LAHEY HOSPITAL & MEDICAL CENTER

Burlington & Peabody, MA

LAHEY HOSPITAL & MEDICAL CENTER

Teaching Hospital

Northeastern Massachusetts

2017 Hospital Profile

At a Glance

Lahey Hospital & Medical Center is a non-profit teaching hospital located in the Northeastern Massachusetts region. It is among the larger acute hospitals

in Massachusetts and one of nine transplant centers in Massachusetts. Lahey Hospital & Medical Center saw an increase of 12.6% in inpatient discharges

from FY13 to FY17. In the same period, outpatient visits decreased by 15.7%, compared to the cohort median decrease of 2.2%. Lahey Hospital &

Medical Center has been profitable each year from FY13 to FY17. In each of the five years, the total margin of the hospital has been at or near the median

of its peer cohort hospitals.

Overview / Size

Payer Mix

Hospital System Affiliation:

Lahey Health System

Change in Ownership (FY13-17):

Not Applicable

Total Staffed Beds:

345, among the larger acute hospitals

% Occupancy:

89.0%, > cohort avg. (81%)

Special Public Funding:

CHART^, ICB¡ã

Trauma Center Designation:

Adult: Level 2

Case Mix Index:

1.52, > cohort avg. (1.11); > statewide (1.12)

Public Payer Mix:

60.1% (Non-HPP* Hospital)

CY16 Commercial Statewide Relative Price:

1.04

Top 3 Commercial Payers: Blue Cross Blue Shield of Massachusetts

Harvard Pilgrim Health Care

Tufts Associated HMO, Inc.

Financial

Inpatient NPSR per CMAD:

Change FY16-FY17:

Inpatient:Outpatient Revenue in FY17:

Outpatient Revenue in FY17:

Change FY16-FY17:

Total Revenue in FY17:

Total Surplus (Loss) in FY17:

$12,031

0.3%

33%:67%

$475,286,784

2.7%

$943,042,542

$18,846,421

Services

What were the most common inpatient cases (DRGs) treated at the

hospital in FY17? What proportion of the region¡¯s cases did this

hospital treat for each service?

Discharges by DRG

Septicemia Infections (1452)

Heart Failure (864)

Hip Joint Replacement (540)

Knee Joint Replacement (533)

Cardiac Arrhythmia (532)

Maj Sml & Lrg Bowel Procs (487)

Per Cardio procs w/o AMI (474)

CVA Occlusion w/ Infarct (454)

Renal Failure (449)

Other Pneumonia (420)

Utilization

Inpatient Discharges in FY17:

Change FY16-FY17:

Emergency Department Visits in FY17:

Change FY16-FY17:

Outpatient Visits in FY17:

Change FY16-FY17:

Quality

Readmission Rate in FY16:

Change FY12-FY16 (percentage points):

Early Elective Deliveries Rate:

Discharges by Community

Burlington MA (1,487)

Woburn MA (1,369)

Billerica MA (1,364)

Peabody MA (1,168)

Lexington MA (888)

Wilmington MA (684)

Arlington MA (670)

Beverly MA (544)

Tewksbury MA (517)

Bedford MA (505)

36%

67%

26%

19%

12%

0%

20%

40%

60%

80%

15.8%

0.6

Not Available

Where did most of the hospital's inpatients reside? What proportion of

each community's total discharges was attributed to this hospital?

of regional

discharges were

treated at this

hospital in FY17

24%

16%

21%

15%

18%

23,556

-1.0%

63,391

3.2%

779,708

-1.8%

27%

15%

26%

18%

9%

14%

0%

100%

51% of community

discharges

were treated at

39%

this hospital in

FY17

38%

40%

20%

40%

60%

80%

100%

- - - Hospital (23,556) = 17% of total regional discharges

What proportion of adult patient discharges from this hospital resulted

in a readmission at any hospital within 30 days, and how does this

compare to the state average?

25%

How many central line-associated blood stream infections (CLABSI),

catheter-associated urinary tract infections (CAUTI), and surgical site

infections (SSI) after colon surgery did patients get at this hospital

compared to what was expected based on the hospital's characteristics

and case mix?

CLABSI

Quality

20%

15%

15.4%

15.2%

15.8%

15.4%

State Average

CAUTI

SSI: Colon Surgery

5

4

3

10%

2

5%

Lower is Better

1

Lower is Better

0

0%

2012

2016

For descriptions of the metrics, please see the technical appendix.

A9

Key:

2017 HOSPITAL PROFILE: LAHEY HOSPITAL & MEDICAL CENTER

Hospital

Cohort: Teaching Hospital

Peer Cohort

How has the volume of the hospital's inpatient discharges changed

compared to FY13, and how does this compare to the hospital's peer

cohort median? (FY13=100)

FY17 Inpatient Discharges = 23,556

150

Utilization

How has the volume of the hospital's outpatient visits changed

compared to FY13, and how does this compare to the hospital's peer

cohort median? (FY13=100)

150

FY17 Outpatient Visits = 779,708

+12.6%

+2.2%

100

100

-2.2%

-15.7%

50

2013

2014

2015

2016

What was the hospital's net inpatient service revenue per case mix

adjusted discharge between FY13 and FY17, and how does this

compare to the hospital's peer cohort median?

Patient Revenue Trends

50

2013

2017

2015

2016

2017

How has the hospital's total outpatient revenue changed compared to

FY13, and how does this compare to the hospital's peer cohort

median? (FY13=100)

$24,000

150

FY17 Outpatient Revenue = $475 M

$20,000

+13.8%

$16,000

+13.8%

100

Cohort Median

$12,000

Hospital

$8,000

50

2013

$4,000

2015

2016

2017

How have the hospital's total revenue and costs changed between

FY13 and FY17?

Revenue, Cost, & Profit/Loss (in millions)

FY

2013

Operating Revenue $ 794.3

2014

2015

2017

Non-Operating

Revenue

$

Total Revenue

$ 793.9 $ 822.3 $ 837.6 $ 924.4 $ 943.0

Total Costs

$ 733.8 $ 755.2 $ 806.2 $ 872.1 $ 924.2

Total Profit (Loss)

$ 60.1 $ 67.2 $ 31.4 $ 52.4 $ 18.8

1.0 $

0.8 $

2015

2016

2017

12%

2016

$ 821.4 $ 836.9 $ 923.6 $ 949.2

(0.4) $

2014

What were the hospital's total margin and operating margins between

FY13 and FY17, and how do these compare to the hospital's peer

cohort medians?

0.9 $

Operating

2014

(6.2)

0%

-12%

12%

Total

2013

Financial Performance

2014

7.6%

3.6%

2.7%

2.7%

7.6%

7.6%

2.0%

2.0%

0%

-12%

2013

2014

2015

2016

For descriptions of the metrics, please see the technical appendix.

* High Public Payer Hospitals (HPP) receive a minimum of 63% of gross patient service revenue from public payers.

^ For more information on Community Hospital Acceleration, Revitalization and Transformation (CHART) special funding, please contact the Health Policy Commission (HPC).

¡ã For more information on Infrastructure and Capacity Building (ICB) special funding, please contact the Massachusetts Executive Office of Health and Human Services (EOHHS).

2017

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