Despite a slower than average previous month that caused a $232,254 drop in revenues at the Adams Memorial Hospital (AMH), hospital trustees recently learned that the hospital still is $318,791 in the black for the 2010 year.
"Most rural hospitals our size would be tickled pink to have the financial picture we do," pointed out Adams Health Network (AHN) Executive Director Marvin L. Baird after the financial report was delivered to trustees by Dane Wheeler, AHN chief financial officer.
Baird and Wheeler noted that year-to-date, $41,064,777 in revenue and $1,320,597 in rents and interest income have been received, bringing in $42,385,374 to the AHN coffers. Total operating expenses for the year have amounted to $42,066,583.
The largest expenses in operating the hospital have been ancillary services at $14,439,681 and bad debt at $7,023,206. After contractual and other discounts have been applied to patient revenue, the amount of money generated in that account to date is $40,298,950.
Other funds come from other operating revenues and from the county commissioners, who set aside funds every year to assist in running the Emergency Medical Services.
Baird said that while admissions at the hospital were up 19 percent in October from those in September, they were still down three percent from October of 2009.
Overall at the hospital, Medicare admissions and non-Medicare admissions are up five percent and 1.9 percent for the year, but with a decrease in Behavioral Health and Extended Care admissions, the hospital actually showed the same number of overall inpatients at the end of October of this year as in October 2009.
The addition of orthopaedic surgeon Dr. David Coats continues to increase the number of surgeries done at AMH. Along with general surgeons Richard Spady and H.S. Lee, the hospital's inpatient surgery rate jumped 36.8 percent in October and 85.7 percent from October 2009. Year-to-date in-patient cases are up 46.1 percent.
Of course, the majority of surgery cases done in hospitals today are out-patient procedures and AMH stats show a 48 percent hike in October from September, and a 41.4 percent increase from October 2009. All surgeries combined show an 8.4 increase year-to-date.
Hospital officials said there has been an average of 16.98 in-patients a day this year at AMH, which is up slightly from the 15.33 average for the first 10 months of 2009.
Admissions to the emergency room, which normally result in the lion's share of admits to the hospital, are up 4.8 percent this year. Overall, however, patients seen in the ER are down 20 percent from 2009 and 8.6 percent from October 2009.
Baird said 14 percent of all patients seen in the emergency room were admitted to the hospital, as compared to 12.8 percent in 2009. He said insurance stipulations such as higher ER co-pays have slowed visits there.