November 2021

Financial Analysis 2020

Ambulatory Surgery Centers

An Annual Report on the Financial Health
of Pennsylvania Ambulatory Surgery Centers

tle i Volume Two
ie Pennsylvania Health Care Cost Containment Council
FINANCIAL ANALYSIS

 

About PHC4

The Pennsylvania Health Care Cost Containment Council (PHC4)
is an independent state agency charged with collecting, analyzing,
and reporting information that can be used to improve the quality
and restrain the cost of health care in the state. It was created in
the mid-1980s when Pennsylvania businesses and labor unions, in
collaboration with other key stakeholders, joined forces to enact
market-oriented health care reforms. As a result of their efforts, the
General Assembly passed legislation (Act 89 of 1986) creating PHC4.

PHC4’s primary goal is to empower purchasers of health care
benefits, such as businesses and labor unions, as well as other
stakeholders, with information they can use to improve quality and
restrain costs. More than 840 thousand public reports on patient
treatment results are downloaded from the PHC4 website each year.
Additionally, nearly 100 organizations and individuals annually
utilize PHC4’s special requests process to access and use data.
Today, PHC4 is a recognized national leader in public health care
reporting.

PHC4 is governed by a 25-member board of directors
representing business, labor, consumers, health care providers,
insurers, and state government.

 
FINANCIAL ANALYSIS

 

On an annual basis, the Pennsylvania Health
Care Cost Containment Council (PHC4) has
produced a series of financial reports measuring
the financial condition and utilization of the
Commonwealth’s

hospitals and ambulatory

surgery centers.

This is the second volume of a three-volume
series of Financial Analysis 2020 report.
Volume One, released in June 2021, focused on
the financial health of Pennsylvania’s general
acute care (GAC) hospitals. This report, Volume
information about
ambulatory surgery
(ASCs). Volume Three, to be released later this
year, will focus on Pennsylvania’s non-GAC

Two, presents financial

Pennsylvania’s centers

(rehabilitation, psychiatric, long-term acute care,
and specialty) hospitals.

The data for the ASCs included in Volume
Two is based on each facility’s fiscal year that
ended during 2020. The fiscal year for most
ASCs was calendar year ending December 31,
2020. For those facilities that do not utilize a

calendar year, the fiscal year typically ended on
June 30, 2020.

Information contained in this report was

derived from annual facility financial
statements, supplemented with additional data
supplied by each facility. Every reasonable
effort has been made to ensure the accuracy of
the information contained herein. Each facility
had the opportunity to review its data and to
make corrections. The responsibility for data

accuracy lies with each facility.

Pennsylvania ASCs

There 290 ASCs
Pennsylvania that operated during at least some
portion of fiscal year 2020 (FY20). There were
296 ASCs operating during the prior year.

were licensed in

This analysis for FY20 and the individual
ASC data tables in this report is based on data
collected from 279 ASCs; eleven ASCs are not
included in this report.

 

Table of Contents

Report Highlights ...........ccccccccssessesccescsseeseeeeeceeeecesceaeeseeaecaeescesesseeseeaeeeeeseeseeneenss 1
Statewide oe. eecseeseessscscsscsensesesessescscsssscssesesenssscscsssscsssesensescscsesecscesesenseseseeseaeass 2
Individual Ambulatory Surgery Centers Data ...........cccesccssesssesseeeseeeseenseeeseeneeseees 6
Explanation of Terms & Measures ...........:sscssccsccecceccescescesecceecceceeaeesceaeceeeeeeeeenees 27
FOOtMOtES ..... ee eeeeesessesesscsescescseescesceeessescsecsesseescsecaeesesscsscaeesesseaesseesesseaecsesseasensenes 28

 

2020 Financial Analysis e Volume Two
REPORT HIGHLIGHTS

 

Table 1
Ambulatory Surgery Centers Regional and Statewide Measures, FY20

 

 

 

 

 

 

 

 

 

Medicare Share user
Operating Total Rte 4 een PSI ela) PWT e142)
Margin Margin Total Margin ee of Net Patient Visits
ae eA FY18-FY20 ~~ i Cette el)
FY20

Region 1 21.61% 22.85% 20.13% 28.66% 4.67% 3,579
Region 2 19.33% 19.33% 17.78% 34.80% 5.56% 3,583
Region 3 10.02% 10.94% 12.03% 29.05% 5.55% 2,751
Region 4 44.85% 45.08% 40.46% 15.98% 10.58% 3,768
Region 5 18.70% 19.51% 24.16% 27.48% 5.00% 3,891
Region 6 29.19% 30.65% 33.06% 30.64% 3.92% 3,048
Region 7 29.23% 30.57% 30.54% 28.32% 6.54% 4,052
Region 8 18.07% 19.82% 22.22% 26.42% 4.89% 3,254
Region 9 11.54% 12.03% 13.81% 31.74% 8.61% 1,956
Ve} eel Wife [=] 22.25% 23.38% 24.19% 27.48% 5.79% 3,379

e Pennsylvania’s ASCs reported 935 thousand total outpatient visits during FY20 and $1.3 billion total

net outpatient revenue.
e During FY20, the average outpatient revenue per visit was $1,342 for the ASCs.

e The net outpatient revenue for ASCs decreased 11.3% from $1.41 billion in FY19 to $1.25 billion in
FY20.

e ASCs performed 849 thousand outpatient procedures in FY20 which is a 15.9% decrease from the 1

million performed in the prior year.

e The total number of outpatient surgical procedures performed during FY20 at ASCs represented
23.9% of the total outpatient surgical procedures in Pennsylvania; the remaining 76.1% were
performed at general acute care hospitals outpatient departments.

2020 Financial Analysis e Volume Two
1
STATEWIDE

 

Figure 1

Number of Ambulatory Surgery Centers
by Fiscal Year

350

 

300

 

 

 

 

 

 

 

 

 

 

 

 

571 221 285 288 286 286 289 292 296 290
250
200
150
100 -
50
o- ‘ ' ' ; T T T 1 r

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18 FY19 FY20

 

Figure 2

Number of Ambulatory Surgery Centers, FY11 & FY20
by Region

 

  
     
      
    

| Region 6)
~@21 |
g20\-

li

Region >

/r@11

12 % ez
| /

 

    
      
 
  
 
 
   
 
  
    

    

 

Region 4 __
\ 0157 | /
1. 13

Region 1
@44
49

/—~
Region 3
@11
10

 
  
  

 
  

a x Region N
_-@49
m46

   

 

 

Region 9
@ 271 ASCs in FY11 @ 20
@ 290 ASCs in FY20 27

 

 

 

2020 Financial Analysis e Volume Two
2
STATEWIDE

 

Figure 3
Statewide Average Operating Margin and Total Margin
by Fiscal Year

35%

 

 

0,

30% 25.12% 26-92% 95.13% 25.65% 25.77% 25.51% 25.51% 25.04%
24.08% : 23.38%

25% - :

=

24.94% 25-74% 94.94% 25.46% 25.62% 25.35% 25.35% 44 acy 25.13%

 

20% 22.25%

 

15%

 

10%

 

5%

 

 

0% T T T T T T T T T
FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18 FY19 FY20

 

Figure 4
Ambulatory Surgery Centers Statewide Average Revenue per Visit
by Fiscal Year

 

$1,600

$1,400 $1,342

$1,200 sooo $1084 st084 $1,150 $1,147 $1,148 $1,228 $1,241 $1,248
$1,000 -
$800
$600
$400
$200
so - | | | | |

FY11 FY12 FY13 FY14 FY15 FY16 FY17 FY18 FY19 FY20

 

 

 

 

 

 

 

 

 

 

2020 Financial Analysis e Volume Two
3
STATEWIDE

 

Table 2
Ambulatory Surgery Centers Statewide Outpatient Visits* and Revenue
by Fiscal Year

FY11 | Ar aA) er) ae et ey, FY18 FY19 FY20

Outpatient
Visits 1,041 1,068 1,063 1,042 1,092 1,132 1,092 1,093 1,132 935
(thousands)

 

Net

Reon $1,040 $1,104 $1,153 $1,198 $1,252 $1,300 $1,341 $1,356 $1,413 $1,254

(millions)

 

Average
Revenue per $999 $1,034 $1,084 $1,150 $1,147 $1,148 $1,228 $1,241 $1,248 $1,342
Visit

 

 

 

 

 

 

 

*PHC4 captures the total number of visits with the annual financial data submissions.

 

Table 3
Statewide Outpatient Procedures* (number in the thousands)
by Fiscal Year

FY16 ay FY18 FY19 FY20

Number Percent | Number | Percent | Number | Percent | Number | Percent | Number | Percent

ASC 26.4% 25.9% 25.7% 26.4% 849

GAC HOPD | 73.6% | 2,821 | 74.1% 2,879 | 74.3% 73.6% 2,709

Statewide 3,695 Kole 3,806 Kole 3,877 100% ER ye 3,558 hele

 

*The outpatient procedure codes captured by PHC4 are listed on PHC4’s website:
http://www.phc4.org/services/datarequests/procedures.htm.

 

2020 Financial Analysis e Volume Two
4

 

 
STATEWIDE

 

Figure 5

Statewide Outpatient Procedures*, FY20
by Facility Type & Payer

 

Ambulatory Surgery Centers

Medicare

38.8%
Commercial

 

 

 

GAC Hospital Outpatient Departments

Wi Cefo fee T a=)

Commercial

 

 

 

 

*The outpatient procedure codes captured by PHC4 are listed on PHC4’s website:
http://www.phc4.org/services/datarequests/procedures.htm.

 

2020 Financial Analysis e Volume Two
5

 
INDIVIDUAL ASC DATA

Ambulatory Surgery Center Data

The tables on the following pages provide
facility-specific financial data for 279 ASCs that
reported data for FY20. The ASCs are arranged
by the PHC4’s nine regions.

Operating and total margins for each ASC
are reported. Each ASC’s corresponding
operating income, total income, and total operat-
ing revenue can be obtained on PHC4’s website,
www.phc4.org. (Note: Other operating revenue
must be included with net patient revenue to
calculate the operating income that is used to

calculate operating margin.)

Statewide averages and regional averages
for the ASCs are presented in each table. The
regional averages that are expressed as a
percentage (e.g., “3-Year Average Change in
NPR” and “Operating Margin”) are calculated as
if the entire region was a single reporting entity.
For example, the regional average operating
margins are calculated by adding operating
income and operating revenue for all hospitals
within the region. The regional total operating
income is divided by the regional total operating
revenue to yield a regional average operating
margin.

 

|

Region 2

—

 

Region 1

f

Region 3

  

 

 

  
  
 
 

Region 5

  
       
 

Region 6

Region 7

  
 

  
 

\
Region 9

 

2020 Financial Analysis @ Volume Two
INDIVIDUAL ASC DATA

Net Patient Revenue (NPR) 3-yr Avg Total Operating Expenses (TOE)
(thousands) Change (thousands)

Tam Laat
FY20 FY19 FY18 i ay, FY17-20 FY19 i AE:) ay

PVE a me lav m OTs

 

 

 

$4,941 $4,791 $4,737 $3,717 $3,667 $3,580

Region 1 Average $4,335

20/20 SC 1.10 $3,074 $3,420 $2,982 $2,986 0.98% $1,742 $1,804 $1,760 $1,752 -0.18%
Aestique ASC 1 10 $3,611 $3,366 $3,035 $3,164 4.70% $3,229 $2,981 $2,659 $2,751 5.79%
Allegheny Endoscopy Ctr + $1,174 = $1,375 $873 NA NA $1,264 $1,168 $948 NA NA
Allegheny Monroeville SC + 1° $10,254 $9,898 $8,854 $9,513 2.60% $8,096 $7,320 $6,765 $6,695 6.97%
Allegheny SC Bethel Park + 1° $6,518 $4,003 $2,511 $1,434  118.18%]} $6,029 $4,133 $3,381 $2,474 47.89%
ASC Jefferson Pain Rehab + 1% 11 $148 $164 $216 $210 -9.74% $213 $224 $297 $284 -8.38%
Associates SC 110 $5,935 $6,756 $7,273 $7,523 -7.04% $4,334 $4,968 $5,124 $5,620 -7.63%
Delmont SC * 1° $1,413 $1,504 $1,671 $1,479 -1.49% $1,241 $1,316 $1,315 $1,360 -2.92%
Dermatology & Cosmetic SC +19 } $1,990 $2,211 $2,077 $1,755 4.47% $1,921 $2,146 $2,092 $1,783 2.59%
East Side SC +10 $2,185 $2,204 $2,483 $2,404 -3.03% $2,323 $2,279 $2,496 $2,345 -0.31%
Elite SC +10 $3,023 $1,995 $2,361 $2,192 12.63% $3,134 $2,274 $2,384 $2,283 12.43%
Excela Health Norwin $5,988 $6,163 $5,747 $5,368 3.85% $3,147 $3,415 $3,121 $3,001 1.62%
Four Seasons Endoscopy * 10 $2,802 $3,084 $3,147 $2,913 -1.27% $1,348 $1,469 $1,496 $1,484 -3.07%
Gamma SC 1 10 $3,863 $3,671 $4,631 $3,329 5.35% $3,355 $3,332 $3,769 $3,419 -0.63%
Heritage Valley SC 14 $4,098 $5,927 $5,833 $5,084 -6.47% $4,149 $5,887 $6,128 $5,257 -7.03%
Laurel SC Greensburg + 10 $5,179 $5,249 $4,404 $4,188 7.89% $2,289 $2,514 $3,018 $3,025 -8.11%
Leo R. McCafferty SC +10 $541 $599 $567 $544 -0.20% $410 $392 $366 $362 4.43%
McCandless Endoscopy + 1° $2,570 $3,152 $2,969 $2,704 -1.65% $1,609 $1,587 $1,666 $1,486 2.76%
Mt Lebanon SC ++ $5,799 $6,201 $5,515 $4,731 7.53% $3,180 $3,544 $3,559 $3,048 1.44%
North Shore Endoscopy * 1° $2,688 $3,048 $2,820 $2,444 3.33% $1,410 $1,584 $1,454 $1,347 1.55%
Premier SC Pittsburgh + 10 $1,068 $1,042 $1,134 $1,241 -4.65% $1,157 $1,102 $1,401 $1,307 -3.83%
Radiance SC 1 10 $4,060 $3,651 $3,711 $4,142 -0.66% $3,753 $3,348 $3,352 $3,759 -0.06%
SC at Benbrook + 1° $8,274 $9,303 $8,507 $8,131 0.59% $6,524 $6,436 $6,367 $6,091 2.37%
SC Cranberry + 10 $2,119 $2,371 $2,438 $2,320 -2.89% $2,094 $2,101 $2,055 $2,079 0.25%
SC Edgeworth Commons + 10 $4,771 $5,073 $5,318 $5,078 -2.01% $4,442 $4,482 $4,569 $4,355 0.66%
Shadyside SC 1 1° $236 $287 $309 $238 -0.24% $223 $258 $243 $217 0.95%
Skin Center + 10 $987 $641 $734 $937 1.78% $762 $636 $690 $744 0.80%
South Hills Endoscopy + 1° $3,674 $4,144 $4,491 $4,295 -4.82% $2,499 $2,385 $2,487 $2,905 -4.66%
South Hills SC + 1° $1,853 $2,028 $2,684 $2,774 -11.07% $1,904 $2,057 $2,524 $2,362 -6.47%

 

 

 

See footnotes on page 28.

2020 Financial Analysis e Volume Two
7
Peele mee O le

 

Statewide Average

Region 1 Average

20/20 SC 1.10

Aestique ASC 1 10

Allegheny Endoscopy Ctr +
Allegheny Monroeville SC 1 1°
Allegheny SC Bethel Park + 1°
ASC Jefferson Pain Rehab + 10 14
Associates SC 1 10

Delmont SC * 1°

Dermatology & Cosmetic SC 1 1°
East Side SC 110

Elite SC 110

Excela Health Norwin

Four Seasons Endoscopy ? 1°
Gamma SC +10

Heritage Valley SC 14

Laurel SC Greensburg * 10
Leo R. McCafferty SC 1 10
McCandless Endoscopy * 1°
Mt Lebanon SC ++

North Shore Endoscopy ? 1°
Premier SC Pittsburgh 1 1°
Radiance SC 1 10

SC at Benbrook + 1°

SC Cranberry 1 1°

SC Edgeworth Commons + 10
Shadyside SC 1 1°

Skin Center + 10

South Hills Endoscopy + 1°

South Hills SC 1 10

 

 

INDIVIDUAL ASC DATA

tala a ie Medicare
ol oa “ENaC ETEK aN Laat
FY18-FY20 a0

22.25% 23.38% 24.19% 27.48%
pa 7 VP: yA ey 28.66%
43.32% 43.32% 44.12% 44.23%
10.57% 11.54% 11.76% 34.01%
-7.64% -7.64% 1.36% 35.66%
22.39% 22.39% 24.00% 24.08%
8.21% 8.21% -3.53% 27.83%
-41.36% -41.36% -38.17% 38.21%
27.09% 29.16% 27.24% 65.26%
12.20% 12.20% 15.59% 5.03%
5.54% 5.54% 2.59% 29.96%
1.85% 1.85% -0.55% 48.18%
0.33% 0.33% -3.89% 41.59%
47.44% 47.44% 45.90% 25.94%
51.91% 52.94% 52.58% 29.34%
13.17% 13.17% 14.15% 43.77%
-1.25% -1.25% -1.93% 49.88%
55.80% 55.80% 47.27% 31.94%
52.35% 52.35% 42.38% 0.41%
37.37% 37.37% 44.06% 9.25%
45.17% 45.17% 41.29% 53.43%
47.55% 50.77% 49.07% 14.85%
-8.28% -8.28% -12.76% 2.30%
7.79% 13.84% 10.98% 24.20%
21.17% 28.54% 28.30% 15.28%
1.18% 1.14% 9.86% 56.30%
9.10% 9.10% 11.76% 29.57%
5.46% 5.46% 13.08% 24.95%
22.80% 22.80% 11.58% 0.00%
40.95% 41.01% 42.85% 18.42%
-2.90% 6.74% 3.67% 13.18%

Medical
Assistance
Share of NPR
FY20

5.79% 3,379
4.67%
6.40% 4,238
3.17% 2,892
0.46% 1,439
3.86% 6,679
4.19% 4,555

17.33% 726
4.06% 3,043
0.06% 329
0.00% 3,962
2.52% 1,597
4.59% 1,283
3.15% 3,638
0.13% 4,541
1.85% 2,039
5.49% 2,176
2.55% 4,856
0.00% 365
0.24% 3,330
1.05% 3,319
1.95% 3,497

11.14% NR
0.38% 1,396
-1.88% 8,532
0.36% 1,787
3.20% 2,385
0.00% 130
0.00% 218
0.02% 8,303
0.68% 1,085

 

 

See footnotes on page 28.

2020 Financial Analysis e Volume Two
8
INDIVIDUAL ASC DATA

Net Patient Revenue (NPR) 3-yr Avg Total Operating Expenses (TOE)
(thousands) Change (thousands)

Tam Laat
FY20 FY19 FY16-19 FY19 i AE:) ay

Statewide Average $3,717 $3,667 $3,580

Region 1 Average (continued) $4,320

VUE ee ame <-1aV RO kle

 

Southwestern ASC 1 10 $4,069 $3,797 $4,011 $3,682 3.51% $3,514 $3,354 $3,349 $3,220 3.05%
Southwestern Endoscopy $3,949 $4,470 $4,387 $4,284 -2.61% $3,307 $3,489 $3,399 $3,327 -0.20%
Southwestern PA Eye SC 1 10 $5,283 $5,575 $5,018 $4,689 4.22% $3,558 $4,874 $4,562 $3,923 -3.10%
Spartan Health SC 119 $3,504 $3,729 $3,377 $3,297 2.10% $2,941 $3,092 $2,973 $2,756 2.24%
Three Rivers Endoscopy 110 $3,978 $4,718 $4,880 $4,657 -4.86% $2,278 $2,711 $2,824 $2,945 -7.55%
Tri-County Surgical + 1° $175 $239 $180 $355 -16.92% $193 $253 $183 $313 -12.76%
Tri-State SC 1 10 $6,988 $7,101 $6,880 $6,282 3.75% $5,817 $6,135 $6,000 $5,571 1.47%
UPMC CHP North $16,451 $16,856 $17,208 $17,245 -1.54% $11,843, $11,438 $11,246 $11,063 2.35%
UPMC Digestive Hlth Endo $2,368 $2,603 $2,716 $2,422 -0.74% $2,173 $2,323 $2,211 $2,093 1.26%
UPMC Reproductive 3 $372 $38 $219 $213 24.79% $346 $100 $127 $165 36.58%
UPMC South SC $9,767 $10,471 $9,567 $8,986 2.89% $8,634 $8,884 $8,369 $7,910 3.05%
UPMC St Margaret OP Ctr $8,400 $8,439 $9,314 $8,203 0.80% $9,540 $9,243 $9,681 $8,779 2.89%
Waterfront SC + 10 $5,597 $6,628 $6,788 $6,537 -4.79% $5,491 $5,627 $5,490 $5,174 2.05%
Western PA SC 110 $10,942 $11,464 $11,005 $11,090 -0.44% $7,619 $7,853 $8,277 $7,732 -0.49%
Wexford SC ? $13,472, $14,448 $13,545) $12,289 3.21% $9,981 $9,724 $9,203 $8,330 6.61%
Zitelli Brodland Central + 1° $1,637 $1,868 $1,991 $2,136 -7.79% $1,578 $1,860 $1,991 $2,136 -8.71%
Zitelli Brodland South + 1° $1,881 $2,142 $2,154 $2,231 -5.22% $1,666 $2,140 $2,154 $2,230 -8.43%

 

Region 2 Average

Community SC + 1° $1,146 $1,876 $1,488 $1,747 -11.46% $927 $1,446 $1,384 $1,274 -9.07%
Erie ASC +12 $47 $347 $367 $274 -27.66% $711 $2,552 $2,665 $2,550 -24.03%
Laurel Laser Brookville + 1° $3,014 $2,799 $2,981 $3,148 -1.41% $2,333 $2,333 $2,444 $2,527 -2.56%
Lawrence County SC + 10 $1,228 $1,104 $906 $1,043 5.94% $1,134 $956 $723 $813 13.16%
Saint Vincent Endoscopy + $2,464 $2,974 $2,379 $2,472 -0.12% $2,425 $2,315 $2,149 $2,225 3.00%

Saint Vincent SC Erie + $17,346, $18,757 $16,844 $17,780 -0.81% | $11,294 $11,114) $11,312) $11,282 0.03%

Surgery & Laser + 10 $1,343 $1,271 $1,326 $1,467 -2.83% $942 $1,196 $1,093 $1,187 -6.88%
UPMC Hamot SC 7° $12,865) $13,732. $14,372) $14,679 -4.12% | $11,706 $12,218) $12,088) $12,336) -1.70%
Village SC + 10 12 $5,739 $6,007 $8,125 $8,694 -11.33%) $5,210 $5,662 $6,683 $7,293 -9.52%

 

Region 3 Average

 

 

 

 

Advanced Center Surgery 1 10 $7,414 | $6,747 $7,221 $7,043 1.76% $6,435 | $5,929 $6,484 $6,303 0.70%

 

See footnotes on page 28.

2020 Financial Analysis e Volume Two
9
 

 

INDIVIDUAL ASC DATA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating Total ets Nee ote Pree) -
PV EMM me AO le Margin Margin een Se) BSS CUTS ae
PLY aed en Renney anole

Statewide Average 22.25% 23.38% 24.19% 27.48% 5.79% 3,379
Region 1 Average (continued)

Southwestern ASC 1. 10 13.63% 13.63% 13.98% 39.41% 10.20% 2,717
Southwestern Endoscopy 16.25% 20.85% 21.79% 32.71% 14.60% 8,538
Southwestern PA Eye SC + 10 32.65% 32.65% 18.15% 51.12% 3.00% 3,261
Spartan Health SC 1 19 16.07% 17.86% 15.72% 48.59% 9.32% 3,853
Three Rivers Endoscopy #10 44.10% 44.11% 42.88% 30.31% 4.65% 5,465
Tri-County Surgical + 1° -10.70% -10.70% -6.05% 39.46% 0.00% 208
Tri-State SC 1 10 23.27% 23.27% 17.38% 33.64% 5.83% 6,148
UPMC CHP North 28.01% 28.01% 31.63% 0.03% 21.03% 6,999
UPMC Digestive Hlth Endo 8.27% 8.27% 12.76% 44.35% 2.50% 1,714
UPMC Reproductive 2 6.94% 6.94% 47.90% 0.00% 0.00% 197
UPMC South SC 11.60% 11.60% 13.15% 14.30% 1.57% 2,693
UPMC St Margaret OP Ctr -13.57% -13.57% -8.83% 29.74% 2.45% 3,992
Waterfront SC + 10 1.90% 18.47% 17.61% 33.50% 3.40% 6,588
Western PA SC + 10 35.53% 35.53% 30.57% 22.82% 2.37% 6,125
Wexford SC 4 25.96% 25.96% 30.32% 22.40% 1.56% 9,614
Zitelli Brodland Central 1 1° 3.58% 3.58% 1.22% 1.10% 0.00% 5,228
Zitelli Brodland South + 1° 11.48% 11.48% 3.53% 2.18% 0.00% 5,357
ttl 43 19.33% sR EY 17.78% BUR: 5.56% ERele}
Community SC + 1° 19.11% 19.11% 16.75% 29.96% 9.04% 1,450
Erie ASC + 12 -1348.15% -1348.15% -614.37% 0.00% 40.66% 57
Laurel Laser Brookville + 1° 22.59% 22.65% 19.19% 45.04% 0.57% 3,042
Lawrence County SC 1 1° 7.71% 7.71% 13.16% 77.00% 0.27% 726
Saint Vincent Endoscopy + 1.56% 1.56% 11.86% 26.69% 2.61% 2,521
Saint Vincent SC Erie + 34.90% 34.90% 36.35% 35.02% 3.92% 6,685
Surgery & Laser + 10 35.64% 35.64% 20.64% 47.44% 2.54% 1,866
UPMC Hamot SC 7° 9.01% 9.01% 12.11% 21.32% 9.80% 11,408
Village SC + 10,11 11.57% 11.59% 12.35% 52.53% 5.42% 4,488
Region 3 Average PAYA yA: oy

Advanced Center Surgery + 1° 14.76% 14.79% 12.45% 17.72% 1.03% 2,644

 

 

 

 

 

See footnotes on page 28.

2020 Financial Analysis e Volume Two

10
PVE ame <a e OKs

Statewide Average

Region 3 Average (continued)
Allegheny Reg Endoscopy 1 1°
Allegheny SC Altoona ? 1°
Center for Surgical Arts 1 1°
Digestive Health Indiana * 1°
East Freedom 10

Indiana AS Associates

Laurel Laser Altoona 1+ 10
Ophthalmic Associates SC 1 1°

UPMC Altoona SC

Region 4 Average

Evangelical Endoscopy Ctr 3
Geisinger Endoscopy
Geisinger Gastro Lewistown 1+
Geisinger Gray's Woods
Geisinger OP Woodbine
Lewisburg Plastic & Laser 1 10
Mifflin County Com SC 1 10
Mount Nittany SC 7

Penn State Hershey Endo

SC Central PA 1 10
Susquehanna SC 1°

UOC Surgical Services + 1°
UPMC SC Lewisburg » 1°
tae eA 1-1-4

Apple Hill Sc 1°

Calcagno & Rossi Vein SC 1 10 11
Capital Surgery & Laser 11°

Carlisle Endoscopy + 1°

 

 

Chambersburg Endoscopy 1 1°

Net Patient Revenue (NPR)

FY20

$5,003
$2,253
$580
$594
$1,324
$1,825
$2,759
$2,502
$6,361

$1,807
$1,668
$2,042
$8,423
$50,845
$899
$167
$19,921
$1,055
$6,610
$1,501
$4,837
$392

$5,079

INDIVIDUAL ASC DATA

(thousands)

FY19

$5,029
$3,218
$564
$769
$373
$1,239
$3,040
$3,216
$7,279

$1,575
$1,839
$2,939
$9,603
$42,709
$827
$508
$20,215
$1,357
$6,104
$1,270
$5,205
$276
$5,734

$13,774, $15,506

$309
$3,140
$2,954
$4,124

$465
$2,769
$3,258
$4,128

$4,791

$5,566
$2,791
$1,036
$742
NA
$2,144
$2,879
$2,976
$7,708

NR
$2,035
$2,883
$8,438

$38,268
$764
$578
$20,905
$1,552
$8,304
$1,301
$5,469
$253

$13,880
$416
$2,650
$3,052
$3,815

FY18 i a

$4,737

$5,303
$3,241
$1,016
$795
NA
$2,499
$3,541
$2,722
$8,953

$2,121
$416
$1,694
$8,920
$38,020
$752
$771
$20,666
$1,357
$8,766
$1,527
$5,789
$304

$13,792
$501
$2,766
$3,121
$3,617

-1.88%
-10.16%
-14.32%

-8.44%

NA

-8.99%

-7.36%

-2.69%

-9.65%

-4.93%
100.41%
6.86%
-1.86%
11.24%
6.54%
-26.11%
-1.20%
-7.43%
-8.20%
-0.56%
-5.48%
9.64%

-0.04%
-12.77%
4.51%
-1.78%
4.67%

 

Total Operating Expenses (TOE)

$4,091
$1,984
$582
$518
$1,271
$2,229
$2,016
$1,882
$6,688

$1,033
$1,573
$2,020
$8,726
$20,320
$790
$258
$7,924
$975
$5,777
$1,470
$4,438
$69

$12,767
$167
$2,851
$2,742
$2,574

(thousands)

FY19

$3,717

$4,215
$2,273
$553
$803
$1,223
$1,284
$2,337
$2,522
$7,425

$1,085
$1,846
$2,185
$11,080
$19,450
$740
$514
$8,249
$962
$6,057
$1,275
$4,508
$221

$12,010
$227
$2,309
$3,236
$2,882

i AE:)

$3,667

$3,799
$1,934
$897
$1,065
NA
$2,184
$2,091
$2,248
$7,450

NR
$1,843
$1,992
$9,934

$19,176
$731
$685
$8,517
$994
$7,456
$1,262
$4,388
$250
$4,116
$11,738
$240
$2,201
$3,027
$2,090

FY17

$3,580

 

$3,835
$2,055
$925
$1,284
NA
$2,344
$2,227
$1,975
$8,489

 

$1,421
$512

$1,667

$9,957

$19,086

$688

$707
$8,391
$1,021
$7,385
$1,494
$4,756

$275

 

$10,974

$258
$2,181
$3,096
$2,015

2.22%
-1.15%
-12.36%
-19.89%

NA
-1.64%
-3.16%
-1.57%

-7.07%

-9.09%
69.12%
7.06%
-4.12%
2.15%
4.97%
-21.18%
-1.86%
-1.51%
-7.26%
-0.54%
-2.23%
-24.94%

5.45%
-11.71%
10.24%
-3.81%

9.25%

 

 

See footnotes on page 28.

2020 Financial Analysis e Volume Two

11
Ve eleela meek ls

 

Statewide Average

Region 3 Average (continued)

INDIVIDUAL ASC DATA

Operating
Margin
FY20

22.25%

Total
Margin
FY20

23.38%

3-yr Avg
Total
ETE ata
FY18-FY20

24.19%

Medicare
SiETCcMe) Mm Laat
FY20

27.48%

Medical
Assistance
Share of NPR
FY20

5.79%

 

Visits
FY20

3,379

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Allegheny Reg Endoscopy 1 1° 18.24% 18.24% 22.40% 28.68% 6.37% 7,221
Allegheny SC Altoona + 1° 11.92% 18.95% 26.79% 36.15% 13.06% 3,169
Center for Surgical Arts 1 1° -0.42% -0.42% 6.79% 0.16% 0.00% 204
Digestive Health Indiana + 1° 12.73% 12.73% 0.93% 34.29% 0.00% 1,198
East Freedom 1 10 4.00% 4.01% NA 15.50% 23.73% 908
Indiana AS Associates -20.12% -20.12% -8.71% 36.17% 5.70% 1,818
Laurel Laser Altoona 1 1° 26.93% 28.41% 26.24% 41.61% 2.10% 2,803
Ophthalmic Associates SC 1 1° 24.79% 26.63% 24.06% 60.55% 5.27% 4,614
UPMC Altoona SC -5.14% -5.14% -1.00% 25.91% 6.42% 2,931
eae WA lel 10.58%

Evangelical Endoscopy Ctr ? 42.82% 42.82% NR 32.66% 2.76% 2,875
Geisinger Endoscopy 5.77% 5.77% 5.08% 30.01% 5.28% 3,200
Geisinger Gastro Lewistown 1+ 9.39% 9.39% 26.02% 24.78% 7.25% 3,105
Geisinger Gray's Woods -3.59% -3.59% -12.38% 27.76% 5.01% 8,204
Geisinger OP Woodbine 60.04% 60.04% 55.28% 1.85% 19.28% 14,989
Lewisburg Plastic & Laser + 10 12.14% 12.14% 9.20% 8.67% 0.00% 411
Mifflin County Com SC + 10 -54.17% -54.17% -16.25% 59.24% 8.59% 323
Mount Nittany SC 7 60.22% 60.22% 59.55% 21.71% 1.11% 4,751
Penn State Hershey Endo 10.43% 10.43% 26.70% 15.46% 0.37% 1,187
SC Central PA 110 12.84% 12.84% 10.25% 67.98% 2.72% 5,846
Susquehanna SC 1° 2.11% 2.11% 1.62% 43.87% 6.47% 1,739
UOC Surgical Services + 10 8.07% 15.54% 16.30% 14.24% 1.48% 2,325
UPMC SC Lewisburg + 1° 82.39% 82.39% 41.36% 23.22% 8.77% 35
Regio p / : 4 4.16% 48% ayy :
Apple Hill SC 1° 11.11% 11.66% 17.03% 19.56% 3.75% 9,534
Calcagno & Rossi Vein SC 1 10 11 45.93% 47.59% 47.18% 15.16% 0.00% 626
Capital Surgery & Laser ? 1° 9.21% 17.86% 17.18% 28.58% 0.19% 2,901
Carlisle Endoscopy * 1° 9.20% 9.20% 3.48% 29.43% 2.91% 5,096
Chambersburg Endoscopy +10 42.15% 42.16% 39.15% 31.47% 2.64% 6,809

 

 

 

See footnotes on page 28.

2020 Financial Analysis e Volume Two

12
INDIVIDUAL ASC DATA

Net Patient Revenue (NPR) Total Operating Expenses (TOE)
(thousands) (thousands)

Statewide Average $4,791 $4,737 $3,717 $3,667 $3,580

Region 5 Average (continued)

PVE ale <a MO Ks

 

Children's Dental Lanc 110 $5,680 $6,420 $5,780 $4,867 5.57% | $4,143 $4,706 $4,550 $3,878 2.28%

Digestive Disease Inst + 1° $2,826 $3,197 $3,031 $2,874  -0.55% | $2,868 $2,384 $2,638 $3,075 _—-2.24%
Endoscopy Central PA 1 1° $1,123 $1,177. $1,163 $1,284 -4.16% | $1,026 $1,119 $1,144 $1,196  -4.73%
Eyes of York SC 1,10 $3,395 $3,616 $3,190 $3,390 0.05% | $2,839 $2,840 $2,534 $3,044  -2.24%
Geisinger HolySpirit Endo 14 $940 $1,243 $1,384. = $1,640 = -14.23% | $1,422 $1,978 $2,460 $2,117 -10.94%

Grandview Surgery & Laser+10} $8,389 $8,425 $7,667 $7,935 1.91% $6,707 $6,545 $5,825 $5,984 4.03%
GSH Outpatient SC 7 $6,770 $8,839 $5,983 $4,664 15.05% $2,645 $3,162 $2,882 $2,496 1.99%
Hanover SC 1° $1,969 $3,132 $3,144 $3,090  -12.09%} $3,765 $3,447 $3,333 $3,398 3.60%
Harrisburg Endoscopy & SC 1,10 $3,663 $3,680 $4,474 $4,198 -4.25% $3,733 $3,680 $4,474 $4,198 -3.69%

Harrisburg Pain Mgmt 1 10 $2,084 $2,341 $2,342 $3,387 -12.82%) $1,372 $1,475 $2,249 $3,169 -18.90%
Hershey Endoscopy * 1° $3,209 $3,961 $3,841 $3,913 -6.00% $2,769 $2,950 $2,691 $2,811 -0.49%
Hershey Outpatient SC 1 1° $11,583 $12,812 $11,574 $11,558 0.07% $10,890 $12,244 $10,908 $10,730 0.50%
Hillside Endoscopy * 1° $416 $508 $443 $431 -1.15% $389 $358 $380 $361 2.63%
Lancaster Ctr Spine Care 3 $387 $736 $1,274 $1,349 -23.78% $694 $372 $474 $784 -3.83%
Ludwick Laser & SC 1 10 $2,561 $3,299 $3,760 $3,305 -7.50% $5,002 $4,846 $2,445 $2,336 38.04%
Memorial Outpatient Endo $451 $3,450 $3,203 $3,539 -29.08% $1,153 $323 $1,742 $1,594 -9.22%
Memorial SC York $662 $5,087 $5,746 $4,831 -28.77% $478 $478 $3,371 $2,696 -27.42%
Mid-Atlan Gastro II Ephr + 2° $3,059 $3,765 $4,078 $2,759 3.62% $1,546 $1,827 $1,831 $1,383 3.93%
Mid-Atlan Gastro Lanc 1,19 $8,088 $7,164 $3,599 $3,456 44.68% $4,150 $3,428 $1,808 $1,670 49.48%
Neurospine Center $1,822 $1,203 $2,919 $3,674 -16.80% $5,349 $1,319 $2,405 $2,647 34.02%
North Pointe SC Lancaster $11,988; $12,704 $10,758) $11,047 2.84% $6,973 $7,502 $6,828 $7,014 -0.19%
North Pointe SC Lebanon $5,224 $4,822 $4,068 $2,821 28.38% $4,400 $4,430 $4,226 $3,534 8.18%

Ophthalmology & Surgical + 1 $4,237 $5,321 $4,989 $4,685 -3.19% $3,620 | $4,289 $4,171 $3,970 -2.94%

 

 

 

 

Ophthalmology SC + 1° $1,636 $1,752 $1,771 $1,999 -6.05% $1,601 $1,727 $1,686 $1,993 -6.55%
OSS Health ASC 1,10 $21,300) $23,156 $19,261) $20,803 0.80% $14,026) $14,800) $15,362, $14,031, -0.01%
PA Eye SC +10 $4,483 $4,024 $3,541 $3,315 11.74% $2,845 $3,258 $2,853 $2,768 0.93%
Physicians SC + 1° $4,742 $4,981 $5,069 $5,245 -3.20% $2,932 $2,979 $3,051 $2,963 -0.34%
Physicians’ SC Lancaster + 1° $23,348 $28,314 $25,386 $23,941 -0.83% | $16,027 $16,823 $15,083 $14,345 3.91%
SC Lancaster + 10 $8,986 $9,687 $10,204) $10,114 -3.72% $8,741 $8,894 $8,380 $7,935 3.39%

 

See footnotes on page 28.

2020 Financial Analysis e Volume Two
13
 

Ve eleela me <a tls

 

Statewide Average

ele ANS

Children's Dental Lanc + 1°
Digestive Disease Inst 1 1°
Endoscopy Central PA 1: 10
Eyes of York SC 2:10

Geisinger HolySpirit Endo 1+
Grandview Surgery & Laser + 1°
GSH Outpatient SC 7”

Hanover SC 1°

Harrisburg Endoscopy & SC 1 10
Harrisburg Pain Mgmt + 10
Hershey Endoscopy ? 1°
Hershey Outpatient SC 1 10
Hillside Endoscopy + 1°
Lancaster Ctr Spine Care 3
Ludwick Laser & SC 1 10
Memorial Outpatient Endo
Memorial SC York

Mid-Atlan Gastro II Ephr + 1°
Mid-Atlan Gastro Lanc + 19
Neurospine Center

North Pointe SC Lancaster
North Pointe SC Lebanon
Ophthalmology & Surgical + 1°
Ophthalmology SC 1 1°

OSS Health ASC + 10

PA Eye SC 1 10

Physicians SC 1,10

Physicians' SC Lancaster + 10

SC Lancaster 11°

 

INDIVIDUAL ASC DATA

Operating

Margin
FY20
22.25%
18.70%
27.06%
-1.48%

8.65%
19.50%

-51.36%
20.93%
60.93%

-79.25%

0.00%
34.17%
13.71%

5.98%

6.43%

-79.50%

-95.30%

-155.56%
27.81%
49.45%
48.69%
-190.79%
41.83%
15.77%
14.56%

2.10%
34.15%
36.53%
39.43%
33.01%

2.73%

Total
Margin
FY20

23.38%

3-yr Avg
Total
Margin
FY18-FY20

24.19%

Medicare

Share of NPR

i 40)

27.48%

Medical
Assistance

Share of NPR

FY20

5.79%

Visits
FY20

3,379

19.51% PRS 27.48% EA 3,891

27.06%
-1.48%
16.09%
19.50%
-51.36%
20.93%
60.93%
-79.48%
0.00%
34.17%
21.10%
5.98%
6.59%
-79.50%
-95.30%
-155.56%
27.81%
49.49%
53.05%
-190.79%
45.65%
18.26%
14.56%
2.10%
34.15%
37.62%
39.18%
33.01%
7.01%

25.06%
12.86%
7.69%
20.51%
-64.31%
22.53%
59.76%
-27.20%
0.00%
24.68%
25.65%
5.36%
17.73%
35.73%
-27.68%
54.68%
62.36%
52.30%
51.86%
-52.09%
41.35%
7.24%
16.98%
2.69%
30.64%
26.22%
39.70%
38.19%
12.99%

0.00%
27.48%
28.16%
52.39%
13.52%
19.28%
18.32%
52.25%
19.80%
22.84%
14.00%
22.94%
29.84%
88.62%
75.32%
21.26%
46.77%
21.83%
24.09%
16.93%

NR
12.55%
42.89%
48.99%
25.94%
53.77%
32.18%
27.57%
27.15%

71.70%
2.02%
0.00%
0.01%
3.17%
1.97%
3.96%
0.90%
6.66%
1.35%
0.00%
9.83%
0.00%
9.85%
1.12%
1.53%

12.73%
0.02%
0.02%
9.20%

NR
4.39%
4.84%
1.15%
1.06%
1.75%
5.27%
1.50%

10.91%

2,730
4,686
2,080
2,888

543
3,359
3,902
1,231
6,735
4,131
3,475
7,388

694
2,233
2,209

876

274
4,223

11,382

295

NR
1,789
3,715
1,386
3,192
4,451
3,738
9,856
4,930

 

See footnotes on page 28.

2020 Financial Analysis e Volume Two

14

 
INDIVIDUAL ASC DATA

Net Patient Revenue (NPR) Total Operating Expenses (TOE)
(thousands) (thousands)

Statewide Average $4,791 $4,737 $3,717 $3,667 $3,580

Region 5 Average (continued)

PVE a mela M OKs

 

Susquehanna Valley SC 1 1° $6,400 $8,408 $8,056 $7,509 -4.92% $6,322 $6,871 $6,542 $6,553 -1.17%
UCPA SC 1 10, 11 $6,010 $5,394 NA NA NA $4,608 $4,623 NA NA NA
UPMC Leader SC 1,10 $5,351 $5,164 $4,161 $3,758 14.12% $7,840 $6,898 $3,663 $3,152 49.58%
UPMC SC Carlisle $2,430 $3,396 $3,670 $3,472 -10.00% $2,109 $2,258 $2,242 $842 50.13%
UPMC York Endoscopy + $2,968 $1,766 NR $4,635 -11.99% $1,332 $1,510 NR $3,383 -20.20%
Valley View SC 1, 10 $957 $1,068 $969 $1,039 -2.62% $972 $935 $941 $959 0.44%
WellSpan Dr Himelfarb SC 1° $5,914 $7,607 $7,206 $7,736 -7.85% $5,110 $5,538 $5,515 $5,219 -0.69%
WellSpan SC Gettysburg 7 $2,784 $3,930 $2,821 $2,750 0.42% $1,219 $1,546 $1,553 $1,122 2.87%
West Shore Endoscopy * 1° $11,893 $13,324 $14,868 $15,267 -7.37% $9,173 $9,425 $10,863 $12,083 -8.03%
West Shore Pain & Spine 1 1° $982 $1,138 $910 $513 30.40% $742 $800 $919 $932 -6.79%
West Shore SC + 10 $7,568 $9,581 $9,332 $9,891 -7.83% $6,950 $8,390 $7,903 $7,648 -3.04%
York Pain Specialists + 1° $1,067 $1,403 $1,446 $1,377 -7.49% $1,141 $1,453 $1,386 $1,413 -6.42%

 

Region 6 Average

Angelina Theresa Bucci SC + 1° $1,302 $1,655 $1,559 $1,730 -8.24% $1,306 $1,373 $1,297 $1,474 -3.80%

Center Same Day Surgery + 1° $8,088 $9,382 $8,949 $10,823 -8.42% $5,262 $6,028 $5,641 $1,831 62.49%

 

 

 

 

Eynon SC + 10 $785 $1,072 $1,112 $1,189  -11.33% $675 $849 $901 $810 -5.55%
Gateway SC +10 $2,764 $3,568 $3,408 $3,568 -7.51% $1,587 $1,696 $1,689 $1,824 -4.32%
Hazleton ASC #10 $1,766 $2,018 $1,934 $1,891 -2.20% $1,342 $1,422 $1,312 $1,173 4.81%
Hazleton Endoscopy + 1° $769 $942 $711 $868 -3.80% $1,101 $974 $775 $868 8.96%
Hazleton SC 1.10 $3,556 $4,202 $3,078 $3,224 3.43% $3,320 $3,492 $2,697 $2,772 6.59%
LVHN East Stroudsburg ASC $1,106 $3,355 $4,138 $4,613 -25.34% $591 $3,473 $3,988 $3,670  -27.96%
Mountain Laurel SC 1 10 $2,695 $3,525 $3,361 $3,368 -6.66% $2,413 $2,396 $2,261 $2,248 2.45%
NEI AS 1, 10 $5,617 $6,016 $5,373 $5,719 -0.60% $4,845 $4,717 $4,720 $5,316 -2.95%
North East SC 1,10 $5,081 NR $6,144 $5,949 -4.86% $5,211 NR $6,517 $6,418 -6.27%
Northeast Regional SC +10 $826 $1,084 $892 $988 -5.45% $723 $872 $774 $838 -4.58%
Pain Center Wyoming + 1° $1,242 $1,900 $1,658 $1,914 -11.71% | $1,024 $989 $918 $957 2.34%
Pocono ASC + 10 $4,746 $5,940 $6,790 $7,244  -11.49%} $6,100 $6,678 $7,417 $6,840 -3.60%
Regional Hospital SC + 1° $8,962 | $10,774 $9,532 $9,930 -3.25% $1,419 $1,771 $1,786 $1,672 -5.04%
Renaissance Center 1 $429 $459 $317 $336 9.23% $497 $494 $332 $352 13.75%

 

See footnotes on page 28.

2020 Financial Analysis e Volume Two
15
Vleet O ls

 

Statewide Average

Susquehanna Valley SC 1 1°
UCPA SC 110,11

UPMC Leader SC 1 10

UPMC SC Carlisle

UPMC York Endoscopy 1
Valley View SC 1, 10
WellSpan Dr Himelfarb SC 1°
WellSpan SC Gettysburg ”
West Shore Endoscopy * 1°
West Shore Pain & Spine 1 1°
West Shore SC 1,10

York Pain Specialists 1 10
Region 6 Average

Angelina Theresa Bucci SC 1 1°
Center Same Day Surgery + 1°
Eynon SC 1,10

Gateway SC 1 10

Hazleton ASC +10

Hazleton Endoscopy ? 1°
Hazleton SC +10

LVHN East Stroudsburg ASC
Mountain Laurel SC 1 10

NEI AS 4,10

North East SC + 10

Northeast Regional SC 1 1°
Pain Center Wyoming 1! 19
Pocono ASC 10

Regional Hospital SC + 1°

Renaissance Center 1

 

 

INDIVIDUAL ASC DATA

Operating
Margin
FY20

22.25%

7.21%
23.32%
-43.73%
13.20%
55.10%
6.10%
13.59%
56.24%
22.87%
24.36%
15.56%
-2.63%
29.19%
-0.31%
34.94%
14.04%
42.57%
24.03%
-43.19%
6.63%
46.52%
10.47%
13.74%
4.22%
15.29%
19.12%
-24.81%
84.17%
-15.94%

Total
Margin
FY20

23.38%

Region 5 Average (continued) 18.70% RW EG

7.21%
26.93%
-43.73%
13.20%
0.00%
6.10%
16.77%
56.24%
25.75%
24.36%
15.56%
-2.63%
ETRY
-0.31%
34.94%
16.41%
44.00%
24.03%
-43.19%
1.60%
46.52%
19.20%
20.33%
4.22%
15.29%
19.12%
-24.81%
84.17%
-15.94%

3-yr Avg
Total
ETE ata
FY18-FY20

24.19%

Medicare
SiETCcMe) Mm Laat
FY20

27.48%

Medical
Assistance
Share of NPR
FY20

5.79%

3,379

ry Pe FETS 5.00% 3,891

15.12%
NA
-19.14%
30.40%
NR
8.75%
23.28%
54.72%
27.34%
18.72%
14.51%
-0.48%
EER |
11.96%
35.91%
18.91%
49.33%
28.81%
-17.88%
9.27%
6.35%
28.44%
18.25%
NR
16.24%
39.25%
-14.07%
83.00%
-9.92%

20.67%
48.68%
45.45%
33.08%
35.44%
48.39%
19.20%
22.88%
17.53%
55.96%
37.62%
54.95%
ERT |
43.33%
17.73%
25.97%
41.35%
48.54%
29.44%
18.60%
21.90%
30.95%
65.76%
25.93%
38.02%
43.18%
39.08%
12.03%
18.96%

0.25%
0.00%
0.46%
3.45%
4.88%
0.00%

14.49%
1.43%
1.61%
0.15%
3.82%
1.94%
ey |
0.93%
3.12%
6.08%
4.62%
1.94%
0.00%
8.10%
1.26%
9.19%
5.74%
9.84%
1.03%

10.59%
1.27%
3.34%
0.00%

3,978
5,674
3,493

985
3,155
4,853
3,874
2,776
9,370
3,851
5,801
2,253
3,048
1,860
1,996
1,247
4,323
2,156
1,331
3,015
1,020
4,861
6,401
5,026
1,278
3,366
3,526
2,260

269

 

See footnotes on page 28.

2020 Financial Analysis e Volume Two

16

 
INDIVIDUAL ASC DATA

Net Patient Revenue (NPR)
(thousands)

FY18 i a

Total Operating Expenses (TOE)
(thousands)

3-yr Avg
(el nr-lat <=)
in NPR
FY16-19

PVM mela mes

FY20 FY19 FY19 FY18 ay

Statewide Average

Region 6 Average (continued)
Riverview ASC 1 10

Robert Packer Endoscopy
Scranton Endoscopy 1 1°

Surgical Specialty NE PA 1 10

Region 7 Average

Berks ASC 1 10

Berks Digestive Health * 10
Berks Urologic SC 1 1°
Berkshire Eye SC 1 1°
Bethlehem Endoscopy ? 1°
Carbon-Schuylkill Endo + 1°
Center for Specialized 1: 1°
Children's Dental Beth + 1°
College Heights Endoscopy * 1°
Eastern PA Endoscopy ? 1°
Fairgrounds SC ”

Keystone SC 110

Lehigh Valley SC Tilghman 7
Lehigh Vly Children's SC 7
Lifeline Valley Access 1 1°
Mahoning Valley ASC 1 10
Northwood SC 1. 10

PA Eye & Ear SC 1°
Progressive Allentown * 2, 11
Progressive Pottsville 1 1°
Progressive Wyomissing * 19
Reading SC Spring Ridge + 1°
Reading SC Surgical Inst + 19

SC of Allentown ? 10

 

 

$3,560
$7,446
$3,396
$4,644

$1,425
$9,789
$6,318
$3,732
$1,424
$1,104
$5,434
$4,093
$4,252
$6,890
$10,665
$529
$14,706
$7,236
$2,305
$970
$170
$6,184
$764
$1,441
$543
$15,252
$14,797
$12,420

$4,982
$9,841
$4,470

$5,980

$1,433
$11,130
$4,659
$4,211
$2,496
$1,280
$6,686
$4,078
$5,556
$5,462
$11,237
$614
$16,518
$8,062
$2,544
$1,174
$449
$7,255
$624
$1,045
$757
$19,341
$15,690
$13,781

$4,791

$4,650
$9,697
$4,587

$6,117

$1,284
$11,188
$4,510
$3,482
$2,479
$1,239
$6,028
$2,268
$5,039
$5,100
$9,613
$545
$15,871
$6,596
$2,542
$1,210
$1,172
$7,033
$806
$1,013
$913
$19,592
$14,467
$14,770

$4,737

$4,701
$9,859
$5,055
$6,363

$1,110
$10,717
$3,951
$3,170
$2,592
$1,187
$6,124
NA
$5,814
$5,706
$12,702
$588
$14,514
$6,022
$2,465
$997
$3,210
$6,428
$624
$1,468
$1,092
$20,520
$12,914
$14,627

-8.09%
-8.16%
-10.94%

-9.01%

9.45%
-2.89%
19.97%

5.91%

-15.02%

-2.34%

-3.76%
NA

-8.96%

6.91%
-5.35%
-3.36%

0.44%

6.72%
-2.16%
-0.93%

-31.57%

-1.27%

7.48%
-0.61%

-16.75%

-8.56%

4.86%
-5.03%

 

$3,343
$3,449
$1,443

$3,441

$1,143
$5,002
$3,909
$2,646
$1,301
$222
$3,652
$2,717
$2,376
$3,828
$9,543
$570
$7,061
$5,086
$1,430
$568
$1,262
$5,081
$749
$873
$565
$13,979
$6,564
$10,137

$3,717

$4,152
$3,540
$1,600
$3,979

$1,153
$5,223
$2,967
$3,044
$1,712
$928
$4,658
$3,101
$2,590
$3,601
$10,439
$591
$7,488
$6,912
$1,924
$754
$1,989
$5,709
$829
$921
$673
$14,713
$6,131
$11,023

$3,667

$4,975
$5,346
$1,761

$3,973

$965
$5,259
$2,573
$2,700
$1,582
$919
$4,072
$2,412
$2,433
$3,244
$10,213
$558
$8,364
$6,783
$1,891
$717
$2,244
$5,633
$800
$882
$742
$14,813
$5,725
$11,618

$3,580

$4,805
$5,598
$1,821

$4,262

 

$995
$5,252
$2,384
$3,269
$1,774
$304
$3,895
NA
$2,629
$3,103
$10,154
$561
$6,538
$5,701
$1,837
$552
$3,093
$4,954
$696
$1,115
$734
$14,054
$5,378
$11,386

 

-10.14%
-12.80%
-6.92%

-6.42%

4.98%
-1.59%
21.33%
-6.36%
-8.87%
-8.97%
-2.08%
NA
-3.21%
7.79%
-2.01%
0.57%
2.67%
-3.60%
-7.39%
0.97%
-19.73%
0.86%
2.53%
-7.25%
-7.69%
-0.18%
7.35%
-3.66%

 

 

See footnotes on page 28.

2020 Financial Analysis e Volume Two

17
Ve elela me 41a ls

 

Statewide Average

Riverview ASC 1 10
Robert Packer Endoscopy
Scranton Endoscopy 1 1°

Surgical Specialty NE PA 1 1°

Region 7 Average

Berks ASC +10

Berks Digestive Health ? 1°
Berks Urologic SC 1 1°
Berkshire Eye SC 1 1°
Bethlehem Endoscopy ? 1°
Carbon-Schuylkill Endo + 1°
Center for Specialized 1 1°
Children's Dental Beth + 1°
College Heights Endoscopy * 1°
Eastern PA Endoscopy ? 1°
Fairgrounds SC’

Keystone SC 1,10

Lehigh Valley SC Tilghman 7
Lehigh Vly Children's SC 7
Lifeline Valley Access 1 10
Mahoning Valley ASC + 1°
Northwood SC 110

PA Eye & Ear SC 1°
Progressive Allentown * 2 11
Progressive Pottsville + 1°
Progressive Wyomissing * 1°
Reading SC Spring Ridge 1 1°
Reading SC Surgical Inst + 1°

SC of Allentown * 1°

 

 

INDIVIDUAL ASC DATA

Medical
Assistance

oye ttt a all

" Total
TE ly ee ET a Tait
ai
FY18-FY20 FY20

Medicare

22.25% 23.38% 24.19% 27.48% 5.79%

6.09% 6.09% 5.47% 40.79% 3.13%
53.68% 53.68% 54.29% 23.55% 3.38%
57.52% 58.61% 61.69% 25.71% 0.00%
25.89% 35.58% 35.64% 41.71% 0.05%

PEP RL
19.80% 24.57% 22.94% 6.68% 0.00%
48.90% 53.43% 53.99% 22.50% 1.48%
38.59% 38.59% 39.52% 49.85% 2.69%
29.11% 29.11% 26.57% 76.45% 0.26%

8.61% 11.64% 28.73% 40.89% 5.04%
79.90% 79.90% 42.91% 23.46% 0.19%
32.79% 32.79% 31.77% 41.08% 1.26%
33.63% 33.63% 21.17% 0.00% 67.44%
44.13% 52.25% 52.51% 42.45% 0.86%
45.00% 45.00% 39.11% 15.29% 1.08%
10.52% 10.52% 4.19% 26.60% 5.46%

-7.87% -7.87% -1.87% 25.74% 0.04%
51.99% 51.99% 51.35% 17.36% 3.71%
29.71% 29.71% 14.22% 0.00% 13.21%
37.98% 37.98% 29.04% 78.56% 0.49%
41.39% 44.10% 40.02% 54.13% 7.23%
-641.01% -1423.20% -240.58% 10.13% 0.00%
17.84% 20.17% 20.55% 32.18% 5.29%

1.90% 1.90% -8.41% 43.05% 11.76%

39.42% 39.42% 23.51% 45.74% 13.81%
-3.97% -3.97% 10.59% 39.96% 25.08%

8.35% 9.10% 19.94% 12.43% 17.92%
55.64% 55.64% 59.03% 29.34% 2.20%
18.38% 22.94% 21.32% 25.53% 0.91%

SET CMe) Mm Laat

AEST a
FY20

3,379

Region 6 Average (continued) 29.19% 30.65% 33.06% 30.64% ERPs 3,048

3,008
3,833
5,864

4,323

 

594
14,835
6,602
2,756
3,442
1,693
3,350
1,892
8,430
4,943
3,828
291
3,279
2,603
2,420
2,352
156
4,995
1,032
1,798
831
5,980
6,750
8,263

 

See footnotes on page 28.

2020 Financial Analysis e Volume Two
18

 
INDIVIDUAL ASC DATA

Net Patient Revenue (NPR) Total Operating Expenses (TOE)

 

 

Ambulatory Surgery Center Me te
FY20 FY19 FY19 FY18 FY17
$4,791 $4,737 $3,717 $3,667 ‘$3,580
Region 7 Average (continued)
SC Pottsville + 1° $5,564 $5,950 $6,432 $6,718 -5.73% $4,634 $4,821 $4,836 $5,024 -2.59%
Schuylkill Endoscopy + 1° $3,483 $4,168 $4,132 $4,252 -6.03% $2,163 $2,382 $2,293 $2,247 -1.25%
Spring Ridge Plastic 1 1° $267 $230 $275 $254 1.63% $266 $229 $275 $255 1.48%
St Luke's Anderson ASC 3 $13,327 $14,052 $6,376 NA NA $11,079 $10,467 $4,904 NA NA
State Hill SC + 1° $815 $1,033 $1,045 $1,070 -7.94% $1,026 $1,124 $1,040 $926 3.61%
Twin Rivers Endoscopy ? 10 11 $2,721 $3,893 $3,452 $3,304 -5.88% $1,865 $2,203 $2,063 $1,430 10.15%
Valley Eye SC 110 $7,114 $9,908 $8,787 $8,871 -6.60% $7,578 $7,764 $7,569 $7,345 1.06%
Valley SC +10 $1,557 $1,985 $1,811 $2,283 -10.61% $762 $417 $406 $1,366 -14.75%
Wyomissing Surgical Serv + 1° $1,584 $1,859 $2,019 $1,941 -6.14% $1,059 $1,090 $1,324 $1,574 -10.90%
rates l 4)
Abington Asplundh SC 1° 14 $317 $64 NA NA NA $246 $68 NA NA NA
Abington Endoscopy $3,665 $5,466 $5,134 $6,034 -13.09% $3,832 $4,437 $4,259 $4,939 -7.47%
Abington SC 1° $9,656 $13,235 $14,601 $15,299 -12.30% $9,710 $13,288 $14,522 $14,337  -10.76%
AFP SC +10 $566 $811 $675 $799 -9.71% $704 $937 $805 $885 -6.82%
ASC St Mary + 10 $6,960 $9,678 $10,345 $8,799 -6.97% $6,379 $7,178 $7,612 $6,871 -2.39%
Brandywine SC + 10 $2,111 $2,917 $796 $568 90.53% $1,642 $2,766 $757 $558 64.82%
Brandywine Valley Endo * 1° $927 $1,272 $1,353 $1,133 -6.04% $780 $910 $908 $933 -5.46%
Bucks County GI Endo SC +10 $2,244 $2,522 $2,518 $2,445 -2.74% $1,923 $2,120 $2,085 $2,146 -3.46%
Bucks County Surg Suites 14 1° $38 NA NA NA NA $5,561 NA NA NA NA
Children's Dental Malvern 1 1° $6,067 $7,317 $6,604 $6,483 -2.14% $3,598 $5,667 $5,253 $5,313 -10.76%
CHOP Brandywine Valley SC $8,438 $8,635 $8,009 $6,996 6.87% $6,096 $6,160 $6,179 $5,265 5.26%
CHOP Bucks ASC $8,539 $9,980 $9,194 $9,045 -1.86% $4,551 $4,732 $4,478 $4,760 -1.46%
CHOP King Prussia ASC 2° $10,502 $11,820 $10,998 $11,512 -2.92% $4,295 $4,413 $4,193 $3,757 4.77%
Colonoscopy Ctr Lansdale + 19 $1,596 $2,003 $1,524 NA NA $1,460 $1,759 $1,195 NA NA
Colonoscopy Ctr Sellers + 1° $1,661 $1,849 $1,651 $2,082 -6.74% $1,520 $1,623 $1,294 $2,190 -10.20%
Cornerstone ASC + 10 $897 $1,074 $1,112 $1,246 -9.34% $1,127 $1,186 $1,225 $1,200 -2.02%
Crozer Endo + 1° $3,726 $3,964 $3,804 $3,877 -1.30% $1,323 $1,913 $2,731 $2,391 -14.89%
Crozer SC Brinton Lake + 1° $13,576, $15,553 $14,775) $15,001 -3.17% $7,570 | $11,190) $7,298 | $9,087 -5.56%
Crozer SC Haverford + 10 $11,636 $14,797 $13,946 $13,119 -3.77% $8,515 $10,381 $8,784 $8,001 2.14%

 

 

 

 

 

See footnotes on page 28.

2020 Financial Analysis e Volume Two

19
INDIVIDUAL ASC DATA

 

Operating eye] a al 5 Nene wT
Ambulatory Surgery Center Margin Margin a Share of NPR Assistance
esi Peat} ELA mar Eko ait
FY18-FY20 FY20
Statewide Average 22.25% 23.38% 24.19% 27.48% 5.79% 3,379
SC Pottsville 1 1° 22.20% 22.20% 22.07% 21.55% 3.22% 3,444
Schuylkill Endoscopy + 1° 37.90% 41.86% 43.59% 34.47% 3.49% 9,255
Spring Ridge Plastic 1 1° 0.21% 0.21% 0.07% 0.00% 0.00% 170
St Luke's Anderson ASC 3 21.71% 20.99% 23.38% 34.98% 5.34% 10,921
State Hill SC + 1° -25.96% -7.50% -5.26% 66.41% 3.09% 1,164
Twin Rivers Endoscopy * 10 11 31.46% 33.23% 22.94% 26.82% 0.00% 6,598
Valley Eye SC 110 -1.72% -1.72% 15.99% 50.21% 1.41% 5,035
Valley SC + 10 51.07% 51.07% 70.40% 38.36% 33.54% 2,211
Wyomissing Surgical Serv + 1° 33.12% 39.31% 38.26% 43.39% 9.85% 1,803
ee ee ee
Abington Asplundh SC 1° 14 22.24% 22.24% NA 28.12% 1.85% 261
Abington Endoscopy -4.55% -4.55% 12.17% 27.82% 2.54% 2,552
Abington SC 1° 2.31% 2.46% 6.03% 22.51% 4.01% 6,242
AFP SC +10 -24.38% -24.38% -19.21% 55.83% 0.00% 544
ASC St Mary + 10 8.35% 12.26% 22.72% 22.55% 4.12% 2,655
Brandywine SC + 10 22.23% 25.34% 12.62% 0.00% 0.00% 327
Brandywine Valley Endo * 10 15.88% 15.88% 26.86% 24.35% 7.09% 1,715
Bucks County GI Endo SC 1,10 14.31% 14.31% 15.86% 30.85% 8.64% 3,508
Bucks County Surg Suites 14 1° 29.07% 29.48% NA 28.79% 0.34% 4,381
Children's Dental Malvern + 10 40.69% 40.69% 27.37% 0.00% 66.11% 3,020
CHOP Brandywine Valley SC 27.76% 27.76% 26.50% 0.00% 12.81% 1,541
CHOP Bucks ASC 46.70% 46.70% 50.34% 0.00% 10.67% 1,473
CHOP King Prussia ASC *° 59.10% 59.10% 61.28% 0.00% 12.72% 1,775
Colonoscopy Ctr Lansdale 1 1° 9,88% 9,88% 14.26% 21.11% 2.49% 4,943
Colonoscopy Ctr Sellers + 1° 9.88% 9.88% 14.44% 16.11% 1.55% 5,233
Cornerstone ASC + 10 -25.73% -25.73% -14.80% 56.00% 0.39% 368
Crozer Endo 11° 64.49% 64.49% 48.08% 16.85% 10.61% 2,298
Crozer SC Brinton Lake +10 44.24% 44.24% 40.65% 34.22% 11.12% 6,147
Crozer SC Haverford + 10 26.82% 26.82% 31.45% 30.19% 8.77% 5,030

 

 

 

 

See footnotes on page 28.

2020 Financial Analysis e Volume Two
20
INDIVIDUAL ASC DATA

Net Patient Revenue (NPR) Total Operating Expenses (TOE)
(thousands) (thousands)

Statewide Average $4,791 $4,737 $3,717 $3,667 $3,580

Region 8 Average (continued) $4,137

PVE Mme <a M OKs

 

Dermatologic Drexel Hill 1 1° $293 $491 $507 $529 -14.84% $337 $469 $517 $518 -11.65%
Doylestown SC $1,568 $3,725 $5,135 $5,576 -23.96% $1,685 $2,797 $3,210 $3,274 -16.18%
duPont Children SC Bryn * 11 $3,259 $4,687 $4,168 $1,358 46.63% $3,562 $4,176 $3,877 $2,094 23.36%
Einstein Endo Blue Bell ” $495 $46 NA NA NA $358 $755 NA NA NA

Einstein Montgomery SPU 7 1° $8,142 $10,776 $10,006 $9,682 -5.30% $6,739 $9,342 $8,409 $8,171 -5.84%

Endoscopy Associates Vly 1 10 $2,225 $2,655 $2,536 $2,522 -3.92% $1,829 $2,096 $2,258 $2,389 -7.81%

Endoscopy Bucks + 10 $3,218 $5,581 $2,213 $2,216 15.09% $2,131 $3,164 $2,430 $2,378 -3.46%
Endoscopy St Mary 219 $3,466 $4,757 $4,940 $5,180 -11.03%) $2,188 $2,453 $2,570 $2,825 -7.51%
Eye SC Wayne * 10 $4,567 $6,812 $6,395 $6,154 -8.59% $3,817 $5,480 $4,914 $4,823 -6.95%
Fertility Partners PA SC $558 $508 $249 NA NA $266 $244 $107 NA NA
Gastrointestinal Endo Ctr 1 1° $2,518 $2,560 NA NA NA $2,479 $2,613 NA NA NA
Grand View Harleysville + 31° $3,816 $2,809 $222 NA NA $5,590 $4,405 $1,634 NA NA
Holy Redeemer ASC 1° $7,420 $7,632 $7,913 $7,951 -2.23% $6,401 $6,127 $6,149 $6,089 1.71%
Huntingdon Valley SC + 1° $6,410 $10,035 $10,054 $7,278 -3.98% $6,587 $8,393 $8,487 $6,403 0.96%

Hypertension Nephrology + 1° $1,269 $1,392 $1,416 $1,521 -5.53% $878 $950 $1,021 $1,042 -5.24%

Jefferson Endoscopy Bala 7° $3,175 $3,208 $2,531 $1,167 57.39% $2,012 $1,882 $1,909 $1,377 15.36%
Jefferson SC Blue Bell + 1° $5,662 $5,070 NA NA NA $7,757 $6,602 NA NA NA

Keystone Kidney Center + 1° $651 $516 $455 $1,641 — -20.10% $547 $458 $384 $1,101 _-16.79%
Kole Plastic SC 1 10 $176 $261 $218 $163 2.50% $124 $185 $163 $132 -2.14%
Langhorne Access + 10 $494 $547 $667 $260 29.87% $519 $547 $667 $262 32.56%
Langhorne SC 1-10 $8,319 $4,137 $3,053 $3,424 47.65% $6,407 $3,275 $2,804 $2,933 39.47%

Main Line Endoscopy East + 1° $2,332 $3,055 $2,732 $2,708 -4.62% $1,466 $1,557 $1,583 $1,525 -1.30%
Main Line Endoscopy South 11°} $1,180 $1,756 $1,590 $1,547 -7.90% $740 $931 $913 $896 -5.82%
Main Line Endoscopy West + 10 $4,174 $5,328 $5,090 $4,734 -3.95% $2,136 $2,408 $2,186 $2,129 0.11%

 

 

 

 

Main Line Fertility + 1° $6,714 $8,331 $6,690 $7,572 -3.78% $6,865 $7,491 $6,163 $4,702 15.33%
Main Line SC + 2° $11,142 $13,078 $12,327 $13,052 -4.88% | $10,054 $10,907 $10,408 $11,125 -3.21%
Main Line Spine SC +19 $6,072 $9,778 $9,366 $8,388 -9.21% $5,117 $7,782 $7,315 $6,645 -7.66%
Main Line Vascular Inst + 1° $2,222 $3,176 $2,222 $545 102.62%} $3,289 $3,631 $3,573 $1,327 49.25%
Montgomery SC 110 $1,686 $2,274 $2,170 $2,164 -7.37% $1,776 $2,126 $2,115 $2,039 -4.30%

 

See footnotes on page 28.

2020 Financial Analysis e Volume Two
21
INDIVIDUAL ASC DATA

 

ey te ae Er
Ambulatory Surgery Center Margin Margin Share of NPR Seen
FY19 FY19
FY17-FY19 FY19
Statewide Average 22.25% 23.38% 24.19% 27.48% 5.79% 3,379
Dermatologic Drexel Hill 1 1° -14.91% 1.32% 1.27% 60.49% 0.00% 82
Doylestown SC -7.51% -7.51% 26.22% 41.62% 2.10% 728
duPont Children SC Bryn 111 -9.17% -9.17% 4.15% 0.00% 21.06% 17,198
Einstein Endo Blue Bell ” 29.73% 29.73% NA 15.70% 9.95% 320
Einstein Montgomery SPU 7 1 21.10% 21.10% 17.46% 19.53% 11.94% 3,776
Endoscopy Associates Vly 1 1° 20.12% 20.12% 17.25% 22.44% 0.00% 3,901
Endoscopy Bucks 1 10 33.90% 46.52% 37.99% 24.19% 0.00% 4,514
Endoscopy St Mary * 1° 36.88% 49.43% 48.56% 24.60% 0.00% 3,439
Eye SC Wayne * 10 16.42% 16.42% 20.05% 54.36% 4.50% 5,588
Fertility Partners PA SC 52.41% 52.41% 53.12% 0.00% 0.00% 914
Gastrointestinal Endo Ctr 1 1° 1.54% 2.96% NA 27.93% 0.00% 2,512
Grand View Harleysville + 3,19 -46.48% -51.81% -73.20% 26.32% 0.00% 2,183
Holy Redeemer ASC 1° 15.52% 15.52% 19.29% 19.38% 0.00% 6,411
Huntingdon Valley SC + 1° -2.77% 6.06% 13.41% 29.94% 0.07% 5,125
Hypertension Nephrology + 1° 30.76% 30.76% 30.10% 79.87% 1.04% 831
Jefferson Endoscopy Bala *° 36.63% 36.88% 35.00% 22.79% 4.76% 2,224
Jefferson SC Blue Bell + 1° -34.43% -34.43% NA 14.59% 0.03% 2,301
Keystone Kidney Center 1 1° 16.09% 16.09% 14.42% 7.33% 0.00% 175
Kole Plastic SC + 10 29.73% 29.73% 27.87% 0.00% 0.00% 131
Langhorne Access 1 10 0.00% 0.00% 0.02% 100.00% 0.00% 77
Langhorne SC 1+ 10 24.63% 24.63% 20.62% 63.13% 0.14% 4,185
Main Line Endoscopy East + 1° 37.15% 42.25% 44.72% 31.89% -0.04% 3,628
Main Line Endoscopy South + 1° 37.32% 37.43% 42.97% 33.40% 0.02% 1,755
Main Line Endoscopy West * 10 48.83% 48.89% 53.98% 23.75% -0.03% 6,227
Main Line Fertility + 1° -2.25% -2.31% 9.20% 0.00% 0.00% 2,498
Main Line SC 1 10 10.17% 12.93% 15.35% 60.16% 1.42% 6,438
Main Line Spine SC + 1° 15.71% 23.03% 21.69% 44.35% 0.00% 5,595
Main Line Vascular Inst + 1° -48.00% -48.00% -37.48% 64.38% 0.00% 166
Montgomery SC 110 -5.33% 0.13% 3.31% 49.42% 4.44% 1,573

 

 

 

 

See footnotes on page 28.

2020 Financial Analysis e Volume Two

22
INDIVIDUAL ASC DATA

Net Patient Revenue (NPR) Total Operating Expenses (TOE)
(thousands) (thousands)

Statewide Average $4,496 $4,941 $4,791 $4,737 $3,717 $3,667 $3,580

Region 8 Average (continued) $4,137 $4,849 Cee

PVE ia mele M OTs

 

New Britain SC 1 1° $7,132, $8,414 $8,855 $8,987 -6.88% $5,819 $6,181 $6,239 $6,207 -2.09%
Orthopaedic SC Bryn Mawr 13,10] $14,273 $17,012 $18,786 $6,270 42.55% | $12,389 $12,881 $12,777 $6,213 33.13%
Oxford Valley Pain SC 1 10 $1,130 $1,051 $1,109 $1,288 -4.08% $661 $601 $861 $788 -5.37%
Paoli SC +, 1° $5,090 $7,151 $6,973 $6,717 -8.07% $5,744 $6,033 $5,870 $6,324 -3.06%

Penn Medicine Radnor Endo 11 $3,698 $4,421 $5,737 $5,733 -11.83%} $3,544 $3,842 $3,486 $2,919 7.13%

Phila Cosmetic Surgery + 1° $3,466 $2,926 $2,817 $2,451 13.79% $3,046 $2,644 $2,567 $2,302 10.78%
Philadelphia Surgery Ctr + 1° $4,514 $264 $302 $266 531.87%} $3,356 $264 $300 $268 384.46%
Phoenixville SC Limerick 3 $3,680 $4,243 $3,449 $3,302 3.81% $4,292 $3,683 $2,566 $2,744 18.81%
Plaza SC +10 $253 $256 $300 $255 -0.30% $302 $294 $279 $251 6.78%
Pottstown AC $1,910 $1,729 $687 NA NA $1,302 $1,412 $731 NA NA
Premier Exton SC + 10 $7,259 $5,667 $5,503 $4,521 20.18% $5,251 $4,216 $4,382 $4,303 7.34%
Riddle SC + 10 $13,928 $16,963 $15,656 $16,108 -4.51% $9,801 $10,701 $10,238 $9,585 0.75%
RMA of Philadelphia SC + 1° $1,428 $2,276 $1,084 $1,125 8.95% $766 $1,348 $815 $850 -3.32%
Sally Balin ASC +10 $308 $333 $296 $316 -0.82% $301 $305 $314 $316 -1.51%
SC Bucks County 1° $3,472 $4,233 $4,224 $3,888 -3.57% $3,462 $3,955 $4,006 $3,705 -2.18%
SC Chester County + 1° $1,819 $2,594 $2,901 $154 360.42%} $1,750 $2,613 $2,677 so NA
SC Ft Washington ? 10 $7,015 $5,114 $4,994 $4,989 13.54% $6,956 $4,543 $4,540 $4,193 21.97%
Springfield ASC + 1° $2,768 $4,304 $3,931 $3,802 -9.06% $2,580 $3,176 $3,069 $2,944 -4.13%
St Luke's Endo Buxmont $2,467, $2,098 $2,802 $2,980 -5.74% $1,754 $1,497 $1,757 $1,101 19.76%

Trevose Specialty Care SC + 10 $3,426 $3,636 $4,015 $4,294 -6.74% $3,768 $3,218 $3,452 $3,573 1.82%

Tri-County SC +10 $4,467, $5,777 $5,388 $5,526 -6.39% $3,311 $4,036 $3,793 $3,893 -4,98%
Turk's Head SC +10 $5,076 $7,909 $7,593 NR NR $6,506 $7,482 $7,232 NR NR
Valley Pain Center + 10 $2,004, $2,219 $2,299 $2,203 -3.02% $2,183 $2,136 $2,265 $2,143 0.62%

Vascular Access DE Valley + 1° $1,360 $1,578 $1,630 $1,525 -3.62% $895 $1,038 $1,110 $1,105 -6.34%

Vision One Laser & SC +10 $4,932) $5,072 $5,290 $4,741 1.34% $4,229 $4,271 $4,067 $3,804 3.72%
West Chester Endoscopy + 1° $4,054 $5,686 $5,327 $6,085 -11.13%} $3,063 $3,456 $3,350 $3,024 0.43%
Wills Eye SC Plymouth Mtg 7° $2,996) $4,340 $3,827 $3,731 -6.57% $3,467 $4,203 $3,783 $3,773 -2.71%

 

Region 9 Average

 

 

 

 

Azura SC NE Philadelphia + 1° $3,951 $3,786 $2,362 NA NA $316 $450 $291 NA NA

 

See footnotes on page 28.

2020 Financial Analysis e Volume Two
23
INDIVIDUAL ASC DATA

 

 

Operating eye] a al Nene Ne
PVE am AOL le Evatt Margin sn ees) Seen
ae ie FY18-FY20 ed —-

Statewide Average 22.25% 23.38% 24.19% 27.48% 5.79% 3,379
New Britain SC 1 10 18.42% 24.30% 27.19% 25.56% 0.00% 3,729
Orthopaedic SC Bryn Mawr +3, 10 15.68% 15.18% 24.23% 8.12% 0.20% 3,368
Oxford Valley Pain SC 1, 10 41.50% 41.50% 35.48% 10.52% 3.22% 1,557
Paoli SC 1,10 9.42% 9.42% 13.81% 18.67% 0.25% 2,617
Penn Medicine Radnor Endo 11 4.15% 4.15% 21.54% 12.20% 2.10% 4,114
Phila Cosmetic Surgery + 1° 12.11% 12.11% 10.33% 0.00% 0.00% 375
Philadelphia Surgery Ctr + 1° 25.65% 25.65% 22.84% 30.31% 0.00% 1,318
Phoenixville SC Limerick ? -16.62% -16.62% 7.32% 45.29% 2.56% 2,366
Plaza SC 1 10 -19.52% -19.52% -8.15% 0.00% 0.00% 112
Pottstown AC 31.84% 31.84% 20.39% 20.05% 0.04% 6,408
Premier Exton SC + 10 27.79% 28.40% 25.73% 15.43% 1.15% 3,788
Riddle SC +19 32.76% 32.76% 34.87% 9.37% 0.00% 4,529
RMA of Philadelphia SC * 1° 46.37% 46.37% 45.66% 0.00% 0.00% 3,807
Sally Balin ASC + 1° 2.30% 6.30% 3.22% 70.01% 0.00% 390
SC Bucks County 1° 9.17% 9.17% 6.84% 65.15% 3.15% 2,509
SC Chester County * 1° 3.79% 3.79% 4.65% 14.17% 0.14% 723
SC Ft Washington + 1° 0.84% 0.84% 6.33% 54.01% 7.04% 3,242
Springfield ASC + 1° 6.81% 19.57% 22.80% 27.48% -0.06% 4,846
St Luke's Endo Buxmont 29.44% 29.44% 32.20% 34.47% 5.17% 12,440
Trevose Specialty Care SC + 1° -9.99% -9.99% 5.77% 37.78% 14.46% 2,496
Tri-County SC 1 10 25.88% 28.01% 29.50% 60.83% 0.38% 10,413
Turk's Head SC +10 -2.02% 0.40% 5.16% 23.00% 1.00% 3,957
Valley Pain Center 1 10 4.57% 4.57% 3.26% 12.00% 0.00% 3,047
Vascular Access DE Valley 1 1° 34.17% 34.17% 33.38% 81.41% 2.54% 656
Vision One Laser & SC + 10 14.26% 18.78% 19.28% 75.25% 0.85% 3,903
West Chester Endoscopy 1 1° 24.45% 39.53% 38.65% 22.21% -0.06% 6,555
Wills Eye SC Plymouth Mtg 1° -3.20% -3.20% 1.44% 62.70% 2.82% 2,280
Region 9 Average 11.54% PAI yA se 5 074 31.74%

Azura SC NE Philadelphia + 1° 91.99% 91.99% 89.53% 82.45% 7.69% 1,713

 

 

 

 

See footnotes on page 28.

2020 Financial Analysis e Volume Two
24
INDIVIDUAL ASC DATA

Net Patient Revenue (NPR) Total Operating Expenses (TOE)
(thousands) (thousands)

Statewide Average $4,791 $4,737 $3,717 $3,667 $3,580

Region 9 Average (continued)

PVE Me <a M OKs

 

Azura SC S Philadelphia + 1° $6,817 $6,685 $4,269 NA NA $834 $794 $517 NA NA
Azura Vascular NE Phil + 1° $624 $918 $4,184 $3,248 -26.93%] $3,888 $4,142 $4,272 $4,073 -1.51%
Azura Vascular S Phil * 1° $1,700 $1,872 $2,596 $5,222  -22.48%] $6,184 $6,160 $5,749 $5,640 3.22%

Dermatologic Philadelphia + 1° $116 $182 $210 $219 -15.71% $109 $156 $166 $202 -15.43%

Einstein SC $4,882 $4,893 $4,650 $5,327 -2.78% $4,797 $5,116 $4,439 $5,333 -3.35%
Endoscopy PA Hosp 1° $2,317 $2,821 $2,956 $3,126 -8.63% $2,388 $2,156 $2,156 $2,868 -5.58%
GI ASC + 10 $1,907 $2,499 $2,439 $2,477 -7.68% $1,947 $2,535 $2,474 $2,465 -7.00%
Grant SC 1 10 $1,417 $2,007 $2,291 $2,394 -13.60%} $1,578 $1,818 $1,793 $1,942 -6.24%
HUP Reproductive Surgical $1,575 $1,790 $2,122 $2,099 -8.32% $1,687 $1,817 $2,026 $1,645 0.86%
Jefferson SC $12,486 $14,278 NA NA NA $15,815 $16,500 NA NA NA

Jefferson SC Navy Yard + 10 $13,868 $16,895 $16,743, $16,697 -5.65% | $10,955 $12,957 $12,897 $12,307 -3.66%
Liberty Eye SC 1 10 $1,539 $2,092 $2,486 $2,554  -13.26%} $1,712 $2,141 $2,420 $2,348 -9.04%

Metro Vascular Ctr Clinic 2 19 11 $838 $1,133 $1,242 $1,019 -5.91% $910 $1,073 $1,066 $1,017 -3.48%

Metro Vascular Ctr Metrop + 7° $971 $952 $1,067 $774 8.46% $646 $701 $800 $720 -3.43%

 

 

 

 

Mt Airy AESC 1 10,11 $584 $1,095 $1,039 $1,184 -16.89% $335 $565 $629 $735 -18.13%
Nazareth HIth Endoscopy + $564 NR $1,427 $1,736 -22.50% $1,014 NR $1,469 $1,735 -13.85%
PA Surgery Laser Ctr $2,171 $1,389 NA NA NA $2,040 $400 NA NA NA
Peripheral Vascular Inst + 10 $4,604 $4,835 $5,535 $8,340 -14.93% $3,302 $3,380 $5,565 $6,071 -15.20%
PGC Endoscopy 1 19 $2,584 $2,960 $2,363 $2,560 0.32% $2,301 $2,458 $1,899 $1,842 8.30%
Philadelphia Surgi Ctr 1° $1,419 $1,768 $1,737 $1,872 -8.07% $1,510 $1,802 $1,770 $1,912 -7.01%
Red Lion SC 1. 19 $4,605 $4,734 $5,212 $5,056 -2.97% $3,761 $4,036 $4,359 $3,975 -1.79%
SC of Pennsylvania Hosp $16,348 $17,854 $13,453 $11,106 15.73%) $11,399 $13,030 $11,443 $9,429 6.97%
Temple Univ Podiatric ASC 7 $18 $17 $9 $44 -19.44% $457 $482 $483 $494 -2,50%
Vincera SC 1 10 $4,483 $5,651 $6,245 $6,061 -8.68% $4,551 $5,131 $5,725 $5,194 -4,13%
Wills SC Northeast 1° $2,689 $3,753 $3,346 $3,489 -7.64% $3,012 $3,627 $3,317 $3,344 -3.31%
Wills SC Phila Stadium *° $3,103 $3,902 $3,955 $3,701 -5.39% $3,663 $3,975 $3,894 $3,821 -1.38%

 

See footnotes on page 28.

2020 Financial Analysis e Volume Two
25
INDIVIDUAL ASC DATA

 

Vea mea O le sok ci See ae ae
eC S 7) el ia CLT 3711)
Statewide Average 22.25% 23.38% 24.19% 27.48% 5.79% 3,379
Azura SC S Philadelphia + 1° 87.76% 87.76% 87.93% 88.12% 3.49% 2,593
Azura Vascular NE Phil + 1° -522.89% -522.89% -114.82% 37.80% 8.74% 103
Azura Vascular S Phil + 1° -263.81% -263.81% -193.29% 83.20% 0.31% 189
Dermatologic Philadelphia 1 1° 6.22% 19.47% 18.27% 59.21% 0.00% 42
Einstein SC 19.79% 19.79% 15.30% 30.48% 26.17% 2,171
Endoscopy PA Hosp 1° -3.07% -3.07% 17.22% 27.77% 1.16% 4,048
GI ASC 110 -0.83% -0.83% -1.25% 19.99% 6.50% 2,875
Grant SC 1 10 -11.36% -8.08% 9.90% 24.00% 15.79% 2,923
HUP Reproductive Surgical 11.50% 11.50% 16.19% 0.00% 0.08% 824
Jefferson SC -26.66% -26.66% NA 15.86% 4.77% 2,451
Jefferson SC Navy Yard + 1° 26.87% 26.87% 24.30% 9.02% 0.00% 4,144
Liberty Eye SC 1, 10 -8.26% -8.54% -2.05% 64.00% 9.79% 1,236
Metro Vascular Ctr Clinic 1 10 12 -8.59% -8.59% 5.12% 70.21% 19.72% 439
Metro Vascular Ctr Metrop * 1° 33.49% 33.49% 28.20% 72.63% 9.71% 591
Mt Airy AESC 1 10, 11 42.60% 42.60% 43.76% 7.74% 16.50% 697
Nazareth Hith Endoscopy 4 -79.87% -79.87% NR 22.82% 0.81% 978
PA Surgery Laser Ctr 6.02% 6.02% NA 33.80% 9.06% 1,774
Peripheral Vascular Inst 1 1° 28.28% 28.28% 18.45% 95.05% 0.03% 188
PGC Endoscopy 1 1° 16.00% 15.92% 17.41% 35.22% 15.42% 4,040
Philadelphia Surgi Ctr 1° -6.41% 7.21% 1.00% 10.66% 11.18% 2,528
Red Lion SC + 10 18.32% 23.44% 18.43% 0.00% 59.60% 2,353
SC of Pennsylvania Hosp 35.94% 35.94% 31.60% 18.44% 6.52% 6,303
Temple Univ Podiatric ASC 7 -2404,.34% -2404,34% -3091.76% 17.76% 24.30% 20
Vincera SC +10 -1.52% -1.51% 5.96% 2.21% 0.00% 1,303
Wills SC Northeast 1° -5.47% -5.47% 0.11% 53.52% 5.31% 2,784
Wills SC Phila Stadium 1° -3.18% -3.18% -0.91% 54.59% 13.64% 3,505

 

 

 

 

See footnotes on page 28.

2020 Financial Analysis e Volume Two
26
EXPLANATION OF TERMS & MEASURES

 

3-year Average Change in Net Patient Revenue (NPR) or
Total Operating Expenses (TOE): The average annual
change in the facility’s NPR or TOE that occurred from the
end of FY17 through FY20.

(((NPR2o — NPRaz) / NPR:17) / 3) or (((TOE20 — TOE17) / TOE17) / 3)

3-year Average Total Margin: The average total margin
realized by the facility during FY18 through FY20.
(2 revenue over expenses 20, 19, 18 / 2 total revenue 20, 19, 18)

Ambulatory Surgery Center (ASC): A licensed facility by
the Pennsylvania Department of Health that provides
specialty or multi-specialty surgical care to patients who
do not require an overnight stay but require medical
supervision following a procedure. An ASC does not
include individual or group practice offices of private
physicians or dentists.

Commercial Third-Party Payers: Commercial insurers
encompass all indemnity and managed care health
insurance plans, including Blue Cross and Blue Shield
plans, and hospital and health care system plans.
Government-funded programs, such as Medicare managed
care, are not included even if a commercial insurer
administers the program.

Net Patient Revenue (NPR): Net patient revenue (net of
bad debt) reflects revenue for patient care only and does
not include revenue from other operations such as
cafeteria, parking, rent, research, and educational
activities. Revenue from those operations is included in
total operating revenue. NPR may include retroactive
adjustments from third-party payers for care provided
during a previous fiscal year.

Other Third-Party Payers: Third-party payers other than
health insurance companies and managed care
organizations. These include direct payments by
employers or associations, auto insurance, workers’
compensation, and government programs (other than
Medicare and Medical Assistance).

Operating Income: The amount by which total operating
revenue exceeds total operating expenses.
(total operating revenue — total operating expenses)

Operating Margin: The ratio of operating income to total
operating revenue. This measure places operating income
in perspective with the volume of patient services realized
by the facility.

(operating income / total operating revenue)

Operating Visits: The number of visits to the surgery
center or an individual outpatient department of the
hospital during the fiscal year.

Total Margin: The ratio of total income to total revenue.
This measure puts income from all sources in perspective
with all revenues received by a facility.

(revenue over expenses / total revenue)

Total Net Income (Revenue over Expenses): Total net
income reflects the sum of operating income and non-
operating income. Total net income may also include an
extraordinary item.

Total Operating Expenses (TOE): All costs associated with
operating the entire facility such as salaries, professional
fees, supplies, depreciation, interest, and insurance. The
acquisition of durable equipment and other property is not
considered expenses and is reflected on the facility’s
balance sheet as assets. However, the cost to finance
equipment (interest) as well as the depreciation, operation
and maintenance costs of capital equipment are operating
expenses.

Total Operating Revenue (TOR): All revenues allocated by
the facility to meet operating expenses. It includes
revenue sources such as net patient revenue, investment
income, contributions, and revenue from other operations
(e.g., cafeteria, parking, rent, research, and educational
activities). Individual facilities may also allocate
investment income, contributions, etc., as non-operating
income.

Total Revenue: Operating revenue plus non-operating
income. The non-operating income component typically
includes unrestricted contributions, investment income,
and net investment gains and losses on marketable
securities.

2020 Financial Analysis e Volume Two
FOOTNOTES

 

Footnotes

1. The end of the fiscal year is not June 30.
The data reflects the fiscal year that ended
prior to June 30.

2. FY19 data is less than 12 months; therefore,
a three-year comparison is not appropriate
for some of the measures.

3. Prior year(s) reflect less than 12 months of
data; therefore, a three-year comparison is
not appropriate for some of the measures.

4. This is the first reporting year for this
facility. Expenses are often higher than
operating revenue during the start-up
period.

5. The hospital has specialty units such as
psychiatric, rehab, long-term care, skilled
nursing, etc., which are included in the data
presented for the facility.

6. Extraordinary item is included in the
calculation of total margin.

7. Balance sheet ratios are for the parent
organization.

No Submission

8. Acquired or merged with another licensed
facility during the FY20 reporting period.

9. Acquired or merged with another licensed
facility during the FY19 or FY18 reporting
periods.

10. For-profit facility: total margin for hospitals
includes pro rata share of the parent
corporation’s federal income taxes.

11. Facility is referred to by a different name, or
it closed after the FY20 reporting period.

12. Facility failed to satisfy the financial filing
requirements.

13. One or more of the required financial
submissions was filed late.

14. Facility submitted incomplete or inaccurate
data.

NA Not applicable.

NR _ Information necessary to report or calculate
this measure was not reported by the facility.

No Submission: The following ambulatory surgery centers are not included in this report:

Ambulatory Care Cranberry (closed 4/2021)
Ambulatory Endo SC Bucks {closed 1/2021)
Best Impressions SC

Bryn Mawr Med Specialists

Del Valley Laser (closed 4/2021)

Greater Erie SC (closed 5/2021)

Mt Pleasant SC (closed 11/2020)

Penn Highlands Elk SC (closed 3/2020)

Pine Grove ASC

Valley ASC

Vascular Access Pgh (closed 4/2021)

2020 Financial Analysis e Volume Two
Pennsylvania Health Care Cost Containment Council

Barry D. Buckingham, Executive Director
225 Market Street, Suite 400, Harrisburg, PA 17101
Phone: 717-232-6787 © Fax: 717-232-3821

www.phc4.org

For More Information

The information contained in this report and other PHC4 publications is
available online at . Additional financial, hospitalization

and ambulatory procedure health care data is available for purchase.
For more information, contact PHC4’s Special Requests at
or 717-232-6787.