170 Admitting
8560
8570
8590
155
160
165
$2,081,282
$731,159
170
175
195
$2,536,147
$890,954
200
O'CONNOR HOSPITAL
NON-REVENUE
PRODUCING CENTERS
Line
No
Account
No
.31-.50,.93,.97
(6)
Purchased
Services
.61-.69
(7)
Depreciation
.71-.74
06/30/2014
(8)
Leases and
Rentals
Line
No
.75-.76
RESEARCH COSTS
5
10
TOTAL RESEARCH
8010
5
10
EDUCATION COSTS
15
8210
15
20
School of Nursing
8220
20
25
8230
30
8240
35
Paramedical Education
8250
35
40
Student Housing
8260
40
45
8290
50
TOTAL EDUCATION
25
$8,515
$20,396
$54,103
30
45
$8,515
$20,396
$2,176
$23,936
$54,103
50
GENERAL SERVICES
55
8310
60
Kitchen
8320
65
8330
$747,278
$46,774
65
70
Dietary
8340
$509,204
$31,872
70
75
8350
$44,331
$839,656
75
80
8360
$5,369
$108,780
80
85
Central Transportation
8370
90
8380
$109,635
$304,892
$845,216
95
Pharmacy
8390
$2,626,690
$15,958
$454,780
95
$6,338
$313,993
100
8400
105 Grounds
8410
110 Security
8420
115 Parking
8430
120 Housekeeping
8440
8450
55
60
85
90
105
$76,285
$27,179
110
$450,305
$884,784
120
8460
$362,338
$4,035,246
135 Communications
8470
$9,049
$48,684
8480
$41,896
$9,688,111
8490
$4,984,556
$16,062,210
115
125
130
$247
135
140
145
$1,614,236
150
FISCAL SERVICES
155 General Accounting
8510
$89,524
155
8530
$1,077,273
160
8550
170 Admitting
8560
8570
8590
165
$49,378
$18,724
170
175
195
$49,378
$1,185,521
200
O'CONNOR HOSPITAL
Line
No
Account
No
Natural Classification Code
NON REVENUE
PRODUCING CENTERS
(10)
Total Direct
Expenses
Columns (1) thru
(9)
(11)
Adjustments of
Direct Expenses
from Page 14,
Parts I & II
06/30/2014
(12) (Optional)
Adjusted Direct
Expenses [Cols. Line
(10) minus (11)] to No
Page 20, Column
(1)
.77-.90,.94-.98
RESEARCH COSTS
5
10
TOTAL RESEARCH
8010
5
10
EDUCATION COSTS
15
8210
15
20
School of Nursing
8220
20
25
8230
30
8240
35
Paramedical Education
8250
35
40
Student Housing
8260
40
45
8290
50
TOTAL EDUCATION
25
$361,623
$2,460,816
30
45
$361,623
$2,460,816
50
$57,760
$138,107
55
GENERAL SERVICES
55
8310
60
Kitchen
8320
65
8330
$2,811
$3,100,802
65
70
Dietary
8340
$1,915
$2,112,938
70
75
8350
$883,987
75
80
8360
$3,930
$701,925
80
85
Central Transportation
8370
90
8380
$2,516
$2,082,633
95
Pharmacy
8390
$60,516
$7,928,445
95
8400
$9,109
$1,523,328
100
105 Grounds
8410
110 Security
8420
$9,106
$826,698
110
115 Parking
8430
120 Housekeeping
8440
$15,085
$5,194,025
120
8450
8460
$2,686,539
$10,285,387
130
135 Communications
8470
$147,682
$719,701
135
8480
$393,027
$10,821,311
140
8490
$3,389,996
$46,319,287
150
60
85
90
105
115
125
145
FISCAL SERVICES
155 General Accounting
8510
$39,912
$744,096
155
8530
$45,874
$1,123,147
160
8550
170 Admitting
8560
$1,019
$2,881,562
8570
8590
165
170
175
195
$86,805
$4,748,805
200
O'CONNOR HOSPITAL
NON REVENUE
PRODUCING CENTERS
Line
No
Account
No
(14)(Optional)
Adjusted Direct
Expenses Per
Unit Column (12)
(13)
Line
No
RESEARCH COSTS
5
10
TOTAL RESEARCH
8010
5
10
EDUCATION COSTS
15
8210
15
20
School of Nursing
8220
20
25
8230
30
8240
35
Paramedical Education
8250
35
40
Student Housing
8260
40
45
8290
45
50
TOTAL EDUCATION
25
24
30
50
GENERAL SERVICES
55
8310
60
Kitchen
8320
16,585
55
65
8330
146,113
65
70
Dietary
8340
141,267
70
75
8350
1,194,651
75
80
8360
18,170
80
85
Central Transportation
8370
90
8380
80,242
95
Pharmacy
8390
80,360
95
8400
40,283
100
105 Grounds
8410
110 Security
8420
115 Parking
8430
120 Housekeeping
8440
8450
8460
397,248
130
135 Communications
8470
1,232
135
8480
1,426,366
140
8490
60
85
90
105
1,232
110
365,159
120
115
125
145
150
FISCAL SERVICES
155 General Accounting
8510
1,232
155
8530
1,426,366
160
8550
170 Admitting
8560
8570
175
8590
195
165
10,991
170
200
06/30/2014
O'CONNOR HOSPITAL
NON REVENUE
PRODUCING CENTERS
Line
No
Account
No
(2)
Employee
Benefits
.00-.06,.08,
.09,.91,.95
.10-.19,.92-.96
$5,959,598
$2,093,618
$202,141
$71,013
06/30/2014
(3)
Reclassified
Physician and
Student
Compensation
Pages 15 & 16,
Cols. (5),(6),(7),(8)
& (10)
(4)
Professional
Fees
.07,.10-.19,.20
.21-.29
Line
No
ADMINISTRATIVE SERVICES
205 Hospital Administration
8610
8620
8630
8640
225 Personnel
8650
$506,077
$177,786
8660
$665,696
$233,860
230
8670
$408,407
$143,474
235
8680
$347,488
$122,073
240
8690
$64,710
$22,733
245
8700
$1,768,400
$621,243
8710
$289,505
$101,704
$108,304
255
8720
$1,735,613
$609,725
$16,157
260
8730
8740
$422,994
$148,599
8750
$4,410,150
$1,549,295
8770
$415
$146
8790
$1,203,315
$422,727
$8,841,865
$17,984,509
$6,317,996
$8,841,865
$228,265
205
210
215
220
$12,897
225
250
265
270
$3,162
275
280
295
$368,785
300
UNASSIGNED COSTS
305 Depreciation and Amortization
8810
305
8820
310
8830
315
8840
320
8850
325
8860
330
8870
345
8880
350
8890
355
360
TOTAL
365 TOTAL OPERATING COSTS (17 & 18)
$139,681,459
$49,070,395
$8,841,865
$2,181,637
$139,681,459
$49,070,395
$8,841,865
$2,181,637
365
370
375
O'CONNOR HOSPITAL
NON REVENUE
PRODUCING CENTERS
Line
No
Account
No
(6)
Purchased
Services
(7)
Depreciation
06/30/2014
(8)
Leases and
Rentals
.31-.50,.93,.97
.61-.69
.71-.74
.75-.76
$107,785
$10,668,974
$53,280
$20,744
$3,743
$112,424
Line
No
ADMINISTRATIVE SERVICES
205 Hospital Administration
8610
8620
8630
8640
225 Personnel
8650
$11,458
$102,514
225
8660
$43,189
$32,542
230
8670
$6,879
$22,802
235
8680
$5,763
$39,520
240
8690
$30,365
245
8700
$59,436
$528,838
250
8710
$9,031
$123,418
255
8720
$8,007
$46,524
260
8730
8740
$9,790
$22,272
270
8750
$38,243
$315,759
275
8770
8790
$23,724
$118,001
$327,048
$12,163,953
205
210
215
220
265
280
295
$53,280
$20,744
300
UNASSIGNED COSTS
305 Depreciation and Amortization
8810
8820
$12,472,055
305
310
8830
315
8840
320
8850
325
8860
330
8870
345
8880
350
8890
355
$12,472,055
360
TOTAL
365 TOTAL OPERATING COSTS (17 & 18)
370 Non-Operating Cost Centers
375 TOTAL COSTS
$42,793,309
$34,269,305
$12,525,335
$3,178,577
365
$129,592
$448,450
$17,874
$882,702
370
$42,922,901
$34,717,755
$12,543,209
$4,061,279
375
O'CONNOR HOSPITAL
Line
No
(10)
Total Direct
Expenses
Columns (1) thru
(9)
(11)
Adjustments of
Direct Expenses
from Page 14,
Parts I & II
$6,885,885
$26,018,149
$33,063
$499,985
$889,306
Account
No
Natural Classification Code
NON REVENUE
PRODUCING CENTERS
06/30/2014
(12) (Optional)
Adjusted Direct
Expenses [Cols. Line
(10) minus (11)] to No
Page 20, Column
(1)
.77-.90,.94-.98
ADMINISTRATIVE SERVICES
205 Hospital Administration
8610
8620
8630
8640
225 Personnel
8650
$729,455
$1,540,187
225
8660
$1,385
$976,672
230
8670
$41,752
$623,314
235
8680
$2,022
$516,866
240
8690
$20,435
$138,243
245
8700
$15,864
$2,993,781
250
8710
$218,687
$850,649
8720
$60,979
$2,477,005
8730
8740
$18,056
$621,711
270
8750
$184,066
$6,500,675
275
8770
$561
280
8790
205
210
215
220
255
$68,893
260
265
$78,577
$10,688,209
$8,757,148
$54,835,328
295
$101,956
300
UNASSIGNED COSTS
305 Depreciation and Amortization
8810
8820
8830
$1,041,629
$1,041,629
315
8840
$560,690
$560,690
320
8850
$265,524
$265,524
325
8860
8870
$3,163,811
$3,163,811
8880
8890
$12,472,055
305
310
330
345
350
355
$5,031,654
$17,503,709
$18,061,470
$310,603,352
$1,951,590
$3,430,208
$20,013,060
$314,033,560
360
TOTAL
$144,928
365
370
$144,928
375
O'CONNOR HOSPITAL
NON REVENUE
PRODUCING CENTERS
Line
No
Account
No
(14)(Optional)
Adjusted Direct
Expenses Per
Unit Column (12)
(13)
Line
No
ADMINISTRATIVE SERVICES
205 Hospital Administration
8610
8620
1,232
205
8630
8640
225 Personnel
8650
1,232
225
8660
1,232
230
8670
26,363
235
8680
49,663
240
8690
641
245
8700
81,358
250
8710
641
255
8720
440
260
8730
8740
7,153
270
8750
10,991
275
8770
280
8790
210
1,431,047
215
220
265
295
300
UNASSIGNED COSTS
305 Depreciation and Amortization
8810
8820
8830
1,426,366
315
8840
397,248
320
8850
397,248
325
8860
8870
8880
350
8890
355
397,243
305
310
330
397,248
345
360
TOTAL
365 TOTAL OPERATING COSTS (17 & 18)
365
370
375
06/30/2014
O'CONNOR HOSPITAL
(4) Accumulated
Costs
(5) Hospital
FTE's
Line
No
LINES BEING ALLOCATED
5-25
30-80
85-100
(7) Square
Feet Serviced
105
110
Line
No
Interest - Other
10
Insurance - Other
10
15
15
20
20
25
25
30
35
Hospital Administration
40
45
Public Relations
50
Management Engineering
50
55
55
60
60
65
General Accounting
70
Communications
75
80
85
Personnel
90
95
30
7,005
35
40
667
45
65
1,902
70
75
80
4,299
85
90
95
8,444
100
1,599
105
110 Housekeeping
1,170
110
115 Grounds
120 Security
115
1,134
1,134
27,480
27,480
130
4,956
4,956
135
7,735
7,735
145
969
969
150
4,476
4,476
1,391
1,391
170
3,230
3,230
175
1,315
1,315
180
4,134
4,134
185
894
894
190
299
299
195
1,825
1,825
200
4,454
4,121
125 Parking
125
140
155
160
165
120
205
210
215
220
987
987
225
759
759
230
9,933
9,933
235
240 Pharmacy
6,884
6,884
240
245
250
255
260
265
270
275
2,413
2,413
280
O'CONNOR HOSPITAL
145
150
155-215
Line
No
220
Interest - Other
10
Insurance - Other
10
15
15
20
20
25
25
30
30
35
Hospital Administration
35
40
40
45
Public Relations
45
50
Management Engineering
50
55
55
60
60
65
General Accounting
65
70
Communications
70
75
75
80
80
85
Personnel
85
90
90
95
95
100
105
110 Housekeeping
110
115 Grounds
115
120 Security
120
125 Parking
125
130
135
140
145 Dietary
145
150
155
160
165
170
175
180
185
190
195
200
205
210 Admitting
210
215
220
225
230
235
240 Pharmacy
240
245
250
255
260
265
270
275
280
O'CONNOR HOSPITAL
(13)Nursing
FTE's
(14) Central
Service and
Supply Costed
Requisitions
(15) Pharmacy
Costed
Requisitions
225-230
235
240
Line
No
250-255
Interest - Other
10
Insurance - Other
10
15
15
20
20
25
25
30
30
35
Hospital Administration
35
40
40
45
Public Relations
45
50
Management Engineering
50
55
55
60
60
65
General Accounting
65
70
Communications
70
75
75
80
80
85
Personnel
85
90
90
95
95
100
105
110 Housekeeping
110
115 Grounds
115
120 Security
120
125 Parking
125
130
135
140
145 Dietary
145
150
155
160
165
170
175
180
185
190
195
200
205
210 Admitting
210
215
220
225
230
235
240 Pharmacy
240
245
250
255
260
265
270
275
280
O'CONNOR HOSPITAL
(20) Paramedic
Student
Departmental
Assignment
270-275
(21) Medical
PostGraduate
Departmental
Assignment
Line
No
280
Interest - Other
10
Insurance - Other
10
15
15
20
20
25
25
30
30
35
Hospital Administration
35
40
40
45
Public Relations
45
50
Management Engineering
50
55
55
60
60
65
General Accounting
65
70
Communications
70
75
75
80
80
85
Personnel
85
90
90
95
95
100
105
110 Housekeeping
110
115 Grounds
115
120 Security
120
125 Parking
125
130
135
140
145 Dietary
145
150
155
160
165
170
175
180
185
190
195
200
205
210 Admitting
210
215
220
225
230
235
240 Pharmacy
240
245
250
255
260
265
270
275
280
O'CONNOR HOSPITAL
(4) Accumulated
Costs
(5) Hospital
FTE's
Line
No
LINES BEING ALLOCATED
DAILY HOSPITAL SERVICES
505 Medical/Surgical Intensive Care
5-25
10,269
30-80
85-100
(7) Square
Feet Serviced
105
110
Line
No
10,269
510
505
515
1,296
1,296
520
525
530
535
540
71,452
71,452
545
8,756
8,756
550
555
560
5,347
5,347
565
570
575
580
585
590
8,311
8,311
595
10,164
10,164
600
601
605
610
615
620
625
645
AMBULATORY SERVICES
660 Emergency Services
15,478
15,478
665
660
670
21,736
21,736
675
680
685
690
6,912
6,912
695
700
705
710
715
720
ANCILLARY SERVICES
730 Labor and Delivery Services
17,286
17,286
730
28,596
28,596
735
530
530
740
745
750
755
8,342
8,342
760
1,387
1,387
765
446
446
770
3,191
142
775
780
O'CONNOR HOSPITAL
145
150
6,859
87,715
155-215
Line
No
220
505
510
515
520
525
530
535
540
77,958
525,178
545
4,619
23,317
550
555
560
23,576
24,427
565
570
575
580
585
590
28,255
8,883
595
119,914
600
601
605
610
615
620
625
645
AMBULATORY SERVICES
660 Emergency Services
69,950
665
660
670
45,167
675
680
685
690
695
700
705
710
715
720
ANCILLARY SERVICES
730 Labor and Delivery Services
146,561
730
76,612
735
740
745 Anesthesiology
745
750
755
760
765
770
775 Echocardiology
780 Cardiac Catheterization Services
775
5,552
780
O'CONNOR HOSPITAL
(13)Nursing
FTE's
(14) Central
Service and
Supply Costed
Requisitions
(15) Pharmacy
Costed
Requisitions
225-230
235
240
Line
No
DAILY HOSPITAL SERVICES
505 Medical/Surgical Intensive Care
$556,841
250-255
505
510
515
$127,113
520
525
530
535
540
$885,524
545
$38,057
550
555
560
$138,439
565
570
575
580
585
590
$111,247
595
$190,361
600
601
605
610
615
620
625
645
AMBULATORY SERVICES
660 Emergency Services
$258,947
665
660
670
$211,640
675
680
685
690
$28,680
695
700
705
710
715
720
ANCILLARY SERVICES
730 Labor and Delivery Services
735 Surgery and Recovery Services
$178,881
730
$1,643,065
735
740
$35,968
745
$22,032,411
750
755
$1,890,612
760
$109,277
765
$1,443,224
770
775 Echocardiology
780 Cardiac Catheterization Services
775
$129,872
780
O'CONNOR HOSPITAL
(20) Paramedic
Student
Department
Assignment
270-275
(21) Medical
PostGraduate
Departmental
Assignment
Line
No
280
24.00
505
510
515
520
525
530
535
540
545
550
555
560
565
570
575
580
585
590
595
600
601
605
610
615
620
625
645
AMBULATORY SERVICES
660 Emergency Services
660
665
670
675 Clinics
675
680
685
690
695
700
705
710
715
720
ANCILLARY SERVICES
730 Labor and Delivery Services
730
735
740
745 Anesthesiology
745
750
755
760
765
770
775 Echocardiology
775
780
O'CONNOR HOSPITAL
(4) Accumulated
Costs
(5) Hospital
FTE's
Line
No
LINES BEING ALLOCATED
5-25
30-80
85-100
(7) Square
Feet Serviced
105
110
Line
No
2,487
2,487
790 Electromyography
785
790
795 Electroencephalography
795
9,211
9,211
800
6,317
6,317
805
3,510
3,510
810
3,295
820 Ultrasonography
825 Computed Tomographic Scanner
815
994
994
820
1,744
1,744
825
2,697
2,697
830
840
326
845
850 Lithotripsy
850
835
855
10,511
10,511
860
865
870
875
880
885
890
895
19,920
19,920
910
900
911
6,383
6,383
915
397,248
365,159
920
925
930
935
940
O'CONNOR HOSPITAL
145
150
155-215
Line
No
220
785
790 Electromyography
790
795 Electroencephalography
795
3,331
800
3,331
805
810
815
820 Ultrasonography
820
4,441
825
830
835
840
845
850 Lithotripsy
850
855
1,110
860
865
870
875
880
885
890
895
3,331
900
910
911
915
141,267
1,148,820
920
925
930
935
940
O'CONNOR HOSPITAL
(13)Nursing
FTE's
(14) Central
Service and
Supply Costed
Requisitions
(15) Pharmacy
Costed
Requisitions
225-230
235
240
Line
No
250-255
$1,548
785
790 Electromyography
790
795 Electroencephalography
795
$41,171
800
$5,581
805
$13,060
810
$3,885
815
820 Ultrasonography
$4,680
820
$11,453
825
$4,985,135
$16,969
835
840
$6,368
845
850 Lithotripsy
850
830
855
$50,545
860
865
870
875
880
885
890
895
$64,417
900
910
911
915
$30,229,836
$4,985,135
920
925
930
935
940
O'CONNOR HOSPITAL
(20) Paramedic
Student
Departmental
Assignment
270-275
(21) Medical
PostGraduate
Departmental
Assignment
Line
No
280
785
790 Electromyography
790
795 Electroencephalography
795
800
805
810
815
820 Ultrasonography
820
825
830
835
840
845
850 Lithotripsy
850
855
860
865
870
875
880
885
890
895
900
910
911
915
24.00
920
925
930
935
940
COST ALLOCATION
O'CONNOR HOSPITAL
(2)Square Feet
06/30/2014
(3)Subtotal
Line
No
5-25
Interest - Other
8870
10
Insurance - Other
8840
10
15
8850
15
20
8810
20
25
8820
25
30
8860
30
35
Hospital Administration
8610
35
40
8620
40
45
Public Relations
8630
45
50
Management Engineering
8640
50
55
8770
55
60
8790
60
65
General Accounting
8510
65
70
Communications
8470
70
75
8590
75
80
8310
80
85
Personnel
8650
85
90
8660
90
95
8880
95
8330
100
8400
105
110 Housekeeping
8440
110
115 Grounds
8410
115
120 Security
8420
120
125 Parking
8430
125
8450
130
8460
135
8490
140
145 Dietary
8340
145
8350
150
8530
155
8480
160
8550
165
8670
170
8680
175
8690
180
8700
185
8710
190
8360
195
8750
200
8830
205
210 Admitting
8560
210
8890
215
8570
220
8720
225
8740
230
8380
235
240 Pharmacy
8390
240
8010
245
8210
250
8260
255
8230
260
8220
265
8250
270
8290
275
8260
280
285
COST ALLOCATION
O'CONNOR HOSPITAL
(4)Accumulated
Costs
30-80
105
06/30/2014
(7)Square Feet
Serviced
Line
No
110
Interest - Other
10
Insurance - Other
10
15
15
20
20
25
25
30
30
35
Hospital Administration
35
40
40
45
Public Relations
45
50
Management Engineering
50
55
55
60
60
65
General Accounting
65
70
Communications
70
75
75
80
80
85
Personnel
85
90
90
95
95
100
105
110 Housekeeping
110
115 Grounds
115
120 Security
120
125 Parking
125
130
135
140
145 Dietary
145
150
155
160
165
170
175
180
185
190
195
200
205
210 Admitting
210
215
220
225
230
235
240 Pharmacy
240
245
250
255
260
265
270
275
280
COST ALLOCATION
O'CONNOR HOSPITAL
(8)Square Feet
from Column (2)
(9)Meals Served
(10)Dry Pounds
Processed
115-140
145
150
06/30/2014
(11)Gross Patient
Line
Revenue from Page No
12, Column 23
155-215
Interest - Other
10
Insurance - Other
10
15
15
20
20
25
25
30
30
35
Hospital Administration
35
40
40
45
Public Relations
45
50
Management Engineering
50
55
55
60
60
65
General Accounting
65
70
Communications
70
75
75
80
80
85
Personnel
85
90
90
95
95
100
105
110 Housekeeping
110
115 Grounds
115
120 Security
120
125 Parking
125
130
135
140
145 Dietary
145
150
155
160
165
170
175
180
185
190
195
200
205
210 Admitting
210
215
220
225
230
235
240 Pharmacy
240
245
250
255
260
265
270
275
280
COST ALLOCATION
O'CONNOR HOSPITAL
06/30/2014
(12)Gross
Outpatient Revenue
from Page
12,Column 22
(13)Nursing
FTE's
(14)Central Service
and Supply Costed
Requisitions
(15) Pharmacy
Costed
Requisitions
Line
No
220
225-230
235
240
No
Interest - Other
10
Insurance - Other
10
15
15
20
20
25
25
30
30
35
Hospital Administration
35
40
40
45
Public Relations
45
50
Management Engineering
50
55
55
60
60
65
General Accounting
65
70
Communications
70
75
75
80
80
85
Personnel
85
90
90
95
95
100
105
110 Housekeeping
110
115 Grounds
115
120 Security
120
125 Parking
125
130
135
140
145 Dietary
145
150
155
160
165
170
175
180
185
190
195
200
205
210 Admitting
210
215
220
225
230
235
240 Pharmacy
240
245
250
255
260
265
270
275
280
COST ALLOCATION
O'CONNOR HOSPITAL
06/30/2014
(17)Gross Patient
Revenue from
Column (11)
(18) Students in
All Approved
Programs
(19)Nursing Student
Departmental
Assignment
245
250-255
260-265
Line
No
Interest - Other
10
Insurance - Other
10
15
15
20
20
25
25
30
30
35
Hospital Administration
35
40
40
45
Public Relations
45
50
Management Engineering
50
55
55
60
60
65
General Accounting
65
70
Communications
70
75
75
80
80
85
Personnel
85
90
90
95
95
100
105
110 Housekeeping
110
115 Grounds
115
120 Security
120
125 Parking
125
130
135
140
145 Dietary
145
150
155
160
165
170
175
180
185
190
195
200
205
210 Admitting
210
215
220
225
230
235
240 Pharmacy
240
245
250
255
260
265
270
275
280
285
COST ALLOCATION
O'CONNOR HOSPITAL
(20)Paramedic Student
Departmental
Assignment
(21)Medical
Postgraduate
Departmental
Assignment
270-275
280
06/30/2014
(22)Transfers
for Operating
Costs
(23)Total
Line
No
Interest - Other
10
Insurance - Other
10
15
15
20
20
25
25
30
30
35
Hospital Administration
35
40
40
45
Public Relations
45
50
Management Engineering
50
55
55
60
60
65
General Accounting
65
70
Communications
70
75
75
80
80
85
Personnel
85
90
90
95
95
100
105
110 Housekeeping
110
115 Grounds
115
120 Security
120
125 Parking
125
130
135
140
145 Dietary
145
150
155
160
165
170
175
180
185
190
195
200
205
210 Admitting
210
215
220
225
230
235
240 Pharmacy
240
245
250
255
260
265
270
275
280
COST ALLOCATION
O'CONNOR HOSPITAL
(2)Square Feet
06/30/2014
(3)Subtotal
Line
No
5-25
5320
350
5340
355
5350
360
5370
365
5380
370
5390
375
5430
380
5440
385
5480
390
5700
395
5740
400
5782
405
5770
410
5781
411
5790
415
5780
420
5780
425
5780
430
5780
435
440
445
6010
505
6030
510
6050
515
6070
520
6090
525
6110
530
6130
535
6150
540
6170
545
6290
550
6340
555
6360
560
6380
565
6400
570
6420
575
6440
580
6470
585
6510
590
6530
595
6560
600
6570
601
6580
605
6610
610
6630
615
6680
620
6780
625
6900
645
650
AMBULATORY SERVICES
660 Emergency Services
7010
660
7040
665
7060
670
COST ALLOCATION
O'CONNOR HOSPITAL
(4)Accumulated
Costs
30-80
105
06/30/2014
(7)Square Feet
Serviced
Line
No
110
350
355
360
365
370
375
380
385
390
395
400
405
410
411
415
420
425
430
435
440
445
505
510
515
520
525
530
535
540
545
550
555
560
565
570
575
580
585
590
595
600
601
605
610
615
620
625
645
650
AMBULATORY SERVICES
660 Emergency Services
660
665
670
COST ALLOCATION
O'CONNOR HOSPITAL
(8)Square Feet
from Column (2)
(9)Meals Served
(10)Dry Pounds
Processed
115-140
145
150
06/30/2014
(11)Gross Patient
Line
Revenue from Page No
12, Column 23
155-215
350
355
360
365
370
375
380
385
390
395
400
405
410
411
415
420
425
430
435
440
445
505
510
515
520
525
530
535
540
545
550
555
560
565
570
575
580
585
590
595
600
601
605
610
615
620
625
645
650
AMBULATORY SERVICES
660 Emergency Services
660
665
670
COST ALLOCATION
O'CONNOR HOSPITAL
06/30/2014
(12)Gross
Outpatient Revenue
from Page
12,Column 22
(13)Nursing
FTE's
(14)Central Service
and Supply Costed
Requisitions
(15) Pharmacy
Costed
Requisitions
Line
No
220
225-230
235
240
No
350
355
360
365
370
375
380
385
390
395
400
405
410
411
415
420
425
430
435
440
445
505
510
515
520
525
530
535
540
545
550
555
560
565
570
575
580
585
590
595
600
601
605
610
615
620
625
645
650
AMBULATORY SERVICES
660 Emergency Services
660
665
670
COST ALLOCATION
O'CONNOR HOSPITAL
06/30/2014
(17)Gross Patient
Revenue from
Column (11)
(18) Students in
All Approved
Programs
(19)Nursing Student
Departmental
Assignment
245
250-255
260-265
Line
No
350
355
360
365
370
375
380
385
390
395
400
405
410
411
415
420
425
430
435
440
445
505
510
515
520
525
530
535
540
545
550
555
560
565
570
575
580
585
590
595
600
601
605
610
615
620
625
645
650
AMBULATORY SERVICES
660 Emergency Services
660
665
670
COST ALLOCATION
O'CONNOR HOSPITAL
(20)Paramedic Student
Departmental
Assignment
(21)Medical
Postgraduate
Departmental
Assignment
270-275
280
06/30/2014
(22)Transfers
for Operating
Costs
(23)Total
Line
No
350
355
360
365
370
375
380
385
390
395
400
405
410
411
415
420
425
430
435
440
445
505
510
515
520
525
530
535
540
545
550
555
560
565
570
575
580
585
590
595
600
601
605
610
615
620
625
645
650
AMBULATORY SERVICES
660 Emergency Services
660
665
670
COST ALLOCATION
O'CONNOR HOSPITAL
(2)Square Feet
06/30/2014
(3)Subtotal
Line
No
5-25
675 Clinics
7070
675
7180
680
7200
685
7220
690
7230
695
7260
700
7290
705
7310
710
7320
715
7390
720
725
ANCILLARY SERVICES
730 Labor and Delivery Services
7400
7420
735
7430
740
745 Anesthesiology
7450
745
7470
750
7480
755
7500
760
7520
765
7540
770
775 Echocardiology
7560
775
7570
780
7590
785
790 Electromyography
7610
790
795 Electroencephalography
7620
795
7630
800
7640
805
7650
810
7660
815
820 Ultrasonography
7670
820
7680
825
7710
830
7720
835
7730
840
7740
845
850 Lithotripsy
7750
850
7760
855
7770
860
7780
865
7790
870
7800
875
7820
880
7830
885
7840
890
7860
895
7870
900
730
905
7900
7950
910
911
915
-0-
920
COST ALLOCATION
O'CONNOR HOSPITAL
(4)Accumulated
Costs
30-80
105
06/30/2014
(7)Square Feet
Serviced
Line
No
110
675 Clinics
675
680
685
690
695
700
705
710
715
720
725
ANCILLARY SERVICES
730 Labor and Delivery Services
730
735
740
745 Anesthesiology
745
750
755
760
765
770
775 Echocardiology
775
780
785
790 Electromyography
790
795 Electroencephalography
795
800
805
810
815
820 Ultrasonography
820
825
830
835
840
845
850 Lithotripsy
850
855
860
865
870
875
880
885
890
895
900
905
910
911
915
920 TOTAL
-0-
-0-
-0-
-0-
920
COST ALLOCATION
O'CONNOR HOSPITAL
(8)Square Feet
from Column (2)
(9)Meals Served
(10)Dry Pounds
Processed
115-140
145
150
06/30/2014
(11)Gross Patient
Line
Revenue from Page No
12, Column 23
155-215
675 Clinics
675
680
685
690
695
700
705
710
715
720
725
ANCILLARY SERVICES
730 Labor and Delivery Services
730
735
740
745 Anesthesiology
745
750
755
760
765
770
775 Echocardiology
775
780
785
790 Electromyography
790
795 Electroencephalography
795
800
805
810
815
820 Ultrasonography
820
825
830
835
840
845
850 Lithotripsy
850
855
860
865
870
875
880
885
890
895
900
905
910
911
915
920 TOTAL
-0-
-0-
-0-
-0-
920
COST ALLOCATION
O'CONNOR HOSPITAL
06/30/2014
(12)Gross Patient
Revenue from Page
12,Column 22
(13)Nursing
FTE's
(14)Central Service
and Supply Costed
Requisitions
(15) Pharmacy
Costed
Requisitions
220
225-230
235
240
Line
No
No
675 Clinics
675
680
685
690
695
700
705
710
715
720
725
ANCILLARY SERVICES
730 Labor and Delivery Services
730
735
740
745 Anesthesiology
745
750
755
760
765
770
775 Echocardiology
775
780
785
790 Electromyography
790
795 Electroencephalography
795
800
805
810
815
820 Ultrasonography
820
825
830
835
840
845
850 Lithotripsy
850
855
860
865
870
875
880
885
890
895
900
905
910
911
915
920 TOTAL
-0-
-0-
-0-
-0-
920
COST ALLOCATION
O'CONNOR HOSPITAL
06/30/2014
(17)Gross Patient
Revenue from
Column (11)
(18) Students in
All Approved
Programs
(19)Nursing Student
Departmental
Assignment
245
250-255
260-265
Line
No
675 Clinics
675
680
685
690
695
700
705
710
715
720
725
ANCILLARY SERVICES
730 Labor and Delivery Services
730
735
740
745 Anesthesiology
745
750
755
760
765
770
775 Echocardiology
775
780
785
790 Electromyography
790
795 Electroencephalography
795
800
805
810
815
820 Ultrasonography
820
825
830
835
840
845
850 Lithotripsy
850
855
860
865
870
875
880
885
890
895
900
905
910
911
915
920 TOTAL
-0-
-0-
-0-
920
COST ALLOCATION
O'CONNOR HOSPITAL
(20)Paramedic Student
Departmental
Assignment
(21)Medical
Postgraduate
Departmental
Assignment
270-275
280
06/30/2014
(22)Transfers
for Operating
Costs
(23)Total
Line
No
675 Clinics
675
680
685
690
695
700
705
710
715
720
725
ANCILLARY SERVICES
730 Labor and Delivery Services
730
735
740
745 Anesthesiology
745
750
755
760
765
770
775 Echocardiology
775
780
785
790 Electromyography
790
795 Electroencephalography
795
800
805
810
815
820 Ultrasonography
820
825
830
835
840
845
850 Lithotripsy
850
855
860
865
870
875
880
885
890
895
900
905
910
911
915
920 TOTAL
-0-
-0-
-0-
920
O'CONNOR HOSPITAL
(2)Other Operating
Revenue Page
14,Col(1), Line 200
($3,290,186)
06/30/2014
(4)Other Operating
Revenue Page 14, Col Line
(1),Line 210
No
Cost Recovery
Interest - Other
1
5
10
Insurance - Other
10
15
15
20
20
25
25
30
35
Hospital Administration
40
40
45
Public Relations
45
50
Management Engineering
50
55
55
60
60
65
General Accounting
65
70
Communications
70
75
75
80
80
85
Personnel
85
90
90
95
30
$3,290,186
35
95
100
105
110 Housekeeping
110
115 Grounds
115
120 Security
120
125 Parking
125
130
135
140
145 Dietary
145
150
155
160
165
170
175
180
185
190
195
200
205
210 Admitting
210
215
220
225
230
235
240 Pharmacy
240
245
250
Line
No
O'CONNOR HOSPITAL
(2)Other Operating
Revenue Page
14,Col(1), Line 200
06/30/2014
(4)Other Operating
Revenue Page 14, Col Line
(1),Line 210
No
255
260
265
270
275
280
-0-
-0-
-0-
-0-
285
O'CONNOR HOSPITAL
Cost Recovery
Interest - Other
1
5
10
Insurance - Other
10
15
15
20
20
25
25
30
30
35
Hospital Administration
35
40
40
45
Public Relations
45
50
Management Engineering
50
55
55
60
60
65
General Accounting
65
70
Communications
70
75
75
80
80
85
Personnel
85
90
90
95
95
100
105
110 Housekeeping
110
115 Grounds
115
120 Security
120
125 Parking
125
130
135
140
145 Dietary
145
150
155
160
165
170
175
180
185
190
195
200
205
210 Admitting
210
215
220
225
230
235
240 Pharmacy
240
245
250
06/30/2014
Line
No
O'CONNOR HOSPITAL
255
260
265
270
275
280
-0-
-0-
285
06/30/2014
O'CONNOR HOSPITAL
(7)Transfers for
Operations (Revenue
Line
Centers) Page
No
14,Column (1), Line 270
500
6010
505
6030
510
6050
515
6070
520
6090
525
6110
530
6130
535
6150
540
6170
545
6290
550
6340
555
6360
560
6380
565
6400
570
6420
575
6440
580
6470
585
6510
590
6530
595
6560
600
6570
601
6580
605
6610
610
6630
615
6680
620
6780
625
6900
645
650
AMBULATORY SERVICES
660 Emergency Services
7010
660
7040
665
7060
670
675 Clinics
7070
675
7180
680
7200
685
7220
690
7230
695
7260
700
7290
705
7310
710
7320
715
7390
720
725
06/30/2014
O'CONNOR HOSPITAL
Account No
(7)Transfers for
Operations
(Revenue
Centers) Page
14,Column (1),
Line 270
Line
No
ANCILLARY SERVICES
730 Labor and Delivery Services
7400
730
7420
735
7430
740
745 Anesthesiology
7450
745
7470
750
7480
755
7500
760
7520
765
7540
770
775 Echocardiology
7560
775
7570
780
7590
785
790 Electromyography
7610
790
795 Electroencephalography
7620
795
7630
800
7640
805
7650
810
7660
815
820 Ultrasonography
7670
820
7680
825
7710
830
7720
835
7730
840
7740
845
850 Lithotripsy
7750
850
7760
855
7770
860
7780
865
7790
870
7800
875
7820
880
7830
885
7840
890
7860
895
7870
900
905
-0-
920
06/30/2014
O'CONNOR HOSPITAL
CLASSIFICATION DESCRIPTION
Line
No
(2)
Management and
Supervision
(3)
(4)
Technical and
Specialist
.00
06/30/2014
(5)
(6)
Registered
Nurses
.01
.02
Line
Average
Hourly Rate
Productive
Hours
Average
Hourly Rate
Productive
Hours
Average
Hourly Rate
Productive
Hours
$71.12
1,851
$65.49
59
$84.37
83,641
No
10
Coronary Care
15
20
25
25
30
Burn Care
30
35
35
40
Definitive Observation
45
Medical/Surgical Acute
50
Pediatric Acute
55
60
65
Obstetrics Acute
70
70
75
75
80
80
85
85
90
95
Nursery Acute
10
15
$77.89
1,700
$65.85
492
$82.96
31,493
20
40
$74.74
10,753
$65.84
2,208
$73.37
207,680
45
$83.50
21,115
50
55
60
$72.89
1,035
$65.32
2,160
$79.38
39,148
65
90
$72.94
818
$78.64
32,668
$35.99
3,818
95
$73.44
15,653
100
101
105
110
115
120
125
145
16,157
41,405
398,730
150
81,634
160
AMBULATORY SERVICES
160 Emergency Services
$73.46
3,146
$29.83
23,538
$77.55
165
170
$77.10
1,684
$41.65
2,171
$69.18
15,213
175
180
185
190
$71.53
1,230
$66.28
18
$81.47
34,264
195
200
205
210
215
220
6,060
25,727
131,111
225
O'CONNOR HOSPITAL
CLASSIFICATION DESCRIPTION
Line
No
(8)
Licensed
Vocational Nurses
(9)
(10)
Aides and
Orderlies
.03
06/30/2014
(11)
(12)
.04
.05
Line
Average
Hourly Rate
Productive
Hours
Average
Hourly Rate
Productive
Hours
Average
Hourly Rate
Productive
Hours
$36.63
24
$32.24
225
$29.21
5,048
No
10
Coronary Care
10
15
15
20
20
25
25
30
Burn Care
30
35
35
40
Definitive Observation
45
Medical/Surgical Acute
50
Pediatric Acute
55
60
65
Obstetrics Acute
70
70
75
75
80
80
85
85
90
95
Nursery Acute
40
$43.35
3,375
$29.57
48,404
$39.26
46
$29.46
24,664
45
50
55
60
$44.86
3,680
$27.20
2,461
65
90
$44.87
2,910
$39.46
17,527
$27.19
$27.97
1,947
19,084
95
100
101
105
110
115
120
125
145
27,516
67,759
34,120
150
14,303
160
AMBULATORY SERVICES
160 Emergency Services
$28.96
853
$31.44
165
170
$40.54
1,879
$25.11
4,351
$28.27
4,509
175
180
185
190
$41.13
24
$31.28
239
$27.85
2,618
195
200
205
210
215
220
1,903
5,443
21,430
225
O'CONNOR HOSPITAL
CLASSIFICATION DESCRIPTION
Line
No
(14)
Environmental and
Food Service
(15)
(16)
Productive
Hours
(17)
(18)
Physicians
(Salaried)
Non-Physicians Medical
Practitioners
.07
.08
.06
Average
Hourly Rate
06/30/2014
Average
Hourly Rate
Productive
Hours
Average
Hourly Rate
Line
Productive
Hours
No
10
Coronary Care
10
15
15
20
20
25
25
30
Burn Care
30
35
35
40
Definitive Observation
40
45
Medical/Surgical Acute
45
50
Pediatric Acute
50
55
55
60
60
65
Obstetrics Acute
65
70
70
75
75
80
80
85
85
90
90
95
Nursery Acute
95
100
101
105
110
115
120
125
145
150
AMBULATORY SERVICES
160 Emergency Services
160
165
170
175 Clinics
175
180
185
190
195
200
205
210
215
220
225
O'CONNOR HOSPITAL
Line
No
(19)
CLASSIFICATION DESCRIPTION
(20)
Other Salaries
and Wages
(21)
Cost Center
Average Hourly
Rate
.09
Average Hourly
Rate
Line
Productive
Hours
No
10
Coronary Care
$78.69
15
20
25
25
30
Burn Care
30
35
35
40
Definitive Observation
45
Medical/Surgical Acute
$61.95
45
50
Pediatric Acute
$81.47
50
55
60
65
Obstetrics Acute
70
70
75
75
80
80
85
85
90
95
Nursery Acute
$73.21
95
100
Sub-Acute Care
$45.12
100
101
101
105
105
110
110
115
Intermediate Care
115
120
Residential Care
120
125
125
145
145
150
150
10
15
$78.74
20
40
55
60
$73.21
65
90
AMBULATORY SERVICES
160
Emergency Services
165
$61.96
160
170
175
Clinics
180
Satellite Clinics
180
185
185
190
195
Observation Care
200
200
205
205
210
210
215
215
220
220
225
225
165
170
$53.70
175
190
$75.64
195
06/30/2014
21
Facility D.B.A. Name :
O'CONNOR HOSPITAL
(23)
(24)
HOURS SUMMARY
Productive
Hours
NonProductive
Hours
Total Paid
Hours
90,848
22,368
113,216
06/30/2014
(25)
(Optional)
Full
Time
Equivalent
Employees
Line
No
Line
No
Column (22)
2080
10
Coronary Care
15
20
25
25
30
Burn Care
30
35
35
40
Definitive Observation
45
Medical/Surgical Acute
297,084
70,061
367,145
45
50
Pediatric Acute
21,161
5,604
26,765
50
55
60
65
Obstetrics Acute
70
70
75
75
80
80
85
85
90
95
Nursery Acute
5
10
15
33,685
9,531
43,216
20
40
55
60
48,484
9,503
57,987
65
90
38,343
7,515
45,858
95
56,082
7,835
63,917
100
101
105
110
115
120
125
145
585,687
132,417
718,104
150
123,474
23,742
147,216
160
AMBULATORY SERVICES
160 Emergency Services
165 Medical Transportation Services
165
170
29,807
6,627
36,434
175
180
185
190
38,393
8,286
46,679
195
200
205
210
215
220
191,674
38,655
230,329
225
O'CONNOR HOSPITAL
CLASSIFICATION DESCRIPTION
Line
No
(2)
Management and
Supervision
(3)
(4)
Technical and
Specialist
.00
06/30/2014
(5)
(6)
Registered
Nurses
.01
Average
Hourly Rate
Productive
Hours
Average
Hourly Rate
$71.16
1,833
$71.85
3,286
.02
Line
Productive
Hours
Average
Hourly Rate
Productive
Hours
No
$59.76
4,284
$76.49
60,839
230
$42.25
20,553
$99.10
47,822
235
$27.65
355
$75.40
17,345
240
ANCILLARY SERVICES
245
250
255
$71.93
3,669
$54.68
57,005
260
$48.43
3,062
265
270
275 Echocardiology
275
$86.30
1,800
$106.77
6,330
$62.66
1,768
$45.95
6,036
$49.88
2,147
$120.83
11,804
280
285
290 Electromyography
290
295 Electroencephalography
295
$72.52
558
$58.29
16,083
$105.15
559
300
$79.15
1,334
$58.45
3,598
$68.32
621
305
$93.75
5,861
$69.40
727
310
$69.36
5,376
315
320 Ultrasonography
$72.34
179
$58.29
5,146
$116.51
179
320
$72.53
875
$58.29
25,222
$105.23
876
325
$57.52
1,618
$47.18
48,882
$129.00
$95.26
7,302
330
340
345
350
335
355
$70.18
3,528
$50.04
45,251
360
365
370
375
380
385
390
395
$28.68
20,448
1,783
256,974
$97.73
14,080
400
162,158
405
O'CONNOR HOSPITAL
CLASSIFICATION DESCRIPTION
Line
No
(8)
Licensed
Vocational Nurses
(9)
(10)
Aides and
Orderlies
.03
Average
Hourly Rate
06/30/2014
(11)
.04
Productive
Hours
(12)
.05
Line
Average
Hourly Rate
Productive
Hours
Average
Hourly Rate
Productive
Hours
No
$30.53
13,305
$34.09
7,442
230
$28.14
8,023
$30.26
5,564
235
$28.36
4,037
$28.26
3,414
240
ANCILLARY SERVICES
245 Anesthesiology
245
250
255
$28.71
69,838
$33.13
5,173
260
$34.50
2,124
265
270
275 Echocardiology
275
$27.60
1,854
280
285
290 Electromyography
290
295 Electroencephalography
295
$36.52
1,793
300
$27.20
1,965
305
$27.44
2,768
310
320 Ultrasonography
$36.51
574
320
$36.51
2,813
325
315
330
335
340
345
350 Lithotripsy
350
355
$25.37
6,960
$28.34
5,983
360
365
370
375
380
385
390
395
400
107,336
36,294
405
O'CONNOR HOSPITAL
CLASSIFICATION DESCRIPTION
Line
No
(14)
Environmental and
Food Service
(15)
(16)
Productive
Hours
(17)
(18)
Physicians
(Salaried)
Non-Physicians Medical
Practitioners
.07
.08
.06
Average
Hourly Rate
06/30/2014
Average
Hourly Rate
Productive
Hours
Average
Hourly Rate
Line
Productive
Hours
No
ANCILLARY SERVICES
230 Labor and Delivery Services
230
235
240
245 Anesthesiology
245
250
255
260
265
270
275 Echocardiology
275
280
285
290 Electromyography
290
295 Electroencephalography
295
300
305
310
315
320 Ultrasonography
320
325
330
335
340
345
350 Lithotripsy
350
355
360
365
370
375
380
385
390
395
400
405
O'CONNOR HOSPITAL
Line
No
(19)
CLASSIFICATION DESCRIPTION
(20)
Other Salaries
and Wages
(21)
Cost Center
Average Hourly
Rate
.09
Line
Average Hourly
Rate
Productive
Hours
$136.41
1,091
No
ANCILLARY SERVICES
230
235
$63.83
230
$70.39
240
235
$58.35
245
Anesthesiology
240
245
250
250
255
260
$41.58
260
265
$39.55
265
270
Blood Bank
275
Echocardiology
280
$100.63
280
285
Cardiology Services
$49.70
285
290
Electromyography
295
Electroencephalography
$47.08
295
300
Radiology - Diagnostic
$56.23
300
305
Radiology - Therapeutic
$54.76
305
310
Nuclear Medicine
$69.24
310
315
$68.44
315
320
Ultrasonography
$56.49
320
325
$56.23
325
330
335
Respiratory Therapy
340
345
Renal Dialysis
350
Lithotripsy
355
Gastro-Intestinal Services
360
Physical Therapy
365
Speech-Language Pathology
365
370
Occupational Therapy
370
375
375
380
Electroconvulsive Therapy
380
385
Psychiatric/Psychological Testing
385
390
390
395
Organ Acquisition
400
405
255
270
275
290
330
$46.37
335
340
$93.86
345
350
355
$46.64
360
395
$83.41
1,091
400
405
06/30/2014
O'CONNOR HOSPITAL
(23)
(24)
HOURS SUMMARY
Total Paid
Hours
06/30/2014
(25)
(Optional)
Full
Time
Equivalent
Employees
Line
No
Line
No
Productive
Hours
NonProductive
Hours
Column (22)
2080
87,703
23,607
111,310
230
86,339
22,791
109,130
235
25,151
7,391
32,542
240
ANCILLARY SERVICES
245 Anesthesiology
245
250
255
130,512
19,066
149,578
260
10,359
940
11,299
265
270
275 Echocardiology
275
21,788
3,239
25,027
280
7,804
1,456
9,260
285
295 Electroencephalography
2,147
621
2,768
295
18,993
5,152
24,145
300
7,518
1,745
9,263
305
9,356
1,461
10,817
310
5,376
1,000
6,376
315
320 Ultrasonography
6,078
1,648
7,726
320
29,786
8,079
37,865
325
50,504
13,082
63,586
7,302
439
7,741
290 Electromyography
290
330
340
350 Lithotripsy
345
350
335
355
61,722
12,404
74,126
360
365
370
375
380
385
390
395
15,863
4,142
20,005
400
584,301
128,263
712,564
405
O'CONNOR HOSPITAL
(1)
(2)
(3)
06/30/2014
(4)
CLASSIFICATION DESCRIPTION
Registry Nursing
Personnel
Other Contracted
Services
.25
.21, .26
(5)
Total Contracted
Hours
Line
No
Line
REVENUE PRODUCING CENTERS
Average Hourly
Rate
Productive Hours
$55.62
620
Average Hourly
Rate
Productive Hours
No
10
Coronary Care
15
20
25
25
30
Burn Care
30
35
35
40
Definitive Observation
45
Medical/Surgical Acute
$66.47
5,439
5,439
45
50
Pediatric Acute
$65.96
73
73
50
55
60
65
Obstetrics Acute
70
70
75
75
80
80
85
85
90
90
95
Nursery Acute
620
5
10
15
$72.01
499
499
20
40
55
60
$71.92
77
77
65
95
$49.03
754
754
100
101
105
110
115
120
125
145
7,462
7,462
150
4,075
4,075
160
AMBULATORY SERVICES
160 Emergency Services
$68.67
165
170
175 Clinics
175
180
185
190
$81.35
306
306
195
200
205
210
215
220
4,381
4,381
225
O'CONNOR HOSPITAL
(1)
(2)
(3)
06/30/2014
(4)
CLASSIFICATION DESCRIPTION
Registry Nursing
Personnel
Other Contracted
Services
.25
.21, .26
(5)
Total Contracted
Hours
Line
No
Line
REVENUE PRODUCING CENTERS
Average Hourly
Rate
Productive Hours
Average Hourly
Rate
Productive Hours
$57.80
219
No
ANCILLARY SERVICES
230 Labor and Delivery Services
230
219
235
240
245 Anesthesiology
245
250
255
$78.43
320
$80.00
120
440
260
265
270
275 Echocardiology
275
280
285
290 Electromyography
290
295 Electroencephalography
$363.57
14
14
295
$80.48
168
168
300
305
310
315
320 Ultrasonography
320
325
330
$60.70
3,070
3,070
335
340
$50.43
775
775
345
350 Lithotripsy
350
355
360
365
370
375
380
385
390
395
400
1,095
3,591
4,686
405
O'CONNOR HOSPITAL
CLASSIFICATION DESCRIPTION
Line
No
(2)
Management and
Supervision
(3)
(4)
Technical and
Specialist
.00
Average
Hourly Rate
06/30/2014
(5)
(6)
Registered
Nurses
.01
Productive
Hours
Average
Hourly Rate
.02
Productive
Hours
Average
Hourly Rate
Line
Productive
Hours
No
RESEARCH COSTS
5
10
TOTAL RESEARCH
10
EDUCATION COSTS
15
15
20
School of Nursing
20
25
30
35
Paramedical Education
35
40
Student Housing
40
45
50
TOTAL EDUCATION
25
$61.99
943
$44.38
889
30
45
943
889
50
$24.80
1,399
55
GENERAL SERVICES
55
60
Kitchen
65
$46.55
3,283
$40.79
7,638
65
70
Dietary
$46.53
2,238
$40.74
5,222
70
75
80
$50.77
7,657
85
Central Transportation
90
$38.27
1,792
$29.34
15,585
95
Pharmacy
$84.04
3,348
$52.38
50,879
95
$65.42
3,412
$27.18
18,910
100
$51.50
110
120
60
75
85
105 Grounds
90
105
110 Security
115 Parking
120 Housekeeping
80
115
$37.97
1,330
$24.91
43
$68.95
3,638
$82.30
3,416
130
135 Communications
$33.80
1,797
$53.00
135
$67.86
6,461
140
125
145
20,838
117,214
150
1,825
155
FISCAL SERVICES
155 General Accounting
$85.22
3,573
$45.94
160
165
$49.08
4,398
$45.67
175
170
195
7,971
1,828
200
O'CONNOR HOSPITAL
CLASSIFICATION DESCRIPTION
Line
No
(2)
Management and
Supervision
(3)
(4)
Technical and
Specialist
.00
06/30/2014
(5)
(6)
Registered
Nurses
.01
.02
Average
Hourly Rate
Line
Average
Hourly Rate
Productive
Hours
Average
Hourly Rate
Productive
Hours
Productive
Hours
No
$81.03
24,162
$40.70
27,268
$61.88
2,496
$35.52
475
225 Personnel
$84.40
2,549
$43.50
2,822
225
$74.54
1,675
$62.29
6,690
230
$54.64
3,267
$37.02
3,447
235
$50.74
1,804
$37.31
5,390
240
$36.69
1,538
245
ADMINISTRATIVE SERVICES
205 Hospital Administration
210 Governing Board Expense
215 Public Relations
205
210
215
220
$63.83
3,494
$31.65
19,918
250
$58.15
1,906
$37.65
3,500
255
$78.15
14,984
$89.65
147
260
$54.50
$65.37
4,972
270
$79.39
9,371
$61.45
45,188
275
$45.47
4,129
$26.57
23,685
295
145,040
300
265
280
69,839
350
370
O'CONNOR HOSPITAL
CLASSIFICATION DESCRIPTION
Line
No
(8)
Licensed
Vocational Nurses
(9)
(10)
Aides and
Orderlies
.03
Average
Hourly Rate
06/30/2014
(11)
.04
Productive
Hours
Average
Hourly Rate
(12)
.05
Productive
Hours
Average
Hourly Rate
Line
Productive
Hours
No
RESEARCH COSTS
5
10
TOTAL RESEARCH
10
EDUCATION COSTS
15
15
20
School of Nursing
20
25
30
35
Paramedical Education
35
40
Student Housing
40
45
50
TOTAL EDUCATION
25
$31.18
1,710
30
45
1,710
50
$23.80
193
55
GENERAL SERVICES
55
60
Kitchen
65
$28.13
24
65
70
Dietary
$28.09
4,211
70
75
75
80
80
85
Central Transportation
85
90
95
Pharmacy
60
90
$31.29
1,587
95
100
105 Grounds
105
110 Security
110
115 Parking
115
120 Housekeeping
120
125
$33.69
1,749
130
135 Communications
$23.75
11,212
135
$24.80
140
145
18,981
150
FISCAL SERVICES
155 General Accounting
155
160
165
$29.10
53,010
175
170
195
53,010
200
O'CONNOR HOSPITAL
CLASSIFICATION DESCRIPTION
Line
No
(8)
Licensed
Vocational Nurses
(9)
(10)
Productive
Hours
(11)
(12)
Aides and
Orderlies
.04
.05
.03
Average
Hourly Rate
06/30/2014
Average
Hourly Rate
Productive
Hours
Line
Average
Hourly Rate
Productive
Hours
No
$28.80
56,174
205
ADMINISTRATIVE SERVICES
205 Hospital Administration
210 Governing Board Expense
210
215
220
225 Personnel
$30.37
2,104
225
$31.59
248
230
$33.52
1,835
235
240
245
$33.43
20,195
250
$42.56
99
255
$28.96
5,755
260
$31.03
887
270
$27.86
5,839
275
$17.88
11,929
295
105,065
300
265
280
350
370
O'CONNOR HOSPITAL
(14)
(15)
(16)
06/30/2014
(17)
(18)
CLASSIFICATION DESCRIPTION
Environmental and
Food Service
Physicians
(Salaried)
Non-Physician Medical
Practitioners
Line
.06
.07
.08
No
Average
Hourly Rate
Productive
Hours
Average
Hourly Rate
Productive
Hours
Average
Hourly Rate
Line
Productive
Hours
No
RESEARCH COSTS
5
10
TOTAL RESEARCH
10
EDUCATION COSTS
15
15
20
School of Nursing
20
25
25
30
30
35
Paramedical Education
35
40
Student Housing
40
45
45
50
TOTAL EDUCATION
50
GENERAL SERVICES
55
60
Kitchen
55
65
$26.11
38,081
65
70
Dietary
$25.72
21,742
70
75
75
80
80
85
Central Transportation
85
90
90
95
Pharmacy
60
95
100
105 Grounds
105
110 Security
110
115 Parking
120 Housekeeping
115
$25.69
93,492
$49.15
28,845
120
125
130
135 Communications
135
140
145
182,160
150
FISCAL SERVICES
155 General Accounting
155
160
165
170 Admitting
170
175
195
200
O'CONNOR HOSPITAL
CLASSIFICATION DESCRIPTION
Line
No
(14)
Environmental and
Food Service
(15)
(16)
Physicians
(Salaried)
.06
Average
Hourly Rate
06/30/2014
(17)
.07
Productive
Hours
Average
Hourly Rate
(18)
Non-Physician Medical
Practitioners
.08
Productive
Hours
Average
Hourly Rate
Line
Productive
Hours
No
ADMINISTRATIVE SERVICES
205 Hospital Administration
205
210
215
220
225 Personnel
230 Employee Health Services
225
$25.82
1,666
230
235
240
245
250
255
260
265
270
275
280
295
1,666
300
350
370
O'CONNOR HOSPITAL
Line
No
(19)
CLASSIFICATION DESCRIPTION
(20)
Other Salaries
and Wages
(21)
Cost Center
Average Hourly
Rate
.09
Average Hourly
Rate
Line
Productive
Hours
No
RESEARCH COSTS
5
10
TOTAL RESEARCH
10
EDUCATION COSTS
15
15
20
School of Nursing
20
25
30
35
Paramedical Education
35
40
Student Housing
40
45
50
TOTAL EDUCATION
25
$26.04
48,538
$25.87
30
45
48,538
50
GENERAL SERVICES
55
60
Kitchen
$24.62
55
65
$30.78
65
70
Dietary
$30.77
70
75
80
85
Central Transportation
90
$30.34
95
Pharmacy
$53.02
95
100
$33.81
100
105
Grounds
110
Security
115
Parking
120
Housekeeping
125
Plant Operations
130
Plant Maintenance
$53.43
130
135
Communications
$25.69
135
140
Data Processing
$69.03
140
145
145
150
150
60
75
$51.23
80
85
90
105
$34.33
110
$26.01
120
115
125
FISCAL SERVICES
155
General Accounting
160
Patient Accounting
$73.73
155
165
170
Admitting
175
Outpatient Registration
175
195
195
200
200
160
165
$31.14
170
06/30/2014
O'CONNOR HOSPITAL
(20)
CLASSIFICATION DESCRIPTION
Other Salaries
and Wages
Line
.09
No
(21)
Cost Center
Average Hourly
Rate
Line
Average Hourly
Rate
Productive
Hours
$188.40
1,905
No
ADMINISTRATIVE SERVICES
205
Hospital Administration
210
215
Public Relations
220
Management Engineering
225
Personnel
230
235
$46.62
205
210
$60.34
215
220
$58.12
225
$55.89
230
Auxiliary Groups
$42.17
235
240
Chaplaincy Services
$41.66
240
245
Medical Library
$38.61
245
250
Medical Records
$35.17
250
255
$47.50
255
260
Nursing Administration
260
265
270
275
Utilization Management
280
295
300
350
350
370
370
$26.28
963
$55.28
135
$65.98
$27.91
11
$59.14
270
$62.33
275
$69.17
280
$26.00
295
265
$83.00
5
3,019
300
06/30/2014
O'CONNOR HOSPITAL
(23)
(24)
HOURS SUMMARY
Productive
Hours
NonProductive
Hours
Total Paid
Hours
06/30/2014
(25)
(Optional)
Full
Time
Equivalent
Employees
Line
No
Line
No
Column (22)
2080
RESEARCH COSTS
5
10
TOTAL RESEARCH
10
EDUCATION COSTS
15
15
20
School of Nursing
20
25
30
35
Paramedical Education
35
40
Student Housing
40
45
50
TOTAL EDUCATION
25
52,080
5,593
57,673
30
45
52,080
5,593
57,673
50
1,592
38
1,630
55
GENERAL SERVICES
55
60
Kitchen
65
49,026
6,366
55,392
65
70
Dietary
33,413
4,339
37,752
70
75
80
7,657
777
8,434
85
Central Transportation
90
17,377
2,634
20,011
95
Pharmacy
55,814
10,774
66,588
95
22,322
3,812
26,134
100
110
94,865
14,516
109,381
120
37,648
6,508
44,156
130
135 Communications
13,011
1,794
14,805
135
6,466
1,020
7,486
140
339,193
52,579
391,772
150
5,398
771
6,169
155
60
75
85
105 Grounds
110 Security
115
125
90
105
115 Parking
120 Housekeeping
80
145
FISCAL SERVICES
155 General Accounting
160 Patient Accounting
160
165
57,411
9,419
66,830
175
170
195
62,809
10,190
72,999
200
O'CONNOR HOSPITAL
(23)
(24)
HOURS SUMMARY
06/30/2014
(25)
(Optional)
Full
Time
Equivalent
Employees
Line
No
Line
No
Productive
Hours
NonProductive
Hours
Total Paid
Hours
Column (22)
2080
109,509
18,314
127,823
2,971
379
3,350
225 Personnel
7,475
1,233
8,708
225
11,242
668
11,910
230
8,549
1,135
9,684
235
7,194
1,148
8,342
240
1,538
138
1,676
245
43,607
6,680
50,287
250
5,505
590
6,095
255
21,021
5,285
26,306
260
5,872
1,281
7,153
270
60,398
10,360
70,758
275
280
39,743
6,532
46,275
295
324,629
53,744
378,373
300
ADMINISTRATIVE SERVICES
205 Hospital Administration
210 Governing Board Expense
215 Public Relations
205
210
215
220
265
350
370
O'CONNOR HOSPITAL
CLASSIFICATION DESCRIPTION
Line
No
(4)
Other Contracted
Services
.26
Average
Hourly Rate
Line
Productive
Hours
No
RESEARCH COSTS
5
10
TOTAL RESEARCH
10
EDUCATION COSTS
15
15
20
School of Nursing
20
25
25
30
30
35
Paramedical Education
35
40
Student Housing
40
45
45
50
TOTAL EDUCATION
50
GENERAL SERVICES
55
55
60
Kitchen
60
65
65
70
Dietary
70
75
75
80
80
85
Central Transportation
85
90
90
95
Pharmacy
95
100
105 Grounds
110 Security
105
$26.24
27,205
110
115 Parking
115
120 Housekeeping
120
125
$30.43
425
130
135 Communications
135
140
145
27,630
150
FISCAL SERVICES
155 General Accounting
155
160
165
170 Admitting
170
175
195
200
06/30/2014
O'CONNOR HOSPITAL
CLASSIFICATION DESCRIPTION
Line
No
(4)
Other Contracted
Services
.26
Line
Average
Hourly Rate
Productive
Hours
No
$40.47
6,206
205
ADMINISTRATIVE SERVICES
205 Hospital Administration
210 Governing Board Expense
210
215
220
$83.21
155
225
230
235
240
245
250
$64.93
1,668
255
$45.70
337
260
265
270
275
280
295
8,366
300
350
370
06/30/2014