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. 2021 Jan 7;59(3):213–219. doi: 10.1097/MLR.0000000000001496

TABLE 3.

Estimated 90-Day Financial Impact for an Average US Hospital Accommodating COVID-19 Cases Under a Scenario Where Demand Surge Falls Short of Capacity, by Rate of Available Capacity Filled, Elective Admissions, and Medical Worker Absenteeism

Percent of Available Capacity Filled Percent of Available Capacity Filled
Absenteeism 10 20 30 40 50 10 20 30 40 50
Rate (%) Hospital rate of elective admission=15% Hospital rate of elective admission=20%
0 −$1,531,852 −$1,084,594 −$637,336 −$190,078 $257,180 −$2,127,662 −$1,616,510 −$1,105,358 −$594,205 −$83,053
10 −$1,576,578 −$1,174,046 −$771,514 −$368,981 $33,551 −$2,178,777 −$1,718,740 −$1,258,703 −$798,666 −$338,629
20 −$1,621,304 −$1,263,497 −$905,691 −$547,885 −$190,078 −$2,229,892 −$1,820,970 −$1,412,049 −$1,003,127 −$594,205
30 −$1,666,030 −$1,352,949 −$1,039,868 −$726,788 −$413,707 −$2,281,007 −$1,923,201 −$1,565,394 −$1,207,588 −$849,781
40 −$1,710,755 −$1,442,401 −$1,174,046 −$905,691 −$637,336 −$2,332,122 −$2,025,431 −$1,718,740 −$1,412,049 −$1,105,358
Rate (%) Hospital rate of elective admission=25% Hospital rate of elective admission=30%
0 −$2,723,471 −$2,148,425 −$1,573,379 −$998,333 −$423,287 −$3,319,280 −$2,680,340 −$2,041,400 −$1,402,460 −$763,520
10 −$2,780,976 −$2,263,434 −$1,745,893 −$1,228,351 −$710,810 −$3,383,174 −$2,808,128 −$2,233,082 −$1,658,036 −$1,082,990
20 −$2,838,480 −$2,378,443 −$1,918,407 −$1,458,370 −$998,333 −$3,447,068 −$2,935,916 −$2,424,764 −$1,913,612 −$1,402,460
30 −$2,895,985 −$2,493,453 −$2,090,920 −$1,688,388 −$1,285,856 −$3,510,962 −$3,063,704 −$2,616,446 −$2,169,188 −$1,721,930
40 −$2,953,489 −$2,608,462 −$2,263,434 −$1,918,407 −$1,573,379 −$3,574,856 −$3,191,492 −$2,808,128 −$2,424,764 −$2,041,400

Analysis based on a hospital admission rate of 207/100,000 among those age 20–60 and 379/100,000 among those age 60+, normally unoccupied bed capacity fixed at 20%. Available capacity is defined as unoccupied beds+typical elective beds+10% created additional capacity.

Source: Author’s results from simulation analysis.