Page 24 - 2013 Hospitals/Systems Digest US.NMH.13.02.007

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HOSPI TALS IN MULT IHOSPI TAL SYSTEMS
HOSPITALS/SYSTEMS DIGEST 2013 SANOFI / MANAGED CARE DIGEST SERIES® / WHERE INFORMATION BECOMES INTELLIGENCE.™
Top 20 MHSs Collectively Add to Number of Hospitals Owned
• Seven of the top 20 MHSs, ranked by number of
staffed beds, increased their number of owned
hospitals between 2010 and 2011, driving up
the collective number of hospitals owned by
these 20 systems, to 897 from 889 the prior year.
• Meanwhile, staffing ratios at 11 of the top 20
MHSs also edged up in 2011. Of these 11,
Catholic Health East recorded the largest rise in
the number of FTEs per occupied bed, to 8.3 in
2011 from 7.5 the year before—a 10.7% increase.
Data source: IMS Health © 2013
DEMOGRAPHICS
Top 20 multihospital systems, ranked by number of staffed beds
Headquarters Ownership
Type
Number of
Hospitals
Owned
Number of
Staffed Beds
per System
Average
FTEs per
Occupied Bed
MHS name 2010 2011 2010 2011 2010 2011
HCA Nashville, TN FP 157 156 32,874 33,568 7.4 7.4
Community Health Systems Franklin, TN FP 126 133 16,873 17,857 8.5 8.8
Tenet Health System Dallas, TX FP 49 49 11,646 11,709 6.1 6.4
Ascension Health St. Louis, MO NFP 52 53 10,128 10,587 9.9 10.7
Dignity Health San Francisco, CA NFP 38 37 9,221 9,071 8.6 9.0
Catholic Health Initiatives Englewood, CO NFP 64 63 9,002 8,657 12.9 12.6
Kaiser Permanente Oakland, CA NFP 35 35 7,887 8,149 6.8 6.9
Health Management
Associates Naples, FL FP 62 62 7,832 7,919 7.8 7.6
Trinity Health Novi, MI NFP 40 40 8,045 7,880 12.4 11.7
Adventist Health System Altamonte Springs, FL NFP 37 38 6,522 6,736 9.0 9.2
Vanguard Health Systems Nashville, TN FP 19 21 5,170 5,861 7.8 7.8
North Shore–Long Island
Jewish Health System Great Neck, NY NFP 13 13 5,179 5,678 5.3 4.9
Universal Health Services King of Prussia, PA FP 24 25 5,480 5,591 6.1 6.0
Providence Health
and Services Renton, WA NFP 25 24 5,587 5,579 11.8 12.4
CHRISTUS Health Irving, TX NFP 23 23 5,504 5,346 9.4 9.6
LifePoint Hospitals, Inc. Brentwood, TN FP 53 54 5,226 5,251 8.8 9.3
Sutter Health Sacramento, CA NFP 30 29 5,344 5,144 11.5 11.3
UPMC Pittsburg, PA NFP 13 15 3,960 5,027 4.5 4.1
New York City Health and
Hospitals Corporation New York, NY GOVT 11 11 4,730 4,731 11.4 11.5
Catholic Health East Newtown Square, PA NFP 18 16 4,843 4,260 7.5 8.3
TOTAL/average 889 897 171,053 174,601 8.7 8.8
Staffing Levels Rise Faster at Ascension Than at HCA Over a Five-Year Period
• For all five years shown, HCA, the top-ranked
for-profit MHS by number of beds, staffed
fewer FTEs per occupied bed than Ascension
Health, the top-ranked not-for-profit MHS.
• Both systems boosted staffing ratios between
2007 and 2011, though the rate of increase was
moderately higher at Ascension Health (up
4.9% vs. 1.4% at HCA).
Number of FTEs PER OCCUPIED BED, HCA vs. ASCENSION HEALTH, 2007–2011
0
3
6
9
12
Number of FTEs
per Occupied Bed
HCA Ascension Health
7.3 6.9 7.0 7.4 7.4
10.2 9.7 9.8 9.9 10.7
2007 2008 2009 2010 2011
SYSTEM SPOTLIGHT