Inpatient Discharges fell 9.2% YTD compared to the first seven months of 2019. Adjusted Discharges and Emergency Department (ED) Visits also fell below pre-pandemic levels, at 3.9% and 13.1% YTD, respectively. Operating Room Minutes were essentially flat compared to 2019.

Revenues and expenses both increased versus pre-pandemic levels. Compared to the first seven months of 2019:


Inpatient Revenue was up 3.7% YTD
Outpatient Revenue rose 10% YTD
Total Expense per Adjusted Discharge increased 14.1% YTD
Labor Expense per Adjusted Discharge rose 12.5% YTD
Non-Labor Expense per Adjusted Discharge jumped 14.6% YTD
Physician groups across the country saw worsening performance across physician investments and expenses in the second quarter compared to pre-pandemic performance in Q4 2019. The median Investment/Subsidy per Physician Full-Time Equivalent (FTE) was $232,583 for the second quarter, up 16.5% from Q4 2019.

The median actual paid Physician Compensation per FTE was $312,799 for the quarter, up just 1% from 2019 levels. Physician productivity—measured as Physician work Relative Value Units (wRVUs) per FTE—rose 11.4% compared to Q4 2019. Net Revenue per Physician FTE (including advanced practice providers or APPs) also increased with higher patient volumes and physician productivity. The metric rose to $631,488 in the second quarter, up 11.6% from Q4 2019. Meanwhile, expenses continued to climb. Total Direct Expense per Physician FTE (including APPs) reached $875,878 for the quarter, up 11.7% versus late 2019.

The National Hospital Flash Report draws on data from more than 900 hospitals, and the Physician Flash Report draws on data from nearly 100,000 providers representing more than 100 specialties. Data from both reports come from Syntellis Performance Solutions.

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