Table. Characteristics of 340B Participating Hospitals in 2013 and 2016 Compared With Nonparticipating Hospitals in 2013a.
Characteristic | 340B Participating Hospitals | Nonparticipating Hospitals | ||||
---|---|---|---|---|---|---|
2013 (n = 614) | 2016 (n = 748) | 2013 (n = 886) | ||||
Mean | Median (IQR) | Mean | Median (IQR) | Mean | Median (IQR) | |
Medicare outpatient drug administrations, No. | 2497 | 973 (303 to 3144) | 2799 | 883 (220 to 3084) | 1452 | 597 (208 to 1588) |
Medicare outpatient oncology drug administrations, No.b | 849 | 180 (17 to 1034) | 996 | 242 (18 to 1251) | 428 | 33 (0 to 275) |
General acute care beds, No.c | 279 | 236 (138 to 375) | 312 | 216 (122 to 351) | 183 | 146 (80 to 236) |
Net operating revenue, millions, $d | 446 | 326 (144 to 580) | 483 | 334 (150 to 637) | 269 | 197 (105 to 326) |
Operating margin, %e | −9 | −3 (−11 to 3) | −7 | −2 (−11 to 5) | −2 | 0 (−6 to 6) |
Uncompensated care costs, millions, $f | 29 | 14 (6 to 31) | 24 | 10 (4 to 24) | 9 | 7 (3 to 12) |
DSH, millions, $g | ||||||
Medicaid | 9 | 0 (0 to 4) | 8 | 5 (1 to 11) | 1 | 0 (0 to 0) |
Medicare | 10 | 8 (3 to 13) | 7 | 5 (2 to 11) | 2 | 1 (0 to 3) |
Abbreviations: DSH, disproportionate share hospital; IQR, interquartile range.
Calculations based on data constructed and described in eTable 1 in the Supplement.
Outpatient drug administrations are the total number of drug administrations across all J-codes, and outpatient oncology drug administrations are drug administrations for oncology J-codes as identified by a previously published report.21
Beds are the number of general and pediatric inpatient beds.
Net operating revenue is revenue from patient operations net of contractual allowances, which are negotiated discounts from insurers.
The operating margin is net operating revenue, less expenses, divided by net operating revenue, and it represents the share of net operating revenue that can be retained as profits.
Uncompensated care is defined as the cost of bad debt and charity care. The definition of uncompensated care changed for hospital cost report periods beginning after October 2016. Therefore, some fraction of these data may reflect the new definition.17
Medicare DSH payments are the sum of empirically justified DSH and uncompensated care DSH payments.22 Medicaid DSH payments come from Medicaid DSH audit reports and were not available for 2016; 2013 data were used to estimate 2016 Medicaid DSH payments.