Title: Organizational Trends
1Chapter 2 Organizational Trends
2Chart 2.1Number of Community Hospitals(1)1981
- 2004
All Hospitals
Urban Hospitals
Rural Hospitals
(2)
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 designations
2-2
3Chart 2.2Number of Beds andNumber of Beds per
1,000 Persons 1981 - 2004
Number of Beds
Number of Bedsper 1,000
Beds
Beds per Thousand
Source The Lewin Group analysis of American
Hospital Association Annual Survey data, 1981
2004, for community hospitals
2-3
4Chart 2.3Beds per 1,000 by State2004
RI 2.22 DE 2.35 DC 6.24
lt2
2 2.99
3 3.99
4 4.99
gt 5
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
2-4
5Chart 2.4Number 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
2-5
6Chart 2.5Percent of Outpatient Surgeries by
Facility Type1981 2005
Physician Offices - 17
Freestanding Facilities - 38
Hospital Owned Facilities - 45
Source Verispans Diagnostic Imaging Center
Profiling Solution, 2004. 2005 values are
estimated based upon current trends.
2-6
7Chart 2.6Number of Freestanding Ambulatory Care
Surgery Centers 1996, 1998, and 2000 2005
Source Verispans Diagnostic Imaging Center
Profiling Solution
2-7
8Chart 2.7Percentage of Hospitals with Physician
Affiliates(1)by Type of Relationship1995 - 2004
Physician HospitalOrganization
IPA
Management ServiceOrganization
Group Practicewithout Walls
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
2-8
9Chart 2.8Percentage of Hospitals with Insurance
Productsby Type of Insurance 1995 - 2004
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
2-9
10Chart 2.9Percentage of Hospitals Offering
Non-hospital Services(1)1995 - 2004
Home Health Services
Hospice
Skilled Nursing Facility
Meals on Wheels
Other Long Term Care
Assisted Living
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
2-10
11Chart 2.10Announced Hospital Mergers and
Acquisitions 1998 - 2004
Number of Hospitals
Number of Deals
Source The Health Care Acquisition Report by
Irving Levin Associates, Inc., Eleventh Edition,
2005
2-11