Washington Hospitals: A Few Facts

1. Washington Hospitals: A Few Facts • Frequently-requested information is presented in these slides. • Look in the “Notes” section below each slide for more detail. • More information about Washington hospitals is available on the Fast Facts page at the www.wsha.org website. • Questions?: contact Jane Feldman, janef@wsha.org. • June 2008 Washington State Hospital Association Health Information Program Washington State Hospital Association Health Information Program

2. Washington has 95 community general hospitals • Washington also has 14 other hospitals, which include -- 4 private specialized services, -- 2 state-owned psychiatric, -- 4 U.S. military, and -- 4 U.S. Veteran Affairs hospitals Washington State Hospital Association Health Information Program

3. Hospitals cluster in the Seattle,Spokane, and Tacoma areas 2 4 12 2 4 2 2 2 2 Washington State Hospital Association Health Information Program Washington State Hospital Association Health Information Program

4. Two hospitals have closed this year, and one will open next year • Providence Health & Services closed Deer Park Hospital in March 2008. • Group Health Cooperative ended inpatient services at its Eastside Hospital May 2008, and will move remaining services to other facilities by the end of the year. • Franciscan Health System plans to open their new facility, St. Anthony Hospital in Gig Harbor, in early 2009. Washington State Hospital Association Health Information Program Washington State Hospital Association Health Information Program

5. Hospital systems are restructuring • Multicare Health System acquired Good Samaritan Community Healthcare in 2006, and Enumclaw Regional Hospital joined the Franciscan Health System in 2007. • In June 2007, Empire Health Services signed a letter of intent to sell its two nonprofit Spokane hospitals to for-profit Community Health System, based in Pennsylvania. Washington State Hospital Association Health Information Program Washington State Hospital Association Health Information Program

6. Washington hospitals are relatively small Hospitals by Bed Size Most Washington hospitals have fewer than 100 beds. Available Beds Data Source: Washington State Dept. of Health Hospital Fiscal Year-End Reports, 2006 Washington State Hospital Association Health Information Program

7. As the population has grown, available beds have decreased Available Beds Per 1,000 Population Washington is a consistently top-ranked state on measures of efficiency of inpatient care. The 2006 national average is 2.7 beds per 1,000 Data Source: Washington State Dept. of Health Hospital Fiscal Year-End Reports Washington State Hospital Association Health Information Program

8. Almost half of Washington hospitals are government owned Hospital Ownership Public district hospitals, mainly rural, are government entities with publicly elected boards. Source: Washington State Department of Health Hospital Directory. Washington State Hospital Association Health Information Program

9. Almost all inpatient beds are in not-for-profit hospitals Available Beds by Hospital Ownership Public and private not-for-profit hospitals account for 95 percent of all community beds. Source: Washington State Department of Health Hospital Directory Washington State Hospital Association Health Information Program

10. Thirty-nine of Washington’s hospitals are designated as Rural facilities Rural and Critical Access Hospital Distribution Most of Washington’s rural hospitals are Critical Access Hospitals (CAH) Data Source: Washington State Dept. of Health, Office of Community and Rural Health Washington State Hospital Association Health Information Program

11. 77 hospitals are designated by the Department of Health as trauma centers Hospitals Providing General Adult Acute Care Trauma Services Level 1 designates the most intensive and skilled level of trauma services provided. Source: Washington State Department of Health Office of Emergency Medical Services and Trauma System Washington State Hospital Association Health Information Program

12. 33 Washington urban hospitals provide $629 million in community benefits Community Benefits, FY2006 For these non-profit hospitals, the value of their community benefits was far more than their $269 million in tax exemptions. Community Services $111 million Low-Income Patient Care Shortfalls $518 million Source: Washington State Hospital Association Community Benefits Inventory Report, December 2007 Washington State Hospital Association Health Information Program

13. Out-of-state patients make up 3.5 percent of inpatient discharges • The majority of out-of-state patients were from the bordering states of Oregon and Idaho. • Patients from Canada made up just one percent of out-of-state discharges and just 0.04 percent of total discharges. Percent of Out-of-State Discharges Data Source: Health Information Program Enhanced CHARS Inpatient file, CY2006 Washington State Hospital Association Health Information Program

14. Out-of-state patients may be a large portion of a hospital’s inpatient business Top Ten Hospitals: Percent of Discharges for Out-of-State Patients Percent of Hospital’s Discharges Hospital Location Data Source: Health Information Program Enhanced CHARS Inpatient file, CY2006 Washington State Hospital Association Health Information Program Washington State Hospital Association Health Information Program