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March’s Index

As a tip of the hat to the beautiful Harper’s Index, here is the March Index on cool, interesting, and thought-provoking stats related to healthcare and finance.

Change in hospital discharges per 1,000 in the US since 1999: -10%.

Hospital discharges per 1,000: 111

Reduction in hospital beds per 1,000 since 1999: -17%; as of 2017: 2.5; in 1999: 3.0

The median hospital beds per 1,000 for the 15 states that don’t have certificate of need (CON) laws: 2.2

For CON states: 2.5

Total estimated cost for a normal vaginal delivery at the University of Utah hospital (self-pay with 30% “discount”): $11,260; Medicaid: $5,645; with commercial insurance: $10,045.

2018 Hospital bed occupancy rate for HCA Healthcare Inc: 57%; Tenet: 47%.

The 2018 ratio of revenue to admits for commercial insured patients at HCA hospitals: 1.75.

Needed reduction in HCA’s 2018 total payroll and supplies to maintain current net margins, assuming the commercially insured patients paid the weighted average rate of Medicare and Medicaid: -45%.

Teladoc’s 2018 revenue per telemedicine visit: $158

yoy total revenue growth: 79%.

Advertising, sales and marketing costs per visit (total spend/total visits): $55; tech and development: $21.

Free cash flow loss per visit: $3.36.

Third-party reported savings per telemedicine visit vs. alternative care pathway: $472

Documented reduction in ER use per 1,000: TBD.

Teladoc’s growth in shares outstanding vs. 2016: 27%.

Lyft’s 2016 revenue as a % of bookings: 18%

In 2018: 26.8%; when you add growth in insurance reserves in excess of claims: 32%.

Excess insurance reserves in 2018: $434 million; per ride: ~70 cents.

Since 1950, the average annual return of the S&P 500 price index: 8.9%

The number of years since 1950 that the market has returned between 7 and 11%: 7.

The percentage of US stocks that have generated a life-time return that exceeds the 1-month T-bills: 4%.


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