HOSPITALS

The number of private Acute and psychiatric hospitals across Australia increased to 282 in 2012-13, up from 281 in 2011-12. More than half of the Australian private Acute and psychiatric hospitals are in New South Wales and Victoria (32.6% and 27.7% respectively), with the balance in Queensland (19.1%), South Australia (9.9%), Western Australia (7.3%) and remainder of the states and territories (3.2%).

TABLE 2.1: PRIVATE ACUTE AND PSYCHIATRIC HOSPITALS, Australia—Selected years
	2002-03	2008-09	2009-10	2010-11	2011-12	2012-13
New South Wales	85	85	87	86	89	92
Victoria	84	77	78	79	79	78
Queensland	55	54	53	54	54	54
South Australia	32	30	30	30	28	28
Western Australia	27	21	22	21	22	21
Tasmania, Northern Territory and Australian Capital Territory(a)	13	12	9	9	9	9
Australia	296	279	279	279	281	282
(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 282 private Acute and psychiatric hospitals, 219 (77.7%) are located in a metropolitan area.

There were 26,889 beds and chairs available in Acute and psychiatric hospitals in 2012-13, 3.3% more than in 2011-12.

Acute and psychiatric hospitals located in metropolitan areas accounted for 87.4% of all available beds and chairs in 2012-13.

In 2012-13, 1.8 million separations were for same day patients, while 1.3 million were for overnight-stay patients. In Acute and psychiatric hospitals, the proportion of separations for same day patients has been increasing over the past 10 years, from 51.8% in 2002-03, to 59.5% in 2012-13.

The average length of stay for overnight-stay patients remained at 5.2 days in 2012-13. Similarly the average length of stay for all patients remained at 2.7 days. In 2002-03, overnight-stay patients stayed an average of 5.5 days, while the average length of stay for all patients was 3.2 days.

In 2012-13, the bed occupancy rate was 84.6% for all patients, compared with 84.9% in 2011-12, and 75.6% in 2002-03. The occupancy rate for overnight-stay patients was 65.8% in 2012-13, down from 66.5% in 2011-12 and up from 63.2% in 2002-03.

The number of full-time equivalent staff employed in Australia's Acute and psychiatric hospitals increased in 2012-13 to 56,317. This is up 4.6% from 2011-12, and up 23.6% from 2002-03.

Acute and psychiatric hospitals in Australia received a total income of $10.9 billion during 2012-13, an increase of 4.9% over 2011-12. Total income is now 99.0% higher than in 2002-03. Patient revenue accounted for 95.7% of all income generated by Acute and psychiatric hospitals in 2012-13.

Recurrent expenditure for Acute and psychiatric hospitals for the 2012-13 cycle amounted to $9.9 billion, an increase of 5.6% over the previous cycle. Recurrent expenditure is now 91.5% higher than in 2002-03.

Labour costs (including on-costs, such as employer contributions to superannuation and payroll tax) represented 49.2% of recurrent expenditure in 2012-13, compared with 48.6% in 2011-12 and 52.6% in 2002-03.

The average expenditure per patient day was $1,188 in 2012-13 compared with $1,158 in 2011-12 and $763 in 2002-03.

TABLE 2.2: PRIVATE ACUTE AND PSYCHIATRIC HOSPITALS, Australia—Selected years
		2002-03	2008-09	2009-10	2010-11	2011-12	2012-13
Hospitals (no.)
	Metropolitan(a)	na	na	na	209	216	219
	Rural(a)	na	na	na	70	65	63
	Total	296	279	279	279	281	282
Beds/Chairs (no.)(b)
	Metropolitan(a)	na	na	na	21,563	22,719	23,499
	Rural(a)	na	na	na	3,831	3,312	3,390
	Total	24,454	24,685	24,926	25,394	26,031	26,889
Separations ('000)
	Same-day patient	1,104	1,482	1,561	1,630	1,749	1,841
	Overnight-stay patient	1,026	1,118	1,170	1,192	1,216	1,251
	Total(c)	2,130	2,600	2,731	2,822	2,965	3,092
Patient days ('000)
	Same-day patient(d)	1,104	1,482	1,561	1,630	1,749	1,841
	Overnight-stay patient	5,644	5,892	6,019	6,336	6,316	6,458
	Total	6,748	7,374	7,580	7,966	8,066	8,299
Average length of stay (no.)
	Overnight-stay patients	5.5	5.3	5.1	5.3	5.2	5.2
	All patients	3.2	2.8	2.8	2.8	2.7	2.7
Bed occupancy rate (%)(e)
	Overnight-stay patients	63.2	65.4	66.2	68.4	66.5	65.8
	All patients	75.6	81.8	83.3	85.9	84.9	84.6
Full-time equivalent staff (no.)(f)		45,556	49,415	53,375	55,053	53,850	56,317
Income(g)
	Total ($'000)	5,456,451	8,353,310	9,043,615	9,837,799	10,352,330	10,856,065
	Patient income (%)(h)	95.4	95.1	96.0	95.5	95.5	95.7
Recurrent expenditure (i)
	Total ($'000)	5,147,409	7,631,728	8,354,222	8,948,902	9,339,217	9,859,844
	Wages and salaries, including on-costs, as a proportion of total expenditure (%)	52.6	51.4	51.6	50.6	48.6	49.2
	Per patient day ($)	763	1,035	1,102	1,123	1,158	1,188
Gross Capital expenditure ($'000)(j)
	Total	290,291	588,772	695,066	788,319	460,859	663,558
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.

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