40th annual hospital systems survey, 2016

Welcome to Modern Healthcare's 40th annual Hospital systems survey.
This year's survey has been greatly simplified and should take less time to fill out.
Completed surveys are due by May 20. Selected results are slated to appear in the June 20 issue of Modern Healthcare.
Questions about this survey? Contact Art Golab, Modern Healthcare research director, at agolab@modernhealthcare.com.

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* 1. System name and headquarters location

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* 2. Survey contact

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* 3. How many total hospitals (acute-care, long-term acute-care, psychiatric or rehabilitation) with a unique Medicare provider number  (NPI number) did you own, lease or sponsor at 2015 year-end? (Several campuses operating under one Medicare provider number count as one hospital.)

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* 5. In how many states did you operate in 2015?

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* 6. How many acute-care hospitals with a unique Medicare provider number did you own, lease or sponsor at year-end?

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* 7. What was the total number of staffed acute-care beds? (Beds, cribs, pediatric and neonatal bassinets regularly maintained for inpatients as of the close of the reporting period. Does not include bassinets for normal newborn infants.)

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* 8. Does your system plan to reduce the number of staffed beds in 2016?

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* 9. Does your company or system employ physicians?

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* 10. If yes to above

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* 11. Do you own or have a partnership/joint venture with a physician-owned hospital?

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* 12. Do you own or have a partnership/joint venture with a physician group practice?

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* 13. Did you purchase or form a partnership/joint venture with either a physician-owned hospital or physician group practice in 2015?

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* 14. If you purchased physician practices or employed more physicians in 2015, how did it affect your financial performance?

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* 15. Are you currently part of an accountable care organization?

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* 16. If yes, please select the organization(s) that you contract with as an ACO.

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* 17. If yes, does your ACO include post-acute providers or does it plan to include a post-acute provider in the near future?

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* 18. If you're not currently part of an ACO, why have you chosen not to participate in or start one?

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* 19. What percentage of the system’s net patient revenue was generated as part of risk-based contracts in 2015?

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* 20. Did the system achieve a surplus or loss on that risk-based volume in 2015?

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* 21. Did your system own all or part of an insurance company in 2015?

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* 22. Did your system own all or part of an insurance company in 2014?

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* 23. If your system did not own all or part of an insurance company in 2015, is it planning to acquire one in 2016 or 2017?

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* 24. Has the information reported in this survey been reviewed by a senior executive?

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* 25. Would your CEO, CFO or other representative be willing to speak with a reporter about your data? Please leave name and contact information.

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