Table IV.

Hospital financial metrics and characteristics^*

	Total (n = 67)	Increasing CCR (n = 27)	Decreasing CCR (n = 40)	P value
Financial metrics, mean ± SD
Cost-to-charge ratio	0.15 ± 0.08	0.19 ± 0.08	0.12 ± 0.06	<.01
Operating margin	0.07 ± 0.20	−0.01 ± 0.23	0.12 ± 0.15	<.01
Medicare margin	0.02 ± 0.18	−0.06 ± 0.17	0.07 ± 0.18	<.01
Current ratio	1.19 ± 2.06	0.57 ± 2.14	1.61 ± 1.93	.04
Hospital location				.53
Rural	2 (3%)	1 (4%)	1 (3%)
Small town	13 (19%)	7 (26%)	6 (15%)
Suburban	37 (55%)	15 (56%)	22 (55%)
Urban	15 (22%)	4 (15%)	11 (28%)
DCI quintiles				.19
Prosperous	12 (18%)	2 (7%)	10 (25%)
Comfortable	17 (25%)	8 (30%)	9 (23%)
Midtier	18 (27%)	6 (22%)	12 (30%)
At risk	11 (16%)	5 (19%)	6 (15%)
Distressed	9 (13%)	6 (22%)	3 (8%)
Ownership type				.02
Nonprofit	19 (28%)	13 (48%)	6 (15%)	.01
Proprietary	40 (60%)	9 (33%)	31 (78%)	<.01
Governmental	8 (12%)	5 (19%)	3 (8%)	1
Joint Commission accreditation	66 (99%)	27 (100%)	39 (98%)	.41
Teaching hospital	0 (0%)	7 (26%)	22 (55%)	.02
Minor teaching hospital†	24 (36%)	4 (15%)	20 (50%)	<.01
Major teaching hospital†	5 (7%)	3 (11%)	2 (5%)	.35
ACS Cancer Program	23 (34%)	6 (22%)	17 (43%)	.09
Affiliated medical school	24 (36%)	9 (33%)	15 (38%)	.73
Council of Teaching Hospital member	3 (4%)	2 (7%)	1 (3%)	.34
Catholic Church operated	6 (9%)	4 (15%)	2 (5%)	.17
Critical access hospital	1 (1%)	1 (4%)	0 (0%)	.22
Rural referral center	7 (10%)	3 (11%)	4 (10%)	.88
Sole community provider	1 (1%)	1 (4%)	0 (0%)	.22

ACS, American College of Surgeons; CCR, cost-to-charge ratio; DCI, Distressed Communities Index; n/a, not available; SD, standard deviation.

^*All displayed as n (%) unless indicated.

^†Minor teaching hospital: intern and resident to bed ratio 0–0.25; major teaching hospital: intern and resident to bed ratio >0.25.