Becker's Hospital Review

8 CFO / FINANCE 30. SSM Health (St. Louis) Revenue: $2.9 billion Expenses: $2.9 billion Operating loss: $21.8 million Operating margin: -0.8% 31. Bon Secours Mercy Health (Cincinnati) Revenue: $3.27 billion Expenses: $3.3 billion Operating loss: $46.5 million Operating margin: -1.4% 32. Premier Health (Dayton, Ohio) Revenue: $621.7 million Expenses: $633.2 million Operating loss: $12 million Operating margin: -1.9% 33. Kaiser Permanente (Oakland, Calif.) Revenue: $29 billion Expenses: $29.6 billion Operating loss: $608 million Operating margin: -2.1% 34. Providence (Renton, Wash.) Revenue: $7.6 billion Expenses: $7.8 billion Operating loss: $208 million Operating margin: -2.7% 35. Allegheny Health Network (Pittsburgh) *Results for the nine months ending Sept. 30 Revenue: $1.3 billion Expenses: $1.3 billion Operating loss: $40 million Operating margin: -3% 36. Brown Health (Providence, R.I.) Revenue: $848.3 million Expenses: $875.1 million Operating loss: $26.8 million Operating margin: -3.2% 37. University Hospitals (Cleveland) *Results for the nine months ending Sept. 30 Revenue: $4.7 billion Expenses: $4.9 billion Operating loss: $163.3 million Operating margin: -3.5% 38. Inspira Health (Vineland, N.J.) Revenue: $982.7 million Expenses: $1 billion Operating loss: $51.6 million Operating margin: -5.2% 39. Beth Israel Lahey Health (Cambridge, Mass.) Revenue: $2.26 billion Expenses: $2.39 billion Operating loss: $138.8 million Operating margin: -6.1% 40. Community Health Systems (Franklin, Tenn.) Revenue: $3.09 billion Expenses: $3.3 billion Operating loss: $205 million Operating margin: -6.6% 41. Tus Medicine (Boston) Revenue: $671.1 million Expenses: $739.3 million Operating loss: $68.2 million Operating margin: -10.2% n Hospital charges spike post-merger By Laura Dyrda C onsolidation in healthcare pushes up charges without improving quality of care, according to a new study published in the Journal of the American College of Surgeons. Study authors reviewed 37 studies published over the last 14 years for charge and quality data. Almost 77% of the 26 studies measuring quality showed no change or lower quality after the merger, and 93% of the 14 studies examining charges revealed increased charges after integration. "Proponents of healthcare integration have claimed it controls costs and enhances care quality," said Bhagwan Satiani, MD, lead study author and professor of surgery emeritus at The Ohio State University Wexner Medical Center in Columbus. "But we found that evidence is lacking that integration alone is an effective strategy for improving the value of healthcare delivery." Nearly 70% of hospitals are now affiliated with systems, according to the report, and transactions could become more common during President-elect Donald Trump's second term. Hospitals and systems will need to search for increased value in consolidation. The report also found in 54% of the studies, consolidation had a negative net impact on hospitals and 81% of the studies on healthcare spending showed no change or higher costs post-transaction. n

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