Total indigent care geographic distribution
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Indigent Care Cost in Dollars. Projected FY99 MCVH and MCVP. Total Indigent Care Geographic Distribution. MCVH and MCVP Total Costs Indigent Care Projected FY99 Entire Commonwealth by County. $48,300,000. 2,000,001. to. 10,000,000. 700,001. to. 2,000,000. 151,001. to. 700,000.

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Total Indigent Care Geographic Distribution

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Total indigent care geographic distribution

Indigent Care Cost in Dollars

Projected FY99 MCVH and MCVP

Total Indigent CareGeographic Distribution

MCVH and MCVP Total Costs

Indigent Care Projected FY99

Entire Commonwealth by County

$48,300,000

2,000,001

to

10,000,000

700,001

to

2,000,000

151,001

to

700,000

10,001

to

150,000

1

to

10,000

0

MCV Hospitals & Physicians Indigent Care Information 9/28/99 Page 1


Total indigent care geographic distribution

Indigent Care Burden - FY99Medical College of Virginia HospitalsandVirginia Commonwealth University School of Medicine

  • Providing Indigent Care at Significant Loss (No Reimbursement Increase in Four Years)

  • Previous Ability to Cost Shift Is Exhausted, Insurers Under Managed Care Refuse to Subsidize

  • $93 Million in Cost of Which Over 1/4 Not Reimbursed

Total

Reimbursement

$

69.4

Million

Costs

93.5

Loss

$

(24.1)

Million

  • High Quality/Cost Efficient Operations:

- Lowest cost quartile of peer organizations

- Top 100 Hospitals in prior year reporting

  • Without Additional Funding There Will Be No Option But to Limit Indigent Services

  • Largest Provider of Indigent/Self Pay in State

  • MCV Campus Major Focal Point of Health Related Education & Research

MCVH Payer Mix

Indigent Care Services

Cost

Medicare

25%

Richmond

$

48.3

Million

Over 700,000

Medicaid

16%

Henrico

7.2

Indigent

18%

Caroline $.9

Brunswick $1.2

Chesterfield

5.7

King William $.9

Westmoreland $1.1

Self Pay

10%

Hanover

2.5

Amelia $.8

New Kent $1.0

Managed Care/Insured

31%

Lunenburg $.8

Petersburg

3.9

Mecklenberg $1.0

Spotsylvania $.8

Other > $700,000

10.5

Hopewell $1.0

Newport News $1.0

Other < $700,000

15.4

Total Cost

$

93.5

Million

MCV Hospitals & Physicians Indigent Care Information 9/28/99 Page 2


Total indigent care geographic distribution

Remaining Virginia CountiesIndigent Burden - FY99Note: Less than $700,000. Figures given in millions, therefore some counties with less than $10,000 show $0.00.

MCV Hospitals & Physicians Indigent Care Information 9/28/99 Page 3


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