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Table 1 Health Insurance Status, Hospital Revenues, Costs, and Profit Margins

From: Financial impact of reducing door-to-balloon time in ST-elevation myocardial infarction: a single hospital experience

  

Cardiology Activation

Routine Transfer

October 1, 2004–August 31, 2005

(N = 60)

 

ED Activation

Immediate Transfer

September 1, 2005–June 26, 2006

(N = 86)

 
 

N

 

N

 

P Value

Health Insurance

60

 

86

  

   Private

 

28 (46.7)

 

48 (55.8)

0.51

   Medicare

 

21 (35)

 

29 (33.7)

 

   Medicaid

 

3 (5)

 

3 (3.5)

 

   Self Pay

 

8 (13.3)

 

6 (7)

 

Primary Analysis: All Patients, Except Self Pay

52

 

80

  

   Hospital Charges

 

$70,430 ± $74,033

 

$53,514 ± $23,378

0.059

   Hospital Revenue

 

$35,043 ± $36,670

 

$25,329 ± $16,185

0.039

   Total Hospital Costs

 

$28,082 ± $31,453

 

$18,195 ± $9,242

0.009

Direct Costs

 

$20,533 ± $23,405

 

$12,862 ± $6,797

0.007

Cath Lab

 

$6,755 ± $3,727

 

$5,422 ± $2,026

0.009

Inpatient Nursing

 

$5,664 ± $9,302

 

$3,706 ± $2,783

0.079

Surgery

 

$3,269 ± $10,886

 

$401 ± $1,872

0.023

Pharmacy

 

$2,501 ± $2,805

 

$1,842 ± $1,972

0.115

Respiratory

 

$669 ± $1,819

 

$279 ± $965

0.111

Lab

 

$471 ± $783

 

$198 ± $165

0.003

Emergency Room

 

$421 ± $137

 

$514 ± $140

<0.001

Cardiology

 

$235 ± $396

 

$265 ± $160

0.553

Imaging

 

$205 ± $361

 

$92 ± $165

0.015

Supplies

 

$213 ± $337

 

$131 ± $210

0.088

Other

 

$128 ± $320

 

$12 ± $54

0.002

Indirect Costs

 

$7,549 ± $8,069

 

$5,333 ± $2,565

0.024

   Contribution Margin

 

$14,511 ± $19,288

 

$12,467 ± $14,440

0.488

   Net Income

 

$6,962 ± $16,818

 

$7,134 ± $14,451

0.95

   Private Insurance

28

 

48

  

   Hospital Charges

 

$71,248 ± $50,121

 

$52,564 ± $26,917

0.038

   Hospital Revenue

 

$46,500 ± $38,640

 

$33,005 ± $16,839

0.038

   Total Hospital Costs

 

$29,994 ± $30,970

 

$17,462 ± $10,059

0.012

   Direct Costs

 

$21,904 ± $22,709

 

$12,387 ± $7,406

0.009

   Indirect Costs

 

$8,090 ± $8,274

 

$5,075 ± $2,769

0.023

   Contribution Margin

 

$24,596 ± $20,316

 

$20,618 ± $12,668

0.296

   Net Income

 

$16,505 ± $16,403

 

$15,543 ± $11,638

0.766

   Medicare/Medicaid

24

 

32

  

   Hospital Charges

 

$69,475 ± $95,930

 

$54,939 ± $17,053

0.403

   Hospital Revenue

 

$21,677 ± $29,711

 

$13,814 ± $3,095

0.142

   Total Hospital Costs

 

$25,850 ± $32,529

 

$19,294 ± $7,884

0.276

   Direct Costs

 

$18,933 ± $24,583

 

$13,575 ± $5,806

0.238

   Indirect Costs

 

$6,917 ± $7,951

 

$5,719 ± $2,211

0.419

   Contribution Margin

 

$2,745 ± $8,493

 

$239 ± $5,553

0.188

   Net Income

 

$-4,173 ± $8,430

 

$-5,479 ± $7,286

0.537

  1. Contribution Margin = Hospital Revenue-Direct Costs. Net Income = Hospital Revenue-Total Hospital Costs. All values per hospital admission.