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Johns Hopkins All Children’s Hospital faces fine

Margie Manning

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Johns Hopkins All Children’s Hospital faces a proposed fine stemming from a series of deficiencies state regulators found at the hospital.

The St. Petersburg pediatric hospital has been working to address the problems and to restore confidence in the facility, following a series of Tampa Bay Times reports that documented high death rates in the pediatric cardiology program.

Johns Hopkins All Children’s, with 259 beds, is a leading pediatric referral center and a cornerstone of the Tampa-St. Pete medical community, with one of the largest childhood cancer programs in the southeast United States, a teaching center for future pediatricians and a newly opened 230,000-square-foot education and research facility. It’s also a major employer and stakeholder in the St. Pete Innovation District.

All the previous violations found by the Florida Agency for Health Care Administration have been corrected, according to an Aug. 29 report from Johns Hopkins Health System Corp. and affiliates.

AHCA notified the hospital earlier this month that it faces a potential fine arising from past regulatory violations cited by the agency in January and in April, and the hospital is negotiating with AHCA regarding the proposed fine, the report said.

The hospital also is developing a corrective action plan that it will submit to the federal Centers for Medicare and Medicaid. Once CMS accepts the plan, Johns Hopkins All Children’s will work with an independent consultant, The Greeley Co., to implement it, the annual report said.

The Heart Institute at the hospital remains on suspension and the loss of clinical revenue from that institute cut into income for fiscal year 2019 at both Johns Hopkins All Children’s and Johns Hopkins Health System, the report said.

Revenue at Johns Hopkins All Children’s for the 12 months ended June 30 was $499.1 million, up 1 percent from the previous year. But the hospital reported a loss from operations of $17.6 million and a total loss, including non-operating revenue and expenses, of nearly $15 million. The hospital had been profitable in fiscal year 2018.

Admissions for fiscal year 2019 dropped about 4.9 percent, to 6,288, and both inpatient days and surgeries declined as well. Outpatient visits increased 1.7 percent, to 302,429, while outpatient surgeries dropped 3 percent to 6,115.

The number of full-time equivalent employees at Johns Hopkins All Children’s jumped to 2,767 as of June 30, compared to 2,602 on the same day a year earlier.

The Johns Hopkins system, a not-for-profit corporation based in Baltimore, encompasses six hospitals, including All Children’s, as well as physician groups and other affiliates. The system posted total operating revenue of $6.8 billion in fiscal year 2019, up 5 percent from a year earlier. Income from operations dropped to $81.2 million, compared to $129.3 million a year earlier, while the total surplus declined to $100.7 million, compared to $257.3 million a year earlier.

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