PRIVATE ACUTE AND PSYCHIATRIC HOSPITALS

HOSPITALS

The number of private Acute and psychiatric hospitals across Australia increased to 286 in 2013-14, up from 282 in 2012-13. More than half of the Australian private Acute and psychiatric hospitals are in New South Wales and Victoria (31.8% and 27.6% respectively), with the balance in Queensland (19.6%), South Australia (9.8%), Western Australia (7.7%) and remainder of the states and territories (3.5%).

TABLE 2.1: PRIVATE ACUTE AND PSYCHIATRIC HOSPITALS, Australia—Selected years
	2003-04	2009-10	2010-11	2011-12	2012-13	2013-14
New South Wales	85	87	86	89	92	91
Victoria	81	78	79	79	78	79
Queensland	54	53	54	54	54	56
South Australia	32	30	30	28	28	28
Western Australia	25	22	21	22	21	22
Tasmania, Northern Territory and Australian Capital Territory (a)	14	9	9	9	9	10
Australia	291	279	279	281	282	286
(a) Tasmania, Northern Territory and Australian Capital Territory have been aggregated to protect the confidentiality of the small number of hospitals in these states/territories.

Of Australia's 286 private Acute and psychiatric hospitals, 222 (77.6%) are located in a metropolitan area and a further 64 are located in a rural area. There were 27,943 beds and chairs available in Acute and psychiatric hospitals in 2013-14, 3.9% more than in 2012-13. Hospitals located in metropolitan areas accounted for 24,394 (87.3%) of all available beds and chairs in 2013-14.

In 2013-14, there were 1.9 million same day patient separations and 1.3 million overnight-stay patient separations in Acute and psychiatric hospitals. The proportion of same day patient separations has been increasing over the past 10 years, from 51.6% in 2003-04, to 60.2% in 2013-14.

The average length of stay for overnight-stay patients increased from 5.2 days in 2012-13 to 5.4 days 2013-14, while the average length of stay for all patients remained at 2.7 days. Over the past 10 years there has been little change in the average length of stay for overnight patients, while that for all patients has decreased from 3.1 to 2.7 days.

In 2013-14, the bed occupancy rate was 86.6% for all patients, compared with 84.6% in 2012-13, and 75.7% in 2003-04. The occupancy rate for overnight-stay patients was 67.6% in 2013-14, up from 65.8% in 2012-13 and up from 63.2% in 2003-04.

The number of full-time equivalent staff employed in Australia's Acute and psychiatric hospitals increased 3.3% to 58,170 in 2013-14. The number of full time equivalent staff has increased by 25.0% since 2003-04.

Acute and psychiatric hospitals in Australia received a total income of $11,740 million during 2013-14, an increase of 8.1% from 2012-13. Total income is now 99.0% higher than in 2003-04. Patient revenue accounted for 95.6% of all income generated by Acute and psychiatric hospitals in 2013-14.

Recurrent expenditure for Acute and psychiatric hospitals for the 2013-14 cycle amounted to $10,535 million, an increase of 6.9% over the previous cycle. Recurrent expenditure is now 88.9% higher than in 2003-04.

Labour costs (including on-costs, such as employer contributions to superannuation and payroll tax) accounted for 49.2% of recurrent expenditure in 2012-13 and 2013-14, compared with 51.5% in 2003-04.

The average expenditure per patient day was $1,193 in 2013-14 compared with $1,188 in 2012-13 and $817 in 2003-04.

TABLE 2.2: PRIVATE ACUTE AND PSYCHIATRIC HOSPITALS, Australia—Selected years
		2003-04	2009-10	2010-11	2011-12	2012-13	2013-14
Hospitals (no.)
	Metropolitan(a)	na	na	209	216	219	222
	Rural(a)	na	na	70	65	63	64
	Total	291	279	279	281	282	286
Beds/Chairs (no.)(b)
	Metropolitan(a)	na	na	21,563	22,719	23,499	24,394
	Rural(a)	na	na	3,831	3,312	3,390	3,549
	Total	24,642	24,926	25,394	26,031	26,889	27,943
Separations ('000)
	Same-day patient	1,126	1,561	1,630	1,749	1,841	1,939
	Overnight-stay patient	1,056	1,170	1,192	1,216	1,251	1,281
	Total(c)	2,182	2,731	2,822	2,965	3,092	3,220
Patient days ('000)
	Same-day patient(d)	1,126	1,561	1,630	1,749	1,841	1,939
	Overnight-stay patient	5,697	6,019	6,336	6,316	6,458	6,894
	Total	6,823	7,580	7,966	8,066	8,299	8,833
Average length of stay (no.)
	Overnight-stay patients	5.4	5.1	5.3	5.2	5.2	5.4
	All patients	3.1	2.8	2.8	2.7	2.7	2.7
Bed occupancy rate (%)(e)
	Overnight-stay patients	63.2	66.2	68.4	66.5	65.8	67.6
	All patients	75.7	83.3	85.9	84.9	84.6	86.6
Full-time equivalent staff (no.)(f)		46,539	53,375	55,053	53,850	56,317	58,170
Income(g)
	Total ($'000)	5,932,744	9,043,615	9,837,799	10,352,330	10,856,065	11,740,226
	Patient income (%)(h)	95.6	96.0	95.5	95.5	95.7	95.6
Recurrent expenditure (i)
	Total ($'000)	5,576,246	8,354,222	8,948,902	9,339,217	9,859,844	10,535,797
	Wages and salaries, including on-costs, as a proportion of total expenditure (%)	51.5	51.6	50.6	48.6	49.2	49.2
	Per patient day ($)	817.0	1,102	1,123	1,158	1,188	1,192.8
Gross Capital expenditure ($'000)(j)
	Total	308,806	695,066	788,319	460,859	663,558	718,316
na not available (a) Metropolitan and Rural are two classifications included in the new Australian Statistical Geography Standard (ASGS). See Glossary for further information. (b) Available beds/chairs (average for the year). (c) Figures have been rounded and discrepancies may occur between totals and the sums of the component items. (d) Same-day patients are counted as having a stay of one day. (e) Calculated by dividing patient days by the product of average number of beds and the number of days in the year and expressed as a percentage. See Glossary for further information. (f) Staff represented are typical full-time equivalent numbers for the year. Full-time equivalent represents the sum of full-time staff and full-time equivalent of part-time staff. See Glossary for further information. (g) Income includes income from patients, recoveries and other income such as investment income and income from charities, bequests, meals and accommodation but excludes income payments from state and territory governments. See Glossary for further information. (h) Includes income received by, and due to, the hospital in respect of patient liability for accommodation and other fees. See Glossary for further information. (i) Expenditure refers to expenditure on goods and services, which does not result in the creation or acquisition of fixed assets (new or second-hand). See Glossary for further information. (j) Capital expenditure refers to expenditure in a period on the acquisition or enhancement of an asset (excluding financial assets). See Glossary for further information.