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TABLE OF CONTENTS
CHAPTER 2.0: Organizational Trends
Chart 2.1: Number of Community Hospitals, 1987 – 2007
Chart 2.2: Number of Beds and Number of Beds per 1,000 Persons, 1987 – 2007
Chart 2.3: Beds per 1,000 by State, 2007
Chart 2.4: Number of Hospitals in Health Systems, 2000 – 2007
Chart 2.5: Percent of Outpatient Surgeries by Facility Type, 1981 – 2005
Chart 2.6: Number of Outpatient Surgery Centers, 2003 – 2008
Chart 2.7: Percentage of Hospitals with Physician Affiliates by Type of Relationship, 1997 – 2007
Chart 2.8: Percentage of Hospitals with Insurance Products by Type of Insurance, 1997 – 2007
Chart 2.9: Percentage of Hospitals Offering “Non-hospital” Services, 1997 – 2007
Chart 2.10: Announced Hospital Mergers and Acquisitions, 1998 – 2007
Chart 2.1: Number of Community Hospitals,(1) 1987 – 2007
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2007, 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.
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07
Hos
pita
ls
(2)
All Hospitals
Urban Hospitals
Rural Hospitals
Chart 2.2: Number of Beds and Number of Beds per 1,000 Persons, 1987 – 2007
0
200,000
400,000
600,000
800,000
1,000,000
1,200,000
87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07
Bed
s
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
Bed
s pe
r T
hous
and
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2007, for community hospitals.
Number of Beds
Number of Beds per 1,000
Chart 2.3: Beds per 1,000 by State, 2007
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2007, for community hospitals. US Census Bureau: National and State Population Estimates, July 1, 2007. Link: http://www.census.gov/popest/states/tables/NST-EST2007-01.xls.
RI 2.32DE 2.65DC 5.81
3 – 3.99
2 – 2.99
<2
4 – 4.99
> 5
Chart 2.4: Number of Hospitals in Health Systems,(1) 2000 – 2007
2,400
2,500
2,600
2,700
2,800
2000 2001 2002 2003 2004 2005 2006 2007
Hos
pita
ls
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2007, 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.(1) 2005 values are estimated based upon current trends.
(1)
Chart 2.6: Number of Outpatient Surgery Centers, 2003 – 2008
3,6053,957
4,9545,349
5,673 5,876
0
1,500
3,000
4,500
6,000
2003 2004 2005 2006 2007 2008
Am
bula
tory
Car
e S
urge
ry C
ente
rs
Source: SDI. (2008). 2008 Outpatient Surgery Center Market Report.
Chart 2.7: Percentage of Hospitals with Physician Affiliates(1)
by Type of Relationship, 1997 – 2007
0%
5%
10%
15%
20%
25%
30%
35%
97 98 99 00 01 02 03 04 05 06 07
Per
cent
age
of H
ospi
tals
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2007, 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 Practice without Walls
Management Service Organization
IPA
Physician Hospital Organization
Chart 2.8: Percentage of Hospitals with Insurance Products by Type of Insurance, 1997 – 2007
Health Maintenance Organization
Preferred Provider Organization
Indemnity Fee for Service
0%
5%
10%
15%
20%
25%
30%
35%
97 98 99 00 01 02 03 04 05 06 07
Per
cent
age
of H
ospi
tals
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2007, for community hospitals.
Chart 2.9: Percentage of Hospitals Offering “Non-hospital” Services,(1)
1997 – 2007
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%
97 98 99 00 01 02 03 04 05 06 07
Per
cent
age
of H
ospi
tals
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2007, for community hospitals. (1) Includes services offered in hospital, health system, network or joint venture.
Chart 2.10: Announced Hospital Mergers and Acquisitions, 1998 – 2007
Source: Irving Levin Associates, Inc., The Health Care Acquisition Report, Thirteenth Edition, 2008. (1) In 2006, the privatization of HCA, Inc. affected 176 acute-care hospitals. The acquisition was the largest health care
transaction ever announced.
86 8358
3859 51 57 58
287
175
132118
101
56
236
88
249
149139
110
0
50
100
150
200
250
300
350
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
Number of Deals Number of Hospitals
(1)