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January 2001

Manitoba Centre for Health Policy and Evaluation Department of Community Health Sciences Faculty of Medicine, University of

Greg Finlayson, BA, CAE Noralou Roos, PhD Philip Jacobs, D Phil, CMA Diane Watson, PhD, MBA !"#$%&'()*(+($,-

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!0%)*2$*%()%&::*):*-&($17%.)6:&*$%#)+:-(&1+=%-(%,&+%-6:)*(&0(%()%.)0+-2$*%&02%&..)'0(%5)* (#$%+$8$*-(7%)5%-110$++%&02%.)6:1$9-(7%)5%.&+$+%+$*8$2%47%2-55$*$0(%5&.-1-(-$+;%%A7 i,$-3#(-03j%.&+$+%&02%(#$*$47%.)0+-2$*-03%2-55$*$0.$+%-0%(#$%+$8$*-(7%&02%.)6:1$9-(7%)5 -02-8-2'&1+%+$*8$2%47%2-55$*$0(%5&.-1-(-$+=%-05)*6&(-)0%2$*-8$2%5*)6%#)+:-(&1+%k%+'.#%&+ .)+(+%)5%.&*$%k%.&0%4$%+(&02&*2->$2;%%"#-+%:*).$++%&11),+%5)*%8&1-2%.)6:&*-+)0+%4$(,$$0 5&.-1-(-$+=%#)+:-(&1%(7:$+=%&02%*$3-)0+%47%&..)'0(-03%5)*%2-55$*$0.$+%-0%(#$%+$8$*-(7%&02 .)6:1$9-(7%)5%(#$%.&+$+%+$*8$2;

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%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

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<9[ )NYNPOSEFG/"OMSCUCLEYN/3EFCFXECP/2CLEO/0FHEXCLOUK

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KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH X]

,CRPN/<9//"OKL/4NU/&NEGQLNH/"CKN/+NCKJUNK Measure Formula Description Interpretation Provincial Measures ! Average cost per weighted Direct inpatient expenses The average cost per This indicator measures the case for all hospitals + weighted case, excluding average cost per weighed case for (Provincial average) a share of overhead costs medical remuneration and all inpatient cases served in for all hospitals – capital costs for buildings. Manitoba in 1997/98. (physician costs + capital This measure includes a costs) share of services that are Total weighted inpatient provided to all functional cases in the province centres (“overhead” costs), and the inpatient share of diagnostic and therapeutic services. ! Average cost per weighted The Sum of the average The average of the average Unlike the “Average cost per case (Average of hospitals) cost per weighted case for cost per weighted case for weighted case— Provincial each hospital all hospitals. average,” this value is not affected Number of hospitals by the large number of cases and the relatively higher ACPWC of the teaching hospitals. This is the average against which comparisons should be made. ! Direct cost per weighted Direct inpatient The average direct cost per This indicator measures the case (Hospital average) expenses– weighted case in the average cost of direct services (physician costs + capital province. This measure provided to inpatient cases in costs) for each hospital does not include any Manitoba in 1997/98 – excluding Number of hospitals services that are shared physician expenditures. with other functional Therefore, administrative, centres (“overhead”) costs, support, capital and other indirect physician remuneration or costs are excluded. capital costs, but does include nursing administration. The cost of diagnostic and therapeutic services that are provided to inpatients is included. Hospital Specific Measures ! Average cost per weighted Direct inpatient expenses The average cost per Using weighted cases as the case + weighted case, excluding denominator, adjustments are a share of overhead– medical remuneration and made for differing resource (physician costs + capital capital costs for buildings. requirements of different types of

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH X_

costs) This measure includes a cases. This adjustment results in Total weighted cases share of services that are a standardized measure of “output” provided to all functional of hospitals (i.e., a weighted case). centres (“overhead” costs), Variability in the average cost per and the inpatient share of weighted case results from diagnostic and therapeutic differing costs, not different types services. or mixes of cases. ! Average direct cost per Direct inpatient The average direct cost per Using weighted cases as the weighted case expenses– weighted case. This denominator, adjustments are (physician costs + capital measure does not include made for differing resource costs) any services that are requirements of different types of Total weighted cases shared with other cases. This adjustment results in functional centres a standardized measure of “output” (“overhead”) costs, of hospitals (i.e., a weighted case). physician remuneration or Variability in the average cost per capital costs, but does weighted case results from include nursing differing costs, not different types administration. The cost or mixes of cases. of diagnostic and therapeutic services that are provided to inpatients is included.

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH XY ,CRPN/>9//3EFCFXECP/2CLEOK Measure Formula Description Interpretation Other financial ratios ! Worked salaries and wages as a Worked salaries and Worked salaries and wages A higher value indicates that a percent of total salaries and wages wages are the amounts paid to lower proportion of salaries Total salaries and individuals for time that they and wages are paid for non- wages work. Total salaries and working activities. Lower wages include worked values indicate that a larger salaries plus other amounts proportion of salaries and that are paid to individuals wages are paid for non- for non-worked activities working activities. such as for vacations, sick time and educational time. Remuneration paid to physicians are excluded. ! Salaries and benefits as a percent of Total salaries and The proportion of all hospital A higher value indicates more total expenses benefits expenditures related to being paid for staff and less Total expenses compensation and benefits for other items such as for employees, excluding supplies and equipment. remuneration paid to physicians. ! Benefit cost as a percent of total Benefit cost The “benefit” rate, or the A higher value indicates the labour cost Labour cost proportion of all staff costs cost of employee benefits is that are benefit costs. greater. ! Ambulatory care expense as a percent Direct ambulatory care The proportion of all direct A higher value indicates a of direct patient care expenses expenses patient care expenses that greater proportion of Total direct patient are incurred for ambulatory expenditures on ambulatory care expenses care. Diagnostic and care. therapeutic services costs are not included in this measure, and physician remuneration and capital costs are excluded. ! Total emergency worked hours per Emergency department The average amount of staff A higher value indicates that, emergency visit worked hours time per visit to the on average, either the people Emergency visits emergency room. that are seen in the emergency room require more care, or that few people are seen but staff are available to care for

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Measure Formula Description Interpretation emergencies should they arise. ! Patient food services total cost per Patient food services The average cost per day for A higher value indicates a patient day cost patient food services. higher daily cost for patient Inpatient days meals.

Measure Formula Description Proportion of expenses by functional centre 3, 4 ! Administrative and Support Services Administrative and The proportion of all hospital expenses that relate to Support Services administrative and support services functions. Expenses Total Expenses ! Nursing Inpatient Services Nursing Inpatient The proportion of all hospital expenses that relate to nursing Services Expenses inpatient services functions. Total Expenses ! Ambulatory Care Services Ambulatory Care The proportion of all hospital expenses that relate to Services Expenses ambulatory care services functions. Total Expenses ! Diagnostic and Therapeutic Services Diagnostic and The proportion of all hospital expenses that relate to Therapeutic Services diagnostic and therapeutic services functions. Expenses Total Expenses ! Undistributed – Ancillary Undistributed – The proportion of all hospital expenses that relate to Ancillary Expenses undistributed ancillary functions. Total Expenses ! Undistributed – Operating Undistributed – The proportion of all hospital expenses that relate to Operating Expenses undistributed operating functions. Total Expenses

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KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH Measure Formula Description ! Other (Community Health Other (Community The proportion of all hospital expenses that relate to other Centres/Clinics, Research, Education) Health Centre/Clinics, functions. Research, Education) Expenses Total Expenses

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Mean Media Minimu Maximu (Standard n m m Deviation) Costs per weighed case6 ! Average cost per weighted $2,194 N/A N/A N/A case (Provincial average)7 ! Average cost per weighted 1,697 (429) $1,59 $1,045 $2,953 case (Average of hospitals)8 7 ! Teaching hospital average 2,697 (362) N/A 2,441 2,953 cost per weighted case9 ! Urban community hospital 1,872 (388) 1,787 1,453 2,549 average cost per weighted case9 ! Major rural hospital 1,620 (387) 1,473 1,292 2,313 average cost per weighted case9 ! Intermediate rural hospital 1,508 (470) 1,359 1,116 2,732 average cost per weighted case9 ! Small rural hospital 1,581 (291) 1,548 1,045 2,277 average cost per weighted case9 ! Northern isolated hospital 6,329 4,955 2,133 13,272 cost per weighted case9 (4872) ! Small multi-use facility 2,236 (357) 2,355 1,786 2,581 cost per weighted case9 ! Average direct cost per 1,110 (322) 1,009 659 2,535 weighted case %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

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,CRPN/@R9//-JMMCUV/OT/4UOYEFXN\&EHN/"OMSCUEKOFK_3EFCFXECP/UCLEOK Mean Media Minimu Maximu (Standard n m m Deviation) Financial ratios ! Worked salaries and wages as a 84.2% 83.6% 83.4% 85.9% percent of total salaries and wages (1.1%) ! Salaries and benefits as a 80.2% 80.0% 59.0% 95.7% percent of total expenses (6.5%) ! Benefit cost as a percent of 11.1% 11.1% 8.4% 16.3% total labour cost (1.3%) ! Ambulatory care expense as a 13.7% 15.7% 0.0% 33.5% percent of direct patient care (10.2%) expenses ! Emergency department worked 3.3 3.1 1.9 5.2 hours per emergency visit hours (1.1 hours) ! Patient food services cost per $16.65 $14.7 $8.35 $59.51 patient day ($7.49) 0 Proportion of expenses by functional centre ! Administrative Services 12.0% 11.5% 6.4% 23.1% (3.5%) ! Support Services 19.1% 18.6% 8.6% 41.5% (5.5%) ! Nursing Inpatient Services 46.9% 49.2% 27.1% 61.0% (7.9%) ! Ambulatory Care Services 3.7% 0.1% 0.0% 18.3% (5.1%) ! Diagnostic and Therapeutic 6.0% 3.0% 0.0% 20.9% Services (5.5%) ! Undistributed – Operating 12.4% 11.9% 1.5% 32.0% (5.3%) ! Other (Community Health 1.8% 1.4% 0.1% 7.2% Centre/Clinics, Research, (1.4%) Education, Undistributed – Ancillary)

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```J%+#),$2%(#&(%(#$*$%&*$ .)0+-+($0(%2-55$*$0.$+%&.*)++%+)6$%)5%(#$%3*)':+%)5%*'*&1%#)+:-(&1+%-0%($*6+%)5%&.'-(7= .)6:1$9-(7%&02%$8$0%)..':&0.7%*&($;%%!0%.)64-0&(-)0=%(#$%*$+'1(+%5*)6%(#$+$%(,)%+('2-$+ +'33$+(%(#&(%(#$%&.'-(7%&02%.)6:1$9-(7%&2V'+(6$0(+%(#&(%,$*$%'+$2%&+%:&*(%)5%(#-+%:*)V$.( ()%.&1.'1&($%(#$%&2V'+($2%.)+(%:$*%,$-3#($2%.&+$%&..)'0($2%5)*%2-55$*$0.$+%-0%(#$%(7:$+%)5 -02-8-2'&1+%+$$0%-0%(#$+$%5&.-1-(-$+;

N-3'*$%X%+#),+%(#$%.)+(+%:*$+$0($2%-0%&%+1-3#(17%2-55$*$0(%,&7;%%"#$%#)+:-(&1%(7:$%-+%(#$ '0-(%)5%&0&17+-+%,-(#%(#$%LKP

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3EGJUN/:9//!YNUCGN/"OKL/4NU/&NEGQLNH/"CKN/`ab/RV/.OKSELCP/,VSNW/+CFELORC/.OKSELCPK/:??=c?[d

4,000

3,500

3,000

2,500

2,000

1,500

1,000

500

0 S m all M ulti-U se Teaching Urban Community Major Rural Intermediate Rural Small Rural Northern Isolated Facilities Support Services 267 223 280 275 280 658 499 Administration Services 226 194 154 172 173 604 209 Diagnostic & Therapeutic Services 437 270 96 41 67 234 68 Inpatient Services-O ther 22 17 12 -9 15 -1 -10 Inpatient Services-Supplies 306 221 109 163 113 179 124 Inpatient Services-Compensation 1465 942 881 799 835 2217 1294

%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

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I)+:-(&1+%-0%(#$%<-00-:$3%C$3-)0&1%I$&1(#%L'(#)*-(7%G$2%-0:&(-$0(%.&+$%(#&0%)(#$*%&'(#)*-(-$+l%#)+:-(&1+;

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KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH W^ 3EGJUN/

3000

2500

2000

1500

1000

500

0 North South South Brandon Burntwood Central Churchill Interlake Marquette Nor-Man Parkland Eastman Eastman Westman Support Services 241 711 270 608 239 255 231 289 294 158 251 239 Administration Services 215 265 177 536 153 145 165 126 172 126 155 204 Diagnostic & Therapeutic Services 200 108 56 113 89 47 221 59 78 60 97 367 Inpatient Services-Other 7 2 9 1625-155 261910-332 Inpatient Services-Supplies 160 127 103 185 127 147 105 116 149 61 124 275 Inpatient Services-Compensation 1091 1289 880 1274 756 735 1088 706 837 759 977 1189

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I-3#$*%-0:'(%.)+(+%+'.#%&+%3))2+=%1&4)'*%&02%(*&0+:)*(&(-)0b:&*(-.'1&*17%&6)03%0)*(#$*0 &02%-+)1&($2%#)+:-(&1+b.&0%:&*(-&117%$9:1&-0%(#$%6'.#%#-3#$*%.)+(%:$*%,$-3#($2%.&+$%&( (#$+$%#)+:-(&1+;%%e(#$*%-6:)*(&0(%*$3-)0&1%.)02-(-)0+%(#&(%-051'$0.$%.&+$%.)+(+%-0.1'2$%(#$ *$Q'-*$6$0(%)5%51$9-41$%.&:&.-(7%()%6$$(%8&*-&4-1-(7%-0%2$6&02;%%L%*$.$0(17%:'41-+#$2 *$:)*(%)0%*'*&1%&02%0)*(#$*0%#)+:-(&1+%47%(#$%M&0-()4&%K$0(*$%5)*%I$&1(#%P)1-.7%&02 S8&1'&(-)0%GH($,&*(%$(%&1;=%W```J%#&+%+#),0%(#&(%(#$+$%5&.-1-(-$+%:*)8-2$%&%6'.#%#-3#$* :*):)*(-)0%)5%.&*$%()%&*$&%*$+-2$0(+%(#&0%2)%+6&11%*'*&1%&02%6'1(-T'+$%#)+:-(&1+;%%"#$ *$:)*(%&1+)%2).'6$0(+%(#$-*%1),%)..':&0.7%*&($+%&02%(#$%1),%-0($0+-(7%)5%(#$%+$*8-.$+ :*)8-2$2;

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Administrative Services Nursing Inpatient Services 11% 41%

Undistributed - Operating 6%

Other 1%

Diagnostic and Therapeutic Services 16% Ambulatory Care Services 11%

%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

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N-3'*$+%[%&02%]%:*$+$0(%(#$%2-+(*-4'(-)0%)5%$9:$02-('*$%.&($3)*-$+%4$(,$$0%#)+:-(&1%(7:$+ &02%*$3-)0&1%&'(#)*-(-$+;%%L+%2$+.*-4$2%$&*1-$*=%:#7+-.-&0%&02%.&:-(&1%.)+(+%,$*$%0)( -0.1'2$2%-0%(#$%.&1.'1&(-)0%)5%()(&1%$9:$02-('*$+%0)*%(#$*$5)*$%-0%(#$%2$8$1):6$0(%)5%(#$+$ :*):)*(-)0+%2'$%()%2-55$*$0(%*$:)*(-03%6$(#)2+%4$(,$$0%5&.-1-(-$+;

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60%

50%

40%

30%

20%

10%

0%

-10% Nursing Ambulatory Care Diagnostic and Undistributed - Administrative Services Support Services Inpatient Services Other Services Therapeutic Services Operating Brandon 12.5% 14.0% 41.6% 11.1% 13.7% 2.7% 4.4% Burntwood 11.0% 29.9% 29.0% 5.6% 11.9% 0.9% 11.8% Central 12.2% 18.5% 48.1% 4.4% 4.3% 1.6% 10.8% Churchill 20.5% 23.2% 27.4% 9.8% 8.6% 5.9% 4.5% Interlake 10.5% 15.7% 38.1% 8.9% 16.4% 0.6% 9.8% Marquette 9.9% 17.7% 44.2% 0.6% 13.7% 0.3% 13.4% Nor-Man 10.3% 16.0% 35.4% 8.2% 13.6% 3.0% 13.4% North Eastman 10.1% 22.8% 50.6% 3.5% 2.7% 0.7% 9.5% Parkland 10.5% 17.7% 42.1% 5.7% 14.8% 0.0% 9.3% South Eastman 11.1% 13.5% 40.0% 4.5% 16.3% -2.6% 17.2% South W estman 9.2% 14.9% 44.3% -0.5% 14.1% 1.7% 16.2% W innipeg 10.6% 13.0% 40.9% 12.3% 17.6% 1.4% 4.2%

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50%

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3EGJUN/AB//"CPXJPCLEFG/2CLEOK/CFH/!YNUCGN/"OKL/4NU/&NEGQLNH/"CKN

MIS MIS Discharge Financial Statistical Data Data Abstracts

Select Records Select Records Select Records Preliminary Reports to RHAs and Hospitals

Fix Errors & Direct Costs by Fix Errors & Make Adjustments Functional Centre Make Adjustments

Calculate Inpatient Days Total Adjusted Weighted Cases Proportional Distribution of Costs by Functional Centre Patient Meal Days

ER Worked Hours ER Worked Hours/ Allocate Administrative ER Visit & Support Services Costs ER Visits

Distribute Diagnostic & Workload or Therapeutic Services Utilization Costs

Average Full Full Cost of Cost Per Inpatient Care Weighted Case

Average Direct Direct Cost of Cost Per Inpatient Care Weighted Case

Average Inpatient Nursing Nursing Compensation Compensation Cost Per Weighted Case

Salaries and Benefits/ Worked Salaries & Wages/ Benefit Cost/ Ambulatory Care Expense/ Patient Food Services Cost/ Total Expenses Total Salaries & Wages Total Labour Cost Direct Patient Care Expense Inpatient Day

Legend

Intermediate Data Processing Step End Result Raw Data Data Item Result

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Functional centre: Administrative and Support Services, Inpatient Nursing Services, Ambulatory Care Services, Diagnostic and Therapeutic Services, Yes Depreciation - Exclude Community and Social Services, Land Improvements Research, Education, Undistributed, or Undistributed - operating Yes Depreciation - Buildings

Yes Yes Depreciation - Building Service Equipment

Yes Interest on Long-Term Financial Account Exclude Liabilities

Yes

Yes Principal - cute Care Hospital Account Exclude Debentures

Yes

Yes Recovery Yes Principal - Major Revenue Account Exclude (Internal or External) Equipment Loans

Yes

Pre-Retirement Yes Yes Principal - Exclude Leave Mortgages

Other Termination Yes Yes Principal - Exclude Benefits Approved Borrowing

Compensation - Yes Yes Reserve for Exclude Medical Personnel Major Equipment

INCLUDE

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Beds Beds Type of non- Included in Bassinets Attached Number of Goods or services Goods or services Goods or services Staffed and Classified acute beds Acute Care staffed PCH? PCH beds provided to a PCH provided to another received from any in as Non- Beds and in (N=No, hospital or health other source Operation, Acute? Staffed & in operation Y=Yes) care centre March 31, (N=No, Operation? 1998 Y=Yes) Altona 22 N 2 Y 25 Laundry, Community Housekeeping, Food Therapy Services, Services, Payroll Maintenance, Services, Some Pharmacy, Lab, Lab Services Administration Beausejour 30 N Acute care Y N Shared Shared beds are administration, e.g., administration, occupied by financial manager, e.g., financial clients payroll clerk, etc. manager, payroll awaiting clerk, etc. PCH placement (approx 15%-20%) Carman 30 N 2 N Administration and Physiotherapy, purchasing Payroll, Accounts Payable, Respiratory Therapy

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Beds Beds Type of non- Included in Bassinets Attached Number of Goods or services Goods or services Goods or services Staffed and Classified acute beds Acute Care staffed PCH? PCH beds provided to a PCH provided to another received from any in as Non- Beds and in (N=No, hospital or health other source Operation, Acute? Staffed & in operation Y=Yes) care centre March 31, (N=No, Operation? 1998 Y=Yes) Dauphin 89 Y Rehab Y 5 Y 90 Food services, Materiel Lab and beds: 10 maintenance, management Imaging, housekeeping, services, some community personnel and medical & therapy payroll services, surgical supplies administrative were provided to support, business other facilities, office, pharmacy some pharmacy services Emerson 8 N 0 Y 20 Senior Senior Senior administration administration administration shared between shared between shared between Morris Hospital/PCH Morris Morris and Emerson Hospital/PCH Hospital/PCH Hospital/PCH, and Emerson and Emerson Dietary Hospital/PCH Hospital/PCH 75 N 6 Y 30 Maintenance, Community Housekeeping, Therapy Dietary, Services Administrative

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Beds Beds Type of non- Included in Bassinets Attached Number of Goods or services Goods or services Goods or services Staffed and Classified acute beds Acute Care staffed PCH? PCH beds provided to a PCH provided to another received from any in as Non- Beds and in (N=No, hospital or health other source Operation, Acute? Staffed & in operation Y=Yes) care centre March 31, (N=No, Operation? 1998 Y=Yes) Gillam 7 Y Long term N0N beds: 3 Gladstone 15 0 N Maintenance Administrative Laundry services, support for services management Facility provided by services, Management, PCH inservices/infection Finance, Infection control, social work, Control, Payroll physician services, and Purchasing; payroll and Therapy Services purchasing shared with PCH Grandview 18 N 0 N 6 Y Paneled N2N beds: 2 Lundar 13 Y Palliative Y 0 Y 20 Resident food Materials Community care: 1 services and management Therapy housekeeping were Services split 50/50

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Beds Beds Type of non- Included in Bassinets Attached Number of Goods or services Goods or services Goods or services Staffed and Classified acute beds Acute Care staffed PCH? PCH beds provided to a PCH provided to another received from any in as Non- Beds and in (N=No, hospital or health other source Operation, Acute? Staffed & in operation Y=Yes) care centre March 31, (N=No, Operation? 1998 Y=Yes) 19 Y Long term Y 3 N Accounting & care: 3 Payroll Services from RHA MacGregor 6 N 0 Y 20 Maintenance Administrative services, support for management Facility services, Management, inservices/infection Finance, Infection control, social work, Control, Payroll physician services, and Purchasing; payroll and Therapy Services purchasing shared with PCH McCreary 13 N 0 Y 20 Dietary, Payroll and housekeeping, accounting maintenance are services departments where provided by a split by volume of Dauphin service (I.e., Regional Health inpatient Centre days/resident days is done. System does monthly, usually 55/45%.)

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Beds Beds Type of non- Included in Bassinets Attached Number of Goods or services Goods or services Goods or services Staffed and Classified acute beds Acute Care staffed PCH? PCH beds provided to a PCH provided to another received from any in as Non- Beds and in (N=No, hospital or health other source Operation, Acute? Staffed & in operation Y=Yes) care centre March 31, (N=No, Operation? 1998 Y=Yes) Morden 55 Y 22 Awaiting Y6N placement, 8 extended treatment unit Morris 29 Y 1 Palliative, Y 0 N Senior Senior Senior 3 chronic, 5 administration administration administration awaiting shared between shared between shared between placement Morris Morris Morris Hospital/PCH, Hospital/PCH Hospital/PCH Emerson and Emerson and Emerson Hospital/PCH and Hospital/PCH Hospital/PCH Altona Notre Dame 10 N 0 N The Long Term Care We have a We have a Facility in the "shared" in-house "shared" in- community provides pharmacy house pharmacy meals to the hospital service, servicing service, as well as Notre Dame, St. servicing Notre Administration Claude, Manitou Dame, St. Services. We share and Swan Lake. Claude, Manitou Director of Care as and Swan Lake. well as some housekeeping services.

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Beds Beds Type of non- Included in Bassinets Attached Number of Goods or services Goods or services Goods or services Staffed and Classified acute beds Acute Care staffed PCH? PCH beds provided to a PCH provided to another received from any in as Non- Beds and in (N=No, hospital or health other source Operation, Acute? Staffed & in operation Y=Yes) care centre March 31, (N=No, Operation? 1998 Y=Yes) Pembina 8 N 0 Y 18 Dietary and support Support Services Versa (dietary & Manitou services consultation (Notre Dame), housekeeping), to a number of Administrator (1/2 Dietitian (1x12), PCHs time to home Psychiatric Nurse care Carman) (from Notre Dame), Physiotherapy (2/12), Diabetes Education (1x12) 17 N Acute care Y 0 N Administration Administration beds are services shared with services shared occupied by Lac du Bonnet PCH with Lac du clients and Health Centre Bonnet PCH and awaiting Health Centre PCH placement (approx. 20%)

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Beds Beds Type of non- Included in Bassinets Attached Number of Goods or services Goods or services Goods or services Staffed and Classified acute beds Acute Care staffed PCH? PCH beds provided to a PCH provided to another received from any in as Non- Beds and in (N=No, hospital or health other source Operation, Acute? Staffed & in operation Y=Yes) care centre March 31, (N=No, Operation? 1998 Y=Yes) Pine Falls 27 N Acute care Y2Y 20 beds are occupied by clients awaiting PCH placement (approx 15%-20%) Portage 122 Y ETU ? 10 N Stores, Stores, (Rehab): 27 administration, staff administration, development, staff dietary, development, housekeeping, dietary, infection control, housekeeping, pharmacy, some infection control, shared services to 4 pharmacy, some non-attached PCHs. shared services Amount of service to Seven Regions varies from facility to Health Centre facility. and MacGregor Health Centre. Amount of service varies from facility to facility.

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Beds Beds Type of non- Included in Bassinets Attached Number of Goods or services Goods or services Goods or services Staffed and Classified acute beds Acute Care staffed PCH? PCH beds provided to a PCH provided to another received from any in as Non- Beds and in (N=No, hospital or health other source Operation, Acute? Staffed & in operation Y=Yes) care centre March 31, (N=No, Operation? 1998 Y=Yes) Roblin 25 N 0 Y 60 Therapy services (OT, physio, speech), Diagnostic and Imaging Services Rock Lake 16 N 0 N Administration, Diagnostic facility director, services, finance officer, community materials therapy services management services provided by hospital Seven Oaks 274 Y Long Term 0N Care: 79 Snow Lake 2 Y Personal NN care beds (paneled long term): 2 St. Claude 10 N 0 Y 18 Staff is shared. Administrative Shared services, housekeeping, director of laundry, dietary, dietetics administrative services.

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Beds Beds Type of non- Included in Bassinets Attached Number of Goods or services Goods or services Goods or services Staffed and Classified acute beds Acute Care staffed PCH? PCH beds provided to a PCH provided to another received from any in as Non- Beds and in (N=No, hospital or health other source Operation, Acute? Staffed & in operation Y=Yes) care centre March 31, (N=No, Operation? 1998 Y=Yes) Ste. Rose 30 N 1 N Pharmacy services Pharmacy provided to external services provided sources are to external recovered sources are recovered Swan Lake 20 N 7 N 54 N 10 Y 60 Dietary, Community housekeeping, Therapy maintenance, Services administration Thompson 72 N 15 N Whitemouth 6 Y 3 swing Y 0 Y Y YES Shared Shared beds administrative administrative costs costs Winkler- 43 N 5 N Bethel Winnipeg- 136 N Y 60 Concordia Winnipeg- 800 N 85 N Health Sciences Centre Winnipeg- 281 Y Long term Y40N Salvation care unit: Army Grace 36

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Beds Beds Type of non- Included in Bassinets Attached Number of Goods or services Goods or services Goods or services Staffed and Classified acute beds Acute Care staffed PCH? PCH beds provided to a PCH provided to another received from any in as Non- Beds and in (N=No, hospital or health other source Operation, Acute? Staffed & in operation Y=Yes) care centre March 31, (N=No, Operation? 1998 Y=Yes) Winnipeg- 414 Y Personal N 72 N Utilities for the St. Boniface (includes Care: 38, Research Centre 31 psych. Nursery Beds) bassinets: 72, Geriatrics: 80 Winnipeg- 211 N 20 N Audiology & Victoria Central Speech and Hearing funded through Manitoba Health

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KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH Y_

Figure 8: Components of Average Cost Per Weighted Case Teaching Hospitals 1997/98

3000

2500

2000

1500

1000

500

0 Health Sciences Centre St Boniface Support Services 293 230 Administration Services 225 227 Diagnostic & Therapeutic Services 515 327 Inpatient Services-Other 61 12 Inpatient Services-Supplies 294 323 Inpatient Services-Compensation 1,536 1,366

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH YY

Figure 9: Components of Average Cost Per Weighted Case Urban Community Hospitals 1997/98

3000

2500

2000

1500

1000

500

0 Brandon Concordia Salvation Army Grace Seven Oaks Victoria Support Services 241 162 182 173 254 Administration Services 215 198 155 172 208 Diagnostic & Therapeutic Services 197 150 227 378 293 Inpatient Services-Other 7 7 44 4 21 Inpatient Services-Supplies 160 152 184 175 240 Inpatient Services-Compensation 1,091 783 868 739 995

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH Y\

Figure 10: Components of Average Cost Per Weighted Case Major Rural Hospitals 1997/98

3000

2500

2000

1500

1000

500

0

-500 Bethel Bethesda Dauphin Flin Flon Morden Portage Selkirk Swan River The Pas Thompson (Winkler) (Steinbach) Support Services 232 116 273 216 195 250 204 285 273 763 Administration Services 171 112 142 130 125 135 168 200 196 204 Diagnostic & Therapeutic Services 43 18 48 180 141 42 55 189 281 90 Inpatient Services-Other (3) 8 22 (0) 1 20 30 9 13 3 Inpatient Services-Supplies 139 55 182 64 36 108 129 81 159 118 Inpatient Services-Compensation 817 680 839 853 794 919 749 817 1,337 1,134

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH Y^

Figure 11: Components of Average Cost Per Weighted Case Intermediate Rural Hospitals 1997/98

3000

2500

2000

1500

1000

500

0

-500 Johnson Altona Beausejour Carman Churchill Minnedosa Souris Ste Rose Virden (Gimli) Support Services 288 262 226 608 247 277 198 261 325 199 Administration Services 148 109 168 536 94 123 91 261 237 131 Diagnostic & Therapeutic Services 37 24 37 113 22 22 31 53 72 36 Inpatient Services-Other (5) 35 11 16 23 (143) (25) (35) 13 11 Inpatient Services-Supplies 126 116 128 185 100 290 180 128 242 131 Inpatient Services-Compensation 865 792 696 1,274 714 803 629 811 910 755

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH \`

Figure 12: Components of Average Cost Per Weighted Case Small Rural Hospitals 1997/98

3000

2500

2000

1500

1000

500

0

-500 Vita Birtle Melita Morris Roblin Baldur Arborg Pinawa Russell Hamiota Erickson Carberry Emerson Ste Anne Deloraine Stonewall McCreary Pine Falls St Claude Grandview Boissevain Wawanesa Shoal Lake Notre Dame Hunter () Riverdale (Rivers) Lorne (Swan Lake) Tri-Lake (Killarney) Lakeshore (Ashern) Tiger Hills (Treherne) EM Crowe (Eriksdale) Rock Lake (Crystal City) Seven Regions (Gladstone) Desalaberry (St Pierre-Jolys)

Inpatient Services-Compensation Inpatient Services-Supplies Inpatient Services-Other Diagnostic & Therapeutic Services Administration Services Support Services

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH \X

Figure 13: Components of Average Cost Per Weighted Case Northern Isolated Hospitals 1997/98

14000

12000

10000

8000

6000

4000

2000

0

-2000 Gillam Leaf Rapids Lynn Lake Snow Lake Support Services 823 454 302 3,846 Administration Services 558 976 374 1,806 Diagnostic & Therapeutic Services 140 574 84 1,002 Inpatient Services-Other - (5) (0) 3 Inpatient Services-Supplies 201 244 125 368 Inpatient Services-Compensation 2,334 3,618 1,249 6,246

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH \W

Figure 14: Components of Average Cost Per Weighted Case Small Multi-Use Hospitals 1997/98

3000

2500

2000

1500

1000

500

0

-500 Benito MacGregor Pembina-Manitou Reston Whitemouth Support Services 687 1,019 456 297 359 381 Administration Services 188 284 240 133 236 189 Diagnostic & Therapeutic Services - 124 84 93 45 51 Inpatient Services-Other 21 - 15 (70) 3 (2) Inpatient Services-Supplies 75 69 123 146 159 137 Inpatient Services-Compensation 1,516 1,085 1,622 1,584 1,017 1,004

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,CRPN/;B//"OMSOFNFLK/OT/!YNUCGN/"OKL/4NU/&NEGQLNH/"CKNW/:??=c?[ ♦ * Other Case Support Inpatient Inpatient Supplies Inpatient Services Services Services Cost Per Cost Services- Services- Services- Weighted Therapeutic Diagnostic & Diagnostic Average Full Administration Compensation Teaching Hospitals Health Sciences Centre $1,536 $294 $30 $515 $225 $293 $2,892 St Boniface 1,366 323 12 327 227 230 2,484 Urban Community Hospitals Brandon 1,091 160 7 197 215 241 1,910 Concordia 783 152 7 150 198 162 1,450 Salvation Army Grace 868 184 44 227 155 182 1,660 Seven Oaks 739 175 4 378 172 173 1,642 Victoria 995 240 21 293 208 254 2,011 Major Rural Hospitals Bethel (Winkler) 817 139 (3) 43 171 232 1,399 Bethesda (Steinbach) 680 55 8 18 112 116 989 Dauphin 839 182 22 48 142 273 1,506 Flin Flon 853 64 (0) 180 130 216 1,442 Morden 794 36 1 141 125 195 1,292 Portage 919 108 20 42 135 250 1,473 Selkirk 749 129 30 55 168 204 1,335 Swan River 817 81 9 189 200 285 1,582 The Pas 1,337 159 13 281 196 273 2,259 Thompson 1,134 118 3 90 204 763 2,313 Intermediate Rural Hospitals Altona 865 126 (5) 37 148 288 1,460 Beausejour 792 116 35 24 109 262 1,337 Carman 696 128 11 37 168 226 1,266 Churchill 1,274 185 16 113 536 608 2,732 Johnson (Gimli) 714 100 23 22 94 247 1,200 Minnedosa 803 290 (143) 22 123 277 1,372 Neepawa 629 180 (25) 31 91 198 1,104 Souris 811 128 (35) 53 261 261 1,478 Ste Rose 910 242 13 72 237 325 1,798 Virden 755 131 11 36 131 199 1,264 Small Rural Hospitals Arborg 1,067 157 46 283 166 296 2,014 Baldur 1,130 145 (3) 84 149 226 1,731 Birtle 966 118 28 75 211 341 1,738 Boissevain 1,079 122 19 59 131 404 1,814 Carberry 721 126 13 45 139 306 1,352 Deloraine 1,204 67 (11) 31 139 330 1,761 %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% p%P&76$0(+%6&2$%()%:#7+-.-&0+%5)*%+$*8-.$+%:*)8-2$2%()%-0:&(-$0(+%&*$%0)(%-0.1'2$2%-0%(#$+$%8&1'$+ ♦ %C)'02-03%*$+'1(+%-0%+)6$%*),+%0)(%$Q'&1-03%(#$%()(&1

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH \[ ♦ * Other Case Support Inpatient Inpatient Supplies Inpatient Services Services Services Cost Per Cost Services- Services- Services- Weighted Therapeutic Diagnostic & Diagnostic Average Full Administration Compensation Desalaberry (St Pierre-Jolys) 943 67 15 133 142 399 1,699 EM Crowe (Eriksdale) 842 137 8 31 220 349 1,587 Emerson 1,221 87 (16) 42 163 297 1,796 Erickson 587 58 15 29 87 255 1,030 Glenboro 810 131 10 194 115 181 1,440 Grandview 821 142 31 1 249 456 1,701 Hamiota 788 119 12 51 174 255 1,398 Hunter (Teulon) 633 122 10 76 154 187 1,182 Lakeshore (Ashern) 716 125 (0) 279 154 231 1,504 Lorne (Swan Lake) 667 107 4 36 175 264 1,254 McCreary 874 106 17 36 188 273 1,494 Melita 995 115 9 20 102 268 1,509 Morris 925 74 4 44 381 261 1,689 Notre Dame 1,358 122 16 (272) 362 426 2,011 Pinawa 694 94 37 48 143 406 1,424 Pine Falls 567 121 18 65 125 243 1,139 Riverdale (Rivers) 640 115 5 9 137 221 1,127 Roblin 636 143 36 26 98 262 1,201 Rock Lake (Crystal City) 910 137 14 32 183 296 1,572 Russell 698 104 20 35 152 244 1,251 Seven Regions (Gladstone) 849 91 35 88 407 562 2,032 Shoal Lake 956 83 4 51 294 288 1,674 St Claude 1,423 179 7 39 268 346 2,263 Ste Anne 900 112 13 179 107 146 1,457 Stonewall 781 145 48 52 129 317 1,473 Tiger Hills (Treherne) 862 114 20 41 157 212 1,406 Tri-Lake (Killarney) 1,002 161 1 90 142 235 1,632 Vita 940 1 7 89 280 298 1,615 Wawanesa 1,299 70 6 229 181 240 2,025 Winnipegosis 893 107 14 27 176 234 1,451 Northern Isolated Hospitals Gillam 2,334 201 - 140 558 823 4,056 Leaf Rapids 3,618 244 (5) 574 976 454 5,860 Lynn Lake 1,249 125 (0) 84 374 302 2,133 Snow Lake 6,246 368 3 1,022 1,806 3,846 13,292 Small Multi-use Facilities Benito 1,516 75 21 - 188 687 2,487 MacGregor 1,085 69 - 124 284 1,019 2,581 Pembina Manitou 1,622 123 15 84 240 456 2,540 Reston 1,584 146 (70) 93 133 297 2,183 Rossburn 1,017 159 3 45 236 359 1,819 Whitemouth 1,004 137 (2) 51 189 381 1,760

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,CRPN/AB//"OMSOFNFLK/OT/!YNUCGN/"OKL/SNU/&NEGQLNH/"CKN/RV/4NUXNFLW/:??=c?[d Other Support Services Services Services Inpatient Inpatient Supplies Inpatient Services- Services- Services- Therapeutic Diagnostic & Administration Compensation Teaching Hospitals Health Sciences Centre 53% 10% 1% 18% 8% 10% St Boniface 55% 13% 0% 13% 9% 9% Urban Community Hospitals Brandon 57% 8% 0% 10% 11% 13% Concordia 54% 10% 0% 10% 14% 11% Salvation Army Grace 52% 11% 3% 14% 9% 11% Seven Oaks 45% 11% 0% 23% 10% 11% Victoria 49% 12% 1% 15% 10% 13% Major Rural Hospitals Bethel (Winkler) 58% 10% 0% 3% 12% 17% Bethesda (Steinbach) 69% 6% 1% 2% 11% 12% Dauphin 56% 12% 1% 3% 9% 18% Flin Flon 59% 4% 0% 12% 9% 15% Morden 61% 3% 0% 11% 10% 15% Portage 62% 7% 1% 3% 9% 17% Selkirk 56% 10% 2% 4% 13% 15% Swan River 52% 5% 1% 12% 13% 18% The Pas 59% 7% 1% 12% 9% 12% Thompson 49% 5% 0% 4% 9% 33% Intermediate Rural Hospitals Altona 59% 9% 0% 3% 10% 20% Beausejour 59% 9% 3% 2% 8% 20% Carman 55% 10% 1% 3% 13% 18% Churchill 47% 7% 1% 4% 20% 22% Johnson (Gimli) 59% 8% 2% 2% 8% 21% Minnedosa 59% 21% -10% 2% 9% 20% Neepawa 57% 16% -2% 3% 8% 18% Souris 55% 9% -2% 4% 18% 18% Ste Rose 51% 13% 1% 4% 13% 18% Virden 60% 10% 1% 3% 10% 16% Small Rural Hospitals Arborg 53% 8% 2% 14% 8% 15% Baldur 65% 8% 0% 5% 9% 13% Birtle 56% 7% 2% 4% 12% 20% Boissevain 59% 7% 1% 3% 7% 22% Carberry 53% 9% 1% 3% 10% 23% Deloraine 68% 4% -1% 2% 8% 19% Desalaberry (St Pierre- 55% 4% 1% 8% 8% 24% Jolys) pC),+%6&7%0)(%()(&1%X``h%2'$%()%*)'02-03

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EM Crowe (Eriksdale) 53% 9% 0% 2% 14% 22% Emerson 68% 5% -1% 2% 9% 17% Erickson 57% 6% 1% 3% 8% 25% Glenboro 56% 9% 1% 13% 8% 13% Grandview 48% 8% 2% 0% 15% 27% Hamiota 56% 8% 1% 4% 12% 18% Hunter (Teulon) 54% 10% 1% 6% 13% 16% Lakeshore (Ashern) 48% 8% 0% 19% 10% 15% Lorne (Swan Lake) 53% 9% 0% 3% 14% 21% McCreary 59% 7% 1% 2% 13% 18% Melita 66% 8% 1% 1% 7% 18% Morris 55% 4% 0% 3% 23% 15% Notre Dame 67% 6% 1% -14% 18% 21% Pinawa 49% 7% 3% 3% 10% 29% Pine Falls 50% 11% 2% 6% 11% 21% Riverdale (Rivers) 57% 10% 0% 1% 12% 20% Roblin 53% 12% 3% 2% 8% 22% Rock Lake (Crystal City) 58% 9% 1% 2% 12% 19% Russell 56% 8% 2% 3% 12% 19% Seven Regions (Gladstone) 42% 4% 2% 4% 20% 28% Shoal Lake 57% 5% 0% 3% 18% 17% St Claude 63% 8% 0% 2% 12% 15% Ste Anne 62% 8% 1% 12% 7% 10% Stonewall 53% 10% 3% 4% 9% 21% Tiger Hills (Treherne) 61% 8% 1% 3% 11% 15% Tri-Lake (Killarney) 61% 10% 0% 6% 9% 14% Vita 58% 0% 0% 6% 17% 18% Wawanesa 64% 3% 0% 11% 9% 12% Winnipegosis 62% 7% 1% 2% 12% 16% Northern Isolated Hospitals Gillam 58% 5% 0% 3% 14% 20% Leaf Rapids 62% 4% 0% 10% 17% 8% Lynn Lake 59% 6% 0% 4% 18% 14% Snow Lake 47% 3% 0% 8% 14% 29% Small Multi-use Facilities Benito 61% 3% 1% 0% 8% 28% MacGregor 42% 3% 0% 5% 11% 39% Pembina Manitou 64% 5% 1% 3% 9% 18% Reston 73% 7% -3% 4% 6% 14% Rossburn 56% 9% 0% 2% 13% 20% Whitemouth 57% 8% 0% 3% 11% 22%

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!44($)08/3\< Components of Cost Per Weighted Case by Regional Health Authority

!0%(#-+%&::$02-9=%#)+:-(&1+%&*$%3*)':$2%&..)*2-03%()%(#$%C$3-)0&1%I$&1(#%L'(#)*-(7%-0 ,#-.#%(#$7%&*$%1).&($2=%*&(#$*%(#&0%47%(7:$%)5%5&.-1-(7%&+%&::$&*$2%-0%L::$02-9%NTX;%%"#$ .)66$0(+%(#&(%,$*$%6&2$%&(%(#$%+(&*(%)5%L::$02-9%NTX%.)0(-0'$%()%4$%*$1$8&0(%#$*$=%&02 ,-11%0)(%4$%*$:$&($2;%%"#-+%&::$02-9%,-11%&11),%&26-0-+(*&()*+%&02%6&0&3$*+%-0%(#$%CIL+ ()%*$8-$,%(#$%#)+:-(&1+%-0%(#$-*%*$3-)0=%&02%5)*%(#$%#)+:-(&1%&26-0-+(*&()*+%&02%6&0&3$*+ ()%+$$%#),%(#$7%.)6:&*$%,-(#%(#$%5&.-1-(-$+%-0%0$-3#4)*-03%.)66'0-(-$+;

K)66$0(%5*)6%B$H&1&4$**7? T%6&V)*%$9:$0+$+%,$*$%-0.'**$2%()%.)**$.(%5&.-1-(7%2$5-.-$0.-$+ T%6&-0($0&0.$%:$*+)00$1%:*)8-2$%+$*8-.$%()%B$H&1&4$**7%&02%M$00)%I)6$%G@*'0(#&1J

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Figure 15: Components of Average Cost Per Weighted Case Brandon RHA 1997/98

3000

2500

2000

1500

1000

500

0 Inpatient Services- Inpatient Services- Diagnostic & Inpatient Services-Other Administration Services Support Services Compensation Supplies Therapeutic Services Brandon 1,091 160 7 197 215 241

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Figure 16: Components of Average Cost Per Weighted Case Burntwood RHA 1997/98

7000

6000

5000

4000

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0

-1000 Thompson Gillam Leaf Rapids Lynn Lake Support Services 763 823 454 302 Administration Services 204 558 976 374 Diagnostic & Therapeutic Services 90 140 574 84 Inpatient Services-Other 3 - (5) (0) Inpatient Services-Supplies 118 201 244 125 Inpatient Services-Compensation 1,134 2,334 3,618 1,249

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Figure 17: Components of Average Cost Per Weighted Case Central RHA 1997/98 3000

2500

2000

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500

0

-500 Seven Bethel Pembina Lorne (Swan Rock Lake Altona Carman Morden Portage MacGregor Emerson Morris Notre Dame Regions St Claude (Winkler) Manitou Lake) (Crystal City) (Gladstone) Support Services 288 226 232 195 250 1,019 456 297 264 261 426 296 562 346 Administration Services 148 168 171 125 135 284 240 163 175 381 362 183 407 268 Diagnostic & Therapeutic Services 37 37 43 141 42 124 84 42 36 44 (272) 32 88 39 Inpatient Services-Other (5) 11 (3) 1 20 - 15 (16) 4 4 16 14 35 7 Inpatient Services-Supplies 126 128 139 36 108 69 123 87 107 74 122 137 91 179 Inpatient Services-Compensation 865 696 817 794 919 1,085 1,622 1,221 667 925 1,358 910 849 1,423

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Figure 18: Components of Average Cost Per Weighted Case Churchill RHA 1997/98

3000

2500

2000

1500

1000

500

0 Churchill Support Services 608 Administration Services 536 Diagnostic & Therapeutic Services 113 Inpatient Services-Other 16 Inpatient Services-Supplies 185 Inpatient Services-Compensation 1,274

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Figure 19: Components of Average Cost Per Weighted Case Interlake RHA 1997/98

3000

2500

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0

-500 EM Crowe Lakeshore Johnson (Gimli) Selkirk Arborg Hunter (Teulon) Stonewall (Eriksdale) (Ashern) Support Services 247 204 296 349 187 231 317 Administration Services 94 168 166 220 154 154 129 Diagnostic & Therapeutic Services 22 55 283 31 76 279 52 Inpatient Services-Other 23 30 46 8 10 (0) 48 Inpatient Services-Supplies 100 129 157 137 122 125 145 Inpatient Services-Compensation 714 749 1,067 842 633 716 781

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Figure 20: Components of Average Cost Per Weighted Case Marquette RHA 1997/98 3000

2500

2000

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500

0

-500 Riverdale Minnedosa Neepawa Rossburn Birtle Carberry Erickson Hamiota Russell Shoal Lake (Rivers) Support Services 277 198 359 341 306 255 255 221 244 288 Administration Services 123 91 236 211 139 87 249 137 152 294 Diagnostic & Therapeutic Services 22 31 45 75 45 29 1 9 35 51 Inpatient Services-Other (143) (25) 3 28 13 15 12 5 20 4 Inpatient Services-Supplies 290 180 159 118 126 58 119 115 104 83 Inpatient Services-Compensation 803 629 1,017 966 721 587 788 640 698 956

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Figure 21: Components of Average Cost Per Weighted Case Nor-Man RHA 1997/98

14000

12000

10000

8000

6000

4000

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0

-2000 Flin Flon The Pas Snow Lake Support Services 156 273 3,846 Administration Services 123 196 1,806 Diagnostic & Therapeutic Services 180 281 1,002 Inpatient Services-Other (0) 13 3 Inpatient Services-Supplies 64 159 368 Inpatient Services-Compensation 853 1,337 6,246

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Figure 22: Components of Average Cost Per Weighted Case North Eastman RHA 1997/98

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0

-500 Beausejour Whitemouth Pine Falls Pinawa Support Services 262 381 243 406 Administration Services 109 189 125 143 Diagnostic & Therapeutic Services 24 51 65 48 Inpatient Services-Other 35 (2) 18 37 Inpatient Services-Supplies 116 137 121 94 Inpatient Services-Compensation 792 1,004 567 694

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Figure 23: Components of Average Cost Per Weighted Case Parkland RHA 1997/98

3000

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0 Ste Rose Dauphin Swan River Benito Grandview McCreary Roblin Winnipegosis Support Services 325 273 285 687 456 273 262 234 Administration Services 237 142 200 188 249 188 98 176 Diagnostic & Therapeutic Services 72 48 189 - 1 36 26 27 Inpatient Services-Other 13 22 9 21 31 17 36 14 Inpatient Services-Supplies 242 182 81 75 142 106 143 107 Inpatient Services-Compensation 910 839 817 1,516 821 874 636 893

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Figure 24: Components of Average Cost Per Weighted Case South Eastman RHA 1997/98

3000

2500

2000

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1000

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0 Bethesda (Steinbach) Desalaberry (St Pierre-Jolys) Ste Anne Vita Support Services 116 399 146 298 Administration Services 112 142 107 280 Diagnostic & Therapeutic Services 18 133 179 89 Inpatient Services-Other 8 15 13 7 Inpatient Services-Supplies 55 67 112 1 Inpatient Services-Compensation 680 943 900 940

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Figure 25: Components of Average Cost Per Weighted Case South Westman RHA 1997/98

3000

2500

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0

-500 Tiger Hills Tri-Lake Souris Virden Reston Baldur Boissevain Deloraine Glenboro Melita Wawanesa (Treherne) (Killarney) Support Services 261 199 297 226 404 330 181 268 212 235 240 Administration Services 261 131 133 149 131 139 115 102 157 142 181 Diagnostic & Therapeutic Services 53 36 93 84 59 31 194 20 41 90 229 Inpatient Services-Other (35) 11 (70) (3) 19 (11) 10 9 20 1 6 Inpatient Services-Supplies 128 131 146 145 122 67 131 115 114 161 70 Inpatient Services-Compensation 811 755 1,584 1,130 1,079 1,204 810 995 862 1,002 1,299

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Figure 26: Components of Average Cost Per Weighted Case Winnipeg RHA 1997/98

3000

2500

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0 Health Sciences Salvation Army St Boniface Concordia Seven Oaks Victoria Centre Grace Support Services 293 185 165 182 173 254 Administration Services 225 181 221 155 172 208 Diagnostic & Therapeutic Services 515 327 130 227 378 293 Inpatient Services-Other 61 12 7 44 4 21 Inpatient Services-Supplies 294 323 152 184 175 240 Inpatient Services-Compensation 1,536 1,189 783 868 739 995

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!44($)08/3\> Proportional Distribution of Expenses by Type of Hospital

")%&++-+(%-0%2$($*6-0-03%&*$&+%5)*%5'*(#$*%*$8-$,%47%#)+:-(&1%)*%CIL%&26-0-+(*&()*+%&02 6&0&3$*+=%.#&*(+%,$*$%:*$:&*$2%()%*$51$.(%(#$%2-+(*-4'(-)0%)5%&11%.)+(+%,-(#-0%$&.#%#)+:-(&1; "#$%.)6:)0$0(+%)5%(#$+$%&*$&+%G.&11$2%5'0.(-)0&1%.$0(*$+J%&*$%1-+($2%-0%L::$02-9%K;

!0%*$8-$,-03%(#$+$%.#&*(+=%(#$%*$&2$*+%+#)'12%0)($%6&V)*%2$8-&(-)0+%5*)6%(#$%:&(($*0;%%e0 &8$*&3$=%-0:&(-$0(%+$*8-.$+%.)+(+%&*$%(#$%#-3#$+(=%5)11),$2%47%2-&30)+(-.%&02%(#$*&:$'(-. +$*8-.$+=%(#$0%47%+'::)*(%+$*8-.$+=%&26-0-+(*&(-8$%+$*8-.$+%&02%&64'1&()*7%.&*$%+$*8-.$+; R02-+(*-4'($2%):$*&(-03%.)+(+%&02%i)(#$*j%.)+(+%&*$%(#$%+6&11$+(%:*):)*(-)0;%%H$$%N-3'*$%X 5)*%(#$%2-+(*-4'(-)0%)5%.)+(+%5)*%&11%M&0-()4&%#)+:-(&1+;

"#$%($&.#-03%#)+:-(&1+%5)11),%(#$%:&(($*0=%:*-6&*-17%4$.&'+$%(#$7%.)0(*-4'($%(#$%6)+( .)+(+%()%(#$%#$&1(#%.&*$%+7+($6;%%"#$%#-3#%.)0+-+($0.7%)5%:*):)*(-)0%)5%$9:$02-('*$+ -02-.&($+%(#&(%*$+)'*.$+%&*$%4$-03%&::1-$2%-0%&%+-6-1&*%,&7%4$(,$$0%(#$+$%(,)%#)+:-(&1+;

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5'0.(-)0&1%.$0(*$;%%K)+(+%-0%(#-+%&*$&%#&2%0)(%4$$0%2-+(*-4'($2%()%(#$%5'0.(-)0&1%.$0(*$+%-0 ,#-.#%(#$%.)+(+%,$*$%-0.'**$2;%%"#-+%6&7%#&8$%4$$0%4$.&'+$%(#$%.)+(+%,$*$%+#&*$2%47 6'1(-:1$%&*$&+;%%L11%#)+:-(&1+%+#)'12%4$%$0.)'*&3$2%()%6-0-6->$%(#$%'+$%)5%(#-+%5'0.(-)0&1 .$0(*$;

L+%,-(#%(#$%6&V)*%*'*&1%#)+:-(&1+=%(#$%'+$%)5%(#$%iR02-+(*-4'($2Te:$*&(-03j%5'0.(-)0&1 .$0(*$%47%(#$%-0($*6$2-&($%*'*&1%#)+:-(&1+%:*$+$0(+%2-55-.'1(7%-0%-0($*:*$(&(-)0%)5%(#$%2&(&; L+%,$11=%6)+(%5&.-1-(-$+%*$:)*(%&%*$1&(-8$17%+6&11%:*):)*(-)0%)5%L64'1&()*7%K&*$%H$*8-.$+ .)+(+;%%"#$+$%.)+(+%&*$%1-/$17%*$:)*($2%'02$*%(#$%-0:&(-$0(%+$*8-.$+%5'0.(-)0&1%.$0(*$;%%"#$ *$1&(-8$17%#-3#%L26-0-+(*&(-8$%H$*8-.$+%.)+(+%5)*%K#'*.#-11%&02%H)'*-+%+#)'12%*$.$-8$ 5'*(#$*%*$8-$,;

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c)*%K)66'0-(7%"#$*&:7%H$*8-.$+J;%%L+%,&+%-02-.&($2%$&*1-$*= (#$%'+$%)5%(#$%iR02-+(*-4'($2Te:$*&(-03j%5'0.(-)0&1%.$0(*$%+#)'12%4$%2-+.)'*&3$2; <-(#-0%(#$+$%3*)':+=%)017%SM%K*),$%&02%O&/$+#)*$%I)+:-(&1+%&::$&*%()%#&8$%0)(%'+$2 (#-+%5'0.(-)0&1%.$0(*$%$9($0+-8$17;

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH X`W

Figure 27: Distribution of Total Expenses Teaching Hospitals 1997/98 60%

50%

40%

30%

20%

10%

0%

-10% Administrative Ambulatory Care Diagnostic and Undistributed - Support Services Inpatient Services Other Services Services Therapeutic Services Operating Health Sciences Centre 9.5% 12.3% 40.5% 14.6% 20.9% 0.6% 1.5% St Boniface 10.5% 10.7% 42.2% 12.9% 18.3% 2.1% 3.4%

Rows may not total 100% due to rounding

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH X`Z

Figure 28: Distribution of Total Expenses Urban Community Hospitals 1997/98 60%

50%

40%

30%

20%

10%

0%

-10% Administrative Ambulatory Care Diagnostic and Undistributed - Support Services Inpatient Services Other Services Services Therapeutic Services Operating Brandon 12.5% 14.0% 41.6% 11.1% 13.7% 2.7% 4.4% Concordia 15.2% 12.4% 36.2% 14.3% 15.2% 1.0% 5.7% Salvation Army Grace 10.8% 12.7% 42.8% 11.3% 15.1% 2.9% 4.3% Seven Oaks 13.6% 13.7% 36.3% 9.2% 15.1% 0.9% 11.2% Victoria 12.1% 14.8% 42.8% 11.1% 13.9% 1.8% 3.5%

Rows may not total 100% due to rounding KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH X`[

Figure 29: Distribution of Total Expenses Major Rural Hospitals 1997/98 60%

50%

40%

30%

20%

10%

0%

-10% Administrative Ambulatory Care Diagnostic and Undistributed - Support Services Inpatient Services Other Services Services Therapeutic Services Operating Dauphin 9.7% 18.7% 49.5% 9.6% 2.3% 0.2% 10.0% Swan River 14.4% 20.5% 40.5% 6.5% 9.9% -1.8% 10.0% Flin Flon 10.3% 17.1% 34.2% 8.0% 13.4% 3.5% 13.6% The Pas 9.9% 13.8% 36.5% 9.2% 14.1% 2.9% 13.6% Portage 9.4% 17.5% 53.0% 5.1% 2.2% 2.0% 10.9% Morden 10.9% 17.0% 35.6% 13.4% 12.6% 1.4% 9.1% Bethel (Winkler) 12.6% 17.1% 50.6% 1.4% 6.1% 1.3% 10.8% Bethesda (Steinbach) 11.5% 12.0% 39.2% 7.0% 14.7% -1.1% 16.7% Thompson 9.2% 34.3% 27.1% 4.4% 12.4% 1.1% 11.5% Selkirk 13.1% 15.9% 36.3% 18.3% 3.1% 1.8% 11.5%

Rows may not total 100% due to rounding KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH X`]

Figure 30: Distribution of Total Expenses Intermediate Rural Hospitals 1997/98 60%

50%

40%

30%

20%

10%

0%

-10% Administrative Ambulatory Care Diagnostic and Undistributed - Support Services Inpatient Services Other Services Services Therapeutic Services Operating Johnson (Gimli) 7.9% 20.9% 50.5% 2.3% 3.6% 2.2% 12.4% Churchill 20.5% 23.2% 27.4% 9.8% 8.6% 5.9% 4.5% Neepawa 8.5% 18.4% 51.3% 3.7% 2.0% -0.5% 16.6% Minnedosa 9.1% 20.5% 47.9% 0.0% 1.1% 2.4% 19.0% Virden 10.6% 16.2% 44.0% 0.0% 1.8% 0.6% 26.8% Ste Rose 13.7% 18.8% 43.2% 6.3% 4.4% 3.4% 10.1% Souris 18.3% 18.3% 45.4% -2.5% 2.7% 0.4% 17.4% Carman 13.7% 18.4% 49.6% 1.9% 3.0% 2.9% 10.5% Altona 10.4% 20.3% 49.2% 0.0% 1.8% 1.6% 16.7% Beausejour 8.3% 19.9% 56.3% 0.3% 1.4% 2.8% 11.0% KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH Rows may not total 100% due to rounding X`_

Figure 31: Distribution of Total Expenses Small Rural Hospitals - Page 1 1997/98 60%

50%

40%

30%

20%

10%

0%

-10% D i agno s ti c and Administrative Ambulatory Care U ndi s tr i buted - S upport S ervices Inpatient S ervices T herapeutic Other Services Services Operating Services Arborg 9.6% 17.1% 48.5% 0.1% 10.6% -0.9% 15.0% Pine Falls 11.7% 22.6% 44.2% 9.7% 4.1% -1.4% 9.1% Grandview 14.7% 26.8% 51.0% 0.0% 0.1% -0.8% 8.3% Winnipegos is 12 . 4 % 16 . 4 % 5 3 . 1% 0 . 0 % 1. 1% - 1. 1% 18 . 1% Vita 18.4% 19.5% 34.9% 0.0% 16.7% -21.5% 32.0% Roblin 8.3% 22.3% 54.7% 0.0% 1.8% 1.3% 11.6% Hamiota 12.9% 18.9% 49.9% 0.0% 1.9% 2.6% 13.8% Shoal Lake 18.1% 17.7% 49.8% 0.1% 2.4% -1.5% 13.3% Erickson 8.7% 25.5% 49.1% 0.0% 2.2% -0.1% 14.6% Deloraine 8.0% 19.1% 55.1% 0.0% 1.4% 0.9% 15.5% Melita 6.9% 18.0% 56.2% 0.0% 0.8% 0.9% 17.3% EM Crowe (Eriksdale) 14.2% 22.4% 58.1% 0.0% 1.8% 0.3% 3.2%

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH X`Y Figure 31: Distribution of Total Expenses Small Rural Hospitals - Page 2 1997/98 60%

50%

40%

30%

20%

10%

0%

-10% Administrative Ambulatory Care Diagnostic and Undistributed - Support Services Inpatient Services Other Services Services Therapeutic Services Operating Riverdale (Rivers) 12.3% 19.7% 51.5% 0.0% 0.5% 0.2% 15.9% Russell 12.5% 20.0% 53.2% 0.0% 1.6% 0.1% 12.6% Birtle 12.7% 20.5% 52.5% 0.0% 3.5% -2.4% 13.3% Lorne (Swan Lake) 14.3% 21.7% 51.7% 0.0% 1.7% 0.9% 9.6% Rock Lake (Crystal City) 11.9% 19.2% 53.2% 0.0% 1.6% 1.2% 12.9% McCreary 12.9% 18.7% 54.6% 0.1% 1.4% 0.5% 11.9% Boissevain 7.5% 23.0% 45.3% -2.7% 2.2% 1.4% 23.3% Tiger Hills (Treherne) 11.5% 15.5% 51.6% 0.0% 2.1% 3.9% 15.3% Tri-Lake (Killarney) 9.2% 15.2% 47.2% 0.0% 3.9% 2.9% 21.6% Baldur 9.0% 13.7% 51.7% 0.0% 3.4% 7.2% 15.0% Glenboro 9.2% 14.6% 49.2% 0.0% 10.0% 2.9% 14.1% Wawanesa 10.1% 13.4% 49.2% 0.0% 8.2% 2.9% 16.2% Rows may not total 100% due to rounding

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH X`\

Figure 31: Distribution of Total Expenses Small Rural Hospitals - Page 3 1997/98 60%

50%

40%

30%

20%

10%

0%

-10% Administrative Ambulatory Care Diagnostic and Undistributed - Support Services Inpatient Services Other Services Services Therapeutic Services Operating

Lakeshore (Ashern) 12.6% 18.8% 51.6% 0.0% 13.9% -1.7% 4.8% Seven Regions (Gladstone) 21.0% 28.9% 36.1% 0.0% 1.7% 3.5% 8.9% Carberry 10.7% 23.5% 45.1% 0.0% 2.4% 1.2% 17.2% Notre Dame 15.9% 18.6% 61.0% 0.0% -7.2% -0.3% 12.1% St Claude 12.1% 15.5% 59.4% 0.0% 1.4% 0.0% 11.6% Morris 23.1% 15.9% 42.1% 3.5% 1.9% 1.0% 12.5% Emerson 9.3% 17.0% 55.1% 0.0% 1.8% 2.2% 14.7% Desalaberry (St Pierre-Jolys) 9.1% 25.5% 43.2% 0.0% 12.7% 0.3% 9.3% Pinawa 10.4% 29.5% 49.6% 0.0% 3.0% 0.3% 7.1% Hunter (Teulon) 14.0% 16.9% 41.4% 11.7% 4.1% 0.0% 11.8% Stonewall 9.1% 22.3% 53.9% 0.2% 2.4% -3.1% 15.2% Ste Anne 8.4% 11.4% 50.8% 1.3% 9.9% 0.9% 17.4%

Rows may not total 100% due to rounding KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH X`^

Figure 32: Distribution of Total Expenses Northern Isolated Hospitals 1997/98 60%

50%

40%

30%

20%

10%

0%

-10% Ambulatory Care Diagnostic and Undistributed - Administrative Services Support Services Inpatient Services Other Services Therapeutic Services Operating Snow Lake 14.7% 31.3% 37.9% -1.3% 8.0% -0.8% 10.1% Lynn Lake 18.2% 14.7% 36.0% 7.4% 8.9% -0.7% 15.4% Leaf Rapids 18.5% 8.6% 34.2% 12.9% 12.2% -0.9% 14.6% Gillam 14.3% 21.0% 36.1% 8.4% 8.9% 3.2% 8.1%

Rows may not total 100% due to rounding KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH XX`

Figure 33: Distribution of Total Expenses Small Multi-Use Facilities 1997/98

60%

50%

40%

30%

20%

10%

0%

-10% Administrative Ambulatory Care Diagnostic and Undistributed - Support Services Inpatient Services Other Services Services Therapeutic Services Operating Benito 7.6% 27.6% 60.1% -0.1% 0.0% -4.6% 9.4% Reston 6.4% 14.2% 58.1% 0.0% 2.6% 0.8% 18.0% Rossburn 13.3% 20.2% 53.0% 0.0% 2.0% -0.5% 11.9% Pembina Manitou 9.8% 18.6% 58.5% 0.0% 2.0% 0.2% 11.0% 9.0% 17.2% 62.0% 0.0% 1.0% 0.6% 10.2% Cartwright 15.4% 19.7% 51.5% -0.1% 2.3% 1.1% 10.0% MacGregor 11.6% 41.5% 46.3% 0.0% 2.4% 2.0% -3.7% Whitemouth 11.1% 22.3% 53.8% 0.0% 2.4% 0.9% 9.6% Rows may not total 100% due to rounding

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH XXX

,CRPN/=B//4UOSOULEOF/OT/,OLCP/(ZSNFKNK/RV/3JFXLEOFCP/"NFLUNW/:??=c?[d Other Services Inpatient Services Services Services Operating Therapeutic Administrative Undistributed - Diagnostic and Ambulatory Care Support Services Teaching Hospitals Health Sciences Centre 9.5% 12.3% 40.5% 14.6% 20.9% 0.6% 1.5% St Boniface 10.5% 10.7% 42.2% 12.9% 18.3% 2.1% 3.4% Urban Community Hospitals Brandon 12.5% 14.0% 41.6% 11.1% 13.7% 2.7% 4.4% Concordia 15.2% 12.4% 36.2% 14.3% 15.2% 1.0% 5.7% Salvation Army Grace 10.8% 12.7% 42.8% 11.3% 15.1% 2.9% 4.3% Seven Oaks 13.6% 13.7% 36.3% 9.2% 15.1% 0.9% 11.2% Victoria 12.1% 14.8% 42.8% 11.1% 13.9% 1.8% 3.5% Major Rural Hospitals Bethel (Winkler) 12.7% 17.1% 50.6% 1.4% 6.1% 1.3% 10.8% Bethesda (Steinbach) 11.5% 12.0% 39.2% 7.0% 14.8% -1.1% 16.7% Dauphin 9.7% 18.7% 49.5% 9.6% 2.3% 0.2% 10.0% Flin Flon 10.3% 17.1% 34.2% 8.0% 13.4% 3.5% 13.6% Morden 10.9% 17.0% 35.6% 13.5% 12.6% 1.4% 9.1% Portage 9.4% 17.5% 53.0% 5.1% 2.2% 2.0% 10.9% Selkirk 13.1% 15.9% 36.3% 18.3% 3.1% 1.8% 11.5% Swan River 14.4% 20.5% 40.5% 6.5% 9.9% -1.8% 10.0% The Pas 9.9% 13.8% 36.5% 9.2% 14.1% 2.9% 13.6% Thompson 9.2% 34.3% 27.1% 4.4% 12.4% 1.1% 11.5% Intermediate Rural Hospitals Altona 10.4% 20.3% 49.2% 0.0% 1.8% 1.7% 16.7% Beausejour 8.3% 19.9% 56.3% 0.3% 1.5% 2.8% 11.0% Carman 13.7% 18.4% 49.6% 1.9% 3.0% 2.9% 10.5% Churchill 20.5% 23.2% 27.5% 9.8% 8.6% 5.9% 4.5% Johnson (Gimli) 8.0% 21.0% 50.5% 2.3% 3.6% 2.2% 12.5% Minnedosa 9.1% 20.5% 47.9% 0.0% 1.1% 2.4% 19.0% Neepawa 8.5% 18.4% 51.3% 3.8% 2.0% -0.5% 16.6% Souris 18.3% 18.3% 45.4% -2.5% 2.7% 0.4% 17.4% Ste Rose 13.7% 18.8% 43.2% 6.3% 4.4% 3.4% 10.1% Virden 10.6% 16.2% 44.0% 0.0% 1.8% 0.6% 26.8% Small Rural Hospitals Arborg 9.6% 17.1% 48.5% 0.1% 10.6% -0.9% 15.0% Baldur 9.0% 13.8% 51.7% 0.0% 3.4% 7.2% 15.0% Birtle 12.7% 20.5% 52.5% 0.0% 3.5% -2.4% 13.3% Boissevain 7.5% 23.0% 45.3% -2.7% 2.2% 1.4% 23.3% Carberry 10.7% 23.5% 45.1% 0.0% 2.4% 1.2% 17.2% Deloraine 8.0% 19.1% 55.1% 0.0% 1.4% 0.9% 15.5% pC),+%6&7%0)(%()(&1%X``h%2'$%()%*)'02-03

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH XXW Other Services Inpatient Services Services Services Operating Therapeutic Administrative Undistributed - Diagnostic and Ambulatory Care Support Services Desalaberry (St Pierre-Jolys) 9.1% 25.5% 43.2% 0.0% 12.7% 0.3% 9.3% EM Crowe (Eriksdale) 14.2% 22.4% 58.1% 0.0% 1.8% 0.3% 3.2% Emerson 9.3% 17.0% 55.1% 0.0% 1.8% 2.2% 14.7% Erickson 8.7% 25.5% 49.1% 0.0% 2.2% -0.1% 14.6% Glenboro 9.2% 14.6% 49.2% 0.0% 10.0% 2.9% 14.1% Grandview 14.7% 26.8% 51.0% 0.0% 0.1% -0.9% 8.3% Hamiota 12.9% 18.9% 49.9% 0.0% 1.9% 2.6% 13.8% Hunter (Teulon) 14.0% 16.9% 41.4% 11.7% 4.1% 0.1% 11.8% Lakeshore (Ashern) 12.6% 18.8% 51.6% 0.0% 13.9% -1.7% 4.8% Lorne (Swan Lake) 14.3% 21.7% 51.8% 0.0% 1.7% 0.9% 9.6% McCreary 12.9% 18.7% 54.6% 0.1% 1.4% 0.5% 11.9% Melita 6.9% 18.0% 56.2% 0.0% 0.8% 0.9% 17.3% Morris 23.1% 15.9% 42.1% 3.5% 1.9% 1.0% 12.5% Notre Dame 15.9% 18.6% 61.0% 0.0% -7.2% -0.3% 12.1% Pinawa 10.4% 29.6% 49.6% 0.0% 3.0% 0.4% 7.1% Pine Falls 11.7% 22.6% 44.2% 9.7% 4.1% -1.4% 9.1% Riverdale (Rivers) 12.3% 19.7% 51.5% 0.0% 0.5% 0.2% 15.9% Roblin 8.4% 22.3% 54.7% 0.0% 1.8% 1.3% 11.6% Rock Lake (Crystal City) 11.9% 19.2% 53.2% 0.0% 1.6% 1.2% 12.9% Russell 12.5% 20.0% 53.2% 0.0% 1.6% 0.1% 12.6% Seven Regions (Gladstone) 21.0% 28.9% 36.1% 0.0% 1.7% 3.5% 8.9% Shoal Lake 18.1% 17.7% 49.8% 0.1% 2.4% -1.5% 13.3% St Claude 12.1% 15.6% 59.4% 0.0% 1.4% 0.0% 11.6% Ste Anne 8.4% 11.4% 50.8% 1.3% 9.9% 0.9% 17.4% Stonewall 9.1% 22.3% 53.9% 0.2% 2.4% -3.1% 15.2% Tiger Hills (Treherne) 11.5% 15.5% 51.6% 0.0% 2.1% 3.9% 15.3% Tri-Lake (Killarney) 9.2% 15.2% 47.2% 0.0% 3.9% 2.9% 21.6% Vita 18.4% 19.5% 35.0% 0.0% 16.7% -21.5% 32.0% Wawanesa 10.1% 13.4% 49.2% 0.0% 8.2% 2.9% 16.3% Winnipegosis 12.4% 16.4% 53.1% 0.0% 1.1% -1.1% 18.1% Northern Isolated Hospitals Gillam 14.3% 21.0% 36.1% 8.4% 8.9% 3.2% 8.1% Leaf Rapids 18.5% 8.6% 34.2% 12.9% 12.2% -0.9% 14.6% Lynn Lake 18.2% 14.7% 36.0% 7.4% 8.9% -0.7% 15.4% Snow Lake 14.7% 31.4% 38.0% -1.4% 8.0% -0.8% 10.1% Small Multi-use Facilities Benito 7.6% 27.6% 60.1% -0.1% 0.0% -4.6% 9.4% MacGregor 11.6% 41.5% 46.3% 0.0% 2.4% 2.0% -3.7% Pembina Manitou 9.8% 18.6% 58.5% 0.0% 2.0% 0.2% 11.0% Reston 6.4% 14.2% 58.1% 0.0% 2.6% 0.8% 18.0% Rossburn 13.3% 20.2% 53.0% 0.0% 2.0% -0.5% 11.9% Whitemouth 11.1% 22.3% 53.8% 0.0% 2.4% 0.9% 9.6%

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH XXZ

!44($)08/3\@ Proportional Distribution of Expenses by Regional Health Authority

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

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH XX[

Figure 34: Distribution of Total Expenses Burntwood RHA 1997/98 60%

50%

40%

30%

20%

10%

0%

-10% Ambulatory Care Diagnostic and Undistributed - Administrative Services Support Services Inpatient Services Other Services Therapeutic Services Operating Lynn Lake 0.182361441 0.147246753 0.359925361 0.074059482 0.088825534 -0.006760176 0.154341606 Leaf Rapids 0.184590963 0.085867411 0.34212234 0.129140489 0.122020579 -0.009339471 0.145597688 Gillam 0.142517757 0.210114222 0.361162907 0.08393968 0.089278924 0.032141934 0.080844576 Thompson 0.0919291 0.343254373 0.270873079 0.04431426 0.123959784 0.010506345 0.115163059

Rows may not total 100% due to rounding

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH XX]

Figure 35: Distribution of Total Expenses Nor-Man RHA 1997/98 60%

50%

40%

30%

20%

10%

0%

-10% Diagnostic and Administrative Services Support Services Inpatient Services Ambulatory Care Services Other Undistributed - Operating Therapeutic Services Flin Flon 10.3% 17.1% 34.2% 8.0% 13.4% 3.5% 13.6% Snow Lake 14.7% 31.3% 37.9% -1.3% 8.0% -0.8% 10.1% The Pas 9.9% 13.8% 36.5% 9.2% 14.1% 2.9% 13.6%

Rows may not total 100% due to rounding

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH XX_

Figure 36: Distribution of Total Expenses Churchill RHA 1997/98 60%

50%

40%

30%

20%

10%

0%

-10% Ambulatory Care Diagnostic and Undistributed - Administrative Services Support Services Inpatient Services Other Services Therapeutic Services Operating Churchill 20.5% 23.2% 27.4% 9.8% 8.6% 5.9% 4.5%

Rows may not total 100% due to rounding KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH XXY

Figure 37: Distribution of Total Expenses Interlake RHA 1997/98 60%

50%

40%

30%

20%

10%

0%

-10% Administrative Ambulatory Care Diagnostic and Undistributed - Support Services Inpatient Services Other Services Services Therapeutic Services Operating Arborg 9.6% 17.1% 48.5% 0.1% 10.6% -0.9% 15.0% Johnson (Gimli) 7.9% 20.9% 50.5% 2.3% 3.6% 2.2% 12.4% EM Crowe (Eriksdale) 14.2% 22.4% 58.1% 0.0% 1.8% 0.3% 3.2% Lakeshore (Ashern) 12.6% 18.8% 51.6% 0.0% 13.9% -1.7% 4.8% Selkirk 13.1% 15.9% 36.3% 18.3% 3.1% 1.8% 11.5% Hunter (Teulon) 14.0% 16.9% 41.4% 11.7% 4.1% 0.0% 11.8% Stonewall 9.1% 22.3% 53.9% 0.2% 2.4% -3.1% 15.2%

Rows may not total 100% due to rounding

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH XX\

Figure 38: Distribution of Total Expenses North Eastman RHA 1997/98 60%

50%

40%

30%

20%

10%

0%

-10% Ambulatory Care Diagnostic and Undistributed - Administrative Services Support Services Inpatient Services Other Services Therapeutic Services Operating Pine Falls 0.116537553 0.226400619 0.44231039 0.097060582 0.040757803 -0.013687322 0.090620376 Beausejour 0.082645109 0.199290068 0.56326482 0.00263813 0.014475563 0.027686061 0.110000249 Pinawa 0.10419596 0.295450565 0.495980377 0 0.029844189 0.003478703 0.071050206 Whitemouth 0.110704157 0.222817002 0.537607817 0 0.0240291 0.009013521 0.095828403

Rows may not total 100% due to rounding KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH XX^

Figure 39: Distribution of Total Expenses Winnipeg RHA 1997/98 60%

50%

40%

30%

20%

10%

0%

-10% Administrative Ambulatory Care Diagnostic and Undistributed - Support Services Inpatient Services Other Services Services Therapeutic Services Operating Health Sciences Centre 9.5% 12.3% 40.5% 14.6% 20.9% 0.6% 1.5% St Boniface 10.5% 10.7% 42.2% 12.9% 18.3% 2.1% 3.4% Concordia 15.2% 12.4% 36.2% 14.3% 15.2% 1.0% 5.7% Salvation Army Grace 10.8% 12.7% 42.8% 11.3% 15.1% 2.9% 4.3% Seven Oaks 13.6% 13.7% 36.3% 9.2% 15.1% 0.9% 11.2% Victoria 12.1% 14.8% 42.8% 11.1% 13.9% 1.8% 3.5%

Rows may not total 100% due to rounding KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH XW`

Figure 40: Distribution of Total Expenses Parkland RHA 1997/98 60%

50%

40%

30%

20%

10%

0%

-10% Administrative Ambulatory Care Diagnostic and Undistributed - Support Services Inpatient Services Other Services Services Therapeutic Services Operating Grandview 14.7% 26.8% 51.0% 0.0% 0.1% -0.8% 8.3% Dauphin 9.7% 18.7% 49.5% 9.6% 2.3% 0.2% 10.0% Winnipegosis 12.4% 16.4% 53.1% 0.0% 1.1% -1.1% 18.1% Roblin 8.3% 22.3% 54.7% 0.0% 1.8% 1.3% 11.6% Swan River 14.4% 20.5% 40.5% 6.5% 9.9% -1.8% 10.0% Benito 7.6% 27.6% 60.1% -0.1% 0.0% -4.6% 9.4% Ste Rose 13.7% 18.8% 43.2% 6.3% 4.4% 3.4% 10.1% McCreary 12.9% 18.7% 54.6% 0.1% 1.4% 0.5% 11.9% Rows may not total 100% due to rounding

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH XWX

Figure 41: Distribution of Total Expenses Marquette RHA 1997/98 60%

50%

40%

30%

20%

10%

0%

-10% Administrative Ambulatory Care Diagnostic and Undistributed - Support Services Inpatient Services Other Services Services Therapeutic Services Operating Neepawa 8.5% 18.4% 51.3% 3.7% 2.0% -0.5% 16.6% Minnedosa 9.1% 20.5% 47.9% 0.0% 1.1% 2.4% 19.0% Hamiota 12.9% 18.9% 49.9% 0.0% 1.9% 2.6% 13.8% Shoal Lake 18.1% 17.7% 49.8% 0.1% 2.4% -1.5% 13.3% Erickson 8.7% 25.5% 49.1% 0.0% 2.2% -0.1% 14.6% Riverdale (Rivers) 12.3% 19.7% 51.5% 0.0% 0.5% 0.2% 15.9% Russell 12.5% 20.0% 53.2% 0.0% 1.6% 0.1% 12.6% Birtle 12.7% 20.5% 52.5% 0.0% 3.5% -2.4% 13.3% Rossburn 13.3% 20.2% 53.0% 0.0% 2.0% -0.5% 11.9% Carberry 10.7% 23.5% 45.1% 0.0% 2.4% 1.2% 17.2% Rows may not total 100% due to rounding

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH XWW

Figure 42: Distribution of Total Expenses Central RHA 1997/98 60%

50%

40%

30%

20%

10%

0%

-10% Ambulatory Care Diagnostic and Undistributed - Administrative Services Support Services Inpatient Services Other Services Therapeutic Services Operating Lorne (Swan Lake) 14.3% 21.7% 51.7% 0.0% 1.7% 0.9% 9.6% Rock Lake (Crystal City) 11.9% 19.2% 53.2% 0.0% 1.6% 1.2% 12.9% Pembina Manitou 9.8% 18.6% 58.5% 0.0% 2.0% 0.2% 11.0% Seven Regions (Gladstone) 21.0% 28.9% 36.1% 0.0% 1.7% 3.5% 8.9% Carman 13.7% 18.4% 49.6% 1.9% 3.0% 2.9% 10.5% Notre Dame 15.9% 18.6% 61.0% 0.0% -7.2% -0.3% 12.1% St Claude 12.1% 15.5% 59.4% 0.0% 1.4% 0.0% 11.6% Portage 9.4% 17.5% 53.0% 5.1% 2.2% 2.0% 10.9% MacGregor 11.6% 41.5% 46.3% 0.0% 2.4% 2.0% -3.7% Morris 23.1% 15.9% 42.1% 3.5% 1.9% 1.0% 12.5% Emerson 9.3% 17.0% 55.1% 0.0% 1.8% 2.2% 14.7% Altona 10.4% 20.3% 49.2% 0.0% 1.8% 1.6% 16.7% Morden 10.9% 17.0% 35.6% 13.4% 12.6% 1.4% 9.1% Bethel (Winkler) 12.6% 17.1% 50.6% 1.4% 6.1% 1.3% 10.8%

Rows may not total 100% due to rounding

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH XWZ

Figure 43: Distribution of Total Expenses Brandon RHA 1997/98 60%

50%

40%

30%

20%

10%

0%

-10% Ambulatory Care Diagnostic and Undistributed - Administrative Services Support Services Inpatient Services Other Services Therapeutic Services Operating Brandon 12.5% 14.0% 41.6% 11.1% 13.7% 2.7% 4.4%

Rows may not total 100% due to rounding

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH XW[

Figure 44: Distribution of Total Expenses South Westman RHA 1997/98 60%

50%

40%

30%

20%

10%

0%

-10% Ambulatory Care Diagnostic and Undistributed - Administrative Services Support Services Inpatient Services Other Services Therapeutic Services Operating Virden 10.6% 16.2% 44.0% 0.0% 1.8% 0.6% 26.8% Reston 6.4% 14.2% 58.1% 0.0% 2.6% 0.8% 18.0% Deloraine 8.0% 19.1% 55.1% 0.0% 1.4% 0.9% 15.5% Melita 6.9% 18.0% 56.2% 0.0% 0.8% 0.9% 17.3% Boissevain 7.5% 23.0% 45.3% -2.7% 2.2% 1.4% 23.3% Souris 18.3% 18.3% 45.4% -2.5% 2.7% 0.4% 17.4% Hartney 9.0% 17.2% 62.0% 0.0% 1.0% 0.6% 10.2% Tiger Hills (Treherne) 11.5% 15.5% 51.6% 0.0% 2.1% 3.9% 15.3% Tri-Lake (Killarney) 9.2% 15.2% 47.2% 0.0% 3.9% 2.9% 21.6% Cartwright 15.4% 19.7% 51.5% -0.1% 2.3% 1.1% 10.0% Baldur 9.0% 13.7% 51.7% 0.0% 3.4% 7.2% 15.0% Glenboro 9.2% 14.6% 49.2% 0.0% 10.0% 2.9% 14.1% Wawanesa 10.1% 13.4% 49.2% 0.0% 8.2% 2.9% 16.2% Rows may not total 100% due to rounding

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH XW]

Figure 45: Distribution of Total Expenses South Eastman RHA 1997/98 60%

50%

40%

30%

20%

10%

0%

-10% Diagnostic and Administrative Ambulatory Care Undistributed - Support Services Inpatient Services Therapeutic Other Services Services Operating Services Vita 18.4% 19.5% 34.9% 0.0% 16.7% -21.5% 32.0% Desalaberry (St Pierre-Jolys) 9.1% 25.5% 43.2% 0.0% 12.7% 0.3% 9.3% Bethesda (Steinbach) 11.5% 12.0% 39.2% 7.0% 14.7% -1.1% 16.7% Ste Anne 8.4% 11.4% 50.8% 1.3% 9.9% 0.9% 17.4% Rows may not total 100% due to rounding

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH XW_

!44($)08/3\;

Cost Per Weighted Case and Other Financial Ratios

"&41$%\%:*)8-2$+%(#$%i2-*$.(j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KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH XW\

,CRPN/[B//-NPNXLNH/!YNUCGN/"OKLK/4NU/&NEGQLNH/"CKNW/:??=c?[ Quintile Quintile Cost per Total Adjusted Direct Cost per Weighted Case Weighted Case Weighted Case Direct & Indirect Teaching Hospitals Health Sciences Centre $50,974 $1,859 1 $2,892 1 St Boniface 35,828 1,700 1 2,484 1 Urban Community Hospitals Brandon 13,857 1,259 2 1,910 2 Concordia 8,586 941 4 1,450 4 Salvation Army Grace 16,769 1,096 3 1,660 3 Seven Oaks 14,368 919 4 1,642 3 Victoria 12,236 1,257 2 2,011 2 Major Rural Hospitals Bethel (Winkler) 2,354 953 4 1,399 4 Bethesda (Steinbach) 3,435 743 5 989 5 Dauphin 4,223 1,043 3 1,506 3 Flin Flon 2,972 916 4 1,442 4 Morden 2,418 830 5 1,292 5 Portage 4,595 1,047 3 1,473 4 Selkirk 2,803 908 4 1,335 5 Swan River 2,635 907 4 1,582 3 The Pas 2,013 1,509 1 2,259 1 Thompson 2,997 1,255 2 2,313 1 Intermediate Rural Hospitals Altona 912 986 3 1,460 4 Beausejour 1,294 943 4 1,337 5 Carman 1,205 835 5 1,266 5 Churchill 760 1,475 1 2,732 1 Johnson (Gimli) 1,169 838 5 1,200 5 Minnedosa 1,026 950 4 1,381 4 Neepawa 1,690 784 5 1,116 5 Souris 853 903 4 1,509 3 Ste Rose 1,116 1,164 2 1,798 2 Virden 928 898 4 1,277 5 Small Rural Hospitals Arborg 418 1,270 2 2,014 2 Baldur 339 1,272 2 1,755 2 Birtle 432 1,112 2 1,775 2

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH XW^ Quintile Quintile Cost per Total Adjusted Direct Cost per Weighted Case Weighted Case Weighted Case Direct & Indirect Boissevain 367 1,220 2 1,840 2 Carberry 615 861 5 1,375 4 Deloraine 441 1,260 2 1,773 2 Desalaberry (St Pierre-Jolys) 413 1,025 3 1,699 3 EM Crowe (Eriksdale) 530 987 3 1,604 3 Emerson 270 1,293 2 1,811 2 Erickson 601 659 5 1,045 5 Glenboro 484 950 4 1,501 4 Grandview 508 994 3 1,702 3 Hamiota 739 919 4 1,398 4 Hunter (Teulon) 812 765 5 1,216 5 Lakeshore (Ashern) 648 841 5 1,504 3 Lorne (Swan Lake) 805 779 5 1,254 5 McCreary 451 997 3 1,494 4 Melita 461 1,119 2 1,509 3 Morris 707 1,003 3 1,718 2 Notre Dame 291 1,496 1 2,011 2 Pinawa 600 826 5 1,424 4 Pine Falls 1,246 706 5 1,173 5 Riverdale (Rivers) 643 760 5 1,127 5 Roblin 921 815 5 1,213 5 Rock Lake (Crystal City) 449 1,061 3 1,587 3 Russell 1,312 821 5 1,251 5 Seven Regions (Gladstone) 496 975 4 2,032 2 Shoal Lake 469 1,042 3 1,703 3 St Claude 250 1,610 1 2,277 1 Ste Anne 879 1,025 3 1,457 4 Stonewall 694 975 4 1,473 4 Tiger Hills (Treherne) 478 996 3 1,421 4 Tri-Lake (Killarney) 642 1,165 2 1,632 3 Vita 388 948 4 1,615 3 Wawanesa 307 1,375 1 2,095 2 Winnipegosis 507 1,014 3 1,451 4 Northern Isolated Hospitals Gillam 187 2,535 1 4,056 1 Leaf Rapids 122 3,856 1 5,860 1 Lynn Lake 358 1,374 1 2,133 1

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH XZ` Quintile Quintile Cost per Total Adjusted Direct Cost per Weighted Case Weighted Case Weighted Case Direct & Indirect Snow Lake 38 6,618 1 13,292 1 Small Multi-use Facilities Benito 159 1,612 1 2,487 1 MacGregor 194 1,154 2 2,581 1 Pembina Manitou 204 1,760 1 2,540 1 Reston 280 1,660 1 2,183 1 Rossburn 280 1,179 2 1,841 2 Whitemouth 226 1,139 2 1,786 2

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,CRPN/?B//-NPNXLNH/3EFCFXECP/2CLEOKW/:??=c?[ day cost per expense expenses labour cost patient care Salaries and benefits as a expense as a Food services inpatient meal percent of total Benefit Cost as percent of direct Ambulatory care a percent of total Teaching Hospitals Health Sciences Centre 78.2% 10.7% 26.5% 19.03 St Boniface 73.5% 12.8% 23.4% 19.84 Urban Community Hospitals Brandon 73.2% 11.1% 21.0% 16.96 Concordia 72.8% 10.3% 28.4% 14.70 Salvation Army Grace 76.5% 11.8% 20.9% 14.83 Seven Oaks 75.5% 11.2% 20.2% 14.69 Victoria 71.8% 11.8% 20.6% 18.01 Major Rural Hospitals Bethel (Winkler) 80.0% 11.1% 2.7% 16.90 Bethesda (Steinbach) 78.0% 12.1% 15.1% N/A Dauphin 78.5% 10.9% 16.2% 13.68 Flin Flon 79.9% 11.0% 18.9% 18.45 Morden 82.7% 11.0% 27.4% 15.89 Portage 85.2% 10.9% 8.7% 17.20 Selkirk 73.8% 11.0% 33.5% 17.60 Swan River 80.1% 11.4% 13.9% 23.91 The Pas 85.3% 11.1% 20.2% 16.75 Thompson 59.0% 11.6% 14.1% 22.70 Intermediate Rural Hospitals Altona 80.0% 11.1% N/A 12.16 Beausejour 82.6% 11.2% 0.5% 15.99 Carman 79.4% 10.8% 3.6% 13.71 Churchill 67.0% 9.8% 26.4% 21.61 Johnson (Gimli) 75.1% 11.3% 4.4% 14.99 Minnedosa 84.8% 10.6% 0.0% 15.16 Neepawa 75.6% 11.5% 6.8% 11.35 Souris 81.9% 10.2% -5.9% 13.34 Ste Rose 74.5% 11.5% 12.7% 20.66 Virden 73.7% 9.9% N/A N/A Small Rural Hospitals Arborg 89.2% 10.5% 0.2% 13.79 Baldur 80.4% 9.8% N/A 8.54 Birtle 86.5% 11.1% N/A 14.83 Boissevain 82.6% 15.6% -6.4% 13.55 Carberry 83.2% 14.4% N/A 12.45 Deloraine 85.9% 8.6% N/A 15.12 Desalaberry (St Pierre-Jolys) 84.6% 10.4% N/A 15.38 EM Crowe (Eriksdale) 86.7% 9.0% N/A 14.53 Emerson 95.1% 11.1% N/A 11.92

KeMPLC!U@%KeH"H%eN%MLU!"eAL%IeHP!"LOH XZW day cost per expense expenses labour cost patient care Salaries and benefits as a expense as a Food services inpatient meal percent of total Benefit Cost as percent of direct Ambulatory care a percent of total Erickson 81.6% 11.4% N/A 13.31 Glenboro 83.4% 9.3% N/A 13.06 Grandview 73.4% 11.3% 0.0% 20.92 Hamiota 85.4% 11.1% N/A 12.21 Hunter (Teulon) 78.7% 11.6% 22.1% 12.54 Lakeshore (Ashern) 95.2% 8.4% 0.0% 14.08 Lorne (Swan Lake) 79.5% 11.4% N/A 17.92 McCreary 80.5% 12.1% 0.2% 11.74 Melita 81.0% 9.3% N/A 12.49 Morris 94.9% 10.8% 7.7% 11.91 Notre Dame 106.3% 10.5% N/A 40.14 Pinawa 73.5% 10.8% N/A 21.68 Pine Falls 79.6% 11.1% 18.0% 12.26 Riverdale (Rivers) 82.2% 11.6% N/A 12.23 Roblin 71.6% 13.9% N/A 15.11 Rock Lake (Crystal City) 73.8% 10.7% N/A 15.71 Russell 78.0% 11.0% 0.0% 14.41 Seven Regions (Gladstone) 79.4% 9.7% N/A 21.92 Shoal Lake 79.0% 11.4% 0.2% 12.98 St Claude 81.8% 12.0% N/A 10.60 Ste Anne 79.5% 11.3% 2.5% 0.15 Stonewall 77.8% 11.7% 0.4% 16.01 Tiger Hills (Treherne) 82.1% 10.4% N/A 14.17 Tri-Lake (Killarney) 68.7% 16.3% N/A 14.49 Vita 87.7% 8.8% N/A N/A Wawanesa 88.9% 9.0% N/A 12.15 Winnipegosis 77.3% 11.3% N/A N/AX\ Northern Isolated Hospitals Gillam 82.3% 11.2% 18.9% 28.91 Leaf Rapids 80.3% 11.2% 27.4% 12.13 Lynn Lake 77.7% 12.3% 17.1% N/A Snow Lake 83.6% 9.8% -3.7% 13.83 Small Multi-use Facilities Benito 82.1% 11.3% -0.1% 35.64 MacGregor 78.1% 11.5% N/A 59.51 Pembina Manitou 82.9% 11.1% N/A 8.35 Reston 87.8% 9.7% N/A 13.73 Rossburn 87.5% 10.7% N/A 13.13 Whitemouth 95.7% 10.0% N/A 13.14

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