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SLRH MITIGATION PLAN

March 23, 2015

ITEM

NET REVENUE INCREASE

Managed Care Payers (1)


Impact of conversion of Obs to Inpatient
Impact of SCFHP/VHP Termination
Provider Fee Incremental Impact
Service Line Closures

PROJECTED
FINANCIAL IMPACT
$
$
$
$

500
(500)
3,350

Closure of Peds & NICU - OCH

Closure of OP PT services

Closure of OB -SLRH

(4,555)

Closure of Peds - SLRH

(568)

Impact of change in Transfer Policy

350

Total: Net Revenue Enhancements

(1,423)

$
$
$
$
$
$

2,800
473
2,064
-

$
$
$
$
$

5,100
340
10,777

$
$

1,000

$
$
$
$

135
65

OPERATING EXPENSE REDUCTIONS


Labor Costs
Reduction In Force (3)
Productivity Improvement
Medicare GMLOS Improvement
Impact of SCFHP/VHP Termination
Other LOS Reduction Initiatives
Premium Pay Reductions
Service Line/Program Closures:
Closure of Peds & NICU (Net)
Closure of OP PT services (Net)
Closure of OB -SLRH
Closure of Peds - SLRH
Sub-Total- Labor
Non-Labor Costs
General Supply Savings
Impact of SCFHP/VHP Termination-Supplies
Service Line/Program Closures
Closure of Peds & NICU - OCH Supplies
Closure of OP PT services -OCH Supplies
Closure of OB -SLRH Supplies
Closure of Peds - SLRH Supplies

Total Supplies Impact


Impact of SCFHP/VHP Termination-Other Exp
Service Line/Program Closures
Closure of Peds & NICU - OCH Other Exp
Closure of OP PT services -OCH Other Exp
Closure of OB -SLRH Other Exp
Closure of Peds - SLRH Other Exp
Total Other Exp Impact
Professional Fees
Medical Directorships/Stipends
Purchased Services
All Other Items
Sub-Total- Non-Labor Costs

$
$

1,200
-

$
$
$
$
$
$
$
$
$
$

400
298
698
258
2,156

Total: Operating Expenses

12,933

Annualized EBIDA Improvement

11,510

Notes:
(1) Projected Net Revenue Improvement based on Managed Care negotiations
(2) Reduction in Net Revenue due to Service Line/Program Closure, if any.
(3) Savings excluding severance related costs. Detail listing to be provided for review.

Mitigation Plan
Facility:
Prepared Date:

St. Louise
3/23/2015

$(000)s
Net Revenue Enhancements:
Managed Care Payers (1)
Impact of conversion of Obs to Inpatient
Impact of SCFHP/VHP Termination
Provider Fee Incremental Impact
Service Line Closures
Impact of change in Transfer Policy
Total: Net Revenue Enhancements

$
$
$
$
$
$
$

500
(500)
3,350
(5,123)
350
(1,423)

Operating Expenses:
Labor Costs
Reduction In Force (3)
Productivity Improvement
Medicare GMLOS Improvement
Impact of SCFHP/VHP Termination
Other LOS Reduction Initiatives
Premium Pay Reductions
Service Line/Program Closures:
Sub-Total- Labor

$
$
$
$
$
$
$
$

2,800
473
2,064
5,440
10,777

Non-Labor Costs
General Supply Savings
Impact of SCFHP/VHP Termination-Supplies
Service Line/Program Closures
Professional Fees
Medical Directorships/Stipends
Purchased Services
All Other Items
Sub-Total- Non-Labor Costs

$
$
$
$
$
$
$
$

1,000
898
258
2,156

Total: Operating Expenses

12,933

Annualized EBIDA Improvement


$
11,510
Notes:
(1) Projected Net Revenue Improvement based on Managed Care negotiations
(2) Reduction in Net Revenue due to Service Line/Program Closure, if any.
(3) Savings excluding severance related costs. Detail listing to be provided for review.

SLRH