| O'Connor Hospital | ||
| DISCLOSURE REPORT INFORMATION | ||
| OSHPD Facility Number | FAC-NO | 106430837 |
| Facility DBA Name | FAC-NAME | O'CONNOR HOSPITAL |
| Report Period Begin Date | BEG-DATE | 01/01/02 |
| Report Period End Date | END-DATE | 06/30/02 |
| Days in Report Period | DAY-PER | 181 |
| GENERAL HOSPITAL INFORMATION | ||
| County Name | COUNTY name | SANTA CLARA |
| HSA Number | HSA | 07 - SANTA CLARA |
| HFPA Number | HFPA | 431 |
| Type of Control | TYPE-CNTRL | NON-PROFIT |
| SYSTEM (>3 HOSP) | SYSTEM (>3 HOSP) | DAUGHTERS OF CHARITY HEALTH SYSTEM |
| Type of Hospital | TYPE-HOSP | COMPARABLE |
| Type of Care | TYPE-CARE | GENERAL ACUTE |
| Teaching or Small/Rural Hospital | TEACH-RURL | N/A |
| DSH hosp | DSH hosp | Non-DSH |
| OWNER | OWNER | DAUGHTERS OF CHARITY HEALTH SYSTEM |
| lic bed size | lic bed size | 300-499 |
| Itc range | Itc range | Less than 15% |
| Phone Number | PHONE | (408)947-2500 |
| Street Address | ADDRESS | 2105 FOREST AVE |
| city | CITY | SAN JOSE |
| Zip Code | ZIP-CODE | 95128-1425 |
| Chief Executive Officer | CEO | ANNE GOLDFISCHER |
| ER Trauma Center Designation | ER-DESIG | 0 |
| UTILIZATION DATA | ||
| Licensed Beds (End of Period) | BED-LIC | 358 |
| lic bed days | lic bed days | 64,798 |
| Available Beds (Average) | BED-AVL | 306 |
| avail bed days | avail bed days | 55,386 |
| Staffed Beds (Average) | BED-STF | 225 |
| occ beds | occ beds | 148 |
| adj occ beds | adj occ beds | 207 |
| INPATIENT UTILIZATION BY PAYOR | ||
| Patient Days Medicare - Traditional | DAY-MCAR-TR | 12,638 |
| Patient Days Medicare -Managed | DAY-MCAR-MC | 4,446 |
| Patient Days Medi-Cal - Traditional | DAY-MCAL-TR | 1,104 |
| Patient Days Medi-Cal-Managed | DAY-MCAL-MC | 151 |
| Patient Days County Indigent Programs - Traditional & Managed | DAY-CNTY | 0 |
| Patient Days Other Third Parties - Traditional | DAY-THRD-TR | 137 |
| Patient Days Other Third Parties - Managed | DAY-THRD-MC | 7,971 |
| Patient Days Other Indigent | DAY-OTH-IND | 0 |
| Patient Days Other Payors | DAY-OTH | 338 |
| Patient Days Total | DAY-TOT | 26,785 |
| adj pat days | adj pat days | 37,532 |
| mcar t adj day | mcar t adj day | 15,929 |
| mcar mc adj day | mcar mc adj day | 5,640 |
| mcal t adj day | mcal t adj day | 1,551 |
| mcal mc adj day | mcal mc adj day | 240 |
| co adj day | co adj day | 0 |
| third t adj day | third t adj day | 246 |
| third mc adj day | third mc adj day | 12,921 |
| oth ind adj day | oth ind adj day | 0 |
| oth adj day | oth adj day | 573 |
| Discharges Medicare - Traditional | DIS-MCAR-TR | 2,415 |
| Discharges Medicare - Managed | DIS-MCAR-MC | 1,007 |
| Discharges Medi-Cal - Traditional | DIS-MCAL-TR | 358 |
| Discharges Medi-Cal - Managed | DIS-MCAL-MC | 48 |
| Discharges County Indigent Programs - Traditional & Managed | DIS-CNTY | 0 |
| Discharges Other Third Parties - Traditional | DIS-THRD-TR | 36 |
| Discharges Other Third Parties - Managed | DIS-THRD-MC | 2,302 |
| Discharges Other Indigent | DIS-OTH-IND | 0 |
| Discharges Other Payors | DIS-OTH | 95 |
| Discharges Total | DIS-TOT | 6,261 |
| Licensed Beds and Utilization by Type of Care | ||
| Licensed Beds Acute | BED-ACUTE | 312 |
| Licensed Beds Psychiatric | BED-PSYCH | 22 |
| Licensed Beds Chemical Dep | BED-CHEM | 0 |
| Licensed Beds Rehabilitation | BED-REHAB | 0 |
| Licensed Beds Long-term Care | BED-LTC | 24 |
| Licensed Beds Residential & Other Daily Services | BED-RESDNT | 0 |
| acute bed days | acute bed days | 56,472 |
| psych bed days | psych bed days | 3,982 |
| chem bed days | chem bed days | 0 |
| rehab bed days | rehab bed days | 0 |
| Ltc bed days | Ltc bed days | 4,344 |
| res bed days | res bed days | 0 |
| Patient Days Acute | DAY-ACUTE | 21,907 |
| Patient Days Psychiatric | DAY-PSYCH | 1,391 |
| Patient Days Chemical Dep | DAY-CHEM | 0 |
| Patient Days Rehabilitation | DAY-REHAB | 0 |
| Patient Days Long-term Care | DAY-LTC | 3,487 |
| % Itc days | % Itc days | 0 |
| Patient Days Residential & Other Daily Services | DAY-RESDNT | 0 |
| Discharges Acute | DIS-ACUTE | 5,860 |
| Discharges Psychiatric | DIS-PSYCH | 103 |
| Discharges Chemical Dep | DIS-CHEM | 0 |
| Discharges Rehabilitation | DIS-REHAB | 0 |
| Discharges Long-term Care | DIS-LTC | 298 |
| Discharges Residential & Other Daily Services | DIS-RESDNT | 0 |
| Nursery Information | ||
| Nursery Bassinets | BAS-NURSRY | 14 |
| Nursery Days | DAY-NURSRY | 3,679 |
| Nursery Discharges | DIS-NURSRY | 1,442 |
| Outpatient Visits by Payor | ||
| Outpatient Visits Medicare - Traditional | VIS-MCAR-TR | 29,409 |
| Outpatient Visits Medicare - Managed | VIS-MCAR-MC | 7,713 |
| Outpatient Visits Medi-Cal - Traditional | VIS-MCAL-TR | 14,068 |
| Outpatient Visits Medi-Cal - Managed | VIS-MCAL-MC | 893 |
| Outpatient Visits County Indigent Programs - Traditional & Managed | VIS-CNTY | 0 |
| Outpatient Visits Other Third Parties - Traditional | VIS-THRD-TR | 1,208 |
| Outpatient Visits Other Third Parties - Managed | VIS-THRD-MC | 40,432 |
| Outpatient Visits Other Indigent | VIS-OTH-IND | 0 |
| Outpatient Visits Other Payors | VIS-OTH | 2,441 |
| Outpatient Visits Total | VIS-TOT | 96,164 |
| Ambulatory and Referred Outpatient Visits | ||
| Visits Emergency Room | VIS-ER | 13,247 |
| Visits Clinic | VIS-CLIN | 7,835 |
| Visits Home Health Care | VIS-HOME | 19,544 |
| Visits Referred Outpatient | VIS-REF-OP | 51,242 |
| Managed Care Contract Utilization | ||
| Purchased Inpatient Days | DAYS-PIPS | 0 |
| Surgery and Selected Ancillary Information | ||
| Operating Rooms | OP-ROOM | 10 |
| Operating Minutes Inpatient | OP-MIN-IP | 293,263 |
| Operating Minutes Outpatient | OP-MIN-OP | 385,049 |
| Surgeries Inpatient | SURG-IP | 2,989 |
| Surgeries Outpatient | SURG-OP | 6,290 |
| Summary Income Statement | ||
| Gross Patient Revenue Total | GR-PT-REV | $277,924,760 |
| Deductions from Revenue Total | DED-FR-REV | $203,872,828 |
| ded rev + dsh | ded rev + dsh | $203,872,828 |
| Total Capitation Premium Revenue | TOT-CAP-REV | $0 |
| Net Patient Revenue Total | NET-PT-REV | $74,051,932 |
| net rev - dsh | net rev - dsh | $74,051,932 |
| Other Operating Revenue | OTH-OP-REV | $598,635 |
| total op rev | total op rev | $74,650,567 |
| total op rev - dsh | total op rev - dsh | $74,650,567 |
| Total Operating Expenses | TOT-OP-EXP | $70,886,122 |
| Net from Operations | NET-FRM-OP | $3,764,445 |
| net op - dsh | net op - dsh | $3,764,445 |
| Non-Operating Revenue | NONOP-REV | $6,432,878 |
| Non-Operating Expenses | NONOP-EXP | $458,066 |
| Provision for Income Taxes | INC-TAX | $0 |
| Extraordinary Items | EXT-ITEM | $0 |
| Net Income | NET-INCOME | $9,739,257 |
| net inc - dsh | net inc - dsh | $9,739,257 |
| PATIENT REVENUE INFORMATION | ||
| Gross Inpatient Revenue by Payor | ||
| Gross Inpatient Revenue Medicare - Traditional | GR-IP-MCAR-TR | $80,395,836 |
| Gross Inpatient Revenue Medicare - Managed | GR-IP-MCAR-MC | $36,712,356 |
| Gross Inpatient Revenue Medi-Cal - Traditional | GR-IP-MCAL-TR | $9,222,369 |
| Gross Inpatient Revenue Medi-Cal - Managed | GR-IP-MCAL-MC | $1,199,206 |
| Gross Inpatient Revenue County Indigent Programs - Traditional & Managed | GR-IP-CNTY | $0 |
| Gross Inpatient Revenue Other Third Parties - Traditional | GR-IP-THRD-TR | $1,034,450 |
| Gross Inpatient Revenue Other Third Parties - Managed | GR-IP-THRD-MC | $67,213,353 |
| Gross Inpatient Revenue Other Indigent | GR-IP-OTH-IND | $0 |
| Gross Inpatient Revenue Other Payors | GR-IP-OTH | $2,565,188 |
| Gross Inpatient Revenue Total | GR-IP-TOT | $198,342,758 |
| Gross Inpatient Revenue by Payor | ||
| Gross Outpatient Revenue Medicare - Traditional | GR-OP-MCAR-TR | $20,936,460 |
| Gross Outpatient Revenue Medicare - Managed | GR-OP-MCAR-MC | $9,860,737 |
| Gross Outpatient Revenue Medi-Cal - Traditional | GR-OP-MCAL-TR | $3,730,489 |
| Gross Outpatient Revenue Medi-Cal - Managed | GR-OP-MCAL-MC | $704,363 |
| Gross Outpatient Revenue County Indigent Programs - Traditional & Managed | GR-OP-CNTY | $0 |
| Gross Outpatient Revenue Other Third Parties - Traditional | GR-OP-THRD-TR | $821,969 |
| Gross Outpatient Revenue Other Third Parties- Managed | GR-OP-THRD-MC | $41,741,938 |
| Gross Outpatient Revenue Other Indigent | GR-OP-OTH-IND | $0 |
| Gross Outpatient Revenue Other Payors | GR-OP-OTH | $1,786,046 |
| Gross Outpatient Revenue Total | GR-OP-TOT | $79,582,002 |
| Deductions from Revenue | ||
| Contractual Adjustments Medicare - Traditional | C-ADJ-MCAR-TR | $76,422,337 |
| Contractual Adjustments Medicare - Managed | C-ADJ-MCAR-MC | $33,826,639 |
| Contractual Adjustments Medi-Cal - Traditional | C-ADJ-MCAL-TR | $11,911,309 |
| Contractual Adjustments Medi-Cal - Managed | C-ADJ-MCAL-MC | $1,751,114 |
| Disproportionate Share Payments for Medi-Cal (SB 855) (negative amount) | DISP-855 | $0 |
| Contractual Adjustments County Indigent Programs - Traditional & Managed | C-ADJ-CNTY | $0 |
| Contractual Adjustments Other Third Parties - Traditional | C-ADJ-THRD-TR | $1,353,509 |
| Contractual Adjustments Other Third Parties - Managed | C-ADJ-THRD-MC | $74,220,431 |
| Provision for Bad Debts | BAD-DEBT | $2,853,405 |
| Charity-Hill-Burton | CHAR-HB | $0 |
| Charity-Other | CHAR-OTH | $634,923 |
| Restricted Donations and Subsidies for Indigent Care (negative amount) | SUB-INDGNT | $0 |
| All Other Deductions from Revenue | DED-OTH | $899,161 |
| Capitation Premium Revenue | ||
| Capitation Premium Revenue Medicare | CAP-REV-MCAR | $0 |
| Capitation Premium Revenue Medi-Cal | CAP-REV-MCAL | $0 |
| Capitation Premium Revenue County Indigent Programs | CAP-REV-CNTY | $0 |
| Capitation Premium Revenue Other Third Parties | CAP-REV-THRD | $0 |
| Net Patient Revenue by Payor | ||
| Net Patient Revenue Medicare - Traditional | NETRV-MCAR-TR | $24,909,959 |
| Net Patient Revenue Medicare - Managed | NETRV-MCAR-MC | $12,746,454 |
| Net Patient Revenue Medi-Cal - Traditional | NETRV-MCAL-TR | $1,041,549 |
| Net Patient Revenue Medi-Cal - Managed | NETRV-MCAL-MC | $152,455 |
| netmcalt-dsh | netmcalt-dsh | $1,041,549 |
| netmcalmc-dsh | netmcalmc-dsh | $152,455 |
| Net Patient Revenue County Indigent Programs - Traditional & Managed | NETRV-CNTY | $0 |
| Net Patient Revenue Other Third Parties - Traditional | NETRV-THRD-TR | $456,913 |
| Net Patient Revenue Other Third Parties - Managed | NETRV-THRD-MC | $32,035,262 |
| Net Patient Revenue Other Indigent | NETRV-OTH-IND | $0 |
| Net Patient Revenue Other Payors | NETRV-OTH Net | $2,709,340 |
| Selected Financial Items | ||
| Dispro Share Funds Transferred to Related Public Entity | DISP-TRNFR | $0 |
| Intercompany Transfers | INTER-TFR | ($541,000) |
| Unrestricted Contributions | CONTRIBTNS | $782,959 |
| Incomes | INC-INVEST | $321,757 |
| District Assessment Revenue | DIST-REV | $0 |
| County Appropriations | CNTY-APPRO | $0 |
| EXPENSE INFORMATION | ||
| Direct Expenses by Cost Center Group | ||
| Expenses Daily Hospital Services | EXP-DLY | $12,779,377 |
| Expenses Ambulatory Services | EXP-AMB | $4,713,098 |
| Expenses Ancillary Services | EXP-ANC | $23,505,518 |
| Expenses Purchased Inpatient Services | EXP-PIP | $0 |
| Expenses Purchased Outpatient Services | EXP-POP | $0 |
| Research | EXP-RES | $0 |
| Education | EXP-ED | $0 |
| General Services | EXP-GEN | $10,455,690 |
| Fiscal Services | EXP-FISC | $3,150,697 |
| Administrative Services | EXP-ADM | $11,707,591 |
| Unassigned Costs | EXP-UNASSG | $4,574,151 |
| Expenses by Natural Classification | ||
| Salaries and Wages | EXP-SAL | $23,707,904 |
| Employee Benefits | EXP-BEN | $9,724,711 |
| Physician Professional Fees | EXP-PHYS | $946,136 |
| Other Professional Fees | EXP-OTHPRO | $6,194,078 |
| Supplies | EXP-SUPP | $11,198,794 |
| Purchased Services | EXP-PURCH | $9,718,912 |
| Depreciation | EXP-DEPRE | $3,163,195 |
| Leases and Rentals | EXP-LEASES | $465,503 |
| Insurance - Hospital and Professional Malpractice | EXP-INSUR | $430,536 |
| Interest - Working Capital and Other | EXP-INTRST | $2,256,981 |
| All Other Expenses | EXP-OTH | $3,079,372 |
| Balance Sheet Information | ||
| Assets | ||
| Current Assets | CUR-ASST | $73,056,933 |
| Assets Whose Use Is Limited | ASST-LIMTD | $36,990,823 |
| Net Property | NET-PPE | $40,229,315 |
| Construction-in-Progress | CONST-PROG | $4,644,158 |
| Investments and Other Assets | INV-OTH | $2,150,805 |
| Intangible Assets | INTAN-ASST | $0 |
| Total Assets | TOT-ASST | $157,072,034 |
| Liabilities and Equity | ||
| Current Liabilities | CUR-LIAB | $42,732,297 |
| Deferred Credits | DEF-CRED | $0 |
| Net Long-term Debt | NET-LTDEBT | $59,849,715 |
| Equity | EQUITY | $54,490,022 |
| Total Liabilities and Equity | LIAB_EQ | $157,072,034 |
| Other Balance Sheet Items | ||
| Cash | CASH | $23,916,181 |
| Buildings and Improvements | BLDGS | $50,114,103 |
| Equipment | EQUIPMENT | $58,617,889 |
| Total Property | TOT-PPE | $177,926,144 |
| Accumulated Depreciation | ACC-DEPRE | $137,696,829 |
| Mortgages Payable | MORT-PAY | $0 |
| Bonds Payable | BOND-PAY | $59,859,845 |
| Intercompany Receivables(Current and Non-Current) | INTER-REC | $21,905,650 |
| Intercompany Payables(Current and Non-Current) | INTER-PAY | $0 |
| LABOR AND PRODUCTIVITY INFORMATION | ||
| Hospital Personnel Information | ||
| Total Productive Hours | PROD-HRS | 890 |
| Total Paid Hours | PAID-HRS | 901,866 |
| Productive Hours by Employee Classification | ||
| HOSP-FTE | HOSP-FTE | 1,001,039 |
| STDNT-FTE | STDNT-FTE | 0 |
| Management and Supervision | PRD-HR-MGT | 69,506 |
| Technical and Specialist | PRD-HR-TCH | 200,169 |
| Registered Nurses | PRD-HR-RN | 213,206 |
| Licensed Vocational Nurses | PRD-HR-LVN | 34,843 |
| Aides and Orderlies | PRD-HR-AID | 50,497 |
| Clerical and Other Administrative | PRD-HR-CLR | 122,745 |
| Environmental and Food Services | PRD-HR-ENV | 86,847 |
| All Other Salaries and Wages | PRD-HR-OTH | 41,320 |
| Contracted Labor Hours by Classification | ||
| Registry Nurses | CNT-HR-RN | 58,519 |
| Other Contracted Services | CNT-HR-OTH | 24,214 |
| Total Productive Hours by Cost Center Group | ||
| Total Productive Hours by Cost Center Group | ||
| Daily Hospital Services | PRD-HR-DLY | 238,733 |
| Ambulatory Services | PRD-HR-AMB | 77,168 |
| Ancillary Services | PRD-HR-ANC | 256,255 |
| Education and Research | PRD-HR-ED | 0 |
| General Services | PRD-HR-GEN | 165,662 |
| Fiscal Services | PRD-HR-FIS | 27,564 |
| Administrative Services (including Employee Benefits) | PRD-HR-ADM | 136,484 |
| short mcare tr | short mcare tr | (717,094) |
| short mcare mc | short mcare mc | 968,066 |
| short mcal tr | short mcal tr | (2,234,243) |
| short mcal mc | short mcal mc | (328,960) |
| short cip | short cip | 0 |
| short 3rd tr | short 3rd tr | (12,577) |
| short 3rd mc | short 3rd mc | 4,480,345 |
| short other ind | short other ind | 0 |
| short other | short other | 1,608,908 |