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Chartbook 2006
Organizational Trends
Chapter 2:Organizational Trends
Chartbook 2006
Organizational Trends
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1981 – 2004, for community hospitals
(1) All nonfederal, short-term general, and specialty hospitals whose facilities and services are available
to the public
(2) Data on the number of urban and rural hospitals in 2004 were collected using coding different from previous
years to reflect new Centers for Medicare and Medicaid Services wage area designations2-2
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04
Chart 2.1:Number of Community
Hospitals(1)
1981 - 2004
All Hospitals
Urban Hospitals
Rural Hospitals
(2)
Chartbook 2006
Organizational Trends
0
200,000
400,000
600,000
800,000
1,000,000
1,200,000
818283848586878889909192939495969798990001020304
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
2-3
Beds
Chart 2.2:Number of Beds and
Number of Beds per 1,000 Persons
1981 - 2004
Number of Beds
Number of Bedsper 1,000
Beds
per
Thousa
nd
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1981 – 2004, for community hospitals
Chartbook 2006
Organizational Trends
2-4
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 2004 for community hospitals and US Census Bureau: State and County QuickFacts, 2004 population estimate data derived from Population Estimates, 2000 Census of Population and Housing
RI 2.22DE 2.35DC 6.24
3 – 3.99
2 – 2.99
<2
4 – 4.99
> 5
Chart 2.3:Beds per 1,000 by State
2004
Chartbook 2006
Organizational Trends
2-5
2,400
2,500
2,600
2,700
2000 2001 2002 2003 2004
Chart 2.4:Number of Hospitals in Health
Systems(1)
2000 - 2004
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 2000 – 2004, for community hospitals
(1) Hospitals that are part of a corporate body that may own and/or manage health provider facilities or
health-related subsidiaries as well as non-health-related facilities including freestanding and/or
subsidiary corporations
Chartbook 2006
Organizational Trends
Source: Verispan’s Diagnostic Imaging Center Profiling Solution, 2004.
*2005 values are estimated based upon current trends.
2-6
Chart 2.5:Percent of Outpatient Surgeries by
Facility Type1981 – 2005
0%
20%
40%
60%
80%
100%
81 83 85 87 89 91 93 95 97 99 01 03 05*
Hospital Owned Facilities - 45%
FreestandingFacilities - 38%
Physician Offices -17%
Chartbook 2006
Organizational Trends
2-7
2,4252,754 2,864
3,508 3,5703,836
4,601
5,095
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
4,500
5,000
5,500
1996 1998 2000 2001 2002 2003 2004 2005
Chart 2.6:Number of Freestanding Ambulatory Care
Surgery Centers1996, 1998, and 2000 – 2005
Source: Verispan’s Diagnostic Imaging Center Profiling Solution
Chartbook 2006
Organizational Trends
2-8
0%
5%
10%
15%
20%
25%
30%
35%
95 96 97 98 99 00 01 02 03 04
Chart 2.7:Percentage of Hospitals with Physician
Affiliates(1)
by Type of Relationship1995 - 2004
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1995 – 2004, for community hospitals
(1) A hospital is considered to have a physician relationship if the relationship exists as part of the hospital or a
system or network of which the hospital is a part
Group Practicewithout Walls
Management ServiceOrganization
Physician Hospital
Organization
IPA
Chartbook 2006
Organizational Trends
2-9
Chart 2.8:Percentage of Hospitals with Insurance
Productsby Type of Insurance
1995 - 2004
0%
5%
10%
15%
20%
25%
30%
35%
95 96 97 98 99 00 01 02 03 04
Preferred Provider Organization
Health Maintenance Organization
Indemnity orFee-for-service
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1995 – 2004, for community hospitals
Chartbook 2006
Organizational Trends
2-10
Chart 2.9:Percentage of Hospitals Offering “Non-hospital”
Services(1)
1995 - 2004
0%
10%
20%
30%
40%
50%
60%
70%
80%
95 96 97 98 99 00 01 02 03 04
Source: The Lewin Group analysis of American Hospital Association Annual Survey data, 1995 – 2004, for community hospitals
(1) Includes services offered in hospital, health system, network or joint venture
Assisted Living
Other Long Term Care
Meals on Wheels
Skilled Nursing Facility
Hospice
Home Health Services
Chartbook 2006
Organizational Trends
2-11
Chart 2.10:Announced Hospital Mergers and
Acquisitions1998 - 2004
Source: The Health Care Acquisition Report by Irving Levin Associates, Inc., Eleventh Edition, 2005
Number of Deals Number of Hospitals
86 83
5838
59
287
175
132118
101
56
236
110
139
0
50
100
150
200
250
300
350
1998 1999 2000 2001 2002 2003 2004