There was a plan...

Accountability Not!

Plan A

Theory was, the North Broward Hospital District would develop Community Health Centers to reduce the load of visitors to the system's four Emergency Departments. 

So how's that worked?

                                          

          Visits                         2000           2015          

          Emergency 

          Departments           186,397      293,623     58% 

          Community

          Health Centers       201,503      131,434    (35%)

          Loss per visit          ($78)            ($99)   
Plan B           

In this case, the plan was to open a clinic in Weston which would generate additional District "business" by competing with the  recently opened Cleveland Clinic hospital 
and outpatient clinic.

And how's that worked?

                                               2007              2016

         Weston 

         Health Center

         Visits                            33,566          29,259

         FTEs                             42                  37
         Surplus (Loss)
        Per visit                       ($70)              ($17) 

       Cleveland Clinic
       Adjusted Admits        14,770          19,282
       FTEs                              805               1,105          
        Surplus (Loss)        
        Per adj. admission   $737               $4,171
Plan C
    Given that hospitals are like exotic hotels in the life-saving business, the blunt "bottom line" for most hospitals involves generating revenue from buns-in-beds plus various in-patient and out-patient "ad-ons".
     Which is how and why the Hospitals Gods created the Chargemaster.
     But that's another story.
     Anyhow..
     For decades, the North Broward Hospital District has drawn from an endless river of tax dollars to remain in the black.
     That said, the District's revenue stream fow from two sources:
     1. Four hospitals
     2. Additional Services
     So here's how it's works:
                                               1995         2015
Total System
Adjusted admissions        99,655           119,311
Surplus (Loss)
Per adj. admission            $603              $605
In 2015 $                              $959              $605
Employees                           6,804            7,636
Salary per Employee        $67,911         $85,528
In 2015 $                              $107,299      $85,528

Four Hospitals
Adjusted admissions         89,624         107,218
Surplus
Per adj. admission             $867              $878
In 2015 $                               $1,370           $878       
Employees                            5,303             5,995
Salary per Employee        $65,645        $79,209  
In 2015 $                               $103,719      $79,209

Other Services
Adjusted admissions       10,031          12,093
Surplus                                ($1,776)        ($1,809) 
In 2015 $                             ($2,806)       ($1,809)
Per adj. admission      
Employees                           1,501            1,641
Salary per Employee       $75,919        $92,010 
In 2015 $                              $119,951      $92,010

So what's on the 

snack table?