Differences in characteristics of hospitals with sustained high and sustained low profitability.

B Langland-Orban, L C Gapenski, W B Vogel
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Abstract

The organizational and operational characteristics of 140 private Florida hospitals with sustained high profitability and sustained low profitability were compared using pretax operating margin (PTOM) and pretax return on assets (PROA) measures. Approximately 15 to 20 percent of hospitals were defined as PTOM or PROA high-profit or low-profit for the years 1990, 1991, and 1992. The PTOM or PROA high-profit groups had a lower adjusted average length of stay and debt utilization, and a higher labor yield, occupancy rate, and percent with high hospital accreditation ratings (p < .05). In addition, the PROA high-profit group had a higher case-mix index and Medicare mix (p < .05). Characteristics that were different for high-profit and low-profit groups were within the scope of management.

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持续高盈利和持续低盈利医院特征的差异。
采用税前营业利润率(PTOM)和税前资产收益率(PROA)对佛罗里达州140家持续高盈利和持续低盈利的私立医院的组织和经营特征进行了比较。在1990年、1991年和1992年,大约15%到20%的医院被定义为PTOM或PROA高利润或低利润。PTOM和PROA高利润组调整后的平均住院时间和债务利用率较低,劳动生产率、入住率和高医院认证评分百分比较高(p < 0.05)。此外,PROA高利润组的病例组合指数和Medicare组合较高(p < 0.05)。高利润群体和低利润群体的不同特征在管理范围内。
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