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TABLE OF CONTENTS
CHAPTER 2.0: Organizational Trends
Chart 2.1: Number of Community Hospitals, 1981 – 2006
Chart 2.2: Number of Beds and Number of Beds per 1,000 Persons, 1981 – 2006
Chart 2.3: Beds per 1,000 by State, 2006
Chart 2.4: Number of Hospitals in Health Systems, 2000 – 2006
Chart 2.5: Percent of Outpatient Surgeries by Facility Type, 1981 – 2005
Chart 2.6: Number of Freestanding Ambulatory Care Surgery Centers, 1996, 1998, and 2000 – 2007
Chart 2.7: Percentage of Hospitals with Physician Affiliates by Type of Relationship, 1995 – 2006
Chart 2.8: Percentage of Hospitals with Insurance Products by Type of Insurance, 1995 – 2006
Chart 2.9: Percentage of Hospitals Offering “Non-hospital” Services, 1995 – 2006
Chart 2.10: Announced Hospital Mergers and Acquisitions, 1998 – 2006
Chart 2.1: Number of Community Hospitals,(1) 1981 – 2006
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2006, 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 and beyond were collected using coding different from
previous years to reflect new Centers for Medicare & Medicaid Services wage area designations.
All Hospitals
Urban Hospitals
Rural Hospitals
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 05 06
Hos
pita
ls
(2)
Chart 2.2: Number of Beds and Number of Beds per 1,000 Persons, 1981 – 2006
Number of Beds
Number of Beds per 1,000
0
200,000
400,000
600,000
800,000
1,000,000
1,200,000
81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06
Bed
s
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
Bed
s pe
r T
hous
and
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2006, for community hospitals.
Chart 2.3: Beds per 1,000 by State, 2006
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2006, for community hospitals. US Census Bureau: National and State Population Estimates, July 1, 2006. Link: http://www.census.gov/popest/states/tables/NST-EST2006-01.xls.
RI 2.24DE 2.50DC 6.19
3 – 3.99
2 – 2.99
<2
4 – 4.99
> 5
Chart 2.4: Number of Hospitals in Health Systems,(1) 2000 – 2006
2,400
2,500
2,600
2,700
2,800
2000 2001 2002 2003 2004 2005 2006
Hos
pita
ls
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2006, 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.
Chart 2.5: Percent of Outpatient Surgeries by Facility Type, 1981 – 2005
Source: Verispan, Diagnostic Imaging Center Profiling Solution, 2004.*2005 values are estimated based upon current trends.
Hospital-owned Facilities, 47%
Freestanding Facilities, 37%
Physician Offices, 16%
0%
20%
40%
60%
80%
100%
81 83 85 87 89 91 93 95 97 99 01 03 05*
Per
cent
of
Out
patie
nt S
urge
ries
Chart 2.6: Number of Freestanding Ambulatory Care Surgery Centers, 1996, 1998, and 2000 – 2007
2,4252,754 2,864
3,508 3,5703,836
4,601
5,095 5,197 5,349
0
1,400
2,800
4,200
5,600
1996 1998 2000 2001 2002 2003 2004 2005 2006 2007
Am
bula
tory
Car
e S
urge
ry C
ente
rs
Source: Verispan. (2007). 2007 Guide to Healthcare Market Segments.
Chart 2.7: Percentage of Hospitals with Physician Affiliates(1)
by Type of Relationship, 1995 – 2006
IPA
Group Practice without Walls
Management Service Organization
Physician Hospital Organization
0%
5%
10%
15%
20%
25%
30%
35%
95 96 97 98 99 00 01 02 03 04 05 06
Per
cent
age
of H
ospi
tals
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2006, 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.
Chart 2.8: Percentage of Hospitals with Insurance Products by Type of Insurance, 1995 – 2006
Health Maintenance Organization
Preferred Provider Organization
Indemnity Fee for Service
0%
5%
10%
15%
20%
25%
30%
35%
95 96 97 98 99 00 01 02 03 04 05 06
Per
cent
age
of H
ospi
tals
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2006, for community hospitals.
Chart 2.9: Percentage of Hospitals Offering “Non-hospital” Services,(1)
1995 – 2006
Home Health Service
Skilled Nursing Facility
Other Long Term Care
Assisted Living
Hospice
Meals on Wheels
0%
10%
20%
30%
40%
50%
60%
70%
80%
95 96 97 98 99 00 01 02 03 04 05 06
Per
cent
age
of H
ospi
tals
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2006, for community hospitals. (1) Includes services offered in hospital, health system, network or joint venture.
Chart 2.10: Announced Hospital Mergers and Acquisitions, 1998 – 2006
Source: Irving Levin Associates, Inc., The Health Care Acquisition Report, Thirteenth Edition, 2007. (1) In 2006, the privatization of HCA, Inc. affected 176 acute-care hospitals. The acquisition was the largest healthcare transaction ever announced.
86 8358
3859 51 57
287
175
132118
101
56
236
88
249
139
110
0
50
100
150
200
250
300
350
1998 1999 2000 2001 2002 2003 2004 2005 2006
Number of Deals Number of Hospitals
(1)
