Ethan Rhodes
Ohio is the seventh-largest state in the US by population, with more than 320 hospitals. Many of these hospitals are part of a broader integrated delivery network (IDN) or health system. Most acute care hospitals in Ohio are nonprofit organizations, and 23 are owned by local, county, state, or federal governments. The state's hospitals are ranked by net patient revenue (NPR), which is the aggregate money generated from patient services collected from payors, including private insurance, Medicaid, and Medicare.
| Characteristics | Values |
|---|---|
| Number of hospitals in Ohio | More than 320 |
| Number of hospitals without inpatient services | 9 |
| Number of government-owned hospitals | 23 |
| Number of hospitals in Cleveland Clinic Health System | 26 |
| Number of hospitals in Mercy Health | 24 |
| Number of staffed beds in Cleveland Clinic Main Campus | 1,326 |
| Net patient revenue of Cleveland Clinic Main Campus | $6.04 billion |
| Net patient revenue of University Hospitals Rainbow Babies & Children's Hospital | $2.24 billion |
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High population
Ohio is the seventh-largest state in the US by population. It is home to more than 320 hospitals, many of which are part of a broader integrated delivery network (IDN) or health system.
The high population of Ohio is a critical factor in the high number of hospitals in the state. A large population necessitates a comprehensive healthcare system with numerous hospitals to meet the demand for medical services. The state's population ensures a steady stream of patients, making it feasible to sustain a vast number of hospitals.
The population density and distribution across Ohio also play a role. Urban areas, such as Cleveland, have higher population concentrations, which likely contributes to the clustering of hospitals in specific regions. The Cleveland Clinic Health System, for example, has 26 hospitals, making it the health system with the second-most affiliated hospitals in the state.
Additionally, the population's characteristics, such as age and health status, may influence the number of hospitals. For instance, the presence of specialised hospitals, like the University Hospitals Rainbow Babies & Children's Hospital, suggests a demand for paediatric care. This demand could be driven by a substantial youth population or a focus on family and reproductive health within the state.
The high population of Ohio, along with its distribution, density, and demographic characteristics, contributes to the need for and concentration of hospitals in specific regions. This results in a diverse array of healthcare facilities, from large health systems to standalone hospitals, all catering to the medical needs of Ohio's sizeable population.
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Nonprofit status
Most acute care hospitals in Ohio are nonprofit organizations. Additionally, 23 hospitals in the state are owned by local, county, state, or federal governments.
Nonprofit hospitals are often owned by religious or charitable organizations, and they are generally exempt from paying property and income taxes. They are typically structured as non-stock corporations, with no shareholders and no requirement to pay dividends. Nonprofit hospitals are governed by a board of directors, which is responsible for ensuring that the hospital operates in the public interest and aligns with its charitable mission.
In Ohio, several large healthcare systems are nonprofit, including Bon Secours Mercy Health, University Hospitals Health System Group Return, OhioHealth, UC Healthcare System, and OhioHealth Corporation. These organizations earn the majority of the revenues among nonprofits in Ohio hospital systems. For example, University Hospitals Health System dedicates more than $429 million to community benefit programs in Northeast Ohio, including education and training initiatives that support the health and well-being of diverse populations.
Some specific examples of nonprofit hospitals in Ohio include:
- Summa Health, which encompasses a network of hospitals, community-based health centers, a health plan, a multi-specialty group practice, and a foundation.
- Lima Memorial Health System, one of the largest not-for-profit healthcare organizations in west central Ohio, committed to improving the quality of life in its communities through comprehensive health services.
- Aultman Health Foundation, a not-for-profit teaching hospital that provides health services to Stark and surrounding counties in northeast Ohio.
- Van Wert Health, an independent, nonprofit community hospital serving Van Wert County and the surrounding region.
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High revenue
Ohio is the seventh-largest state in the US by population, with over 320 hospitals. Many of these hospitals are part of a broader integrated delivery network (IDN) or health system. Net patient revenue (NPR) is a standard metric for evaluating the financial performance of healthcare organisations. It is the total money generated from patient services from payors, including private insurance, Medicaid, and Medicare.
The Non-profit Cleveland Clinic Main Campus in Cleveland had the highest net patient revenue among hospitals in Ohio, with nearly $6.04 billion. The hospital also has the highest number of discharges (51,463) and staffed beds (1,326) in the state. Cleveland Clinic Health System has the second-most affiliated hospitals in Ohio, with 26 hospitals. Cleveland Clinic is ranked as one of the best hospitals in the US and the world.
The IDN with the second-highest NPR in Ohio is Bon Secours Mercy Health, with an NPR of $8.9 billion. This high NPR is likely related to their high number of discharges, which are among the highest in the nation. Their NPR also makes them one of the highest-earning IDNs in the US. University Hospitals Rainbow Babies & Children's Hospital in Cleveland, with $2.24 billion in revenue, is in second place. Rainbow Babies & Children's Hospital is a children's teaching hospital affiliated with Case Western Reserve University School of Medicine. The hospital has a neonatal intensive care unit, a pediatric intensive care unit, and a level 1 pediatric trauma center. These high-cost, specialized services contribute to the hospital's high NPR, despite its relatively low numbers of discharges (7,882) and staffed beds (231). The University Hospitals Health System has the third-highest revenue in Ohio, with an NPR of $6.6 billion.
Most acute care hospitals in Ohio are nonprofit organisations. However, 23 Ohio hospitals are owned by local, county, state, or federal governments. When it comes to healthcare commercialisation, companies selling medical devices or looking to implement new technology target health systems that are large and financially strong to allow for greater distribution of their products or services.
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Large IDNs
Ohio is the seventh-largest state in the US by population, with nearly 11.8 million people. Ohioans have access to more than 320 hospitals, many of which are part of a broader integrated delivery network (IDN) or health system. These IDNs are designed to streamline patient care by bringing hospitals, clinics, physician practices, and specialty services under one unified organisation.
In 2022, an estimated 78% of Ohio residents were served by one or more major IDNs, highlighting their significant role in the state's healthcare landscape. The Ohio health system with the most hospitals is Bon Secours Mercy Health, with 41 hospitals, which makes it one of the largest IDNs by number of staffed beds. This health system emphasises improved care quality and utilises robust measurement and reporting processes to enhance patient care and outcomes. The health system with the second-most affiliated hospitals in Ohio is Cleveland Clinic Health System, with 26 hospitals. Cleveland Clinic Health System has a similar number of staffed beds as Bon Secours Mercy Health, despite having nearly half the number of hospitals, suggesting that its hospitals are larger. Mercy Health has the third-highest number of hospitals, with 24 affiliated hospitals.
Cleveland Clinic is consistently ranked as one of the best hospitals in the US and the world. It is known for its groundbreaking research and state-of-the-art facilities and operates a robust network of regional hospitals and family health centres. The Cleveland Clinic Health System also has the highest net patient revenue (NPR) of any IDN in Ohio, with $11.7 billion, placing them on the list of top IDNs in the US based on NPR. Bon Secours Mercy Health has the second-highest NPR in Ohio, with $8.9 billion, making it one of the highest-earning IDNs in the US. This high NPR is likely related to their high number of discharges, which are among the highest in the nation.
OhioHealth is another notable IDN in Ohio, having expanded rapidly in recent years. It is a not-for-profit IDN that has seen a 15% growth in patient volume between 2019 and 2022, partly due to its commitment to community wellness programs. University Hospitals (UH) is also a top-tier academic medical centre affiliated with Case Western Reserve University.
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Government ownership
In 2022, there were 187 hospitals in Ohio, of which 137 were non-profits. Most acute care hospitals in Ohio are nonprofit organisations. However, 23 Ohio hospitals are owned by local, county, state, or federal governments. One example of a government-owned hospital in Ohio is the Riverside Methodist Hospital, which U.S. News & World Report ranked 38 out of 50 on its 2015-2016 list of "America's Best Hospitals" for neurology and neurosurgery. OhioHealth, a non-profit hospital system based in Columbus and Central Ohio, can trace its origins back to 1891 with the creation of the Protestant Hospital Association, the first hospital in Columbus not associated with the Roman Catholic Church.
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Frequently asked questions
Ohio is the 7th largest state in the US by population, with more than 320 hospitals. Most acute care hospitals in Ohio are nonprofit organisations.
The Cleveland Clinic Health System has the most hospitals in Ohio, with 26 hospitals.
Bon Secours Mercy Health has the second most hospitals in Ohio, with 24 affiliated hospitals.
Most acute care hospitals in Ohio are nonprofit organisations. Some of these include the Lima Memorial Health System, Lake Health, Summa Health, and Southwest General.
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