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4390.0 - Private Hospitals, Australia, 2010-11 Quality Declaration 
Previous ISSUE Released at 11:30 AM (CANBERRA TIME) 07/09/2012   
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Contents >> Private Acute and Psychiatric Hospitals >> Acute & Psychiatric Expenditure

EXPENDITURE

Recurrent expenditure for Acute and psychiatric hospitals during 2010-11 amounted to $8,949 million, up 7.1% from 2009-10.

Wages and salaries (including on-costs such as employer contributions to superannuation and payroll tax) represented 50.6% of recurrent expenditure in 2010-11, down from 51.6% in 2009-10. Victoria recorded the highest proportion of total recurrent expenditure that was spent on wages and salaries, at 52.6%, while New South Wales had the lowest proportion, at 48.4%.

The next largest component of recurrent expenditure was Drug, medical, pharmaceutical and surgical supplies, which accounted for 27.7% of the total, as it was in 2009-10. This varied from 23.5% in Western Australia to 29.9% in New South Wales.

When recurrent expenditure is adjusted to remove the effects of price changes over the period, the average annual increase over the ten years from 2000-01 ($5,775 million) to 2010-11 ($8,828 million) was 4.3%. For further information on the use of chain volume measures to adjust income and expenditure, see Explanatory Note 25.

Acute and Psychiatric Private Hospitals, Real income and expenditure(a) : 2006–07 to 2010–11(b)
ACUTE AND PSYCHIATRIC PRIVATE HOSPITALS, Real income and expenditure(a) : 2006–07 to 2010–11(b)

(a) Laspeyres input cost index was used to provide real income and expenditure. See Explanatory Note 25 for further information.
(b) Data for the 2007–08 reference year are not available. See Explanatory Note 4 for further information.


The average expenditure per patient day was $1,123 in 2010-11 compared with $1,102 in 2009-10. This ranged from $1,270 per patient day in in Western Australia to $1,100 per patient day in Victoria. When average expenditure per patient day is adjusted to remove the effects of price changes over the period, the average annual increase over the ten years from 2000-01 ($886) to 2010-11 ($1,108) was 2.3%.

Gross capital expenditure for Acute and psychiatric hospitals during 2010-11 increased by 13.3% from 2009-10 to $788 million. In the three largest states, over 60% of the gross capital expenditure was spent on Land and buildings, with Major medical equipment accounting for just under 20%. Capital expenditure is volatile in the Private Health sector. Significant purchases or construction undertaken in any given year are unlikely to be repeated on a regular basis. Net capital expenditure totalled $757 million in 2010-11.

Acute and Psychiatric Private Hospitals, Expenditure (a) per patient day: 2006-07 to 2010-11(b)
Acute and Psychiatric Private Hospitals, Expenditure (a) per patient day: 2006-07 to 2010-11(b)

(a) Laspeyres input cost index was used to provide real expenditure. See Explanatory Note 25 for further information.
(b) Data for the 2007–08 reference year are not available. See Explanatory Note 4 for further information.



Table 2.15 PRIVATE ACUTE AND PSYCHIATRIC HOSPITALS, Expenditure —State and territories - 2010-11
NSW
Vic.
Qld
SA
WA
Tas., NT & ACT(a)
Aus.

Expenditure ($'000)(b)
Labour costs, including on-costs
Wages and salaries, including on-costs
1 176 153
1 260 474
1 036 265
np
590 986
np
4 531 135
Contract/consultancy payments for medical/health services
61 304
63 848
44 308
np
51 455
np
241 422
Drug, medical, pharmaceuticals and surgical supplies(c)
727 809
627 794
569 094
np
271 794
np
2 479 410
Food supplies
31 526
30 044
33 706
6 833
17 364
3 138
122 611
Repair and maintenance
31 567
16 179
30 138
np
14 271
np
101 135
Fuel and power
27 232
23 333
24 263
np
12 389
np
98 249
Patient transport
983
4 899
203
np
1 550
np
8 732
Depreciation and amortisation
83 736
83 547
88 442
np
40 222
np
321 488
Interest
12 237
12 119
12 756
np
2 778
np
49 743
Non-labour contract expenses
80 746
109 765
59 919
np
28 233
np
310 287
Other (d)
197 076
165 868
141 322
np
106 265
np
684 690
Total (e)
2 430 369
2 397 870
2 040 416
np
1 137 307
np
8 948 902

Wages and salaries, including on-costs, as a proportion of total expenditure (%)
48.4
52.6
50.8
49.0
52.0
50.6
50.6
Average expenditure ($)(f)
Per patient separation
3 140
3 308
3 194
np
3 217
np
3 171
Per patient day
1 140
1 100
1 083
np
1 270
np
1 123

Gross Capital expenditure ($'000)(g)
Land and buildings
228 293
129 777
98 545
np
7 465
np
473 478
Major medical equipment
69 385
37 847
30 979
np
15 620
np
166 471
Information technology
11 421
12 617
4 571
np
2 437
np
31 796
Other capital expenditure
50 422
23 666
23 889
np
6 945
np
115 930
Total (e)
359 521
203 907
157 984
np
32 467
np
787 675
Net Capital expenditure ($'000)(g)
Land and buildings
228 293
113 497
97 294
np
7 465
np
455 767
Major medical equipment
68 387
33 102
30 684
np
15 150
np
159 855
Information technology
11 420
12 354
4 555
np
2 420
np
31 487
Other capital expenditure
48 868
20 287
23 164
np
6 704
np
109 975
Total (e)
356 968
179 240
155 697
np
31 739
np
757 084

np not available for publication but included in totals where applicable, unless otherwise indicated

(a) Tasmania, the Northern Territory and the Australian Capital Territory have been aggregated to protect the confidentiality of the small number of hospitals in these states/territories.
(b) 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.
(c) Including surgically implanted prostheses and homograft items.
(d) Including contract services.
(e) Figures have been rounded and discrepancies may occur between totals and the sums of the component items.
(f) Average expenditure figures can vary considerably between hospitals depending on the type of services they provide.
(g) Capital expenditure refers to expenditure in a period on the acquisition or enhancement of an asset (excluding financial assets). See Glossary for further information. Note that 2010-11 is the first year the ABS has had gross and net capital expenditure available for publication.

For profit hospitals had a lower average expenditure per patient day ($989) than Religious or charitable Not for profit hospitals ($1291) and Other Not for profit hospitals ($1,229) in 2010-11. In 2009-10, For profit hospitals spent $994 per patient day, compared to $1,248 for Religious or charitable Not for profit hospitals and $1,044 for Other Not for profit hospitals.

For profit hospitals and Religious or charitable Not for profit hospitals spent a slightly higher proportion of their total expenditure on wages and salaries (both 50.7%) than the Other Not for profit hospitals (49.2%). The largest percentage point change from 2009-10 was experienced by the Other Not for profit hospitals, who spent 53.5% of their total expenditure on wages and salaries in 2009-10.

Around two thirds (66.9%) of all gross capital expenditure undertaken by Australian Acute and psychiatric private hospitals was undertaken by the For profit sector. The largest component of gross capital expenditure was land and buildings, with nearly two thirds (65.4%) of gross capital expenditure by For profit hospitals being invested in land and buildings.
Table 2.16 PRIVATE ACUTE AND PSYCHIATRIC HOSPITALS, Expenditure — For profit/not for profit sector (a) - 2010-11
For profit
Religious or charitable
Other (b)
Total

Expenditure ($'000)(c)
Labour costs, including on-costs
Wages and salaries, including on-costs
2 180 292
2 166 062
184 781
4 531 135
Contract/consultancy payments for medical/health services
174 115
58 685
8 622
241 422
Drug, medical, pharmaceuticals and surgical supplies(d)
1 198 824
1 188 719
91 867
2 479 410
Food supplies
57 563
59 911
5 137
122 611
Repair and maintenance
52 321
44 982
3 832
101 135
Fuel and power
48 242
44 523
5 484
98 249
Patient transport
5 649
2 784
299
8 732
Depreciation and amortisation
136 586
174 907
9 995
321 488
Interest
13 887
29 332
6 524
49 743
Non-labour contract expenses
123 027
156 092
31 168
310 287
Other (e)
310 360
346 473
27 857
684 690
Total (f)
4 300 866
4 272 470
375 566
8 948 902

Wages and salaries, including on-costs, as a proportion of total expenditure (%)
50.7
50.7
49.2
50.6
Average expenditure ($)(g)
Per patient separation
2 759
3 696
3 519
3 171
Per patient day
989
1 291
1 229
1 123

Gross Capital expenditure ($'000)(h)
Land and buildings
np
124 048
np
473 478
Major medical equipment
np
64 655
np
166 471
Information technology
10 776
20 685
335
31 796
Other capital expenditure
71 449
43 267
1 214
115 930
Total (f)
527 063
252 655
7 957
787 675
Net Capital expenditure ($'000)(h)
Land and buildings
np
123 055
np
455 767
Major medical equipment
np
62 697
np
159 855
Information technology
10 558
20 606
323
31 487
Other capital expenditure
66 903
41 986
1 086
109 975
Total (f)
501 190
248 344
7 550
757 084

np not available for publication but included in totals where applicable, unless otherwise indicated

(a) For definition of 'For Profit/not for profit sector', see Glossary.
(b) Comprising bush nursing, community and memorial hospitals.
(c) 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.
(d) Including surgically implanted prostheses and homograft items.
(e) Including contract services
(f) Total may include figures where providers were able to provide a total expenditure figure, without further breakdown of expenditure items, therefore the total will not equate to the sum of the individual items.
(g) Average expenditure figures can vary considerably between hospitals depending on the type of services they provide.
(h) Capital expenditure refers to expenditure in a period on the acquisition or enhancement of an asset (excluding financial assets). See Glossary for further information. Note that 2010-11 is the first year the ABS has had gross and net capital expenditure available for publication.

The average cost per patient day rose as hospital size increased, with the exception of the 0-25 bed hospitals.. This reflects the greater complexity of procedures undertaken at the larger hospitals. In 2010-11, recurrent expenditure per patient day (unadjusted for price changes) at Acute and psychiatric hospitals with over 200 beds was $1,369 compared with the average of $677 for hospitals with 26-50 beds.

The proportion of total expenditure that is spent on wages and salaries varied from 48.4% of expenditure by hospitals with 101-200 beds to 55.7% of expenditure by hospitals with 26-50 beds.
Table 2.17 PRIVATE ACUTE AND PSYCHIATRIC HOSPITALS, Expenditure —Hospital size (a) - 2010-11
Number of beds
0-25
26-50
51-100
101-200
Over 200
Total (e)

Expenditure ($'000)(b)
Labour costs, including on-costs
Wages and salaries, including on-costs
64 433
214 641
916 568
1 415 670
1 919 823
4 531 135
Contract/consultancy payments for medical/health services
2 538
16 481
46 600
89 780
86 023
241 422
Drug, medical, pharmaceuticals and surgical supplies(c)
24 104
63 964
394 883
844 325
1 152 134
2 479 410
Food supplies
1 717
7 437
24 877
35 842
52 738
122 611
Repair and maintenance
1 565
6 786
21 103
29 192
42 489
101 135
Fuel and power
2 156
5 350
21 190
32 954
36 599
98 249
Patient transport
98
269
1 328
4 370
2 667
8 732
Depreciation and amortisation
5 339
12 040
62 088
99 623
142 398
321 488
Interest
1 324
4 952
12 171
19 013
12 283
49 743
Non-labour contract expenses
5 922
17 369
60 339
108 508
118 149
310 287
Other (d)
17 373
35 752
118 813
245 052
267 700
684 690
Total (e)
126 569
385 041
1 679 960
2 924 329
3 833 003
8 948 902

Wages and salaries, including on-costs, as a proportion of total expenditure (%)
50.9
55.7
54.6
48.4
50.1
50.6
Average expenditure ($)(f)
Per patient separation
2 161
1 993
2 312
3 208
4 114
3 171
Per patient day
934
677
824
1 207
1 369
1 123

Gross Capital expenditure ($'000)(g)
Land and buildings
6 440
17 408
75 463
196 712
177 455
473 478
Major medical equipment
18 591
5 609
24 537
61 675
56 059
166 471
Information technology
3 106
1 016
3 976
5 750
17 948
31 796
Other capital expenditure
3 285
6 458
24 621
45 968
35 598
115 930
Total (e)
31 422
30 491
128 597
310 105
287 060
787 675
Net Capital expenditure ($'000)(g)
Land and buildings
6 440
17 228
59 183
196 337
176 579
455 767
Major medical equipment
18 591
5 261
20 476
60 314
55 213
159 855
Information technology
3 106
751
3 976
5 732
17 922
31 487
Other capital expenditure
3 275
6 319
20 444
44 938
34 999
109 975
Total (e)
31 412
29 559
104 079
307 321
284 713
757 084

np not available for publication but included in totals where applicable, unless otherwise indicated

(a) Based on number of available beds (average for the year).
(b) 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.
(c) Including surgically implanted prostheses and homograft items.
(d) Including contract services.
(e) Figures have been rounded and discrepancies may occur between totals and the sums of the component items.
(f) Average expenditure figures can vary considerably between hospitals depending on the type of services they provide.
(g) Capital expenditure refers to expenditure in a period on the acquisition or enhancement of an asset (excluding financial assets). See Glossary for further information. Note that 2010-11 is the first year the ABS has had gross and net capital expenditure available for publication.



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