- Balance sheet at 31 December
- Report from the Auditors (FR)
The HUG ended their 2015 fiscal year with a net profit of 8.4 million Swiss francs, after taking into account the amount to be returned to the Swiss government, representing 0.5% of the total turnover.
Contribution from the State
Tying the HUG to the State of Geneva, the services contract provides for the payment of a monetary allowance consisting of three budgets: the largest is for operations, the second is for research and teaching, and the third for public interest assignments. In 2015, the state paid 833.6 million francs in this capacity and 44.6 million francs for renewal investments.
Over a period of five years (2011-2015), the monetary contribution paid by the State of Geneva remained relatively stable with an increase of 0.4%, in line with additional assignments and new requirements
In late 2015, the HUG received the REKOLE® quality label for their management accounting. The audit was conducted by KPMG.
In awarding this certification, H+, the Swiss national association of hospitals, clinics and institutions of public and private care, recognises the transparency in the calculation of costs of services by the HUG. This certification improves the position of the HUG in tariff negotiations and vis-à-vis Swiss-DRG.
Changes to revenue
By 2015, the total income increased by 1.9% compared to 2014.
Taking into account developments related to activity, medical revenues increased by 11.5% for hospital services and 5.2% for outpatient care. This reflects the high level of activity over the past year, the suitability of the measures taken by the HUG in terms of rationalising the use of intake capacity, optimising the patient route, and improving the completeness of billing.
Between 2011 and 2015, the HUG's medical revenue grew by 18.1% and other billing revenue by 27.1%. Over the same five-year period, the operating contribution paid by the State remained stable (0.4%).
52% of income
is medical revenue or other revenue
Reduction in the SwissDRG point
Between 2014 and 2015, the SwissDRG* point value fell from 10,500 to 10,400 francs. Since DRG packages represent 2/3 of hospital revenues, it is important for the HUG and other Swiss university hospitals to change the SwissDRG tariff structure. Currently, this pricing does not value academic medicine enough, and limits additional billing of some expensive drugs, particularly in oncology.
* With SwissDRGs, a number of points is assigned to each hospitalisation, for example implantation of a knee prosthesis or vaginal delivery. The point value is negotiated with insurers. The invoice amount corresponds to the number of points multiplied by the point value.
A rise in the average cost-weight
For hospital stays in 2015, the average cost-weight** charged, which reflects the severity, or "weight", of cases treated, is 1.14 points compared with 1.07 in 2014. To obtain this great result, several actions were implemented:
- the introduction of alerts for coding cases with complications
- awareness among the medical profession of the use of complex opcodes
- hiring IP managers responsible for monitoring the patient's trajectory, to anticipate their discharge and avoid unnecessary hospitalisation days.
This increase allows the HUG to maximize their revenues.
** Each APDRG corresponds to a cost-weight. The average cost-weight is calculated for all hospital admissions. All the cost-weights produced by the hospital are then added together, then this amount is divided by the number of cases handled.
Changes to expenditure
In 2015, staff costs increased by 4.9%. This increase in the 2014 figure can be explained in particular by the reinforcements granted to sectors facing a high level of activity (migrants, intensive care, obstetrics, and neonatology).
Regarding medical operating expenditure, this was up 4.1% in line with the level of activity, for which indicators show an increase in the actual occupancy rate of beds and the number of outpatient treatments. However, some of these extra charges generate a surplus on the revenue from the billing of drugs and medical equipment.
Over a five-year period (2011-2015), the HUG's expenditure increased by 5.9% (8.9% in personnel expenses and 24.5% for other cash charges).
76% of expenses
are represented by staff costs