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Leadership&Management
50ThingstoKnowAbouttheHospitalIndustry
WrittenbyLindseyDunnandScottBecker,JD,CPA|July23,2013|Print|Email

HospitalsandhealthsystemsintheU.S.areundergoingadramaticshiftintheirbusiness
modelsduetoanumberofforcesthatareexpectedtoeventuallyturntheindustryonitshead
Share fromprovidersconcernedwiththevolumeofservicestheyprovide,toproviderswhofocuson
offeringhighvalueservicesthatemphasizekeepingpopulationshealthy.Forthoseunfamiliar
Tweet
withthisshiftingindustry,orthosewhosimplywanttoknowmore,hereare50factsand
228
statisticsaboutthehospitalindustryin2013.
Share

1.Thereare5,724hospitalsintheU.S.,accordingtotheAmericanHospitalAssociation.1

2.Ofthese,2,903hospitalsarenonprofitand1,025areforprofit.Additionally,1,045areownedbystate
orlocal(county,hospitaldistrict)governmententities.1

3.OfallhospitalsintheU.S.,1,984,or35percent,serveruralcommunitiesandareconsideredrural
hospitals.1

4.Ofruralhospitals,1,328havebeendesignatedasCriticalAccessHospitalsbyCMS.2CAHsarerural
hospitalswithnomorethan25bedsandareatleast35miles(15milesinareaswithmountainousterrain
oronlysecondaryroads)awayfromanotherhospital.CAHsarepaiddifferentlybyCMSthantraditional
acutecarehospitalstheirpaymentsreflecttheiroperatingcosts,ratherthanvolumes.

5.Academicmedicalcentersarehospitalsandhealthsystemswithacloseaffiliationwithamedical
school.AMCsfeatureresidencyandoftenfellowshiptrainingprogramsandpursueclinicalresearchin
additiontodirectpatientcare.Theyalsooftenareconsideredtertiarycarecenters,becauseoftheirability
totreatafullrangeofcomplexconditionsandaccesstosubspecialists.Therearecurrentlyaround400
AMCsintheU.S.3

6.Safetynethospitalsareacategoryofhospitalsthatprovideadisproportionatelevelofcharitycare
comparedtootherfacilities.4ThesehospitalsreceiveHospitalDisproportionateSharePaymentsfrom
CMStohelpoffsetthecostofcaringforlargenumbersofMedicaid,Medicareanduninsuredpatientswho
resultinuncompensatedcare.ThePatientProtectionandAffordableCareActcallsforDSHpaymentsto
besignificantlyreducedoveraperiodofyearsthisreductionwaswrittenintothelawunderthe
assumptionthattheexpansionofMedicaidcoveragewouldreducethenumberofuninsuredindividuals,
meaningsafetynethospitalswould,intheory,havelessuncompensatedcarecoststooffset.However,
theSupremeCourt'sdecisiontomakestates'expansionofMedicaidoptionalcouldcreateafinancial
challengeforsafetynethospitalsinstatesthatforgoexpansion.

7.AslightmajorityofhospitalsintheU.S.arepartofahealthsystem.AccordingtotheAHA,3,007,or
roughly53percentofhospitalsarepartofahealthsystem.1Note:StatisticsfromAHA'sHospital
Statistics,2013Editionreflect2011data.Thenumberofhospitalsinasystemislikelyhighertodaydueto
thelargeamountofmergerandacquisitionactivitywithintheindustrythathastakenplacesince2011.

8.In2012,94mergersoracquisitionstookplaceinthehospitalindustryworthatotalof$1.88billion,the
highestvalueofM&Aactivitywithintheindustryoverthelastdecade,accordingtoIrvingLevin
Associates.

9.Forhospitalsales/acquisitionsoccurringin2012,theaveragepricetoEBITDAmultiplewas9.5x,and
theaveragepricetorevenuemultiplewas0.76x,accordingtoIrvingLevinAssociates.Theaverageprice
torevenuemultiplesfordistressedorbankrupthospitalsrangedfrom0.3xto0.4x.5

10.Thefivelargestforprofithospitaloperatorsinclude:HospitalCorporationofAmerica(162
hospitals),CommunityHealthSystems(135hospitals),
HealthManagementAssociates(71hospitals),LifePointHospitals(57hospitals)and
TenetHealthcareCorp(49hospitals).6

11.Thefivelargestnonprofithospitalsystemsinclude:AscensionHealth(100hospitals),CatholicHealth
Initiatives(86hospitals),CHE/Trinity(newlymergedentitybetweenTrinityHealthinNovi,Mich.,and
CatholicHealthEastinNewtonSquare,Pa.82hospitals),AdventistHealthSystem(43hospitals)and
DignityHealth(38hospitals).6

12.ThefivelargestnonprofithospitalsinAmerica(bybedcount)are:NewYorkPresbyterianHospital
(NewYorkCity)2,292bedsFloridaHospitalOrlando2,141JacksonMemorialHospital(Miami)
1,724UniversityofPittsburghMedicalCenterPresbyterian1,590andOrlando(Fla.)RegionalMedical
Center1,483.6

13.ThelargestforprofithospitalsinAmerica(bybedcount)are:MethodistHospital(SanAntonio)
1,536bedsEdinburg(Texas)RegionalMedicalCenter816HenricoDoctor'sHospital(Richmond,Va.)
812NorthShoreMedicalCenter(Miami)775andCJWMedicalCenterChippenhamCampus
(Richmond,Va.)762.6

14.Hospitalsvarygreatlyissize,fromsmallruralfacilitieswithjustafewkeyservicelinestolarge,tertiary
carefacilities.HereisabreakoutofU.S.hospitalsbybedcountin2009,thelatestyearforwhichdatais
publiclyavailable.7

624bed402

2529beds1,164

5099bed991

100199beds1,063

200299beds582
 300399beds348

400499beds192

500bedsormore266

15.Therewasanaverageof111.8inpatienthospitalsadmissionsper1,000peoplein2011,downfroman
averageof123.2daysin1991.Thisdatasuggestsonongoingshiftfrominpatienttooutpatientcare,
whichhasbeendrivenlargelybyadvancesinminimallyinvasivesurgicaltechniquesaswellasadvanced
anesthesiatechniquesthatallowpatientstorecovermorequicklyfromsurgicalprocedures.8

16.Theaveragelengthofstayforanacutecarehospitaladmissionis4.8days.9

17.Theaveragecostperinpatientdayis$2,025fornonprofithospitalsand$1,629forforprofit
hospitals.10

18.Therewasanaverageof2,105.6outpatientvisitsper1,000peoplein2011,upfromanaverageof
1,273.4daysin1991,furthersupportingthetrendofinpatientsurgeriesmovingtotheoutpatientsetting.8

19.Emergencydepartmentsarecriticalunitswithinhospitalsastheyaccountforthemajorityofinpatient
admissions.In2010,therewere42.8EDvisitsper100personsintheU.S.,accordingtotheCDC's
NationalHospitalAmbulatoryMedicalCareSurvey.Thenumberofemergencydepartmentvisitsresulting
inhospitaladmissionwas17.2million,andnumberofemergencydepartmentvisitsresultinginadmission
toacriticalcareunitwas2.1million.

20.EDsathalfofallurbanhospitalsand51percentofallteachinghospitalsare"atcapacity"or
"overcapacity,"accordingtoa2010surveybytheAHA.11

21.TheAmericanHospitalAssociationistheleadingassociationrepresentingU.S.hospitals.Itisledby
PresidentandCEORichard(Rich)Umbdenstock.

22.TheFederationofAmericanHospitalsrepresentsforprofit,investorownedhospitals.Itwasfounded
in1966andisledbyPresidentandCEOCharles(Chip)Kahn.

23.America'sEssentialHospitalsrepresentssafetynethospitals,includingmanylarge,urbanfacilities.It
isledbyPresidentandCEOBruceSiegel,MD,MPH.

24.Avarietyoffactorshavepressuredhospitalfinancesoverthelastseveralyears,andtheseforcesare
unlikelytoletup.Inadditiontothevolumeshiftfrominpatienttooutpatientvisits,therecessionand
growthinhighdeductibleheathplansandotherhealthinsurancebenefitdesignelementsthatincreases
costsforconsumershasresultedinsomepatientsdelayingorwithholdingmedicalcare.For2012,the
latestdataavailable,theaverageoperatingmarginforanonprofithospitalwas2.5percent,accordingto
Moody'sInvestorsService.

25.In2012,theaveragenonprofithospitalhad165dayscashonhandandacashtodebtratioof117.7
percent.However,cashtodebtratiosvarywidelyintheindustry:

Mediancashtodebtratiofor"Aa2"ratedhospitals:214.5percent
Mediancashtodebtratiofor"Aa3"ratedhospitals:185.8percent
Mediancashtodebtratiofor"A1"ratedhospitals:146.9percent
Mediancashtodebtratiofor"A2"ratedhospitals:143percent
Mediancashtodebtratiofor"A3"ratedhospitals:104percent
Mediancashtodebtratiofor"Baa1"ratedhospitals:91.6percent
Mediancashtodebtratiofor"Baa2"ratedhospitals:74.6percent
Mediancashtodebtratiofor"Baa3"ratedhospitals:93percent
Mediancashtodebtratioforhospitalswithratingsbelow"Baa":107percent12

26.Thepaymentahospitalreceivesfortheserviceitprovidesvariesbasedonthepayer.Governmental
payers,includingMedicareandMedicaid,setrates,andnearlyeveryhospitalchoosestoacceptthemin
ordertohaveaccesstothesepatients.Withcommercialpayers,hospitalscannegotiateratesbasedon
expectedvolumeandotherfactorshowevermanycommercialratesaresetbasedonapercentof
MedicareorsomeotherformulathatusesMedicareratesasabaselinefigure.Therefore,cutsto
MedicareratesmayhavealargerimpactonhospitalfinancesthanjustamongMedicarepatients.

27.ThemajorityofpatientstreatedbyhospitalsarecoveredbyMedicare(40.9percentofpatientstreated
inU.S.hospitals).TheaveragepayermixofaU.S.hospitalisasfollows:

Medicare:40.9percent
Medicaid:17.2percent
BlueCrossBlueShield,otherprivateinsurance:16.5percent
HMOorPPO:14percent
Selfpay:4.9percent
Worker'scompensationandothergovernmentprograms:2percent13

28.Nonprofithealthsystemsreceivetaxexemptstatusbecauseofthebenefitstheyprovidetotheir
communities.However,therehasbeengreaterscrutinybylawmakersandthepublicinthepasttwoto
threeyearsastowhetherthetaxbreaksareequivalenttothelevelofcharitycareorotherbenefits
providedbythehospitals.AspartofthePPACA,theIRShasimplementedstricterreportingrequirements,
andmanystateandlocalgovernmentshavearecurrentlyevaluatinghospitaltaxbreaks.(See:"Health
Reform'sNewCharityCareRequirementsforHospitals:AchievingCompliancetoAvoidPenalties
"and"CharityCareandPropertyTaxes:WhyTheyAreNowInseparable.")

HereisabreakdownonaverageleveloftotalcharitycareatU.S.hospitals,asapercentageoftotal
hospitalexpenses,accordingtoanIRSanalysisofhospitals'2009ScheduleHforms.

Smallhospitals(lessthan$100millionexpense):7.3percent
Mediumhospitals($100millionto$299millionexpense):8.0percent
Largehospitals($300millionormoreexpense):9.8percent
Systems(morethanonelicensedhospital):9.3percent

29.AspartofthePPACA,hospitalsagreedtoroughly$155billioninpaymentcutsfromMedicareand
Medicaidover10years.Further,theAmericanTaxpayerReliefActof2012,betterknownasthefiscalcliff
deal,broughtonfurthercutstohospitalpaymentrates.Together,theseadjustmentswillslowthegrowth
ofMedicarespending.However,hospitalswillnotactuallybereimbursedalowerrateyeartoyear.
Instead,growthinMedicarepaymentswillbeslowedtheyareexpectedtofallsignificantlyunderthe
inflationrateforthenextdecade.CMS'proposedrulefor2014paymentsprovidesjusta0.8%increasein
Medicareinpatientpaymentratesover2013.

30.VariousreformsunderthePPACAareslowlyincreasingthepercentageofMedicarepaymentrates,
undertheformulaCMSuses,thataretiedtohospitalperformance.ThePPACAimplementedthehospital
ValueBasedPurchasingprogram,whichinFY2014willtie1.25percentofhospitalpaymentstotheir
performanceonvariousqualityandpatientexperienceindicators.UndertheHospitalReadmissions
Reductionprogram,hospitalswouldconcedeamaximumof2percentofMedicarepaymentsfor
excessivereadmissionsinFY2014.And,astheadagegoes:"whereMedicaregoes,sogoesprivate
payers."Manyprivatepayershaveenteredintovarioustypesofvaluebasedcontractswithproviders.
RecentlyUnitedHealthcaresaiditplanstodoublethenumberofitsvaluebasedcontracts.

31.Thefinancialimpactofthesevaluebasedreformsisexpectedtohaveasignificantimpactonlow
performinghospitals.Forexample,a300bedhospitalwithpoorqualitymetricswouldbepenalized
approximately$1.3millionayear,beginningin2015,underCMSvaluebasedreforms.14

32.Theimpetusforvaluebasedcareisdrivenbytwocoreforces:1)therisingcostofmedicalcareand
2)thelackofpredictablequality.Inregardtothelatterforce,medicalerrorsandhealthcareassociated
infectionscontinuetooccuratalarmingratesinU.S.hospitals.Accordingtoa2007studybytheCDC15
thatexaminedhospitaldatafrom2002,approximately1.7millionHAIsoccurannually.Thenumberof
estimateddeathsassociatedwithHAIsinU.S.hospitalswas98,987.Ofthese,35,967werefor
pneumonia,30,665forbloodstreaminfections,13,088forurinarytractinfections,8,205forsurgicalsite
infectionsand11,062forinfectionsofothersites.AccordingtotheCDC'sanalysisofthestudy,"HAIsin
hospitalsareasignificantcauseofmorbidityandmortalityintheUnitedStates."

33.HospitalsandhealthsystemsareenteringintoavarietyofvaluebasedpaymentmodelswithCMS
andprivatepayers.ManyvaluebasedagreementswithprivatepayersaresimilartoCMS'VBPprogram
wherethereareincentivesforprovidinghighqualitycarethatmeetscertainbenchmarks.Othersaremore
complexandmayincludeaccountablecareorganizationarrangements,capitatedpaymentsforapatient
overasetperiodoftime,orbundledpaymentsforcertainmedicalandsurgicalservices.

34.Accountablecareorganizationshaveprovenapopularvaluebasedmodel,atleastintermsof
systemswillingtotesttheirviability.ACOswereoneofseveralprogramscreatedbytheCenterfor
Medicare&MedicaidInnovation,acentercreatedandfundedbythePPACAtopilotnewpatientcare
modelsintendedtoreducecostsandimprovequality.CMScreatedseveralprogramsforACOs,including
theMedicareSharedSavingsProgramandthePioneerACOprogram.TheCMMIalsolaunchedthe
BundledPaymentsforCareImprovementProgram,whichwillpayhospitalsabundledrateforcertain
hospitalbasedandoutpatientservicesassociatedwithselectedDRGs.

35.ACOsarealsonowbeingoperatedbyprivatepayers.InFebruary2013,LeavittPartnersestimated
therewereatotalof428ACOprogramsacross49statesand32sucharrangementscreatedwithin22
differenthealthplans.

36.Becauseofdemandstolowercosts,improvequality,coordinatecareandimprovepopulationhealth,
hospitalsareconcernedwiththeiralignmentwithphysicians.Physicians,afterall,controlmosttestingand
treatmentdecisions,andtheirgoalsmustbealignedwiththoseofthehealthsystemforsuccess.To
achievethis,healthsystemslooktoclinicallyintegratewithphysicians,whichcanbeachievedthrougha
varietyofmodelsrangingfromemploymenttooperatingamanagementserviceorganizationfor
independentphysicians.

37.Despitethevarietyofmodelsavailabletoachieveclinicalintegration,physicianemploymenthasrisen
inpopularity,likelybecauseiteliminatesmanylegalhurdlesassociatedwithhospitalphysician
relationships.AccordingtotheAmericanHospitalAssociation,45percentofphysicianswereemployedin
2012.

38.Employmentvariesgreatlybyphysicianspecialty.Forexample,only25percentofspecialistswere
employedin2012,accordingtoTheAdvisoryBoard.However,thatwasasignificantincreasefromthe5
percentemployedin2000.Aphysician'sdecisiontoacceptemploymentseemslargelydrivenbyasense
ofindependence(somethingapparentlymorecommonamongsurgeons)andanabilitytomaintain
incomeinaprivatepracticesetting.Thatis,specialtiesaremuchmorewillingtoacceptemployment,and
evenseekit(inthecaseofmanycardiologists),afterreceivingsignificantphysicianfeepaymentcutsfrom
Medicare.

39.Anticipatedphysicianshortagesincertainareasofthecountryarealsodrivinghospitals'effortsto
alignwithphysicians.TheAssociationofAmericanMedicalCollegesestimatestheU.S.willhavea
shortageof150,000physiciansby2025.

40.Whenhospitalsemployphysicians,theyoftendosotoprepareformanagedcareandotherbusiness
purposes.However,hospitalleadersshouldkeepinmindphysiciansarequiteexpensivetoemploy,andin
fact,increasedregulationshavemadeoperatingphysicianpracticesmoreexpensivethaninthepast.
PhysicianpracticeoperatingcostsperFTEphysicianrose63percentfrom1998to2008,accordingtothe
MedicalGroupManagementAssociation.However,physiciansoftengeneratesignificantrevenuefora
hospitalwhenemployed.Forexample,anorthopedicsurgeongeneratesamedianrevenueof$2.7million
forahospitaloverthecourseofayearmedianorthopedicsurgeoncompensationis$519,000forthesame
timeperiod,accordingtodatafromMerrittHawkins.(See"51StatisticsonPhysicianSalariesvs.Hospital
RevenueGenerated.")

41.Theaveragedebttocapitalizationratioforanonprofithospitalin2011was40.4percent,accordingto
Moody'sInvestorsService.Duetotherecession'simpactsoninvestmentincomeandvolume,many
hospitalshavereducedcapitalspending.Forfinanciallystrappedorganizations,accesstooutsidefunds
forcapitaloutlaycanbechallenging.Asaresult,thehospitalsareunabletofundlargeexpensessuchas
physicianemployment,electronichealthrecordsystems,andothercapabilitiesrequiredforsuccessina
valuebased,coordinateddeliverysystem.

42.Mosthospitalsaremovingtowardimplementingelectronichealthrecordsystemsandsomehave
alreadyfullyimplementedthem.Accordingtoa2012KPMGsurvey,50percentofhospitalssurveyed
reportedtheyweremorethanhalfwaytofullEHRimplementation.
43.Hospitalsthatsuccessfullyimplementelectronichealthrecordsandareabletodemonstrate
"meaningfuluse"ofthoserecordsaccordingtoCMS'standardswillreceiveincentivepayments.
AccordingtoCMS,ahospitalcouldearn$2millionmorebysuccessfullyattestingmeaningfuluse.The
fundingfortheseincentivepaymentswasallocatedbyCongressintheAmericanRecoveryand
ReinvestmentActof2009.

44.Notsurprisingly,95percentofU.S.hospitalsparticipatinginasurveybytheAmericanHospital
AssociationreportedtheyplantopursuemeaningfulusecertificationundertheMedicare&Medicaid
ElectronicHealthRecordsIncentiveProgram.16

45.TheannualcompensationofhospitalandhealthsystemCEOscanoftenclimbintothemillions,with
bonusandnonsalarypaymentsareincluded.

Hereisasnapshotofhospitalpresident/CEOpayin2012,accordingtoMercer's2012IntegratedHealth
NetworksCompensationSurvey:

Title 25thpercentile 50thpercentile 75thpercentile

Systempresident/CEO $787,300 $917,500 $1,028,100

Marketbasesalary

Systempresident/CEO $912,300 $1,131,600 $1,405,700

Markettotalcash
Compensation

46.ForstandalonehospitalpresidentandCEOs,thepayisreducedtoreflectthefewernumberof
facilitiesoverseen.

Title 25thpercentile 50thpercentile 75thpercentile

Standalonehospital $480,000 $613,500 $715,800

president/CEOMarket
basesalary

Standalonehospital $518,500 $620,000 $872,400

Markettotalcash
compensation

47.HealthsystemCFOpayin2012,alsoaccordingtoMercer's2012IntegratedHealthNetworks
CompensationSurvey,isdetailedbelow:

Title 25thpercentile 50thpercentile 75thpercentile

CFOMarketbase $160,600 $204,900 $306,400

salary

CFOMarkettotalcash $171,800 $227,700 $335,000

 compensation

48.HospitalandhealthsystemchiefinformationofficercompensationwasslighterhigherthanCFOpay.

HereisasnapshotofCIOin2012,accordingtoMercer's2012IntegratedhealthNetworksCompensation
Survey:

Title 25thpercentile 50thpercentile 75thpercentile

CIOMarketbase $239,500 $296,100 $362,400

salary

CIOMarkettotalcash $250,700 $324,400 $415,400

compensation

49.Thenumberofhospitalsineachstateisinfluencedbypopulation,ofcourse,butalsobyotherfactors.
Statecertificateofneedlawsareoneofthebiggestinfluencersofhospitaldevelopmentinastate.
Certificateofneedlawsrequirethatastategovernedboardreviewandapprovethedevelopmentofany
newhealthcarefacilitiesinthestate.Generally,approvalrequiresproofofneedthatis,acurrentlackof
accesstohealthcareservicesorafutureone,duetoprojectedpopulationgrowth.ForasummaryofCON
laws(orlackthereof)bystate,clickhere.

50.Thetopfivestateswiththemosthospitals,accordingtoKaiserHealthFacts,17are:

Texas426
California343
Florida210
Pennsylvania196
Illinois189

Footnotes:

1AmericanHospitalAssociation."AHAHospitalStatistics,2013Edition."
2RuralHealthResearchCentersattheUniversitiesofMinnesota,NorthCarolinaChapelHill,andSouthernMaine."CAHList."

Availableonlineathttp://www.flexmonitoring.org/cahlistRA.cgi
3PWC."AcademicMedicalCenters."Availableonlineathttp://www.pwc.com/us/en/healthindustries/providers/services

solutions/academicmedicalcenters.jhtml
4America'sEssentialHospitals."AboutOurMembers."Availableonlineathttp://www.naph.org/MainMenuCategory/About

NAPH/AboutOurMembers/whatisasafetynethospital.aspx
5IrvingLevinAssociates."HealthCareServicesAcquisitionReport,2012."
6FiguresarebasedonCMScostreportdataanalyzedbyAmericanHospitalDirectory.Note:Thehospitalbedcountsreported

hereincludeallmedical/surgicalandspecialcarebedsasreportedtoCMSbythehospitalsintheirmostrecentcostreportsand,
insomecases,mayincludebedcountsfromotherfacilitiesthatshareaprovidernumberwiththemainhospital.
7CentersforDiseaseControlandPrevention."Table116.Hospitals,beds,andoccupancyrates,bytypeofownershipandsizeof

hospital:UnitedStates,selectedyears19752009."Availableonlineathttp://www.cdc.gov/nchs/data/hus/2011/116.pdf
8AvalereHealth.AnalysisofAmericanHospitalAssociationAnnualSurveydata,2011,forcommunityhospitals.U.S.Census

Bureau:NationalandStatePopulationEstimates,July1,2011.
9NationalHospitalDischargeSurvey:2010table,Numberandrateofhospitaldischarges.
10KaiserStateHealthFacts,2012.
11AmericanHospitalAssociation(May,24,2010)."TheStateofAmerica'sHospitals:ResultsofAHASurveyofHospitalLeaders,
March/April,2010."
12Source:Moody'sInvestorsService,"U.S.NotforProfitHospitalMediansShowOperatingStabilityDespiteFlatInpatient

VolumesandShifttoGovernmentPayers,"August2012.
13CentersforDiseaseControlandPrevention."NationalHospitalDischargeSurvey."Figuresreflectpayormixesfrom2009,the

latestyearavailable.
14PWCHealthResearchInstitute."HealthReform:ProsperinginaPostreformWorld."
15CentersforDiseaseControlandPrevention."EstimatingHealthCareAssociatedInfectionsandDeathsinU.S.Hospitals,

2002"Availableonlineathttp://www.cdc.gov/HAI/pdfs/hai/infections_deaths.pdf.
16AmericanHospitalAssociation."AHASurveyonHospitals,AbilitytoMeetMeaningfulUseRequirementsoftheMedicareand

MedicaidElectronicHealthRecordsIncentivePrograms,February7,2011."
17TheHenryJ.KaiserFamilyFoundation.StateHealthFacts.Availableonlineathttp://kff.org/other/stateindicator/totalhospitals.

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PaulaLovell4yearsago
Greatinformation.Greatdata.Thanks.
Reply Share

NickLieberman4yearsago
GreatDataI'dbeinterestedtoknowhowdoVAMedicalFacilitiesfitintothe1,045govtownedhospitalsandarethe
hospitalsthatareownedbythestateandlocalcountygovtsgeographicallycenteredinaspecificUSregion/state?
Reply Share

LindseyDunn>NickLieberman4yearsago
HiNick,

VAhospitalsareincludedinthegovt.ownedhospitalcount.Asfarasthedistributionoflocallyownedfacilities,my
generallyunderstandingoftheindustryisthattheyarespreadfairlyevenlythroughoutthecountryandwithin
states.
Reply Share

BlakeMoser4yearsago
Wow!That'salotofinformationprovidedin50points.Greatjobputtingthisdatatogether.It'sveryuseful.Thanks!
Reply Share

MichaelMBA4yearsago
Thereissomuchgoodinformationhere.ItremindsmeofHarpersIndex.
CouldIaskthatthislistisupdatedeveryJanuary1standpresentedannually?
Reply Share
 Reply Share

Lisa@50ThingstoKnow4yearsago
Wewouldlovetohavethislistonour"50ThingstoKnow"blog.http://50thingstoknow.com.
Reply Share

LoriGrosse4yearsago
Thisisvaluableinformationwithabroadrangeoftopicscovered.Iwillrefertothisarticleagain.Thanksforcompiling
suchahelpfullistoffacts.
Reply Share

Guest3yearsago
IwaswanderingifthisisthecorrectdatainregardstohospitalsintheU.S.accordingtotheAHAin2014TotalNumberof
AllU.S.Registered*Hospitals5,686andIalsoseeotherdiscrepanciesinthisarticle
1 Reply Share

ALSOONBECKER'SHOSPITALREVIEW

'Capable'physicians61%lesslikelytoreport DoEHRsimprovedatasharing,dailyworkflow?
significantsymptomsofburnout Medicalprofessionalsweighin
1comment4daysago 1comment6daysago

AvatarDikeDrummondMDThisisTERRIBLE.Thechoiceof AvatarLolaKoktyshEHRsweredesignedastransaction
theword"Capable"hereispurePOISONtoyour basedsystemsofrecord,thereforeIhonestlydoubtthat
relationshipwiththefrontlineproviders.Presumably theyarecapableofenablingapatientprovider

Mississippihospitalwillcharge$200upfrontfeefor Floridaphysiciancaughtonvideocursing,yellingat
nonurgentEDvisits patientissuesapology
25comments4daysago 2comments4daysago

AvatarConceptdesignerMozartyouarecorrect.EMTALAonly AvatarAS1124hisnameisdirtnow.Everyonewillcontinueto
statesapatientmustbemedicallyscreenedtodetermine YelpandGooglethisPOSposingasaDr.Heneedstoget
ifanemergencymedicalconditionexists.If intoabusinesswherehedoesNOTdealwith

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8.Anewpatientengagementmodelforpaymentcollection
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10.HowtheNextGenerationACOscomparedonsharedsavingsin2016

Top40ArticlesfromthePast6Months
1.100greathospitalsinAmerica|2016
2.CMSwillcancelmajorbundledpaymentinitiatives
3.Dallashospitalunexpectedlycloses
4.HCAtochangeitsnameagain
5.HealthsystemCEOpullsout$6Mchecktopaydebtsduringbudgethearing
6.Hospitalsfaceunprecedentedturnover,attritionrates:4surveyfindings
7.Trumpappointsnursetoserveasactingsurgeongeneral
8.Floridahospitalfilesforbankruptcy
9.The19double5starhospitals
10.Trump's$4.1trillionbudget:9healthcaretakeaways
11.USNewsreleases201718BestHospitalrankings
12.Operatorof179cancertreatmentcentersfilesforbankruptcy
13.Policeshoot,killarmedIrmaevacueeatNorthCarolinahospital
14.Amazonreportedlylaunchedasecrethealthcareteamcalled1492
15.CHSdivests11hospitals,adds3moretosalepipeline
16.CMStopunishmorethan2.5khospitalsfor30dayreadmissions:7thingstoknow
17.The$12MpatientwhodroveinsurancerateshigherinIowa
18.CMScancelscardiacbundles,scalesbackCJRmodel:8thingstoknow
19.CHSdivests9hospitals
20.Physicianassistantmediansalaryforall50states
21.LeadershipexodusatLutheran:2boardmembersleaveoverriftwithCHS,makingfor7resignations
in6days
22.Floridahospitalsuspendsemployeesafterinappropriatephotoswithnewbornssurface
23.5DenverHealthnursessuspendedafterinappropriatelyviewingdeceasedpatient'sbody
24.Lawsuit:NurserapedwhileheldhostageatIllinoishospital
25.Physician'sresignationdrivesVirginiahospitaltoclose
26.WisconsinhealthsystemblamesCernersoftwarefor$16Minlosses
27.Risingstars:60healthcareleadersunder40|2017
28.Tenetboardupheavalcouldleadtoactivistcampaign
29.FedschargeformerTenetexecutivesin$400Mfraudcase
30.10bestandworststatesforhealthcare
31.CaliforniahospitalatriskoflosingMedicare,Medicaidfunding
32.TenetCEOtoexitwith$22.9Minseverancepay
33.FloodingclosesMDAnderson,MemorialHermannSugarLandBenTaubevacuates
34.UPMCfiresseveralemployeesaftertheyogled,photographedanesthetizedpatientwithgenitalinjury
35.Manaccusedofkillingphysicianoverbotchedprostatesurgery21yearsprior
36.The2actionsTrumptookonhealthcareThursday:9thingstoknow
37.Patientstabs,seriouslyinjuresnurseatMassachusettshospital
38.MDAndersoneliminatesEVProles
39.ShootingatBronxLebanonHospital:9thingstoknow
40.CernerCEONealPatterson,67,diesfromcancercomplications

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