EXHIBIT 3.
Changes In Hospice Ownership Type And Operating Status, 1999–2009
| Characteristic | Active, no ownership change (n = 997)
|
Active, ownership change (n = 792)
|
Closed by 2009 (n = 350)
|
Otherwise terminated by 2009 (n = 86)
|
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|---|---|---|---|---|---|---|---|---|
| Number | Percent | Number | Percent | Number | Percent | Number | Percent | |
|
OWNERSHIP
| ||||||||
| All nonprofits | 628 | 62.9 | 544 | 68.6 | 173 | 49.4 | 36 | 41.8 |
| Religious | 72 | 7.2 | 55 | 6.9 | 35 | 10.0 | 4 | 4.6 |
| Private | 392 | 39.3 | 245 | 30.9 | 75 | 21.4 | 22 | 25.6 |
| Other | 164 | 16.4 | 244 | 30.8 | 63 | 18.0 | 10 | 11.4 |
| All for-profits | 273 | 27.4 | 155 | 19.7 | 137 | 39.0 | 45 | 52.3 |
| Independent | 5 | 0.5 | 6 | 0.8 | 5 | 1.4 | 3 | 3.5 |
| Partnership | 8 | 0.8 | 15 | 1.9 | 9 | 2.5 | 5 | 5.8 |
| Corporation | 246 | 24.7 | 109 | 13.8 | 111 | 31.7 | 33 | 38.4 |
| Other | 14 | 1.4 | 25 | 3.2 | 12 | 3.4 | 4 | 4.6 |
| Government/other | 96 | 9.6 | 93 | 11.7 | 40 | 11.4 | 5 | 5.8 |
|
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|
LOCATION
| ||||||||
| Urban | 659 | 66.1 | 483 | 61.0 | 238 | 68.0 | 62 | 72.1 |
| Suburban | 171 | 17.1 | 170 | 21.5 | 66 | 18.9 | 14 | 16.3 |
| Rural | 167 | 16.7 | 139 | 17.5 | 46 | 13.1 | 10 | 11.6 |
|
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|
FULL-TIME EQUIVALENTS
| ||||||||
| ≤19 | 714 | 71.6 | 588 | 74.2 | 296 | 84.6 | 70 | 81.4 |
| 20–49 | 184 | 18.5 | 147 | 18.6 | 41 | 11.7 | 10 | 11.6 |
| 50–99 | 63 | 6.3 | 42 | 5.3 | 10 | 2.9 | 5 | 5.8 |
| ≥100 | 36 | 3.6 | 15 | 1.9 | 3 | 0.9 | 1 | 1.2 |
|
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|
YEARS OF MEDICARE PARTICIPATION, 1999
| ||||||||
| 0–4 | 310 | 31.1 | 235 | 29.7 | 173 | 49.4 | 52 | 60.5 |
| 5–9 | 361 | 36.2 | 287 | 36.2 | 121 | 34.6 | 20 | 23.3 |
| 10–14 | 254 | 25.5 | 217 | 27.4 | 41 | 11.7 | 12 | 13.9 |
| ≥15 | 72 | 7.2 | 53 | 6.7 | 15 | 4.3 | 2 | 2.3 |
|
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|
AFFILIATION
| ||||||||
| Hospital | 234 | 23.5 | 228 | 28.8 | 83 | 23.7 | 9 | 10.5 |
| Skilled nursing facility | 8 | 0.8 | 5 | 0.6 | 6 | 1.7 | 3 | 3.5 |
| Home health agency | 332 | 33.3 | 263 | 33.2 | 137 | 39.1 | 23 | 26.7 |
| None (freestanding) | 423 | 42.4 | 296 | 37.4 | 124 | 35.4 | 51 | 59.3 |
SOURCE Authors’ analysis of 1999–2009 Provider of Services files from the Centers for Medicare and Medicaid Services.
NOTES Not all percentages sum to 100 because of rounding. Full-time equivalents are the number of full-time equivalent hospice employees, excluding volunteers.