Chart 2.1: Number of Community Hospitals,(1) 1992 – 2012
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2012, 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
92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12
Hos
pita
ls
(2)
All Hospitals
Urban Hospitals
Rural Hospitals
Chart 2.2: Number of Beds and Number of Beds per 1,000 Persons, 1992 – 2012
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
92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 09 10 11 12
Bed
s pe
r T
hous
and
Bed
s
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2012, for community hospitals.
Number of Beds
Number of Beds per 1,000
Chart 2.3: Beds per 1,000 Persons by State, 2012
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2012, for community hospitals. US Census Bureau: National and State Population Estimates, July 1, 2012. Link: http://www.census.gov/popest/data/state/totals/2012/index.html.
RI 2.34DE 2.18DC 5.72
3 – 3.99
2 – 2.99
<2
4 – 4.99
> 5
Chart 2.4: Number of Hospitals in Health Systems,(1) 2002 – 2012
2,400
2,500
2,600
2,700
2,800
2,900
3,000
3,100
3,200
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Hos
pita
ls
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2012, 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: Number of Medicare-certified Ambulatory Surgical Centers, 2007 – 2012
2007 2008 2009 2010 2011 20120
1,000
2,000
3,000
4,000
5,000
6,000
4,7985,001 5,111 5,203 5,291 5,357Chart Title
Am
bula
tory
Sur
gica
l Cen
ters
Source: Medicare Payment Advisory Commission. (March 2014). Report to Congress: Medicare Payment Policy.Link: http://medpac.gov/documents/Mar14_EntireReport.pdf.
Chart 2.6: Percentage of Hospitals with Physician Affiliates(1)
by Type of Relationship, 2002 – 2012
0%
5%
10%
15%
20%
25%
30%
35%
02 03 04 05 06 07 08 09 10 11 12
Per
cent
age
of H
ospi
tals
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2012, 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
Independent Practice Association
Physician Hospital Organization
02 03 04 05 06 07 08 09 10 11 120%
5%
10%
15%
20%
25%
30%
35%
Pe
rce
nta
ge
of H
osp
itals
Chart 2.7: Percentage of Hospitals with Insurance Products by Type of Insurance, 2002 – 2012
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2012, for community hospitals. Previously Chart 2.8 in 2009 and earlier years’ Chartbooks.
Indemnity Fee for Service
Health Maintenance Organization
Preferred Provider Organization
Chart 2.8: Percentage of Hospitals Offering “Non-hospital” Services,(1)
2002 – 2012
0%
10%
20%
30%
40%
50%
60%
70%
80%
02 03 04 05 06 07 08 09 10 11 12
Per
cent
age
of H
ospi
tals
Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2012, 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.
Meals on Wheels
Hospice
Home Health Services
Skilled Nursing Facility
Other Long Term Care
Assisted Living Facility
Chart 2.9: Announced Hospital Mergers and Acquisitions, 1998 – 2013
Source: Irving Levin Associates, Inc., The Health Care Acquisition Report, Twentieth Edition, 2014. (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 2012 20130
50
100
150
200
250
300
350
139
11086 83
5838
59 51 57 58 6052
7290
107 88
287
175
132118
101
56
236
88
249
149
78 80
125
156
244
283
Number of Deals Number of Hospitals
(1)
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