TABLE 2. Fixed-Effect Regression Estimates, Total Margin, Fiscal Years 2012–2020.
Variable | Urban Hospitals | Rural Hospitals | ||||
---|---|---|---|---|---|---|
Coef | Robust SE | Coef | Robust SE | |||
Percentage of FY during COVID-19 | 4.059 | 0.704 | ** | 11.310 | 0.740 | ** |
Number of adult COVID-19 hospitalizations per week | 0.004 | 0.002 | –0.024 | 0.008 | ** | |
Medium size (100–400 beds) | 2.564 | 1.170 | * | 1.206 | 0.929 | |
Large size (>400 beds) | 4.284 | 2.114 | * | 0.416 | 2.025 | |
Small size (<100 beds)—reference | ||||||
For-profit ownership | 4.726 | 1.903 | * | 2.704 | 1.517 | |
Government ownership | 0.833 | 2.308 | 0.383 | 1.095 | ||
Not-for-profit—reference | ||||||
Academic medical center | 1.085 | 0.506 | * | N/A | 1.269 | |
Other teaching hospital | –0.703 | 1.113 | –1.889 | |||
Nonteaching hospital—reference | ||||||
System member | 0.492 | 0.713 | 1.014 | 1.034 | ||
Critical access hospital | 12.919 | 3.592 | ** | 4.837 | 1.774 | ** |
Fully integrated physicians | 0.876 | 0.423 | * | –0.039 | 0.510 | |
Provides transplant services | –1.159 | 1.467 | N/A | |||
Provides telehealth services | –0.055 | 0.363 | 0.258 | 0.571 | ||
Participates in group purchasing | 0.377 | 0.513 | –0.079 | 0.619 | ||
Medicare share of admissions | –0.016 | 0.023 | 0.034 | 0.021 | ||
Medicaid share of admissions | –0.026 | 0.041 | 0.020 | 0.028 | ||
Labor intensity | 14.618 | 5.607 | ** | 9.458 | 6.822 | |
Occupancy rate | 0.052 | 0.030 | 0.034 | 0.016 | * | |
Herfindahl–Hirschman Index | 0.000 | 0.000 | 0.000 | 0.000 | ||
Located in a Medicaid expansion state | –0.764 | 0.302 | * | 0.217 | 0.357 | |
SVI Theme 1a | 11.609 | 8.300 | 2.600 | 3.813 | ||
SVI Theme 2 | 1.416 | 3.716 | 0.493 | 1.806 | ||
SVI Theme 3 | 3.290 | 7.238 | 2.859 | 3.244 | ||
SVI Theme 4 | –2.440 | 5.506 | 0.081 | 1.815 | ||
Constant | –8.150 | 7.930 | 10.032 | 4.973 | ||
R2 within | 0.013 | 0.047 | ||||
R2 between | 0.001 | 0.001 | ||||
R2 overall | 0.001 | 0.018 |
Note. N/A indicates that these were omitted in the rural hospital model because few hospitals are in this category. Reference signifies the omitted reference category. Coef = Coefficient; FY = fiscal year; SVI = Social Vulnerability Index.
aThe four SVI themes are: socioeconomic status (Theme 1), household composition and disability (Theme 2), minority status and language (Theme 3), and housing type and transportation (Theme 4).
*p < .05,
**p < .01.