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Report Finds Drop in Uncompensated Care, Outpatient Growth for PA’s Non-Acute and Specialty Hospitals

October 31, 2017

Today, the Pennsylvania Health Care Cost Containment Council (PHC4) released its Annual Report on the Financial Health of Pennsylvania Non-General Acute Care Hospitals, finding that uncompensated care saw a decrease of 17 percent or $3.3 million in fiscal year 2016. Specialty hospitals saw the largest percent point decrease, followed by psychiatric and long-term acute care.

In fiscal year 2016, rehab, psychiatric, long-term acute care and specialty care hospital facilities all reported lower state operating margins than reported in fiscal year 2015. Psychiatric, long-term acute care and specialty care facilities also reported lower statewide total margins for fiscal year 2016 than in fiscal year 2015.

Pennsylvania hospitals have seen an increase in outpatient utilization from fiscal year 2015 to 2016. Across all hospital types, including general acute care, Pennsylvania hospital facilities have seen an increase of nearly 690,000 visits, representing a 2 percent growth in outpatient visits. By hospital type, long-term acute care facilities saw the largest growth in outpatient visits, with a 16 percent increase from fiscal year 2015 to 2016. Specialty care hospitals have seen a 6 percent increase in outpatient visits, while general acute care, which makes up 94 percent of the total outpatient visits, saw a 2 percent increase from fiscal year 2015 to 2016.

Outpatient Visits by Hospital Type FY 2015 Outpatient Visits FY 2016 Outpatient Visits Percent Change FY15-FY16
General Acute Care 39,987,676 40,602,165 2%
Long-Term Acute Care 146,255 169,471 16%
Psychiatric 702,634 695,471 -1%
Rehabilitation 1,300,162 1,345,465 3%
Specialty 237,337 251,016 6%
Total 42,374,064 43,063,729 2%

HAP Analysis of PHC4 data. Source:​ Pennsylvania Health Care Cost Containment Council

This is the third financial analysis PHC4 has released this year as a part of its three-part series. Financial Analysis Volume One, released earlier this year, reported on the financial landscape of general acute care hospitals and underscored the need for access to affordable health care in Pennsylvania. Volume Two reported on ambulatory surgery centers in Pennsylvania.

For more information about the report, please contact Phillip M. Burrell, director, research and data analytics.

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