Boston, MA

MASSACHUSETTS GENERAL HOSPITAL Academic Medical Center

2017 Hospital Profile Metro Boston

Massachusetts General Hospital (MGH) is a non-profit academic medical center (AMC) located in the Metro Boston region. MGH is the largest hospital in
Massachusetts, with 1,059 staffed beds; it is also the oldest hospital in Massachusetts. It provides medical teaching programs to Harvard Medical School
and is a member of Partners HealthCare. MGH is one of nine organ transplant centers in Massachusetts. It earned a profit each year from FY13 to FY17,
with a 5.7% total margin in FY17, higher than the 2.0% median total margin of its peer cohort.

Overview / Size Payer Mix

Hospital System Affiliation: Partners HealthCare System Public Payer Mix: 57.4% (Non-HPP* Hospital)
Change in Ownership (FY13-17): Not Applicable CY16 Commercial Statewide Relative Price: 1.38
Total Staffed Beds: 1,059, largest acute hospital Top 3 Commercial Payers: Blue Cross Blue Shield of Massachusetts
% Occupancy: 82.3%, < cohort avg. (86%) Harvard Pilgrim Health Care
Special Public Funding: Not Applicable Tufts Associated HMO, Inc.
Trauma Center Designation: Adult: Level 1, Pedi: Level 1
Utilization
At a Glance

Case Mix Index: 1.66, > cohort avg. (1.50); > statewide (1.12)
Inpatient Discharges in FY17: 53,478
Change FY16-FY17: -0.2%
Financial Emergency Department Visits in FY17: 106,617
Inpatient NPSR per CMAD: $14,904 Change FY16-FY17: -1.9%
Change FY16-FY17: -7.2% Outpatient Visits in FY17: 902,415
Inpatient:Outpatient Revenue in FY17: 48%:52% Change FY16-FY17: -0.5%
Outpatient Revenue in FY17: $1,460,633,557
Quality
Change FY16-FY17: 18.9%
Readmission Rate in FY16: 15.1%
Total Revenue in FY17: $3,942,643,000
Change FY12-FY16 (percentage points): 0.4
Total Surplus (Loss) in FY17: $223,502,000
Early Elective Deliveries Rate: Not Available

What were the most common inpatient cases (DRGs) treated at the Where did most of the hospital's inpatients reside? What proportion of
hospital in FY17? What proportion of the region’s cases did this each community's total discharges was attributed to this hospital?
hospital treat for each service?
Discharges by DRG Discharges by Community
Normal Neonate Birth (3167) 13% of regional discharges were Boston MA (4,773) 25% of community discharges
Vaginal Delivery (2561) 14% treated at this hospital in FY17 Revere MA (2,292) 35% were treated at this
Services

Heart Failure (1089) 15% Chelsea MA (1,883) 40% hospital in FY17

Cesarean Delivery (1047) 12% Lynn MA (1,507) 12%
Knee Joint Replacement (891) 11% Cambridge MA (1,301) 19%
Craniotomy; exc Trauma (885) 31% Everett MA (1,212) 25%
Septicemia Infections (870) 11% Charlestown MA (1,061) 56%
Chemotherapy (853) 31% Malden MA (1,029) 16%
Hip Joint Replacement (800) 11% Medford MA (1,010) 17%
Maj Sml & Lrg Bowel Procs (758) 23% Somerville MA (979) 18%
0% 20% 40% 60% 80% 100% 0% 20% 40% 60% 80% 100%
- - - Hospital (53,478) = 18% of total regional discharges

What proportion of adult patient discharges from this hospital resulted How many central line-associated blood stream infections (CLABSI),
in a readmission at any hospital within 30 days, and how does this catheter-associated urinary tract infections (CAUTI), and surgical site
compare to the state average? infections (SSI) after colon surgery did patients get at this hospital
25% compared to what was expected based on the hospital's characteristics
and case mix?
20% CLABSI CAUTI SSI: Colon Surgery
5
Quality

15.4% 15.4%
15% 15.1% 4
14.7% State Average
3
10%
2
Lower is Better
5%
1
Lower is Better
0% 0
2012 2016

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

A4
 Key:
2017 HOSPITAL PROFILE: MASSACHUSETTS GENERAL HOSPITAL
Hospital
Cohort: Academic Medical Center Peer Cohort

How has the volume of the hospital's inpatient discharges changed How has the volume of the hospital's outpatient visits changed
compared to FY13, and how does this compare to the hospital's peer compared to FY13, and how does this compare to the hospital's peer
cohort median? (FY13=100) cohort median? (FY13=100)

FY17 Inpatient Discharges = 53,478 150 FY17 Outpatient Visits = 902,415

150
Utilization

+4.7%
+2.5%
100 100
-1.1%
-6.5%

50 50
2013 2014 2015 2016 2017 2013 2014 2015 2016 2017

What was the hospital's net inpatient service revenue per case mix How has the hospital's total outpatient revenue changed compared to
adjusted discharge between FY13 and FY17, and how does this FY13, and how does this compare to the hospital's peer cohort
compare to the hospital's peer cohort median? median? (FY13=100)
$24,000
Patient Revenue Trends

150 FY17 Outpatient Revenue = $1,461 M

$20,000 +35.1%

$16,000 Hospital +28.3%

Cohort Median 100

$12,000

$8,000

$4,000 50
2013 2014 2015 2016 2017 2013 2014 2015 2016 2017

How have the hospital's total revenue and costs changed between What were the hospital's total margin and operating margins between
FY13 and FY17? FY13 and FY17, and how do these compare to the hospital's peer
cohort medians?
Revenue, Cost, & Profit/Loss (in millions)
Financial Performance

12%
FY 2013 2014 2015 2016 2017 4.5% 5.5%
Operating

2.2% 1.8%
Operating Revenue $ 3,271 $ 3,326 $ 3,488 $ 3,672 $ 3,936 0%

Non-Operating
$ 1 $ 13 $ (10) $ (0) $ 7 -12%
Revenue
12%
Total Revenue $ 3,272 $ 3,339 $ 3,477 $ 3,672 $ 3,943 4.6% 5.7%
4.6% 2.0%
Total

0%
Total Costs $ 3,123 $ 3,139 $ 3,276 $ 3,529 $ 3,719

-12%
Total Profit (Loss) $ 149.2 $ 200.1 $ 201.1 $ 142.8 $ 223.5 2013 2014 2015 2016 2017

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.