HospSysDigest2015

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DEMOGRAPHICS
HOSPI TALS
HOSPITALS/SYSTEMS DIGEST 2015 SANOFI / MANAGED CARE DIGEST SERIES® / WHERE INFORMATION BECOMES INTELLIGENCE.™
Data source: IMS Health © 2015
Key Takeaway
The sluggish economy and implementation of the Affordable Care Act (ACA) over the last several
years may have prompted many health care organizations to delay construction of new hospitals
and instead focus on additions and upgrades to help them comply with ACA initiatives, like
improved technology and infrastructure related to outpatient services and physician integration. 3
Hospital Count Continues at Once to Rise in Urban Areas and to Fall in Rural Areas
• The total number of hospitals located in urban
areas increased 1.3%, to 2,890 (2013) from 2,853
(2009). The growth trend was interrupted only in
2010, when the number edged down 1.1%.
• Over the same five-year span, the number
of hospitals located in rural areas declined
2.3% (to 2,324 from 2,379). This trend was
broken in 2011, when the number rose 0.2%.
Number of Hospitals Decreases in Four of Eight Regions
• From 2011 to 2013, the number of short-term,
acute-care, nonfederal hospitals in the U.S. fell
slightly in four of eight regions; the largest (–1.8%)
occurred in the West North Central region.
• Meanwhile, in the regions in which hospital
growth occurred, it was negligible. The South
Central region recorded the largest increase
(1.1%) and the Mountain the smallest (0.2%).
HOSPITAL DEMOGRAPHICS 1
2011 2012 2013
REGION # of Hospitals % of Hospitals # of Hospitals % of Hospitals # of Hospitals % of Hospitals
Pacific 582 11.2% 581 11.1% 581 11.1%
Mountain 401 7.7 400 7.6 402 7.7
West North Central 712 13.7 714 13.6 699 13.4
East North Central 785 15.1 789 15.1 790 15.2
South Central 1,232 23.6 1,250 23.9 1,246 23.9
New England 210 4.0 209 4.0 207 4.0
Mid-Atlantic 473 9.1 470 9.0 466 8.9
South Atlantic2 816 15.7 820 15.7 823 15.8
SIZE
<50 Beds 1,947 37.4% 1,978 37.8% 1,963 37.6%
50–119 Beds 1,029 19.7 1,037 19.8 1,041 20.0
120–249 Beds 1,155 22.2 1,153 22.0 1,142 21.9
250+ Beds 1,080 20.7 1,065 20.4 1,068 20.5
TOTAL 5,211 100.0% 5,233 100.0% 5,214 100.0%
1 Hospital data are based on all short-term, acute-care, nonfederal hospitals and are effective as of end-of-year 2013. Psychiatric, rehabilitation
and children’s hospitals are excluded.
2 In the South Atlantic region, a total of 58 hospitals were physically located in Puerto Rico.
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NUMBERS OF URBAN VERSUS RURAL HOSPITALS, 2009–2013
2,853
2,821 2,846
2,881 2,890
2,379 2,360 2,365 2,352 2,324
2009 2010 2011 2012 2013
2,200
2,400
2,600
2,800
3,000
Number of Hospitals
Urban Rural