chart 2.1: number of community hospitals, (1) 1991 – 2011 source: avalere health analysis of...

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Page 1: Chart 2.1: Number of Community Hospitals, (1) 1991 – 2011 Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2011, for
Page 2: Chart 2.1: Number of Community Hospitals, (1) 1991 – 2011 Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2011, for

Chart 2.1: Number of Community Hospitals,(1) 1991 – 2011

Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2011, 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

91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11

Hos

pita

ls

(2)

All Hospitals

Urban Hospitals

Rural Hospitals

Page 3: Chart 2.1: Number of Community Hospitals, (1) 1991 – 2011 Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2011, for

Chart 2.2: Number of Beds and Number of Beds per 1,000 Persons, 1991 – 2011

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

0

200,000

400,000

600,000

800,000

1,000,000

1,200,000

91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11

Bed

s pe

r T

hous

and

Bed

s

Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2011, for community hospitals.

Number of Beds

Number of Beds per 1,000

Page 4: Chart 2.1: Number of Community Hospitals, (1) 1991 – 2011 Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2011, for

Chart 2.3: Beds per 1,000 Persons by State, 2011

Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2011, for community hospitals. US Census Bureau: National and State Population Estimates, July 1, 2011. Link: http://www.census.gov/popest/data/state/totals/2011/index.html.

RI 2.35DE 2.36DC 5.88

3 – 3.99

2 – 2.99

<2

4 – 4.99

> 5

Page 5: Chart 2.1: Number of Community Hospitals, (1) 1991 – 2011 Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2011, for

Chart 2.4: Number of Hospitals in Health Systems,(1) 2001 – 2011

2,400

2,500

2,600

2,700

2,800

2,900

3,000

3,100

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Hos

pita

ls

Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2011, 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.

Page 6: Chart 2.1: Number of Community Hospitals, (1) 1991 – 2011 Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2011, for

Chart 2.5: Number of Medicare-certified Ambulatory Surgical Centers, 2006 – 2011

2006 2007 2008 2009 2010 20110

1,000

2,000

3,000

4,000

5,000

6,000

4,5674,838

5,045 5,157 5,252 5,344Chart Title

Am

bula

tory

Sur

gica

l Cen

ters

Source: Medicare Payment Advisory Commission. (March 2013). Report to Congress: Medicare Payment Policy.Link: http://www.medpac.gov/documents/Mar13_entirereport.pdf.

Page 7: Chart 2.1: Number of Community Hospitals, (1) 1991 – 2011 Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2011, for

Chart 2.6: Percentage of Hospitals with Physician Affiliates(1)

by Type of Relationship, 2001 – 2011

0%

5%

10%

15%

20%

25%

30%

35%

01 02 03 04 05 06 07 08 09 10 11

Per

cent

age

of H

ospi

tals

Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2011, 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.Previously Chart 2.7 in 2009 and earlier years’ Chartbooks.

Group Practice without Walls

Management Service Organization

IPA

Physician Hospital Organization

Page 8: Chart 2.1: Number of Community Hospitals, (1) 1991 – 2011 Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2011, for

Chart 2.7: Percentage of Hospitals with Insurance Products by Type of Insurance, 2001 – 2011

Health Maintenance Organization

Preferred Provider Organization

Indemnity Fee for Service

0%

5%

10%

15%

20%

25%

30%

35%

01 02 03 04 05 06 07 08 09 10 11

Per

cent

age

of H

ospi

tals

Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2011, for community hospitals. Previously Chart 2.8 in 2009 and earlier years’ Chartbooks.

Page 9: Chart 2.1: Number of Community Hospitals, (1) 1991 – 2011 Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2011, for

Chart 2.8: Percentage of Hospitals Offering “Non-hospital” Services,(1)

2001 – 2011

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%

01 02 03 04 05 06 07 08 09 10 11

Per

cent

age

of H

ospi

tals

Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2011, for community hospitals. (1) Includes services offered in hospital, health system, network or joint venture.Previously Chart 2.9 in 2009 and earlier years’ Chartbooks.

Page 10: Chart 2.1: Number of Community Hospitals, (1) 1991 – 2011 Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2011, for

Chart 2.9: Announced Hospital Mergers and Acquisitions, 1998 – 2012

Source: Irving Levin Associates, Inc., The Health Care Acquisition Report, Nineteenth Edition, 2013. (1) In 2006, the privatization of HCA, Inc. affected 176 acute-care hospitals. The acquisition was the largest health care

transaction ever announced.

1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 20120

50

100

150

200

250

300

350

139

11086 83

5838

59 51 57 58 6052

7290

100

287

175

132118

101

56

236

88

249

149

78 80

125

156

247

Number of Deals Number of Hospitals

(1)