The Dartmouth Atlas of Health Care The South Atlantic States

Transcription

The
Dartmouth
Atlas
of
Health Care
The South Atlantic States
The Center for the
Evaluative Clinical Sciences
Dartmouth Medical School
AHA books are published by American Hospital Publishing, Inc., an American Hospital Association company
The views expressed in this publication are strictly those of the authors and do not necessarily represent official
positions of the American Hospital Association.
Library of Congress Cataloging-in-Publication Data
Dartmouth Medical School. Center for the Evaluative Clinical Sciences.
The Dartmouth atlas of health care / the Center for the Evaluative Clinical Sciences,
Dartmouth Medical School.
p.
cm.
ISBN 1-55648-173-x (softcover)
1. Medical care—United States—Marketing—Maps. 2. Health facilities—United
States—Statistics. I. Title.
G1201.E5D3 1996 (G&M)
96-11510
362.1'0973'022—dc20
CIP
MAP
Catalog no. 044203
© 1996 The Trustees of Dartmouth College
All rights reserved. The reproduction or use of this book in any form or in
any information storage or retrieval system is forbidden without the express
written permission of the publisher.
Printed in the USA
The Dartmouth Atlas of Health Care in the South Atlantic States
John E. Wennberg, M.D., M.P.H., Principal Investigator and Series Editor
Megan McAndrew Cooper, M.B.A., M.S., Editor
and other members of the Dartmouth Atlas of Health Care Working Group
Co-investigators and Researchers
Thomas A. Bubolz, Ph.D.
Elliott S. Fisher, M.D., M.P.H.
Alan M. Gittelsohn, Ph.D.
David C. Goodman, M.D., M.S.
Jack E. Mohr
James F. Poage, Ph.D.
Sandra M. Sharp, S.M.
Jonathan S. Skinner, Ph.D.
Thérèse A. Stukel, Ph.D.
Administration, Data Production, and Technical Support
Kristen K. Bronner, M.A.
Nancy E. Cloud
Jiaqi Gong, M.S.
Katherine W. Herbst, M.S.
For
Daniel F. Hanley, M.D.
and
David N. Soule
warriors for small area analysis
The research to create the Dartmouth Atlas of Health Care
was made possible by a grant from
The Robert Wood Johnson Foundation
vi
The Center for the Evaluative Clinical Sciences
Dartmouth Medical School
Hanover, New Hampshire 03755-3863
(603) 650-1820
http://www.dartmouth.edu/~atlas/
Other publications in this series
The Dartmouth Atlas of Health Care in the United States
The Dartmouth Atlas of Health Care in the New England States
The Dartmouth Atlas of Health Care in the Middle Atlantic States
The Dartmouth Atlas of Health Care in the Great Lakes States
The Dartmouth Atlas of Health Care in the East South Central States
The Dartmouth Atlas of Health Care in the Great Plains States
The Dartmouth Atlas of Health Care in the West South Central States
The Dartmouth Atlas of Health Care in the Mountain States
The Dartmouth Atlas of Health Care in the Pacific States
Published in cooperation with The Center for Health Care Leadership
of the American Hospital Association
American Hospital Publishing, Inc.
Chicago, Illinois
vii
Table of Contents
Map List: x
Figure List: xii
Introduction: Geographic Variations in Health Care
About Benchmarking in the Atlas
Tables
1
5
7
Strategies and Methods
About Rates in the Atlas
7
8
Making Fair Comparisons Between Hospital Service Areas
Communicating With Us About the Atlas
9
10
Part One: The Geography of Health Care in the South Atlantic States
The Geography of Health Care in the South Atlantic States
11
12
Reference Maps: Hospital Service Areas in the South Atlantic States
14
Part Two: Acute Care Hospital Resources and Expenditures in the South Atlantic States
Acute Care Hospital Beds
50
Acute Care Hospital Employees
52
Registered Nurses Employed in Acute Care Hospitals
Total Acute Care Hospital Expenditures
54
56
Benchmarking: Acute Care Hospital Beds
58
Benchmarking: Hospital Employees 60
Benchmarking: Hospital-Based Registered Nurses 62
Benchmarking: Total Hospital Expenditures
64
Table 2. Acute Care Hospital Resources Allocated to Hospital Service Areas 67
49
viii
THE DARTMOUTH ATLAS OF HEALTH CARE: THE SOUTH ATLANTIC STATES
Part Three: The Medicare Program in the South Atlantic States
73
Medicare Reimbursements for Traditional (Noncapitated) Medicare
76
Medicare Reimbursements for Professional and Laboratory Services
78
Medicare Reimbursements for Inpatient Hospital Services
Medicare Reimbursements for Outpatient Facilities
80
82
Average Adjusted Per Capita Costs 84
Medicare Enrollment in Capitated Managed Care 86
The Boundaries of Counties, Hospital Service Areas, and the AAPCC
88
Benchmarking: Total Medicare Reimbursements 90
Benchmarking: Reimbursements for Professional and Laboratory Services
Benchmarking: AAPCC
92
94
Table 3. Medicare Reimbursements per Enrollee by Program Components (1992-93)
and Adjusted Average Per Capita Cost (1996) for Hospital Service Areas 99
Part Four: The Physician Workforce in the South Atlantic States
111
The Physician Workforce Active in Patient Care 112
Specialist Physicians
114
Physicians in Primary Care
116
Benchmarking: The Physician Workforce Active in Patient Care
Benchmarking: Specialists
118
120
Benchmarking: Primary Care Physicians
122
Table 4. Physicians in Active Practice Serving Residents of Hospital Service Areas
(Physicians per 100,000 population, 1993) 125
Part Five: The Utilization of Hospitals for Medical and Surgical Conditions 131
Total Medicare Discharges
132
Medicare Discharges for Medical Conditions
134
Medicare Discharges for Surgical Procedures
136
Medicare Discharges for High Variation Medical Conditions
138
Contribution of Discharge Rate and Average Length of Stay to Patient Days of
Hospitalization for High Variation Medical Conditions 140
Benchmarking: Discharges for Surgical Procedures
142
Benchmarking: Discharges for High Variation Medical Conditions
Coronary Artery Bypass Grafting
146
Rates of Coronary Angiography and Rates of CABG and PTCA
Percutaneous Transluminal Coronary Angioplasty 148
Coronary Angiography 150
Back Surgery
152
144
146
TABLE OF CONTENTS
Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia
Benchmarking: Coronary Artery Bypass Grafting
Benchmarking: Coronary Angiography
154
156
158
Table 5. Hospitalizations for Total, Surgical, Medical and High Variation Medical
Conditions and Selected Diagnostic and Surgical Procedures in Hospital Service Areas
per 1,000 Medicare Enrollee Person-Years (1992-93) 161
Part Six: Hospital Bed Allocation and Medicare Reimbursements for Inpatient
Services by Hospital Service Are and by Location 173
Table 6. Hospital Bed Allocation and Medicare Reimbursements for Inpatient Services by
Hospital Service Are and by Location 183
ix
x
Maps
NUMBER
MAP TITLE
PAGE
1.1
Pittsburgh, Pennsylvania
14
1.2
Pittsburgh, Pennsylvania (detail)
15
1.3
Charleston and Huntington, West Virginia
16
1.4
Lynchburg and Roanoke, Virginia
17
1.5
Charlottesville and Winchester, Virginia, and Morgantown,
West Virginia
18
1.6
Washington, D.C.
19
1.7
Arlington, Virginia
20
1.8
Tacoma Park, Maryland
21
1.9
Baltimore, Maryland
22
1.10
Wilmington, Delaware
23
1.11
Salisbury, Maryland
24
1.12
Newport News and Richmond, Virginia
25
1.13
Norfolk, Virginia and Greenville, North Carolina
26
1.14
Raleigh and Durham, North Carolina
27
1.15
Greensboro and Winston-Salem, North Carolina
28
1.16
Charlotte and Hickory, North Carolina
29
1.17
Ashville, North Carolina, and Greenville and Spartanberg,
South Carolina
30
1.18
Columbia, South Carolina
31
1.19
Wilmington, North Carolina and Florence, South Carolina
32
1.20
Charleston, South Carolina
33
1.21
Augusta and Savannah, Georgia
34
1.22
Macon, Georgia
35
1.23
Atlanta and Rome, Georgia
36
1.24
Atlanta, Georgia (detail)
37
1.25
Albany and Columbus, Georgia
38
1.26
Panama City and Pensacola, Florida
39
1.27
Tallahassee, Florida
40
1.28
Jacksonville, Florida
41
MAPS
1.29
Gainesville, Ocala and Ormond Beach, Florida
42
1.30
Orlando, Florida
43
1.31
Clearwater, Hudson, Lakeland, St. Petersburg and Tampa,
Florida
44
1.32
Bradenton, Fort Myers and Sarasota, Florida
45
1.33
Fort Lauderdale, Florida
46
1.34
Miami, Florida (detail)
47
1.35
Miami, Florida
48
2.1
51
2.2
53
2.3
55
2.4
57
3.1
Price Adjusted Reimbursements for Traditional (Noncapitated)
Medicare
65
3.2
Price Adjusted Medicare Reimbursements for Professional and
Laboratory Services
67
3.3
Price Adjusted Medicare Reimbursements for Inpatient Hospital
Services
69
3.4
Price Adjusted Medicare Reimbursements for Outpatient
Services
71
3.5
AAPCC
73
3.6
Medicare Enrollment in Capitated Managed Care Plans
75
3.7
Palm Beach County, Florida
77
4.1
The Physician Workforce Active in Patient Care
113
4.2
115
4.3
117
5.1
Total Discharges per 1,000 Medicare Enrollees
133
5.2
Medical Discharges per 1,000 Medicare Enrollees
135
5.3
Surgical Discharges per 1,000 Medicare Enrollees
137
5.4
Discharges for High Variation Medical Conditions
139
5.11
147
5.12
Percutaneous Transluminal Coronary Angioplasty
149
5.13
Coronary Angiography
151
5.14
Back Surgery
153
5.15
Transurethral Resection of the Prostate for Benign Prostatic
Hyperplasia
155
xi
xii
Figures
NUMBER FIGURE TITLE
PAGE
1.1
Acute Care Hospital Beds in Selected Hospital Service Areas in the New
England States Compared to the Boston and New Haven Hospital Service
Areas and to the U.S. Average (1993)
6
2.1
Acute Care Hospital Beds Allocated to Hospital Service Areas in the South
Atlantic States (1993)
50
2.2
Hospital Employees Allocated to Hospital Service Areas in the South Atlantic
States (1993)
52
2.3
Hospital-Based Registered Nurses Allocated to Hospital Service Areas in the
South Atlantic States (1993)
54
2.4
Price Adjusted Acute Care Hospital Expenditures Allocated to Hospital
Service Areas in the South Atlantic States (1993)
56
2.5
Acute Care Hospital Beds Allocated to Selected Hospital Service Areas in the
South Atlantic States Compared to the Highest and Lowest Ranked Selected
Areas (1993)
58
2.6
Acute Care Hospital Beds Allocated to Selected Hospital Service Areas in the
South Atlantic States Compared to Selected Hospital Service Areas Elsewhere
in the U.S. (1993)
59
2.7
Hospital Employees Allocated to Selected Hospital Service Areas in the South
Atlantic States Compared to Highest and Lowest Ranked Selected Areas
(1993)
60
2.8
Hospital Employees Allocated to Selected Hospital Service Areas in the South
Atlantic States Compared to Selected Hospital Service Areas Elsewhere in the
U.S. (1993)
61
2.9
Hospital-Based Registered Nurses Allocated to Selected Hospital Service
Areas in the South Atlantic States Compared to Highest and Lowest Ranked
Selected Areas (1993)
62
2.10
Hospital-Based Registered Nurses Allocated to Selected Hospital Service
Areas in the South Atlantic States Compared to Selected Hospital Service
Areas Elsewhere in the U.S. (1993)
63
2.11
Price Adjusted Total Hospital Expenditures per capita in Selected Hospital
Service Areas in the South Atlantic States Compared to Highest and Lowest
Ranked Selected Hospital Service Areas (1993)
64
FIGURES
2.12
Price Adjusted Total Hospital Expenditures per capita in Selected Hospital
Services Areas in the South Atlantic States Compared to Selected Hospital
Service Areas Elsewhere in the U.S. (1993)
65
3.1
Price Adjusted Reimbursements for Traditional (Noncapitated) Medicare in
Hospital Service Areas (1992-93)
76
3.2
Price Adjusted Part B Medicare Reimbursements for Professional and
Laboratory Services In Hospital Service Areas (1992-93)
78
3.3
Price Adjusted Medicare Reimbursements for Inpatient Hospital Services per
Medicare Enrollee in Hospital Service Areas (1992-93)
80
3.4
Price Adjusted Medicare Reimbursements for Outpatient Services In Hospital
Service Areas (1992-93)
82
3.5
The Adjusted Average per Capita Cost in Hospital Service Areas in the South
Atlantic States (1996)
84
3.6
Price Adjusted Total Reimbursements per Medicare Enrollee in Selected
Hospital Service Areas in the South Atlantic States Compared to Highest and
Lowest Ranked Selected Areas (1992-93)
90
3.7
Price Adjusted Total Reimbursements per Medicare Enrollee in Selected
Hospital Services Areas in the South Atlantic States Compared to Selected
Hospital Service Areas Elsewhere in the U.S. (1992-93)
91
3.8
Price Adjusted Total Reimbursements for Professional and Laboratory
Services per Medicare Enrollee in Selected Hospital Service Areas in the
South Atlantic States Compared to Highest and Lowest Ranked Selected
Areas (1992-93)
92
3.9
Price Adjusted Total Reimbursements for Professional and Laboratory
Services per Medicare Enrollee in Selected Hospital Service Areas in the
South Atlantic States Compared to the Selected Hospital Service Areas
Elsewhere in the U.S. (1992-93)
93
3.10
AAPCC in Selected Hospital Service Areas in the South Atlantic States
Compared to the Highest and Lowest Ranked Selected Areas (1996). The
AAPCC is Not Adjusted for Price Differences.
94
3.11
Price Adjusted AAPCC in Selected Hospital Service Areas in the South
Atlantic States Compared to Highest and Lowest Ranked Selected Areas
(1996)
95
3.12
AAPCC in Selected Hospital Service Areas in the South Atlantic States
Compared to Selected Hospital Service Areas Elsewhere in the U.S. (1996).
The AAPCC is Not Adjusted for Price Differences.
96
3.13
Price Adjusted AAPCC in Selected Hospital Service Areas in the South
U.S. (1996)
97
4.1
Physicians Allocated to Hospital Service Areas (1993)
112
4.2
Specialists Allocated to Hospital Service Areas (1993)
114
4.3
Primary Care Physicians Allocated to Hospital Service Areas (1993)
116
xiii
xiv
4.4
The Total Physician Workforce Allocated to Selected Hospital Service Areas
in the South Atlantic States Compared to the Highest and Lowest Ranked
Selected Areas (1993)
118
4.5
The Total Physician Workforce Allocated to Selected Hospital Service Areas
in the South Atlantic States Compared to Selected Hospital Service Areas
Elsewhere in the U.S. (1993)
119
4.6
Specialist Physicians Allocated to Selected Hospital Service Areas in the South
Atlantic States Compared to the Highest and Lowest Ranked Selected Areas
(1993)
120
4.7
Specialist Physicians Allocated to Selected Hospital Service Areas in the South
U.S. (1993)
121
4.8
Primary Care Physicians Allocated to Selected Hospital Service Areas in the
South Atlantic States Compared to the Highest and Lowest Ranked Selected
Areas (1993)
122
4.9
Primary Care Physicians Allocated to Selected Hospital Service Areas in the
South Atlantic States Compared to Selected Hospital Service Areas Elsewhere
in the U.S. (1993)
123
5.1
All Discharges per 1,000 Medicare Enrollees in Hospital Service Areas in the
South Atlantic States (1992-93)
133
5.2
Medical Discharges per 1,000 Medicare Enrollees in Hospital Service Areas in
the South Atlantic States (1992-93)
135
5.3
Surgical Discharges per 1,000 Medicare Enrollees in Hospital Service Areas in
137
5.4
Discharges for High Variation Medical Conditions per 1,000 Medicare
Enrollees in Hospital Service Areas in the South Atlantic States (1992-93)
139
5.5
The Relationship Between Total Hospital Days and Discharge Rate for High
Variation Medical Conditions in Hospital Service Areas in the South Atlantic
States (1992-93)
141
5.6
The Relationship Between Total Hospital Days and Average Length of Stay
(in Days) for High Variation Medical Conditions in Hospital Service Areas in
141
5.7
Discharges for Surgical Procedures per 1,000 Medicare Enrollees in Selected
Hospital Service Areas in the South Atlantic States Compared to the Highest
and Lowest Ranked Selected Hospital Service Areas (1992-93)
142
5.8
Discharges for Surgical Procedures per 1,000 Medicare Enrollees in Selected
Hospital Service Areas in the South Atlantic States Compared to Selected
143
5.9
Enrollees in Selected Hospital Service Areas in the South Atlantic States
Compared to the Highest and Lowest Ranked Selected Hospital Service Areas
(1992-93)
144
FIGURES
5.10
Enrollees in Hospital Service Areas in the South Atlantic States Compared to
Selected Hospital Service Areas Elsewhere in the U.S. (1992-93)
145
5.11
Rates of Coronary Artery Bypass Grafting Procedures per 1,000 Medicare
146
5.12
Rates of Percutaneous Transluminal Coronary Angioplasty Procedures per
1,000 Medicare Enrollees in Hospital Service Areas in the South Atlantic
States (1992-93)
148
5.13
The Association Between Rates of Coronary Angiography and the Combined
Rates of Coronary Artery Bypass Grafting and Percutaneous Transluminal
Coronary Angioplasty Procedures per 1,000 Medicare Enrollees in Hospital
Service Areas in the South Atlantic States (1992-93)
150
5.14
Rates of Back Surgery Procedures per 1,000 Medicare Enrollees in Hospital
152
5.15
Rates of Transurethral Resection of the Prostate for Benign Prostatic
Hyperplasia per 1,000 Male Medicare Enrollees Allocated to Hospital Service
Areas in the South Atlantic States (1992-93)
154
5.16
CABG Procedures per 1,000 Medicare Enrollees In Selected Hospital Service
Areas in the South Atlantic States Compared to the Highest and Lowest
Ranked Selected Hospital Service Areas (1992-93)
156
5.17
CABG Procedures per 1,000 Medicare Enrollees In Selected Hospital Service
Areas in the South Atlantic States Compared to Selected Hospital Service
Areas Elsewhere in the U.S. (1992-93)
157
5.18
Angiography Procedures per 1,000 Medicare Enrollees In Selected Hospital
Service Areas in the South Atlantic States Compared to the Highest and
Lowest Ranked Selected Hospital Service Areas (1992-93)
158
5.19
Angiography Procedures per 1,000 Medicare Enrollees in Selected Hospital
Service Areas in the South Atlantic States Compared to Selected Hospital
Service Areas Elsewhere in the U.S. (1992-93)
159
xv
xvi
Tables
NUMBER TITLE
PAGE
1
Common Conditions for Which a Number of Treatment Alternatives Are
Used
3
2
Acute Care Hospital Resources Allocated to Hospital Service Areas
67
3
Medicare Reimbursements per Enrollee by Program Components (199293) and Adjusted Average Per Capita Cost (1996) for Hospital Service
Areas
99
4
Physicians in Active Practice Serving Residents of Hospital Service Areas
(Physicians per 100,000 population, 1993)
125
5
Hospitalizations for Total, Surgical, Medical and High Variation Medical
Conditions and Selected Diagnostic and Surgical Procedures in Hospital
Service Areas per 1,000 Medicare Enrollee Person-Years (1992-93)
161
6
Hospital Bed Allocation and Medicare Reimbursements for Inpatient
Services by Hospital Service Area and by Location
183
Introduction
2
Geographic Variations In Health Care
The national volume of the Dartmouth Atlas of Health Care, published in the
Spring of 1996, brought to light the often startling patterns of variation in health
care throughout the nation. Research conducted to produce the Atlas revealed large
differences in the rates of allocation of hospital resources, in the physician supply,
and in the use of procedures such as coronary artery bypass grafting. The analysis of
these differences was at the level of 306 hospital referral regions — the natural
markets, defined by patient origin studies, for the use of tertiary, or referral, care
among populations in the United States.
But health care is highly local, and the analysis of patterns of resource distribution
and utilization among referral regions often masks important differences between
the communities which, when aggregated, make up the larger region. Moreover, the
task of actually addressing the problems of variation is often a local undertaking,
one for which more specific — and more local — information is needed.
The 306 hospital referral regions comprise 3,436 geographically distinct hospital
service areas, which are the natural markets for care that can be delivered locally —
outpatient services and most acute hospital care. The regional volumes of the
Dartmouth Atlas of Health Care (this book is one of nine such volumes) focus on
these hospital service areas as the unit of analysis. The regional volumes make clear
that there is often as much, and frequently more, variation among the hospital service areas within states and regions than among the larger units of analysis, the
hospital referral regions.
The existence of variation raises a number of important issues. Foremost is the question “Which rate is right?” Which pattern of resource allocation, and which pattern
of utilization, is “correct?” The study of practice variations reveals how complex this
question really is. In the case of variations in rates of individual procedures, such as
coronary artery bypass grafting and back surgery, the explanation is not that patients
in areas with low procedure rates are going without treatment; they are, instead,
INTRODUCTION 3
being treated differently, often with more conservative medical management (Table 1). Learning which rate
is right requires learning what informed patients want. The right rate must be the one that reflects the choices
of patients who have been adequately informed and empowered to choose among the available options.
Table 1. Common Conditions for Which a Number of Treatment Alternatives Are Used
Condition
Major Treatment Alternatives
Noncancerous conditions of the uterus
Surgery (by type;) hormone treatment; drugs; watchful waiting
Angina pectoris
Bypass surgery; angioplasty; drugs
Gallstones
Surgery; stone crushing; medical management; watchful waiting
Peripheral vascular disease
Bypass surgery; angioplasty; medical management
Cataracts
Lens extraction (by type); watchful waiting
Arthritis of hip and knee
Surgery (by type); medical management
Prostatism (BPH — benign prostatic hyperplasia)
Surgery (by type); balloon dilation; drugs; microwave diathermy;
watchful waiting
Herniated disc
Surgery (by type); various medical management strategies
Atherosclerosis of carotid artery with threat of stroke
Carotid endarterectomy; aspirin
4
In the case of variations in the supply of health care resources, such as the numbers
of hospital beds and physicians, the question “Which rate is right?” needs to be
framed in another way: What is the impact on population health of variations in
resource allocation? Is more better? And if not, how much could be reallocated to
other, more effective uses by reducing resources and their utilization to the level of
more conservative communities?
Another important issue raised by geographic variation concerns fairness. Variation
studies provide good evidence that populations living in areas where health care
spending is low are not necessarily sicker, or have greater unmet needs, than those
who live in areas where per capita spending on health care is high. Costs are higher
in these regions, not because better health is being achieved, but because the local
health care systems have greater capacity, or because the price of medical care in
those communities is higher. A system that rewards high cost areas by continuing to
pay their higher costs is by definition economically punishing areas that have fewer
resources, use them more efficiently, and are reimbursed less. Is it fair for citizens
living in regions with low per capita health care costs to subsidize the greater (and
more costly) use of care by people living in high resource and high utilization regions?
The nine regional Atlases provide the data and analysis for specific hospital service
areas with which these and other questions can be addressed. Strategies to address
the question of the appropriate levels of supply must be developed in the absence
of detailed understanding of the nature of health care needs, medical care outcomes,
and what patients want. One such strategy begins by examining individual communities and comparing them to others. Such comparisons lead naturally to a search
for “efficiently” operated health plans or communities — those with an adequate
but not excessive supply of resources.
INTRODUCTION 5
About Benchmarking in the Atlas
Even in the absence of a detailed understanding of the nature of health care needs,
medical care outcomes, and what patients want, we must establish appropriate levels
of supply. One method of doing this is to examine the way resources are actually
used, and to use as “benchmarks” efficiently operated health care plans or communities that appear to have an adequate but not excessive level of supply.
Benchmarking provides answers to two related questions: How much more (or less)
health care capacity would the nation need, if all areas had the level of capacity of
the benchmark area? And how much more (or less) health care capacity would be
required in a specific area if its per capita capacity were equal to the level of the
benchmark area?
Figure 1.1 illustrates the benchmarking approach to the second question by comparing the supply of acute care hospital beds per thousand residents of Boston,
Massachusetts, Hartford, Connecticut, and New Haven, Connecticut, to three
benchmarks. The benchmarks in this example are the highest ranked of the three
areas, Boston (which had 3.7 beds per thousand residents in 1993); New Haven, the
lowest ranked (2.4 beds per thousand) and the United States average of 3.3 beds per
thousand. The figure shows the result of applying the New Haven benchmark to
Boston: Boston’s adjusted bed supply was 54% higher than New Haven’s (3.712/
2.404= 1.54). If the New Haven rate were applied in Boston, Boston would have
had 1,006 fewer beds (the number in parentheses). This number is obtained by
multiplying the population of the Boston hospital service area by its bed rate: 3.712
x 768,694 = 2,853.4. Had New Haven rates applied, the number allocated would
have been 1,847.9 (2.404 x 768,694). The “excess” beds in Boston are calculated by
subtraction: 2,853.4 - 1,847.9 = 1,005.5.
In the figure, Hartford, Connecticut’s, adjusted rates are demonstrated to have been
23% higher than the New Haven benchmark; the surplus is calculated as 288 acute
care beds in the Hartford hospital service area. The figure also benchmarks Boston’s
6
Figure 1.1. Allocated Acute Care Hospital Beds in Selected Hospital Service Areas in the New England
States Compared to the Boston, Massachusetts and New Haven, Connecticut Hospital Service Areas and
to the U.S. Average (1993)
Benchmarks are used in this volume of the Atlas to compare levels of supply of health care resources, reimbursements,
and utilization among hospital service areas in the South Atlantic States. These comparisons are starting points;
using the Dartmouth Atlas of Health Care databases, which are available on CD-ROM, and software available
without charge through the Atlas internet site (http://www.dartmouth.edu/~atlas/), it is possible to compare any
given hospital service area to any other area, and, in the case of the physician workforce, to a large health
maintenance organization.
level of bed supply to Hartford’s and New Haven’s. Hospital bed rates in Hartford
were 20% lower than in Boston; when the Boston benchmark is applied to Hartford, 381 more beds are needed. If Boston’s rate were applied to New Haven, 506
more hospital beds would be needed. The figure also illustrates the use of the United
States average as a benchmark.
INTRODUCTION 7
Tables
Detailed information about each hospital service area in the South Atlantic States,
including most of the variables presented in the Atlas, is presented at the end of
Parts Two through Five. Part Six presents details concerning the contribution of specific hospitals to the total allocation of hospital beds and Medicare reimbursements
for inpatient care in each hospital service area. It also includes information on the
number of physicians who serve each hospital service area and the locations of their
practices. A more extensive database is available on CD-ROM.
Strategies and Methods
Part Nine of the national volume of the Dartmouth Atlas of Health Care provides
details about the methods used in the Atlas and an explanation of the distribution
graphs and the measure of association, the R2 statistic, used in both the national
and regional Atlases. Since some hospital service areas have small populations, areas were excluded from maps and figures in the regional volumes if the standard
error of their rates exceeded 10% of the national average rate; for surgical procedures, the maximum standard error was 20%. The minimum population size for
inclusion thus differs among the variables, and is reported in the notes to Tables Two
through Five.
The impact of sample size is greatest for the estimates of Medicare reimbursements,
which are based on a 5% sample of Medicare claims. In the national volume, these
estimates were based on a one-year sample (1993). To increase the precision of these
estimates, the data for reimbursements presented in the regional Atlases are based
on a two-year sample (1992-93); the denominators are the enrollee person-years for
the same time period. The rates thus reflect the average annual rate for the two-year
period, 1992-93.
8
About Rates in the Atlas
In order to make comparisons easier, all rates in the Atlas are expressed on a scale
that results in at least one digit to the left of the decimal point (e.g., 98.4 primary
care physicians per hundred thousand residents, rather than .984 per thousand). To
achieve this, different denominators were used in calculating rates.
The levels of supply of hospital beds and hospital full time equivalent employees
and registered nurses are expressed as beds, employees, and registered nurses per
thousand residents of the hospital service area, based on American Hospital Association data and census calculations.
Expenditures and reimbursements are expressed as dollars per capita or per Medicare enrollee, based on American Hospital Association data, Medicare claims data,
and census calculations.
The numbers of physicians providing services to residents of hospital service areas
are expressed as physicians per hundred thousand residents, based on American
Medical Association and American Osteopathic Association data and census calculations.
The numbers of surgical and diagnostic procedures performed are expressed as procedures per thousand Medicare enrollees in the hospital service area, (or as
procedures per thousand male Medicare enrollees in the area, in the case of prostate
procedures) based on Medicare claims data.
Patient day rates are expressed as total inpatient days per thousand Medicare enrollees, based on Medicare claims data.
INTRODUCTION 9
Making Fair Comparisons Between Hospital Service Areas
Some communities have greater needs for health care services and resources than
others; for example, in some communities in Florida, as many as 60% of residents
are over age 65. Other areas — including some with large college populations, or ski
resorts — have much larger proportions of younger people. To ensure fair comparisons between areas, all rates in the Atlas have been adjusted to remove the
differences that might be due to the different age and sex composition of local
populations. This adjustment avoids identifying some areas as having high rates of
utilization simply because of their larger proportions of elderly residents. When data
were available, rates have also been adjusted for differences in race. The methods
used to adjust these rates are explained in Part Nine of the national volume of the
Dartmouth Atlas of Health Care.
Some areas, such as major urban centers, have higher costs of living than others.
Such areas are likely to have high health care expenditures because the costs of personnel, real estate, and supplies are higher, and not necessarily because they are
providing more services. Adjusting for such variation provides a more comparable
measure of differences in real health care spending that is not simply due to differences in costs of living among areas. To ensure fair comparisons of health care
expenditures, hospital expenditure rates and Medicare reimbursement rates were
adjusted to take into account the differences between hospital service areas in costs
of living.
The methods used to adjust for age, sex, race, and price of medical care are detailed
in Part Nine of the national volume of the Dartmouth Atlas of Health Care.
10
Communicating With Us About the Atlas
Our Atlas Home Page on the World Wide Web contains Atlas information, including a summary of Dartmouth related research and electronic copies of some
hard-to-find references. Please send us your comments on the Atlas, particularly
suggestions on how to improve it in the future.
We are at http://www.dartmouth.edu/~atlas
PART ONE
The Geography of Health Care
in the South Atlantic States
12
The Geography of Health Care in the South Atlantic States
The use of health care resources in the South Atlantic States, like their use in the
United States as a whole, is highly localized. Most Americans use the services of
physicians whose practices are nearby. Physicians, in turn, are usually affiliated with
hospitals that are near their practices. As a result, when patients are admitted to
hospitals, the admission generally takes place within a relatively short distance of
where the patient lives. Although the distances from homes to hospitals vary with
geography — people who live in rural areas travel farther than those who live in
cities — in general most patients are admitted to a hospital which provides an appropriate level of care close to where they live.
The Medicare program maintains exhaustive records of hospitalizations, which
makes it possible to define the patterns of use of hospital care. When Medicare enrollees are admitted to hospitals, the program’s records identify both the patients’
places of residence (by ZIP Code) and the hospitals where the admissions took place
(by a unique numerical identifier). These files provide a reliable basis for determining the geographic pattern of health care use, because research shows that the
migration patterns of patients in the Medicare program are similar to those for
younger patients.
Medicare records of hospitalizations were used to define 3,436 geographically distinct hospital service areas in the United States. In each hospital service area, most
of the care received by Medicare patients is provided by hospitals within the area.
There are 515 of these hospital service areas in the South Atlantic States. The maps
in this section show the location of each of these areas. Hospital service areas have
been further aggregated into hospital referral regions, based on the pattern of use of
cardiac surgery and neurosurgery. The maps also show the hospital referral regions
to which the hospital service areas belong.
A detailed description of how hospital service areas and hospital referral regions were
defined, and of the methodologies used to create the Atlas of Health Care in the
THE GEOGRAPHY OF HEALTH CARE IN THE SOUTH ATLANTIC STATES
South Atlantic States, is included in Part Nine of the national volume of the
Dartmouth Atlas of Health Care. Population size in the hospital service areas in the
South Atlantic States is given in Tables 2 and 4. The numbers of Medicare enrollees in
each hospital service area are given in Tables 3 and 5.
13
14
Hospital Service Areas Assigned to the Pittsburgh, PA Hospital Referral Region
See Detail at Right
Detail of Hospital Service Areas Assigned to the Pittsburgh, PA Hospital Referral Region
15
16
Hospital Service Areas Assigned to the Charleston and Huntington, WV Hospital Referral Regions
Hospital Service Areas Assigned to the Lynchburg and Roanoke, VA Hospital Referral Regions
17
18
Hospital Service Areas Assigned to the Charlottesville and Winchester, VA and Morgantown, WV
Hospital Referral Regions
Hospital Service Areas Assigned to the Washington, DC Hospital Referral Region
See Detail on Page 21
19
20
Hospital Service Areas Assigned to the Arlington, VA Hospital Referral Region
Detail of Hospital Service Areas Assigned to the Tacoma Park, MD Hospital Referral Region
21
22
Hospital Service Areas Assigned to the Baltimore, MD Hospital Referral Region
Hospital Service Areas Assigned to the Wilmington, DE Hospital Referral Region
23
24
Hospital Service Areas Assigned to the Salisbury, MD Hospital Referral Region
Hospital Service Areas Assigned to the Newport News and Richmond, VA Hospital Referral Regions
25
26
Hospital Service Areas Assigned to the Norfolk, VA and Greenville, NC Hospital Referral Regions
See Inset
Hospital Service Areas Assigned to the Raleigh and Durham, NC Hospital Referral Regions
27
28
Hospital Service Areas Assigned to the Greensboro and Winston-Salem, NC Hospital Referral Regions
Hospital Service Areas Assigned to the Charlotte and Hickory, NC Hospital Referral Regions
29
30
Hospital Service Areas Assigned to the Ashville, NC, Greenville and Spartanberg, SC Hospital Referral Regions
Hospital Service Areas Assigned to the Columbia, SC Hospital Referral Region
31
32
Hospital Service Areas Assigned to the Wilmington, NC and Florence, SC Hospital Referral Regions
Hospital Service Areas Assigned to the Charleston, SC Hospital Referral Region
33
34
Hospital Service Areas Assigned to the Augusta and Savannah, GA Hospital Referral Regions
Hospital Service Areas Assigned to the Macon, GA Hospital Referral Region
35
36
Hospital Service Areas Assigned to the Atlanta and Rome, GA Hospital Referral Regions
See Detail at Right
Detail of Hospital Service Areas Assigned to the Atlanta, GA Hospital Referral Region
37
38
Hospital Service Areas Assigned to the Albany and Columbus, GA Hospital Referral Regions
Hospital Service Areas Assigned to the Panama City and Pensacola, FL Hospital Referral Regions
39
40
Hospital Service Areas Assigned to the Tallahassee, FL Hospital Referral Region
Hospital Service Areas Assigned to the Jacksonville, FL Hospital Referral Region
41
42
Hospital Service Areas Assigned to the Gainesville, Ocala and Ormond Beach, FL Hospital Referral Regions
Hospital Service Areas Assigned to the Orlando, FL Hospital Referral Region
43
44
Hospital Service Areas Assigned to the Clearwater, Hudson, Lakeland, St. Petersburg and Tampa, FL
Hospital Referral Regions
Hospital Service Areas Assigned to the Bradenton, Fort Myers, and Sarasota, FL Hospital Referral Regions
45
46
Hospital Service Areas Assigned to the Fort Lauderdale, FL Hospital Referral Region
Detail of Service Areas Assigned to the Miami, FL Hospital Referral Region
47
48
Hospital Service Areas Assigned to the Miami, FL Hospital Referral Region
See Detail on Previous Page
PART TWO
Acute Care Hospital Resources
and Expenditures
This section provides measures of the allocation of hospital
resources to the populations living in hospital service areas in
the South Atlantic States. Data from the American Hospital
Association and the Medicare program were used to estimate
the numbers of staffed hospital beds, full time equivalent hospital employees, registered nurses employed in acute care
hospitals, and hospital expenditures allocated to care for the
population of each region. The population count is from the
1990 United States census.
The estimates for resource allocations presented in the Atlas
have been adjusted for differences in age and sex, and in the
case of expenditures, for regional differences in prices. The allocation method adjusts for patient migration to hospitals
located outside of the hospital service area where the patient
resides. Part Nine of the national volume of the Dartmouth
Atlas of Health Care explains how these adjustments were
made.
50
Hospital Beds per 1,000 Residents in HSAs
The number of acute care hospital beds per thousand residents varied substantially
among the South Atlantic States. The numbers of hospital beds per thousand
residents were higher than the national average of 3.3 in the hospital service areas
in Washington, D.C. (4.4); Miami Beach, Florida (4.3); Charleston, West Virginia
(3.8); and Baltimore, Maryland (3.7). Jacksonville, Florida (3.4); Richmond,
Virginia (3.4); Atlanta, Georgia (3.4); and Miami, Florida (3.3) were close to the
national average. Wilmington, Delaware (3.1); Charlotte, North Carolina (2.7);
Greenville, South Carolina (2.6); and Raleigh, North Carolina (2.5) were below it.
The South Atlantic States. The gray horizontal line represents the United States average.
Figure 2.1. Acute Care Hospital Beds Allocated to Hospital Service Areas in the South Atlantic States (1993)
The number of acute care hospital beds per thousand residents, after adjusting for differences in the age and sex of
the local population, varied by a factor of more than 4.4. Each point represents one hospital service area.
ACUTE CARE HOSPITAL RESOURCES AND EXPENDITURES
51
52
Hospital Employees per 1,000 Residents in HSAs
The numbers of full time equivalent hospital employees per thousand residents
varied from well under the national average of 14.2 to well above it. Among the
region’s larger hospital service areas, the numbers of hospital employees per
thousand residents were above the national average in Washington, D.C. (20.7);
Baltimore (19.2); Miami Beach, Florida (17.4); Wilmington, Delaware (17.2);
Atlanta (17.0); and Charleston, West Virginia (16.7). Miami (14.4) was close to the
national average; Richmond, Virginia (13.8); Charlotte, North Carolina (13.2);
Raleigh, North Carolina (12.1); and Greenville, South Carolina (11.4) were
somewhat below it.
Figure 2.2. Hospital Employees Allocated to Hospital Service Areas in the South Atlantic States (1993)
The number of full time equivalent hospital employees per thousand residents, after adjusting for differences in the
age and sex of the local population, varied by a factor of more than 3.9. Each point represents one hospital service
area.
53
54
Registered Nurses per 1,000 Residents in HSAs
The acute care hospital-employed registered nurse workforce per thousand residents
varied substantially among and within the South Atlantic States. Among the region’s
larger cities, the numbers of registered nurses per thousand residents were higher
than the national average of 3.5 in hospital service areas in Washington, D.C. (5.3);
Baltimore (4.8); Wilmington, Delaware (4.5); Atlanta (4.3); Jacksonville, Florida
(4.2); Charleston, West Virginia (4.2); and Miami Beach, Florida (4.1). Charlotte,
North Carolina (3.7); Miami (3.6); and Raleigh, North Carolina (3.6) were near the
national average; Greenville, South Carolina (2.8) was below it.
Figure 2.3. Hospital-Based Registered Nurses Allocated to Hospital Service Areas in the South Atlantic
States (1993)
The acute care hospital-employed registered nurse workforce per thousand residents, after adjusting for differences
in the age and sex of the local population, varied by a factor of more than 2.7. Each point represents one hospital
service area.
55
56
Total Hospital Expenditures per capita in HSAs (dollars)
Price adjusted per capita expenditures for inpatient and outpatient care delivered by
acute care hospitals varied substantially among the South Atlantic States. Among the
region’s larger cities, per capita expenditures exceeded the national average of $1,052
in the hospital service areas in Washington, D.C. ($1,455); Charleston, West Virginia ($1,371); Atlanta ($1,326); Baltimore ($1,286); Jacksonville, Florida
($1,239); Wilmington, Delaware ($1,233); Miami Beach, Florida ($1,196); and
Greenville, South Carolina ($1,138). Among the areas with expenditures below the
national average were Richmond, Virginia ($1,040); Miami ($999); Charlotte,
North Carolina ($993); and Raleigh, North Carolina ($860).
Figure 2.4. Price Adjusted Acute Care Hospital Expenditures Allocated to Hospital Service Areas in the
South Atlantic States (1993)
Price adjusted per capita expenditures for inpatient and outpatient care delivered by acute care hospitals varied by
a factor of more than 3.9. Each point represents one hospital service area.
57
58
Figure 2.5. Acute Care Hospital Beds Allocated to Selected Hospital Service Areas in the South Atlantic
States Compared to the Highest and Lowest Ranked Selected Areas (1993)
The figure gives the ratio of acute care hospital beds in selected hospital service areas to the lowest and the highest
ranked areas. It also compares each selected area to the U.S. average. The number of acute care hospital beds above
(+) or below (-) the number predicted by the experience in the benchmark area in 1993 is in parentheses. For
example, the number of beds per 1,000 allocated to the residents of Washington, D.C. was 1.76 times higher than
the number allocated to residents of Raleigh, North Carolina. If the level of bed supply of the Raleigh benchmark
in 1993 had been attained for the residents of Washington, 1,668 fewer beds would have been needed for
Washington residents.
59
Figure 2.6. Acute Care Hospital Beds Allocated to Selected Hospital Service Areas in the South Atlantic States Compared to Selected
Hospital Service Areas Elsewhere in the U.S. (1993)
The figure gives the ratio of acute care hospital beds in selected hospital service areas in the South Atlantic States to other areas. The number of beds
above (+) or below (-) the number of beds predicted by the experience in the benchmark area is in parentheses. For example, the number of beds per
1,000 allocated to the residents of Washington, D.C. was 1.83 times higher than the number allocated to residents of Minneapolis. If the level of bed
supply of the Minneapolis benchmark in 1993 had been attained for the residents of Washington, 1,752 fewer beds would have been needed. If the
Manhattan benchmark had applied, 801 more beds would have been needed for Washington residents.
60
Benchmarking: Hospital Employees
Figure 2.7 Hospital Employees Allocated to Selected Hospital Service Areas in the South Atlantic States
Compared to the Highest and Lowest Ranked Selected Areas (1993)
The figure gives the ratio of full time equivalent hospital employees in selected hospital service areas to the lowest
and the highest ranked areas. It also compares each selected area to the U.S. average. The number of employees above
(+) or below (-) the number predicted by the experience in the benchmark area for 1993 is in parentheses. For
example, the number of employees per 1,000 allocated to the residents of Washington, D.C. was 1.82 times higher
than the number allocated to residents of Greenville, South Carolina. If the level of employment of the Greenville
benchmark in 1993 had been attained for the residents of Washington, 8,185 fewer employees would have been
needed for the residents of Washington.
Benchmarking: Hospital Employees
Figure 2.8. Employees Allocated to Selected Hospital Service Areas in the South Atlantic States
Compared to Selected Hospital Service Areas Elsewhere in the U.S. (1993)
The figure gives the ratio of full time equivalent hospital employees in selected hospital service areas in the South
Atlantic States to other areas. The number of employees above (+) or below (-) the number of employees predicted
by the experience in the benchmark area is in parentheses. For example, the number of employees per 1,000 allocated
to the residents of Washington, D.C. was 1.87 times higher than to residents of Minneapolis. If the level of
employment of the Minneapolis benchmark in 1993 had been attained for the residents of Washington, 8,471 fewer
employees would have been needed. If the Manhattan benchmark had applied, 5,184 more employees would have
been needed for the residents of Washington.
61
62
Benchmarking: Hospital-Based Registered Nurses
Figure 2.9. Hospital-Based Registered Nurses Allocated to Selected Hospital Service Areas in the South
Atlantic States Compared to Highest and Lowest Ranked Selected Areas (1993)
The figure gives the ratio of hospital-employed registered nurses in selected hospital service areas to the lowest and
the highest ranked areas. It also compares each selected area to the U.S. average. The number of registered nurses
above (+) or below (-) the number predicted by the experience in the benchmark area for 1993 is in parentheses.
For example, the number of registered nurses per 1,000 allocated to the residents of Washington, D.C. was 1.92
times higher than to residents of Greenville, South Carolina. If the level of nursing employment of the Greenville
benchmark in 1993 had been attained for the residents of Washington, 2,244 fewer registered nurses would have
been needed for the residents of Washington.
Benchmarking: Hospital-Based Registered Nurses
Figure 2.10. Hospital-Based Registered Nurses Allocated to Selected Hospital Service Areas in the South
Atlantic States Compared to Selected Hospital Service Areas Elsewhere in the U.S. (1993)
The figure gives the ratio of hospital-employed registered nurses in selected hospital service areas in the South Atlantic
States to other areas. The number of registered nurses above (+) or below (-) the number of registered nurses predicted
by the experience in the benchmark area is in parentheses. For example, the number of registered nurses per 1,000
allocated to the residents of Washington, D.C. was 1.91 times higher than to residents of Minneapolis. If the level
of nursing employment of the Minneapolis benchmark in 1993 had been attained for the residents of Washington,
2,233 fewer registered nurses would have been needed. If the Manhattan benchmark had applied, 354 more
registered nurses would have been needed for the residents of Washington.
63
64
Figure 2.11. Price Adjusted Total Hospital Expenditure per capita in Selected Hospital Service Areas in
the South Atlantic States Compared to Highest and Lowest Ranked Selected Areas (1993)
The figure gives the ratio of price adjusted per capita expenditures for inpatient and outpatient care in selected
hospital service areas to the lowest and the highest ranked areas. It also compares each selected area to the U.S.
average. Per capita expenditures above (+) or below (-) the amount predicted by the experience in the benchmark
area for 1993 are in parentheses. For example, expenditures in Washington, D.C. were 1.69 times higher than in
Raleigh, North Carolina. If the level of expenditure of the Raleigh benchmark in 1993 had been attained for the
residents of Washington, $522.3 million less would have been spent for Washington residents.
Figure 2.12. Price Adjusted Total Hospital Expenditures per capita in Selected Hospital Services Areas in
the South Atlantic States Compared to Selected Hospital Service Areas Elsewhere in the U.S. (1993)
The figure gives the ratio of price adjusted per capita expenditures for inpatient and outpatient care in selected
hospital service areas in the South Atlantic States to other areas. Per capita expenditures above (+) or below (-) the
amount predicted by the experience in the benchmark area is in parentheses. For example, expenditures in
Washington, D.C. were 1.58 times higher than in Minneapolis. If the level of expenditure of the Minneapolis
benchmark in 1993 had been attained for the residents of Washington, $467 million less would have been spent.
If the Manhattan benchmark had applied, $328 million more would have been spent for residents of Washington.
65
66
TABLE 2
Health care services utilization is expressed in rates per thousand residents. Rates are
adjusted for differences in age, sex, and race composition of areas’ populations. The
rates represent the health care utilization of persons living in the specified area, regardless of where services were obtained. Reimbursements are expressed in rates per
person, and are adjusted for regional differences in prices. Estimates of allocated
hospital employees and registered nurses are expressed as full-time equivalents (FTEs).
Numbers appearing in parentheses are based on fewer than 3,500 person-years of
experience.
See Part Nine of the national volume of the Dartmouth Atlas of Health Care for
details.
67
TABLE 2
Acute Care Hospital Resources Allocated to Hospital Service Areas
Ho
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Ar
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E
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Delaware
Dover
97,182
2.4
12.3
2.5
877
Lewes
39,603
3.7
20.1
5.4
1,375
Milford
51,846
3.2
15.2
3.6
972
Seaford
32,148
4.2
19.1
5.2
438,123
3.1
17.2
4.5
Wilmington
878,265
4.4
20.7
5.3
i
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Re
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p
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er
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a
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P r xpe
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H o pe
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Englewood
29,583
2.8
9.9
2.0
863
Eustis
73,039
2.9
14.4
3.4
1,003
1,157
19,016
3.8
15.0
3.7
505,868
3.2
11.0
2.7
896
1,262
Fort Myers
226,509
3.1
12.0
2.8
1,032
1,233
Fort Pierce
77,331
3.2
11.7
3.4
883
Fort Walton Beach
81,275
2.9
9.1
2.5
713
300,146
3.1
12.2
2.9
1,017
5,353
6.1
22.7
4.8
1,548
33,412
2.5
9.5
2.8
845
3.6
12.0
3.0
912
1,455
Florida
Apalachicola
sp
er
a
Fort Lauderdale
District of Columbia
Washington
Ho
S
tal
e
Ar
Fernandina Beach
Gainesville
Graceville
6,400
5.4
17.4
3.1
1,106
Gulf Breeze
Arcadia
24,750
4.4
13.4
3.2
1,156
Hialeah
242,584
Atlantis
140,650
2.4
7.8
2.2
651
Hollywood
286,949
3.6
11.3
3.0
901
Avon Park
55,412
3.0
12.5
2.5
988
Homestead
35,296
2.4
11.1
2.7
733
Bartow
35,220
3.5
16.2
3.2
1,077
Hudson
34,987
2.8
9.6
2.4
863
Belle Glade
26,358
4.5
19.2
3.8
1,098
Inverness
47,236
2.4
9.9
2.3
821
Blountstown
10,264
5.0
13.7
3.1
1,177
Jacksonville
711,122
3.4
15.9
4.2
1,239
746
Boca Raton
156,070
2.7
11.4
3.2
892
Jacksonvl Beach
29,208
2.3
10.8
3.2
Boynton Beach
100,774
2.9
10.7
2.7
820
Jasper
9,565
5.2
14.3
3.0
987
Bradenton
197,705
2.9
7.9
1.9
698
Jay
5,952
5.4
15.3
3.1
1,097
Brandon
151,359
2.2
8.8
2.4
745
Jupiter
53,932
2.5
11.7
3.0
776
Brooksville
25,130
3.0
9.8
2.2
911
Key West
36,938
4.6
14.2
4.3
1,206
Bunnell
23,119
2.7
8.3
2.2
673
Kissimmee
80,622
3.3
10.5
2.5
823
Cape Coral
82,846
2.2
11.9
3.5
892
Lake City
44,677
3.2
13.9
3.6
1,039
922
Chipley
11,248
4.1
17.3
3.7
1,224
33,636
3.5
15.2
2.2
181,729
2.4
7.6
2.0
632
Lakeland
193,008
2.1
9.1
2.3
814
Clermont
23,801
3.4
11.3
2.6
851
Largo
156,963
3.1
9.3
2.4
760
Clewiston
14,427
4.8
16.4
3.6
1,301
Leesburg
71,939
3.4
13.5
3.0
1,029
Cocoa Beach
35,563
3.4
16.7
3.8
1,206
Lehigh Acres
22,252
3.9
13.3
3.5
1,150
Coral Gables
13,791
3.5
16.7
4.1
1,156
Madison
11,339
3.3
13.6
2.6
906
Coral Springs
83,862
2.2
8.5
2.5
693
Marathon
18,748
3.0
9.1
2.2
949
Crestview
29,976
5.0
13.3
4.0
1,056
Margate
37,607
3.4
11.7
3.4
931
Crystal River
53,511
2.9
11.8
2.8
998
Marianna
33,917
3.9
13.0
3.9
1,037
815
Clearwater
Dade City
Lake Wales
30,724
3.0
10.4
2.7
841
Melbourne
143,628
3.0
11.5
2.6
914
Miami
De Funiak Springs
17,696
4.6
15.8
3.5
984
Miami Beach
De Land
72,993
2.5
13.3
3.4
971
Milton
29,495
5.1
Delray Beach
52,891
3.2
12.8
3.3
1,013
Naples
170,844
2.4
Destin
13,119
4.3
12.5
3.2
1,026
New Port Richey
144,749
3.0
Dunedin
15,338
6.4
19.2
5.6
1,777
New Smyrna Beach
47,123
2.5
Daytona Beach
201,104
2.3
12.1
3.1
1,486,885
3.3
14.4
3.6
999
122,912
4.3
17.4
4.1
1,196
14.2
3.8
1,141
11.4
2.6
898
9.4
2.2
773
10.9
2.4
794
68
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30,854
3.4
9.9
3.0
744
Albany
161,956
3.8
14.3
2.8
Ocala
192,202
2.4
10.3
2.6
857
Alma
14,542
5.3
20.9
3.9
1,498
Ocoee
35,326
4.6
14.3
3.3
1,226
Americus
35,386
4.8
15.7
3.3
1,109
Arlington
(1,835)
Niceville
1,036
Okeechobee
33,077
3.9
14.0
3.3
1,147
3,113
(8.3)
(29.0)
(5.7)
Orange Park
95,807
2.2
8.3
2.2
676
Athens
165,338
3.1
14.9
4.0
1,096
810,624
3.0
13.1
3.2
997
Atlanta
1,154,784
3.4
17.0
4.3
1,326
Augusta
352,472
3.9
16.9
3.9
1,290
Austell
96,453
4.0
15.4
4.0
1,083
Orlando
Ormond Beach
54,468
3.3
11.3
3.1
931
Pahokee
9,848
6.9
41.0
9.4
2,111
Palatka
62,685
3.4
11.5
2.8
955
Bainbridge
25,511
4.7
19.1
3.8
1,164
Palm Beach Gardens
66,246
2.6
11.0
3.2
856
Baxley
14,099
5.0
20.4
3.0
1,292
136,187
3.0
14.0
3.2
1,038
Blairsville
11,360
4.0
13.7
2.9
1,063
70,914
3.4
10.9
3.0
966
9,939
6.3
18.5
3.9
1,515
Pensacola
279,986
4.1
14.8
3.4
1,123
Blue Ridge
15,825
4.9
16.0
3.5
1,374
Plant City
51,769
2.6
10.9
3.1
869
Bremen
21,352
4.8
14.4
3.4
1,061
1,203
Panama City
Pembroke Pines
Blakely
Plantation
137,308
3.3
10.3
2.6
923
Brunswick
84,235
4.3
15.4
3.6
Pompano Beach
103,236
2.9
10.6
2.6
870
Cairo
19,822
3.9
14.6
2.8
917
83,507
3.4
11.0
2.4
1,037
Calhoun
28,777
3.2
13.3
3.2
1,080
7,490
6.2
17.0
3.4
1,257
Canton
43,413
3.0
10.6
2.7
713
65,448
2.7
10.3
3.0
830
Carrollton
67,207
3.5
12.6
3.1
795
Cartersville
40,687
2.9
10.3
2.6
709
8,724
4.2
18.9
3.1
1,223
Port Charlotte
Port St Joe
Port St Lucie
Punta Gorda
26,936
3.8
12.3
3.6
1,289
Rockledge
96,220
2.7
13.8
2.9
877
Claxton
69,844
2.5
8.9
2.3
779
Clayton
12,053
6.4
18.7
3.9
1,402
Sanford
112,360
2.9
10.8
3.2
860
Cochran
11,373
6.1
17.9
3.7
1,256
Sarasota
200,101
2.5
10.0
2.4
857
Colquitt
Sebastian
25,225
4.4
13.6
3.5
1,151
Sebring
36,498
3.1
11.1
2.5
998
South Miami
28,410
3.2
13.7
3.1
1,008
Spring Hill
82,358
3.0
11.0
2.5
Safety Harbor
6,277
6.8
16.2
2.6
1,153
Columbus
237,302
4.7
13.7
2.9
1,084
Commerce
16,197
4.5
15.7
3.6
1,222
Conyers
48,762
2.3
11.4
2.8
855
979
Cordele
21,289
4.5
19.8
3.5
1,347
St Augustine
62,425
3.7
13.8
3.0
974
Covington
50,367
3.2
13.8
3.2
968
St Cloud
28,671
3.5
11.4
2.7
920
Cuthbert
6,917
6.4
18.5
3.0
1,134
1,183
401,404
3.5
12.6
3.2
918
Dahlonega
15,803
3.5
14.5
3.5
Stuart
97,221
2.8
13.2
3.2
1,020
Dallas
28,118
3.4
15.6
3.5
951
Sun City Center
37,336
3.0
11.4
3.0
899
Dalton
103,835
3.7
13.6
2.7
1,178
289,258
2.8
11.6
2.5
853
Decatur
134,175
3.2
14.5
4.0
1,147
29,504
3.4
11.7
3.1
965
Demorest
26,831
3.3
14.6
3.0
1,214
623,806
3.3
12.7
3.4
1,038
Donalsonville
10,928
6.4
18.2
3.0
1,308
Tarpon Springs
26,381
2.2
7.7
1.9
646
Douglas
34,499
5.7
19.7
4.1
1,473
Tavernier
22,075
3.8
14.9
3.8
1,326
Douglasville
56,919
3.6
12.7
3.4
915
Titusville
57,509
3.8
14.4
3.2
981
Dublin
55,191
3.9
12.7
2.6
1,123
Venice
63,294
2.2
9.8
1.6
751
East Point
107,122
3.2
15.5
4.0
1,088
Vero Beach
79,932
3.3
11.4
3.1
1,040
Eastman
16,774
6.1
19.3
3.8
1,264
West Palm Beach
260,883
3.5
12.7
3.5
989
Eatonton
13,086
5.1
16.5
3.3
1,267
Winter Haven
136,665
2.8
12.8
2.2
885
Elberton
16,641
4.1
17.6
4.7
1,150
1,596
St Petersburg
Tallahassee
Tamarac
Tampa
Winter Park
73,708
2.8
11.3
3.3
831
Ellijay
12,136
5.4
18.5
4.2
Zephyrhills
33,183
2.5
12.5
3.5
890
Fitzgerald
18,236
6.1
22.1
4.2
1,442
Folkston
6,486
8.7
17.8
3.6
1,281
Forsyth
9,757
4.2
15.3
3.0
1,185
Georgia
Adel
12,328
5.5
18.2
2.6
1,160
Ho
sp
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Fort Oglethorpe
67,256
3.4
19.3
5.0
1,223
Stockbridge
60,732
3.1
15.6
4.5
Fort Valley
14,027
3.9
15.1
3.1
1,102
Swainsboro
14,114
5.7
20.0
3.9
1,505
Gainesville
127,468
3.4
14.6
3.3
1,221
Sylvania
12,287
6.8
21.8
3.7
1,712
Glenwood
1,213
2,319
(6.1)
(16.6)
(3.1)
(1,328)
Thomaston
37,764
3.6
14.2
3.8
1,120
Greensboro
11,363
4.1
17.0
3.6
1,202
Thomasville
49,625
4.1
17.8
3.3
1,145
Griffin
65,699
3.0
12.5
3.2
912
Thomson
15,487
4.0
17.2
3.5
1,209
Hahira
6,921
4.6
15.1
2.2
916
Tifton
49,804
3.4
13.7
3.1
998
Hartwell
14,886
3.5
13.3
2.7
976
Toccoa
23,403
4.4
17.5
4.5
1,288
Hawkinsville
15,289
4.6
20.4
4.4
1,403
Valdosta
79,055
4.2
17.1
3.4
1,182
Hazlehurst
14,070
5.9
17.0
4.1
1,110
Vidalia
31,234
4.1
15.2
3.1
1,233
Hiawassee
6,754
5.0
15.5
3.9
1,263
Vienna
7,278
5.8
19.4
3.8
1,383
Hinesville
46,037
1.1
4.6
0.8
324
Villa Rica
12,063
5.6
17.0
3.9
1,140
Homerville
5,658
9.8
26.8
4.2
1,729
Warner Robins
73,283
3.4
14.5
2.8
1,013
Washington
13,044
5.0
17.8
3.5
1,306
Waycross
49,810
3.3
15.7
3.5
1,123
Jackson
16,686
3.9
15.7
3.8
1,208
Jasper
15,677
3.8
14.8
3.4
905
Jesup
23,999
5.9
18.9
3.7
1,251
Waynesboro
15,647
5.9
22.7
4.2
1,737
La Grange
66,708
3.5
15.6
3.7
1,032
Winder
22,606
4.3
18.0
5.3
1,339
Maryland
Lakeland
Lawrenceville
Louisville
4,289
9.5
24.8
4.2
1,337
173,080
2.8
12.9
3.9
879
Annapolis
169,690
2.5
10.6
2.7
783
11,410
5.9
20.2
3.9
1,538
Baltimore
1,387,779
3.7
19.2
4.8
1,286
Bethesda
154,160
2.2
10.3
2.8
683
Cambridge
30,232
3.6
15.3
3.6
1,016
1,164
Macon
227,504
3.6
16.7
3.3
1,237
Marietta
326,108
2.7
12.1
3.4
805
Mcrae
7,337
7.2
17.5
3.6
1,351
Chestertown
25,118
3.5
16.3
4.1
Metter
16,055
4.8
17.7
3.1
1,270
Cheverly
101,823
2.9
11.6
3.0
798
Milledgeville
39,173
3.9
15.6
3.4
1,202
Clinton
138,861
2.9
11.0
2.7
683
134,155
2.2
10.1
3.0
684
5,342
4.8
18.5
3.9
974
117,478
4.3
17.0
4.2
1,287
8,249
7.1
23.0
4.7
1,605
Columbia
Monroe
24,034
4.7
19.1
4.5
1,224
Crisfield
Montezuma
11,243
5.3
14.4
2.8
1,116
Cumberland
Millen
Moultrie
36,675
5.0
16.2
2.9
1,085
Easton
73,907
2.6
14.8
3.8
980
Nashville
10,071
7.8
21.7
4.3
1,543
Elkton
49,770
2.8
14.2
3.8
910
Newnan
68,671
4.6
15.7
5.4
1,093
Fallston
111,856
2.5
11.2
2.6
704
Ocilla
5,784
5.9
18.3
3.7
1,257
Frederick
157,430
1.9
11.6
3.0
652
Perry
15,106
4.1
18.3
4.2
1,248
Glen Burnie
225,358
2.6
12.1
3.2
812
Quitman
8,028
5.5
17.5
3.3
1,114
Hagerstown
119,919
2.6
12.9
3.0
874
Reidsville
6,286
5.7
18.2
2.8
1,304
Havre De Grace
69,554
3.2
12.4
2.9
800
Richland
4,889
6.8
16.4
3.1
1,209
La Plata
64,330
2.8
12.0
2.9
709
Riverdale
159,049
2.8
13.8
3.9
980
Lanham
150,617
2.5
9.8
2.6
676
Rome
150,680
3.4
13.7
3.5
1,001
Laurel
119,392
2.0
7.8
2.3
503
Roswell
121,060
2.8
12.0
3.2
1,048
Leonardtown
71,103
2.9
12.7
2.9
979
Royston
24,558
3.9
14.9
3.0
1,033
Oakland
29,722
3.5
14.9
3.4
1,042
Sandersville
Savannah
24,867
4.2
18.4
3.0
1,324
Olney
284,567
3.8
18.0
3.3
1,312
Prince Frederick
151,122
2.6
11.2
3.2
683
57,164
2.7
10.4
3.0
641
Smyrna
54,816
3.5
13.9
3.9
1,013
Randallstown
131,793
2.0
10.4
2.8
718
Snellville
49,157
2.5
10.8
3.2
789
Rockville
225,579
1.6
8.0
2.7
511
8,908
6.3
24.9
4.9
1,748
Salisbury
146,736
2.7
12.6
2.9
823
St Marys
24,436
2.4
9.7
2.5
675
Silver Spring
146,102
2.7
12.0
3.7
794
Statesboro
45,281
3.5
14.8
3.3
1,134
Takoma Park
109,113
2.4
10.9
3.4
734
Sparta
70
Ho
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Westminster
Re
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88,241
n
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2.4
11.8
3.1
748
North Carolina
Ho
sp
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Se
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Re
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Kinston
76,811
3.8
17.9
4.5
Laurinburg
44,994
3.7
20.9
4.1
1,196
1,358
Lenoir
49,296
3.6
16.7
4.1
1,118
862
Ahoskie
40,635
3.8
16.5
4.3
1,170
Albemarle
47,197
3.1
11.3
3.0
862
Lexington
70,891
2.8
13.0
3.4
Andrews
16,799
3.8
14.7
3.4
921
Lincolnton
39,372
3.0
14.2
3.7
950
Asheboro
78,481
2.5
11.7
3.2
774
Louisburg
28,527
3.7
12.9
3.0
926
Asheville
198,117
2.3
11.3
3.3
880
Lumberton
92,521
4.4
23.1
4.4
1,507
8,031
4.9
17.5
3.8
1,217
Marion
35,600
2.5
10.9
2.9
818
10,839
5.1
16.7
3.5
1,035
Mocksville
24,999
3.2
14.5
3.9
893
2,032
(8.6)
(30.8)
(5.5)
(1,697)
Monroe
71,315
2.8
12.7
3.4
871
Boone
44,100
4.2
13.8
3.4
1,052
Mooresville
29,488
3.4
12.7
4.4
1,072
Brevard
25,520
3.8
18.1
3.2
1,112
Morehead City
54,726
3.0
13.3
3.3
1,003
7,926
4.9
17.4
3.8
1,126
Morganton
50,932
3.5
15.1
3.8
1,103
Banner Elk
Belhaven
Blowing Rock
Bryson City
Burgaw
11,967
3.2
14.6
3.5
934
Mount Airy
49,312
3.7
16.8
4.6
1,241
Burlington
112,788
3.3
16.9
3.6
1,186
Murphy
19,145
4.3
16.1
3.3
1,132
Chapel Hill
87,131
3.1
17.2
4.6
1,373
New Bern
100,168
2.9
11.7
3.0
868
594,360
2.7
13.2
3.7
993
50,268
3.6
17.3
4.5
1,277
3,339
(12.4)
(109.7)
(15.1)
(5,761)
Oxford
21,991
3.7
16.0
2.1
1,234
49,607
3.7
16.1
3.8
1,196
Pinehurst
94,235
3.3
15.0
3.9
1,115
Charlotte
Cherokee
Clinton
North Wilkesboro
Clyde
46,942
3.2
13.1
2.8
885
Plymouth
Columbus
19,486
3.7
11.5
2.7
909
Raleigh
Concord
14,107
4.5
15.1
3.3
965
496,421
2.5
12.1
3.6
860
101,766
3.2
16.0
4.2
1,110
Reidsville
38,421
3.7
15.8
4.2
1,154
Crossnore
11,367
4.4
17.5
3.7
1,264
Roanoke Rapids
52,317
3.8
17.0
3.7
1,227
Dunn
20,584
5.4
24.6
5.8
1,798
Rockingham
24,282
4.5
20.1
5.5
1,437
222,595
2.6
15.9
2.3
1,148
Rocky Mount
114,344
3.5
13.9
3.3
1,034
Eden
30,841
3.7
17.2
4.6
1,320
Roxboro
26,235
3.0
16.5
2.4
1,359
Edenton
17,972
3.8
16.4
4.1
1,014
Rutherfordton
57,003
3.4
13.1
3.2
941
Elizabeth City
78,801
2.9
13.5
4.1
1,020
Salisbury
90,049
2.9
12.9
3.4
862
Elizabethtown
27,943
3.6
16.4
3.8
1,131
Sanford
49,597
3.6
14.6
3.2
1,216
Elkin
25,954
3.7
14.5
4.4
1,063
Shelby
78,986
3.0
13.1
3.1
959
Erwin
10,323
3.0
14.5
3.3
1,100
Siler City
16,192
3.9
16.3
3.6
1,126
Durham
Fayetteville
273,315
2.3
11.4
2.6
909
Smithfield
53,009
4.9
16.1
4.0
1,099
Franklin
18,986
3.1
13.7
3.8
1,044
Southport
13,630
3.4
13.6
2.9
923
Gastonia
126,551
3.6
16.3
3.9
1,033
Sparta
10,207
4.8
16.6
2.7
973
Goldsboro
102,515
3.1
13.2
2.9
918
Spruce Pine
29,638
3.0
12.6
3.3
911
Greensboro
294,408
2.7
12.9
3.9
869
Statesville
80,452
4.1
18.0
6.0
1,307
Greenville
1,345
119,550
3.0
14.9
4.5
1,231
Supply
22,060
4.7
18.7
4.7
Hamlet
13,443
4.6
17.1
4.5
1,259
Sylva
25,750
3.0
15.2
4.1
1,032
Henderson
57,815
3.1
15.2
2.5
1,174
Tarboro
29,440
4.3
14.1
4.0
1,083
Hendersonville
64,607
3.0
13.9
4.1
964
Hickory
147,492
2.9
12.9
4.0
1,010
High Point
116,005
3.0
13.2
3.5
896
Highlands
3,784
4.2
16.5
2.8
1,082
Jacksonville
Taylorsville
19,679
4.2
13.1
3.5
928
Thomasville
32,777
3.4
14.5
4.3
899
Troy
15,365
4.5
11.9
2.9
823
Valdese
19,618
4.2
18.9
5.3
1,358
144,599
1.9
9.0
2.2
679
Wadesboro
21,175
3.7
20.7
4.6
1,374
Jefferson
21,222
3.4
13.7
3.0
949
Washington
11,434
9.2
39.8
11.2
2,699
Kenansville
25,904
3.6
15.3
3.9
1,021
Whiteville
37,673
4.0
16.5
3.3
1,181
Kings Mountain
21,012
4.1
13.4
3.1
931
Williamston
40,849
1.8
7.4
2.1
527
Ho
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Wilmington
Wilson
Windsor
Winston-Salem
Re
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Aiken
sp
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Re
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164,296
3.3
16.1
4.1
1,121
Sumter
108,078
2.7
12.8
3.1
945
78,196
3.9
13.7
2.8
1,075
Union
30,061
4.2
16.2
3.3
1,128
Varnville
14,087
6.1
23.3
5.7
2,041
Walterboro
34,578
4.1
14.9
3.9
1,301
9,205
6.2
18.5
4.6
1,178
344,718
3.1
13.3
3.3
919
22,051
3.1
11.2
2.9
705
South Carolina
Abbeville
Ho
l
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71
West Columbia
134,912
2.9
14.0
3.9
1,034
Winnsboro
17,083
3.5
16.3
4.1
1,259
10,206
4.1
14.4
3.0
1,074
72,682
3.8
15.1
3.5
1,028
Woodruff
Anderson
144,222
3.2
14.4
2.8
947
Virginia
Bamberg
16,726
5.0
19.9
4.7
1,443
Abingdon
40,055
3.2
12.4
3.0
852
Barnwell
15,270
4.2
15.5
3.6
1,192
Alexandria
254,920
2.6
10.1
2.7
685
731
Beaufort
58,874
3.4
14.5
3.7
1,209
Arlington
203,342
3.0
9.9
2.6
Bennettsville
25,968
3.7
16.7
3.9
1,336
Bedford
21,022
3.0
12.6
2.9
809
Bishopville
11,965
4.3
18.3
4.0
1,433
Big Stone Gap
16,875
5.4
18.5
4.0
1,453
35,384
3.7
18.1
3.8
1,281
Blacksburg
65,970
2.9
10.4
2.5
809
474,236
3.4
15.6
3.9
1,306
Charlottesville
180,819
2.9
18.2
4.9
1,323
Cheraw
28,609
3.2
13.2
3.2
1,062
Chesapeake
109,729
3.1
14.1
4.1
1,004
Chester
27,889
3.6
18.3
4.0
1,285
Clintwood
14,859
6.3
19.6
4.6
1,411
Clinton
41,433
2.8
11.0
2.6
1,063
Culpeper
31,491
3.3
17.5
4.7
920
Columbia
338,246
2.7
13.3
3.8
1,048
Danville
106,145
3.1
13.9
2.5
990
Conway
44,127
4.3
14.5
3.5
977
Emporia
27,987
4.9
19.3
4.3
1,449
Dillon
24,680
4.3
16.3
3.6
1,273
74,528
1.3
5.9
1.7
430
Easley
56,345
2.1
9.5
2.4
788
Falls Church
478,083
2.0
8.7
2.6
663
Camden
Charleston
Fairfax
6,884
4.9
15.7
2.8
971
Farmville
26,312
3.7
13.9
3.2
981
13,637
5.6
20.5
4.5
1,559
Franklin
24,960
4.1
18.7
3.9
1,430
Florence
166,410
3.7
16.7
3.9
1,377
Fredericksburg
170,385
2.7
12.2
3.3
730
Gaffney
44,505
3.8
12.2
3.4
919
26,028
2.8
14.4
3.8
723
Edgefield
Fairfax
Front Royal
44,438
4.4
19.2
5.5
1,792
Galax
43,383
3.7
14.1
3.2
954
Greenville
319,940
2.6
11.4
2.8
1,138
Gloucester
43,109
2.9
11.1
2.6
797
Greenwood
85,535
3.7
14.8
3.5
1,025
Grundy
29,563
5.1
19.1
5.2
1,380
Greer
43,033
2.4
8.7
2.3
891
Hampton
85,214
3.0
11.5
2.6
899
Hartsville
30,219
4.7
18.4
4.2
1,447
Harrisonburg
110,664
2.6
12.7
3.5
929
Georgetown
Hilton Head Island
30,896
2.8
14.3
3.6
1,309
Hopewell
33,477
3.8
16.2
3.6
1,093
Kingstree
22,800
4.1
15.8
3.7
1,245
Hot Springs
5,404
6.3
20.8
5.6
1,467
Lancaster
58,618
3.9
15.4
3.9
1,108
Kilmarnock
25,325
4.0
16.6
4.5
1,322
Loris
25,512
4.7
16.7
3.6
1,242
Lebanon
29,998
4.6
16.8
3.9
1,188
Manning
23,744
3.9
16.6
3.7
1,215
Leesburg
54,502
2.4
10.8
2.5
760
Marion
20,078
4.0
18.7
3.9
1,213
Lexington
29,020
2.9
17.3
2.8
1,040
Mount Pleasant
42,247
4.0
15.2
3.9
1,383
Low Moor
27,954
5.1
14.6
4.2
1,134
Mullins
19,379
6.2
23.5
4.8
1,679
Luray
16,160
4.8
18.2
4.6
1,333
836
Myrtle Beach
88,501
3.1
13.5
3.7
1,099
Lynchburg
192,921
2.8
11.8
3.2
Newberry
25,379
3.6
14.6
4.1
1,126
Manassas
101,395
2.2
10.7
2.7
654
Orangeburg
88,299
3.7
14.2
4.1
1,060
Marion
33,662
4.9
13.4
2.7
848
Pickens
19,834
2.8
11.4
2.8
874
9,007
5.8
23.2
5.1
1,879
Rock Hill
133,346
2.7
10.8
2.8
840
Seneca
57,557
3.0
13.7
3.1
201,975
3.3
14.9
3.5
Ridgeland
Spartanburg
Martinsville
74,428
3.0
13.9
2.9
955
Nassawadox
33,953
4.1
13.9
3.4
931
Newport News
285,327
3.2
11.9
2.7
872
1,115
Norfolk
387,166
3.1
13.8
3.7
997
1,105
Norton
30,691
7.3
22.8
4.9
1,676
72
Ho
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Ho
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rv
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Re
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p
Po
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ter
ita
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Ac pe
Pearisburg
18,608
3.1
17.3
3.7
1,036
Montgomery
13,120
4.4
16.7
3.5
1,627
Pennington Gap
17,208
5.0
16.9
3.3
1,321
Morgantown
101,244
2.7
13.0
3.3
1,212
Petersburg
111,954
4.2
18.9
4.0
1,147
New Martinsville
23,738
3.8
14.3
3.4
1,170
Portsmouth
161,696
3.5
14.7
3.8
1,000
Oak Hill
27,598
5.1
16.7
4.1
1,326
Pulaski
20,374
6.2
18.1
4.1
1,309
Parkersburg
128,681
3.7
15.5
3.3
1,109
Radford
38,074
3.1
14.3
3.1
994
Petersburg
18,652
2.7
14.8
3.4
967
Reston
148,352
1.5
6.3
1.6
542
Philippi
10,520
3.0
15.9
3.5
1,102
Richlands
30,401
6.6
18.5
4.9
1,496
Point Pleasant
24,531
5.0
18.5
4.2
1,417
Richmond
801,560
3.4
13.8
3.9
1,040
Princeton
42,015
3.9
17.4
2.9
1,210
Roanoke
221,226
3.2
15.0
3.9
1,124
Ranson
30,538
3.2
17.0
3.5
800
23,408
2.7
14.4
3.6
1,022
Richwood
4,522
5.5
15.5
3.3
1,299
23,086
4.1
14.8
3.1
1,102
6,911
3.5
15.7
3.1
1,192
Rocky Mount
Salem
49,858
2.7
10.2
2.6
867
Ripley
South Boston
54,014
3.9
14.1
2.8
981
Romney
South Hill
27,908
3.8
19.3
4.1
1,279
Ronceverte
45,052
3.8
13.1
3.2
1,150
Staunton
97,021
3.1
16.3
4.5
1,186
Sistersville
3,113
(5.1)
(22.5)
(3.9)
(1,447)
Stuart
13,469
3.2
15.3
3.1
912
South Charleston
67,709
3.6
14.2
3.4
1,204
Suffolk
60,787
3.9
15.6
3.2
1,149
Spencer
17,431
4.3
16.7
3.1
1,149
Tappahannock
22,578
4.5
15.5
4.2
1,365
Summersville
25,851
4.1
16.1
3.9
1,325
Tazewell
13,794
5.0
15.0
3.2
1,062
Webster Springs
5,086
6.5
15.8
3.4
1,154
267,490
2.3
8.4
2.5
679
Weirton
49,276
5.7
19.1
4.8
1,515
51,870
2.8
13.5
3.5
748
Weston
26,104
3.5
14.0
3.5
1,022
Virginia Beach
Warrenton
Williamsburg
56,825
2.9
14.3
2.8
1,005
Wheeling
99,625
4.1
16.2
4.4
1,235
Winchester
103,580
3.0
13.4
3.4
1,018
Williamson
25,405
6.5
20.9
4.8
1,891
Woodbridge
149,821
1.7
6.9
2.0
476
Woodstock
22,171
3.3
13.8
3.5
849
Wytheville
31,643
4.4
16.0
4.2
1,066
1,079
West Virginia
Beckley
105,431
4.4
13.8
3.2
Berkeley Springs
10,327
3.9
14.2
3.7
1,070
Bluefield
73,865
5.3
18.7
3.9
1,437
Buckhannon
23,150
4.0
16.2
3.9
1,244
Charleston
196,739
3.8
16.7
4.2
1,371
Clarksburg
79,853
3.2
14.6
3.5
1,158
Elkins
42,789
3.3
16.3
3.9
1,316
Fairmont
56,900
3.6
16.0
3.9
1,289
Gassaway
11,069
4.1
16.7
3.6
1,332
Glen Dale
29,706
3.8
14.7
3.5
1,008
Grafton
10,102
4.7
18.4
3.6
1,082
1,134
Grantsville
Hinton
Huntington
4,972
5.2
16.2
3.1
11,125
6.4
17.7
3.3
1,087
179,391
3.5
13.2
3.9
1,006
Hurricane
32,382
2.6
10.4
2.9
852
Kingwood
12,054
4.6
18.9
4.0
1,488
Logan
43,292
4.3
22.9
5.7
1,899
Man
15,231
4.3
17.9
4.4
1,461
5,820
6.7
16.6
3.2
1,136
60,158
3.5
13.9
3.7
740
Marlinton
Martinsburg
PART THREE
The Medicare Program
74
The Medicare Program in the South Atlantic States
Most Americans over the age of 65 receive their medical care from “traditional”
Medicare. That is, their care is obtained from providers who charge on a fee-forservice basis, either as independent practitioners or as members of health
maintenance organizations that are not capitated. In 1992-93, over 95% of Medicare outlays for people over 65 was reimbursed on a fee-for-service basis. There were
large differences in these reimbursements between hospital service areas in the South
Atlantic States: total program outlays varied by a factor of more than 2.2; reimbursements for professional and laboratory services by a factor of more than 2.6; and
reimbursements for outpatient services by a factor of more than 3.1.
Many policy experts have recommended greater enrollment in capitated managed
care among the Medicare population as a means of both cost containment and improvement in the quality of care. The inequalities between areas in capitation
payments, however, raise a serious challenge to implementing this strategy.
The basis for the federal capitation payment for managed care coverage of Medicare
enrollees is the Average Adjusted Per Capita Cost, or AAPCC. The amount is determined by the fee-for-service payments in the enrollee’s county of residence. Since
there are large differences in reimbursements among hospital service areas, the
amount reimbursed varies strikingly from one region to another. These disparities
have stimulated a growing debate about geographic equity.
Most of the attention has focused on the differences between states or large sections
of the country. For example, the AAPCC for 1996 for residents of the Minneapolis hospital service area was $4,599. Residents of the Miami hospital service area
received $8,245, which is almost 80% more. Because the federal contribution is
based on historical reimbursements within the county where the enrollee lives, there
are also striking variations within states. In 1996, the AAPCC in Florida varied from
$5,483 in Tampa to $8,245 in Hialeah.
THE MEDICARE PROGRAM
The differences in the AAPCC payment may reflect differences in prices that exist
between regions. To remove price as a factor in explaining the differences, the
AAPCC has been price adjusted, according to the method described in Part Nine
of the national volume. These adjustments, in some cases, make a substantial difference. The benchmarks for the AAPCC in Part Three include adjusted as well as
unadjusted rates. Table 3 contains both.
Note on Methods
Estimates for reimbursements are based on a 5% sample of the Medicare population
as recorded in the Continuous Medicare History File. The data are for 1992-93, and
the rates are an annualized average for the two year period. Fee-for-service reimbursements have been price adjusted to take into account differences in the cost of
living among hospital service areas. A description of the methods used to make these
price adjustments is in Part Nine of the national volume of the Dartmouth Atlas of
Health Care.
The estimates for the AAPCC in each hospital service area have been made as follows. When a hospital service area was located entirely within the boundaries of a
county, the AAPCC is for that county. When a hospital service area overlaps two or
more counties, the estimate is a weighted average, based on the proportion of the
hospital service area’s Medicare enrollees who resided in each county in 1993. Price
adjustments to the AAPCC were made according to the method described in Part
Nine of the national volume of the Atlas. The population used to estimate the dollars above or below the amount predicted by the benchmark (figures 3.10-3.13) is
the 1993 enrollee population. The estimates therefore do not include population
gain or loss that may have occurred since 1993.
75
76
Medicare Reimbursements for Traditional (Noncapitated) Medicare
Price Adjusted Reimbursements for All Services
per Medicare Enrollee in HSAs (dollars)
Per enrollee reimbursements by the Medicare program for all services tended to be
higher in some South Atlantic States than in others; Florida, Georgia, and Maryland had a substantial number of large hospital service areas above the national
average, while the majority of large hospital service areas in North Carolina, South
Carolina, and Virginia were below the national average of $3,650. Among the
region’s larger cities, per enrollee reimbursements were above the national average
in Miami Beach, Florida ($5,880); Miami ($5,698); Baltimore ($4,481); and Jacksonville, Florida ($4,066). Raleigh, North Carolina ($3,325); Greenville, South
Carolina ($3,189); Richmond, Virginia ($3,141); and Charlotte, North Carolina
($3,133) were all below the national average.
Figure 3.1. Price Adjusted Reimbursements for Traditional (Noncapitated) Medicare in Hospital Service
Per enrollee reimbursements by the Medicare program for all services varied by a factor of more than 2.2. Each point
represents one hospital service area.
77
78
Medicare Reimbursements for Professional and Laboratory Services
Price Adjusted Reimbursements for Professional
and Lab Services per Medicare Enrollee in HSAs
Reimbursements for professional and laboratory services tended to be higher among
large hospital service areas in Florida than in the other South Atlantic States. Among
the region’s larger cities, per enrollee reimbursements for professional and laboratory
services were higher than the national average of $975 per enrollee in Miami Beach
($2,290); Miami ($2,279); Jacksonville, Florida ($1,262); Baltimore ($1,115); and
Atlanta ($1,021). Wilmington, Delaware ($990) and Washington, D.C. ($960)
were near the national average. Richmond, Virginia ($884); Raleigh, North Carolina
($864); Charlotte, North Carolina ($848); Greenville, South Carolina ($822); and
Charleston, West Virginia ($799) were below it.
Figure 3.2. Price Adjusted Part B Medicare Reimbursements for Professional and Laboratory Services In
Hospital Service Areas in the South Atlantic States (1992-93)
Reimbursements for professional and laboratory services per Medicare enrollee varied by a factor of more than 2.6.
Each point represents one hospital service area.
79
80
Medicare Reimbursements for Inpatient Hospital Services
Price Adjusted Reimbursements for Inpatient
Hospital Services per Medicare Enrollee in HSAs (dollars)
Per enrollee Medicare reimbursements for inpatient acute care hospital services varied substantially among and within the South Atlantic States. Among the region’s
larger cities, per enrollee reimbursements for inpatient acute care hospital services
were above the national average of $1,852 in Baltimore ($2,607); Miami Beach
($2,173); Charleston, West Virginia ($2,063); Miami, Florida ($2,036); and Jacksonville, Florida ($2,032). Inpatient reimbursements per enrollee were close to the
national average in Washington, D.C. ($1,863). Reimbursements were below the
national average in Wilmington, Delaware ($1,760); Raleigh, North Carolina
($1,726); Richmond, Virginia ($1,723); Greenville, South Carolina ($1,677); and
Charlotte, North Carolina ($1,559).
Figure 3.3. Price Adjusted Medicare Reimbursements for Inpatient Hospital Services per Medicare
Enrollee in Hospital Service Areas in the South Atlantic States (1992-93)
Per enrollee Medicare reimbursements for inpatient acute care hospital services varied by a factor of more than 2.4.
Each point represents one hospital service area.
81
82
Medicare Reimbursements for Outpatient Services
Price Adjusted Reimbursements for Outpatient Services
per Medicare Enrollee in HSAs (dollars)
Price adjusted Medicare reimbursements for outpatient services varied widely
within most of the South Atlantic States, although large hospital service areas in
South Carolina and Delaware tended to be below the national average of $319 per
enrollee. Among the region’s larger hospital service areas, per enrollee reimbursements for outpatient acute care hospital services were above the national average in
Miami Beach ($516); Baltimore ($487); Miami ($372); Jacksonville, Florida
($366); and Atlanta, Georgia ($339). Richmond, Virginia ($305); Charlotte,
North Carolina ($284); Raleigh, North Carolina ($283); Wilmington, Delaware
($273); and Charleston, West Virginia ($271) were all below the national average.
Figure 3.4. Price Adjusted Medicare Reimbursements for Outpatient Services In Hospital Service Areas in
Price adjusted Medicare reimbursements for outpatient services varied by a factor of more than 3.1. Each point
83
84
Average Adjusted Per Capita Costs
AAPCC for 1996 in HSAs
Adjusted Average per Capita Costs varied substantially in all of the South Atlantic
States, but tended to be lower in large hospital service areas in North Carolina,
South Carolina, Virginia and West Virginia than in Florida, Georgia, and Maryland.
Among the region’s larger cities, the AAPCC was above the national average of
$5,291 in Miami ($8,245); Miami Beach ($8,245); Washington, D.C. ($6,821);
Baltimore ($6,800); Jacksonville, Florida ($5,950); Wilmington, Delaware
($5,939); and Atlanta, Georgia ($5,876). Charleston, West Virginia ($5,131); Richmond, Virginia ($4,882); Raleigh, North Carolina ($4,806); Charlotte, North
Carolina ($4,438); and Greenville, South Carolina ($3,907) were all below the
national average.
Figure 3.5. The Adjusted Average per Capita Cost in Hospital Service Areas in the South Atlantic States
(1996)
The AAPCC in the South Atlantic States varied by a factor of more than 2.5. Each point represents one hospital
service area.
85
86
Medicare Enrollment in Capitated Managed Care Plans
Since the early 1970s, Medicare beneficiaries have been offered the option of joining
risk bearing, or capitated, health maintenance organizations. Under the capitation
plan, the federal government pays health maintenance organizations a fixed annual
amount per enrollee. In exchange, the health maintenance organization must provide all required services. If the total costs of care exceed the amount the
government pays, then the health maintenance organization must absorb the loss;
if they are less, then the health maintenance organization may retain the difference.
In 1993, about 1.6 million, or 5.2%, of all Medicare enrollees were covered by risk
bearing health maintenance organizations, but enrollment was geographically very
uneven across the United States. Enrollment of Medicare beneficiaries in the South
Atlantic States was also highly variable. Medicare enrollees in Florida were more
likely to be members of health maintenance organizations than Medicare residents
of other parts of the region; in some parts of Florida, including Pembroke Pines
(37.7%); Hollywood (34.4%); Daytona Beach (32.7%) and Miami (26.6%) the
percentage was far above the national average. In most other parts of the region,
enrollement in health maintenance organizations was substantially lower than the
national average.
87
88
The Boundaries of Counties, Hospital Service Areas, and the AAPCC
As natural markets, hospital service areas commonly cross city limits and
county boundaries, and sometimes even state lines. Some hospital service areas
have component ZIP Codes in several different counties, and others are contained wholly within one county. Since the AAPCC is calculated on the basis
of county-level utilization experience, its value represents the weighted average of the costs of variable numbers of health care markets. For counties
containing several hospital service areas, the AAPCC’s value may not be
closely related to the actual costs of providing care in a given area.
For example, in Florida, the Palm Beach Gardens, Boynton Beach, Boca
Raton and Delray Beach hospital service areas are all in Palm Beach County,
and therefore they have the same AAPCC. Yet Medicare reimbursements in
these markets are quite different: in 1992-93, they were $3,654 for enrollees
in Palm Beach Gardens, $3,760 for Medicare enrollees living in Boynton
Beach, $4,338 for enrollees in Boca Raton and $5,069 for those in Delray
Beach. Since the actual cost of care for residents of Boynton Beach and Palm
Beach Gardens is below the value of the AAPCC, managed care organizations
might have a strong incentive to target these communities, thus increasing
Medicare reimbursements there toward the county average. If health maintenance organizations avoided communities like Delray Beach (where costs
exceed the AAPCC), the net effect would be an accelerated increase in overall Medicare costs.
County and Hospital Service Area
Boundaries, Palm Beach County, Florida
89
90
Benchmarking: Total Medicare Reimbursements
Figure 3.6. Price Adjusted Total Reimbursements per Medicare Enrollee in Selected Hospital Service
Areas in the South Atlantic States Compared to Highest and Lowest Selected Areas (1992-93)
The figure gives the ratios of total Medicare reimbursements per enrollee in selected areas to the highest and lowest
ranked areas. It also compares each area to the U.S. average. The number of dollars above (+) or below (-) the level
of expenditures predicted by the experience in the benchmark areas for 1992-93 are in parentheses. For example,
price adjusted total Medicare expenditures per enrollee in Miami Beach were 1.88 times greater than in Charlotte,
North Carolina; if the expenditure pattern for Charlotte in 1992-93 had been attained in Miami Beach, $122
million less would have been spent for Medicare enrollees in Miami Beach.
Benchmarking: Total Medicare Reimbursements
Figure 3.7. Price Adjusted Total Reimbursements per Medicare Enrollee in Selected Hospital Services
Areas in the South Atlantic States Compared to Selected Hospital Service Areas Elsewhere in the U.S.
(1992-93)
The figure gives the ratios of total reimbursements in selected hospital service areas in the South Atlantic States to
other areas. The numbers of dollars above (+) or below (-) the level of reimbursements predicted by the experience
in the benchmark areas are in parentheses. For example, price adjusted total reimbursements per Medicare enrollee
in Miami Beach were 1.97 times greater than in Minneapolis. If the level of expenditures in Minneapolis in 199293 had been attained in Miami Beach, $129 million less would have been spent on Miami Beach residents. If the level
of reimbursements in Philadelphia had been attained, $63 million less would have been spent in Miami Beach.
91
92
Benchmarking:
Reimbursements for Professional and Laboratory Services
Figure 3.8. Price Adjusted Total Reimbursements for Professional and Laboratory Services per Medicare
Enrollee in Selected Hospital Services Areas in the South Atlantic States Compared to Highest and
Lowest Ranked Areas (1992-93)
The figure gives the ratios of reimbursements for professional and laboratory services in selected areas to the highest
and lowest ranked areas. It also compares each area to the U.S. average. The numbers of dollars above (+) or below
(-) the amount of reimbursements for professional and laboratory services predicted by the experience in the
benchmark areas for 1992-93 are in parentheses. For example, price adjusted expenditures per enrollee in Miami
Beach were 2.86 times greater than in Charleston, West Virginia; if the level of expenditures in Charleston in 199293 had been attained in Miami Beach, $68 million less would have been spent for Miami Beach residents.
Benchmarking:
Reimbursements for Professional and Laboratory Services
Figure 3.9. Price Adjusted Total Reimbursements for Professional and Laboratory Services per Medicare
Enrollee in Selected Hospital Service Areas in the South Atlantic States Compared to the Selected
The figure gives the ratio of total reimbursements for professional and laboratory services per Medicare enrollee in
selected areas to other areas. The dollars above (+) or below (-) the amount predicted by the experience in the
benchmark area for 1992-93 are in parentheses. For example, price adjusted professional and laboratory
expenditures per Medicare enrollee in Miami Beach were 4.22 times higher than in Minneapolis. If the expenditures
in Minneapolis in 1992-93 had been attained in Miami Beach, $80 million less would have been spent on
professional and laboratory services for Medicare residents of Miami Beach. If the Philadelphia benchmark had
applied, $44.0 million less would have been spent in Miami Beach.
93
94
Benchmarking: AAPCC
Figure 3.10. AAPCC in Selected Hospital Service Areas in the South Atlantic States Compared to the
Highest and Lowest Ranked Selected Areas (1996). The AAPCC is Not Adjusted for Price Differences.
The figure gives the ratio of the AAPCC in selected areas to the highest and lowest ranked areas. It also compares
each area to the U.S. average. The numbers of dollars above (+) or below (-) the amount predicted by the experience
in the benchmark areas for 1996 are in parentheses. For example, the AAPCC in Miami was 2.11 times greater
than in Greenville, South Carolina; if the AAPCC in Greenville in 1996 had been attained in Miami, $580.6
million less would have been spent for Miami residents.
Benchmarking: AAPCC
Figure 3.11. Price Adjusted AAPCC in Selected Hospital Service Areas in the South Atlantic States
Compared to Highest and Lowest Ranked Areas (1996)
The figure gives the ratio of the price adjusted AAPCC in selected areas to the highest and lowest ranked areas. It
also compares each area to the U.S. average. The numbers of dollars above (+) or below (-) the amount predicted
by the experience in the benchmark areas for 1996 are in parentheses. For example, the price adjusted AAPCC in
Miami was 1.78 times greater than in Greenville, South Carolina; if the price adjusted AAPCC in Greenville in
1996 had been attained in Miami, $448.7 million less would have been spent for Miami residents.
95
96
Benchmarking: AAPCC
Figure 3.12. AAPCC in Selected Hospital Service Areas in the South Atlantic States Compared to
Selected Hospital Service Areas Elsewhere in the U.S. (1996). The AAPCC is Not Adjusted for Price
Differences.
The figure gives the ratio of the AAPCC in selected areas to other areas. The dollars above (+) or below (-) the
amount predicted by the experience in the benchmark area for 1996 are in parentheses. For example, the AAPCC
in Miami was 1.79 times higher than in Minneapolis. If the AAPCC in Minneapolis in 1996 had been attained
in Miami, $488.0 million less would have been spent for Medicare residents of Miami. If the AAPCC in
Manhattan had been attained, $39.7 million less would have been spent in Miami.
Benchmarking: AAPCC
Figure 3.13. Price Adjusted AAPCC in Selected Hospital Service Areas in the South Atlantic States
Compared to Selected Hospital Service Areas Elsewhere in the U.S. (1996)
The figure gives the ratio of the price adjusted AAPCC in selected areas to other areas. The dollars above (+) or
below (-) the amount predicted by the experience in the benchmark area for 1996 are in parentheses. For example,
the price adjusted AAPCC in Miami was 1.72 times higher than in Minneapolis. If the price adjusted AAPCC in
Minneapolis in 1996 had been attained in Miami, $427.9 million less would have been spent for Medicare
residents of Miami. If the price adjusted AAPCC in Philadelphia had been attained, $65.1 million less would have
been spent in Miami.
97
98
TABLE 3
The data are age, sex and race adjusted for Medicare enrollees who were not
members of risk bearing health maintenance organizations on June 30, 1993.
See Part Nine, section 4, of the national volume of the Dartmouth Atlas of
Health Care for details on constructing rates and making price adjustments.
Data for three categories of expenditure — total expenditures, physician and
laboratory services, and outpatient services — are based on a 5% sample of
Medicare enrollees. To report average reimbursement rates in the figures and
maps in Part Three with adequate statistical precision, we required that the
sample size for a hospital service area (HSA) be large enough to ensure that the
rate have a standard error of less than 10% of the national average. The minimum sample size varies according to category of expenditures, since a varying
proportion of enrollees experience a claim, according to category. For total
Medicare expenditures, the minimum sample size is 600 enrollees; since the
estimate is based on a 5% sample, only HSAs with 12,000 enrollee personyears of experience are included in the figures and maps. For professional and
laboratory services, the minimum is 6,720 person-years; for outpatient services
it is 18,300. Rates for HSAs with less than the minimum population size are
given in parentheses in Table 3. Rates for areas with fewer than 400 personyears (i.e., a sample of 10 or fewer) are omitted from the table.
Inpatient reimbursements are based on a complete enumeration (100%
sample) for the years 1992-93. We omitted all areas with total census population of 3,500 or fewer from the figures and maps. The data for areas that fall
below this minimum appear in parentheses in Table 3.
Data for HSAs with 10 or fewer counts are omitted from the table (the cell is blank).
The AAPCC is the Average Adjusted per Capita Cost. The data for the
AAPCC are based on published federal rates. For hospital service areas that
cross county boundaries, the rates are weighted averages. Price adjustments to
the AAPCC were made according to the method described in Part Nine of the
national volume of the Dartmouth Atlas of Health Care.
TABLE 3
Medicare Reimbursements per Enrollee by Program Components (1992-93)
and Adjusted Average Per Capita Cost (1996) for Hospital Service Areas
Ho
s
pi
S
tal
er
vic
e
e
Ar
a
Re
s
ide
p
Po
nt
ula
t
ion
l
es
na
nt
- vic
- ssio
- ient
- atie
m
im Ser
i
e
s
f
e
e ro
e
eim pat s
eim utp
l
R
l
R
e
R
R
l
s
l )
d rA
d r P ce ted or In ice ted or O
6)
ro 93
ste s fo
99
s s f rv
s sf
ste s fo rvi
En 19
(1
dju ent
dju ent b Se Adju ent l Se Adju ent s
re lus
C
A
a
A
e
a
p
C
m
m a
m t
m i
dic 92
ice e
ice e pi
ice e i l i t AP
ice se L
Pr burs
Me (19
A
Pr burs Hos
Pr burs Fac
P r bu r a n d
ted 6)
jus 99
Ad C (1
ice C
P r AAP
Delaware
Dover
97,182
18,789
3,127
946
1,609
193
4,447
4,592
Lewes
39,603
19,515
3,473
1,015
1,850
307
4,944
5,258
4,980
Milford
51,846
14,479
3,245
931
1,637
(304)
4,682
Seaford
32,148
10,165
(4,175)
985
2,054
(366)
4,944
5,258
438,123
102,291
3,404
990
1,760
273
5,939
5,369
878,265
174,867
3,564
960
1,863
328
6,821
5,845
6,965
Wilmington
Washington
Florida
Apalachicola
6,400
1,746
(4,639)
(1,171)
2,070
(279)
6,029
Arcadia
24,750
8,581
(4,845)
1,378
2,344
(322)
5,520
6,377
Atlantis
140,650
40,548
4,290
1,526
1,507
483
6,461
6,131
Avon Park
55,412
25,941
3,769
1,244
1,773
315
4,733
5,469
Bartow
35,220
9,051
(2,650)
905
1,530
(261)
4,238
4,833
Belle Glade
26,358
2,016
(4,730)
(1,524)
1,997
(643)
6,461
6,131
Blountstown
10,264
2,852
(4,675)
(1,100)
2,012
(657)
4,184
4,834
6,131
Boca Raton
156,070
70,541
4,097
1,531
1,624
342
6,461
Boynton Beach
100,774
48,492
3,551
1,435
1,516
300
6,461
6,131
Bradenton
197,705
96,802
3,497
1,195
1,552
220
4,782
5,164
Brandon
5,816
151,359
20,448
4,716
1,488
1,901
236
5,465
Brooksville
25,130
11,558
(3,638)
1,058
1,846
(300)
5,716
6,083
Bunnell
23,119
8,975
(3,586)
1,100
1,354
(319)
4,176
4,660
Cape Coral
82,846
37,878
4,147
1,359
1,708
364
5,496
6,140
Chipley
11,248
4,046
(3,743)
(915)
2,084
(427)
4,835
5,586
Clearwater
181,729
66,149
3,825
1,247
1,702
210
5,570
5,928
Clermont
23,801
7,274
(3,331)
1,007
1,651
(344)
4,949
5,123
Clewiston
14,427
2,555
(4,701)
(1,596)
2,118
(397)
5,480
6,332
Cocoa Beach
35,563
16,997
3,723
1,177
1,584
(231)
5,609
5,803
Coral Gables
13,791
3,296
(3,840)
(1,517)
1,668
(532)
8,245
7,655
Coral Springs
83,862
8,678
(4,872)
1,567
1,777
(261)
7,321
7,019
Crestview
29,976
7,176
(5,051)
1,177
2,559
(463)
5,008
5,679
Crystal River
53,511
34,971
3,786
1,272
1,730
321
4,917
5,681
30,724
8,021
(3,360)
1,054
1,841
(310)
5,957
6,340
143,628
39,621
4,127
1,176
1,721
421
4,878
5,443
Dade City
Daytona Beach
De Funiak Springs
17,696
5,744
(4,344)
(1,299)
2,116
(357)
5,327
6,155
De Land
72,993
23,285
3,650
1,097
1,743
266
4,882
5,447
Delray Beach
52,891
53,357
4,779
1,956
1,728
429
6,461
6,131
Destin
13,119
4,432
(2,568)
(925)
1,736
(344)
5,092
5,775
Dunedin
15,338
19,336
4,093
1,377
1,596
208
5,570
5,928
99
100
Ho
s
pi
S
tal
er
vic
e
e
Ar
a
Re
sid
t
en
p
Po
ula
n
tio
al
es
nt
ion
- vic
- ient
- atie
m- fess
im Ser
i
s
e
e
e
eim pat s
eim utp
R All
R Pro s
R
R
n
lo le 3)
d r
d r ce ted or I ice ted or O
6)
r 9
ste s fo
99
s s f rv
s sf
ste s fo rvi
En 19
(1
dju ent
re lus
C
A
a
A
e
a
p
c
i
C
m
m a
m
m t
di 92
ice e
ice e p i
ice e i l i t AP
ice se L
Pr burs
Me (19
A
Pr burs Hos
Pr burs Fac
P r bu r a n d
ted 6)
jus 99
Ad C (1
ice C
P r AAP
Englewood
29,583
25,997
3,713
1,258
1,615
300
5,426
5,859
Eustis
73,039
40,689
3,909
1,290
1,611
337
5,117
5,297
Fernandina Beach
19,016
5,018
(3,547)
(968)
1,681
(453)
5,574
5,944
Fort Lauderdale
505,868
137,632
4,435
1,542
1,759
260
7,321
7,019
Fort Myers
226,509
104,149
4,110
1,310
1,775
281
5,503
6,148
Fort Pierce
77,331
22,531
4,605
1,422
2,121
230
6,133
6,291
Fort Walton Beach
81,275
14,091
3,624
985
1,703
(295)
5,008
5,679
300,146
72,360
4,156
1,100
1,798
390
4,959
5,598
5,353
1,941
(7,541)
(1,448)
2,460
(769)
4,618
5,335
33,412
6,965
(3,873)
944
1,927
(363)
5,251
5,991
Hialeah
242,584
45,777
6,495
2,935
2,212
310
8,245
7,655
Hollywood
286,949
68,598
4,582
1,518
1,736
357
7,321
7,019
Homestead
35,296
3,098
(5,442)
(1,869)
1,922
(328)
8,245
7,655
Hudson
34,987
18,508
4,390
1,454
1,874
273
5,957
6,340
Inverness
47,236
28,502
3,694
1,169
1,711
316
4,932
5,698
711,122
153,682
4,066
1,262
2,032
366
5,950
6,344
Gainesville
Graceville
Gulf Breeze
Jacksonville
Jacksonvl Beach
Jasper
Jay
Jupiter
29,208
6,225
(4,018)
(1,351)
1,817
(408)
6,008
6,407
9,565
2,112
(3,669)
(982)
1,965
(714)
4,555
5,263
5,952
1,314
(4,883)
(985)
2,630
(349)
5,251
5,991
53,932
16,567
3,888
1,426
1,577
(280)
6,119
5,807
Key West
36,938
7,891
(5,899)
1,395
2,483
(461)
6,695
7,735
Kissimmee
80,622
15,570
4,311
1,423
1,902
(287)
6,105
6,319
5,542
Lake City
44,677
12,692
3,960
1,134
1,655
(477)
4,797
Lake Wales
33,636
15,457
3,040
987
1,513
(323)
4,238
4,833
Lakeland
193,008
62,743
3,233
1,064
1,590
256
4,238
4,833
Largo
5,928
156,963
64,275
4,144
1,361
1,801
245
5,570
Leesburg
71,939
43,711
3,355
1,123
1,541
241
4,933
5,106
Lehigh Acres
22,252
11,742
(4,524)
1,537
1,969
(336)
5,496
6,140
Madison
11,339
2,901
(2,635)
(683)
1,460
(188)
4,136
4,779
Marathon
18,748
5,159
(5,389)
(1,267)
2,985
(406)
6,695
7,735
Margate
37,607
15,974
4,297
1,607
1,726
(307)
7,321
7,019
Marianna
33,917
9,358
(3,367)
924
1,904
(245)
4,618
5,335
Melbourne
201,104
72,362
3,854
1,296
1,541
265
5,609
5,803
1,486,885
270,336
5,698
2,279
2,036
372
8,245
7,655
122,912
46,457
5,880
2,290
2,173
516
8,245
7,655
Milton
29,495
6,923
(5,399)
1,275
2,095
(394)
5,251
5,991
Naples
170,844
80,728
3,670
1,246
1,568
278
5,147
5,331
New Port Richey
144,749
87,742
4,085
1,377
1,929
219
5,957
6,340
47,123
18,033
3,587
938
1,550
(419)
4,878
5,443
30,854
6,821
(4,427)
1,033
1,779
(406)
5,328
6,043
192,202
94,976
3,362
1,146
1,581
243
4,568
5,401
Miami
Miami Beach
New Smyrna Beach
Niceville
Ocala
Ocoee
35,326
6,390
(4,971)
(1,364)
2,413
(319)
5,824
6,028
Okeechobee
33,077
10,281
(5,983)
1,547
2,994
(425)
6,844
7,907
Orange Park
Orlando
Ormond Beach
95,807
16,197
3,630
1,281
1,714
(243)
5,120
5,460
810,624
146,991
4,408
1,324
1,804
290
5,823
6,028
54,468
23,940
3,492
1,042
1,601
357
4,743
5,293
Ho
s
pi
S
tal
er
vic
e
e
Ar
a
Re
sid
t
en
p
Po
ula
n
tio
al
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Pr burs
Me (19
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Pr burs Hos
Pr burs Fac
P r bu r a n d
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Ad C (1
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P r AAP
Pahokee
9,848
1,054
(4,724)
(2,210)
2,572
(264)
6,461
6,131
Palatka
62,685
19,963
4,519
1,116
2,120
386
5,617
6,490
Palm Beach Gardens
Panama City
Pembroke Pines
Pensacola
66,246
22,751
3,449
1,372
1,528
281
6,461
6,131
136,187
33,467
4,432
1,358
2,137
301
5,239
6,116
70,914
14,579
4,700
1,711
1,593
(360)
7,321
7,019
279,986
67,196
4,370
1,121
1,994
373
5,310
6,058
Plant City
51,769
10,921
(4,775)
1,366
1,987
(274)
5,465
5,816
Plantation
137,308
36,776
4,797
1,754
1,817
310
7,321
7,019
Pompano Beach
103,236
36,111
4,124
1,416
1,658
304
7,321
7,019
83,507
53,855
4,438
1,396
2,069
296
5,606
6,526
7,490
2,449
(5,854)
(1,492)
2,117
(368)
5,820
6,724
Port Charlotte
Port St Joe
Port St Lucie
65,448
30,642
4,747
1,536
1,807
193
6,133
6,291
Punta Gorda
26,936
18,944
4,342
1,311
2,084
457
5,752
6,696
Rockledge
96,220
21,839
3,684
1,263
1,856
254
5,609
5,803
Safety Harbor
69,844
33,364
4,041
1,335
1,620
260
5,570
5,928
5,319
Sanford
112,360
29,036
4,036
1,201
1,763
265
5,139
Sarasota
200,101
102,398
3,661
1,233
1,667
237
5,108
5,516
Sebastian
25,225
18,985
4,785
1,484
1,901
351
5,365
6,198
Sebring
36,498
24,094
3,991
1,277
1,890
267
4,824
5,573
South Miami
28,410
6,229
(4,537)
(1,577)
1,555
(371)
8,245
7,655
Spring Hill
82,358
54,143
4,019
1,368
1,884
307
5,723
6,090
St Augustine
62,425
21,513
3,291
1,009
1,881
241
5,240
5,588
St Cloud
28,671
7,677
(4,800)
1,329
2,148
(290)
6,215
6,433
5,928
St Petersburg
401,404
146,440
4,289
1,296
1,857
316
5,570
Stuart
97,221
54,643
3,794
1,289
1,696
254
5,628
5,773
Sun City Center
37,336
22,821
4,359
1,393
1,637
265
5,465
5,816
289,258
58,150
3,845
1,064
1,547
277
4,594
4,952
29,504
19,854
5,552
1,988
1,888
349
7,321
7,019
623,806
117,302
4,022
1,242
1,837
254
5,483
5,835
Tarpon Springs
26,381
9,835
(4,749)
1,354
1,849
(301)
5,570
5,928
Tavernier
22,075
6,498
(5,044)
(1,529)
2,238
(591)
6,695
7,735
Titusville
57,509
18,249
4,756
1,509
2,061
(316)
5,609
5,803
Venice
63,294
49,292
3,332
1,112
1,458
198
5,132
5,542
Vero Beach
79,932
47,361
4,454
1,439
1,682
286
5,265
6,083
West Palm Beach
260,883
73,450
3,851
1,419
1,543
352
6,461
6,131
Winter Haven
136,665
52,211
3,321
1,105
1,546
219
4,238
4,833
Winter Park
73,708
14,059
3,621
1,137
1,469
(229)
5,618
5,816
Zephyrhills
33,183
18,248
3,654
1,128
1,751
(359)
5,957
6,340
Tallahassee
Tamarac
Tampa
Georgia
Adel
12,328
3,262
(4,559)
(956)
2,314
(289)
4,628
5,518
161,956
33,657
3,765
869
1,794
324
4,636
5,188
Alma
14,542
3,560
(4,801)
(1,277)
2,926
(330)
5,044
6,014
Americus
35,386
8,724
(3,346)
755
1,860
(280)
3,986
4,752
Arlington
3,113
1,437
(3,192)
(685)
(2,012)
(210)
4,314
5,143
Albany
Athens
165,338
31,885
3,949
963
1,953
354
4,833
5,318
Atlanta
1,154,784
192,589
3,754
1,021
1,816
339
5,876
5,718
101
102
Ho
sp
l
ita
Se
rv
ic
r
eA
ea
Re
e
sid
nt
p
Po
u
io
lat
n
l
es
na
nt
- vic
- sio
- nt
- tie
im Ser
im fes
s
im atie
im tpa
e
e
e
e
e
o
l
p
R Al
u
R Pr s
e
e ed R r In ices ed R r O
oll 3)
6)
ted for
t fo v
t fo
ted for vic
nr 99
99
jus nts
jus nts Ser djus nts Ser djus nts
(1
e E lus 1
d
d
r
s
l
e
A m
a p
A me i e
A me ab e A me ita
CC
dic 92
ice e
ic e p
ice e i l i t AP
ice se L
Pr burs
Me (19
A
Pr burs Hos
Pr burs Fac
P r bu r a n d
d )
ste 96
dju 19
-A C (
e
ic C
P r AAP
Augusta
352,472
69,110
3,851
957
1,888
338
4,919
5,210
Austell
96,453
16,058
5,038
1,429
2,265
(281)
5,948
5,788
Bainbridge
25,511
6,668
(3,415)
(845)
1,821
(415)
3,863
4,605
Baxley
14,099
3,073
(3,294)
(790)
2,191
(317)
4,944
5,894
Blairsville
11,360
4,435
(3,751)
(712)
2,026
(336)
4,625
5,514
9,939
3,147
(3,154)
(832)
2,137
(461)
4,127
4,920
Blakely
Blue Ridge
15,825
5,679
(4,638)
(968)
2,369
(417)
5,459
6,508
Bremen
21,352
5,466
(4,940)
(1,100)
2,427
(288)
4,922
5,869
Brunswick
84,235
21,517
4,984
1,262
2,468
288
5,944
7,087
Cairo
19,822
5,239
(3,335)
(875)
1,736
(316)
4,050
4,829
Calhoun
28,777
6,756
(3,744)
882
2,236
(246)
4,770
5,687
Canton
43,413
7,719
(3,662)
1,156
1,830
(279)
5,509
5,361
Carrollton
67,207
14,356
3,100
726
1,777
(280)
5,447
5,301
Cartersville
40,687
8,721
(3,043)
751
1,497
(243)
4,385
4,267
8,724
2,228
(3,122)
(861)
2,088
(348)
4,664
5,561
6,113
Claxton
Clayton
12,053
4,400
(4,682)
(970)
2,474
(393)
5,127
Cochran
11,373
2,888
(5,040)
(1,037)
2,357
(404)
5,209
6,211
Colquitt
6,277
1,944
(3,526)
(873)
1,732
(322)
3,811
4,544
Columbus
237,302
51,062
3,231
904
1,711
271
4,302
4,964
Commerce
16,197
4,524
(5,153)
(1,015)
2,316
(699)
4,870
5,806
Conyers
48,762
8,785
(3,798)
941
1,850
(223)
5,315
5,172
Cordele
21,289
5,822
(3,499)
(776)
2,276
(404)
4,716
5,622
Covington
50,367
10,123
(4,141)
1,176
1,899
(369)
5,839
5,683
Cuthbert
Dahlonega
6,917
2,262
(4,302)
(996)
1,605
(271)
3,866
4,609
15,803
3,088
(5,377)
(1,109)
2,073
(783)
4,591
5,473
Dallas
28,118
4,106
(5,263)
(1,421)
2,261
(309)
5,672
5,520
Dalton
103,835
20,089
4,082
880
2,073
441
4,754
5,668
Decatur
134,175
29,698
3,556
1,034
1,620
273
5,728
5,574
Demorest
26,831
7,401
(3,525)
869
1,945
(356)
4,566
5,443
Donalsonville
10,928
3,133
(3,928)
(994)
2,386
(249)
4,571
5,449
Douglas
34,499
7,602
(4,680)
1,166
2,385
(396)
5,407
6,446
Douglasville
56,919
8,201
(4,214)
1,111
2,229
(315)
6,581
6,404
Dublin
55,191
14,348
3,468
851
1,968
(186)
4,193
4,999
East Point
107,122
16,320
4,049
1,130
1,965
(453)
5,988
5,827
Eastman
16,774
4,634
(4,613)
(1,214)
2,668
(381)
5,310
6,330
Eatonton
13,086
3,417
(3,565)
(786)
2,305
(262)
5,240
6,248
Elberton
16,641
5,273
(3,458)
(805)
1,903
(356)
4,619
5,507
Ellijay
12,136
3,960
(5,724)
(1,228)
2,759
(520)
5,749
6,854
Fitzgerald
18,236
5,629
(4,189)
(1,059)
2,193
(328)
5,073
6,048
Folkston
6,486
1,511
(5,789)
(1,221)
2,307
(325)
5,436
6,481
Forsyth
9,757
2,701
(4,644)
(999)
2,157
(322)
4,848
5,780
Fort Oglethorpe
67,256
17,888
4,682
877
2,084
(501)
5,687
6,092
Fort Valley
14,027
3,215
(3,777)
(1,136)
1,731
(221)
4,990
5,342
Gainesville
127,468
29,833
3,951
833
2,195
323
4,830
5,759
2,319
788
(4,936)
(1,385)
(2,249)
(432)
4,848
5,780
11,363
3,250
(3,076)
(857)
1,721
(368)
4,332
5,165
Glenwood
Greensboro
Ho
sp
l
ita
Se
rv
ic
r
eA
ea
Re
e
sid
nt
p
Po
u
io
lat
n
l
es
na
nt
- vic
- sio
- nt
- tie
im Ser
im fes
s
im atie
im tpa
e
e
e
e
e
o
l
p
R Al
u
R Pr s
e
oll 3)
6)
ted for
t fo v
t fo
ted for vic
nr 99
99
jus nts
(1
e E lus 1
d
d
r
s
l
e
A m
a p
A me i e
A me ab e A me ita
CC
dic 92
ice e
ic e p
ice e i l i t AP
ice se L
Pr burs
Me (19
A
Pr burs Hos
Pr burs Fac
P r bu r a n d
d )
ste 96
dju 19
-A C (
e
ic C
P r AAP
4,792
Griffin
65,699
15,483
3,627
892
1,930
(382)
4,924
Hahira
6,921
1,127
(4,456)
(888)
2,299
(338)
5,154
6,145
Hartwell
14,886
4,599
(2,965)
(863)
1,855
(288)
4,501
5,366
Hawkinsville
15,289
4,411
(3,890)
(1,057)
2,279
(460)
4,649
5,543
Hazlehurst
14,070
3,463
(3,293)
(940)
2,319
(342)
5,165
6,158
Hiawassee
6,754
3,247
(3,386)
(872)
2,049
(316)
4,382
5,225
Hinesville
46,037
1,878
(3,024)
(636)
2,017
(635)
5,440
6,485
Homerville
5,658
1,328
(6,767)
(1,732)
3,242
(775)
6,700
7,987
Jackson
16,686
3,713
(5,865)
(1,298)
2,576
(458)
5,645
6,730
Jasper
15,677
3,984
(2,812)
(842)
1,914
(260)
5,389
5,244
Jesup
23,999
5,695
(5,642)
(987)
2,476
(623)
5,390
6,426
La Grange
66,708
18,165
3,572
999
1,822
(418)
4,216
5,027
Lakeland
4,289
1,055
(7,904)
(1,378)
2,654
(367)
6,461
7,703
173,080
20,525
4,125
1,129
1,941
254
5,965
5,805
Lawrenceville
Louisville
11,410
3,471
(2,601)
(897)
2,037
(312)
4,445
5,299
Macon
227,504
54,370
4,182
1,050
2,066
338
5,225
5,594
Marietta
326,108
41,181
3,722
1,075
1,899
237
5,821
5,664
Mcrae
7,337
2,540
(6,338)
(1,006)
2,416
(225)
5,417
6,458
Metter
16,055
4,872
(3,945)
(916)
2,050
(463)
4,446
5,300
Milledgeville
39,173
7,795
(4,038)
877
2,286
(377)
5,117
6,100
8,249
2,288
(4,771)
(775)
2,381
(577)
4,741
5,653
Millen
Monroe
24,034
6,271
(3,855)
(1,071)
2,299
(276)
5,809
5,653
Montezuma
11,243
2,711
(4,887)
(1,077)
2,170
(755)
4,727
5,636
Moultrie
36,675
10,071
(3,927)
942
1,885
(511)
4,698
5,601
Nashville
10,071
2,770
(4,317)
(988)
2,925
(478)
6,120
7,296
Newnan
68,671
14,823
3,416
822
2,191
(203)
6,197
6,030
Ocilla
5,784
1,778
(5,367)
(884)
1,874
(406)
4,082
4,867
Perry
15,106
3,426
(4,741)
(1,187)
2,165
(319)
5,908
6,324
Quitman
8,028
2,782
(2,463)
(718)
1,765
(302)
3,850
4,590
Reidsville
6,286
1,187
(2,884)
(810)
2,223
(349)
4,774
5,691
Richland
4,889
1,350
(2,628)
(611)
2,379
(377)
5,225
6,230
Riverdale
159,049
21,087
4,461
1,261
2,340
187
6,737
6,556
Rome
150,680
42,591
3,779
947
2,065
354
4,624
5,513
Roswell
121,060
20,977
3,785
1,152
1,833
298
5,803
5,647
Royston
24,558
7,097
(4,192)
953
2,088
(358)
4,475
5,335
Sandersville
24,867
6,732
(5,776)
1,178
2,186
(575)
4,905
5,848
5,982
Savannah
284,567
67,219
3,605
973
1,938
265
5,535
Smyrna
54,816
9,276
(4,050)
1,107
2,018
(198)
5,860
5,702
Snellville
49,157
7,081
(3,678)
1,041
1,733
(176)
5,914
5,755
6,069
Sparta
8,908
2,277
(3,875)
(1,069)
2,218
(588)
5,090
St Marys
24,436
1,960
(6,347)
(1,575)
1,980
(763)
6,048
7,211
Statesboro
45,281
8,554
(4,800)
1,200
1,985
(329)
4,557
5,433
Stockbridge
60,732
11,284
(4,507)
1,229
2,247
(270)
6,106
5,942
Swainsboro
14,114
3,965
(4,264)
(967)
2,188
(389)
4,857
5,791
Sylvania
12,287
3,754
(5,449)
(1,081)
2,320
(402)
5,005
5,967
Thomaston
37,764
11,478
(3,995)
789
2,017
(310)
4,193
4,999
103
104
Ho
sp
l
ita
Se
rv
ic
r
eA
ea
Re
e
sid
nt
p
Po
u
io
lat
n
l
es
na
nt
- vic
- sio
- nt
- tie
im Ser
im fes
s
im atie
im tpa
e
e
e
e
e
o
l
p
R Al
u
R Pr s
e
oll 3)
6)
ted for
t fo v
t fo
ted for vic
nr 99
99
jus nts
(1
e E lus 1
d
d
r
s
l
e
A m
a p
A me i e
A me ab e A me ita
CC
dic 92
ice e
ic e p
ice e i l i t AP
ice se L
Pr burs
Me (19
A
Pr burs Hos
Pr burs Fac
P r bu r a n d
d )
ste 96
dju 19
-A C (
e
ic C
P r AAP
Thomasville
49,625
14,557
3,607
979
1,985
(432)
4,154
4,952
Thomson
15,487
3,957
(4,142)
(913)
2,035
(279)
5,434
5,756
Tifton
49,804
11,931
(4,062)
1,024
1,898
(349)
4,414
5,263
Toccoa
23,403
8,125
(4,117)
855
1,865
(423)
4,428
5,279
Valdosta
79,055
15,337
4,622
1,166
2,283
(430)
5,196
6,194
Vidalia
31,234
7,810
(3,686)
997
2,166
(518)
4,619
5,507
Vienna
7,278
2,095
(5,383)
(1,030)
2,291
(434)
5,116
6,099
Villa Rica
12,063
2,734
(3,144)
(891)
2,081
(149)
5,554
5,405
Warner Robins
73,283
10,685
(4,714)
1,171
2,346
(394)
5,908
6,324
Washington
13,044
4,419
(4,419)
(792)
1,980
(434)
4,972
5,928
Waycross
49,810
13,952
4,393
1,133
1,934
(397)
4,532
5,403
Waynesboro
15,647
3,948
(5,142)
(782)
2,056
(375)
4,439
5,292
Winder
22,606
5,792
(4,334)
(988)
2,184
(411)
5,519
5,371
Maryland
Annapolis
169,690
33,252
3,459
1,049
1,883
356
6,493
6,106
Baltimore
1,387,779
381,745
4,481
1,115
2,607
487
6,800
6,395
Bethesda
154,160
38,409
3,558
1,171
1,463
310
5,665
4,854
Cambridge
30,232
10,060
(3,591)
839
2,308
(398)
4,824
5,175
Chestertown
Cheverly
25,118
8,522
(4,258)
999
2,246
(480)
4,989
5,352
101,823
11,942
(4,667)
1,303
2,576
(314)
7,036
6,029
Clinton
138,861
15,271
2,833
1,019
2,199
(284)
6,877
5,893
Columbia
134,155
17,991
4,578
1,214
2,226
(357)
6,538
6,148
5,342
2,262
(4,767)
(1,179)
1,855
(385)
4,132
4,432
117,478
40,445
5,151
1,050
3,111
597
5,856
6,665
4,833
Crisfield
Cumberland
Easton
73,907
23,841
3,277
834
1,930
445
4,506
Elkton
49,770
10,264
(3,620)
983
2,259
(399)
5,728
5,178
Fallston
111,856
19,531
3,933
1,153
2,212
304
6,101
5,737
Frederick
157,430
31,455
3,076
816
1,760
273
4,911
4,208
Glen Burnie
225,358
36,604
4,850
1,392
2,839
389
6,582
6,190
Hagerstown
119,919
33,347
3,509
818
1,835
364
4,346
4,586
Havre De Grace
69,554
13,672
3,919
1,029
2,269
(339)
5,984
5,628
La Plata
64,330
9,788
(3,252)
1,093
2,060
(381)
6,355
5,446
Lanham
150,617
20,972
4,176
1,247
2,168
322
7,036
6,029
Laurel
5,856
119,392
12,340
3,542
1,066
2,080
(292)
6,834
Leonardtown
71,103
11,295
(4,431)
1,206
2,585
(347)
5,518
5,919
Oakland
29,722
8,106
(3,759)
715
2,267
(430)
4,888
5,244
151,122
30,985
3,291
1,076
1,748
293
5,691
4,877
57,164
9,555
(2,790)
877
1,707
(313)
5,499
4,712
5,705
Olney
Prince Frederick
Randallstown
131,793
23,694
4,092
1,186
2,325
407
6,067
Rockville
225,579
24,102
3,177
983
1,561
257
5,665
4,854
Salisbury
146,736
44,272
3,416
933
1,777
307
4,250
4,559
4,854
Silver Spring
146,102
34,011
3,873
1,162
1,807
302
5,665
Takoma Park
109,113
17,388
4,182
1,028
2,033
(303)
6,492
5,563
Westminster
88,241
20,152
3,942
1,098
2,043
344
5,467
5,142
40,635
12,317
2,849
718
1,817
(404)
4,030
4,806
North Carolina
Ahoskie
Ho
sp
l
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rv
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6)
ted for
t fo v
t fo
ted for vic
nr 99
99
jus nts
(1
e E lus 1
d
d
r
s
l
e
A m
a p
A me i e
A me ab e A me ita
CC
dic 92
ice e
ic e p
ice e i l i t AP
ice se L
Pr burs
Me (19
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Pr burs Hos
Pr burs Fac
P r bu r a n d
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dju 19
-A C (
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P r AAP
Albemarle
47,197
13,883
3,213
716
1,791
(259)
3,879
Andrews
16,799
5,480
(2,984)
(848)
1,738
(224)
3,874
4,620
Asheboro
78,481
20,005
2,545
688
1,584
222
4,077
4,405
Asheville
198,117
64,424
3,432
894
1,471
344
4,213
4,787
8,031
1,868
(3,495)
(832)
2,495
(419)
4,217
5,028
10,839
3,677
(4,008)
(894)
1,871
(572)
3,878
4,624
2,032
1,096
(3,309)
(842)
(1,838)
(511)
4,589
5,472
Boone
44,100
10,578
(3,690)
811
1,899
(371)
4,073
4,857
Brevard
25,520
10,200
(3,320)
893
1,440
(324)
3,763
4,487
4,682
Banner Elk
Belhaven
Blowing Rock
Bryson City
Burgaw
Burlington
Chapel Hill
Charlotte
Cherokee
4,626
7,926
2,726
(2,488)
(567)
1,800
(330)
3,926
11,967
3,590
(3,095)
(797)
1,675
(332)
4,149
4,947
112,788
33,799
3,140
725
1,658
304
4,153
4,487
87,131
16,956
3,667
673
1,804
(342)
5,071
5,212
594,360
118,193
3,133
848
1,559
284
4,438
4,710
4,682
3,339
838
(3,032)
(452)
(3,097)
(513)
3,926
Clinton
49,607
13,493
3,521
797
1,966
(328)
4,472
5,333
Clyde
46,942
17,499
3,162
831
1,681
(249)
3,772
4,497
Columbus
19,486
8,779
(2,833)
698
1,361
(313)
3,625
4,323
Concord
101,766
29,644
3,775
875
1,867
432
4,510
4,787
5,441
Crossnore
11,367
3,392
(4,096)
(755)
2,114
(412)
4,563
Dunn
20,584
6,789
(4,583)
1,058
2,600
(384)
4,901
5,844
222,595
47,535
2,999
704
1,626
348
4,643
4,771
Durham
Eden
30,841
9,710
(3,894)
850
2,279
(222)
4,474
5,334
Edenton
17,972
6,487
(2,722)
(730)
1,617
(196)
3,488
4,159
Elizabeth City
78,801
23,105
3,170
884
1,843
237
4,230
5,044
Elizabethtown
27,943
7,281
(4,008)
847
1,916
(314)
4,171
4,974
Elkin
25,954
8,072
(3,591)
875
2,045
(344)
4,335
5,169
Erwin
10,323
2,424
(4,488)
(847)
2,208
(643)
5,027
5,994
Fayetteville
273,315
35,146
3,442
801
1,713
313
4,275
5,017
Franklin
18,986
9,514
(3,030)
935
1,487
(303)
3,638
4,338
Gastonia
126,551
31,369
2,956
756
1,732
229
4,612
4,895
Goldsboro
102,515
22,307
3,482
995
1,732
380
4,225
4,966
Greensboro
294,408
72,321
3,227
890
1,625
271
4,465
4,824
Greenville
119,550
25,635
3,478
861
2,163
251
4,698
5,464
Hamlet
13,443
3,577
(3,989)
(916)
2,086
(409)
4,646
5,540
Henderson
57,815
15,589
3,265
665
1,708
(297)
3,682
4,390
Hendersonville
64,607
30,632
2,954
849
1,464
361
3,844
4,584
Hickory
147,492
35,101
3,325
816
1,736
269
4,256
4,887
High Point
116,005
29,108
3,007
913
1,763
224
4,374
4,726
Highlands
3,784
1,741
(4,203)
(1,067)
1,690
(800)
3,648
4,349
Jacksonville
144,599
11,714
(3,452)
921
2,312
(255)
4,650
5,946
Jefferson
21,222
6,939
(3,364)
811
1,921
(358)
3,623
4,320
Kenansville
25,904
6,646
(3,511)
(860)
1,854
(312)
4,266
5,087
Kings Mountain
21,012
5,686
(4,355)
(897)
1,684
(249)
3,768
4,493
Kinston
76,811
21,075
3,992
926
2,397
332
4,975
5,932
Laurinburg
44,994
9,133
(4,097)
716
2,027
(260)
4,153
4,952
105
106
Ho
sp
l
ita
Se
rv
ic
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Po
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lat
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l
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6)
ted for
t fo v
t fo
ted for vic
nr 99
99
jus nts
(1
e E lus 1
d
d
r
s
l
e
A m
a p
A me i e
A me ab e A me ita
CC
dic 92
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ic e p
ice e i l i t AP
ice se L
Pr burs
Me (19
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Pr burs Hos
Pr burs Fac
P r bu r a n d
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dju 19
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P r AAP
Lenoir
49,296
13,649
3,423
814
1,889
(292)
4,302
4,939
Lexington
70,891
16,308
3,199
772
1,862
(392)
4,400
4,754
Lincolnton
39,372
8,675
(3,500)
735
1,805
(355)
4,229
4,489
Louisburg
28,527
6,888
(3,914)
917
2,233
(394)
4,501
4,626
Lumberton
92,521
20,333
4,120
854
2,533
385
4,560
5,437
Marion
35,600
10,639
(3,018)
739
1,603
(351)
3,664
4,368
Mocksville
24,999
5,622
(3,095)
(841)
2,111
(252)
5,002
5,404
Monroe
71,315
15,846
3,112
804
1,640
(385)
4,286
4,549
Mooresville
29,488
8,079
(4,319)
880
2,402
(382)
5,226
6,231
Morehead City
54,726
16,141
3,494
722
1,994
(339)
4,535
5,408
Morganton
50,932
13,706
3,549
912
1,928
(415)
4,532
5,204
Mount Airy
49,312
14,905
4,001
714
2,231
(334)
4,395
5,241
Murphy
19,145
7,977
(3,213)
810
1,694
(335)
4,124
4,917
100,168
25,570
3,074
867
1,731
273
4,437
5,291
North Wilkesboro
50,268
13,164
3,891
785
2,514
(331)
4,212
5,022
Oxford
21,991
6,474
(3,184)
(719)
1,749
(293)
3,827
4,563
Pinehurst
94,235
33,780
3,163
861
1,646
242
4,224
5,036
Plymouth
14,107
4,026
(2,915)
(745)
1,615
(397)
3,991
4,759
New Bern
Raleigh
496,421
86,248
3,325
864
1,726
283
4,806
4,939
38,421
11,138
(3,027)
759
2,105
(247)
4,474
5,334
Roanoke Rapids
52,317
16,172
3,454
828
1,959
(306)
4,089
4,876
Rockingham
24,282
6,947
(4,472)
884
2,296
(292)
4,646
5,540
Rocky Mount
114,344
28,238
3,478
814
1,983
340
4,311
5,088
26,235
7,676
(3,428)
893
1,923
(324)
4,084
4,870
Reidsville
Roxboro
Rutherfordton
57,003
17,517
2,677
686
1,626
(278)
3,600
4,293
Salisbury
90,049
26,592
3,024
663
1,696
331
4,230
4,490
Sanford
49,597
13,783
3,389
865
1,951
(277)
4,877
5,816
Shelby
78,986
22,124
2,735
756
1,512
262
3,901
4,651
Siler City
16,192
4,564
(3,175)
(703)
1,804
(307)
4,676
4,806
Smithfield
53,009
14,803
3,498
832
1,888
(351)
5,033
5,172
Southport
13,630
3,831
(2,968)
(749)
1,731
(362)
4,864
5,333
Sparta
10,207
3,610
(2,932)
(696)
2,037
(354)
3,707
4,420
Spruce Pine
29,638
10,626
(3,016)
775
1,676
(325)
3,682
4,390
Statesville
80,452
22,055
4,084
953
2,577
333
5,119
6,104
Supply
22,060
7,561
(3,640)
823
2,004
(444)
4,864
5,333
Sylva
25,750
6,668
(3,681)
(769)
1,725
(557)
3,665
4,370
Tarboro
29,440
8,245
(2,415)
743
1,801
(276)
4,258
5,026
Taylorsville
19,679
4,324
(3,740)
(737)
2,155
(289)
4,604
5,287
Thomasville
32,777
9,552
(2,962)
795
1,858
(199)
4,400
4,754
Troy
15,365
3,745
(2,356)
(731)
1,680
(204)
4,178
4,982
Valdese
19,618
5,616
(4,569)
(824)
2,159
(320)
4,532
5,204
Wadesboro
21,175
6,251
(3,402)
(899)
1,766
(482)
4,309
5,138
Washington
11,434
9,487
(2,830)
706
1,708
(238)
4,512
5,380
Whiteville
37,673
9,746
(5,048)
1,151
2,377
(394)
5,670
6,761
Williamston
40,849
5,194
(3,563)
(903)
2,017
(259)
4,086
4,872
Wilmington
164,296
45,518
3,545
975
1,757
283
4,796
5,260
Ho
sp
l
ita
Se
rv
ic
r
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ea
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e
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p
Po
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l
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e
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oll 3)
6)
ted for
t fo v
t fo
ted for vic
nr 99
99
jus nts
(1
e E lus 1
d
d
r
s
l
e
A m
a p
A me i e
A me ab e A me ita
CC
dic 92
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ic e p
ice e i l i t AP
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Pr burs
Me (19
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Pr burs Hos
Pr burs Fac
P r bu r a n d
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dju 19
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Wilson
78,196
19,926
3,573
895
2,066
431
4,673
5,572
Windsor
9,205
2,822
(3,627)
(720)
1,886
(424)
4,061
4,842
344,718
88,623
2,829
776
1,734
270
4,534
4,899
3,856
Winston-Salem
South Carolina
Abbeville
22,051
5,155
(3,030)
(765)
1,464
(248)
3,333
Aiken
72,682
18,387
3,154
910
1,805
215
4,728
5,008
Anderson
144,222
38,822
2,659
777
1,465
212
4,015
4,423
Bamberg
16,726
3,981
(4,386)
(1,014)
1,846
(275)
4,488
5,193
Barnwell
15,270
3,514
(4,152)
(1,033)
1,761
(387)
4,097
4,740
Beaufort
58,874
10,915
(2,749)
806
1,635
(307)
4,649
5,379
Bennettsville
25,968
6,381
(3,108)
(771)
1,825
(304)
4,058
4,696
Bishopville
11,965
2,748
(2,532)
(610)
1,925
(284)
3,610
4,177
Camden
35,384
9,693
(2,643)
732
1,539
(415)
4,010
4,640
474,236
80,929
3,190
831
1,721
335
4,671
5,103
Cheraw
28,609
6,403
(3,110)
(836)
1,750
(353)
4,170
4,825
Chester
27,889
7,616
(2,962)
637
1,858
(208)
4,307
4,983
Clinton
41,433
10,948
(2,712)
656
1,538
(653)
3,087
3,572
Columbia
338,246
62,185
3,233
886
1,468
252
4,094
4,374
Conway
44,127
8,928
(3,423)
983
1,727
(206)
4,634
5,244
Dillon
24,680
5,447
(3,530)
(959)
1,956
(277)
4,614
5,339
Easley
56,345
10,831
(3,447)
795
1,638
(298)
3,775
4,158
6,884
1,790
(3,349)
(730)
1,450
(373)
3,455
3,659
Charleston
Edgefield
Fairfax
13,637
3,194
(4,165)
(1,014)
1,816
(801)
3,689
4,269
Florence
166,410
37,405
3,503
915
2,058
288
4,454
5,161
Gaffney
44,505
10,398
(2,864)
678
2,158
(267)
4,838
5,329
Georgetown
44,438
10,822
(4,450)
965
2,500
(339)
4,989
5,773
319,940
78,449
3,189
822
1,677
323
3,907
4,303
Greenville
Greenwood
85,535
24,555
2,400
635
1,446
187
3,227
3,734
Greer
43,033
10,073
(3,541)
851
1,548
(294)
3,901
4,297
Hartsville
30,219
7,527
(3,193)
930
2,128
(182)
4,189
4,847
Hilton Head Island
30,896
12,760
3,587
1,006
1,808
(373)
4,658
5,390
Kingstree
22,800
4,788
(3,375)
(855)
1,861
(330)
4,102
4,746
Lancaster
58,618
13,628
3,434
926
1,782
(250)
4,313
4,990
Loris
25,512
5,535
(3,150)
(931)
2,296
(269)
5,003
5,661
Manning
23,744
6,002
(2,983)
(782)
1,591
(369)
3,732
4,318
Marion
20,078
4,548
(3,744)
(935)
1,889
(336)
4,738
5,482
Mount Pleasant
42,247
8,126
(3,526)
902
1,976
(447)
4,860
5,309
Mullins
19,379
6,137
(5,426)
(1,089)
2,408
(349)
4,706
5,445
Myrtle Beach
88,501
29,339
3,352
944
1,725
233
4,755
5,381
Newberry
25,379
8,078
(2,226)
566
1,474
(214)
3,547
4,104
Orangeburg
88,299
21,713
2,590
801
1,423
201
3,492
4,041
Pickens
19,834
5,100
(4,283)
(844)
1,526
(524)
3,775
4,158
9,007
2,801
(4,454)
(840)
1,730
(324)
4,377
5,064
133,346
29,461
3,090
835
1,595
261
4,193
4,451
Ridgeland
Rock Hill
Seneca
Spartanburg
57,557
16,349
3,206
811
1,594
(354)
3,815
4,414
201,975
51,824
2,902
780
1,555
279
3,894
4,289
107
108
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Sumter
108,078
19,377
2,577
666
1,681
244
3,971
Union
30,061
9,061
(3,706)
785
1,895
(299)
3,877
4,486
Varnville
14,087
3,205
(4,006)
(976)
1,976
(529)
4,306
4,982
5,532
Walterboro
4,772
34,578
7,718
(4,971)
993
2,145
(378)
4,781
134,912
28,284
3,106
854
1,712
254
4,283
4,576
Winnsboro
17,083
3,828
(2,010)
(540)
1,471
(214)
3,799
4,396
Woodruff
10,206
2,976
(3,778)
(1,144)
1,697
(348)
3,893
4,288
West Columbia
Virginia
Abingdon
40,055
10,432
(2,838)
654
1,740
(208)
3,730
4,244
Alexandria
254,920
41,872
2,963
982
1,336
252
4,957
4,248
Arlington
203,342
39,810
2,867
919
1,350
287
5,144
4,408
Bedford
21,022
7,295
(2,696)
625
1,398
(204)
3,485
3,856
Big Stone Gap
16,875
4,508
(3,051)
(671)
2,063
(269)
5,601
6,519
Blacksburg
65,970
10,432
(4,064)
798
1,946
(261)
4,472
5,205
Charlottesville
180,819
44,216
3,460
776
1,897
374
4,676
4,828
Chesapeake
109,729
19,607
4,414
1,159
1,907
393
5,192
5,459
Clintwood
14,859
3,559
(4,865)
(589)
2,301
(302)
5,635
6,559
Culpeper
31,491
7,684
(2,130)
606
1,393
(230)
4,663
3,995
Danville
106,145
33,832
3,129
906
1,654
225
3,532
4,002
5,906
Emporia
27,987
8,684
(3,055)
820
2,040
(232)
5,074
Fairfax
74,528
4,546
(3,192)
(856)
1,441
(416)
4,693
4,021
478,083
68,149
2,588
803
1,281
247
4,740
4,062
4,725
Falls Church
Farmville
26,312
8,209
(2,199)
695
1,436
(196)
4,060
Franklin
24,960
7,315
(3,605)
783
2,222
(417)
4,957
5,770
170,385
30,208
2,892
868
1,593
244
5,243
4,493
Fredericksburg
Front Royal
26,028
6,840
(2,599)
640
1,398
(438)
4,398
3,769
Galax
43,383
14,730
3,476
788
1,833
(312)
4,170
4,853
Gloucester
43,109
12,328
2,458
620
1,498
(193)
3,993
4,198
Grundy
29,563
5,433
(4,244)
(786)
2,656
(471)
6,051
7,044
Hampton
85,214
16,454
2,887
821
1,522
(353)
4,592
4,828
110,664
28,685
2,778
756
1,714
369
3,606
4,197
Harrisonburg
Hopewell
33,477
7,859
(3,128)
897
1,902
(310)
5,016
4,953
Hot Springs
5,404
1,768
(6,242)
(1,205)
2,935
(402)
6,060
7,053
Kilmarnock
25,325
13,160
2,798
848
1,765
(362)
4,416
5,140
Lebanon
29,998
7,199
(4,252)
790
2,572
(324)
5,825
6,780
Leesburg
54,502
8,830
(3,131)
810
1,376
(316)
4,596
3,938
Lexington
29,020
8,739
(2,793)
597
1,753
(314)
3,800
4,424
Low Moor
27,954
9,450
(3,376)
759
2,253
(261)
5,504
6,406
Luray
16,160
5,056
(3,408)
(663)
2,112
(399)
4,391
5,111
Lynchburg
192,921
54,110
2,731
660
1,450
243
3,535
3,911
Manassas
101,395
9,751
(3,203)
891
1,401
(443)
5,270
4,516
Marion
33,662
10,394
(2,852)
680
1,617
(294)
3,944
4,591
Martinsville
74,428
21,996
2,780
690
1,668
282
3,824
4,451
Nassawadox
33,953
12,734
3,416
960
1,581
(315)
3,915
4,556
Newport News
285,327
51,703
2,918
849
1,550
287
4,499
4,730
Norfolk
387,166
64,676
3,410
978
1,771
368
5,158
5,423
Ho
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99
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6,906
Norton
30,691
7,866
(4,535)
748
2,505
(395)
5,934
Pearisburg
18,608
6,316
(3,315)
(759)
1,991
(343)
4,639
5,400
Pennington Gap
17,208
5,551
(4,307)
(533)
2,296
(443)
5,326
6,199
Petersburg
111,954
27,541
3,085
846
1,843
312
4,853
4,793
Portsmouth
161,696
37,455
3,441
1,023
1,763
338
5,162
5,427
Pulaski
20,374
6,331
(4,844)
(1,096)
2,476
(382)
5,169
6,017
Radford
38,074
8,680
(3,703)
862
1,890
(539)
5,066
5,896
Reston
148,352
10,433
(2,770)
805
1,521
(228)
4,693
4,022
Richlands
30,401
6,967
(3,818)
871
2,368
(187)
5,738
6,678
Richmond
801,560
187,809
3,141
884
1,723
305
4,882
4,821
Roanoke
221,226
66,839
2,818
701
1,660
289
4,113
4,458
23,408
6,298
(3,115)
(738)
1,709
(296)
3,571
4,157
Rocky Mount
Salem
49,858
13,725
2,903
725
1,595
(399)
4,110
4,455
South Boston
54,014
18,409
2,571
654
1,696
283
3,588
4,176
South Hill
27,908
8,807
(3,246)
833
2,035
(271)
4,274
4,975
Staunton
97,021
28,253
3,536
738
1,860
384
4,202
4,892
Stuart
13,469
4,486
(2,971)
(488)
1,661
(208)
4,060
4,725
Suffolk
60,787
16,050
3,350
929
1,973
(280)
5,108
5,371
Tappahannock
22,578
8,072
(4,189)
1,174
2,234
(498)
5,195
6,047
Tazewell
13,794
3,817
(3,348)
(717)
2,094
(250)
5,513
6,417
267,490
37,325
3,551
1,027
1,719
378
4,922
5,174
51,870
9,559
(3,335)
888
1,384
(315)
4,895
4,194
4,994
Virginia Beach
Warrenton
Williamsburg
56,825
14,828
3,520
848
1,719
(449)
4,750
Winchester
103,580
25,650
3,452
733
1,945
276
3,939
4,585
Woodbridge
149,821
8,732
(4,238)
931
1,584
(289)
5,270
4,516
Woodstock
22,171
6,592
(2,534)
(619)
1,538
(291)
3,595
4,185
Wytheville
31,643
9,602
(3,121)
743
2,022
(338)
4,454
5,184
West Virginia
Beckley
105,431
30,629
3,633
782
1,985
348
4,918
6,029
Berkeley Springs
10,327
3,453
(3,409)
(758)
2,213
(358)
4,066
4,984
Bluefield
73,865
23,966
3,509
838
2,206
389
5,460
6,693
Buckhannon
23,150
6,928
(2,992)
635
1,899
(303)
3,831
4,696
Charleston
196,739
58,775
3,404
799
2,063
271
5,131
5,565
Clarksburg
79,853
27,054
4,103
850
2,302
315
4,821
5,909
Elkins
42,789
13,827
3,534
715
2,486
(300)
4,816
5,904
Fairmont
56,900
20,447
3,668
780
2,222
331
4,315
5,290
Gassaway
11,069
3,762
(3,762)
(840)
2,126
(262)
3,928
4,815
Glen Dale
29,706
8,844
(3,402)
527
2,053
(331)
4,824
5,785
Grafton
10,102
3,572
(4,555)
(704)
1,990
(334)
4,262
5,225
4,972
1,867
(4,614)
(905)
2,181
(262)
4,366
5,352
11,125
4,120
(3,527)
(719)
2,094
(368)
4,718
5,783
179,391
53,079
3,304
857
1,874
163
4,336
4,913
Grantsville
Hinton
Huntington
Hurricane
32,382
7,413
(4,040)
1,105
2,114
(362)
4,756
5,158
Kingwood
12,054
3,462
(5,012)
(728)
2,434
(461)
4,578
5,612
Logan
43,292
10,412
(3,856)
728
2,516
(365)
5,974
7,323
Man
15,231
2,772
(3,301)
(682)
2,534
(475)
5,613
6,881
109
110
Ho
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99
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5,820
1,903
(4,308)
(1,003)
2,384
(342)
4,942
6,058
Martinsburg
60,158
14,305
2,911
633
1,584
(324)
4,336
3,715
Montgomery
13,120
4,381
(3,728)
(674)
2,735
(444)
5,432
6,659
Morgantown
101,244
23,849
4,798
994
2,473
467
5,409
6,631
New Martinsville
23,738
7,179
(3,026)
741
2,142
(299)
4,075
4,995
Oak Hill
27,598
9,237
(3,958)
766
2,330
(250)
5,454
6,686
Parkersburg
128,681
37,911
3,625
773
2,164
337
4,617
5,318
Petersburg
18,652
5,463
(2,850)
(621)
1,698
(488)
3,433
4,209
Philippi
10,520
2,878
(3,884)
(771)
2,223
(289)
4,772
5,850
Point Pleasant
24,531
6,951
(3,716)
983
2,483
(294)
4,411
5,408
Princeton
42,015
13,165
4,371
882
2,068
(509)
5,302
6,500
Ranson
30,538
7,100
(2,240)
616
1,621
(186)
4,103
3,516
4,522
1,650
(4,247)
(1,090)
2,102
(358)
4,927
6,040
23,086
6,333
(4,565)
(829)
2,314
(532)
4,228
5,182
5,234
Richwood
Ripley
Romney
6,911
2,157
(2,313)
(635)
2,373
(296)
4,270
Ronceverte
45,052
14,902
3,610
866
2,261
(280)
5,191
6,363
Sistersville
3,113
1,154
(3,288)
(598)
(2,156)
(426)
4,188
5,134
South Charleston
67,709
21,877
3,344
899
2,011
279
5,073
5,502
Spencer
17,431
4,724
(5,583)
(996)
2,406
(761)
4,526
5,549
Summersville
25,851
6,789
(3,550)
845
2,303
(291)
4,741
5,811
5,086
1,625
(2,763)
(657)
1,919
(284)
3,826
4,690
Weirton
49,276
17,264
4,347
976
2,621
(438)
6,057
7,075
Weston
26,104
8,091
(4,001)
888
2,167
(282)
4,291
5,261
Wheeling
99,625
35,334
3,137
633
2,205
291
5,017
6,016
Williamson
25,405
6,454
(4,705)
(832)
3,018
(267)
5,878
7,205
Webster Springs
PART FOUR
The Physician Workforce
This section provides measures of the allocation of physicians who are
in active practice to the populations living in the South Atlantic States’
hospital service areas. A physician in active practice is defined as one who
reported that he or she spent at least 20 hours a week in patient care.
The estimates for the physician workforce per 100,000 take into
account patient migration across the boundaries of hospital service
areas and have been adjusted for differences in age and sex of the local
populations. Part Nine of the national volume of the Dartmouth Atlas
of Health Care explains how these adjustments were made.
The data, which come from the American Medical Association, the
American Osteopathic Association, and the Medicare program, are for
1993. The population count is based on the 1990 United States
census. The data used for the health maintenance organization
benchmark is from a large staff model health maintenance
organization. It has been adjusted to account for differences in age and
sex according to methods described in Part Nine of the national Atlas.
Additional adjustments were made to account for out-of-plan use, as
described in the note to Table 4.
112
The Physician Workforce Active in Patient Care
All Physicians in Active Practice per 100,000 Residents in HSAs
The number of physicians in active practice per hundred thousand residents varied
widely within the South Atlantic States. Among the region’s larger cities in which
the numbers of physicians allocated to hospital service areas exceeded the national
average of 189 per hundred thousand residents were Washington, D.C. (351.0);
Miami Beach (319.3); Baltimore (279.3); and Miami (241.4). Wilmington, Delaware (212.5); Atlanta, Georgia (203.9); Richmond, Virginia (199.6); and
Jacksonville, Florida (198.2) were slightly above the national average; Raleigh,
North Carolina (161.6); Charleston, West Virginia (159.4); Greenville, South Carolina (154.9); and Charlotte, North Carolina (142.0) were all below it.
The South Atlantic States. The gray horizontal line represents the United States
Figure 4.1. Physicians Allocated to Hospital Service Areas in the South Atlantic States (1993)
The number of physicians in active practice per hundred thousand residents, after adjusting for differences in age
and sex of the local population, varied by a factor of more than 3.5. Each point represents one hospital service area.
THE PHYSICIAN WORKFORCE
113
114
Specialists per 100,000 Residents in HSAs
In the majority of large hospital service areas in the South Atlantic States (with the
exception of Florida), the supply of specialists per hundred thousand residents was
below the national average of 122. Washington, D.C. (239.7) had nearly twice the
national average. Among the region’s larger cities, the numbers of specialist physicians allocated to local populations were above the national average in Miami Beach
(202.9); Baltimore, Maryland (187.5); Miami, Florida (154.9); and Wilmington,
Delaware (135.6). Greenville, South Carolina (101.6); Charleston, West Virginia
(100.1); Raleigh, North Carolina (99.4); and Charlotte, North Carolina (93.9) were
all well below the national average.
Figure 4.2. Specialists Allocated to Hospital Service Areas in the South Atlantic States (1993)
The number of specialist physicians in active practice per hundred thousand residents, after adjusting for differences
in age and sex of the local population, varied by a factor of more than 6.3. Each point represents one hospital service
area.
115
116
Primary Care Physicians per 100,000 Residents in HSAs
The number of primary care physicians in active practice per hundred thousand
residents was varied nearly as much as the supply of specialists among and within
the South Atlantic States. Among the region’s larger cities, the hospital service areas
with numbers of primary care physicians in excess of the national average of 66 per
hundred thousand residents were Miami Beach (113.4); Washington, D.C. (108.1);
Baltimore (89.9); Miami (83.0); and Wilmington, Delaware (75.7). Richmond,
Virginia (68.8); Atlanta, Georgia (68.3); and Jacksonville, Florida (64.1) were all
close to the national average; Raleigh, North Carolina (61.8); Charleston, West
Virginia (57.5); Greenville, South Carolina (52.3); and Charlotte, North Carolina
(47.5) were all below it.
Figure 4.3. Primary Care Physicians Allocated to Hospital Service Areas in the South Atlantic States (1993)
The number of primary care physicians in active practice per hundred thousand residents, after adjusting for
differences in age and sex of the local population, varied by a factor of more than 5.8. Each point represents one
hospital service area.
117
118
Figure 4.4. The Total Physician Workforce Allocated to Selected Hospital Service Areas in the South
Atlantic States Compared to the Highest and Lowest Ranked Selected Areas (1993)
The figure gives the ratio of total physicians in selected hospital service areas to the lowest and the highest ranked
areas. It also compares each selected area to the U.S. average. The number of physicians above (+) or below (-) the
number predicted by the experience in the benchmark area for 1993 is in parentheses. For example, the number of
physicians per hundred thousand allocated to the residents of Washington was 2.47 times higher than the number
allocated to residents of Charlotte, North Carolina. If the level of physician employment of the Charlotte benchmark
in 1993 had been attained for the residents of Washington, 1,835 fewer physicians would have been needed for the
residents of Washington.
Figure 4.5. The Total Physician Workforce Allocated to Selected Hospital Service Areas in the South
Atlantic States Compared to Selected Hospital Service Areas Elsewhere in the U.S. and to a Large HMO
(1993)
The figure gives the ratio of total physicians in selected hospital service areas in the South Atlantic States to other
areas. The number of physicians above (+) or below (-) the number of physicians predicted by the experience in the
benchmark area is in parentheses. For example, the number of physicians per hundred thousand allocated to the
residents of Washington, D.C. was 2.46 times higher than the number allocated to the enrollees of the health
maintenance organization. If the level of physician employment of the health maintenance organization benchmark
in 1993 had been attained for the residents of Washington, 1,830 fewer physicians would have been needed. If the
San Francisco benchmark had applied, 170 more physicians would have been needed.
119
120
Figure 4.6. Specialist Physicians Allocated to Selected Hospital Service Areas in the South Atlantic
The figure gives the ratio of specialist physicians in selected hospital service areas to the lowest and the highest ranked
areas. It also compares each selected area to the U.S. average. The number of specialist physicians above (+) or below
(-) the number predicted by the experience in the benchmark area for 1993 is in parentheses. For example, the
number of specialist physicians per hundred thousand allocated to the residents of Washington, D.C. was 2.55 times
higher than the number allocated to the residents of Charlotte, North Carolina. If the level of specialist physician
employment of the Charlotte benchmark in 1993 had been attained for the residents of Washington, 1,280 fewer
specialists would have been needed in Washington.
Figure 4.7. Specialist Physicians Allocated to Selected Hospital Service Areas in the South Atlantic
States Compared to Selected Hospital Service Areas Elsewhere in the U.S. and to a Large HMO (1993)
The figure gives the ratio of specialist physicians in selected hospital service areas in the South Atlantic States to other
areas. The number of specialist physicians above (+) or below (-) the number of physicians predicted by the
experience in the benchmark area is in parentheses. For example, the number of specialists per hundred thousand
allocated to the residents of Washington, D.C. was 3.05 times higher than the number allocated to the enrollees of
the health maintenance organization. If the level of specialist physician employment of the health maintenance
organization benchmark in 1993 had been attained for the residents of Washington, 1,415 fewer specialists would
have been needed. If the San Francisco benchmark had applied, 166 fewer specialists would have been needed in
Washington.
121
122
Figure 4.8. Primary Care Physicians Allocated to Selected Hospital Service Areas in the South Atlantic
The figure gives the ratio of primary care physicians in selected hospital service areas to the lowest and the highest
ranked areas. It also compares each selected area to the U.S. average. The number of primary care physicians above
(+) or below (-) the number predicted by the experience in the benchmark area for 1993 is in parentheses. For
example, the number of primary care physicians per hundred thousand allocated to the residents of Miami Beach
was 2.39 times higher than the number allocated to the residents of Charlotte, North Carolina. If the level of
primary care physician employment of the Charlotte benchmark in 1993 had been attained for the residents of
Miami Beach, 81 fewer primary care physicians would have been needed for residents of Miami Beach.
Figure 4.9. Primary Care Physicians Allocated to Selected Hospital Service Areas in the South Atlantic
States Compared to Selected Hospital Service Areas Elsewhere in the U.S. and to a Large HMO (1993)
The figure gives the ratio of primary care physicians in selected hospital service areas in the South Atlantic States
to other areas. The number of primary care physicians above (+) or below (-) the number predicted by the experience
in the benchmark area is in parentheses. For example, the number of primary care physicians per hundred thousand
allocated to the residents of Miami Beach was 2.07 times higher than the number allocated to the population of
Houston. If the level of primary care physician employment of the Houston benchmark in 1993 had been attained
for the residents of Miami Beach, 72 fewer primary care physicians would have been needed for the residents of
Miami Beach. If the San Francisco benchmark had applied, 39 more primary care physicians would have been
needed in Miami Beach.
123
124
TABLE 4
All rates are age and sex adjusted and corrected for out of area use. See Part Nine of
the national volume of the Dartmouth Atlas of Health Care for details.
The count of primary physicians added to the count of specialists does not equal the
count for all physicians; the difference (about 1% nationally) is attributable to the
count of those in the “All Physician” category whose specialty areas were “unspecified.”
Hospital service areas with populations of 5,000 or fewer residents are omitted from
the figures and maps. In the table, the data for these areas are in parentheses.
The estimates for the staffing patterns of the large health maintenance organization
have been adjusted using a .10 adjustment for out-of-plan use and .04 for low Medicaid numbers; i.e., multiplied by a factor of 1.14.
(Weiner JP. Forecasting the Effects of Health Reform on U.S. Physician Workforce
Requirement. JAMA. 1994;272:222-239)
TABLE 4
Physicians in Active Practice Serving Residents of Hospital Service Areas
(Physicians per 100,000 population, 1993)
H
os
a
pit
lS
er
v
A
ice
re
a
Re
e
sid
nt
p
Po
t
ula
ion
A
ll
ys
Ph
ici
an
s
P
ri
r
ma
yC
ar
e
ys
Ph
ici
S
an
pe
s
l
cia
ist
Delaware
Dover
97,182
155.8
48.7
s
H
os
a
pit
lS
er
v
A
ice
re
a
Re
e
sid
nt
p
Po
t
ula
ion
A
ll
ys
Ph
ici
an
s
P
ri
r
ma
yC
ar
e
ys
Ph
ici
S
an
s
c
pe
ial
ist
Englewood
29,583
263.0
100.0
160.0
105.3
Eustis
73,039
227.5
76.4
149.3
Lewes
39,603
241.8
79.0
162.0
Fernandina Beach
19,016
204.3
96.2
103.8
Milford
51,846
176.1
56.2
118.0
Fort Lauderdale
505,868
197.9
65.0
132.0
123.5
Seaford
Wilmington
32,148
199.2
63.8
135.0
Fort Myers
226,509
182.4
57.4
438,123
212.5
75.7
135.6
Fort Pierce
77,331
149.2
41.2
106.6
Fort Walton Beach
81,275
171.0
47.6
122.0
300,146
209.1
68.0
137.9
5,353
165.8
75.3
90.0
33,412
177.1
68.5
108.2
Washington
878,265
351.0
108.1
239.7
Florida
Apalachicola
Gainesville
Graceville
6,400
202.5
80.4
121.4
Gulf Breeze
Arcadia
24,750
220.2
76.6
139.8
Hialeah
242,584
195.6
79.7
111.0
Atlantis
140,650
144.8
47.0
96.7
Hollywood
286,949
244.5
84.0
158.5
78.2
Avon Park
55,412
179.6
60.2
116.2
Homestead
35,296
125.2
46.0
Bartow
35,220
135.1
49.3
85.2
Hudson
34,987
150.4
50.7
98.8
Belle Glade
26,358
105.7
36.8
68.6
Inverness
47,236
140.8
35.9
103.9
Blountstown
10,264
192.6
93.9
98.2
Jacksonville
711,122
198.2
64.1
133.2
Boca Raton
156,070
280.2
79.7
198.6
Jacksonvl Beach
29,208
168.0
61.8
105.8
Boynton Beach
100,774
237.2
70.8
164.2
Jasper
9,565
131.3
51.7
78.7
Bradenton
197,705
167.6
48.3
117.3
Jay
5,952
135.9
48.6
86.9
Brandon
133.7
151,359
131.2
47.2
83.0
Jupiter
53,932
196.2
61.8
Brooksville
25,130
144.6
50.9
93.2
Key West
36,938
218.1
61.6
151.5
Bunnell
23,119
140.4
55.4
84.5
Kissimmee
80,622
156.1
55.4
100.2
Cape Coral
82,846
144.9
51.6
91.9
Lake City
44,677
189.0
58.8
128.7
Chipley
11,248
175.4
62.4
112.3
Lake Wales
33,636
180.1
55.7
123.8
181,729
162.5
54.4
107.0
Lakeland
193,008
137.2
41.9
94.0
Clermont
23,801
149.2
58.3
90.1
Largo
156,963
201.2
71.0
128.5
Clewiston
14,427
139.6
46.2
92.9
Leesburg
71,939
191.4
55.8
134.6
Cocoa Beach
35,563
248.3
92.8
155.1
Lehigh Acres
22,252
190.7
71.3
118.3
Coral Gables
13,791
247.5
77.0
168.4
Madison
11,339
172.4
63.1
108.2
Clearwater
Coral Springs
83,862
175.5
61.4
112.8
Marathon
18,748
207.9
71.4
135.2
Crestview
29,976
167.2
63.7
102.7
Margate
37,607
279.1
94.5
182.9
Crystal River
53,511
213.5
65.3
145.8
Marianna
33,917
163.4
75.1
87.9
Dade City
30,724
146.9
62.1
82.8
Melbourne
201,104
169.0
53.6
114.7
1,486,885
241.4
83.0
154.9
122,912
319.3
113.4
202.9
29,495
154.2
49.3
104.4
143,628
156.5
53.7
101.4
Miami
De Funiak Springs
17,696
190.7
68.0
120.4
Miami Beach
De Land
72,993
150.8
50.7
99.4
Milton
Daytona Beach
Delray Beach
52,891
471.6
142.1
326.8
Naples
170,844
219.6
59.9
157.7
Destin
13,119
271.9
101.5
168.9
New Port Richey
144,749
197.6
66.0
129.9
Dunedin
15,338
467.4
136.6
328.7
New Smyrna Beach
47,123
159.2
54.1
104.3
s
125
126
H
os
a
pit
lS
er
v
A
ice
re
a
Niceville
Re
e
sid
nt
p
Po
t
ula
ion
A
ll
ys
Ph
ici
an
s
P
ri
r
ma
yC
ar
e
ys
Ph
ici
S
an
pe
s
l
cia
ist
30,854
162.5
59.6
96.1
Ocala
192,202
155.8
45.3
109.1
Ocoee
35,326
162.9
68.3
Okeechobee
33,077
162.2
49.5
95,807
144.1
56.5
86.8
810,624
163.2
59.1
103.2
Orange Park
Orlando
Ormond Beach
s
H
os
a
pit
lS
er
v
A
ice
re
Albany
a
Re
e
sid
nt
p
Po
t
ula
ion
A
ll
ys
Ph
ici
an
s
P
ri
r
ma
yC
ar
e
ys
Ph
ici
S
an
s
c
pe
ial
ist
161,956
108.7
35.8
71.9
Alma
14,542
170.5
65.3
97.8
92.4
Americus
35,386
161.9
48.6
112.6
112.0
Arlington
3,113
(247.4)
(105.5)
(140.5)
Athens
165,338
138.2
46.6
90.9
Atlanta
1,154,784
203.9
68.3
134.3
54,468
190.3
68.5
120.9
Augusta
352,472
206.4
63.8
140.5
Pahokee
9,848
151.5
47.6
103.3
Austell
96,453
160.8
47.8
112.0
Palatka
62,685
176.0
62.2
112.7
Bainbridge
25,511
154.2
50.9
102.7
Palm Beach Gardens
66,246
273.1
95.5
176.1
Baxley
14,099
145.1
70.8
73.5
136,187
140.2
47.7
91.8
Blairsville
11,360
223.9
72.9
150.2
Panama City
Pembroke Pines
Pensacola
70,914
197.1
70.8
123.8
Blakely
9,939
144.0
66.9
76.5
279,986
170.6
50.5
119.3
Blue Ridge
15,825
216.7
73.4
142.3
Plant City
51,769
150.2
59.3
90.1
Bremen
21,352
167.2
74.6
92.2
Plantation
137,308
261.0
86.3
173.2
Brunswick
84,235
182.4
46.7
134.2
Pompano Beach
103,236
219.3
71.7
146.6
Cairo
19,822
149.6
55.2
93.6
83,507
202.1
63.0
138.4
Calhoun
28,777
155.0
59.3
89.8
Port Charlotte
Port St Joe
7,490
227.2
113.9
112.7
Canton
43,413
165.0
55.0
109.4
Port St Lucie
65,448
198.0
56.0
140.2
Carrollton
67,207
141.1
44.9
95.8
Punta Gorda
26,936
223.6
71.1
151.8
Cartersville
40,687
139.0
44.6
92.1
Rockledge
96,220
132.6
49.2
83.0
Claxton
8,724
144.8
52.7
91.4
147.9
Safety Harbor
69,844
217.5
70.4
145.8
Clayton
12,053
230.6
82.0
Sanford
112,360
148.5
51.5
94.5
Cochran
11,373
155.2
72.7
81.8
Sarasota
200,101
211.7
59.9
150.0
Colquitt
6,277
147.1
62.0
84.5
Sebastian
25,225
220.3
60.2
159.0
Columbus
237,302
142.0
49.5
91.1
Sebring
36,498
241.9
79.4
158.6
Commerce
16,197
182.1
64.1
117.4
South Miami
28,410
240.9
71.2
166.8
Conyers
48,762
149.9
46.6
102.9
Spring Hill
82,358
176.1
58.0
117.4
Cordele
21,289
131.1
54.4
76.2
St Augustine
62,425
186.6
58.8
126.1
Covington
50,367
168.2
56.3
109.8
28,671
150.1
59.3
88.0
Cuthbert
6,917
156.5
79.3
76.1
401,404
201.1
67.2
132.3
Dahlonega
15,803
153.9
59.1
90.9
St Cloud
St Petersburg
Stuart
97,221
261.2
77.2
182.4
Dallas
28,118
138.8
52.5
85.7
Sun City Center
37,336
246.6
87.8
157.2
Dalton
103,835
135.7
40.5
93.1
289,258
154.1
61.6
91.8
Decatur
134,175
249.0
82.8
164.8
29,504
392.4
135.1
255.2
Demorest
26,831
180.9
72.9
107.6
Donalsonville
10,928
139.6
53.0
86.1
Douglas
34,499
157.4
60.7
93.8
56,919
136.4
49.2
85.5
Tallahassee
Tamarac
Tampa
623,806
193.9
60.6
131.8
Tarpon Springs
26,381
121.3
35.8
84.9
Tavernier
22,075
278.1
98.6
177.8
Douglasville
Titusville
57,509
194.6
51.0
140.4
Dublin
55,191
180.3
64.0
115.8
Venice
63,294
208.3
61.6
146.0
East Point
107,122
168.7
51.3
115.9
120.1
Vero Beach
79,932
235.2
55.0
178.7
Eastman
16,774
169.6
49.0
West Palm Beach
260,883
228.1
71.7
154.3
Eatonton
13,086
168.9
60.9
106.3
Winter Haven
136,665
150.7
42.2
108.1
Elberton
16,641
181.0
73.8
106.7
Ellijay
12,136
257.2
76.8
179.1
Fitzgerald
18,236
160.3
62.7
96.9
Folkston
6,486
231.6
112.7
116.5
Forsyth
9,757
147.9
53.1
88.2
Winter Park
73,708
144.2
53.9
89.8
Zephyrhills
33,183
231.8
84.3
145.7
Georgia
Adel
12,328
125.1
55.9
68.4
s
Ho
it
sp
al
Se
r
e
vic
Ar
ea
Re
e
sid
nt
p
Po
t
ula
ion
l
Al
ys
Ph
ici
an
s
i
Pr
r
ma
yC
ar
e
ys
Ph
ici
an
Sp
s
ia
ec
lis
ts
Ho
it
sp
al
Se
r
e
vic
Ar
ea
Re
e
sid
nt
p
Po
t
ula
ion
l
Al
ys
Ph
ici
an
s
i
Pr
r
ma
yC
ar
e
ys
Ph
ici
an
e
Sp
s
cia
lis
Fort Oglethorpe
67,256
134.3
44.5
89.1
Stockbridge
60,732
159.2
53.7
Fort Valley
14,027
151.0
63.7
86.7
Swainsboro
14,114
190.4
76.9
112.2
Gainesville
127,468
172.8
55.0
117.2
Sylvania
12,287
214.2
77.1
135.9
Glenwood
104.8
2,319
(141.0)
(51.5)
(89.0)
Thomaston
37,764
172.0
54.2
114.9
Greensboro
11,363
174.6
56.6
117.2
Thomasville
49,625
168.7
51.6
115.6
Griffin
65,699
163.3
53.2
109.4
Thomson
15,487
221.6
79.3
140.5
Hahira
6,921
82.7
30.3
51.5
Tifton
49,804
129.0
47.8
80.8
Hartwell
14,886
161.9
72.5
89.1
Toccoa
23,403
212.5
87.4
124.6
Hawkinsville
15,289
175.1
74.2
100.3
Valdosta
79,055
144.9
42.5
100.5
Hazlehurst
14,070
157.2
68.4
87.9
Vidalia
31,234
141.7
60.8
80.4
Hiawassee
6,754
265.1
87.7
176.4
Vienna
7,278
164.4
74.8
89.0
Hinesville
46,037
54.4
22.1
32.1
12,063
162.7
56.4
105.4
Homerville
Villa Rica
5,658
199.6
85.8
112.1
Warner Robins
73,283
145.8
51.7
92.8
Jackson
16,686
168.7
55.5
112.3
Washington
13,044
186.2
65.7
119.2
Jasper
15,677
215.4
79.2
135.4
Waycross
49,810
154.8
54.7
98.0
Jesup
23,999
152.3
63.1
88.5
Waynesboro
15,647
201.5
77.0
122.8
La Grange
66,708
132.0
30.5
101.0
Winder
22,606
197.0
69.7
126.6
Lakeland
4,289
(164.5)
(80.9)
(82.4)
Maryland
173,080
137.3
45.4
90.9
Annapolis
169,690
225.8
74.3
150.1
11,410
184.9
61.3
121.7
Baltimore
1,387,779
279.3
89.9
187.5
Lawrenceville
Louisville
Macon
227,504
158.8
49.5
108.3
Bethesda
154,160
606.3
172.4
426.4
Marietta
326,108
151.0
41.6
108.9
Cambridge
30,232
215.0
70.8
144.0
Mcrae
7,337
192.5
68.3
123.4
Chestertown
25,118
217.6
69.7
147.1
Metter
16,055
165.4
63.6
101.1
Cheverly
101,823
203.7
64.1
137.3
Milledgeville
39,173
222.6
70.4
147.1
Clinton
138,861
184.0
56.5
126.4
8,249
249.7
92.5
155.3
Columbia
134,155
297.9
103.8
192.2
Crisfield
Millen
Monroe
24,034
237.7
81.6
155.0
Montezuma
11,243
145.6
67.9
77.3
Cumberland
5,342
173.3
60.3
112.8
117,478
181.5
53.4
126.9
138.5
Moultrie
36,675
159.7
57.7
101.5
Easton
73,907
202.4
63.5
Nashville
10,071
173.5
72.7
99.7
Elkton
49,770
160.8
54.8
104.2
Newnan
68,671
159.8
45.7
112.4
Fallston
111,856
183.3
66.6
116.2
Ocilla
5,784
128.9
45.4
82.9
Frederick
157,430
192.9
63.4
128.4
Perry
15,106
156.3
60.1
95.5
Glen Burnie
225,358
189.5
61.6
126.9
Quitman
8,028
182.3
78.4
102.5
Hagerstown
119,919
158.1
47.4
110.4
Reidsville
6,286
125.4
61.3
63.4
Havre De Grace
69,554
163.1
60.2
102.4
Richland
4,889
(114.0)
(33.6)
(79.4)
La Plata
64,330
167.2
54.5
111.1
Lanham
150,617
215.3
70.7
142.3
Laurel
119,392
180.8
75.0
103.5
Leonardtown
71,103
162.7
52.6
109.5
Oakland
29,722
155.7
74.9
80.3
151,122
379.5
123.3
251.3
Riverdale
159,049
175.5
51.6
122.6
Rome
150,680
152.0
57.3
93.8
Roswell
121,060
204.8
73.4
129.6
Royston
24,558
168.8
71.8
96.4
Sandersville
24,867
184.8
66.6
113.6
Olney
284,567
157.4
47.9
108.2
Prince Frederick
Smyrna
54,816
213.6
59.4
153.5
Randallstown
Snellville
49,157
148.6
45.6
102.4
Rockville
225,579
257.1
81.6
172.7
8,908
206.9
69.9
134.5
Salisbury
146,736
157.5
54.8
102.5
Savannah
Sparta
57,164
184.7
62.5
121.6
131,793
204.7
74.3
129.2
St Marys
24,436
112.6
61.7
48.2
Silver Spring
146,102
381.2
122.3
252.2
Statesboro
45,281
130.6
50.6
79.5
Takoma Park
109,113
194.9
63.4
128.7
ts
127
128
Ho
it
sp
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Se
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e
vic
Ar
ea
Westminster
Re
e
sid
nt
p
Po
t
ula
ion
l
Al
88,241
ys
Ph
ici
166.3
an
s
i
Pr
r
ma
yC
57.9
ar
e
ys
Ph
ici
an
Sp
s
ia
ec
lis
107.8
North Carolina
Ahoskie
ts
Ho
it
sp
al
Se
r
e
vic
Ar
ea
Re
e
sid
nt
p
Po
t
ula
ion
l
Al
ys
Ph
ici
an
s
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Pr
r
ma
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ar
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ys
Ph
ici
an
e
Sp
s
cia
lis
ts
Kinston
76,811
163.4
53.9
Laurinburg
44,994
146.4
49.4
109.1
96.3
Lenoir
49,296
158.1
59.9
97.7
40,635
170.0
64.9
104.7
Albemarle
47,197
140.9
44.6
96.1
Lexington
70,891
135.9
52.2
83.3
Andrews
16,799
169.9
83.7
85.9
Lincolnton
39,372
127.6
45.9
81.3
Asheboro
78,481
149.9
53.7
95.8
Louisburg
28,527
163.2
68.3
94.2
Asheville
198,117
170.0
59.6
109.9
Lumberton
92,521
159.2
55.8
102.4
Banner Elk
Belhaven
Blowing Rock
8,031
160.0
64.7
95.0
Marion
35,600
138.6
55.3
80.6
10,839
154.3
61.4
92.7
Mocksville
24,999
127.6
49.0
78.0
2,032
(365.2)
(184.6)
(180.1)
Boone
44,100
166.4
77.0
89.2
Brevard
25,520
184.2
73.5
110.2
Morehead City
54,726
7,926
191.1
100.7
90.1
Morganton
50,932
11,967
176.7
60.8
115.2
Mount Airy
49,312
147.0
51.9
94.6
112,788
225.6
76.0
148.9
Murphy
19,145
219.4
97.4
121.6
New Bern
100.8
Bryson City
Burgaw
Burlington
Chapel Hill
87,131
241.2
76.2
163.9
Charlotte
594,360
142.0
47.5
93.9
Cherokee
3,339
(323.6)
(161.4)
(162.0)
Monroe
71,315
147.8
53.5
94.0
Mooresville
29,488
163.1
58.1
104.7
189.0
68.4
116.7
236.3
64.5
171.2
100,168
159.3
57.5
North Wilkesboro
50,268
131.6
53.2
78.2
Oxford
21,991
177.4
63.2
112.8
Clinton
49,607
188.6
74.0
113.5
Pinehurst
94,235
164.2
42.4
119.8
Clyde
46,942
172.2
71.2
100.8
Plymouth
14,107
129.4
55.6
73.6
Columbus
19,486
172.4
63.4
108.5
Raleigh
496,421
161.6
61.8
99.4
Concord
101,766
153.7
53.7
99.8
Reidsville
38,421
151.9
59.7
91.8
Crossnore
11,367
137.3
52.6
84.5
Roanoke Rapids
52,317
153.1
48.7
102.5
Dunn
20,584
249.0
87.4
160.4
Rockingham
24,282
166.2
51.5
113.7
Durham
222,595
219.6
64.7
152.7
Rocky Mount
114,344
145.9
51.3
93.6
Eden
30,841
179.9
65.6
113.8
Roxboro
26,235
197.9
64.0
132.3
Edenton
17,972
193.1
65.7
127.1
Rutherfordton
57,003
136.2
54.2
81.7
Elizabeth City
78,801
188.6
66.8
121.3
Salisbury
90,049
177.2
69.4
106.6
Elizabethtown
27,943
155.8
64.5
90.6
Sanford
49,597
218.5
76.6
139.6
Elkin
25,954
139.4
56.8
82.2
Shelby
78,986
143.8
50.2
93.4
Erwin
10,323
142.2
43.9
97.6
Siler City
16,192
197.7
72.8
124.1
Fayetteville
273,315
127.3
41.6
84.5
Smithfield
53,009
210.8
77.5
130.9
Franklin
18,986
178.3
65.0
112.9
Southport
13,630
165.7
65.2
100.0
Gastonia
126,551
146.8
47.6
98.9
Sparta
10,207
128.5
64.3
63.9
Goldsboro
102,515
153.6
53.1
98.5
Spruce Pine
29,638
180.4
93.0
87.0
Greensboro
294,408
157.1
52.4
104.1
Statesville
80,452
144.8
42.9
101.6
Greenville
148.2
119,550
160.8
56.2
104.3
Supply
22,060
217.4
68.3
Hamlet
13,443
140.4
41.2
98.4
Sylva
25,750
166.6
85.2
81.3
Henderson
57,815
192.2
62.8
126.9
Tarboro
29,440
135.8
49.6
85.8
Hendersonville
64,607
216.9
70.3
145.0
Taylorsville
19,679
99.3
37.0
61.8
Hickory
147,492
110.4
39.6
69.8
Thomasville
32,777
142.4
57.6
84.5
High Point
116,005
150.2
49.5
100.4
Highlands
3,784
(231.3)
(97.0)
(133.7)
Jacksonville
Troy
15,365
118.0
36.8
80.5
Valdese
19,618
176.0
54.6
120.8
144,599
128.6
35.9
90.3
Wadesboro
21,175
168.6
62.3
105.8
Jefferson
21,222
133.9
65.2
68.4
Washington
11,434
414.1
137.1
276.5
Kenansville
25,904
148.4
53.0
91.9
Whiteville
37,673
139.8
44.2
95.0
Kings Mountain
21,012
141.0
48.5
92.2
Williamston
40,849
63.9
24.1
38.0
Ho
it
sp
al
Se
r
e
vic
Ar
ea
Wilmington
Re
e
sid
nt
p
Po
t
ula
ion
l
Al
ys
Ph
ici
an
s
i
Pr
r
ma
yC
ar
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Ph
ici
an
Sp
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ia
ec
lis
ts
Ho
it
sp
al
Se
r
e
vic
Ar
ea
Re
e
sid
nt
p
Po
t
ula
ion
l
Al
ys
Ph
ici
an
s
i
Pr
r
ma
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ar
e
ys
Ph
ici
an
e
Sp
s
cia
lis
164,296
181.7
56.2
124.6
Sumter
108,078
121.2
41.4
Wilson
78,196
140.1
45.0
94.6
Union
30,061
157.1
65.4
91.3
Windsor
9,205
155.8
50.7
104.6
Varnville
14,087
234.8
81.5
152.0
344,718
154.1
44.9
108.3
Walterboro
Winston-Salem
South Carolina
78.9
34,578
170.0
65.6
103.3
134,912
157.8
50.9
106.6
Winnsboro
17,083
158.7
68.7
89.7
10,206
165.8
51.0
114.4
West Columbia
Abbeville
22,051
120.4
45.3
74.6
Aiken
72,682
179.1
55.9
121.5
Woodruff
Anderson
144,222
159.6
61.0
98.2
Virginia
Bamberg
16,726
198.0
80.5
116.9
Abingdon
40,055
138.9
54.8
83.7
Barnwell
15,270
179.6
63.4
115.3
Alexandria
254,920
227.4
72.4
152.8
Beaufort
58,874
179.7
64.6
113.3
Arlington
203,342
260.0
87.4
169.6
Bennettsville
25,968
139.9
56.7
82.6
Bedford
21,022
135.2
54.0
80.6
Bishopville
11,965
147.8
58.4
88.5
Big Stone Gap
16,875
173.2
78.9
93.5
Camden
35,384
206.5
74.9
129.1
Blacksburg
65,970
144.7
53.6
89.8
474,236
179.8
56.7
121.5
Charlottesville
180,819
242.2
89.8
149.1
Cheraw
28,609
134.9
69.8
64.6
Chesapeake
109,729
175.1
64.2
110.0
Chester
27,889
169.4
58.6
110.0
Clintwood
14,859
155.7
79.4
75.8
Clinton
41,433
171.4
80.8
89.5
Culpeper
31,491
179.6
68.0
110.5
Columbia
338,246
164.9
52.7
111.7
Danville
106,145
146.0
40.8
104.8
Conway
44,127
142.6
52.1
88.7
Emporia
27,987
183.4
83.5
99.3
Dillon
24,680
101.7
45.2
56.1
Fairfax
74,528
105.1
36.9
67.4
Easley
56,345
119.7
51.0
68.4
Falls Church
478,083
221.2
74.1
145.0
Charleston
6,884
191.3
70.9
119.0
Farmville
26,312
159.7
50.9
108.5
13,637
215.5
77.2
136.9
Franklin
24,960
190.0
78.6
111.1
Florence
166,410
129.1
50.0
77.7
Fredericksburg
170,385
164.6
48.7
114.4
Gaffney
44,505
144.2
56.4
87.6
Front Royal
26,028
153.9
50.5
102.7
Georgetown
44,438
195.1
56.9
137.4
Galax
43,383
155.4
64.3
90.7
Greenville
319,940
154.9
52.3
101.6
Gloucester
43,109
194.2
73.1
120.3
Greenwood
85,535
149.7
56.0
92.6
Grundy
29,563
137.4
60.9
76.0
Greer
43,033
149.5
59.3
89.7
Hampton
85,214
141.3
46.3
94.4
Hartsville
30,219
164.7
71.2
92.7
Harrisonburg
110,664
149.6
56.5
92.0
Hilton Head Island
30,896
298.1
72.4
225.0
33,477
134.4
52.9
81.2
Kingstree
22,800
133.3
59.2
73.3
Hot Springs
5,404
200.2
62.6
136.7
Lancaster
58,618
145.7
47.5
97.5
Kilmarnock
25,325
299.0
114.0
184.2
Loris
25,512
136.2
47.9
87.5
Lebanon
29,998
152.4
66.5
85.2
Manning
23,744
152.9
55.3
96.9
Leesburg
54,502
190.7
68.6
121.4
Edgefield
Fairfax
Hopewell
Marion
20,078
121.4
50.9
69.8
Lexington
29,020
202.5
87.4
114.2
Mount Pleasant
42,247
310.9
95.0
213.5
Low Moor
27,954
161.1
58.9
101.5
Mullins
19,379
162.0
71.9
89.1
Luray
16,160
168.3
68.4
98.8
Myrtle Beach
88,501
206.0
63.5
140.0
Lynchburg
192,921
155.6
59.2
95.5
Manassas
101.8
Newberry
25,379
183.0
66.5
116.2
101,395
150.6
48.4
Orangeburg
88,299
143.0
56.6
86.0
Marion
33,662
170.3
71.4
98.5
Pickens
19,834
132.5
57.1
75.1
Martinsville
74,428
140.4
44.6
94.3
9,007
266.5
92.2
172.6
Nassawadox
133,346
138.8
43.1
93.6
Ridgeland
Rock Hill
Seneca
Spartanburg
33,953
180.5
57.2
122.8
Newport News
285,327
164.7
57.1
106.4
57,557
173.1
62.2
110.5
Norfolk
387,166
177.3
59.8
116.7
201,975
139.5
47.8
91.3
Norton
30,691
172.5
74.1
97.6
ts
129
130
Ho
it
sp
al
Se
r
e
vic
Ar
ea
Re
e
sid
nt
p
Po
t
ula
ion
l
Al
ys
Ph
ici
an
s
i
Pr
r
ma
yC
ar
e
ys
Ph
ici
an
Sp
s
ia
ec
lis
ts
Ho
it
sp
al
Se
r
e
vic
Ar
ea
Re
e
sid
nt
p
Po
t
ula
ion
l
Al
ys
Ph
ici
an
s
i
Pr
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ma
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ar
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Ph
ici
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Sp
s
cia
lis
Pearisburg
18,608
203.8
89.1
113.5
Montgomery
13,120
225.5
83.9
140.4
Pennington Gap
17,208
157.5
71.1
85.5
Morgantown
101,244
183.7
63.0
119.8
Petersburg
111,954
204.7
75.7
127.8
New Martinsville
23,738
155.1
60.4
94.5
Portsmouth
161,696
244.9
71.7
171.4
Oak Hill
27,598
221.2
114.1
105.9
Pulaski
20,374
186.6
61.3
124.9
Parkersburg
128,681
126.6
44.2
81.5
Radford
38,074
157.6
53.5
103.7
Petersburg
18,652
131.3
54.2
76.6
Reston
148,352
170.2
62.2
106.6
Philippi
10,520
182.1
98.0
83.4
30,401
206.0
82.2
123.3
Point Pleasant
24,531
170.2
71.5
95.8
108.4
Richlands
Richmond
801,560
199.6
68.8
130.3
Princeton
42,015
177.1
66.7
Roanoke
221,226
179.2
55.4
122.5
Ranson
30,538
154.4
53.9
99.9
23,408
146.6
53.7
92.1
4,522
(194.9)
(88.1)
(106.1)
23,086
104.8
46.9
57.3
6,911
160.7
70.6
89.3
Rocky Mount
Richwood
Salem
49,858
148.6
46.5
101.5
Ripley
South Boston
54,014
171.2
54.7
115.8
Romney
South Hill
27,908
163.6
65.2
95.7
Ronceverte
45,052
227.2
101.4
125.2
Staunton
97,021
224.8
76.3
146.5
Sistersville
3,113
(165.4)
(90.1)
(75.1)
Stuart
13,469
128.7
47.3
80.5
South Charleston
67,709
146.6
55.3
89.6
Suffolk
60,787
190.7
63.4
126.9
Spencer
17,431
135.7
52.1
78.2
Tappahannock
22,578
221.2
80.0
140.6
Summersville
25,851
174.5
82.5
91.4
Tazewell
13,794
172.1
72.9
98.5
5,086
172.2
73.1
98.5
108.3
Virginia Beach
Webster Springs
267,490
192.1
56.1
133.5
Weirton
49,276
161.5
53.0
Warrenton
51,870
168.1
50.8
116.6
Weston
26,104
137.2
57.5
79.4
Williamsburg
56,825
290.4
101.4
185.1
Wheeling
99,625
190.9
60.4
130.4
Williamson
25,405
216.6
91.9
121.3
Winchester
103,580
136.2
40.6
94.7
Woodbridge
149,821
119.1
37.5
80.8
Woodstock
22,171
125.7
52.1
73.0
Wytheville
31,643
156.7
61.7
94.5
108.4
West Virginia
Beckley
105,431
175.4
65.2
Berkeley Springs
10,327
202.5
85.8
115.7
Bluefield
73,865
187.3
68.5
117.1
Buckhannon
23,150
170.5
85.1
85.1
Charleston
196,739
159.4
57.5
100.1
Clarksburg
79,853
155.5
58.4
96.8
Elkins
42,789
165.5
60.9
102.2
Fairmont
56,900
185.2
64.5
120.2
Gassaway
11,069
131.9
62.2
69.0
Glen Dale
29,706
137.5
55.8
81.5
Grafton
10,102
148.9
66.6
81.8
4,972
(126.0)
(48.4)
(76.6)
Grantsville
Hinton
11,125
190.0
107.6
81.7
179,391
170.3
61.6
107.1
Hurricane
32,382
113.5
51.1
61.7
Kingwood
12,054
177.0
71.6
104.8
Logan
43,292
166.3
68.5
95.5
Man
15,231
146.5
60.7
84.6
5,820
230.3
97.2
132.4
60,158
208.5
69.5
137.2
Huntington
Marlinton
Martinsburg
ts
PART FIVE
The Utilization of Hospitals for
Medical and Surgical Conditions
This section of the Atlas provides overall measures of the use of
hospitals for medical and surgical discharges, as well as procedure
rates for selected conditions.
As described in Part Two of the national volume of the
Dartmouth Atlas of Health Care, variations in the rates of use of
hospitals for medical discharges are closely related to the capacity
of the hospital industry in local and regional markets. Supplyrelated variations in the use of specific surgical procedures, while
linked to the quantity of resources, also reflect scientific
uncertainty about the outcomes of alternative ways of treating
common conditions — whether to treat coronary artery disease
medically or surgically, for example. These variations also reflect
a common failure to adequately involve patients in making
decisions about treatment choices. Part Six of the national volume
of the Atlas discusses these sources of variation in more detail to
raise the question “Which rate is right?” The wide variations in
surgical procedure rates in the region make clear the relevance of
the question for the South Atlantic States.
This section of the Atlas is based on data from the Medicare
program for 1992-93.
132
Total Medicare Discharges
All Discharges per 1,000 Medicare Enrollees in HSAs
The total number of discharges per thousand Medicare enrollees tended to be
higher than the national average of 315 in the majority of large hospital service areas
in Georgia and West Virginia. There was substantial variation in all of the South
Atlantic States; among the region’s larger cities, the numbers of discharges were well
higher than the national average in Parkersburg, West Virginia (409.8) and Baltimore (376.3); close to the national average in Richmond, Virginia (330.3); Miami
(318.7); and Atlanta (310.0); and below the national average in Wilmington, Delaware (300.5); Washington, D.C. (299.4); Tampa, Florida (293.9); Raleigh, North
Carolina (290.5); Charleston, South Carolina (285.3); Columbia, South Carolina
(247.0); and Charlotte, North Carolina (239.8).
Figure 5.1. All Discharges per 1,000 Medicare Enrollees in Hospital Service Areas in the South
Atlantic States (1992-93)
The number of discharges per thousand Medicare enrollees varied by a factor of more than 2.4. Each point
THE UTILIZATION OF HOSPITALS FOR MEDICAL AND SURGICAL CONDITIONS
133
134
Medicare Discharges for Medical Conditions
Medical Discharges per 1,000 Medicare Enrollees in HSAs
Discharges for medical conditions per thousand Medicare enrollees varied among
and within the South Atlantic States, but tended in some areas to be far higher than
the U.S. average of 220. Among the region’s larger cities, the numbers of discharges
for medical conditions per thousand residents were substantially higher than the
national average in Parkersburg, West Virginia (303.5) and Baltimore (261.4).
Miami (229.3) and Richmond, Virginia (223.3) were close to the national average;
Atlanta (211.9); Washington, D.C. (202.8); Tampa, Florida (202.4); Wilmington,
Delaware (201.3); Raleigh, North Carolina (193.9); Charleston, South Carolina
(187.5); Columbia, South Carolina (161.3); and Charlotte, North Carolina (152.2)
were below it.
Figure 5.2. Medical Discharges per 1,000 Medicare Enrollees in Hospital Service Areas in the South
The number of discharges for medical conditions per thousand Medicare enrollees varied by a factor of more than
2.9. Each point represents one hospital service area.
135
136
Medicare Discharges for Surgical Procedures
Surgical Discharges per 1,000 Medicare Enrollees in HSAs
Surgical discharges per thousand Medicare enrollees tended to be higher in hospital
service areas in Florida, Georgia, and Maryland than in North and South Carolina.
Among the region’s larger cities, the numbers of surgical discharges were higher than
the U.S. average of 95 per thousand in Baltimore, Maryland (114.9); Richmond,
Virginia (107.3); Parkersburg, West Virginia (106.6); and Wilmington, Delaware
(99.1). Atlanta (98.4); Charleston, South Carolina (98.1); Washington, D.C.
(97.6); and Raleigh, North Carolina (96.8) were near the national average; Tampa,
Florida (91.6); Miami (89.2); Charlotte, North Carolina (87.8); and Columbia,
South Carolina (86.1) were below it.
Figure 5.3. Surgical Discharges per 1,000 Medicare Enrollees in Hospital Service Areas in the South
The number of surgical discharges per thousand Medicare enrollees varied by a factor of more than 1.6. Each point
137
138
Medicare Discharges for High Variation Medical Conditions
Discharges for HVMCs per 1,000 Medicare Enrollees in HSAs
More than 80% of medical admissions are for the treatment of what have been
described as “high variation medical conditions,” including problems such as pneumonia, chronic obstructive pulmonary disease, gastroenteritis, and congestive heart
failure. Residents of areas with higher hospital capacity experienced greater use of
hospital care, particularly for high variation medical conditions. Among the South
Atlantic States’ larger hospital service areas, the numbers of discharges for high variation medical conditions were higher than the national average of 191 per thousand
residents in Parkersburg, West Virginia (264.9) and Baltimore, Maryland (228.5).
Columbia, South Carolina (139.4) and Charlotte, North Carolina (127.5) were well
below the national average.
Figure 5.4. Discharges for High Variation Medical Conditions per 1,000 Medicare Enrollees in Hospital
Discharges for high variation medical conditions per thousand Medicare enrollees varied by a factor of more than
139
140
Contribution of Discharge Rate and Average Length of Stay to Patient
Days of Hospitalization for High Variation Medical Conditions
As shown in Part Two of the national Atlas, the rates of hospitalization for high
variation medical conditions in hospital service areas are closely associated with the
numbers of beds per thousand residents. Greater numbers of available beds reduce
the threshold for admission and re-admission. Although health services research has
consistently shown that admission policies are more important than length of stay
in determining aggregate hospital resource use, length of stay continues to be used
as a measure of hospital efficiency. Figures 5.5 and 5.6 illustrate the importance of
discharge rates as determinants of hospital use for high variation medical conditions.
Most of the variation in bed use was associated with the decision to admit (as measured by discharge rate) rather than decisions on how long to keep patients in the
hospital.
Patient Days of Hospitalization for High Variation
Medical Conditions per 1,000 Medicare Enrollee
in Hospital Service Areas
Discharges for HVMCs per 1,000 Medicare Enrollees in HSAs
Patient Days of Hospitalization for High Variation
Medical Conditions per 1,000 Medicare Enrollee
in Hospital Service Areas
Figure 5.5. The Relationship Between Discharge Rate for High Variation Medical Conditions and Total
Hospital Days in Hospital Service Areas in the South Atlantic States
Most of the variation in hospital days for high variation medical conditions among hospital service areas is
associated with differences in discharge rates. (R2=.76)
Length of Stay for HVMCs per 1,000 Medicare Enrollees in HSAs
Figure 5.6. The Relationship Between Average Length of Stay (in Days) for High Variation Medical
Conditions and Total Hospital Days in Hospital Service Areas in the South Atlantic States
The average length of stay explains less of the variation in bed use for high variation medical conditions among
hospital service areas (R2=.05) than does the area’s discharge rate.
141
142
Figure 5.7. Discharges for Surgical Procedures per 1,000 Medicare Enrollees in Selected Hospital Service
Areas in the South Atlantic States Compared to the Highest and Lowest Ranked Selected Hospital
Service Areas (1992-93)
The figure gives the ratio of discharges for surgical procedures in selected hospital service areas to the lowest and the
highest ranked areas. It also compares each selected area to the U.S. average. The number of surgical discharges above
(+) or below (-) the number predicted by the experience in the benchmark area for 1992-93 is in parentheses. For
example, the number of surgical discharges per 1,000 Medicare enrollees allocated to the residents of Baltimore was
1.34 times higher than the number allocated to residents of Columbia, South Carolina. If the level of
hospitalization of the Columbia benchmark in 1993 had been attained for the residents of Baltimore, 11,010 fewer
discharges would have occurred among Baltimore residents.
Figure 5.8. Discharges for Surgical Procedures per 1,000 Medicare Enrollees in Selected Hospital Service
Areas in the South Atlantic States Compared to Selected Hospital Service Areas Elsewhere in the U.S.
(1992-93)
The figure gives the ratio of discharges for surgical procedures in selected hospital service areas in the South Atlantic
States to other areas. The number of surgical discharges above (+) or below (-) the number predicted by the
experience in the benchmark area is in parentheses. For example, the number of surgical discharges per 1,000
Medicare enrollees allocated to the residents of Baltimore was 1.37 times higher than the number allocated to
residents of New Haven, Connecticut. If the level of hospitalization of the New Haven benchmark in 1992-93 had
been attained for the residents of Baltimore, 11,853 fewer discharges would have occurred. If the Pittsburgh
benchmark had applied, 2,523 fewer discharges would have occurred among residents of Baltimore.
143
144
Benchmarking: Discharges for High Variation Medical Conditions
Figure 5.9. Discharges for High Variation Medical Conditions per 1,000 Medicare Enrollees in Selected
Hospital Service Areas in the South Atlantic States Compared to the Highest and Lowest Ranked
Selected Hospital Service Areas (1992-93)
The figure gives the ratio of discharges for high variation medical conditions in selected hospital service areas to the
lowest and the highest ranked areas. It also compares each selected area to the U.S. average. The number of
discharges for high variation medical conditions above (+) or below (-) the number predicted by the experience in
the benchmark area for 1992-93 is in parentheses. For example, the number of discharges per 1,000 Medicare
enrollees allocated to the residents of Parkersburg, West Virginia was 2.08 times higher than the number allocated
to the residents of Charlotte, North Carolina. If the level of hospitalization of the Charlotte benchmark in 199293 had been attained for the residents of Parkersburg, 5,211 fewer discharges would have occurred among residents
of Parkersburg.
Benchmarking: High Variation Medical Conditions
Figure 5.10. Discharges for High Variation Medical Conditions per 1,000 Medicare Enrollees in Hospital
Service Areas in the South Atlantic States Compared to Selected Hospital Service Areas Elsewhere in
the U.S. (1992-93)
The figure gives the ratio of discharges for high variation medical conditions in selected hospital service areas in the
South Atlantic States to other areas. The number of discharges for high variation medical conditions above (+) or
below (-) the number predicted by the experience in the benchmark area is in parentheses. For example, the number
of discharges per 1,000 Medicare enrollees allocated to the residents of Parkersburg, West Virginia was 2.05 times
higher than the number allocated to residents of New Haven, Connecticut. If the level of hospitalization of the New
Haven benchmark in 1992-93 had been attained for the residents of Parkersburg, 5,138 fewer discharges would
have occurred. If the Pittsburgh benchmark had applied, 686 fewer discharges would have occurred among residents
of Parkersburg.
145
146
CABG Procedures per 1,000 Medicare Enrollees in HSAs
Rates of coronary artery bypass grafting per thousand Medicare enrollees were below
the national average of 5.2 procedures per thousand Medicare enrollees in all of
Delaware’s hospital service areas, and in Washington, D.C.; in the other South
Atlantic States, rates straddled the national average. Among the region’s larger cities,
rates of coronary artery bypass grafting were substantially higher than the national
average in Greenville, North Carolina (7.7); Charleston, West Virginia (7.0);
Savannah, Georgia (6.9); Boca Raton, Florida (6.9); and Miami Beach (6.2). In
contrast, the rate in Miami (4.4) was well below the national average; this was also
the case in Falls Church, Virginia (3.6); and Rockville, Maryland (3.4).
Figure 5.11. Rates of Coronary Artery Bypass Grafting Procedures per 1,000 Medicare Enrollees in
Rates of coronary artery bypass grafting per thousand Medicare enrollees varied by a factor of more than 3.2. Each
point represents one hospital service area.
147
148
Percutaneous Transluminal Coronary Angioplasty
PTCA Procedures per 1,000 Medicare Enrollees in HSAs
Rates of angioplasty per thousand Medicare enrollees varied remarkably within and
among the South Atlantic States. Among the region’s larger cities, rates of angioplasty were substantially higher than the U.S. average of 4.9 procedures per
thousand in Boca Raton, Florida (7.6); Miami Beach (6.6); Woodbridge, Virginia
(6.4); Silver Spring, Maryland (6.2); and Savannah, Georgia (5.9). In Florida,
Miami (4.4) and West Palm Beach (4.3) were about 30% lower than Miami Beach.
Falls Church, Virginia (4.0); Rockville, Maryland (3.8); and Durham, North
Carolina (2.8) were also well below the national average.
Figure 5.12. Rates of Percutaneous Transluminal Coronary Angioplasty Procedures per 1,000 Medicare
Rates of angioplasty varied by a factor of more than 6.2. Each point represents one hospital service area.
149
150
Coronary Angiography
CABG and PTCA Procedures per 1,000 Medicare Enrollees in HSAs
Rates of coronary angiography varied substantially within the region. The
hospital service area in Titusville, Florida, with 35.2 angiographies per thousand Medicare enrollees, was more than three times as high as Port St. Lucie,
Florida, with 8.4. Hendersonville, North Carolina (8.4) and Fayetteville,
North Carolina (8.5) also had rates substantially lower than the national average of 16.2 per thousand Medicare enrollees. Coronary angiography is an
essential diagnostic step in the decision making process leading to the recommendation of CABG or PTCA procedures. In the South Atlantic States,
hospital service areas that performed more diagnostic tests for coronary artery
disease per thousand Medicare enrollees had higher rates of invasive treatment.
Rates of Coronary Angiography per 1,000 Medicare Enrollees in Hospital Service Areas
Figure 5.13. The Association Between Rates of Coronary Angiography and the Combined Rates of
Coronary Artery Bypass Grafting and Coronary Angiography Procedures per 1,000 Medicare Enrollees in
The number of Medicare enrollees undergoing invasive cardiovascular procedures was closely linked with the rate
of diagnostic testing (R 2 = .62)
151
152
Back Surgery
Back Surgery Procedures per 1,000 Medicare Enrollees in HSAs
Rates of back surgery per thousand Medicare enrollees were lower than the U.S.
average of 2.7 procedures per thousand Medicare enrollees in most large hospital
service areas in West Virginia; in the other South Atlantic States, hospital service
areas had rates both above and below the national average. Among the region’s larger
cities, rates of back surgery were almost twice the national average in Savannah,
Georgia (5.0); Durham, North Carolina (3.6); and Boca Raton, Florida (3.4).
Among the areas with back surgery rates below the national average were Miami
Beach (1.8); Charleston, West Virginia (1.3); and Miami (1.3).
Figure 5.14. Rates of Back Surgery Procedures per 1,000 Medicare Enrollees in Hospital Service
Rates of back surgery varied by a factor of more than 8. Each point represents one hospital service area.
153
154
Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia
TURP Procedures for BPH per 1,000 Male Medicare Enrollees in HSAs
Rates of transurethral resection of the prostate per thousand male Medicare enrollees
varied substantially among and within the South Atlantic States. Rates of transurethral resection of the prostate were higher than the U.S. average of 12.9 procedures
per thousand male Medicare enrollees in Charleston, West Virginia (15.6). West
Palm Beach, Florida (12.7); Rockville, Maryland (12.5); and Miami (11.8) were
near the national average; Silver Spring, Maryland (9.6); Greenville, North Carolina (8.9); Falls Church, Virginia (8.5); and Woodbridge, Virginia (7.4) were well
below it.
Figure 5.15. Rates of Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia per 1,000
Male Medicare Enrollees Allocated to Hospital Service Areas in the South Atlantic States (1992-93)
Rates of transurethral resection of the prostate per thousand male Medicare enrollees varied by a factor of more than
155
156
Benchmarking: CABG Procedures
Figure 5.16. CABG Procedures per 1,000 Medicare Enrollees In Selected Hospital Service Areas in the
South Atlantic States Compared to the Highest and Lowest Ranked Selected Hospital Service Areas
(1992-93)
The figure gives the ratio of coronary artery bypass grafting in selected hospital service areas to the lowest and the
highest ranked areas. It also compares each selected area to the U.S. average. The number of CABG procedures above
example, the number of CABG procedures per 1,000 Medicare enrollees in Greenville, North Carolina was 2.23
times higher than the number per 1,000 enrollees in Rockville, Maryland. If the CABG rate of the Rockville
benchmark in 1992-93 had been attained for the residents of Greenville, 109 fewer CABG procedures would have
been performed on Greenville residents.
Benchmarking: CABG Procedures
Figure 5.17. CABG Procedures per 1,000 Medicare Enrollees In Selected Hospital Service Areas in the
South Atlantic States Compared to Selected Hospital Service Areas Elsewhere in the U.S. (1992-93)
The figure gives the ratio of coronary artery bypass grafting in selected hospital service areas in the South Atlantic
States to other areas. The number of CABG procedures above (+) or below (-) the number predicted by the
experience in the benchmark area is in parentheses. For example, the number of CABG procedures per 1,000
Medicare enrollees in Greenville, North Carolina was 1.92 times higher than the rate per 1,000 Medicare enrollees
in Boston. If the CABG rate of the Boston benchmark in 1992-93 had been attained for the residents of Greenville,
95 fewer CABG procedures would have been performed. If the Birmingham, Alabama benchmark had applied, 26
more CABG procedures would have been performed on Greenville residents.
157
158
Benchmarking: Angiography
Figure 5.18. Angiography Procedures per 1,000 Medicare Enrollees In Selected Hospital Service Areas in
the South Atlantic States Compared to the Highest and Lowest Ranked Selected Hospital Service Areas
(1992-93)
The figure gives the ratio of coronary angiography in selected hospital service areas to the lowest and the highest
ranked areas. It also compares each selected area to the U.S. average. The number of coronary angiographies above
example, the number of coronary angiographies per 1,000 Medicare enrollees in Savannah, Georgia was 2.12 times
higher than the rate per 1,000 Medicare enrollees in Falls Church, Virginia. If the angiography rate of the Falls
Church benchmark in 1992-93 had been attained for the residents of Savannah, 825 fewer coronary angiographies
would have been performed on Savannah residents.
Benchmarking: Angiography
Figure 5.19. Angiography Procedures per 1,000 Medicare Enrollees in Selected Hospital Service Areas in
the South Atlantic States Compared to Selected Hospital Service Areas Elsewhere in the U.S. (1992-93)
The figure gives the ratio of coronary angiography in selected hospital service areas in the South Atlantic States to
other areas. The number of coronary angiographies above (+) or below (-) the number predicted by the experience
in the benchmark area is in parentheses. For example, the number of coronary angiographies per 1,000 Medicare
enrollees in Savannah, Georgia was 1.78 times higher than the number per 1,000 enrollees in Boston. If the
angiography rate of the Boston benchmark in 1993 had been attained for the residents of Savannah, 684 fewer
coronary angiographies would have been performed on Savannah residents. If the Birmingham, Alabama benchmark
had applied, 478 more coronary angiographies would have been performed.
159
160
TABLE 5
All rates are age, sex and race adjusted and are for 1992-93. The denominator is
based on two-year enrollee or person-years of experience.
For total, surgical and medical discharges as well as discharges for high variation
medical conditions, hospital service areas with total populations of fewer than 3,500
were omitted from the figures and maps. This gives a minimum 2-year population
of about 700 person-years. With an average total discharge rate of 315 per 1,000,
the minimum standard error for rates displayed in the figures and maps is less than
5.6% of the U.S. average (rate = 315, SE = .018) under binomial assumptions.
Rates for HSAs that do not meet the minimum population criteria are shown in
parentheses in Table 5.
For specific surgical procedures, hospital service areas with fewer than 25 expected
cases were not included in the figures and tables. Given the low average procedure
rate of between 1 and 5 procedures per 1,000, the largest standard error for included
areas is less than 20% of the overall rate. Rates for HSAs that do not meet the minimum expected case criterion are shown in parentheses in Table 5.
Rates for HSAs with 10 cases or fewer are omitted from the tables.
TURP for BPH = transurethral prostatectomy for male Medicare enrollees with
benign prostatic hyperplasia.
TABLE 5
Hospitalizations for Total, Surgical, Medical, and High Variation Medical Conditions,
and Selected Diagnostic and Surgical Procedures in Hospital Service Areas
per 1,000 Medicare Enrollee Person-Years (1992-93)
Ho
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V
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BG
Su
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PT
CA
Co
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a
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ry
A
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gr
ap
hy
B
u
kS
ac
rg
er
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TU
RP
for
Delaware
Dover
97,182
18,789
303.0
203.2
99.7
176.3
3.6
3.4
13.4
2.4
16.5
Lewes
39,603
19,515
350.7
240.3
110.1
205.4
4.2
7.5
19.7
1.6
18.5
Milford
51,846
14,479
362.5
261.2
101.4
228.8
3.3
4.4
12.7
2.3
22.4
Seaford
32,148
10,165
401.3
285.9
115.4
252.7
5.2
6.5
22.4
3.3
10.5
438,123
102,291
300.5
201.3
99.1
174.2
4.7
6.1
18.1
2.8
15.4
878,265
174,867
299.4
202.8
97.6
178.8
4.0
4.8
13.8
3.1
13.5
Wilmington
Washington
Florida
Apalachicola
6,400
1,746
460.9
370.9
87.1
349.8
Arcadia
24,750
8,581
407.7
279.8
127.8
245.1
10.7
10.5
30.9
11.9
(4.8)
20.0
Atlantis
140,650
40,548
261.9
168.6
93.3
144.6
5.2
6.1
16.7
3.3
15.4
Avon Park
55,412
25,941
299.5
206.7
92.7
178.3
5.6
5.7
17.4
3.5
8.7
Bartow
35,220
9,051
293.0
207.1
85.9
179.8
4.1
7.1
19.0
(3.4)
13.0
Belle Glade
26,358
2,016
394.4
298.6
94.2
272.1
7.5
Blountstown
10,264
2,852
389.6
304.6
84.0
275.3
16.0
Boca Raton
156,070
70,541
290.0
196.2
93.6
168.4
6.9
7.6
20.4
3.4
11.3
Boynton Beach
100,774
48,492
255.8
159.8
95.8
135.5
5.8
6.5
17.3
4.3
12.9
Bradenton
197,705
96,802
244.1
154.4
89.6
132.3
6.2
3.9
17.2
3.9
11.1
Brandon
151,359
20,448
323.7
222.0
101.4
189.9
6.0
4.7
17.5
3.5
14.9
Brooksville
25,130
11,558
333.9
236.0
97.9
205.1
7.4
5.6
22.2
1.9
21.2
Bunnell
23,119
8,975
208.7
119.9
86.3
99.8
3.9
3.2
7.6
1.7
18.7
Cape Coral
82,846
37,878
270.8
171.5
97.9
145.6
4.8
5.8
19.1
5.0
Chipley
11,248
4,046
419.4
327.9
91.6
287.9
(4.1)
(4.9)
22.1
Clearwater
(13.4)
12.0
(8.7)
181,729
66,149
296.2
197.0
99.5
167.6
5.1
5.3
18.0
3.8
12.8
Clermont
23,801
7,274
281.4
190.6
90.6
155.6
4.4
7.7
18.2
(2.1)
11.7
Clewiston
14,427
2,555
353.8
255.6
98.0
225.5
(5.3)
Cocoa Beach
35,563
16,997
286.8
197.8
88.8
172.1
5.7
3.2
13.7
Coral Gables
13,791
3,296
276.1
186.9
89.2
164.9
(4.1)
(5.6)
13.8
12.7
2.5
11.4
(7.9)
Coral Springs
83,862
8,678
299.1
205.3
93.8
177.7
4.5
6.2
12.0
(1.8)
13.0
Crestview
29,976
7,176
427.9
331.2
97.7
293.8
5.1
3.2
15.4
(3.8)
16.3
Crystal River
53,511
34,971
286.9
190.0
96.0
160.9
6.0
4.1
13.2
3.9
12.1
Dade City
30,724
8,021
318.8
207.6
111.1
170.9
6.9
6.4
17.0
(3.5)
21.5
143,628
39,621
280.8
180.2
100.4
152.5
4.8
6.2
15.1
2.9
13.9
De Funiak Springs
17,696
5,744
399.6
310.3
89.7
264.7
5.2
4.4
15.0
(2.1)
10.8
De Land
72,993
23,285
272.6
176.9
96.0
147.1
4.8
4.1
11.6
2.0
15.8
Delray Beach
52,891
53,357
284.3
183.9
99.8
158.4
9.0
8.5
25.4
3.1
13.8
Destin
13,119
4,432
315.4
213.9
100.7
185.7
4.9
3.7
12.4
(6.1)
7.5
Dunedin
15,338
19,336
268.5
173.3
96.1
146.7
4.9
5.6
17.6
4.3
12.9
Daytona Beach
BP
H
161
162
Ho
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nr 199
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Hi Co
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CA
BG
Su
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Co
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A
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gr
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B
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TU
RP
for
Englewood
29,583
25,997
264.4
168.9
94.4
142.7
5.8
5.9
14.0
3.4
13.6
Eustis
73,039
40,689
262.7
162.0
100.3
133.1
6.7
6.9
21.2
2.2
19.0
Fernandina Beach
19,016
5,018
305.9
200.2
105.2
172.2
5.2
4.7
19.5
(2.4)
12.0
Fort Lauderdale
505,868
137,632
296.0
198.7
97.7
172.7
6.6
7.1
17.9
2.6
12.1
Fort Myers
226,509
104,149
280.0
181.0
98.4
157.2
4.7
4.5
16.5
6.1
9.8
Fort Pierce
77,331
22,531
336.5
229.2
107.2
195.4
5.1
7.0
10.4
2.4
18.2
Fort Walton Beach
Gainesville
Graceville
81,275
14,091
291.5
199.1
92.1
167.9
6.3
3.8
18.0
6.4
8.0
300,146
72,360
304.0
213.6
90.4
184.1
5.7
4.0
16.9
3.7
14.6
5,353
1,941
561.6
471.0
85.7
429.4
33,412
6,965
303.0
208.9
93.8
178.8
6.6
3.0
14.9
(3.9)
5.7
Hialeah
242,584
45,777
336.8
252.0
85.0
219.8
3.3
3.4
11.2
0.8
13.0
Hollywood
286,949
68,598
305.1
211.9
93.3
182.1
6.6
5.7
16.0
1.7
Homestead
35,296
3,098
383.1
280.1
103.1
248.5
(5.2)
(7.1)
14.4
Gulf Breeze
26.8
(19.2)
11.4
(10.8)
Hudson
34,987
18,508
312.4
207.0
104.6
180.6
5.9
4.3
17.2
6.7
14.3
Inverness
47,236
28,502
282.6
188.4
93.6
156.2
6.0
4.4
12.6
2.9
12.8
711,122
153,682
315.2
218.3
97.0
193.1
6.6
6.4
23.0
2.7
9.1
29,208
6,225
297.8
206.4
91.4
180.3
5.7
3.9
15.5
(2.5)
10.1
Jasper
9,565
2,112
390.7
272.8
117.9
236.9
(5.7)
14.4
(7.8)
(44.8)
Jay
5,952
1,314
534.0
433.4
101.8
398.0
Jupiter
53,932
16,567
284.0
189.2
94.3
163.7
5.1
3.4
11.4
2.3
16.0
Key West
36,938
7,891
315.2
208.3
106.4
181.4
5.4
3.9
11.9
(2.8)
13.1
Kissimmee
80,622
15,570
334.3
218.7
115.1
187.0
6.3
7.1
14.7
1.9
19.8
Lake City
44,677
12,692
302.4
217.3
85.2
190.3
5.9
3.3
13.0
3.7
13.3
Jacksonville
Jacksonvl Beach
Lake Wales
(19.4)
33,636
15,457
274.9
185.9
88.9
155.8
5.3
5.6
15.2
3.3
13.1
Lakeland
193,008
62,743
250.7
166.2
84.1
141.2
5.2
7.9
20.1
3.3
11.2
Largo
156,963
64,275
311.9
207.4
104.7
178.0
4.9
4.8
16.7
3.7
15.0
71,939
43,711
249.7
156.3
92.3
129.0
6.0
5.2
18.7
2.9
12.2
Lehigh Acres
22,252
11,742
321.2
214.4
106.6
184.4
6.8
5.6
21.9
6.0
Madison
11,339
2,901
287.9
204.9
82.6
178.0
Marathon
18,748
5,159
315.1
192.3
120.8
166.4
3.4
5.5
13.9
(3.6)
13.8
Margate
37,607
15,974
296.9
203.1
94.0
177.9
8.0
6.4
17.1
1.9
13.5
Marianna
33,917
9,358
368.4
279.3
88.1
245.7
6.2
3.0
18.5
(3.0)
7.0
Melbourne
201,104
72,362
279.2
185.6
93.0
160.5
5.1
8.9
20.2
2.9
11.2
1,486,885
270,336
318.7
229.3
89.2
201.0
4.4
4.4
13.7
1.3
11.8
122,912
46,457
337.2
239.8
96.8
210.5
6.2
6.6
19.7
1.8
10.5
Milton
29,495
6,923
334.6
240.1
94.8
207.3
5.9
3.5
16.2
(2.6)
9.7
Naples
170,844
80,728
257.0
165.2
90.7
141.4
4.6
5.2
15.6
5.4
10.5
New Port Richey
144,749
87,742
334.6
228.2
106.2
197.6
7.1
5.1
17.4
5.0
17.3
47,123
18,033
273.6
169.8
102.8
141.2
4.5
6.3
12.9
2.7
28.5
30,854
6,821
304.8
216.2
89.0
185.8
6.3
3.6
12.9
(4.2)
13.5
192,202
94,976
240.6
147.5
91.8
127.2
6.7
5.9
18.6
3.3
11.2
Leesburg
Miami
Miami Beach
New Smyrna Beach
Niceville
Ocala
9.9
15.1
(18.6)
Ocoee
35,326
6,390
421.2
307.7
113.4
271.4
6.7
10.3
25.4
(1.9)
14.1
Okeechobee
33,077
10,281
440.8
320.7
121.2
286.8
6.8
4.4
13.0
3.5
22.1
Orange Park
95,807
16,197
315.5
221.7
93.9
193.6
6.4
6.2
20.2
3.5
10.1
810,624
146,991
295.9
195.8
99.9
168.6
5.6
7.1
20.8
2.8
13.9
54,468
23,940
252.8
156.9
95.0
130.7
4.5
5.5
12.9
2.8
16.8
Orlando
Ormond Beach
BP
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Pahokee
9,848
1,054
517.7
394.0
119.4
348.7
Palatka
62,685
19,963
354.2
253.4
101.1
218.6
6.1
3.5
14.0
1.4
Palm Beach Gardens
66,246
22,751
260.2
168.3
91.7
144.3
4.8
3.5
12.0
3.0
15.1
136,187
33,467
339.0
236.8
102.1
209.6
5.2
5.6
24.0
2.5
15.7
11.3
Panama City
Pembroke Pines
22.0
70,914
14,579
301.0
213.0
88.1
182.6
6.8
4.9
14.0
1.9
Pensacola
279,986
67,196
320.1
219.6
100.4
193.3
5.7
5.5
21.1
3.4
8.2
Plant City
51,769
10,921
320.0
207.3
112.6
173.7
5.8
6.3
16.8
4.0
17.7
Plantation
137,308
36,776
314.9
220.9
94.0
191.5
7.1
8.1
19.6
1.6
9.9
Pompano Beach
103,236
36,111
296.0
202.9
93.3
173.3
6.5
6.8
19.3
2.6
12.5
83,507
53,855
311.3
201.9
108.8
174.2
7.9
6.8
19.6
5.1
7,490
2,449
448.6
351.5
97.3
323.7
(6.6)
24.0
Port Charlotte
Port St Joe
11.5
(13.9)
Port St Lucie
65,448
30,642
277.6
173.2
102.7
147.8
5.8
6.0
8.4
3.1
Punta Gorda
26,936
18,944
304.8
194.1
109.4
170.2
6.3
8.1
19.0
5.8
9.4
Rockledge
96,220
21,839
343.2
241.7
101.6
209.3
7.7
5.2
20.3
2.8
14.3
Safety Harbor
16.5
69,844
33,364
269.1
174.2
94.3
145.2
5.0
5.7
17.1
4.3
12.9
Sanford
112,360
29,036
292.0
192.6
99.2
159.1
5.0
3.8
15.6
2.5
13.4
Sarasota
200,101
102,398
257.3
155.5
101.7
132.7
6.5
5.4
17.9
3.8
14.3
Sebastian
25,225
18,985
305.6
205.2
99.6
175.8
5.6
9.4
19.1
2.9
10.6
Sebring
36,498
24,094
300.3
203.3
96.7
177.3
6.8
4.8
15.9
4.0
South Miami
28,410
6,229
258.0
171.4
86.6
149.6
4.8
5.4
13.0
9.3
10.3
Spring Hill
82,358
54,143
307.7
202.0
104.2
173.5
7.8
4.8
17.4
3.5
St Augustine
62,425
21,513
308.2
209.2
98.8
180.2
5.9
4.0
13.1
1.4
15.9
St Cloud
28,671
7,677
395.8
268.7
127.0
233.5
6.7
6.8
13.8
(4.1)
20.1
St Petersburg
18.1
401,404
146,440
311.7
203.4
108.9
174.6
4.7
3.7
15.2
3.9
13.8
Stuart
97,221
54,643
263.1
167.7
94.6
144.4
4.7
4.3
14.9
3.2
14.0
Sun City Center
37,336
22,821
264.0
167.2
96.0
140.4
5.3
5.2
17.3
4.4
8.8
289,258
58,150
271.1
182.5
89.0
157.1
4.8
3.3
16.7
3.1
16.8
10.4
Tallahassee
Tamarac
Tampa
Tarpon Springs
29,504
19,854
300.6
201.0
99.3
173.8
10.0
8.5
20.4
2.1
623,806
117,302
293.9
202.4
91.6
173.8
5.2
4.6
16.6
2.8
12.2
26,381
9,835
309.2
203.2
105.4
172.5
5.4
4.1
18.3
5.7
22.6
Tavernier
22,075
6,498
305.8
193.9
110.1
169.7
5.4
6.0
14.7
(3.4)
10.6
Titusville
57,509
18,249
361.4
240.6
120.4
209.0
7.3
15.5
35.2
2.4
11.9
Venice
63,294
49,292
242.1
148.3
93.4
121.9
6.4
5.7
17.6
3.3
10.9
Vero Beach
79,932
47,361
245.4
156.2
88.5
132.0
4.4
4.8
12.3
2.6
8.6
West Palm Beach
260,883
73,450
269.8
181.2
89.0
157.3
4.8
4.3
13.5
2.5
12.7
Winter Haven
136,665
52,211
285.1
195.7
89.3
166.4
5.6
4.9
15.5
3.9
14.2
Winter Park
73,708
14,059
242.8
155.5
87.3
131.5
5.4
5.7
16.6
2.6
14.4
Zephyrhills
33,183
18,248
290.5
177.2
112.6
147.9
6.6
6.6
16.0
4.3
26.2
Georgia
Adel
12,328
3,262
508.6
420.9
84.7
366.5
(4.7)
161,956
33,657
319.7
218.5
101.5
188.6
4.4
2.2
12.7
Alma
14,542
3,560
587.6
485.4
104.4
429.1
(11.7)
(8.2)
31.9
Americus
35,386
8,724
348.0
245.1
102.7
208.8
5.7
3.4
Arlington
3,113
1,437
(438.9)
(336.0)
(97.4)
(293.2)
Albany
13.5
14.3
(9.6)
2.3
15.6
(1.5)
22.9
(14.4)
Athens
165,338
31,885
344.6
244.3
100.2
214.8
4.6
4.7
21.6
3.4
12.0
Atlanta
1,154,784
192,589
310.0
211.9
98.4
186.1
4.9
5.6
16.6
2.7
12.6
BP
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Augusta
352,472
69,110
316.7
223.8
92.8
197.9
5.7
10.2
21.9
2.5
6.0
Austell
96,453
16,058
448.6
343.4
106.4
302.7
6.7
9.7
26.6
1.7
12.6
(2.5)
Bainbridge
25,511
6,668
366.7
271.5
93.9
239.2
5.4
2.5
12.8
Baxley
14,099
3,073
477.9
384.6
92.6
352.7
(7.2)
(5.1)
25.5
Blairsville
11,360
4,435
401.4
304.8
97.5
268.8
5.9
(12.3)
31.2
(8.5)
9,939
3,147
461.5
351.6
106.1
313.5
(6.0)
22.1
(28.1)
Blakely
17.0
(17.6)
Blue Ridge
15,825
5,679
441.9
349.1
95.0
312.7
5.0
14.0
24.9
(1.8)
Bremen
21,352
5,466
466.8
375.5
91.7
338.6
7.7
5.8
22.2
(2.3)
12.4
7.4
Brunswick
84,235
21,517
398.3
285.2
112.9
250.7
6.6
4.5
26.3
4.9
12.5
20.3
Cairo
19,822
5,239
351.5
252.5
98.6
219.2
(2.4)
5.9
(3.1)
Calhoun
28,777
6,756
363.9
271.0
93.4
237.6
9.2
9.9
27.5
(2.3)
8.0
Canton
43,413
7,719
400.9
307.1
94.6
268.6
4.0
6.1
17.4
(1.4)
13.9
Carrollton
67,207
14,356
400.3
309.7
90.4
272.7
6.6
4.0
16.3
2.5
10.2
Cartersville
40,687
8,721
328.8
232.8
96.0
201.0
6.2
8.2
23.1
(1.8)
5.8
8,724
2,228
406.1
313.3
90.2
264.7
(5.8)
(5.7)
21.0
(7.5)
Claxton
Clayton
12,053
4,400
523.4
426.6
98.6
395.1
(5.3)
(4.5)
15.6
(13.6)
Cochran
11,373
2,888
484.7
388.5
94.8
351.5
(6.7)
(9.2)
34.4
(14.3)
Colquitt
6,277
1,944
384.6
287.9
95.3
255.7
Columbus
237,302
51,062
305.5
208.8
96.9
182.8
5.5
5.0
15.0
12.2
2.3
(14.8)
19.1
Commerce
16,197
4,524
384.1
294.2
89.6
265.8
(6.1)
(6.7)
20.6
(3.1)
(12.8)
Conyers
48,762
8,785
320.3
222.1
98.1
189.9
5.5
7.4
19.7
(2.8)
Cordele
21,289
5,822
444.9
330.3
113.2
298.2
5.4
4.9
19.9
Covington
50,367
10,123
355.1
254.6
100.4
218.3
4.9
10.2
20.8
Cuthbert
6,917
2,262
366.5
270.2
93.6
232.6
Dahlonega
15,803
3,088
360.1
266.5
94.0
232.0
(4.3)
(9.0)
21.7
(13.1)
Dallas
28,118
4,106
432.3
336.9
96.7
297.6
(7.2)
(8.6)
24.8
(10.4)
6.6
34.2
1.9
8.0
11.7
Dalton
103,835
20,089
372.9
281.4
92.2
241.8
4.7
4.9
19.4
2.1
9.7
Decatur
134,175
29,698
290.7
197.3
93.6
171.3
4.6
6.0
16.4
2.3
11.7
(3.1)
Demorest
26,831
7,401
377.9
284.9
93.6
247.6
5.0
7.4
19.8
Donalsonville
10,928
3,133
525.8
417.0
106.6
371.0
(7.0)
(3.8)
26.7
9.7
(13.4)
Douglas
34,499
7,602
456.0
343.7
111.9
298.7
5.2
4.4
16.8
Douglasville
56,919
8,201
458.8
359.5
100.4
324.6
5.9
7.2
23.5
Dublin
55,191
14,348
375.1
281.9
92.1
241.1
6.8
4.8
22.3
2.4
10.3
East Point
107,122
16,320
359.7
249.2
110.6
219.4
5.4
6.0
23.4
1.9
16.8
Eastman
16,774
4,634
538.4
422.3
114.6
383.5
(5.7)
(8.3)
32.1
(2.9)
(12.0)
Eatonton
13,086
3,417
392.8
294.2
98.2
266.3
(6.7)
(5.2)
20.5
Elberton
16,641
5,273
372.3
282.3
88.8
251.8
(3.4)
(5.0)
17.6
Ellijay
12,136
3,960
528.0
436.9
93.9
400.5
(7.2)
(9.6)
23.0
Fitzgerald
18,236
5,629
392.4
284.8
107.1
245.6
5.6
3.1
Folkston
6,486
1,511
411.0
307.3
102.5
271.7
(9.7)
Forsyth
19.6
9,757
2,701
406.9
305.6
99.5
278.9
(6.6)
(5.2)
21.1
67,256
17,888
367.7
266.4
101.7
235.0
5.8
3.8
15.1
Fort Valley
14,027
3,215
329.9
234.8
94.5
203.4
(5.7)
Gainesville
127,468
29,833
342.9
247.1
96.0
214.6
5.8
6.4
18.4
2,319
788
(486.9)
(402.4)
(79.2)
(356.1)
(15.5)
(24.5)
11,363
3,250
306.5
220.5
85.3
194.5
(4.7)
13.5
Greensboro
18.9
16.2
(10.9)
(2.9)
10.1
(7.0)
(2.1)
20.4
(18.2)
Fort Oglethorpe
Glenwood
(2.9)
(14.9)
2.7
11.4
2.9
7.3
19.1
(8.9)
BP
H
Ho
it
sp
al
Se
r
e
vic
Ar
ea
Re
e
sid
nt
p
Po
t
ula
ion
s
ee
oll 3)
es
nr 199
rg
E
ha
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sc
i
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lD
9
Al
Me (19
Al
l
d
Me
ica
lD
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ar
ge
s
Al
l
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Su
gic
al
D
isc
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es
Me
ion s
t
a
r i on
Va diti
gh n
Hi Co
Griffin
65,699
15,483
342.3
241.1
101.1
208.5
Hahira
6,921
1,127
490.1
402.9
85.5
336.9
dic
al
CA
BG
Su
3.3
rg
er
ra
y
PT
CA
4.9
Co
n
ro
ar
yA
13.7
n
g
gio
y
ph
B
kS
ac
2.4
ur
ge
ry
TU
RP
for
13.8
(15.6)
Hartwell
14,886
4,599
364.6
276.7
87.9
237.2
(4.1)
(4.4)
15.0
Hawkinsville
15,289
4,411
434.4
328.3
103.7
287.4
(6.8)
(5.3)
25.3
(11.9)
Hazlehurst
14,070
3,463
486.8
389.2
96.9
345.7
(4.5)
(3.9)
14.4
(20.2)
Hiawassee
6,754
3,247
400.4
293.2
107.8
262.5
(6.6)
(13.3)
30.1
(19.5)
Hinesville
46,037
1,878
364.9
273.5
90.9
247.9
(13.7)
(6.4)
21.7
Homerville
(2.8)
(13.9)
5,658
1,328
653.3
519.7
133.2
474.3
(11.1)
(26.8)
(21.5)
Jackson
16,686
3,713
379.9
273.7
105.8
243.5
(5.6)
(6.1)
19.1
(12.0)
Jasper
15,677
3,984
420.8
321.6
100.6
284.1
(6.7)
(6.8)
20.1
Jesup
23,999
5,695
464.7
361.6
102.8
318.0
6.5
2.2
15.4
(5.2)
11.1
La Grange
66,708
18,165
333.2
247.1
85.2
214.1
6.1
4.8
15.7
1.3
4.9
Lakeland
4,289
1,055
601.0
519.8
75.9
471.5
173,080
20,525
369.1
261.8
107.5
229.0
5.2
9.8
30.2
2.1
16.3
11,410
3,471
361.7
267.0
92.1
234.7
(4.5)
(6.2)
16.6
Lawrenceville
Louisville
(12.2)
(16.1)
Macon
227,504
54,370
339.6
233.7
106.1
204.1
7.4
4.4
24.1
3.5
12.8
Marietta
326,108
41,181
355.0
250.5
104.6
221.0
5.9
7.6
23.0
2.0
11.8
Mcrae
7,337
2,540
506.3
403.5
97.9
352.9
Metter
16,055
4,872
426.5
328.7
96.1
294.3
(7.1)
(6.3)
19.3
(4.0)
10.8
Milledgeville
39,173
7,795
363.1
267.5
94.4
232.0
5.8
3.5
18.0
(2.3)
14.7
Millen
18.9
8,249
2,288
479.2
372.3
104.6
343.0
Monroe
24,034
6,271
434.0
308.9
124.8
273.4
5.9
Montezuma
11,243
2,711
401.8
291.9
108.0
256.0
(5.6)
Moultrie
36,675
10,071
386.2
277.8
108.2
242.0
4.2
3.6
9.8
Nashville
10,071
2,770
623.7
527.9
95.4
482.9
(6.2)
(5.1)
19.3
Newnan
5.0
4.8
16.2
68,671
14,823
447.6
341.3
105.6
299.7
Ocilla
5,784
1,778
384.3
289.1
93.1
250.7
Perry
(13.6)
19.8
9.3
25.9
(13.6)
(2.4)
18.4
23.0
(30.5)
3.9
29.9
(15.0)
1.6
12.1
12.0
15,106
3,426
438.3
324.0
113.3
289.8
Quitman
8,028
2,782
323.6
234.7
87.5
200.5
5.5
Reidsville
6,286
1,187
445.4
346.5
97.7
315.1
(19.1)
Richland
4,889
1,350
403.9
302.3
99.0
272.0
Riverdale
159,049
21,087
416.8
299.3
117.9
259.5
6.4
5.5
24.3
3.4
15.3
Rome
150,680
42,591
353.9
255.4
98.5
224.5
7.9
8.7
28.0
2.6
12.0
Roswell
121,060
20,977
327.8
227.6
100.2
198.7
5.9
7.2
22.1
3.0
9.2
Royston
24,558
7,097
430.2
345.8
84.9
296.0
3.9
5.0
16.1
(2.5)
8.7
Sandersville
(7.4)
(7.0)
26.4
(5.7)
(18.0)
(15.1)
(20.1)
24,867
6,732
436.9
325.3
109.2
283.1
7.7
11.0
30.0
(1.9)
12.5
284,567
67,219
342.1
235.6
106.7
207.2
6.9
5.9
23.2
5.0
10.6
Smyrna
54,816
9,276
392.9
280.5
112.6
244.5
5.0
7.6
22.2
1.9
12.1
Snellville
49,157
7,081
336.4
231.0
105.2
203.6
5.8
8.9
27.9
(1.9)
12.6
Savannah
Sparta
St Marys
8,908
2,277
429.6
331.3
91.6
304.0
24,436
1,960
348.1
257.8
89.8
232.7
(6.7)
17.6
(14.2)
27.1
(14.6)
Statesboro
45,281
8,554
363.1
270.0
92.4
233.4
5.4
5.1
14.4
(4.9)
6.7
Stockbridge
60,732
11,284
388.7
270.0
118.6
239.1
7.3
6.6
22.3
2.7
18.3
Swainsboro
14,114
3,965
456.9
372.0
82.7
332.0
(4.2)
(8.2)
18.4
Sylvania
12,287
3,754
420.8
321.5
96.9
282.1
(7.2)
(8.0)
14.7
Thomaston
37,764
11,478
313.1
209.3
104.2
177.5
5.9
5.0
14.2
(7.9)
2.0
11.9
BP
H
165
166
Ho
s
a
pit
lS
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A
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re
a
Re
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sid
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t
ula
ion
s
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s
oll 3)
nr 199
ge
E
ar
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ch
a
s
p
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di 92
lD
Al
Me (19
Al
l
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Me
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s
Al
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Su
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s
M
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iat ons
r
Va diti
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Hi Co
ed
ica
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CA
BG
Su
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CA
Co
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a
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ry
A
io
ng
gr
ap
hy
B
u
kS
ac
rg
er
y
TU
RP
for
Thomasville
49,625
14,557
355.3
246.7
108.8
212.4
4.7
2.7
10.6
4.6
21.2
Thomson
15,487
3,957
397.1
295.9
99.8
267.1
(6.2)
(7.5)
17.2
(3.1)
(8.3)
Tifton
49,804
11,931
337.5
234.6
103.0
195.6
5.5
3.0
13.5
2.2
16.9
Toccoa
23,403
8,125
367.0
285.7
81.8
251.0
4.3
4.8
13.7
(3.8)
5.6
Valdosta
79,055
15,337
404.8
300.6
103.4
262.8
6.1
4.2
16.9
3.2
15.3
Vidalia
31,234
7,810
440.8
345.5
93.5
307.9
4.5
4.2
11.2
(3.1)
Vienna
7,278
2,095
443.5
321.7
120.3
279.5
22.6
12.4
(36.1)
Villa Rica
12,063
2,734
460.2
365.2
96.2
326.1
(5.7)
(5.7)
16.8
(4.0)
Warner Robins
73,283
10,685
419.8
299.6
120.6
269.5
6.5
7.8
26.3
4.0
Washington
13,044
4,419
346.9
250.9
94.9
225.4
(8.2)
(8.6)
19.1
Waycross
49,810
13,952
357.0
257.2
99.6
219.5
6.3
3.9
22.8
Waynesboro
15,647
3,948
384.1
296.9
83.2
264.9
(4.6)
(7.0)
18.0
Winder
22,606
5,792
435.3
335.6
99.3
292.2
5.4
6.8
24.2
11.7
(8.9)
2.1
9.9
(8.5)
(3.3)
8.3
Maryland
Annapolis
169,690
33,252
304.0
211.8
92.2
182.5
4.2
5.3
14.6
3.6
8.9
Baltimore
1,387,779
381,745
376.3
261.4
114.9
228.5
5.6
5.1
16.4
3.3
16.2
Bethesda
154,160
38,409
243.3
161.4
81.7
139.2
3.9
4.1
10.8
2.7
8.2
Cambridge
30,232
10,060
385.9
277.4
108.2
248.5
4.9
8.3
18.5
2.7
15.0
Chestertown
Cheverly
25,118
8,522
409.2
299.0
110.1
267.0
6.5
7.6
17.9
(4.3)
13.4
101,823
11,942
363.3
244.9
118.9
215.5
4.4
11.2
24.0
3.0
12.2
Clinton
138,861
15,271
402.7
291.7
110.8
256.7
4.7
6.2
16.1
3.5
14.6
Columbia
134,155
17,991
341.1
244.0
97.0
216.4
4.0
6.3
13.5
2.3
15.0
5,342
2,262
355.6
258.0
97.4
236.1
(5.4)
(9.9)
24.1
Crisfield
Cumberland
117,478
40,445
499.7
387.0
113.6
343.7
6.1
4.7
18.0
2.1
18.1
Easton
73,907
23,841
299.5
200.9
98.7
171.4
4.6
3.6
10.9
5.4
10.5
Elkton
49,770
10,264
385.7
283.4
103.0
242.3
4.5
4.3
13.8
2.1
20.0
Fallston
111,856
19,531
417.1
305.4
112.3
267.0
7.2
5.9
16.7
2.4
11.6
Frederick
157,430
31,455
339.4
234.0
105.3
199.9
6.7
7.1
20.9
2.7
25.2
Glen Burnie
225,358
36,604
433.6
308.9
125.0
273.5
5.6
5.9
20.0
4.4
16.7
Hagerstown
119,919
33,347
295.8
203.6
92.1
171.8
5.0
3.3
10.7
2.7
12.1
69,554
13,672
443.0
336.7
107.4
294.5
4.8
4.6
13.6
1.9
17.7
13.1
Havre De Grace
La Plata
64,330
9,788
381.5
280.7
100.6
250.2
4.2
5.7
10.8
2.7
Lanham
150,617
20,972
333.1
225.3
107.6
199.2
5.1
9.9
22.4
2.8
15.4
Laurel
119,392
12,340
344.1
245.5
98.8
216.9
3.6
6.7
16.7
3.0
11.2
Leonardtown
71,103
11,295
382.5
280.7
101.9
245.1
6.0
8.5
20.1
2.1
9.5
Oakland
29,722
8,106
405.0
300.6
105.0
265.8
4.5
6.2
17.6
(2.1)
17.5
151,122
30,985
280.6
188.5
92.0
162.3
4.0
5.0
14.0
3.1
11.3
57,164
9,555
349.2
256.7
92.7
221.3
5.2
5.6
13.1
2.8
14.2
Randallstown
131,793
23,694
356.7
249.2
107.5
216.2
6.3
5.9
17.8
3.2
13.1
Rockville
225,579
24,102
256.6
172.5
84.1
147.5
3.4
3.8
11.6
2.8
12.5
Salisbury
146,736
44,272
296.3
204.4
92.0
176.3
4.8
8.6
26.0
2.4
7.8
Silver Spring
146,102
34,011
275.1
183.9
91.2
160.1
5.4
6.2
16.7
2.8
9.6
Takoma Park
109,113
17,388
294.7
200.3
94.5
173.8
4.3
6.8
17.2
2.2
12.6
Westminster
88,241
20,152
358.5
246.6
111.8
213.6
5.3
4.6
12.0
4.3
22.4
40,635
12,317
325.9
227.4
98.6
194.5
5.9
2.9
12.6
3.4
8.9
Olney
Prince Frederick
North Carolina
Ahoskie
BP
H
Ho
it
sp
al
Se
r
e
vic
Ar
ea
Re
e
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p
Po
t
ula
ion
s
ee
oll 3)
es
nr 199
rg
E
ha
re lus
sc
i
id ca 2 p
lD
9
Al
Me (19
Al
l
d
Me
ica
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ge
s
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l
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Su
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Me
ion s
t
a
r i on
Va diti
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Hi Co
dic
al
CA
BG
Su
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PT
CA
Co
n
ro
ar
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n
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y
ph
B
kS
ac
ur
ge
ry
TU
RP
for
Albemarle
47,197
13,883
287.5
209.8
77.9
172.6
5.0
4.5
13.9
3.1
11.2
Andrews
16,799
5,480
346.1
258.5
88.1
226.7
3.9
2.9
12.3
(1.9)
21.5
Asheboro
78,481
20,005
283.4
196.2
87.2
161.5
4.5
5.1
15.3
1.6
15.6
Asheville
198,117
64,424
245.6
160.2
85.5
133.8
3.9
2.7
10.8
3.9
13.1
8,031
1,868
477.8
388.3
90.7
345.9
(5.6)
19.4
10,839
3,677
359.8
280.3
76.6
245.5
2,032
1,096
(349.0)
(271.3)
(78.6)
(235.0)
Boone
44,100
10,578
356.1
269.8
86.8
235.9
4.2
3.9
15.6
2.8
8.0
Brevard
25,520
10,200
240.7
155.5
84.7
128.8
3.5
1.5
7.7
3.8
11.0
Banner Elk
Belhaven
Blowing Rock
Bryson City
(6.6)
(6.1)
15.9
(12.4)
7,926
2,726
363.4
274.0
89.4
238.4
(4.7)
11,967
3,590
299.8
216.5
82.6
181.4
(5.0)
(3.6)
7.6
Burlington
112,788
33,799
246.7
164.3
82.5
137.0
6.6
5.0
18.8
3.5
Chapel Hill
87,131
16,956
223.7
149.8
73.9
127.3
3.9
2.2
12.3
2.8
8.5
594,360
118,193
239.8
152.2
87.8
127.5
4.9
5.4
18.7
3.1
11.0
Burgaw
Charlotte
Cherokee
10.9
(15.7)
(10.3)
8.7
3,339
838
(623.1)
(506.3)
(120.6)
(475.8)
Clinton
49,607
13,493
319.7
224.7
94.9
177.1
6.9
6.9
(17.0)
19.5
4.2
7.5
Clyde
46,942
17,499
336.7
248.6
88.5
215.3
4.5
2.5
11.2
3.2
11.6
Columbus
19,486
8,779
233.5
153.1
80.4
128.1
3.3
2.1
8.9
(3.1)
7.8
Concord
101,766
29,644
300.4
206.1
94.3
176.3
5.7
4.9
19.5
3.3
10.2
Crossnore
11,367
3,392
409.2
322.6
88.2
288.3
(4.1)
(4.2)
13.5
(3.9)
Dunn
20,584
6,789
426.0
333.9
91.6
284.8
5.7
5.9
21.9
(3.6)
9.2
222,595
47,535
254.6
171.2
83.9
144.5
4.5
2.8
11.7
3.6
10.8
Durham
Eden
30,841
9,710
381.2
275.9
105.2
235.8
6.6
6.2
24.1
2.9
14.4
Edenton
17,972
6,487
282.6
196.0
86.7
162.0
4.4
4.7
11.6
(2.3)
13.8
Elizabeth City
78,801
23,105
313.0
217.7
95.3
188.1
5.8
4.7
15.6
3.5
11.1
Elizabethtown
27,943
7,281
346.0
264.7
79.8
220.9
5.7
3.0
13.0
(1.8)
9.7
Elkin
25,954
8,072
364.4
271.7
93.1
237.3
6.7
3.8
21.7
(3.3)
11.5
Erwin
10,323
2,424
368.7
281.2
87.2
240.6
(5.7)
(6.5)
20.5
(5.1)
273,315
35,146
242.9
168.2
74.7
141.4
4.1
1.8
8.5
2.4
11.5
Franklin
18,986
9,514
303.0
222.6
80.8
193.1
3.8
2.4
8.6
2.0
15.6
Gastonia
126,551
31,369
293.7
210.0
83.8
174.0
4.6
4.8
18.1
2.1
6.3
Goldsboro
102,515
22,307
288.4
199.2
89.4
161.5
6.8
6.9
18.3
3.2
8.7
Greensboro
294,408
72,321
265.7
170.8
95.1
144.2
5.8
7.9
21.0
4.1
11.6
Greenville
119,550
25,635
267.5
178.7
89.3
151.0
7.7
5.6
19.2
2.8
8.9
13,443
3,577
414.0
319.6
93.6
269.1
(6.9)
(4.4)
17.8
(4.1)
(17.0)
Fayetteville
Hamlet
Henderson
57,815
15,589
246.0
165.2
81.5
134.0
4.9
4.2
12.1
2.2
15.2
Hendersonville
64,607
30,632
253.6
168.2
85.1
144.2
3.4
2.1
8.4
3.8
9.8
Hickory
147,492
35,101
248.4
162.4
85.7
134.5
5.8
3.5
14.5
3.2
7.8
High Point
116,005
29,108
296.4
192.0
104.6
162.4
6.1
5.4
14.0
3.1
16.5
Highlands
3,784
1,741
254.7
173.3
81.2
151.5
144,599
11,714
323.9
226.3
97.6
196.1
8.5
4.0
19.4
2.3
9.7
Jefferson
21,222
6,939
378.6
295.0
84.0
255.0
4.3
2.2
14.0
(1.6)
8.4
Kenansville
25,904
6,646
315.6
231.5
83.1
193.7
5.3
5.0
14.2
Kings Mountain
21,012
5,686
275.4
194.4
81.0
159.9
4.3
2.3
10.9
(2.3)
11.4
Kinston
76,811
21,075
350.9
259.4
90.7
218.9
7.1
4.2
16.7
2.6
10.4
Laurinburg
44,994
9,133
339.9
252.0
87.0
209.3
6.4
4.8
17.7
(2.2)
14.0
Jacksonville
10.6
6.8
BP
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167
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Lenoir
49,296
13,649
329.6
239.3
90.6
203.5
5.1
4.5
18.1
3.5
10.3
Lexington
70,891
16,308
314.8
221.8
93.0
188.3
5.7
3.2
15.0
2.5
10.7
Lincolnton
39,372
8,675
273.1
179.4
93.4
151.2
4.3
3.6
15.2
(3.3)
10.5
Louisburg
28,527
6,888
407.6
309.7
95.5
270.9
5.0
7.1
17.2
(2.2)
8.1
Lumberton
92,521
20,333
384.4
284.8
99.0
243.7
8.2
8.0
29.9
1.7
11.4
Marion
35,600
10,639
276.9
195.8
81.1
162.5
4.6
1.6
8.6
3.4
11.9
Mocksville
24,999
5,622
395.8
297.7
98.2
259.4
6.2
4.1
17.2
(3.4)
14.5
Monroe
71,315
15,846
257.2
164.7
92.7
134.8
5.2
5.9
22.2
3.6
14.1
Mooresville
29,488
8,079
358.9
264.4
95.0
231.7
4.5
4.0
15.8
(1.9)
8.7
Morehead City
54,726
16,141
319.4
219.0
100.1
184.9
5.6
5.7
16.3
3.2
9.0
Morganton
50,932
13,706
327.6
238.8
88.9
204.3
3.9
3.8
14.6
2.6
14.3
Mount Airy
49,312
14,905
354.0
261.4
92.9
226.0
5.3
4.5
19.5
2.5
Murphy
19,145
7,977
336.2
247.7
89.0
219.8
4.0
5.2
16.0
100,168
25,570
289.5
196.2
93.3
167.6
5.2
3.4
14.2
3.2
5.8
50,268
13,164
403.2
305.1
98.8
266.3
5.4
4.0
18.6
2.8
15.6
New Bern
North Wilkesboro
12.6
22.0
Oxford
21,991
6,474
267.1
190.3
76.3
158.7
4.9
3.4
15.6
(4.6)
15.6
Pinehurst
94,235
33,780
272.8
180.9
91.7
150.0
5.3
4.4
15.2
2.4
18.9
Plymouth
14,107
4,026
265.2
185.7
79.5
161.8
(6.0)
(5.1)
13.2
(4.2)
(10.5)
496,421
86,248
290.5
193.9
96.8
165.4
5.2
3.8
14.0
3.9
13.6
Reidsville
38,421
11,138
339.3
243.1
96.0
212.3
5.0
7.1
20.0
3.2
13.2
Roanoke Rapids
52,317
16,172
341.3
248.9
91.7
210.7
4.7
3.8
12.8
4.8
9.9
Rockingham
24,282
6,947
408.3
308.0
100.3
262.3
7.8
4.6
22.4
(3.2)
18.8
Rocky Mount
Raleigh
114,344
28,238
308.5
219.8
88.3
183.9
4.8
2.9
12.8
4.3
8.3
Roxboro
26,235
7,676
306.9
224.9
81.4
190.0
4.0
3.9
14.0
(3.3)
14.9
Rutherfordton
57,003
17,517
271.5
194.2
77.3
157.0
4.3
3.5
13.4
2.4
8.8
Salisbury
90,049
26,592
291.0
209.7
81.4
174.7
5.1
3.9
15.5
2.9
3.8
Sanford
49,597
13,783
314.7
229.6
85.1
200.1
5.3
4.1
15.5
2.2
13.3
Shelby
78,986
22,124
262.1
184.6
77.5
154.6
3.7
2.4
10.9
2.2
13.0
Siler City
16,192
4,564
321.0
237.5
83.4
196.8
(5.3)
(3.2)
17.7
(2.9)
(13.4)
Smithfield
53,009
14,803
345.0
251.1
93.9
215.8
7.2
5.1
19.0
3.6
Southport
13,630
3,831
368.2
285.0
85.1
240.7
(4.7)
(4.8)
12.7
7.4
(10.4)
Sparta
10,207
3,610
402.0
324.9
77.0
286.2
(4.4)
(5.0)
18.1
Spruce Pine
29,638
10,626
312.3
239.3
73.3
207.4
3.5
2.8
10.0
2.8
(11.2)
9.6
Statesville
80,452
22,055
367.6
261.5
106.0
227.9
4.9
6.7
22.7
3.4
26.8
Supply
22,060
7,561
330.9
231.8
99.1
196.6
5.8
5.3
16.0
(2.9)
13.8
Sylva
25,750
6,668
354.0
274.6
79.8
238.3
3.2
Tarboro
29,440
8,245
290.6
205.2
85.1
171.0
4.9
6.7
12.8
(4.3)
7.7
Taylorsville
19,679
4,324
338.7
244.4
94.6
205.8
(4.5)
(9.2)
22.6
(2.7)
(11.4)
Thomasville
32,777
9,552
301.8
205.1
96.6
174.8
7.6
4.7
14.8
2.3
Troy
15,365
3,745
328.3
236.8
91.3
200.1
(5.8)
7.1
15.1
14.1
16.7
(14.3)
Valdese
19,618
5,616
356.3
261.7
95.3
225.8
5.0
3.9
12.8
(2.7)
11.3
Wadesboro
21,175
6,251
291.0
204.6
86.2
174.3
4.4
5.8
23.2
(3.0)
13.1
Washington
11,434
9,487
299.8
218.7
80.9
181.0
5.1
5.2
14.4
(2.6)
7.1
Whiteville
37,673
9,746
395.5
283.9
111.3
240.3
5.3
3.6
15.0
(3.2)
13.7
Williamston
40,849
5,194
331.3
234.6
96.5
202.9
(4.8)
(5.8)
17.5
(3.2)
(9.7)
Wilmington
164,296
45,518
282.4
189.0
93.4
162.4
5.5
3.7
12.9
3.2
7.7
BP
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Wilson
78,196
19,926
297.0
200.6
96.7
161.1
Windsor
9,205
2,822
328.2
234.2
93.3
191.9
344,718
88,623
270.2
176.9
93.6
150.6
Winston-Salem
dic
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CA
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5.2
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6.3
18.5
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12.4
5.3
4.2
16.6
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2.6
7.2
3.4
12.0
South Carolina
Abbeville
22,051
5,155
253.4
175.3
78.2
146.5
(3.0)
(4.3)
12.4
Aiken
72,682
18,387
291.3
197.7
93.7
173.1
4.0
10.5
22.9
4.5
4.9
Anderson
144,222
38,822
278.1
187.3
90.8
159.8
5.5
4.8
19.8
2.7
14.1
Bamberg
16,726
3,981
342.3
248.6
92.7
219.8
(5.7)
(5.2)
31.5
(5.0)
(9.6)
Barnwell
15,270
3,514
312.1
216.2
96.0
193.7
(6.0)
(8.2)
24.4
Beaufort
58,874
10,915
276.5
190.1
86.5
163.8
5.8
4.1
13.6
Bennettsville
25,968
6,381
320.8
239.9
79.5
201.0
3.5
6.8
16.8
Bishopville
11,965
2,748
315.4
219.7
95.8
189.0
(7.4)
(5.4)
22.9
Camden
35,384
9,693
297.6
214.7
82.7
186.7
3.5
5.0
16.7
(2.1)
12.2
474,236
80,929
285.3
187.5
98.1
163.7
4.6
5.6
17.7
3.4
14.8
Charleston
13.4
(9.5)
2.9
7.0
14.4
Cheraw
28,609
6,403
296.9
218.1
78.2
177.9
5.1
3.3
14.0
(3.2)
8.4
Chester
27,889
7,616
351.9
253.6
98.0
215.6
4.5
3.3
14.7
(2.8)
13.1
19.5
Clinton
41,433
10,948
292.4
199.1
93.7
168.1
4.0
1.8
8.1
2.1
Columbia
338,246
62,185
247.0
161.3
86.1
139.4
5.7
5.1
18.4
2.3
6.0
Conway
44,127
8,928
368.1
276.5
92.1
235.7
5.7
3.4
14.2
(2.1)
20.2
Dillon
24,680
5,447
431.7
328.0
102.2
282.7
(5.7)
(11.0)
19.3
(2.4)
(23.7)
Easley
56,345
10,831
274.4
184.1
90.1
152.5
5.2
3.7
12.6
2.6
18.1
6,884
1,790
296.2
211.7
84.0
181.8
(11.4)
18.8
Edgefield
Fairfax
13,637
3,194
323.0
231.5
90.7
202.1
(8.8)
(7.7)
20.9
Florence
166,410
37,405
378.2
275.2
102.3
238.0
5.5
7.7
23.5
3.0
(11.8)
13.6
Gaffney
44,505
10,398
354.7
250.9
103.8
219.6
4.0
4.8
16.4
1.2
19.8
Georgetown
44,438
10,822
384.3
266.0
118.4
233.5
6.6
6.2
21.3
2.5
16.7
Greenville
319,940
78,449
262.7
174.0
88.7
149.3
6.1
3.4
14.6
2.7
14.1
Greenwood
85,535
24,555
249.8
167.9
82.0
138.1
3.9
3.7
10.3
1.7
15.0
Greer
43,033
10,073
255.8
170.6
85.0
143.8
7.9
2.4
14.7
2.7
17.7
Hartsville
30,219
7,527
399.0
294.8
103.9
258.4
8.3
8.6
26.1
(2.5)
11.2
Hilton Head Island
30,896
12,760
282.5
191.4
90.6
169.3
5.1
4.6
14.5
4.7
8.3
Kingstree
22,800
4,788
359.7
268.1
88.9
237.8
(4.3)
(4.6)
15.9
(3.0)
(8.8)
Lancaster
58,618
13,628
303.1
205.8
97.4
168.0
4.9
5.7
21.8
3.5
16.2
Loris
25,512
5,535
475.1
346.3
128.7
290.6
5.8
7.4
17.2
(2.4)
30.6
Manning
23,744
6,002
308.3
222.7
84.8
187.1
(6.5)
(5.1)
18.2
(2.2)
10.3
Marion
20,078
4,548
415.7
319.8
92.4
284.2
(6.3)
14.7
(3.2)
(9.2)
Mount Pleasant
42,247
8,126
305.7
202.6
103.5
178.9
5.1
5.6
18.6
(3.6)
11.5
Mullins
19,379
6,137
537.1
414.1
120.6
364.9
5.2
9.0
24.0
(2.2)
20.4
Myrtle Beach
88,501
29,339
289.5
197.0
92.0
165.7
4.3
5.3
15.3
3.4
18.1
Newberry
25,379
8,078
275.4
198.6
76.3
166.6
4.8
2.3
12.6
(1.5)
11.2
Orangeburg
88,299
21,713
251.1
169.2
82.5
143.7
6.5
4.3
20.2
2.0
12.8
Pickens
19,834
5,100
278.8
197.3
81.6
166.9
4.8
2.1
6.8
9,007
2,801
345.3
261.9
80.7
233.8
Ridgeland
23.1
15.3
Rock Hill
133,346
29,461
266.7
178.1
88.6
150.8
4.8
4.4
19.8
3.4
14.0
Seneca
57,557
16,349
297.9
206.2
91.7
176.2
4.9
3.6
12.0
2.6
16.7
201,975
51,824
270.0
183.4
86.7
155.7
4.2
4.1
15.3
2.0
14.9
Spartanburg
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Sumter
108,078
19,377
262.0
185.9
75.8
152.3
4.8
4.1
13.0
2.4
8.2
Union
30,061
9,061
370.6
277.5
92.5
243.1
5.5
4.3
18.2
(2.8)
17.5
(14.1)
Varnville
14,087
3,205
348.9
250.1
98.3
223.0
(4.9)
(5.5)
17.6
(4.6)
Walterboro
34,578
7,718
365.0
273.1
90.6
241.8
6.3
8.0
20.3
(4.1)
7.5
134,912
28,284
290.9
198.4
92.3
171.2
5.1
6.3
21.0
2.0
12.3
Winnsboro
17,083
3,828
271.8
193.2
78.3
166.7
(5.1)
Woodruff
10,206
2,976
363.1
276.7
86.4
247.6
(4.5)
West Columbia
15.7
(5.1)
17.6
(16.4)
Virginia
Abingdon
40,055
10,432
334.1
254.5
80.3
219.6
3.2
1.9
11.5
1.4
Alexandria
254,920
41,872
282.7
193.6
89.0
169.6
4.3
5.0
13.1
2.8
8.8
Arlington
203,342
39,810
263.6
178.7
84.9
156.9
3.7
4.2
11.9
3.1
10.0
Bedford
21,022
7,295
283.8
201.4
82.4
168.3
3.7
2.5
11.7
(2.1)
Big Stone Gap
16,875
4,508
455.7
379.3
77.0
332.5
(2.7)
(2.6)
10.4
Blacksburg
8.0
17.1
(11.3)
65,970
10,432
360.0
278.5
82.0
246.1
5.3
2.0
11.5
2.3
4.9
Charlottesville
180,819
44,216
319.0
230.8
88.1
198.8
3.6
3.9
15.2
3.1
8.1
Chesapeake
109,729
19,607
364.5
255.4
109.1
223.7
7.4
4.3
20.3
4.5
14,859
3,559
535.8
454.5
83.9
409.3
Clintwood
9.6
13.4
(18.4)
Culpeper
31,491
7,684
332.9
238.0
94.7
209.2
4.1
3.4
14.1
(3.0)
Danville
106,145
33,832
279.4
189.8
89.8
157.0
7.7
6.3
30.0
2.6
9.1
Emporia
27,987
8,684
430.4
325.6
101.9
278.8
8.3
6.0
24.6
(3.4)
12.6
(11.0)
Fairfax
Falls Church
Farmville
Franklin
Fredericksburg
13.2
74,528
4,546
309.1
215.6
93.4
189.8
3.8
(5.0)
11.5
(3.8)
478,083
68,149
249.5
168.9
80.3
146.5
3.6
4.0
11.0
2.8
8.5
26,312
8,209
274.7
193.8
80.7
165.9
5.3
4.1
12.5
(1.9)
11.7
24,960
7,315
372.6
255.0
118.1
216.3
7.2
4.3
18.0
(4.7)
9.9
170,385
30,208
341.9
237.5
104.4
210.0
5.6
7.0
21.2
2.4
14.1
Front Royal
26,028
6,840
355.1
259.6
95.8
225.4
6.1
3.7
13.9
(3.0)
14.9
Galax
43,383
14,730
315.6
233.0
82.7
198.8
6.0
5.2
17.2
1.4
11.2
Gloucester
43,109
12,328
296.8
202.6
94.3
172.7
6.1
5.9
19.5
4.1
7.8
Grundy
29,563
5,433
575.0
493.2
87.2
448.2
4.1
3.8
24.6
Hampton
85,214
16,454
314.9
212.3
103.0
186.5
6.0
4.4
22.4
6.4
12.5
110,664
28,685
302.3
225.8
76.8
197.0
3.8
3.7
11.5
1.8
7.5
33,477
7,859
354.8
258.1
96.7
222.6
7.4
6.5
22.3
(3.1)
4.8
Hot Springs
5,404
1,768
545.2
452.1
92.0
406.8
Kilmarnock
25,325
13,160
312.8
210.9
102.0
185.8
5.2
8.6
22.7
3.2
6.1
Lebanon
29,998
7,199
564.4
483.0
84.5
432.8
2.6
2.9
15.2
Leesburg
54,502
8,830
288.4
198.9
89.6
173.7
4.3
1.6
9.4
(2.9)
10.8
Lexington
29,020
8,739
329.2
234.4
94.9
199.6
6.1
4.1
14.7
(4.9)
14.9
Low Moor
27,954
9,450
444.9
330.9
114.1
290.2
3.8
5.1
20.4
3.4
12.3
Luray
16,160
5,056
420.6
342.2
79.7
306.4
5.4
3.1
13.8
(2.3)
Lynchburg
192,921
54,110
285.3
198.9
86.4
169.1
5.5
2.2
14.0
3.0
9.2
Manassas
101,395
9,751
300.5
215.1
85.6
186.8
3.8
2.5
8.5
2.0
12.6
Harrisonburg
Hopewell
8.0
10.8
8.9
Marion
33,662
10,394
339.5
255.6
84.4
216.6
3.2
1.3
8.3
1.6
19.6
Martinsville
74,428
21,996
280.5
188.4
92.2
163.6
5.7
3.6
23.8
2.0
14.4
Nassawadox
33,953
12,734
307.0
222.1
84.2
192.3
4.8
3.2
13.4
2.4
8.0
Newport News
285,327
51,703
298.2
200.6
97.8
173.0
5.2
5.0
19.4
5.1
7.9
Norfolk
387,166
64,676
311.4
211.4
100.2
183.0
6.1
4.4
16.8
3.8
10.2
BP
H
Ho
it
sp
al
Se
r
e
vic
Ar
ea
Re
e
sid
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p
Po
t
ula
ion
s
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oll 3)
es
nr 199
rg
E
ha
re lus
sc
i
id ca 2 p
lD
9
Al
Me (19
Al
l
d
Me
ica
lD
h
isc
ar
ge
s
Al
l
r
Su
gic
al
D
isc
ha
rg
es
Me
ion s
t
a
r i on
Va diti
gh n
Hi Co
dic
al
CA
BG
Su
rg
er
ra
y
PT
CA
Co
n
ro
ar
yA
n
g
gio
y
ph
B
kS
ac
ur
ge
ry
TU
RP
for
Norton
30,691
7,866
580.4
489.5
94.2
444.5
3.3
2.8
11.7
(1.3)
Pearisburg
18,608
6,316
391.5
286.4
105.7
248.6
4.1
2.3
14.0
(2.6)
Pennington Gap
17,208
5,551
497.3
425.8
71.7
371.9
5.7
2.1
14.0
Petersburg
111,954
27,541
339.3
234.5
104.9
204.1
7.0
6.4
23.6
3.3
16.8
Portsmouth
161,696
37,455
327.2
223.4
104.1
189.0
7.6
3.1
18.6
3.6
13.3
Pulaski
20,374
6,331
513.4
418.9
95.6
371.2
5.8
3.3
16.9
(2.5)
9.2
Radford
38,074
8,680
345.9
256.8
89.5
223.1
6.4
2.7
13.8
Reston
148,352
10,433
306.0
219.4
86.6
193.0
3.0
3.7
9.9
30,401
6,967
518.8
430.9
91.6
389.3
4.8
2.6
19.3
Richmond
801,560
187,809
330.3
223.3
107.3
196.4
5.7
7.0
24.5
3.8
9.0
Roanoke
221,226
66,839
309.8
213.3
96.6
184.3
4.7
2.8
16.3
3.5
13.7
Richlands
18.9
5.7
12.2
4.5
2.6
5.8
10.2
Rocky Mount
23,408
6,298
335.6
244.9
90.8
212.9
4.6
2.7
15.0
(3.7)
14.4
Salem
49,858
13,725
304.6
210.0
94.6
180.4
5.0
2.8
17.7
3.4
13.0
South Boston
54,014
18,409
322.6
234.8
87.2
202.6
5.0
4.7
19.5
2.3
9.4
South Hill
27,908
8,807
377.1
267.2
109.6
225.1
4.9
6.5
19.5
(3.2)
15.6
Staunton
97,021
28,253
346.0
258.5
87.9
221.3
3.5
3.7
15.0
2.5
12.2
Stuart
13,469
4,486
345.0
261.1
84.1
227.2
(4.6)
(3.3)
16.8
(2.4)
(11.1)
Suffolk
60,787
16,050
364.0
251.8
112.4
217.0
9.2
4.3
22.2
4.7
13.7
Tappahannock
22,578
8,072
356.7
248.2
108.6
213.4
6.5
7.8
29.2
(2.2)
Tazewell
13,794
3,817
422.0
327.1
95.0
281.8
(3.7)
267,490
37,325
317.3
212.5
104.4
186.8
6.5
5.2
20.0
3.9
13.5
51,870
9,559
357.5
257.0
100.5
227.7
4.5
2.6
10.6
4.0
12.7
Virginia Beach
Warrenton
12.1
9.2
(7.9)
Williamsburg
56,825
14,828
340.7
231.1
109.6
203.6
5.4
6.0
19.8
5.4
17.1
Winchester
103,580
25,650
353.5
257.0
96.8
223.9
5.7
5.4
21.6
3.2
11.6
Woodbridge
149,821
8,732
302.8
213.1
89.8
183.4
6.1
6.4
16.4
(2.6)
7.4
Woodstock
22,171
6,592
330.8
249.6
81.8
218.3
3.9
3.3
13.0
(2.2)
12.6
Wytheville
31,643
9,602
396.0
300.4
96.1
261.8
4.7
2.1
11.9
2.7
10.6
1.5
West Virginia
Beckley
105,431
30,629
364.3
274.7
89.9
238.3
5.0
3.6
15.0
Berkeley Springs
10,327
3,453
393.6
294.4
100.4
244.5
(5.5)
(4.8)
21.7
13.8
Bluefield
73,865
23,966
420.7
313.8
106.9
279.9
5.3
2.5
14.6
Buckhannon
23,150
6,928
337.8
262.3
75.3
231.7
4.0
3.6
15.4
Charleston
196,739
58,775
352.5
256.7
96.1
221.9
7.0
4.7
18.2
1.3
15.6
Clarksburg
79,853
27,054
361.5
267.1
94.5
232.8
4.8
6.3
21.7
2.4
13.5
(20.3)
2.3
15.8
12.2
Elkins
42,789
13,827
452.2
359.0
93.6
319.5
5.3
3.6
17.0
1.9
14.6
Fairmont
56,900
20,447
343.8
248.4
95.5
215.6
5.1
3.7
16.7
1.6
22.3
Gassaway
11,069
3,762
378.7
298.4
80.4
253.6
(3.6)
(4.4)
14.5
Glen Dale
29,706
8,844
401.5
316.2
86.8
279.0
3.2
2.9
14.9
Grafton
10,102
3,572
345.9
258.0
87.9
218.0
(4.2)
Grantsville
(17.7)
1.4
(14.0)
11.5
(26.5)
4,972
1,867
390.4
312.9
76.6
287.4
11,125
4,120
389.3
305.9
83.4
262.2
(6.4)
(3.3)
14.9
Huntington
179,391
53,079
325.0
240.0
85.2
205.0
5.0
3.7
13.8
1.9
Hurricane
32,382
7,413
349.2
253.6
96.2
213.7
8.2
2.9
16.2
(1.5)
Kingwood
12,054
3,462
415.7
326.2
90.2
278.7
(4.2)
(7.3)
23.3
Logan
43,292
10,412
485.4
379.8
107.6
340.9
7.0
3.1
14.0
Man
15,231
2,772
527.5
441.4
90.4
404.4
(7.7)
Hinton
19.2
10.5
12.4
(13.1)
11.4
12.8
(8.7)
1.0
27.4
(20.5)
BP
H
171
172
Ho
s
a
pit
lS
e
rv
A
ice
re
a
Marlinton
Re
e
sid
n
op
tP
t
ula
ion
s
ee
s
oll 3)
nr 199
ge
E
ar
re lus
ch
a
s
p
i
c
di 92
lD
Al
Me (19
Al
l
d
Me
ica
lD
h
isc
ar
ge
s
Al
l
r
Su
gic
al
D
h
isc
ar
ge
s
M
ion
iat ons
r
Va diti
gh n
Hi Co
ed
ica
l
CA
BG
Su
rg
y
er
PT
CA
Co
r
a
on
ry
A
5,820
1,903
510.1
410.0
100.0
367.3
Martinsburg
60,158
14,305
369.0
275.1
94.6
242.7
4.8
3.5
12.6
Montgomery
13,120
4,381
389.0
276.7
112.3
239.1
(7.9)
(6.2)
19.8
Morgantown
io
ng
gr
ap
hy
B
u
kS
ac
11.4
rg
er
y
TU
RP
for
(13.2)
3.2
9.5
(25.3)
101,244
23,849
370.0
279.0
91.6
249.1
4.5
5.2
19.4
1.1
New Martinsville
23,738
7,179
396.1
305.9
90.9
263.9
4.2
5.2
15.6
(2.4)
Oak Hill
27,598
9,237
452.6
353.6
99.0
314.3
5.4
4.3
16.5
Parkersburg
128,681
37,911
409.8
303.5
106.6
264.9
4.5
2.7
11.5
Petersburg
18,652
5,463
360.1
286.7
74.0
254.3
4.2
3.9
11.8
Philippi
10,520
2,878
410.2
322.4
87.7
285.0
(5.9)
(4.5)
20.3
13.0
13.2
17.3
2.3
19.4
6.8
Point Pleasant
24,531
6,951
465.1
380.4
86.3
337.0
5.3
4.0
15.1
Princeton
42,015
13,165
378.3
283.7
95.0
253.3
5.4
2.2
14.4
2.5
15.7
Ranson
30,538
7,100
367.7
285.3
83.3
246.1
4.2
4.6
14.2
(2.1)
11.0
4,522
1,650
391.4
306.5
85.3
266.2
23,086
6,333
415.4
320.8
95.6
281.1
6.7
6,911
2,157
396.8
303.1
94.6
260.1
(6.6)
Ronceverte
45,052
14,902
370.4
268.1
102.3
233.7
7.4
Sistersville
3,113
1,154
(443.7)
(353.1)
(91.0)
(308.4)
South Charleston
67,709
21,877
331.7
235.9
95.9
197.6
8.0
5.5
18.4
Spencer
17,431
4,724
461.7
373.1
88.9
330.6
4.5
(2.5)
13.3
28.6
Summersville
25,851
6,789
405.6
308.3
98.0
270.2
7.0
4.1
17.0
15.5
Richwood
Ripley
Romney
Webster Springs
13.2
12.0
3.7
17.0
(1.7)
13.9
2.5
18.8
12.0
(17.8)
2.1
(10.3)
15.2
(22.4)
1.3
12.6
5,086
1,625
373.5
300.6
73.2
267.3
(7.9)
18.3
Weirton
49,276
17,264
480.5
364.8
117.1
328.1
5.8
6.5
24.4
2.4
Weston
26,104
8,091
399.3
313.1
86.2
277.7
4.5
5.1
13.0
(1.8)
18.7
Wheeling
99,625
35,334
384.1
282.7
101.8
244.8
4.9
4.4
18.5
3.1
15.6
Williamson
25,405
6,454
567.1
469.2
101.0
423.8
6.1
3.3
13.1
17.6
27.4
BP
H
PART SIX
Hospital Bed Allocation and
Medicare Reimbursements
for Inpatient Services
by Hospital Service Area and
Hospital by Location
174
Hospital Bed Allocation and Medicare Reimbursements for Inpatient
Services by Hospital Service Area and Hospital by Location
This table provides detailed information on the contribution of individual hospitals
to the experience of the population living within each hospital service area (HSA)
where the proportion of acute inpatient hospital care provided to enrollees living in
the area by local hospital(s) exceed a certain minimum. The criteria for appearing
in this table for the South Atlantic States is that the proportion of inpatient Medicare reimbursements for area residents that occurred at local hospitals must have
exceeded 50%. Because of the limitations on the length of the printed Atlas, only
231 of 515 HSAs in the region are included. Information on all HSAs in the United
States is provided on the CD-ROM version of the Atlas.
Table 6 is organized alphabetically by state and HSA. The table for Bridgeport,
Connecticut, on the facing page, is provided as an example.
Column 1 lists the name and state of the HSA, together with the total population
of the HSA.
Column 2 lists the names of local hospitals and out of area hospitals. Bridgeport
Hospital and St. Vincent’s Medical Center, which are both within the Bridgeport
HSA, received 48.4% and 40.0% of the HSA’s inpatient Medicare reimbursements
for 1992 and 1993 (column 11). Among out-of-area hospitals, Yale-New Haven
Hospital received 3.7% of reimbursements for residents of the Bridgeport HSA, and
Norwalk Hospital received 1.3% of reimbursements for residents of the Bridgeport
HSA. All other out-of-area hospitals, which included hospitals located anywhere in
the United States, received 6.6% of the inpatient reimbursements for Medicare
enrollees living in the Bridgeport HSA.
Column 3 (1992-93 HOSP’s MPDs) gives the total number of Medicare patient
days of care in 1992 and 1993 provided by each hospital (in thousands of patient
days). For example, Bridgeport Hospital provided 146.7 thousand patient days of
care to residents of all areas.
HOSPITAL BED ALLOCATION AND MEDICARE REIMBURSEMENTS
Hospital Bed Allocation and Medicare Reimbursements for Inpatient Services for the Bridgeport,
Connecticut HSA by Hospital by Location
19
92
-
3M
s
PD
(3)
Bridgeport, CT
,0
(1
00
s)
D
MP
’s
SP SA
HO H
of rom
% f
(4)
s
s)
Rs l i o n
3 M mil
92 i n
19 ( $
(5)
s
MR
’s
SP A
HO HS
of om
% fr
St
e
aff
dB
s
ed
A
HS
Be
ds
s
P
OS
y H ns)
b
s llio
MR Mi
A in
HS ($
of
on P
ati O S
ll oc y H
A b
D
MP
’s
A
P
HS OS
of H
% by
(9)
(10)
(11)
(6)
(7)
(8)
MR
’s
SA SP
H
O
of H
% by
299,628
Hospitals Within HSA
Bridgeport Hospital
146.7
87.3
93.28
83.0
505
440.6
50.2
77.44
48.6
St Vincents Medical Center
123.1
86.6
82.12
78.0
391
338.6
41.8
64.06
40.2
136.7
3.3
150.60
3.9
777
25.7
1.8
5.85
3.7
88.1
3.9
57.25
3.7
349
13.4
1.3
2.14
1.3
51.2
4.9
9.99
6.3
869.5
100.0
159.49
100.0
Hospitals Outside HSA
Yale New Haven Hospital
Norwalk Hospital
All Others
All Hospitals
Column 4 (% of HOSP’s MPDs from HSA) gives the percentage of total Medicare
patient days for each listed hospital in 1992 and 1993 that was provided to residents
of the HSA. For example, 87.3% of Bridgeport Hospital’s patient days were for residents of the local HSA. (The remaining 13.7% were for residents of all other HSAs,
including neighboring HSAs as well as residents of remote HSAs from which patients
might have been temporary visitors or have experienced emergencies while traveling through Bridgeport.)
Column 5 (1992-93 MRs — Dollars in Millions) gives the total reimbursement for
inpatient services in millions of dollars received by each individually-listed hospital.
For example, in 1992-93, the Medicare Part A database shows that reimbursements
to Bridgeport Hospital were $93.28 million for residents of all areas.
Column 6 (% of HOSP’s MRs from HSA) gives the percent of total inpatient
reimbursements for listed hospitals in 1992 and 1993 (column 5) that were provided to Medicare enrollees living in the HSA. For example, 83.0% of Bridgeport
Hospital’s reimbursements were for residents of the Bridgeport HSA.
s
175
176
Column 7 (Staffed Beds) gives for each listed hospital the number of staffed beds
in 1993. In that year, Bridgeport Hospital had 505 staffed beds.
Column 8 (Allocation of HSA Beds by HOSP) estimates the number of hospital
beds allocated to the residents of the HSA by each hospital and by all hospitals. It
is obtained by multiplying the number of staffed beds (column 7) by the percent of
each hospital’s Medicare patient days that are for the HSA’s Medicare enrollees (column 4). For example, 87.3% of Bridgeport Hospital’s patient days are provided to
enrollees of the HSA (column 4) and in 1993 there were 505 staffed beds. The estimated allocation of hospital beds to Bridgeport is .8725 x 505 = 440.6. Of the two
listed out of area hospitals, Yale-New Haven contributes an estimated 25.7 of its
777 staffed beds, and Norwalk Hospital 13.4% of its 349 beds, to the residents of
Bridgeport. Estimates are made for all hospitals contributing one or more patient days
to the total for the HSA. For example, the remaining out-of-area hospitals (“All Others” in column 2) contribute a total of 51.2 hospital beds to the residents of
Bridgeport. Included in the All Others group would be the use of hospital care residents of Bridgeport make while out of area, for example while vacationing in Florida.
The total (All Hospitals) gives the sum of all contributed beds to the care of the
HSA. For example, in 1993 an estimated 869.5 hospital beds were allocated to the
care of residents of Bridgeport. Hospital bed allocations are made under the assumption that the HSA boundary crossing patterns seen for Medicare patients are similar
to those among people under 65 years of age. Studies in the Northeast and in California have shown this to be a reasonable assumption.
Column 9 (% of HSA’s MPDs by HOSP) gives the percent of the HSA’s total patient days provided by each hospital. For example, 50.1% of the patient days for
Medicare enrollees living in Bridgeport were provided by Bridgeport Hospital.
Column 10 (HSA MRs by HOSP — Dollars in Millions) gives the amount of
Medicare reimbursements for inpatient services provided by each listed hospital and
all other hospitals to the residents of Bridgeport. For example, Bridgeport Hospital
received $77.44 million for inpatient services provided to Medicare enrollees living
in Bridgeport; Yale-New Haven Hospital received $5.85 million, and “all other”
out-of-area hospitals received $10.54 million. For all inpatient care of the Medicare
residents of Bridgeport in 1992 and 1993, reimbursements totaled $160.03 million.
Column 11 (% of HSA’s MRs by HOSP) gives the proportion of Medicare inpatient reimbursements received by each hospital. For example, Bridgeport Hospital
received 48.4% of total reimbursements ($77.44/160.03 x 100= 48.4%).
On the Limitations of Space
The limitations on space in the printed version of the regional Atlas also make it
impractical to individually list more than two out-of-area hospitals contributing to
the care of a given HSA. In the case of Bridgeport, with its highly localized pattern
of care, only hospitals receiving less than 1.3% of the HSA Medicare inpatient reimbursements were not individually listed. But in several HSAs, particularly those near
major medical centers, truncation resulted in a much less complete picture of the
patterns of resource allocation and competition among institutions for market share
in the HSA. The Cambridge, Massachusetts HSA, located just across the Charles
River from Boston, provides an example. In contrast to Bridgeport, where over 88%
of Medicare reimbursements for HSA enrollees were to the two local hospitals, in
Cambridge, only 52.5% were provided at Mt. Auburn Hospital and Cambridge
Hospital, and nine out-of-area hospitals had a 1.4% share or greater.
177
178
The following table, which lists individually each out-of-area hospital whose Medicare reimbursements from the Cambridge HSA exceeded 1%, provides an
appreciation of the compromise between space and detail.
Hospital Bed Allocation and Medicare Reimbursements for Inpatient Services for the Cambridge,
Massachusetts HSA by Hospital by Location
19
92
-3
D
MP
(3)
Cambridge, MA
1
s(
,00
0s
)
D
MP
P’s A
OS HS
fo H om
% fr
(4)
s
s n
MR i l l i o
-3 m
92 $ i n
9
1 (
(5)
s)
s
MR
P’s
OS SA
fo H m H
% fro
(6)
St
ed
aff
d
Be
(7)
s
A
HS
Be
ds
of
on P
ati O S
c
lo H
Al by
D
MP
A’s P
S
S
H O
of H
% by
(8)
(9)
s
SP
HO )
by ons
s
lli
MR Mi
A in
HS ($
(10)
s
MR
A’s P
S
S
H O
of H
% by
(11)
152,358
Mt Auburn Hosp
74.7
56.4
62.12
53.2
286
161.3
39.2
33.03
38.1
Cambridge Hospital,The
24.1
64.5
20.54
62.7
176
113.4
14.4
12.87
14.9
St Elizabeths Hospital
112.8
9.7
104.34
9.1
415
40.1
10.1
9.49
11.0
Massachusetts General Hospital
240.3
3.4
266.65
2.9
984
33.5
7.6
7.66
8.8
46.9
11.4
28.03
11.3
213
24.2
5.0
3.16
3.6
Brigham And Womans Hospital
101.7
2.1
147.34
2.0
751
15.7
2.0
2.91
3.4
Beth Israel Hospital
113.0
2.3
131.56
2.2
462
10.7
2.4
2.86
3.3
43.5
9.5
27.77
8.9
109
10.3
3.8
2.46
2.8
Waltham Hospital
Symmes Hospital Inc,The
Newton-Wellesley Hospital
61.9
3.5
55.00
3.2
316
10.9
2.0
1.77
2.0
Lawrence Mem Hospital Of Medford
57.0
3.7
30.17
4.3
150
5.6
2.0
1.29
1.5
1.4
Mary And Arthur Clapham Hospital
83.6
1.5
97.70
1.2
272
4.0
1.2
1.21
New England Deaconess Hospital
89.5
1.4
103.80
1.0
345
4.8
1.2
1.08
1.3
New England Baptist Hospital
45.6
2.7
39.31
2.4
185
5.1
1.2
0.96
1.1
Somerville Hospital
20.9
6.7
14.93
6.1
103
1.1
All Others
All Hospitals
6.9
1.3
0.92
34.4
6.6
5.01
5.8
480.9
100.0
86.68
100.0
About the Detailed Tables Available on the CD-ROM
The CD-ROM version of the regional Atlases is not constrained by space limitations.
It contains a formatted version of Table 6 (identical to that for the Cambridge, Massachusetts HSA) listing all hospitals that received 1% or more of Medicare
reimbursements from the residents of each HSA. It also provides the data required for
the user to generate a patient origin study for each hospital in the United States in order to analyze the proportion of the hospital’s Medicare discharges, patient days and
reimbursements that come from various areas of the country.
The following table illustrates one use of this data for the Mary Hitchcock
Memorial Hospital (MHMH) in Lebanon, New Hampshire. Table 6.3 lists the
HSAs from which MHMH had more than 10 discharges in 1992-93. The final line
of the table lists totals for all HSAs in which any discharge occurred.
Column 2 (HSA of Patient Origin) lists the hospital service areas (HSA) where
Medicare enrollees (MEs) discharged from MHMH live. Only those HSAs where
there were more than ten discharges of MEs are included.
Column 3 (DCHGs from any HOSP of MEs in the HSA) gives the total number of
discharges (DCHGs) for MEs living in the HSA from any hospital (HOSP) anywhere
in the country. For example, there were 2,950 discharges from some hospital of Medicare enrollees living in the Springfield, Vermont hospital service area in 1992-93.
Column 4 (DCHGs of MEs in the HSA from MHMH) counts the discharges
(DSHGs) from Mary Hitchcock Memorial Hospital (MHMH) of Medicare enrollees (MEs) living in the HSA in 1992-93. For example, there were 533 discharges
from MHMH for MEs living in the Springfield, Vermont hospital service area.
Column 5 (MHMH % of HSA DCHGs) gives the percentage of all Medicare
enrollee discharges (DCHGs) in an HSA that came from MHMH in 1992-93.
MHMH accounted for 18.1% of the discharges for Medicare enrollees living in
Springfield, Vermont in 1992-93.
179
180
Medicare Discharges, Patient Days of Care and Inpatient Reimbursements to Mary Hitchcock
Memorial Hospital by HSA and Hospital Referral Region (HRR) of Enrollee Residence, 1992-93
Hospital Service Areas with Ten or Fewer Discharges from MHMH are not Shown
HS
A
t
Pa
of
ien
t
ig
Or
in
(2)
s
s
Ds
A
HG
SP
e
for
e
MP
MR
th )
HS s)
r
th
P
DC
HO A
s
s
o
n
r
s
f
S
i
n
i
y
o
A
A
A
H
S
f ion
s ion
s M
an H
HO SA
HS
HS
HS
MH HSA
ME mill
MH mill
m he
ME MH
ny e H
of
of
of
MH e
for in
of om
fro in t
MH in
%
%
%
n n th
n a n th
i
i
s
s
s
$
r
$
o
s
f
R (
st s(
MH
MH
MH
Ds s i
Ds s i
HG A
HG ME
lM A
MH
MR ME
Al HS
MH
DC of
MP ME
MP ME
DC HS
MH
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
Mary Hitchcock Memorial Hospital, Lebanon, NH
Hospital Service Areas with more than 10 Medicare Discharges from Mary Hitchcock Memorial Hospital
Lebanon, NH
3,706
2,762
74.5
24.71
19.70
79.7
30,684
23,861
77.8
Springfield, VT
2,950
533
18.1
15.32
5.19
33.9
22,661
5,375
23.7
Keene, NH
4,010
393
9.8
22.31
4.94
22.1
38,545
4,805
12.5
Claremont, NH
2,007
392
19.5
10.52
3.47
33.0
12,975
3,192
24.6
New London, NH
1,876
345
18.4
10.35
3.49
33.7
13,456
3,510
26.1
Woodsville, NH
1,337
335
25.1
7.69
3.00
39.0
9,274
3,364
36.3
Berlin, NH
2,409
288
12.0
11.63
2.93
25.2
19,065
2,838
14.9
Randolph, VT
1,323
269
20.3
6.87
2.72
39.5
8,812
2,556
29.0
Berlin, VT
4,140
240
5.8
21.59
2.60
12.0
32,610
2,471
7.6
St Johnsbury, VT
1,717
225
13.1
8.33
2.02
24.3
10,461
2,056
19.7
Newport, VT
2,086
217
10.4
9.99
2.33
23.3
12,224
1,915
15.7
Brattleboro, VT
2,035
215
10.6
10.78
2.79
25.9
18,538
2,257
12.2
Lancaster, NH
1,492
168
11.3
7.01
1.85
26.4
10,299
1,592
15.5
Greenfield, MA
5,014
166
3.3
28.61
1.93
6.7
35,780
1,764
4.9
677
131
19.4
3.38
1.04
30.8
4,451
1,032
23.2
Windsor, VT
Concord, NH
6,724
131
2.0
38.90
1.40
3.6
62,709
1,412
2.3
Littleton, NH
1,019
129
12.7
5.33
1.21
22.7
6,792
1,279
18.8
Laconia, NH
3,941
127
3.2
22.10
1.00
4.5
29,204
1,355
4.6
Plymouth, NH
1,136
119
10.5
6.43
1.09
16.9
7,903
1,327
16.8
Rutland, VT
6,240
119
1.9
31.77
1.13
3.6
55,757
987
1.8
Franklin, NH
2,037
77
3.8
10.25
0.72
7.0
14,852
1,123
7.6
Bennington, VT
4,505
66
1.5
22.35
0.73
3.3
37,923
710
1.9
Peterborough, NH
1,947
61
3.1
11.48
0.58
5.0
15,842
788
5.0
566
58
10.3
2.56
0.57
22.2
3,929
770
19.6
4.1
Colebrook, NH
Wolfeboro, NH
Manchester, NH
Townshend, VT
2,253
58
2.6
11.81
0.42
3.6
15,178
619
10,834
56
0.5
62.72
0.52
0.8
100,758
789
0.8
332
39
11.8
1.65
0.42
25.1
1,811
266
14.7
Morrisville, VT
1,607
36
2.2
8.57
0.26
3.0
11,925
218
1.8
Nashua, NH
7,690
36
0.5
48.85
0.33
0.7
80,075
302
0.4
Rochester, NH
2,727
31
1.1
15.46
0.26
1.7
22,565
298
1.3
North Conway, NH
1,118
25
2.2
5.92
0.23
3.8
7,729
308
4.0
Northampton, MA
5,761
23
0.4
29.65
0.22
0.7
44,077
189
0.4
Burlington, VT
6,493
13
0.2
41.25
0.11
0.3
62,850
124
0.2
Dover, NH
3,877
13
0.3
21.34
0.12
0.6
32,592
114
0.4
0.2
Glens Falls, NY
10,321
13
0.1
52.59
0.18
0.4
114,229
237
4,428
11
0.3
27.41
0.05
0.2
35,381
88
0.3
Boca Raton, FL
21,085
11
0.1
121.46
0.06
0.1
154,755
117
0.1
Naples, FL
20,662
11
0.1
123.75
0.10
0.1
153,644
83
0.1
Exeter, NH
MHMH Totals for All HSAs Served
8,568
76.93
82,589
Column 6 (All MRs for MEs in the HSA ($ in Millions) gives the Medicare reimbursements (MRs) for the Medicare enrollees (MEs) living in the HSA independently
of the hospital of their choice. Overall Medicare dollars benefiting the Medicare
enrollees living in the Springfield, Vermont HSA totaled $24,720,000 in 1992-93.
Column 7 (MRs to MHMH for HSA MEs ($ in Millions) gives the Medicare reimbursements (MRs) to MHMH for enrollees who live in the specified HSA.
MHMH received $5,190,000 in Medicare reimbursements for serving Medicare
enrollees who lived in the Springfield, Vermont hospital service area.
Column 8 (MHMH % of HSAs MRs) gives the percentage of all Medicare reimbursements (MRs) benefiting enrollees of an HSA that were received by MHMH.
Mary Hitchcock Memorial Hospital received 33.9% of Medicare Reimbursements
paid for the benefit of enrollees in the Springfield, Vermont HSA in 1992-93.
Column 9 (MPDs in any HOSP for MEs in the HSA) gives the Medicare patient
days (MPDs) spent in any hospital (HOSP) by the Medicare enrollees (MEs) living
in the HSA. Medicare enrollees from the Springfield, Vermont HSA spent 22,661
days in the hospital in 1992-93.
Column 10 (MPDs in MHMH for MEs in the HSA) gives the Medicare patient
days (MPDs) spent in MHMH by Medicare enrollees of the HSA. Medicare enrollees of the Springfield, Vermont HSA spent 5,375 days at MHMH in 1992-93.
Column 11 (MHMH % of HSAs MPDs) gives the percentage of all patient days
spent by enrollees living in an HSA that were spent at MHMH. Mary Hitchcock
Memorial Hospital provided 23.7% of the patient days used by Medicare enrollees
living in the Springfield, Vermont HSA during 1992-93.
181
TABLE 6
Hospital Bed Allocation and Medicare Reimbursements for Inpatient Services
by Hospital Service Area and Hospital by Location
19
92
-3
D
MP
(3)
Dover, DE
1
s(
,00
0s
)
D
MP
P’s A
OS HS
fo H om
% fr
s
Rs l i o n
3 M il
2- i n m
9
19 ( $
s)
s
MR
P’s
OS SA
fo H m H
% fro
St
ed
aff
d
Be
s
A
HS
Be
ds
f
no
tio O S P
a
loc H
Al by
D
MP
A’s P
S
S
H O
of H
% by
s
P
OS
y H ns)
b
o
s lli
MR Mi
A in
HS ($
s
MR
A’s P
S
S
H O
of H
% by
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
41.5
76.9
25.72
77.1
203
156.1
73.0
19.84
67.2
187.6
1.9
159.90
2.5
840
15.8
8.1
3.92
13.3
34.9
8.9
14.98
8.3
137
12.1
7.1
1.24
4.2
22.5
11.9
4.51
15.3
206.5
100.0
29.51
100.0
97,182
Kent General Hospital Inc
Medical Cntr Of Delaware
Milford Memorial Hospital Inc
All Others
All Hospitals
Lewes, DE
39,603
Beebe Medical Center
37.9
74.7
22.01
76.3
138
103.1
58.0
16.80
51.0
12.7
Peninsula Genl Hosp
111.9
4.1
77.71
5.4
361
14.9
9.5
4.19
187.6
1.5
159.90
1.8
840
12.7
5.8
2.87
8.7
57.9
26.8
9.05
27.5
188.6
100.0
32.92
100.0
All Others
All Hospitals
Seaford, DE
32,148
Nanticoke Memorial Hospital Inc
36.1
68.6
16.31
69.8
139
95.3
69.5
11.38
57.4
Peninsula Genl Hosp
111.9
Johns Hopkins Hosp
122.0
4.1
77.71
4.7
361
14.8
12.9
3.64
18.4
0.6
147.47
0.7
961
5.8
2.1
0.95
4.8
25.7
15.6
3.85
19.4
141.6
100.0
19.83
100.0
All Others
All Hospitals
Wilmington, DE
438,123
187.6
82.1
159.90
79.4
840
689.3
54.1
126.91
61.5
St Francis Hospital Inc
91.5
93.4
50.28
93.2
333
311.1
30.0
46.86
22.7
Riverside Hospital
16.8
94.8
10.77
94.1
69
65.4
5.6
10.14
4.9
26.1
13.1
22.55
12.4
112
14.6
1.2
2.79
1.4
102.6
3.6
75.58
3.5
478
17.0
1.3
2.65
1.3
Union Hospital-Cecil County
Crozer Chester Medical Center
All Others
All Hospitals
104.5
7.8
17.07
8.3
1,201.9
100.0
206.42
100.0
183
184
19
92
-3
D
MP
(3)
Washington, DC
1
s(
,00
0s
)
D
MP
P’s A
OS HS
H
of om
% fr
s
Rs l i o n
3 M il
2- i n m
9
19 ( $
s)
s
MR
P’s
OS HSA
H
of m
% fro
St
ed
aff
d
Be
s
A
HS
Be
ds
f
no
tio O S P
a
loc H
Al by
D
MP
A’s P
S
H OS
of H
% by
(9)
(4)
(5)
(6)
(7)
(8)
s
P
OS
y H ns)
b
o
s lli
MR Mi
A in
HS ($
MR
’s
SA SP
H
O
of H
% by
(10)
(11)
17.7
878,265
Washington Hospital Center
162.7
64.3
168.75
45.1
874
562.1
17.0
76.06
Providence Hospital
87.9
90.0
59.19
88.1
339
305.2
12.8
52.17
12.1
Greater Southeast Hospital
79.4
88.6
50.99
88.0
396
350.8
11.4
44.89
10.4
Howard University Hospital
60.2
92.6
44.41
92.1
437
404.6
9.0
40.91
9.5
George Washington Univ Hospital
66.2
71.0
61.51
64.3
400
283.9
7.6
39.52
9.2
Sibley Memorial Hospital
83.2
62.8
49.25
62.3
362
227.5
8.5
30.69
7.1
Georgetown University Hospital
69.0
55.8
61.09
46.7
455
254.0
6.2
28.52
6.6
District Of Columbia Gen Hospital
32.8
95.7
20.11
95.8
395
378.1
5.1
19.26
4.5
Hadley Memorial Hospital
18.4
95.2
9.32
95.2
72
68.5
2.8
8.88
2.1
4.7
63.9
2.75
64.8
33
21.1
0.5
1.78
0.4
Southern Maryland Hosp
66.9
40.3
40.65
39.5
338
136.3
4.4
16.04
3.7
Prince Georges Hospitl Center
58.5
31.3
51.35
28.4
394
123.1
3.0
14.58
3.4
Others Within HSA
All Others
All Hospitals
Atlantis, FL
359.9
11.7
57.17
13.3
3,475.1
100.0
430.47
100.0
140,650
Jfk Medical Center Inc
84.6
49.3
68.26
46.0
369
181.8
47.5
31.37
47.1
Palm Beach Regional Hospital
24.1
43.5
17.64
44.8
200
87.0
12.0
7.90
11.9
Good Samaritan Hospital
52.9
8.2
36.41
8.5
256
21.1
5.0
3.09
4.6
St Marys Hospital Inc
58.8
6.0
41.75
6.0
430
25.9
4.0
2.51
3.8
174.0
31.5
21.76
32.7
489.8
100.0
66.62
100.0
All Others
All Hospitals
Boca Raton, FL
156,070
Boca Raton Community Hospital Inc
122.7
56.1
86.28
55.7
309
173.4
44.5
48.03
39.6
32.6
66.4
22.90
67.9
185
122.8
14.0
15.55
12.8
Ami North Ridge Medical Center
84.2
17.4
83.18
18.6
280
48.7
9.5
15.47
12.7
Delray Community Hospital
78.4
5.4
69.95
5.9
211
11.3
2.7
4.13
3.4
246.4
29.4
38.27
31.5
602.6
100.0
121.46
100.0
West Boca Medical Center
All Others
All Hospitals
Bradenton, FL
197,705
Hca L W Blake Hospital
Manatee Memorial Hospital
106.2
83.2
77.16
82.9
383
318.8
45.4
63.94
44.1
91.4
81.7
66.37
79.9
512
418.4
38.4
53.00
36.6
207.3
3.2
175.93
3.4
645
Sarasota Memorial Hospital
All Others
All Hospitals
20.5
3.4
6.05
4.2
127.5
12.9
22.01
15.2
885.2
100.0
145.00
100.0
s
19
92
-3
D
MP
(3)
Cape Coral, FL
1
s(
,0
00
s)
D
MP
P’s A
OS HS
H
of om
% fr
s
s n
MR lio
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s
MR
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of H
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% by
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
71.9
63.9
51.82
63.7
201
128.4
63.7
33.02
57.2
134.5
7.4
111.92
8.3
627
46.5
13.8
9.32
16.1
93.1
6.6
93.64
7.6
400
26.3
8.5
7.12
12.3
82,846
Cape Coral Hospital
Lee Memorial Hospital
Sw Florida Regional Medical Center
All Others
All Hospitals
Clearwater, FL
50.6
14.0
8.32
14.4
251.8
100.0
57.77
100.0
181,729
Morton F Plant Hospital
155.4
43.6
115.82
41.3
678
295.3
44.5
47.81
43.7
27.5
56.2
20.48
54.0
113
63.5
10.2
11.06
10.1
Hca Medical Center Hospital Largo
88.6
15.1
69.45
15.1
256
38.6
8.8
10.49
9.6
Mease Hospital Dunedin
51.6
28.8
36.60
27.9
278
80.1
9.8
10.20
9.3
Clearwater Community Hospital
All Others
All Hospitals
Crestview, FL
180.9
26.9
29.94
27.3
658.4
100.0
109.50
100.0
29,976
North Okaloosa Medical Center
18.2
79.4
12.83
78.1
110
87.4
61.7
10.02
60.7
West Florida Regional Medical Center
91.3
4.6
60.28
5.1
526
24.2
17.9
3.05
18.5
Fort Walton Beach Medical Center
34.3
4.5
20.81
4.6
212
9.6
6.7
0.95
5.8
22.1
13.7
2.48
15.0
143.3
100.0
16.50
100.0
All Others
All Hospitals
Daytona Beach, FL
143,628
Halifax Hospital Medical Center
68.8
64.1
48.63
64.2
450
288.5
42.9
31.20
48.4
Daytona Medical Center
38.4
61.8
8.88
73.5
214
132.3
23.2
6.52
10.1
Memorial Hospital Ormond Beach
48.1
26.9
41.64
28.6
205
55.1
12.6
11.89
18.4
Peninsula Medical Center
29.5
40.8
19.11
38.5
119
48.6
11.7
7.36
11.4
50.3
9.6
7.50
11.6
574.8
100.0
64.47
100.0
All Others
All Hospitals
De Land, FL
72,993
West Volusia Memorial Hospital
31.7
68.2
23.28
68.1
156
106.3
43.1
15.86
41.6
Fish Memorial Hospital
11.5
75.6
7.27
76.6
39
29.5
17.4
5.57
14.6
239.7
1.6
235.22
2.1
1331
21.4
7.7
5.04
13.2
46.3
6.7
34.29
7.0
226
15.0
6.1
2.39
6.3
70.1
25.7
9.33
24.4
242.3
100.0
38.18
100.0
Florida Hospital
Central Florida Regional Hospital
All Others
All Hospitals
185
186
19
92
-3
D
MP
(3)
Fort Lauderdale, FL
1
s(
,00
0s
)
D
MP
P’s A
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H
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% fr
s
Rs l i o n
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s
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St
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HS
Be
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no
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Al by
D
MP
A’s P
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of H
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(9)
(4)
(5)
(6)
(7)
(8)
s
P
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b
o
s lli
MR Mi
A in
HS ($
MR
’s
SA SP
H
O
of H
% by
(10)
(11)
505,868
Holy Cross Hospital
126.0
64.4
92.88
57.9
437
281.4
19.8
53.77
19.5
Florida Medical Center
109.9
52.0
80.14
48.9
459
238.8
14.0
39.16
14.2
Ami North Ridge Medical Center
84.2
45.8
83.18
38.6
280
128.1
9.4
32.08
11.6
Broward General Medical Center
58.7
69.4
42.67
63.1
588
407.8
10.0
26.94
9.8
Imperial Point Medical Center
32.2
60.0
18.08
65.1
154
92.5
4.7
11.76
4.3
Cleveland Clinic Hospital
33.0
49.4
25.42
42.6
110
54.4
4.0
10.84
3.9
Universal Medical Center
20.7
36.4
16.97
36.1
79
28.8
1.8
6.12
2.2
Pompano Beach Medical Center
37.7
46.5
6.82
68.8
273
126.8
4.3
4.70
1.7
4.6
Hca University Hospital
63.7
31.0
42.38
30.0
172
53.4
4.8
12.71
North Broward Medical Center
71.1
16.5
42.72
16.5
316
52.0
2.9
7.04
2.6
615.6
24.3
71.21
25.8
2,079.6
100.0
276.32
100.0
All Others
All Hospitals
Fort Myers, FL
226,509
134.5
67.3
111.92
63.7
627
422.0
43.0
71.27
42.0
93.1
58.3
93.64
51.6
400
233.0
25.8
48.28
28.5
Gulf Coast Hospital
17.9
71.6
14.04
70.9
120
85.9
6.1
9.96
5.9
Cape Coral Hospital
71.9
24.4
51.82
24.6
201
49.0
8.3
12.73
7.5
East Pointe Hospital
19.7
17.4
11.03
16.6
88
15.3
1.6
1.83
1.1
All Others
All Hospitals
Fort Pierce, FL
166.1
15.1
25.55
15.1
971.3
100.0
169.61
100.0
77,331
Lawnwood Medical Center Inc
71.2
71.9
44.55
70.5
320
230.0
74.9
31.41
66.2
Hca Medical Center Of Port St Lucie
44.2
9.8
37.12
10.2
150
14.6
6.3
3.77
8.0
Indian River Memorial Hospital
88.9
3.5
58.49
3.6
347
12.0
4.5
2.08
4.4
50.6
14.2
10.20
21.5
307.2
100.0
47.46
100.0
All Others
All Hospitals
Fort Walton Beach, FL
81,275
Fort Walton Beach Medical Center
34.3
63.1
20.81
61.4
212
133.8
68.4
12.78
61.1
16.7
91.3
4.3
60.28
5.8
526
22.7
12.5
3.50
Hca Twin Cities Hospital
12.1
11.9
7.34
11.3
75
8.9
4.6
0.83
4.0
29.6
14.5
3.79
18.2
195.0
100.0
20.90
100.0
All Others
All Hospitals
s
19
92
-3
D
MP
(3)
Gainesville, FL
1
s(
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00
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D
MP
P’s A
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H
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(4)
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(6)
St
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(7)
s
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ds
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o
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Al by
D
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S
H OS
of H
% by
(8)
(9)
(10)
(11)
300,146
Hca North Florida Reg Med Center
78.7
74.0
62.83
69.8
266
196.8
37.1
43.87
37.3
Alachua General Hospital
58.1
84.5
43.16
83.9
405
342.4
31.2
36.22
30.8
Shands Hosp At The Un Of Florida
55.2
23.3
64.95
19.8
546
126.9
8.2
12.86
10.9
Bradford Hospital Swing Beds
5.7
91.2
2.99
89.8
23
21.0
3.3
2.68
2.3
Nature Coast Regional Hospital
7.0
68.7
3.59
68.8
26
17.9
3.1
2.47
2.1
Suwannee Hospital Inc
2.0
85.4
1.49
85.6
16
13.7
1.1
1.28
1.1
Others Within HSA
1.3
79.4
0.87
76.2
27
21.4
0.6
0.66
0.6
9.5
28.2
6.02
28.4
69
19.5
1.7
1.71
1.5
11.8
27.1
7.48
22.7
70
19.0
2.0
1.70
1.5
Lake Shore Hospital
Lake City Medical Center
All Others
All Hospitals
Hialeah, FL
99.0
11.7
14.15
12.0
877.6
100.0
117.59
100.0
242,584
Ami Palmetto General Hospital
46.3
64.1
43.23
65.3
360
230.6
22.7
28.23
25.8
Palm Springs General Hospital
50.7
68.0
38.19
67.8
190
129.2
26.4
25.89
23.7
Hialeah Hospital
38.5
64.3
29.31
65.8
411
264.1
18.9
19.27
17.6
Mercy Hospital Inc
92.8
6.1
77.66
7.0
361
22.1
4.3
5.42
5.0
Cedars Medical Center Inc
89.0
7.5
67.97
6.4
500
37.3
5.1
4.33
4.0
All Others
All Hospitals
Hollywood, FL
207.1
22.7
26.19
24.0
890.4
100.0
109.35
100.0
286,949
Memorial Hospital
132.7
68.9
78.42
67.1
660
454.8
42.4
52.64
38.5
Hollywood Medical Center Inc
33.5
71.3
23.23
70.5
334
238.2
11.1
16.38
12.0
Thc Hollywood
14.3
62.2
11.21
64.3
124
77.2
4.1
7.20
5.3
Pembroke Pines Hospital
23.3
51.2
8.29
51.8
301
154.2
5.5
4.29
3.1
65.2
27.7
31.96
29.2
458
126.7
8.4
9.33
6.8
175.0
3.9
125.53
4.1
585
22.8
3.2
5.12
3.7
Aventura Hospital And Medical Center
Mount Sinai Hospital
All Others
All Hospitals
Hudson, FL
306.6
25.4
41.87
30.6
1,380.5
100.0
136.84
100.0
34,987
Hca Bayonet Point Hudson Med Center 88.1
29.5
81.14
23.5
256
75.6
54.4
19.10
59.1
145.2
6.6
69.02
5.1
414
27.3
20.0
3.49
10.8
40.3
8.3
24.03
7.6
122
10.1
7.0
1.83
5.7
49.3
18.6
7.93
24.5
162.3
100.0
32.34
100.0
Hca New Port Richey Hospital
Riverside Hospital
All Others
All Hospitals
187
188
19
92
-3
D
MP
(3)
1
s(
,00
0s
)
D
MP
P’s A
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H
of om
% fr
s
Rs l i o n
3 M il
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9
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s)
s
MR
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H
of m
% fro
St
ed
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s
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HS
Be
ds
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Al by
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A’s P
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H OS
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s
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b
o
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MR Mi
A in
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MR
’s
SA SP
H
O
of H
% by
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
56.7
59.4
39.93
58.5
171
101.5
64.0
23.34
56.1
Munroe Regional Medical Center
78.9
2.6
65.00
4.6
296
7.7
3.9
3.00
7.2
Hca Marion Community Hospital
77.9
2.3
57.48
4.6
190
4.5
3.5
2.62
6.3
72.4
28.6
12.63
30.4
186.1
100.0
41.60
100.0
21.2
Inverness, FL
47,236
Citrus Memorial Hospital
All Others
All Hospitals
Jacksonville, FL
711,122
St Vincents Medical Center Inc
113.6
80.5
84.89
74.7
494
397.5
23.0
63.37
Memorial Med Center Of Jacksonville
81.4
84.8
60.44
80.3
333
282.2
17.4
48.51
16.3
Methodist Medical Cente
52.7
95.4
48.22
95.2
244
232.8
12.7
45.88
15.4
University Medical Center
37.4
90.4
37.57
87.3
493
445.6
8.5
32.78
11.0
Baptist Medical Center
55.5
79.9
39.56
77.7
508
405.7
11.2
30.74
10.3
St Lukes Hospital
63.0
54.7
58.90
51.1
228
124.6
8.7
30.11
10.1
Riverside Hospital
29.5
88.9
17.09
90.1
108
96.1
6.6
15.39
5.2
Others Within HSA
4.8
91.3
2.44
91.7
31
28.5
1.1
2.24
0.8
Orange Park Medical Center
46.8
35.5
29.99
34.6
224
79.5
4.2
10.37
3.5
Baptist Medical Center Beaches
15.5
50.2
11.16
50.2
82
41.2
2.0
5.60
1.9
115.1
4.7
13.39
4.5
2,248.8
100.0
298.37
100.0
All Others
All Hospitals
Jupiter, FL
53,932
Jupiter Hospital
44.6
51.1
29.68
49.4
156
79.7
62.8
14.65
53.9
Ami Palm Bch Gardens Medical Ctr
48.9
7.0
49.42
8.8
189
13.2
9.4
4.32
15.9
58.8
2.5
41.75
2.5
430
10.8
4.1
1.03
3.8
49.3
23.7
7.18
26.4
153.0
100.0
27.18
100.0
64.1
All Others
All Hospitals
Key West, FL
36,938
Health Systems
17.8
82.2
13.70
82.0
157
129.0
70.8
11.23
175.0
0.8
125.53
1.4
585
4.5
6.5
1.74
9.9
Fishermens Hospital
10.1
8.0
12.50
8.4
58
4.6
3.9
1.05
6.0
All Others
All Hospitals
Kissimmee, FL
27.5
18.8
3.53
20.1
165.6
100.0
17.54
100.0
80,622
Osceola Regional Hospital
25.4
61.0
15.55
60.6
169
103.0
39.4
9.42
33.1
Kissimmee Memorial Hospital
14.8
64.0
10.21
63.2
120
76.8
24.1
6.45
22.6
Orlando Regional Medical Center
102.1
3.0
102.50
3.9
827
24.6
7.7
3.99
14.0
Florida Hospital
239.7
1.4
235.22
1.2
1331
18.4
8.4
2.85
10.0
39.7
20.4
5.79
20.3
262.5
100.0
28.50
100.0
All Others
All Hospitals
s
19
92
-3
D
MP
(3)
Lakeland, FL
1
s(
,0
00
s)
D
MP
P’s A
OS HS
H
of om
% fr
s
s n
MR lio
3 il
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s)
s
MR
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H
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St
af
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d
Be
s
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HS
Be
ds
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Al by
D
MP
A’s P
S
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of H
% by
s
P
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b
o
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S
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H OS
A in
of H
HS ($
% by
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
153.5
66.0
105.15
66.2
468
308.9
81.6
69.61
79.8
100.0
4.6
64.80
4.6
385
17.8
3.7
3.01
3.5
76.4
2.2
90.81
1.8
731
16.0
1.3
1.63
1.9
101.6
13.3
12.96
14.9
444.3
100.0
87.21
100.0
193,008
Lakeland Regional Medical Center
Winter Haven Hospital
Tampa General Hospital
All Others
All Hospitals
Largo, FL
156,963
88.6
56.4
69.45
53.3
256
144.4
30.3
37.01
32.4
Sun Coast Hospital
44.1
52.5
27.91
53.1
227
119.1
14.0
14.82
13.0
University General Hospital
24.5
49.8
16.98
51.0
140
69.7
7.4
8.67
7.6
0.8
42.3
0.66
43.4
99
41.9
0.2
0.29
0.3
155.4
25.0
115.82
23.0
678
169.8
23.6
26.60
23.3
82.5
5.5
53.94
5.9
310
17.2
2.8
3.18
2.8
175.5
21.7
23.57
20.7
737.6
100.0
114.13
100.0
294
195.8
60.9
33.25
51.5
12.2
Others Within HSA
Palms Of Pasadena Hospital
All Others
All Hospitals
Leesburg, FL
71,939
Leesburg Regional Medical Center
70.5
66.6
49.54
67.1
55.2
239.7
9.2
64.95
12.2
546
50.4
6.6
7.89
1.9
235.22
2.7
1331
25.6
6.0
6.40
9.9
95.1
26.5
17.07
26.4
366.9
100.0
64.61
100.0
Florida Hospital
All Others
All Hospitals
Marathon, FL
18,748
Fishermens Hospital
10.1
67.2
12.50
64.2
58
39.0
55.4
8.02
60.7
5.4
Health Systems
17.8
4.9
13.70
5.2
157
7.6
7.1
0.71
175.0
0.2
125.53
0.3
585
0.9
2.3
0.42
3.2
24.3
35.2
4.07
30.8
71.8
100.0
13.22
100.0
82.4
83.10
79.4
All Others
All Hospitals
Melbourne, FL
201,104
Holmes Regional Medical Center
148.4
79.7
107.99
77.0
491
391.5
Wuesthoff Memorial Hospital
62.6
6.9
42.99
7.3
274
19.0
3.0
3.15
3.0
Sebastian Hospital
27.3
7.1
15.92
7.4
133
9.4
1.3
1.18
1.1
All Others
All Hospitals
103.0
13.3
17.29
16.5
522.9
100.0
104.71
100.0
189
190
19
92
-3
D
MP
(3)
Miami Beach, FL
1
s(
,00
0s
)
D
MP
P’s A
OS HS
H
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% fr
s
Rs l i o n
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s
MR
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St
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Be
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Al by
D
MP
A’s P
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H OS
of H
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(9)
(4)
(5)
(6)
(7)
(8)
s
P
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y H ns)
b
o
s lli
MR Mi
A in
HS ($
MR
’s
SA SP
H
O
of H
% by
(10)
(11)
42.9
122,912
175.0
48.6
125.53
42.5
585
284.6
47.0
53.38
Miami Heart Institute Inc
76.3
42.0
70.42
36.8
258
108.3
17.7
25.88
20.8
Miami Beach Community Hospital
41.4
54.9
25.01
54.1
253
139.0
12.5
13.53
10.9
Parkway Regional Medical Center
68.1
6.7
56.26
6.7
299
20.0
2.5
3.76
3.0
89.0
5.6
67.97
5.0
500
27.9
2.7
3.39
2.7
All Others
All Hospitals
Miami, FL
241.5
17.5
24.65
19.8
821.3
100.0
124.59
100.0
10.4
1,486,885
Mercy Hospital Inc
92.8
86.0
77.66
84.0
361
310.4
10.0
65.22
Baptist Hospital Of Miami Inc
83.6
76.3
68.36
75.3
461
351.7
8.0
51.45
8.2
Kendall Regional Medical Center
60.5
89.6
56.94
89.0
230
206.0
6.8
50.69
8.1
89.0
75.9
67.97
74.6
500
379.5
8.4
50.67
8.1
Coral Gables Hospital
55.4
90.2
49.27
90.1
205
184.9
6.3
44.37
7.1
Parkway Regional Medical Center
68.1
75.0
56.26
74.1
299
224.2
6.4
41.71
6.7
Pan American Hospital
51.4
87.5
41.09
87.3
146
127.7
5.6
35.89
5.7
Jackson Memorial Hospital
53.5
54.5
58.46
50.1
1446
788.5
3.6
29.30
4.7
North Shore Medical Center Inc
35.9
82.6
26.27
82.9
291
240.3
3.7
21.78
3.5
Aventura Hospital And Medical Center
65.2
55.4
31.96
53.3
458
253.7
4.5
17.03
2.7
Victoria Hospital
23.1
84.6
18.37
85.2
40
33.8
2.4
15.66
2.5
Deering Hospital
9.7
82.6
8.34
83.0
70
57.8
1.0
6.92
1.1
Golden Glades Regional Med Center
13.9
87.7
7.69
84.3
128
112.3
1.5
6.48
1.0
Others Within HSA
10.5
60.9
8.24
63.7
150
102.3
0.8
5.25
0.8
175.0
29.9
125.53
31.5
585
174.9
6.5
39.52
6.3
59.9
69.5
47.44
66.6
406
282.2
5.2
31.57
5.0
940.4
19.3
113.60
18.1
4,770.6
100.0
627.11
100.0
353.0
71.3
77.20
62.4
8.6
South Miami Hospital Inc
All Others
All Hospitals
Naples, FL
170,844
Naples Community Hospital Inc
134.7
81.4
96.20
80.3
434
93.1
8.3
93.64
11.4
400
33.2
5.0
10.65
134.5
4.5
111.92
7.2
627
28.4
4.0
8.03
6.5
151.5
19.7
27.87
22.5
566.1
100.0
123.75
100.0
All Others
All Hospitals
Ocala, FL
192,202
Munroe Regional Medical Center
78.9
81.4
65.00
75.5
296
240.9
38.6
49.04
39.5
Hca Marion Community Hospital
77.9
85.9
57.48
80.7
190
163.2
40.2
46.37
37.3
55.2
10.2
64.95
9.5
546
55.5
3.4
6.18
5.0
Seven Rivers Community Hospital
42.2
6.7
26.76
7.1
128
8.6
1.7
1.91
1.5
135.0
16.1
20.78
16.7
603.2
100.0
124.28
100.0
All Others
All Hospitals
s
19
92
-3
D
MP
(3)
Okeechobee, FL
1
s(
,0
00
s)
D
MP
P’s A
OS HS
H
of om
% fr
s
s n
MR lio
3 il
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s
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St
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of
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Al by
D
MP
A’s P
S
H OS
of H
% by
(8)
(9)
(10)
(11)
63.2
14.35
56.0
(4)
(5)
(6)
(7)
80.4
18.03
79.6
101
239.7
0.4
235.22
0.5
1331
5.4
2.8
1.26
4.9
71.2
2.5
44.55
2.8
320
8.1
5.2
1.25
4.9
33,077
Hca Raulerson Hospital
27.2
81.2
Florida Hospital
All Others
All Hospitals
Orange Park, FL
53.0
28.9
8.79
34.3
147.7
100.0
25.64
100.0
95,807
Orange Park Medical Center
46.8
51.5
29.99
52.2
224
115.4
68.8
15.64
61.6
113.6
2.5
84.89
2.8
494
12.5
8.2
2.38
9.4
81.4
2.4
60.44
3.6
333
8.0
5.6
2.19
8.6
39.7
17.5
5.19
20.4
175.6
100.0
25.39
100.0
All Others
All Hospitals
Orlando, FL
810,624
Florida Hospital
239.7
57.9
235.22
49.4
1331
770.2
41.4
116.08
44.1
102.1
74.3
102.50
69.9
827
614.1
22.6
71.59
27.2
Lucerne Medical Center
46.6
80.5
23.28
74.4
247
198.9
11.2
17.31
6.6
Princeton Hospital
15.0
83.3
10.32
81.2
150
124.9
3.7
8.38
3.2
South Seminole Community Hospital
11.7
69.6
9.20
70.4
206
143.3
2.4
6.48
2.5
7.0
Winter Park Memorial Hospital
45.8
58.9
31.81
58.2
339
199.5
8.1
18.50
Health Central
13.4
22.7
11.66
23.3
141
32.0
0.9
2.72
1.0
168.8
9.6
22.36
8.5
2,251.7
100.0
263.43
100.0
All Others
All Hospitals
Ormond Beach, FL
54,468
Memorial Hospital Ormond Beach
48.1
49.5
41.64
42.4
205
101.4
45.5
17.65
49.8
Peninsula Medical Center
29.5
23.3
19.11
23.4
119
27.7
13.1
4.47
12.6
68.8
10.7
48.63
9.9
450
48.3
14.1
4.79
13.5
7.4
27.8
6.03
28.1
81
22.5
4.0
1.69
4.8
65.4
23.4
6.86
19.3
265.3
100.0
35.44
100.0
Halifax Hospital Medical Center
Memorial Hospital Flagler Sw Beds
All Others
All Hospitals
Pahokee, FL
9,848
Everglades Memorial Hospital
4.1
65.0
2.74
66.7
63
40.9
58.2
1.83
58.0
Palms West Hospital
9.4
3.5
8.20
3.9
117
4.1
7.1
0.32
10.2
Glades General Hospital
3.8
6.4
2.26
7.2
73
4.6
5.2
0.16
5.2
7.1
29.5
0.84
26.6
56.7
100.0
3.15
100.0
All Others
All Hospitals
191
192
19
92
-3
D
MP
(3)
Panama City, FL
1
s(
,00
0s
)
D
MP
P’s A
OS HS
H
of om
% fr
s
Rs l i o n
3 M il
2- i n m
9
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s)
s
MR
P’s
OS HSA
H
of m
% fro
St
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Be
s
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Be
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Al by
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MP
A’s P
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MR Mi
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HS ($
MR
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SA SP
H
O
of H
% by
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
136,187
Bay Medical Center
65.5
77.2
45.14
75.3
302
233.1
55.8
34.00
56.5
Hca Gulf Coast Community Hospital
36.7
78.5
22.86
78.4
133
104.4
31.7
17.91
29.8
91.3
1.7
60.28
1.3
526
All Others
All Hospitals
Pensacola, FL
9.1
1.7
0.81
1.3
57.7
10.8
7.42
12.3
404.3
100.0
60.14
100.0
35.8
279,986
Sacred Heart Hospital
73.3
80.0
57.48
75.4
391
312.6
32.1
43.37
Baptist Hospital
71.0
83.3
44.59
80.8
484
403.3
32.3
36.04
29.8
91.3
55.1
60.28
51.3
526
289.8
27.5
30.91
25.5
11.0
15.9
9.65
16.0
119
18.9
1.0
1.54
1.3
78.2
7.2
9.16
7.6
1,102.8
100.0
121.02
100.0
Santa Rosa Medical Center
All Others
All Hospitals
Plant City, FL
51,769
South Florida Baptist Hospital
23.4
68.3
16.13
68.8
100
68.3
53.2
11.09
54.5
153.5
2.6
105.15
3.5
468
12.3
13.5
3.63
17.8
76.4
1.8
90.81
1.8
731
12.9
4.5
1.66
8.2
40.5
28.9
3.97
19.5
134.0
100.0
20.34
100.0
All Others
All Hospitals
Port Charlotte, FL
83,507
Fawcett Memorial Hospital
64.8
72.7
45.57
72.4
217
157.7
37.9
32.98
34.5
St Joseph Hospital Port Charlotte
50.6
70.7
31.60
70.5
212
150.0
28.8
22.26
23.3
Medical Center Hospital
40.1
26.4
36.11
31.5
182
48.1
8.5
11.35
11.9
Venice Hospital Inc
91.9
7.6
63.77
7.9
267
20.3
5.6
5.03
5.3
111.4
19.2
23.93
25.0
487.5
100.0
95.55
100.0
All Others
All Hospitals
Rockledge, FL
96,220
62.6
63.3
42.99
59.0
274
173.3
69.8
25.35
66.2
Cape Canaveral Hospital
29.0
21.6
19.11
22.1
128
27.7
11.1
4.22
11.0
Parrish Medical Center
43.0
5.7
26.11
6.1
210
12.0
4.3
1.58
4.1
43.6
14.8
7.15
18.7
256.6
100.0
38.30
100.0
All Others
All Hospitals
s
19
92
-3
D
MP
(3)
Sanford, FL
1
s(
,0
00
s)
D
MP
P’s A
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H
of om
% fr
s
s n
MR lio
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s
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St
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ds
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H OS
A in
of H
HS ($
% by
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
80.3
34.29
79.7
226
181.4
55.2
27.33
53.8
239.7
4.1
235.22
4.2
1331
55.1
14.7
9.93
19.5
31.7
17.9
23.28
17.6
156
27.9
8.4
4.10
8.1
104.4
21.6
9.47
18.6
368.8
100.0
50.84
100.0
112,360
Central Florida Regional Hospital
46.3
Florida Hospital
West Volusia Memorial Hospital
All Others
All Hospitals
Sarasota, FL
200,101
Doctors Hospital Of Sarasota Inc
207.3
73.0
175.93
66.5
645
470.6
70.5
116.98
70.1
36.8
85.0
28.30
82.7
168
142.7
14.6
23.39
14.0
Hca L W Blake Hospital
Manatee Memorial Hospital
106.2
2.8
77.16
2.9
383
10.9
1.4
2.21
1.3
91.4
2.8
66.37
2.6
512
14.5
1.2
1.73
1.0
All Others
All Hospitals
Spring Hill, FL
127.8
12.3
22.63
13.6
766.5
100.0
166.94
100.0
82,358
Hca Oak Hill Hospital
68.5
82.4
47.48
82.3
150
123.6
51.0
39.06
43.0
Spring Hill Regional Hospital
14.3
72.0
11.44
70.0
75
54.0
9.3
8.00
8.8
Hca Bayonet Point Hudson Med Center 88.1
15.5
81.14
20.9
256
39.7
12.3
16.93
18.6
4.7
90.81
5.4
731
34.3
3.2
4.92
5.4
125.5
24.2
22.00
24.2
377.1
100.0
90.91
100.0
76.4
All Others
All Hospitals
St Augustine, FL
62,425
Flagler Hospital West
54.8
85.7
30.77
82.3
230
197.0
79.2
25.32
68.0
8.0
81.4
2.8
60.44
4.9
333
9.4
3.9
2.96
St Lukes Hospital
63.0
3.9
58.90
4.3
228
9.0
4.2
2.53
6.8
45.8
12.8
6.43
17.3
261.2
100.0
37.25
100.0
58.2
59.2
8.74
54.1
12.7
All Others
All Hospitals
St Cloud, FL
28,671
St Cloud Hospital
19.3
69.3
12.81
68.3
84
102.1
1.4
102.50
2.0
827
11.8
6.4
2.04
25.4
11.1
15.55
9.7
169
18.8
12.5
1.51
9.4
29.5
21.9
3.86
23.9
118.3
100.0
16.15
100.0
Osceola Regional Hospital
All Others
All Hospitals
193
194
19
92
-3
D
MP
(3)
St Petersburg, FL
1
s(
,00
0s
)
D
MP
P’s A
OS HS
H
of om
% fr
s
Rs l i o n
3 M il
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s
MR
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H
of m
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St
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s
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Be
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Al by
D
MP
A’s P
S
H OS
of H
% by
s
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b
o
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MR Mi
A in
HS ($
MR
’s
SA SP
H
O
of H
% by
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
17.9
401,404
St Anthonys Hospital
85.5
89.4
54.25
88.9
262
234.3
18.8
48.24
Bayfront Medical Center Inc
68.8
82.9
55.93
83.0
409
338.9
14.0
46.41
17.2
Palms Of Pasadena Hospital
82.5
80.5
53.94
77.0
310
249.7
16.3
41.55
15.4
Edward White Hospital
39.6
88.9
28.53
89.4
154
136.8
8.6
25.50
9.5
Northside Hospital
53.6
75.0
23.86
76.1
301
225.7
9.9
18.16
6.7
St Petersburg General Hospital
46.3
84.0
21.87
80.9
199
167.2
9.5
17.71
6.6
Metropolitan General Hospital Inc
20.7
81.4
15.23
80.7
98
79.8
4.1
12.29
4.6
7.7
65.1
9.54
46.7
200
130.2
1.2
4.46
1.7
88.6
14.7
69.45
16.7
256
37.5
3.2
11.60
4.3
University General Hospital
24.5
34.0
16.98
33.2
140
47.6
2.0
5.63
2.1
291.1
12.4
37.83
14.0
1,938.8
100.0
269.37
100.0
218.3
63.6
51.34
57.3
Gcoc Hospital Of St Petersburg
All Others
All Hospitals
Stuart, FL
97,221
Martin Memorial Hospital
92.2
75.3
69.39
74.0
Jupiter Hospital
44.6
48.9
290
16.5
29.68
17.2
156
25.7
6.7
5.10
5.7
6.3
49.42
9.7
189
11.9
2.8
4.81
5.4
148.3
26.8
28.36
31.6
404.2
100.0
89.61
100.0
All Others
All Hospitals
Tallahassee, FL
289,258
Tallahassee Memorial Reg Med Center 88.6
79.3
68.06
73.4
479
379.9
58.4
49.99
57.0
Tallahassee Community Hospital
33.5
85.6
28.39
83.9
180
154.1
23.9
23.81
27.2
Gadsden Memorial Hospital
2.8
97.9
1.78
97.5
51
49.9
2.3
1.74
2.0
Others Within HSA
0.9
88.2
0.75
87.3
44
38.8
0.7
0.65
0.8
59.9
6.6
33.19
6.5
264
17.5
3.3
2.16
2.5
88.4
11.5
9.34
10.7
728.6
100.0
87.70
100.0
John D Archbold Memorial Hospital
All Others
All Hospitals
Tampa, FL
623,806
St Josephs Hospital
141.0
81.7
95.92
76.3
649
530.4
38.1
73.20
35.9
University Community Hospital
65.9
77.2
49.54
72.0
404
311.7
16.8
35.65
17.5
76.4
38.0
90.81
32.0
731
277.6
9.6
29.04
14.2
Memorial Hospital Of Tampa
40.7
87.3
26.77
88.0
174
151.9
11.8
23.56
11.5
Ami Town & Country Hospital
20.7
86.6
16.23
86.1
133
115.2
5.9
13.97
6.8
University Comm Hosp At Carrollwood 12.4
84.9
8.53
79.2
120
101.8
3.5
6.76
3.3
Others Within HSA
4.8
56.7
2.34
68.1
102
57.8
0.9
1.59
0.8
58.2
15.4
27.63
13.9
250
Brandon Hospitalbrandon
All Others
All Hospitals
38.5
3.0
3.84
1.9
140.4
10.5
16.56
8.1
1,725.3
100.0
204.16
100.0
s
19
92
-3
D
MP
(3)
Tarpon Springs, FL
1
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(9)
(4)
(5)
(6)
(7)
58.9
22.1
38.72
22.2
150
33.1
155.4
1.3
115.82
1.7
678
38.2
2.7
28.22
3.2
100
s
P
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b
o
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A’s P
R
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55.0
8.59
50.5
9.0
8.7
2.00
11.8
2.7
4.4
0.91
5.4
36.1
32.0
5.49
32.3
80.9
100.0
17.00
100.0
176.5
73.5
21.69
60.5
26,381
Helen Ellis Memorial Hospital
Mease Hospital Countryside
All Others
All Hospitals
Titusville, FL
57,509
Parrish Medical Center
43.0
84.1
26.11
83.1
210
239.7
1.2
62.6
6.4
235.22
1.9
1331
16.3
6.0
4.56
12.7
42.99
8.8
274
17.6
8.2
3.78
10.5
Florida Hospital
All Others
All Hospitals
Venice, FL
35.6
12.4
5.84
16.3
246.0
100.0
35.85
100.0
63,294
Venice Hospital Inc
91.9
67.0
63.77
66.4
267
178.9
69.6
42.35
60.7
207.3
5.8
175.93
8.1
645
37.5
13.6
14.30
20.5
30.6
4.7
22.92
4.3
100
4.7
1.6
0.98
1.4
66.6
15.2
12.12
17.4
287.7
100.0
69.75
100.0
266.6
72.3
44.24
64.0
Englewood Community Hospital
All Others
All Hospitals
Vero Beach, FL
79,932
Indian River Memorial Hospital
88.9
76.8
58.49
75.6
347
239.7
1.3
71.2
7.3
235.22
2.4
1331
17.0
3.2
5.65
8.2
44.55
7.6
320
23.3
5.5
3.40
4.9
Florida Hospital
All Others
All Hospitals
West Palm Beach, FL
85.7
18.9
15.88
23.0
392.6
100.0
69.18
100.0
260,883
58.8
63.5
41.75
62.8
430
273.0
21.1
26.23
20.4
52.9
67.5
36.41
64.2
256
172.8
20.3
23.37
18.2
Palm Beaches Medical Cen The Pavilion 33.6
60.7
11.59
63.4
250
151.8
11.6
7.34
5.7
Palms West Hospital
9.4
60.6
8.20
58.5
117
70.9
3.2
4.80
3.7
Wellington Regional Medical Center
9.3
48.5
8.28
50.4
120
58.2
2.5
4.17
3.3
12.0
Jfk Medical Center Inc
84.6
21.2
68.26
22.6
369
78.1
10.1
15.41
48.9
20.4
49.42
20.0
189
38.6
5.7
9.86
7.7
264.2
25.5
37.13
28.9
1,107.6
100.0
128.30
100.0
All Others
All Hospitals
195
196
19
92
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D
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(7)
(8)
100.0
66.9
64.80
64.3
385
257.5
9.1
74.6
6.24
72.9
51
38.1
153.5
5.5
105.15
6.4
468
Florida Hospital
239.7
1.5
235.22
2.1
1331
Winter Haven, FL
Be
s
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MR Mi
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SA SP
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64.8
41.68
57.3
6.6
4.55
6.3
25.5
8.1
6.76
9.3
19.4
3.4
4.88
6.7
131.6
17.1
14.93
20.5
472.1
100.0
72.79
100.0
136,665
Winter Haven Hospital
Heart Of Florida Hospital
All Others
All Hospitals
Albany, GA
161,956
Phoebe Putney Memorial Hospital
70.9
71.4
48.49
68.3
422
301.3
52.0
33.10
53.1
Hca Palmyra Medical Centers
47.7
66.8
29.72
64.7
201
134.2
32.7
19.24
30.9
Worth County Hospital
4.0
86.0
1.90
86.1
50
43.0
3.5
1.63
2.6
Others Within HSA
1.0
64.0
0.71
59.5
26
16.6
0.7
0.42
0.7
109.4
0.8
121.37
0.8
533
4.5
0.9
0.99
1.6
59.9
2.6
33.19
2.7
264
6.7
1.6
0.88
1.4
Emory University Hospital
All Others
All Hospitals
Athens, GA
57.8
8.6
6.03
9.7
564.1
100.0
62.30
100.0
165,338
Athens Regional Medical Center
58.5
66.3
47.55
62.2
305
202.3
46.9
29.55
50.1
St Marys Hospital Of Athens
36.9
75.9
22.98
72.3
190
144.3
33.9
16.61
28.2
1.1
77.4
0.74
77.9
26
20.1
1.0
0.58
1.0
109.4
1.9
121.37
2.4
533
10.0
2.5
2.97
5.0
10.4
13.3
7.62
11.9
60
7.9
1.7
0.91
1.5
76.7
14.1
8.39
14.2
461.3
100.0
59.00
100.0
Others Within HSA
Barrow Medical Center
All Others
All Hospitals
Atlanta, GA
1,154,784
Grady Memorial Hospital
74.4
87.5
67.80
87.6
865
756.6
13.0
59.40
15.4
Crawford Long Hospital
100.9
62.9
83.88
53.0
438
275.4
12.7
44.42
11.5
Piedmont Hospital
92.0
63.3
71.49
56.8
430
272.3
11.6
40.59
10.5
St Josephs Hospital Of Atlanta
94.8
38.0
115.63
31.6
346
131.4
7.2
36.58
9.5
Georgia Baptist Medical Center
71.8
59.6
66.50
51.8
401
239.2
8.5
34.44
8.9
109.4
25.1
121.37
20.8
533
133.6
5.5
25.26
6.5
Northside Hospital
38.3
59.2
32.27
58.1
422
249.8
4.5
18.75
4.9
West Paces Ferry Hospital
24.0
58.4
17.04
55.8
294
171.7
2.8
9.52
2.5
Northlake Regional Medical Ctr
18.0
55.6
14.84
54.7
120
66.7
2.0
8.12
2.1
Dunwoody Medical Center
14.7
62.9
12.09
63.0
146
91.8
1.9
7.61
2.0
Southwest Hospital And Medical Center 9.3
89.3
6.71
90.0
80
71.4
1.7
6.04
1.6
7.9
Dekalb General Hospital
92.4
47.9
63.64
47.7
407
194.9
8.8
30.32
South Fulton Medical Center Inc
56.7
42.2
37.28
40.9
278
117.3
4.8
15.26
4.0
463.3
15.1
49.81
12.9
3,235.4
100.0
386.12
100.0
All Others
All Hospitals
s
19
92
-3
D
MP
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Augusta, GA
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45.7
352,472
University Hospital
121.7
68.7
89.49
64.8
691
474.8
44.3
57.97
Augusta Regional Medical Center
49.5
79.7
34.98
74.2
292
232.6
20.9
25.96
20.5
St Joseph Hospital
35.0
81.6
19.46
79.1
136
111.0
15.1
15.39
12.1
Medical College Of Georgia
28.7
50.5
27.93
48.6
502
253.7
7.7
13.56
10.7
Hca Aiken Regional Medical Centers
39.6
14.7
26.81
14.1
233
34.2
3.1
3.77
3.0
Mcduffie County Hospital
11.0
44.8
7.34
45.3
47
21.0
2.6
3.32
2.6
All Others
All Hospitals
Austell, GA
79.6
6.3
6.96
5.5
1,206.9
100.0
126.94
100.0
96,453
Cobb Hospital And Medical Center
64.7
47.2
41.49
47.0
311
146.7
59.1
19.50
51.4
Hca Parkway Medical Center
15.1
35.7
11.12
36.5
217
77.5
10.4
4.06
10.7
94.8
1.7
115.63
2.0
346
6.0
3.2
2.25
5.9
Kennestone Hospital
90.3
3.4
60.04
3.3
517
17.5
5.9
1.98
5.2
All Others
All Hospitals
Brunswick, GA
68.8
21.3
10.15
26.7
316.5
100.0
37.93
100.0
84,235
Southeast Georgia Regional Medical Cen71.9
84.6
40.44
83.0
337
285.0
81.1
33.56
73.0
9.9
113.6
2.9
84.89
5.3
494
14.5
4.5
4.53
Memorial Medical Center, Inc
87.9
2.0
73.15
2.3
529
10.5
2.3
1.67
3.6
53.4
12.1
6.22
13.5
363.4
100.0
45.98
100.0
All Others
All Hospitals
Carrollton, GA
67,207
Tanner Memorial Center
Bowdon Area Hospital
36.2
71.5
20.81
71.3
167
119.4
62.5
14.83
54.0
6.5
59.8
3.69
60.6
41
24.5
9.3
2.23
8.1
109.4
1.5
121.37
1.4
533
8.1
4.0
1.69
6.2
92.0
1.0
71.49
2.1
430
4.4
2.3
1.49
5.4
Piedmont Hospital
All Others
All Hospitals
Cartersville, GA
59.8
22.0
7.18
26.2
216.2
100.0
27.44
100.0
40,687
Cartersville Medical Center
13.3
75.0
9.53
72.5
92
69.0
56.7
6.91
50.6
Kennestone Hospital
90.3
2.3
60.04
2.4
517
12.1
12.0
1.46
10.7
Redmond Regional Medical Center
56.8
2.1
47.53
2.9
201
4.3
6.9
1.35
9.9
25.4
24.3
3.95
28.9
110.8
100.0
13.66
100.0
All Others
All Hospitals
197
198
19
92
-3
D
MP
(3)
Columbus, GA
1
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237,302
St Francis Hospital
60.7
79.1
37.80
76.2
266
210.4
35.1
28.81
37.3
Medical Center,The
46.6
85.1
25.61
84.7
456
388.2
29.0
21.68
28.1
Doctors Hospital Of Columbus
36.6
80.9
18.32
80.5
248
200.5
21.6
14.76
19.1
22.3
20.4
11.20
18.4
233
47.4
3.3
2.06
2.7
109.4
1.2
121.37
1.2
533
6.2
0.9
1.50
1.9
88.2
10.0
8.37
10.8
940.9
100.0
77.17
100.0
53.2
59.2
9.61
57.6
Phenix Medical Park Hospital
All Others
All Hospitals
Conyers, GA
48,762
Rockdale Hospital
22.9
48.0
19.75
48.7
111
Georgia Baptist Medical Center
71.8
1.5
66.50
2.2
401
6.0
5.8
1.43
8.6
Dekalb General Hospital
92.4
1.8
63.64
1.8
407
7.3
8.9
1.17
7.0
All Others
All Hospitals
Cordele, GA
26.7
26.1
4.45
26.7
93.2
100.0
16.67
100.0
21,289
Crisp Regional Hospital
13.7
78.6
8.08
76.6
73
57.4
61.3
6.19
52.6
70.9
2.6
48.49
3.1
422
11.1
10.7
1.48
12.6
Medical Center Of Central Georgia
92.9
0.6
89.48
1.1
497
3.1
3.3
1.02
8.6
27.2
24.7
3.08
26.1
98.8
100.0
11.76
100.0
All Others
All Hospitals
Dalton, GA
103,835
Hamilton Medical Center
Murray County Memorial Hospital
40.8
86.9
26.20
87.0
282
245.1
73.3
22.80
66.9
3.1
97.7
1.77
97.3
42
41.0
6.3
1.72
5.1
109.4
2.0
121.37
2.3
533
10.5
4.5
2.77
8.1
85.1
1.2
58.18
2.2
259
3.2
2.2
1.27
3.7
37.2
13.9
5.51
16.2
337.0
100.0
34.08
100.0
145
119.9
58.3
8.13
50.7
Memorial Hospital
All Others
All Hospitals
Douglas, GA
34,499
Coffee Regional Hospital
17.0
82.7
9.98
81.5
Tift General Hospital
28.6
6.6
19.16
7.5
168
11.0
7.8
1.44
9.0
South Georgia Medical Center
54.7
2.2
34.10
2.3
288
6.3
4.9
0.77
4.8
All Others
All Hospitals
45.0
29.0
5.71
35.6
182.2
100.0
16.04
100.0
s
19
92
-3
D
MP
(3)
Dublin, GA
1
s(
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MP
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o
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H OS
A in
of H
HS ($
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(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
74.4
17.84
73.7
190
141.3
65.8
13.14
53.5
15.8
55,191
Fairview Park Hospital
33.9
92.9
3.5
89.48
4.3
497
17.2
8.4
3.89
109.4
0.8
121.37
1.1
533
4.1
2.2
1.28
5.2
60.7
23.6
6.25
25.4
223.3
100.0
24.55
100.0
58.3
18.52
54.5
All Others
All Hospitals
Fort Oglethorpe, GA
67,256
Hutcheson Medical Center
43.6
66.0
27.55
67.2
194
128.0
Erlanger Medical Center
85.2
5.4
77.95
5.3
587
31.7
9.3
4.15
12.2
Memorial Hospital
85.1
6.7
58.18
7.1
259
17.4
11.6
4.12
12.1
62.0
20.8
7.18
21.1
239.1
100.0
33.97
100.0
All Others
All Hospitals
Gainesville, GA
127,468
Northeast Georgia Medical Center
55.6
69.0
42.70
66.0
323
222.9
53.4
28.16
49.7
Lanier Park Regional Hospital
23.2
69.0
17.08
66.1
124
85.5
22.2
11.29
19.9
100.9
2.0
83.88
4.4
438
8.6
2.8
3.72
6.6
94.8
2.3
115.63
2.6
346
7.9
3.0
2.98
5.3
84.1
18.6
10.51
18.6
409.0
100.0
56.65
100.0
All Others
All Hospitals
Griffin, GA
65,699
Spalding Regional Hospital
33.3
77.2
26.83
76.9
162
125.0
68.3
20.64
66.0
100.9
109.4
1.5
83.88
2.4
438
6.4
4.0
2.03
6.5
1.7
121.37
1.7
533
8.9
4.9
2.01
6.4
50.0
22.9
6.58
21.1
190.3
100.0
31.27
100.0
All Others
All Hospitals
Jesup, GA
23,999
Wayne Memorial Hospital
20.9
73.2
9.02
72.0
138
101.0
68.9
6.49
53.1
87.9
2.4
73.15
3.1
529
12.4
9.3
2.30
18.8
Southeast Georgia Regional Medical Cen71.9
2.6
40.44
2.8
337
8.8
8.5
1.12
9.2
17.0
13.3
2.31
18.9
139.2
100.0
12.22
100.0
All Others
All Hospitals
199
200
19
92
-3
D
MP
(3)
1
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MP
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9
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s)
s
MR
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OS HSA
H
of m
% fro
St
ed
aff
d
Be
s
A
HS
Be
ds
f
no
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loc H
Al by
D
MP
A’s P
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% by
s
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o
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MR Mi
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MR
’s
SA SP
H
O
of H
% by
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
47.8
73.3
26.72
71.8
225
165.0
74.9
19.18
66.5
4.9
39.0
1.48
42.5
38
14.8
4.1
0.63
2.2
109.4
1.1
121.37
1.3
533
6.1
2.7
1.62
5.6
University Of Alabama Hospital
119.9
0.5
135.61
1.1
889
4.6
1.3
1.50
5.2
45.8
17.1
5.92
20.5
236.3
100.0
28.84
100.0
La Grange, GA
66,708
West Georgia Medical Center Inc
Meriwether Memorial Hospital
All Others
All Hospitals
Lawrenceville, GA
173,080
Gwinnett Hospital System
61.7
59.4
40.64
58.7
406
241.3
65.5
23.86
56.9
12.3
94.8
3.4
115.63
4.5
346
11.9
5.8
5.16
Eastside Medical Center
17.8
15.2
13.63
15.4
114
17.3
4.8
2.10
5.0
84.5
23.9
10.81
25.8
355.0
100.0
41.93
100.0
49.1
All Others
All Hospitals
Macon, GA
227,504
92.9
66.7
89.48
60.2
497
331.3
44.3
53.82
Middle Georgia Hospital
30.7
72.5
26.02
68.0
119
86.2
15.9
17.68
16.1
Hca Coliseum Medical Centers
35.1
72.4
23.12
69.9
203
147.0
18.2
16.16
14.7
Macon Northside Hospital
14.5
75.4
10.12
73.4
103
77.7
7.8
7.43
6.8
0.6
88.6
0.32
88.9
28
24.8
0.4
0.29
0.3
109.4
1.5
121.37
1.8
533
8.2
1.2
2.20
2.0
27.1
7.9
16.19
7.3
191
15.0
1.5
1.18
1.1
Others Within HSA
Houston Medical Center
All Others
All Hospitals
Marietta, GA
109.8
10.7
10.93
10.0
800.0
100.0
109.69
100.0
326,108
Kennestone Hospital
90.3
64.6
60.04
64.2
517
333.7
53.9
38.56
48.0
Kennestone Hospital At Windy Hill
6.0
42.5
4.68
45.6
100
42.5
2.3
2.13
2.7
Woodstock Hospital
3.5
61.4
1.92
59.0
21
12.9
2.0
1.13
1.4
13.4
94.8
8.2
115.63
9.3
346
28.2
7.2
10.77
Cobb Hospital And Medical Center
64.7
18.2
41.49
18.0
311
56.6
10.9
7.47
9.3
174.3
23.8
20.28
25.3
648.2
100.0
80.33
100.0
All Others
All Hospitals
s
19
92
-3
D
MP
(3)
Milledgeville, GA
1
s(
,0
00
s)
D
MP
P’s A
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H
of om
% fr
s
s n
MR lio
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Al by
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A’s P
S
H OS
of H
% by
(9)
(4)
(5)
(6)
(7)
(8)
15.5
70.1
11.52
68.1
145
101.7
92.9
2.9
89.48
3.2
497
109.4
0.7
121.37
0.7
533
s
P
s
OS
MR
y H ns)
b
o
s illi
A’s P
R
S
M M
H OS
A in
of H
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% by
(10)
(11)
61.0
7.84
54.7
14.4
15.1
2.85
19.9
3.8
4.4
0.90
6.3
24.3
19.5
2.75
19.1
144.2
100.0
14.34
100.0
136.8
64.8
9.89
58.6
7.7
39,173
Oconee Regional Medical Center
All Others
All Hospitals
Moultrie, GA
36,675
Colquitt Regional Medical Center
19.8
88.2
11.18
88.5
155
1.0
68.06
1.9
479
4.9
3.4
1.30
2.6
48.49
2.7
422
10.8
6.8
1.29
7.7
36.3
25.1
4.37
26.0
188.8
100.0
16.88
100.0
70.9
All Others
All Hospitals
Newnan, GA
68,671
Newnan Hospital
26.0
75.7
15.74
75.5
110
83.3
39.6
11.88
34.9
Peachtree Regional Hospital
19.7
81.9
12.50
82.6
158
129.4
32.3
10.33
30.3
Piedmont Hospital
92.0
2.0
71.49
3.2
430
8.5
3.6
2.32
6.8
West Georgia Medical Center Inc
47.8
5.2
26.72
5.3
225
11.7
5.0
1.40
4.1
All Others
All Hospitals
Rome, GA
52.3
19.5
8.16
23.9
285.2
100.0
34.07
100.0
150,680
Redmond Regional Medical Center
56.8
79.8
47.53
77.8
201
160.4
44.3
36.96
49.3
Floyd Medical Center
46.8
83.9
28.94
85.3
304
255.1
38.4
24.67
32.9
Polk General Hospital
4.6
91.1
3.00
89.8
35
31.9
4.1
2.69
3.6
Others Within HSA
1.3
87.6
0.55
89.8
21
18.4
1.1
0.50
0.7
2.0
109.4
1.1
121.37
1.2
533
6.0
1.2
1.51
Cartersville Medical Center
13.3
10.4
9.53
11.3
92
9.6
1.4
1.08
1.4
57.8
9.6
7.52
10.1
539.2
100.0
74.93
100.0
All Others
All Hospitals
Savannah, GA
284,567
87.9
70.4
73.15
66.7
529
372.5
29.5
48.75
36.9
Candler General Hospital
95.4
85.5
54.54
85.0
335
286.4
38.9
46.36
35.1
St Josephs Hospital
63.5
73.3
39.27
65.1
314
230.3
22.2
25.58
19.4
3.0
92.2
1.68
92.9
41
37.8
1.3
1.56
1.2
Effingham County Hospital
All Others
All Hospitals
115.7
8.0
9.84
7.5
1,042.7
100.0
132.10
100.0
201
202
19
92
-3
D
MP
(3)
Thomaston, GA
1
s(
,00
0s
)
D
MP
P’s A
OS HS
H
of om
% fr
s
Rs l i o n
3 M il
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s)
s
MR
P’s
OS HSA
H
of m
% fro
St
ed
aff
d
Be
(4)
(5)
(6)
(7)
80.6
13.33
80.8
119
s
A
HS
Be
ds
s
P
OS
y H ns)
b
o
s lli
MR Mi
A in
HS ($
f
no
tio O S P
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loc H
Al by
D
MP
A’s P
S
H OS
of H
% by
(8)
(9)
(10)
(11)
54.7
10.77
54.3
10.1
MR
’s
SA SP
H
O
of H
% by
37,764
Upson Regional Medical Center
14.8
95.9
92.9
1.7
89.48
2.2
497
8.2
7.0
2.01
Spalding Regional Hospital
33.3
7.3
26.83
7.3
162
11.8
11.1
1.95
9.8
34.6
27.2
5.10
25.8
150.5
100.0
19.83
100.0
158.9
83.1
19.56
75.8
All Others
All Hospitals
Thomasville, GA
49,625
59.9
60.2
33.19
58.9
264
109.4
0.5
121.37
0.7
533
2.5
1.2
0.88
3.4
0.5
68.06
1.0
479
2.5
1.1
0.66
2.6
All Others
All Hospitals
Tifton, GA
48.2
14.7
4.70
18.2
212.1
100.0
25.80
100.0
65.7
11.87
59.7
49,804
Tift General Hospital
28.6
63.2
19.16
62.0
168
106.2
70.9
2.5
48.49
3.2
422
10.7
6.5
1.56
7.9
Hca Palmyra Medical Centers
47.7
3.4
29.72
3.4
201
6.8
5.9
1.02
5.1
All Others
39.7
21.9
5.46
27.4
163.4
100.0
19.90
100.0
288
190.9
72.2
21.99
69.2
6.4
All Hospitals
Valdosta, GA
79,055
South Georgia Medical Center
54.7
66.3
34.10
64.5
9.7
50.6
4.06
50.2
71
35.9
9.8
2.04
1.4
68.06
3.0
479
6.7
2.5
2.01
6.3
59.8
15.5
5.73
18.0
293.3
100.0
31.77
100.0
Smith Hospital
All Others
All Hospitals
Vidalia, GA
31,234
Dr John M Meadows Memorial Hospital 22.0
72.9
10.50
72.7
87
63.5
60.0
7.63
51.0
87.9
2.2
5.4
43.3
73.15
2.5
529
11.5
7.2
1.85
12.3
2.43
43.6
30
13.0
8.8
1.06
7.1
38.5
24.1
4.45
29.6
126.5
100.0
14.97
100.0
Wheeler County Hospital
All Others
All Hospitals
Warner Robins, GA
73,283
Houston Medical Center
27.1
70.7
16.19
71.8
191
135.0
64.0
11.62
51.9
92.9
3.8
89.48
4.7
497
18.9
11.8
4.18
18.7
Middle Georgia Hospital
30.7
5.6
26.02
6.3
119
6.6
5.7
1.64
7.3
35.2
18.5
4.96
22.1
195.7
100.0
22.39
100.0
All Others
All Hospitals
s
19
92
-3
D
MP
(3)
1
s(
,0
00
s)
D
MP
P’s A
OS HS
H
of om
% fr
s
s n
MR lio
3 il
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s)
s
MR
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St
af
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d
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HS
Be
ds
of
n
tio OSP
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loc H
Al by
D
MP
A’s P
S
H OS
of H
% by
s
P
s
OS
MR
y H ns)
b
o
s illi
A’s P
R
S
M M
H OS
A in
of H
HS ($
% by
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
28.9
81.4
17.28
80.1
125
101.8
68.2
13.84
60.1
113.6
2.8
84.89
4.4
494
13.9
9.3
3.74
16.2
87.9
1.2
73.15
1.2
529
6.2
3.0
0.85
3.7
48.3
19.5
4.60
20.0
170.2
100.0
23.04
100.0
Waycross, GA
49,810
Satilla Regional Med Center
All Others
All Hospitals
Annapolis, MD
169,690
Anne Arundel Medical Center
59.3
74.1
51.08
74.0
303
224.4
59.9
37.80
57.2
162.7
2.2
168.75
3.9
874
18.9
4.8
6.54
9.9
98.5
5.2
75.24
5.1
314
16.3
7.0
3.81
5.8
110.1
28.4
17.95
27.2
369.7
100.0
66.10
100.0
8.4
North Arundel Hosp
All Others
All Hospitals
Baltimore, MD
1,387,779
Sinai Hospital
115.3
83.7
108.97
82.8
490
410.3
7.8
90.21
St Joseph Hospital
122.6
88.7
103.84
86.3
415
368.2
8.8
89.65
8.3
St Agnes Hospital
116.7
87.1
94.32
86.7
392
341.3
8.2
81.77
7.6
Johns Hopkins Hosp
122.0
57.1
147.47
55.0
961
548.4
5.6
81.14
7.5
Franklin Square Hospital
101.6
93.3
76.90
93.3
427
398.5
7.7
71.74
6.6
100.4
86.4
79.98
85.8
240
207.4
7.0
68.58
6.4
Union Memorial Hospital
87.4
91.5
74.48
89.7
345
315.5
6.5
66.80
6.2
University Of Maryland Med Systm
80.1
62.1
114.74
55.8
711
441.3
4.0
63.97
5.9
Greater Baltimore Medical Center
89.6
86.2
73.55
84.9
386
332.7
6.3
62.45
5.8
Francis Scott Key Medical Center
57.6
94.7
56.38
94.3
347
328.7
4.4
53.15
4.9
Maryland Genl Hosp
59.4
91.3
52.26
92.7
252
230.1
4.4
48.43
4.5
Church Hospital Corporation
53.0
96.9
49.19
97.1
130
125.9
4.2
47.76
4.4
Bon Secours Hosp
55.5
96.6
44.45
96.6
150
144.9
4.3
42.94
4.0
Mercy Medical Center Inc
50.9
91.1
46.70
91.0
277
252.2
3.8
42.48
3.9
Harbor Hosp Cntr
65.6
72.9
57.99
72.6
300
218.6
3.9
42.10
3.9
Liberty Med Center
52.1
95.2
42.66
95.7
175
166.6
4.0
40.82
3.8
85.3
55.2
62.51
54.2
200
Northwest Hospital Center
All Others
All Hospitals
Cambridge, MD
110.5
3.8
33.88
3.1
280.1
5.3
52.17
4.8
5,221.2
100.0
1,080.03
100.0
30,232
Dorchester Genl Hosp
22.6
91.6
15.62
92.2
98
89.8
71.2
14.41
64.3
111.9
2.0
77.71
2.9
361
7.3
7.8
2.26
10.1
46.7
5.6
35.06
6.2
170
9.5
9.0
2.19
9.8
19.9
12.0
3.54
15.8
126.5
100.0
22.40
100.0
Peninsula Genl Hosp
Memorial Hospital At Easton
All Others
All Hospitals
203
204
19
92
-3
D
MP
(3)
1
s(
,00
0s
)
D
MP
P’s A
OS HS
H
of om
% fr
s
Rs l i o n
3 M il
2- i n m
9
19 ( $
s)
s
MR
P’s
OS HSA
H
of m
% fro
St
ed
aff
d
Be
s
A
HS
ds
f
no
tio O S P
a
loc H
Al by
D
MP
A’s P
S
H OS
of H
% by
(9)
(4)
(5)
(6)
(7)
(8)
18.1
88.2
10.52
88.4
64
56.5
162.7
0.5
168.75
1.0
874
46.7
3.8
35.06
4.2
170
Chestertown, MD
Be
s
P
OS
y H ns)
b
o
s lli
MR Mi
A in
HS ($
MR
’s
SA SP
H
O
of H
% by
(10)
(11)
65.3
9.30
50.5
4.2
3.2
1.62
8.8
6.5
7.2
1.47
8.0
30.2
24.3
6.02
32.7
97.4
100.0
18.41
100.0
25,118
Kent & Queen Annes Hospital
All Others
All Hospitals
Columbia, MD
134,155
Howard Cnty Genl Hosp Inc
43.0
60.4
35.44
61.7
223
134.6
56.1
21.86
52.9
9.1
St Agnes Hospital
116.7
3.9
94.32
4.0
392
15.2
9.8
3.78
Johns Hopkins Hosp
122.0
1.4
147.47
1.5
961
13.8
3.8
2.27
5.5
67.4
30.4
13.46
32.5
231.0
100.0
41.36
100.0
All Others
All Hospitals
Cumberland, MD
117,478
Memorial Hosp & Med Ctr Cumberland 76.4
89.5
46.63
88.2
222
198.8
38.9
41.15
38.0
Sacred Heart Hospital
80.0
89.1
40.29
89.5
240
213.9
40.6
36.04
33.3
Frostburg Hospital Inc
11.8
97.5
5.64
97.8
37
36.1
6.5
5.52
5.1
7.3
95.9
4.68
95.4
42
40.3
4.0
4.47
4.1
162.7
1.2
168.75
2.7
874
10.1
1.1
4.59
4.2
69.0
1.9
61.09
4.1
455
8.8
0.8
2.49
2.3
75.8
8.1
14.09
13.0
583.8
100.0
108.34
100.0
71.7
28.07
64.2
8.4
Potomac Valley Hospital
Georgetown University Hospital
All Others
All Hospitals
Easton, MD
73,907
46.7
82.1
35.06
80.1
170
139.6
Fairfax Hospital
80.1
2.7
114.74
3.2
711
19.3
4.1
3.66
109.0
0.9
102.73
1.9
703
6.6
1.9
1.90
4.4
56.8
22.3
10.08
23.1
222.3
100.0
43.71
100.0
All Others
All Hospitals
Elkton, MD
49,770
Union Hospital-Cecil County
26.1
69.2
22.55
69.7
112
77.5
65.5
15.73
62.6
187.6
2.4
159.90
3.0
840
20.5
16.6
4.77
19.0
80.1
0.6
114.74
0.8
711
4.0
1.6
0.89
3.5
20.5
16.3
3.73
14.8
122.5
100.0
25.11
100.0
All Others
All Hospitals
s
19
92
-3
D
MP
(3)
1
s(
,0
00
s)
D
MP
P’s A
OS HS
H
of om
% fr
s
s n
MR lio
3 il
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9
19 ($
s)
s
MR
P’s
OS HSA
H
of m
% fro
St
af
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d
Be
s
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HS
Be
ds
of
n
tio OSP
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loc H
Al by
D
MP
A’s P
S
H OS
of H
% by
s
P
s
OS
MR
y H ns)
b
o
s illi
A’s P
R
S
M M
H OS
A in
of H
HS ($
% by
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
60.1
88.4
44.31
88.6
181
160.0
70.8
39.26
61.8
162.7
1.5
168.75
3.1
874
13.1
3.3
5.15
8.1
Washington Adventist Hosp
69.0
2.6
78.14
4.0
300
7.8
2.4
3.15
5.0
86.6
23.5
15.96
25.1
267.5
100.0
63.53
100.0
Frederick, MD
157,430
Frederick Memorial Hospital
All Others
All Hospitals
Glen Burnie, MD
225,358
North Arundel Hosp
98.5
74.1
75.24
74.5
314
232.6
59.6
56.09
53.3
Harbor Hosp Cntr
65.6
80.1
22.2
57.99
22.7
300
66.6
11.9
13.16
12.5
6.2
114.74
7.1
711
44.1
4.1
8.10
7.7
141.4
24.5
27.91
26.5
484.7
100.0
105.26
100.0
246.7
80.9
41.84
73.3
All Others
All Hospitals
Hagerstown, MD
119,919
Washington County Hospital
67.0
85.4
49.65
84.3
289
Johns Hopkins Hosp
80.1
3.2
114.74
4.0
711
22.4
3.6
4.54
8.0
122.0
1.6
147.47
1.7
961
14.9
2.7
2.49
4.4
All Others
All Hospitals
Havre De Grace, MD
41.6
12.9
8.23
14.4
325.6
100.0
57.10
100.0
69,554
Harford Memorial Hosp
36.4
71.4
23.79
71.2
175
124.9
62.8
16.95
52.9
122.0
1.7
147.47
2.0
961
16.1
4.9
3.01
9.4
80.1
2.0
114.74
2.3
711
14.5
4.0
2.60
8.1
45.8
28.3
9.48
29.6
201.3
100.0
32.05
100.0
12.13
50.3
14.5
Johns Hopkins Hosp
All Others
All Hospitals
La Plata, MD
64,330
Physicians Memorial Hospital
25.6
65.8
18.81
64.5
104
68.4
53.8
Southern Maryland Hosp
66.9
7.7
40.65
8.6
338
26.1
16.5
3.51
162.7
0.8
168.75
0.9
874
6.7
4.0
1.58
6.6
44.4
25.7
6.92
28.7
145.6
100.0
24.14
100.0
All Others
All Hospitals
Laurel, MD
119,392
Greater Laurel Beltsville Hospital
36.3
54.9
26.50
54.8
182
99.8
57.6
14.51
50.5
69.0
3.8
78.14
4.0
300
11.3
7.5
3.13
10.9
Holy Cross Hospital
86.6
2.0
75.51
2.2
414
8.2
5.0
1.65
5.7
57.2
29.9
9.48
32.9
176.5
100.0
28.76
100.0
All Others
All Hospitals
205
206
19
92
-3
D
MP
(3)
Oakland, MD
1
s(
,00
0s
)
D
MP
P’s A
OS HS
H
of om
% fr
s
Rs l i o n
3 M il
2- i n m
9
19 ( $
s)
s
MR
P’s
OS HSA
H
of m
% fro
St
ed
aff
d
Be
s
A
HS
Be
ds
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loc H
Al by
D
MP
A’s P
S
H OS
of H
% by
(9)
(4)
(5)
(6)
(7)
(8)
84.1
10.77
83.2
76
63.9
s
P
OS
y H ns)
b
o
s lli
MR Mi
A in
HS ($
MR
’s
SA SP
H
O
of H
% by
(10)
(11)
8.96
52.9
11.5
29,722
Garrett County Memorial Hospital
15.8
56.9
West Virginia University Hospital
57.5
3.7
63.93
3.1
329
12.1
9.0
1.95
Monongalia County General Hospital
63.0
2.4
42.58
3.6
208
5.0
6.4
1.53
9.0
28.6
27.6
4.49
26.5
109.6
100.0
16.94
100.0
All Others
All Hospitals
Prince Frederick, MD
57,164
Calvert Memorial Hosp
21.7
74.0
13.87
75.5
109
80.6
65.3
10.48
55.4
162.7
1.1
168.75
1.5
874
9.4
7.1
2.54
13.4
58.5
1.3
51.35
1.3
394
5.2
3.2
0.68
3.6
31.8
24.5
5.23
27.6
127.0
100.0
18.92
100.0
Prince Georges Hospitl Center
All Others
All Hospitals
Rockville, MD
225,579
Shady Grove Adventist Hosp
42.2
61.6
36.34
60.7
253
156.0
52.7
22.05
51.1
Suburban Hospital Association
71.7
8.7
58.96
9.1
288
25.0
12.6
5.39
12.5
69.0
2.7
78.14
3.4
300
8.0
3.7
2.65
6.2
78.4
31.0
13.03
30.2
267.4
100.0
43.12
100.0
All Others
All Hospitals
Salisbury, MD
146,736
Peninsula Genl Hosp
Atlantic General Hospital
111.9
77.8
77.71
72.6
361
280.7
78.8
56.44
76.4
1.4
79.9
0.99
76.7
22
17.6
1.0
0.76
1.0
122.0
1.3
147.47
1.3
961
12.7
1.5
1.93
2.6
80.1
0.9
114.74
1.4
711
6.2
0.6
1.55
2.1
Johns Hopkins Hosp
All Others
96.8
18.1
13.22
17.9
414.0
100.0
73.88
100.0
158
107.8
62.6
22.12
52.1
All Hospitals
Westminster, MD
88,241
Carroll County General Hospital
49.8
68.2
32.37
68.3
St Joseph Hospital
All Others
All Hospitals
80.1
2.1
114.74
2.4
711
14.7
3.1
2.74
6.5
122.6
1.4
103.84
2.1
415
5.6
3.1
2.14
5.0
69.9
31.3
15.48
36.5
198.0
100.0
42.48
100.0
s
19
92
-3
D
MP
(3)
Albemarle, NC
1
s(
,0
00
s)
D
MP
P’s A
OS HS
H
of om
% fr
s
s n
MR lio
3 il
2- in m
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s
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OS HSA
H
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St
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Be
ds
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n
tio OSP
a
loc H
Al by
D
MP
A’s P
S
H OS
of H
% by
(9)
(4)
(5)
(6)
(7)
(8)
21.2
85.1
13.58
85.4
124
105.6
124.1
1.5
118.34
1.9
843
63.3
3.2
42.96
4.8
276
s
P
s
OS
MR
y H ns)
b
o
s illi
A’s P
R
S
M M
H OS
A in
of H
HS ($
% by
(10)
(11)
62.1
11.59
55.7
12.4
6.3
2.27
10.9
8.7
6.9
2.05
9.9
31.0
24.8
4.89
23.6
157.7
100.0
20.81
100.0
47,197
Stanly Memorial Hospital Inc
Carolinas Medical Center
Mercy Hospital Inc
All Others
All Hospitals
Asheville, NC
198,117
St Josephs Hospital
93.2
77.3
54.85
74.7
288
222.7
54.0
40.98
48.4
Memorial Mission Hospital Of Wnc
86.4
55.3
72.77
47.3
386
213.3
35.8
34.43
40.7
Park Ridge Hospital
13.5
31.3
8.87
31.0
103
32.2
3.2
2.75
3.3
39.9
4.8
23.13
3.8
170
1.0
Margaret R Pardee Memorial Hospital
All Others
All Hospitals
Boone, NC
8.2
1.4
0.87
38.7
5.6
5.57
6.6
515.1
100.0
84.60
100.0
44,100
Watauga Medical Center
Johnson County Hospital Inc
22.4
64.7
13.25
61.8
99
64.1
52.4
8.19
47.7
2.3
84.5
0.84
84.6
61
51.5
6.9
0.71
4.1
13.7
Johnson City Medical Ctr Hospital
North Carolina Baptist Hospitals
90.6
3.8
62.59
3.8
407
15.4
12.4
2.36
140.7
1.2
135.12
1.1
731
9.0
6.2
1.53
8.9
37.6
22.1
4.38
25.5
177.6
100.0
17.16
100.0
188.5
66.6
23.58
75.9
All Others
All Hospitals
Chapel Hill, NC
87,131
University Of North Carolina Hospital
72.8
29.0
79.21
29.8
651
174.5
1.5
84.1
3.8
185.89
1.3
1003
14.9
8.2
2.42
7.8
51.20
4.1
289
11.1
10.2
2.12
6.8
Duke University Medical Center
Durham Regional Hospital
All Others
All Hospitals
Charlotte, NC
23.6
15.1
2.96
9.5
238.1
100.0
31.08
100.0
594,360
Presbyterian Hospital
140.6
75.4
99.79
72.2
579
436.3
41.2
72.00
41.8
124.1
50.2
118.34
40.5
843
423.3
24.2
47.89
27.8
Mercy Hospital Inc
63.3
64.6
42.96
57.1
276
178.4
15.9
24.51
14.2
University Memorial Hospital
15.2
75.6
9.91
72.2
107
80.8
4.5
7.15
4.2
102.3
11.7
40.83
11.5
404
47.4
4.7
4.69
2.7
95.2
5.0
44.50
5.0
302
15.1
1.9
2.24
1.3
105.8
7.7
13.64
7.9
1,287.1
100.0
172.12
100.0
Gaston Memorial Hospital
Cabarrus Memorial Hospital
All Others
All Hospitals
207
208
19
92
-3
D
MP
(3)
Clyde, NC
1
s(
,00
0s
)
D
MP
P’s A
OS HS
H
of om
% fr
s
Rs l i o n
3 M il
2- i n m
9
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s
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P’s
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H
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St
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Be
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Al by
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A’s P
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s
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o
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MR Mi
A in
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MR
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SA SP
H
O
of H
% by
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
86.7
16.73
85.5
150
130.0
70.9
14.30
59.1
46,942
Haywood County Hospital
34.4
86.4
6.1
72.77
7.2
386
23.5
12.5
5.27
21.8
St Josephs Hospital
93.2
4.4
54.85
4.9
288
12.6
9.7
2.67
11.0
All Others
All Hospitals
Concord, NC
14.3
6.8
1.96
8.1
180.4
100.0
24.20
100.0
249.1
81.3
36.29
69.4
101,766
Cabarrus Memorial Hospital
95.2
82.5
44.50
81.5
302
124.1
2.7
118.34
3.7
843
22.9
3.5
4.41
8.4
140.6
2.5
99.79
3.1
579
14.2
3.6
3.13
6.0
All Others
All Hospitals
Durham, NC
59.0
11.7
8.46
16.2
345.2
100.0
52.28
100.0
222,595
Durham Regional Hospital
84.1
78.4
51.20
76.5
289
226.7
57.2
39.14
48.0
174.5
21.4
185.89
17.7
1003
214.5
32.4
32.92
40.4
72.8
7.6
79.21
7.0
651
49.7
4.8
5.53
6.8
30.4
5.6
4.01
4.9
521.3
100.0
81.60
100.0
63.0
18.76
50.4
All Others
All Hospitals
Elizabeth City, NC
78,801
Albemarle Hospital
46.9
88.5
112.4
5.0
67.9
9.2
21.61
86.8
130
115.1
99.10
6.5
661
33.1
8.5
6.39
17.2
34.77
11.1
260
24.0
9.5
3.86
10.4
Sentara Norfolk Genl Hosp
Chesapeake General Hospital
All Others
All Hospitals
Fayetteville, NC
62.2
19.0
8.20
22.1
234.4
100.0
37.22
100.0
273,315
Cape Fear Valley Medical Center
61.9
65.6
35.93
68.4
384
251.7
47.8
24.57
46.7
Highsmith-Rainey Memorial Hospital
34.8
85.4
18.22
85.8
150
128.0
35.0
15.64
29.7
174.5
2.6
185.89
2.7
1003
26.3
5.4
5.02
9.5
72.8
1.7
79.21
1.7
651
11.1
1.5
1.31
2.5
All Others
All Hospitals
43.0
10.4
6.09
11.6
460.1
100.0
52.64
100.0
s
19
92
-3
D
MP
(3)
1
s(
,0
00
s)
D
MP
P’s A
OS HS
H
of om
% fr
s
s n
MR lio
3 il
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s
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St
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b
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M M
H OS
A in
of H
HS ($
% by
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
102.3
73.3
40.83
74.2
404
295.9
74.6
30.28
60.0
124.1
7.1
118.34
8.4
843
60.0
8.8
9.88
19.6
140.6
3.3
99.79
3.3
579
19.0
4.6
3.33
6.6
63.9
12.0
7.02
13.9
438.8
100.0
50.51
100.0
Gastonia, NC
126,551
Gaston Memorial Hospital
All Others
All Hospitals
Goldsboro, NC
102,515
60.7
79.6
25.51
80.5
269
214.2
74.9
20.55
59.4
Wake Medical Center
162.6
2.8
114.50
4.8
638
18.1
7.1
5.47
15.8
Pitt County Memorial Hospital
130.4
2.7
114.82
2.9
609
16.7
5.5
3.30
9.5
41.8
12.5
5.30
15.3
290.8
100.0
34.61
100.0
All Others
All Hospitals
Greensboro, NC
294,408
Moses H Cone Memorial Hospital,The 155.0
73.1
96.31
70.6
625
456.6
59.6
68.03
59.1
Wesley Long Community Hospital
63.6
82.0
39.18
80.1
236
193.6
27.5
31.40
27.3
140.7
2.3
135.12
2.1
731
16.8
1.7
2.77
2.4
174.5
1.0
185.89
1.0
1003
9.6
0.9
1.92
1.7
92.9
10.3
10.92
9.5
769.5
100.0
115.05
100.0
All Others
All Hospitals
Greenville, NC
119,550
130.4
46.1
114.82
39.8
609
281.0
85.5
45.65
89.9
Lenoir Memorial Hospital
61.5
5.4
32.40
4.8
240
13.0
4.7
1.57
3.1
Martin General Hospital
8.2
17.9
3.57
17.3
49
8.8
2.1
0.62
1.2
28.0
7.6
2.95
5.8
330.8
100.0
50.79
100.0
140.9
60.3
19.39
51.7
All Others
All Hospitals
Hendersonville, NC
64,607
Margaret R Pardee Memorial Hospital
39.9
82.9
23.13
83.8
170
86.4
6.2
72.77
8.7
386
23.8
9.7
6.36
17.0
Park Ridge Hospital
13.5
56.3
8.87
56.6
103
58.0
13.9
5.02
13.4
All Others
All Hospitals
43.6
16.1
6.73
18.0
266.3
100.0
37.50
100.0
209
210
19
92
-3
D
MP
(3)
Hickory, NC
1
s(
,00
0s
)
D
MP
P’s A
OS HS
H
of om
% fr
s
Rs l i o n
3 M il
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9
19 ( $
s)
s
MR
P’s
OS HSA
H
of m
% fro
St
ed
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Be
s
A
HS
Be
ds
f
no
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a
loc H
Al by
D
MP
A’s P
S
H OS
of H
% by
s
P
OS
y H ns)
b
o
s lli
MR Mi
A in
HS ($
MR
’s
SA SP
H
O
of H
% by
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
147,492
Ami Frye Regional Medical Center
48.0
62.5
36.16
62.3
298
186.2
40.8
22.53
42.7
Catawba Memorial Hospital
32.7
81.8
20.57
82.7
175
143.1
36.4
17.01
32.3
140.7
2.7
135.12
2.9
731
20.1
5.3
3.91
7.4
16.2
17.2
9.91
17.8
79
13.5
3.8
1.77
3.4
53.6
13.8
7.51
14.3
416.5
100.0
52.73
100.0
Valdese General Hospital Inc
All Others
All Hospitals
High Point, NC
116,005
High Point Regional Hospital
70.7
81.0
46.91
78.2
329
266.4
74.6
36.70
74.9
140.7
3.2
135.12
3.1
731
23.7
5.9
4.21
8.6
Moses H Cone Memorial Hospital,The 155.0
1.9
96.31
1.8
625
12.0
3.9
1.77
3.6
52.1
15.6
6.30
12.9
354.2
100.0
48.98
100.0
All Others
All Hospitals
Kinston, NC
76,811
Lenoir Memorial Hospital
61.5
84.2
32.40
84.2
240
202.2
70.7
27.28
61.1
130.4
8.4
114.82
9.8
609
51.1
14.9
11.29
25.3
60.7
6.4
25.51
5.8
269
17.2
5.3
1.48
3.3
32.9
9.0
4.60
10.3
303.4
100.0
44.63
100.0
59.9
53.1
8.24
51.2
All Others
All Hospitals
Louisburg, NC
28,527
Franklin Regional Medical Center
17.7
70.5
11.60
71.0
85
Wake Medical Center
162.6
2.4
114.50
2.1
638
15.1
16.4
2.36
14.7
174.5
1.5
185.89
1.2
1003
14.6
10.8
2.25
14.0
20.7
19.8
3.24
20.1
110.3
100.0
16.09
100.0
All Others
All Hospitals
Lumberton, NC
92,521
Southeastern General Hospital
63.5
81.4
28.71
81.9
281
228.7
66.9
23.51
53.1
174.5
4.9
61.9
9.4
185.89
5.7
1003
49.0
11.0
10.52
23.7
35.93
8.6
384
36.0
7.5
3.09
7.0
58.1
14.5
7.17
16.2
371.8
100.0
44.31
100.0
All Others
All Hospitals
s
19
92
-3
D
MP
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s(
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D
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(9)
(10)
(11)
(4)
(5)
(6)
(7)
(8)
15.8
89.9
8.70
90.6
65
58.4
64.3
7.88
55.6
86.4
3.2
72.77
3.8
386
12.4
12.6
2.80
19.7
Grace Hospital Inc
27.9
4.9
15.90
5.1
149
7.2
6.1
0.81
5.7
18.7
17.0
2.69
19.0
96.7
100.0
14.17
100.0
Marion, NC
35,600
Mcdowell Hospital,The
All Others
All Hospitals
Mooresville, NC
29,488
Lake Norman Regional Medical Center 18.0
74.0
12.66
73.4
82
60.7
62.1
9.29
57.5
124.1
1.0
118.34
1.3
843
8.0
5.5
1.50
9.3
54.4
2.8
30.50
3.7
183
5.1
7.1
1.13
7.0
26.8
25.3
4.26
26.2
100.6
100.0
16.16
100.0
Iredell Memorial Hospital Inc
All Others
All Hospitals
Morehead City, NC
54,726
Carteret General Hospital
31.8
90.9
15.99
89.3
117
106.4
67.6
14.28
54.1
130.4
2.3
114.82
2.8
609
13.7
6.9
3.18
12.1
Wake Medical Center
162.6
1.2
114.50
2.3
638
7.5
4.5
2.61
9.9
45.7
21.1
6.31
24.0
173.3
100.0
26.39
100.0
62.4
12.28
54.3
All Others
All Hospitals
Morganton, NC
50,932
Grace Hospital Inc
27.9
77.0
15.90
77.2
149
114.7
Ami Frye Regional Medical Center
48.0
5.6
36.16
5.4
298
16.6
7.8
1.96
8.7
140.7
1.2
135.12
1.4
731
8.9
5.0
1.91
8.4
All Others
43.9
24.9
6.47
28.6
184.1
100.0
22.63
100.0
280
221.2
80.1
26.70
70.4
All Hospitals
New Bern, NC
100,168
Craven Regional Medical Center
63.6
79.0
33.73
79.2
130.4
4.2
114.82
5.6
609
25.4
8.7
6.39
16.8
174.5
0.7
185.89
0.7
1003
6.7
1.9
1.25
3.3
28.6
9.4
3.60
9.5
281.9
100.0
37.95
100.0
All Others
All Hospitals
211
212
19
92
-3
D
MP
(3)
1
s(
,00
0s
)
D
MP
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H
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s
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SA SP
H
O
of H
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(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
31.0
91.2
17.76
90.8
127
115.8
67.6
16.13
58.4
140.7
4.2
135.12
4.5
731
30.6
14.1
6.05
21.9
Forsyth Memorial Hospital
217.0
1.2
113.46
1.7
790
9.6
6.3
1.95
7.1
30.2
12.0
3.50
12.7
186.2
100.0
27.62
100.0
33.50
70.2
North Wilkesboro, NC
50,268
Wilkes Regional Medical Center
All Others
All Hospitals
Pinehurst, NC
94,235
Moore Regional Hospital Inc
85.6
70.3
49.29
68.0
318
223.6
75.1
174.5
1.5
61.9
5.8
185.89
1.6
1003
14.9
3.2
2.94
6.2
35.93
5.2
384
22.4
4.5
1.88
3.9
All Others
All Hospitals
Raleigh, NC
94.3
17.1
9.42
19.7
355.2
100.0
47.72
100.0
41.5
496,421
Wake Medical Center
162.6
66.7
114.50
54.9
638
425.3
43.0
62.80
Rex Hospital
97.9
84.9
57.66
84.0
394
334.3
32.9
48.45
32.0
Hca Raleigh Community Hospital Inc
34.0
81.7
22.61
81.0
137
111.9
11.0
18.32
12.1
174.5
3.5
185.89
2.7
1003
35.3
2.4
5.03
3.3
72.8
5.2
79.21
4.9
651
34.0
1.5
3.84
2.5
All Others
All Hospitals
Roanoke Rapids, NC
117.0
9.2
12.95
8.6
1,057.8
100.0
151.39
100.0
52,317
Halifax Memorial Hospital
56.2
80.8
19.01
81.4
168
135.7
74.6
15.47
54.1
Wake Medical Center
162.6
1.6
114.50
2.7
638
10.4
4.4
3.07
10.7
130.4
1.5
114.82
1.7
609
9.3
3.3
1.95
6.8
57.1
17.8
8.10
28.3
212.5
100.0
28.59
100.0
All Others
All Hospitals
Rocky Mount, NC
114,344
Nash General Hospital
Community Hospital Of Rocky Mount
63.6
82.3
35.52
81.9
282
232.2
61.7
29.07
57.3
8.3
89.3
4.95
89.5
41
36.6
8.7
4.43
8.7
Wake Medical Center
162.6
2.4
114.50
4.0
638
15.1
4.6
4.55
9.0
130.4
2.6
114.82
2.2
609
15.8
4.0
2.50
4.9
All Others
All Hospitals
92.4
21.0
10.18
20.0
392.1
100.0
50.73
100.0
s
19
92
-3
D
MP
(3)
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(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
29.3
88.3
15.53
88.7
143
126.2
63.8
13.77
56.1
124.1
1.8
118.34
2.6
843
14.8
5.4
3.04
12.4
Spartanburg Regional Medical Center 135.9
1.8
65.14
2.8
460
8.3
6.0
1.83
7.4
65.6
24.8
5.92
24.1
214.9
100.0
24.56
100.0
Rutherfordton, NC
57,003
Rutherford Hospital Inc
All Others
All Hospitals
Salisbury, NC
90,049
Rowan Memorial Hospital
51.6
82.4
31.27
81.6
223
183.8
65.4
25.53
59.4
140.7
3.4
135.12
3.1
731
24.6
7.3
4.25
9.9
140.6
2.2
99.79
3.6
579
12.6
4.7
3.62
8.4
63.9
22.6
9.58
22.3
284.9
100.0
42.98
100.0
All Others
All Hospitals
Shelby, NC
78,986
Cleveland Memorial Hospital Inc
45.9
81.4
20.56
80.2
165
134.4
70.4
16.50
58.5
1.0
53.1
0.33
81.6
51
27.1
1.0
0.27
1.0
124.1
2.9
118.34
3.9
843
24.5
6.8
4.56
16.2
140.6
0.8
99.79
0.9
579
4.8
2.2
0.90
3.2
52.1
19.6
5.98
21.2
242.9
100.0
28.21
100.0
Others Within HSA
All Others
All Hospitals
Statesville, NC
80,452
Iredell Memorial Hospital Inc
54.4
85.1
30.50
83.3
183
155.7
62.0
25.40
52.6
Davis Community Hospital
18.5
66.2
13.68
65.1
136
90.0
16.4
8.91
18.4
140.7
3.3
135.12
4.5
731
24.4
6.3
6.04
12.5
124.1
0.9
118.34
1.5
843
7.8
1.5
1.71
3.5
58.7
13.8
6.27
13.0
336.6
100.0
48.34
100.0
All Others
All Hospitals
Sylva, NC
25,750
C J Harris Community Hospital Inc
19.8
59.9
9.77
57.0
86
51.5
69.3
5.57
57.9
19.6
86.4
2.1
72.77
2.6
386
7.9
10.4
1.88
St Josephs Hospital
93.2
0.6
54.85
0.6
288
1.8
3.4
0.35
3.7
20.4
17.0
1.81
18.8
81.6
100.0
9.61
100.0
All Others
All Hospitals
213
214
19
92
-3
D
MP
(3)
Thomasville, NC
1
s(
,00
0s
)
D
MP
P’s A
OS HS
H
of om
% fr
s
Rs l i o n
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s
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H
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St
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(4)
(5)
(6)
(7)
65.1
12.66
66.1
108
s
A
HS
Be
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MR Mi
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MR
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SA SP
H
O
of H
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(10)
(11)
8.36
51.1
32,777
Community General Hospital
23.6
70.3
60.6
High Point Regional Hospital
70.7
6.3
46.91
8.6
329
20.8
17.7
4.05
24.7
140.7
1.9
135.12
1.8
731
13.5
10.3
2.42
14.8
All Others
13.0
11.5
1.54
9.4
117.6
100.0
16.38
100.0
99
67.3
63.9
7.16
51.0
All Hospitals
Washington, NC
11,434
Beaufort County Hospital
20.9
68.0
10.77
66.4
130.4
4.2
114.82
4.7
609
25.4
24.5
5.37
38.2
174.5
0.2
185.89
0.2
1003
1.7
1.4
0.31
2.2
14.1
10.3
1.20
8.5
108.5
100.0
14.03
100.0
136
100.2
68.0
11.86
59.2
16.2
All Others
All Hospitals
Whiteville, NC
37,673
Columbus County Hospital Inc
30.5
73.7
16.60
71.5
New Hanover Regional Medical Center 110.3
3.6
74.35
4.4
493
17.7
12.0
3.25
0.8
185.89
0.9
1003
8.3
4.4
1.69
8.4
28.5
15.6
3.24
16.2
154.7
100.0
20.04
100.0
174.5
All Others
All Hospitals
Wilmington, NC
164,296
New Hanover Regional Medical Center 110.3
73.0
74.35
68.8
493
359.6
67.9
51.16
69.3
Cape Fear Memorial Hospital Inc
85.1
11.97
84.2
90
76.6
16.6
10.08
13.7
174.5
1.5
185.89
1.4
1003
14.9
2.2
2.68
3.6
7.5
44.2
4.17
44.4
43
19.0
2.8
1.85
2.5
23.2
Pender Memorial Hospital
All Others
All Hospitals
Wilson, NC
69.8
10.5
8.06
10.9
539.9
100.0
73.83
100.0
78,196
Wilson Memorial Hospital
56.9
78.3
29.97
77.1
277
216.7
72.6
23.10
64.8
Wake Medical Center
162.6
2.3
114.50
3.8
638
14.5
6.0
4.31
12.1
130.4
2.1
114.82
2.1
609
12.7
4.4
2.37
6.7
61.7
17.0
5.86
16.5
305.6
100.0
35.64
100.0
All Others
All Hospitals
s
19
92
-3
D
MP
(3)
Winston-Salem, NC
1
s(
,0
00
s)
D
MP
P’s A
OS HS
H
of om
% fr
(4)
s
s n
MR lio
3 il
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9
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(5)
s)
s
MR
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H
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(6)
St
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d
Be
(7)
s
A
HS
Be
ds
of
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loc H
Al by
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MP
A’s P
S
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% by
(8)
(9)
s
P
s
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b
o
s illi
A’s P
R
S
M M
H OS
A in
of H
HS ($
% by
(10)
(11)
344,718
Forsyth Memorial Hospital
217.0
76.5
113.46
75.7
790
604.3
67.2
85.85
58.6
140.7
31.0
135.12
27.2
731
226.4
17.6
36.74
25.1
12.0
76.7
9.92
77.4
102
78.2
3.7
7.67
5.2
Stokes-Reynolds Memorial Hospital
7.6
92.3
3.25
90.8
53
48.9
2.8
2.95
2.0
Hoots Memorial Hospital
3.1
78.9
2.92
79.4
50
39.4
1.0
2.32
1.6
Medical Park Hospital
All Others
All Hospitals
Aiken, SC
89.5
7.6
11.03
7.5
1,086.7
100.0
146.57
100.0
72,682
Hca Aiken Regional Medical Centers
39.6
72.5
26.81
73.1
233
168.9
62.2
19.60
61.5
121.7
6.1
89.49
7.4
691
42.4
16.2
6.65
20.9
28.7
3.1
27.93
3.0
502
15.4
1.9
0.83
2.6
45.9
19.7
4.76
15.0
272.6
100.0
31.85
100.0
University Hospital
Medical College Of Georgia
All Others
All Hospitals
Anderson, SC
144,222
Anderson Area Medical Center
99.6
83.3
42.90
81.9
459
382.3
79.9
35.13
66.3
Greenville Memorial Medical Center
149.3
5.4
113.31
6.7
662
35.8
7.8
7.63
14.4
109.4
1.9
121.37
2.7
533
10.0
2.0
3.27
6.2
50.4
10.3
6.96
13.1
478.5
100.0
53.00
100.0
All Others
All Hospitals
Charleston, SC
474,236
Roper Hospital
107.3
79.5
54.88
76.1
422
335.4
35.1
41.74
30.9
Trident Regional Medical Center
59.4
86.9
38.33
86.2
292
253.8
21.2
33.03
24.4
Medical University Hospital
63.5
42.9
67.60
32.8
572
245.5
11.2
22.18
16.4
St Francis Xavier
48.9
84.7
21.86
84.0
194
164.4
17.1
18.37
13.6
Baker Hospital
14.8
91.3
6.26
93.6
104
95.0
5.6
5.86
4.3
6.0
89.4
2.90
89.6
141
126.0
2.2
2.60
1.9
Ami East Cooper Community Hospital
14.8
21.4
10.80
20.3
112
24.0
1.3
2.19
1.6
Colleton Regional Hospital
20.1
14.4
12.50
12.4
116
16.7
1.2
1.55
1.2
Charleston Memorial Hospital
All Others
All Hospitals
Chester, SC
70.1
5.2
7.63
5.6
1,330.9
100.0
135.14
100.0
56.6
63.4
6.58
51.1
27,889
Chester County Hospital
16.8
89.8
7.35
89.5
63
Providence Hospital
67.9
2.8
49.51
3.1
235
6.6
8.1
1.52
11.8
Piedmont Medical Center
53.8
3.9
33.37
4.5
268
10.3
8.7
1.50
11.7
All Others
All Hospitals
29.4
19.9
3.28
25.5
102.9
100.0
12.89
100.0
215
216
19
92
-3
D
MP
(3)
Columbia, SC
1
s(
,00
0s
)
D
MP
P’s A
OS HS
H
of om
% fr
(4)
s
Rs l i o n
3 M il
2- i n m
9
19 ( $
(5)
s)
s
MR
P’s
OS HSA
H
of m
% fro
(6)
St
ed
aff
d
Be
(7)
s
A
HS
Be
ds
s
P
OS
y H ns)
b
o
s lli
MR Mi
A in
HS ($
f
no
tio O S P
a
loc H
Al by
D
MP
A’s P
S
H OS
of H
% by
(8)
(9)
(10)
(11)
36.2
MR
’s
SA SP
H
O
of H
% by
338,246
Richland Memorial Hospital
87.9
55.4
61.57
51.5
550
304.4
32.0
31.72
Baptist Medical Center At Columbia
81.0
59.1
42.11
56.7
439
259.4
31.5
23.87
27.3
Providence Hospital
67.9
42.7
49.51
36.8
235
100.3
19.1
18.24
20.8
74.3
20.0
35.70
20.8
280
56.1
9.8
7.42
8.5
64.9
7.7
6.35
7.3
785.1
100.0
87.59
100.0
7.68
57.1
Lexington Medical Center
All Others
All Hospitals
Conway, SC
44,127
Conway Hospital Inc
26.5
60.4
13.12
58.5
224
135.2
68.9
Mcleod Regional Medical Center
68.6
1.4
51.36
1.8
280
3.9
4.1
0.93
7.0
63.5
1.0
67.60
1.4
572
5.8
2.8
0.92
6.9
All Others
All Hospitals
Florence, SC
29.8
24.2
3.91
29.0
174.7
100.0
13.44
100.0
166,410
Mcleod Regional Medical Center
68.6
57.2
51.36
52.7
280
160.3
31.5
27.08
37.5
Bruce Hospital System
47.4
78.1
23.63
75.4
193
150.7
29.7
17.83
24.7
Florence General Hospital
34.8
72.9
18.67
72.5
128
93.3
20.4
13.54
18.8
Wilson Clinic & Hospital
6.4
74.6
3.27
72.6
51
38.1
3.8
2.37
3.3
Lake City Community Hospital
4.0
89.9
2.01
89.9
48
43.2
2.9
1.81
2.5
63.5
2.2
67.60
2.6
572
12.6
1.1
1.75
2.4
Georgetown Memorial Hospital
30.6
8.1
18.01
8.3
141
11.5
2.0
1.49
2.1
All Others
All Hospitals
Gaffney, SC
61.4
8.7
6.27
8.7
571.1
100.0
72.13
100.0
44,505
Upstate Carolina Medical Center
20.3
89.2
14.03
89.8
125
111.5
57.1
12.60
60.2
4.0
65.14
5.1
460
18.3
17.1
3.33
15.9
Mary Black Memorial Hospital
6.6
21.99
8.1
197
12.9
11.3
1.77
8.5
26.7
14.6
3.23
15.5
169.4
100.0
20.94
100.0
13.83
57.1
25.4
54.5
All Others
All Hospitals
Georgetown, SC
44,438
Georgetown Memorial Hospital
30.6
79.4
18.01
76.8
141
112.0
69.2
Roper Hospital
All Others
All Hospitals
63.5
7.3
67.60
9.1
572
41.8
13.2
6.16
107.3
1.8
54.88
2.3
422
7.7
5.6
1.27
5.2
22.8
12.1
2.96
12.3
184.3
100.0
24.22
100.0
s
19
92
-3
D
MP
(3)
Greenville, SC
1
s(
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00
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MP
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H OS
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(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
149.3
70.1
113.31
66.6
662
464.2
53.6
75.44
60.6
74.0
80.2
39.97
78.3
237
190.1
30.4
31.29
25.1
8.8
89.6
4.79
90.1
56
50.2
4.1
4.31
3.5
319,940
St Francis Hospital
Hillcrest Hospital
Baptist Medical Center-Easley
23.6
23.3
12.22
22.2
90
21.0
2.8
2.71
2.2
Allen Bennett Memorial Hospital
15.0
22.8
7.56
23.1
70
15.9
1.8
1.75
1.4
All Others
All Hospitals
Greenwood, SC
70.0
7.3
9.03
7.3
811.4
100.0
124.54
100.0
77.2
22.81
70.8
85,535
Self Memorial Hospital
57.3
76.6
30.17
75.6
354
271.2
Providence Hospital
67.9
3.2
49.51
4.5
235
7.4
3.8
2.24
7.0
149.3
0.7
113.31
0.8
662
4.7
1.9
0.85
2.7
All Others
All Hospitals
51.2
17.2
6.32
19.6
334.5
100.0
32.22
100.0
Hilton Head Island, SC 30,896
Hilton Head Hospital
15.3
77.3
13.33
78.1
68
52.6
58.0
10.41
53.4
63.5
2.1
67.60
3.2
572
12.2
6.6
2.17
11.1
87.9
1.8
73.15
2.6
529
9.3
7.6
1.88
9.7
27.8
27.8
5.05
25.8
101.9
100.0
19.49
100.0
All Others
All Hospitals
Orangeburg, SC
88,299
Reg Med Ctr Of Orangeburg & Calhoun 49.8
78.7
21.66
78.3
286
225.1
68.2
16.95
57.9
9.5
Providence Hospital
67.9
4.3
49.51
5.6
235
10.1
5.1
2.77
87.9
4.4
61.57
4.2
550
24.1
6.7
2.60
8.9
63.5
20.0
6.95
23.8
322.8
100.0
29.29
100.0
All Others
All Hospitals
Rock Hill, SC
133,346
Piedmont Medical Center
53.8
84.6
33.37
84.5
268
226.8
69.3
28.20
63.4
124.1
3.4
118.34
4.1
843
28.2
6.3
4.81
10.8
63.3
5.3
42.96
8.2
276
14.8
5.2
3.53
7.9
61.9
19.3
7.94
17.9
331.7
100.0
44.48
100.0
Mercy Hospital Inc
All Others
All Hospitals
217
218
19
92
-3
D
MP
(3)
1
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H
O
of H
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(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
78.3
65.14
73.4
460
360.0
63.0
47.78
62.5
54.5
81.4
21.99
77.2
197
160.4
26.2
16.98
22.2
Doctors Mem Hosp Spart Ltd Partnership 5.4
79.7
3.88
76.4
97
77.3
2.5
2.97
3.9
149.3
1.3
113.31
1.2
662
8.5
1.1
1.30
1.7
15.0
11.0
7.56
11.0
70
7.7
1.0
0.83
1.1
59.0
6.2
6.55
8.6
672.9
100.0
76.42
100.0
Spartanburg, SC
201,975
Allen Bennett Memorial Hospital
All Others
All Hospitals
Sumter, SC
108,078
Tuomey Regional Med Ctr
63.0
80.5
24.14
79.6
230
185.0
79.7
19.23
66.5
87.9
4.7
61.57
5.6
550
25.9
6.5
3.45
11.9
Providence Hospital
67.9
2.7
49.51
3.3
235
6.3
2.9
1.61
5.6
39.6
10.9
4.62
16.0
256.8
100.0
28.92
100.0
All Others
All Hospitals
Union, SC
30,061
Wallace Thomson Hospital
20.2
86.3
8.87
85.6
92
79.4
58.9
7.60
49.7
4.8
65.14
6.5
460
22.2
22.1
4.20
27.5
2.8
21.99
3.3
197
5.5
5.2
0.72
4.7
23.5
13.9
2.74
18.0
130.6
100.0
15.28
100.0
54.5
All Others
All Hospitals
Walterboro, SC
34,578
Colleton Regional Hospital
20.1
61.4
12.50
65.4
116
71.2
49.1
8.17
50.4
107.3
4.3
54.88
5.3
422
18.3
18.5
2.89
17.9
59.4
3.6
38.33
4.4
292
10.5
8.5
1.69
10.4
39.9
23.9
3.47
21.3
139.9
100.0
16.22
100.0
186.2
60.7
23.28
52.6
Roper Hospital
Trident Regional Medical Center
All Others
All Hospitals
West Columbia, SC
134,912
Lexington Medical Center
74.3
66.5
35.70
65.2
280
87.9
9.3
61.57
10.2
550
51.2
10.1
6.25
14.1
Baptist Medical Center At Columbia
81.0
14.7
42.11
14.8
439
64.6
14.7
6.23
14.1
All Others
All Hospitals
49.3
14.6
8.48
19.2
351.3
100.0
44.25
100.0
s
19
92
-3
D
MP
(3)
Abingdon, VA
1
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64.3
13.73
61.5
138
88.7
62.2
s
P
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b
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8.45
53.4
40,055
Johnston Memorial Hospital
28.1
Bristol Regional Medical Center
84.8
6.7
46.95
7.0
336
22.5
19.5
3.29
20.8
Holston Valley Hospital Med Center
91.3
1.5
61.38
2.7
359
5.4
4.7
1.67
10.5
All Others
All Hospitals
Alexandria, VA
23.9
13.6
2.43
15.3
140.5
100.0
15.83
100.0
254,920
Alexandria Hospital
62.2
69.6
36.93
67.1
363
252.6
43.4
24.78
37.3
Mt Vernon Hospital
39.6
71.2
24.59
71.1
229
163.1
28.3
17.47
26.3
109.0
6.4
102.73
8.0
703
44.7
7.0
8.19
12.3
68.2
4.8
46.16
4.8
389
18.7
3.3
2.22
3.3
108.1
18.1
13.74
20.7
587.2
100.0
66.38
100.0
Fairfax Hospital
Arlington Hospital,The
All Others
All Hospitals
Arlington, VA
203,342
68.2
62.4
46.16
60.4
389
242.7
45.0
27.87
42.6
Northern Virginia Doctors Hospital
23.4
56.5
16.25
54.9
211
119.2
14.0
8.92
13.6
National Hosp For Othopaedics & Rehab19.2
40.9
14.22
34.0
115
47.1
8.3
4.83
7.4
109.0
7.7
102.73
7.0
703
53.8
8.8
7.17
11.0
62.2
10.3
36.93
10.2
363
37.2
6.7
3.75
5.7
93.8
17.2
12.89
19.7
593.8
100.0
65.44
100.0
Fairfax Hospital
Alexandria Hospital
All Others
All Hospitals
Blacksburg, VA
65,970
Montgomery Regional Hospital
18.8
76.5
12.16
75.1
135
103.3
54.9
9.13
52.6
Radford Community Hospital
27.0
18.0
15.38
18.6
132
23.8
18.5
2.86
16.5
Roanoke Memorial Hospitals
137.6
2.1
92.64
2.8
452
9.6
11.1
2.59
15.0
19.9
15.5
2.77
16.0
156.6
100.0
17.35
100.0
All Others
All Hospitals
Charlottesville, VA
180,819
Univ Of Va Hosp
Martha Jefferson Hospital
111.0
43.7
123.55
40.4
683
298.4
47.5
49.89
58.5
46.1
90.4
30.25
89.9
169
152.7
40.8
27.19
31.9
11.6
15.2
7.27
16.1
78
11.9
1.7
1.17
1.4
49.3
10.0
6.97
8.2
512.3
100.0
85.22
100.0
Culpeper Memorial Hospital Inc
All Others
All Hospitals
219
220
19
92
-3
D
MP
(3)
Chesapeake, VA
1
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MP
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H
O
of H
% by
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
56.7
34.77
57.8
260
147.3
61.4
20.08
53.2
112.4
8.2
99.10
8.3
661
54.3
14.8
8.20
21.7
56.1
10.5
34.95
10.6
225
23.5
9.4
3.70
9.8
47.7
14.4
5.76
15.3
272.8
100.0
37.74
100.0
109,729
67.9
Sentara Leigh Hospital
All Others
All Hospitals
Danville, VA
106,145
Danville Regional Medical Center
81.9
87.7
36.80
86.7
298
261.3
79.2
31.91
62.0
174.5
4.9
185.89
7.0
1003
49.2
9.4
13.00
25.2
140.7
0.6
135.12
0.8
731
4.7
1.0
1.02
2.0
49.3
10.4
5.56
10.8
364.5
100.0
51.49
100.0
All Others
All Hospitals
Falls Church, VA
478,083
Fairfax Hospital
109.0
58.0
102.73
51.3
703
407.4
50.1
52.70
53.3
68.2
21.9
46.16
23.3
389
85.3
11.9
10.76
10.9
Fair Oaks Hosp
21.6
42.0
14.61
41.8
144
60.5
7.2
6.10
6.2
234.9
30.9
29.35
29.7
788.1
100.0
98.92
100.0
All Others
All Hospitals
Farmville, VA
26,312
Southside Community Hospital
18.3
55.2
10.16
54.5
117
64.6
58.9
5.54
50.1
Medical College Of Virginia Hospitals
78.9
1.6
78.40
1.9
852
13.5
7.3
1.50
13.6
Hca Johnston-Willis Hospital
60.9
1.9
36.76
2.0
301
5.6
6.7
0.72
6.5
22.2
27.2
3.29
29.8
105.9
100.0
11.05
100.0
All Others
All Hospitals
Franklin, VA
24,960
Southampton Memorial Hospital
17.3
79.4
11.20
77.4
77
61.1
60.9
8.67
56.8
112.4
2.8
99.10
3.0
661
18.3
13.8
2.93
19.2
41.9
3.8
25.38
4.1
185
7.0
7.0
1.04
6.8
20.0
18.3
2.63
17.3
106.4
100.0
15.27
100.0
Louise Obici Memorial Hospital
All Others
All Hospitals
Fredericksburg, VA
170,385
Mary Washington Hospital
76.0
85.5
41.72
85.1
288
246.2
74.4
35.49
62.8
78.9
4.6
78.40
5.9
852
39.6
4.2
4.64
8.2
Henrico Doctors Hospital
84.1
3.7
67.06
5.2
340
12.7
3.6
3.50
6.2
91.6
17.9
12.90
22.8
390.1
100.0
56.52
100.0
All Others
All Hospitals
s
19
92
-3
D
MP
(3)
1
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MP
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Al by
D
MP
A’s P
S
H OS
of H
% by
(9)
(4)
(5)
(6)
(7)
(8)
29.1
81.8
14.62
81.1
149
121.8
140.7
2.3
135.12
2.5
731
174.5
0.6
185.89
1.1
1003
Galax, VA
Be
s
P
s
OS
MR
y H ns)
b
o
s illi
A’s P
R
S
M M
H OS
A in
of H
HS ($
% by
(10)
(11)
64.0
11.86
51.0
16.7
8.7
3.43
14.8
6.4
3.0
2.08
9.0
44.7
24.3
5.89
25.3
189.6
100.0
23.25
100.0
43,383
Twin County Community Hospital
All Others
All Hospitals
Grundy, VA
29,563
Buchanan General Hospital
21.3
78.7
8.00
77.1
100
78.7
62.3
6.16
51.3
84.8
3.4
46.95
3.6
336
11.3
10.6
1.69
14.1
Clinch Valley Medical Center
28.1
9.4
11.70
9.5
200
18.9
9.9
1.11
9.3
23.8
17.2
3.05
25.3
132.7
100.0
12.01
100.0
All Others
All Hospitals
Hampton, VA
85,214
Sentara Hampton Genl Hosp
49.1
53.1
27.92
51.9
249
132.2
62.9
14.49
57.7
Riverside Regional Medical Center
101.8
9.4
66.10
9.3
576
54.2
23.1
6.16
24.5
112.4
1.0
99.10
1.7
661
6.9
2.8
1.67
6.7
35.4
11.2
2.78
11.1
228.7
100.0
25.09
100.0
All Others
All Hospitals
Harrisonburg, VA
110,664
Rockingham Memorial Hospital
67.8
83.6
35.01
83.4
264
220.8
81.2
29.19
68.8
111.0
5.4
123.55
7.0
683
36.6
8.5
8.63
20.3
51.1
3.4
26.88
2.9
238
8.1
2.5
0.79
1.9
29.6
7.8
3.85
9.1
295.1
100.0
42.46
100.0
63.7
8.48
54.2
13.2
Univ Of Va Hosp
Augusta Hospital Corp
All Others
All Hospitals
Hopewell, VA
33,477
John Randolph Hospital
31.6
50.6
16.56
51.2
136
68.8
78.9
2.6
78.40
2.6
852
21.7
8.0
2.06
Chippenham Medical Center
90.8
1.6
56.61
1.8
438
6.9
5.7
1.03
6.6
24.6
22.6
4.09
26.1
122.0
100.0
15.65
100.0
2.53
53.5
All Others
All Hospitals
Hot Springs, VA
5,404
Bath County Community Hospital
4.7
80.7
3.21
78.8
25
20.2
51.1
35.6
4.8
18.71
4.1
204
9.7
22.7
0.76
16.1
137.6
0.5
92.64
0.5
452
2.4
9.8
0.49
10.3
6.3
16.4
0.96
20.1
38.6
100.0
4.72
100.0
Allegheny Hospital
All Others
All Hospitals
221
222
19
92
-3
D
MP
(3)
Leesburg, VA
1
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(8)
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(5)
(6)
(7)
17.0
72.0
13.24
72.3
103
74.2
109.0
1.1
102.73
1.7
703
94.7
1.2
62.15
1.1
401
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66.9
9.58
64.1
7.9
6.6
1.73
11.6
4.6
6.0
0.66
4.4
21.8
20.5
2.96
19.9
108.5
100.0
14.94
100.0
54,502
Loudoun Memorial Hospital
Fairfax Hospital
Winchester Medical Center Inc
All Others
All Hospitals
Low Moor, VA
27,954
Allegheny Hospital
35.6
66.0
18.71
65.5
204
134.7
74.1
12.26
65.3
137.6
Univ Of Va Hosp
111.0
2.6
92.64
2.7
452
11.7
11.3
2.49
13.2
1.1
123.55
1.5
683
7.8
4.0
1.79
9.5
16.5
10.7
2.25
12.0
170.7
100.0
18.78
100.0
All Others
All Hospitals
Lynchburg, VA
192,921
Lynchburg General Hospital
76.0
92.5
37.84
92.4
227
209.9
53.9
34.95
46.7
Virginia Baptist Hospital
49.2
87.1
29.84
88.4
313
272.5
32.8
26.37
35.3
111.0
5.5
123.55
5.0
683
37.4
4.7
6.13
8.2
81.9
3.4
36.80
3.6
298
10.2
2.2
1.33
1.8
47.1
6.5
6.01
8.0
577.1
100.0
74.78
100.0
Univ Of Va Hosp
Danville Regional Medical Center
All Others
All Hospitals
Manassas, VA
101,395
Prince William Hosp
16.1
73.3
11.41
74.7
152
111.3
60.5
8.52
55.0
Fairfax Hospital
109.0
1.9
102.73
2.7
703
13.2
10.6
2.74
17.7
Fauquier Hosp
22.4
6.4
11.89
5.1
106
6.7
7.3
0.61
3.9
26.3
21.7
3.61
23.4
157.5
100.0
15.49
100.0
All Others
All Hospitals
Marion, VA
33,662
Smyth County Comm Hosp
23.5
81.0
9.53
79.6
176
142.5
67.4
7.58
53.7
84.8
3.4
46.95
3.7
336
11.5
10.3
1.75
12.4
91.3
1.2
61.38
2.3
359
4.2
3.8
1.40
9.9
26.4
18.6
3.40
24.0
184.6
100.0
14.13
100.0
All Others
All Hospitals
s
19
92
-3
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(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
45.7
87.7
21.53
87.2
182
159.7
70.2
18.77
57.0
140.7
3.5
135.12
3.9
731
25.8
8.7
5.22
15.9
174.5
0.9
185.89
1.5
1003
8.7
2.6
2.74
8.3
44.8
18.4
6.19
18.8
239.0
100.0
32.91
100.0
75.1
10.70
56.3
Martinsville, VA
74,428
Memorial Hosp Martinsville
All Others
All Hospitals
Nassawadox, VA
33,953
Northampton Accomack Mem Hosp
33.4
87.2
12.28
87.2
145
126.4
112.4
2.8
99.10
3.4
661
18.5
8.1
3.34
17.6
Peninsula Genl Hosp
111.9
2.2
77.71
2.5
361
7.9
6.3
1.93
10.1
All Others
All Hospitals
Newport News, VA
20.6
10.6
3.07
16.1
173.4
100.0
19.02
100.0
285,327
Mary Immaculate Hosp
Newport News General Hospital
101.8
73.3
66.10
69.7
576
422.3
58.5
46.04
58.5
20.3
72.4
11.50
71.5
110
79.6
11.5
8.22
10.4
3.9
82.9
2.36
84.3
108
89.5
2.5
1.99
2.5
49.1
41.6
27.92
42.8
249
103.5
16.0
11.94
15.2
112.4
1.7
99.10
2.3
661
11.1
1.5
2.29
2.9
63.5
10.0
8.27
10.5
769.5
100.0
78.75
100.0
Sentara Hampton Genl Hosp
All Others
All Hospitals
Norfolk, VA
387,166
112.4
50.8
99.10
41.4
661
336.0
32.2
41.01
35.7
Depaul Medical Center
66.2
84.0
41.20
83.7
267
224.3
31.4
34.50
30.1
56.1
52.7
34.95
50.5
225
118.6
16.7
17.65
15.4
7.3
79.5
4.52
78.5
82
65.2
3.3
3.55
3.1
Norfolk Community Hospital
Sentara Bayside Hospital
28.8
32.4
18.39
32.9
176
57.0
5.3
6.05
5.3
67.9
12.0
34.77
11.2
260
31.1
4.6
3.88
3.4
All Others
All Hospitals
Norton, VA
62.8
6.7
8.18
7.1
895.0
100.0
114.81
100.0
35.5
30,691
Norton Community Hospital
21.6
63.7
9.14
64.4
129
82.2
43.8
5.88
St Marys Hospital
8.5
71.4
4.76
69.9
89
63.6
19.3
3.33
20.1
Wise Appalachian Regional Hospital
7.7
55.0
3.50
51.9
67
36.9
13.4
1.82
11.0
91.3
3.6
61.38
4.5
359
12.9
10.4
2.73
16.5
84.8
1.0
46.95
1.0
336
3.2
2.6
0.45
2.7
20.3
10.6
2.37
14.3
219.1
100.0
16.58
100.0
All Others
All Hospitals
223
224
19
92
-3
D
MP
(3)
1
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H
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(5)
(6)
(7)
(8)
15.2
85.8
7.56
86.1
73
62.6
65.0
6.51
58.9
91.3
3.2
61.38
3.8
359
11.4
14.5
2.34
21.2
Indian Path Hospital
44.0
1.7
25.09
1.6
166
2.8
3.6
0.39
3.5
20.4
17.0
1.81
16.4
97.2
100.0
11.04
100.0
243.3
61.2
28.01
50.8
14.1
Pennington Gap, VA
17,208
Lee County Hosp
All Others
All Hospitals
Petersburg, VA
111,954
Southside Regional Medical Center
67.3
86.6
32.40
86.4
281
78.9
8.6
78.40
9.9
852
73.5
7.2
7.76
John Randolph Hospital
31.6
33.3
16.56
32.4
136
45.2
11.1
5.37
9.7
93.7
20.6
14.03
25.5
455.7
100.0
55.18
100.0
All Others
All Hospitals
Portsmouth, VA
161,696
Maryview Hospital
60.6
89.6
36.28
89.8
283
253.6
49.2
32.59
46.7
Portsmouth Genl Hosp
37.5
82.7
20.63
83.4
184
152.2
28.1
17.21
24.7
112.4
9.0
99.10
11.7
661
59.7
9.2
11.62
16.7
67.9
7.9
34.77
6.8
260
20.5
4.9
2.36
3.4
48.6
8.7
5.94
8.5
534.6
100.0
69.72
100.0
7.51
56.1
All Others
All Hospitals
Pulaski, VA
20,374
Pulaski Community Hospital
20.5
75.3
10.06
74.6
141
106.2
65.9
27.0
12.8
15.38
13.2
132
16.8
14.7
2.03
15.2
137.6
1.0
92.64
1.8
452
4.6
5.9
1.64
12.3
16.3
13.5
2.20
16.5
143.9
100.0
13.38
100.0
68.2
59.9
7.73
54.8
16.9
All Others
All Hospitals
Radford, VA
38,074
27.0
51.7
15.38
50.2
132
137.6
2.0
92.64
2.6
452
9.2
12.1
2.38
Pulaski Community Hospital
20.5
9.5
10.06
9.8
141
13.4
8.4
0.98
7.0
24.8
19.6
3.01
21.4
115.6
100.0
14.10
100.0
All Others
All Hospitals
s
19
92
-3
D
MP
(3)
Richlands, VA
1
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(7)
(8)
68.8
11.70
68.7
200
137.7
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b
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8.04
55.6
30,401
Clinch Valley Medical Center
28.1
66.3
84.8
1.9
46.95
2.2
336
6.2
5.4
1.02
7.1
91.3
0.9
61.38
1.6
359
3.4
2.9
0.99
6.8
All Others
All Hospitals
Richmond, VA
38.7
25.3
4.41
30.6
186.0
100.0
14.47
100.0
801,560
St Marys Hospital Of Richmond
78.0
84.0
55.52
81.3
360
302.3
12.3
45.12
12.9
Chippenham Medical Center
90.8
81.3
56.61
79.4
438
356.2
13.9
44.92
12.8
84.1
72.0
67.06
66.7
340
244.9
11.4
44.71
12.8
78.9
55.7
78.40
50.7
852
474.6
8.3
39.77
11.4
Richmond Memorial Hospital
69.7
93.4
38.81
93.1
255
238.1
12.3
36.12
10.3
Hca Johnston-Willis Hospital
60.9
83.5
36.76
83.2
301
251.4
9.6
30.58
8.7
Retreat Hospital
44.1
91.5
28.81
89.9
143
130.8
7.6
25.89
7.4
Healthsouth Medical Center
40.5
83.3
26.31
82.7
128
106.6
6.4
21.76
6.2
Nc-Schc Inc Stuart Circle Hospital
27.8
92.3
17.71
91.8
112
103.4
4.8
16.25
4.6
Metropolitan Hosp
23.1
90.3
12.77
91.1
131
118.3
3.9
11.64
3.3
Richmond Community Hospital
11.1
93.1
7.59
92.1
87
81.0
2.0
6.99
2.0
111.0
3.1
123.55
2.9
683
Univ Of Va Hosp
All Others
All Hospitals
Roanoke, VA
21.3
0.7
3.56
1.0
178.2
7.0
22.57
6.5
2,607.1
100.0
349.88
100.0
221,226
137.6
60.9
92.64
53.1
452
275.1
44.0
49.23
45.7
Community Hospital Of Roanoke Valley 62.9
79.2
31.85
76.1
328
259.9
26.2
24.24
22.5
55.1
49.46
54.4
335
184.6
24.7
26.88
25.0
53.7
5.2
7.28
6.8
773.3
100.0
107.63
100.0
Hca Lewis-Gale Hospital
85.2
All Others
All Hospitals
Salem, VA
49,858
Hca Lewis-Gale Hospital
85.2
28.1
49.46
27.0
335
94.1
63.5
13.37
61.3
137.6
6.4
92.64
5.8
452
28.8
23.3
5.33
24.4
Community Hospital Of Roanoke Valley 62.9
4.3
31.85
4.5
328
14.0
7.1
1.44
6.6
13.5
6.2
1.67
7.7
150.4
100.0
21.80
100.0
All Others
All Hospitals
225
226
19
92
-3
D
MP
(3)
South Boston, VA
1
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(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
92.2
16.89
92.8
173
159.4
67.3
15.68
54.6
12.9
54,014
Halifax-South Boston Comm Hosp
39.5
174.5
1.5
185.89
2.0
1003
15.1
4.9
3.69
Community Mem Health Center
29.2
12.0
12.96
12.1
91
10.9
6.5
1.57
5.5
56.9
21.4
7.78
27.1
242.3
100.0
28.72
100.0
60.7
64.8
8.82
53.5
All Others
All Hospitals
South Hill, VA
27,908
Community Mem Health Center
29.2
66.7
12.96
68.1
91
84.1
2.1
67.06
2.7
340
7.0
5.7
1.79
10.9
78.9
2.2
78.40
2.2
852
18.8
5.8
1.74
10.6
32.6
23.7
4.12
25.1
119.1
100.0
16.48
100.0
206.1
67.6
23.64
51.9
All Others
All Hospitals
Staunton, VA
97,021
Augusta Hospital Corp
51.1
86.6
26.88
87.9
238
111.0
11.8
123.55
13.7
683
80.4
20.0
16.86
37.0
67.8
5.9
35.01
5.7
264
15.7
6.2
1.98
4.3
20.6
6.3
3.04
6.7
322.8
100.0
45.52
100.0
Univ Of Va Hosp
Rockingham Memorial Hospital
All Others
All Hospitals
Suffolk, VA
60,787
Louise Obici Memorial Hospital
41.9
78.4
25.38
77.9
185
145.1
64.0
19.77
59.5
112.4
4.3
17.3
10.9
99.10
5.6
661
28.3
9.4
5.54
16.7
11.20
11.2
77
8.4
3.7
1.25
3.8
55.4
23.0
6.67
20.1
237.2
100.0
33.24
100.0
Southampton Memorial Hospital
All Others
All Hospitals
Virginia Beach, VA
267,490
Virginia Beach General Hospital
52.3
78.5
36.58
78.0
274
215.0
48.5
28.55
47.7
Sentara Bayside Hospital
28.8
56.0
18.39
56.0
176
98.6
19.1
10.30
17.2
13.4
All Others
All Hospitals
112.4
6.5
99.10
8.1
661
43.0
8.6
8.00
56.1
15.4
34.95
16.6
225
34.6
10.2
5.78
9.7
54.3
13.6
7.17
12.0
445.5
100.0
59.81
100.0
s
19
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-3
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(8)
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(4)
(5)
(6)
(7)
22.4
76.6
11.89
77.1
106
81.2
Fairfax Hospital
109.0
1.5
102.73
2.4
703
Univ Of Va Hosp
111.0
0.9
123.55
0.8
683
Warrenton, VA
Be
s
P
s
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b
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A’s P
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H OS
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of H
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(11)
67.8
9.17
56.6
10.5
6.4
2.43
15.0
6.2
4.0
1.01
6.2
33.2
21.9
3.60
22.2
131.1
100.0
16.20
100.0
51,870
Fauquier Hosp
All Others
All Hospitals
Williamsburg, VA
56,825
Williamsburg Community Hospital
25.2
79.6
16.53
79.0
111
88.4
62.8
13.05
55.5
101.8
4.2
66.10
6.0
576
24.2
13.4
3.98
16.9
78.9
1.5
78.40
1.8
852
13.2
3.8
1.38
5.9
32.3
20.0
5.09
21.7
158.1
100.0
23.52
100.0
238.5
81.9
34.70
79.3
All Others
All Hospitals
Winchester, VA
103,580
94.7
59.5
62.15
55.8
401
111.0
1.1
Shenandoah County Memorial Hospital 14.9
18.1
123.55
1.1
683
7.6
1.8
1.35
3.1
6.89
18.7
95
17.2
3.9
1.28
2.9
Univ Of Va Hosp
All Others
All Hospitals
Woodbridge, VA
42.6
12.3
6.44
14.7
305.9
100.0
43.78
100.0
7.76
49.9
17.1
149,821
Potomac Hospital
14.8
66.3
11.25
69.0
158
104.8
52.6
Fairfax Hospital
109.0
2.1
102.73
2.6
703
14.7
12.3
2.66
162.7
0.4
168.75
0.6
874
3.1
3.1
1.05
6.8
34.4
32.1
4.07
26.2
157.0
100.0
15.55
100.0
All Others
All Hospitals
Beckley, WV
105,431
Raleigh General Hospital
50.3
72.2
22.12
73.3
275
198.6
36.9
16.21
32.9
Beckley Appalachian Reg Hospital
32.2
71.9
12.50
72.9
173
124.3
23.5
9.11
18.5
Beckley Hospital
21.1
88.4
7.60
88.5
78
68.9
19.0
6.73
13.7
Charleston Area Med Cntr
187.2
4.0
147.25
5.2
843
33.3
7.5
7.70
15.6
Univ Of Va Hosp
111.0
1.4
123.55
1.5
683
9.9
1.6
1.85
3.8
56.7
11.4
7.70
15.6
491.7
100.0
49.29
100.0
All Others
All Hospitals
227
228
19
92
-3
D
MP
(3)
Bluefield, WV
1
s(
,00
0s
)
D
MP
P’s A
OS HS
H
of om
% fr
s
Rs l i o n
3 M il
2- i n m
9
19 ( $
(4)
(5)
s)
s
MR
P’s
OS HSA
H
of m
% fro
St
ed
aff
d
Be
s
A
HS
Be
ds
f
no
tio O S P
a
loc H
Al by
D
MP
A’s P
S
H OS
of H
% by
(9)
(6)
(7)
(8)
s
P
OS
y H ns)
b
o
s lli
MR Mi
A in
HS ($
MR
’s
SA SP
H
O
of H
% by
(10)
(11)
73,865
Bluefield Regional Medical Center
55.7
76.8
26.69
75.7
265
203.4
50.3
20.20
46.4
Humana Hospital St Lukes
13.4
79.0
5.97
77.9
79
62.4
12.4
4.66
10.7
Welch Emergency Hospital
7.7
87.6
3.42
86.2
65
57.0
7.9
2.94
6.8
Princeton Community Hospital
45.7
24.9
20.14
23.6
188
46.8
13.4
4.74
10.9
137.6
1.2
92.64
2.5
452
5.5
2.0
2.27
5.2
67.3
14.0
8.70
20.0
442.4
100.0
43.51
100.0
All Others
All Hospitals
Charleston, WV
196,739
St Francis Hospital
Boone Memorial Hospital
187.2
56.0
147.25
49.3
843
472.4
60.8
72.55
63.2
41.8
74.3
28.08
72.1
180
133.7
18.0
20.25
17.7
4.6
86.2
2.26
85.0
38
32.8
2.3
1.92
1.7
Herbert J Thomas Mem Hosp
52.2
33.7
30.42
32.0
229
77.2
10.2
9.73
8.5
Montgomery Genl Hosp
10.4
28.6
8.04
28.5
55
15.7
1.7
2.29
2.0
All Others
62.3
7.0
8.01
7.0
794.1
100.0
114.74
100.0
279
218.0
78.9
34.38
67.7
12.9
All Hospitals
Clarksburg, WV
79,853
United Hospital Center
77.9
78.1
45.52
75.5
57.5
8.0
63.93
10.2
329
26.3
6.0
6.53
187.2
0.6
147.25
1.1
843
5.4
1.6
1.63
3.2
52.1
13.6
8.25
16.3
301.8
100.0
50.80
100.0
All Others
All Hospitals
Elkins, WV
42,789
Davis Memorial Hospital
34.5
87.6
19.47
87.1
114
99.9
71.0
16.96
60.3
57.5
8.0
63.93
8.2
329
26.4
10.8
5.24
18.6
63.0
2.7
42.58
3.9
208
5.6
4.0
1.65
5.9
30.7
14.2
4.29
15.3
162.6
100.0
28.15
100.0
160.5
66.8
20.19
54.6
All Others
All Hospitals
Fairmont, WV
56,900
Fairmont Genl Hosp
43.1
82.8
24.15
83.6
194
57.5
12.7
63.93
12.2
329
41.6
13.6
7.82
21.1
63.0
9.3
42.58
11.9
208
19.2
10.9
5.08
13.7
All Others
All Hospitals
22.7
8.7
3.90
10.5
244.0
100.0
36.99
100.0
s
19
92
-3
D
MP
(3)
1
s(
,0
00
s)
D
MP
P’s A
OS HS
H
of om
% fr
s
s n
MR lio
3 il
2- in m
9
19 ($
s)
s
MR
P’s
OS HSA
H
of m
% fro
St
af
fed
d
Be
(4)
(5)
(6)
(7)
24.3
73.8
12.48
74.6
120
Wheeling Hospital
76.0
3.6
39.48
4.3
Ohio Valley General Hospital
45.2
5.3
26.07
4.7
Glen Dale, WV
s
A
HS
Be
ds
of
n
tio OSP
a
loc H
Al by
D
MP
A’s P
S
H OS
of H
% by
(8)
(9)
s
P
s
OS
MR
y H ns)
b
o
s illi
A’s P
R
S
M M
H OS
A in
of H
HS ($
% by
(10)
(11)
29,706
Reynolds Memorial Hospital
88.6
70.9
9.30
63.1
276
9.8
10.7
1.71
11.6
281
14.9
9.5
1.23
8.4
10.3
8.9
2.51
17.0
123.6
100.0
14.76
100.0
All Others
All Hospitals
Huntington, WV
179,391
St Marys Hospital
94.9
79.4
61.20
76.4
420
333.6
55.0
46.76
53.9
Cabell-Huntington Hospital Inc
49.0
84.7
32.84
82.6
298
252.5
30.3
27.14
31.3
Hca Putnam General Hospital
17.9
20.1
10.73
19.0
55
11.1
2.6
2.04
2.4
Kings Daughters Medical Center
73.4
3.6
45.74
3.5
313
11.2
1.9
1.58
1.8
All Others
All Hospitals
Logan, WV
79.9
10.2
9.27
10.7
688.3
100.0
86.80
100.0
43,292
Logan Genl Hosp
Guyan Valley Hospital
34.8
76.1
14.31
75.1
132
100.4
66.9
10.74
51.7
1.2
83.4
0.39
80.0
23
19.2
2.6
0.31
1.5
187.2
2.7
147.25
3.5
843
23.0
12.9
5.08
24.5
94.9
1.7
61.20
1.5
420
7.2
4.1
0.89
4.3
33.7
13.4
3.76
18.1
183.5
100.0
20.78
100.0
15.41
59.5
16.1
St Marys Hospital
All Others
All Hospitals
Martinsburg, WV
60,158
City Hospital
41.3
84.1
18.29
84.3
178
149.6
74.5
94.7
5.9
62.15
6.7
401
23.6
12.0
4.17
162.7
0.4
168.75
0.9
874
3.9
1.6
1.58
6.1
30.1
12.0
4.75
18.4
207.2
100.0
25.92
100.0
All Others
All Hospitals
Morgantown, WV
101,244
63.0
60.8
42.58
54.3
208
126.4
59.5
23.12
48.9
57.5
27.2
63.93
26.8
329
89.4
24.3
17.12
36.2
Fairmont Genl Hosp
43.1
5.5
24.15
5.4
194
10.6
3.7
1.31
2.8
Greene County Memorial Hospital
23.5
7.5
14.15
7.5
89
6.7
2.8
1.06
2.2
All Others
All Hospitals
36.0
9.9
4.70
9.9
269.1
100.0
47.30
100.0
229
230
19
92
-3
D
MP
(3)
Parkersburg, WV
1
s(
,00
0s
)
D
MP
P’s A
OS HS
H
of om
% fr
(4)
s
Rs l i o n
3 M il
2- i n m
9
19 ( $
(5)
s)
s
MR
P’s
OS HSA
H
of m
% fro
(6)
St
ed
aff
d
Be
(7)
s
A
HS
Be
ds
f
no
tio O S P
a
loc H
Al by
D
MP
A’s P
S
H OS
of H
% by
(8)
(9)
s
P
OS
y H ns)
b
o
s lli
MR Mi
A in
HS ($
(10)
MR
’s
SA SP
H
O
of H
% by
(11)
128,681
Camden Clark Memorial Hospital
66.3
87.2
33.74
86.6
229
199.7
47.5
29.20
41.0
St Josephs Hospital
57.7
79.7
32.49
78.4
274
218.4
37.7
25.47
35.8
187.2
2.1
147.25
3.3
843
18.0
3.3
4.86
6.8
77.2
1.4
80.87
1.9
680
9.1
0.9
1.49
2.1
79.2
10.7
10.14
14.2
524.4
100.0
71.16
100.0
Ohio State University Hospital
All Others
All Hospitals
Princeton, WV
42,015
Princeton Community Hospital
45.7
62.2
20.14
62.4
188
116.9
67.7
12.56
57.1
55.7
8.8
26.69
8.6
265
23.3
11.7
2.29
10.4
137.6
1.1
92.64
1.9
452
5.1
3.7
1.77
8.0
39.1
16.9
5.37
24.4
184.4
100.0
22.00
100.0
Bluefield Regional Medical Center
All Others
All Hospitals
Wheeling, WV
99,625
Wheeling Hospital
76.0
72.9
39.48
69.5
276
201.3
51.2
27.43
43.0
Ohio Valley General Hospital
45.2
56.9
26.07
55.8
281
160.0
23.8
14.56
22.8
26.2
26.4
14.99
27.5
105
27.7
6.4
4.13
6.5
162.3
1.4
143.69
2.6
454
6.1
2.0
3.74
5.9
East Ohio Regional Hospital
Shadyside Hospital
All Others
All Hospitals
94.1
16.7
13.91
21.8
489.2
100.0
63.77
100.0
s
231
The Dartmouth Atlas of Health Care is based, in part, on data supplied by
The American Hospital Association
The American Medical Association
The American Osteopathic Association
The Health Care Financing Administration
The National Center for Health Statistics
The United States Census
The United States Department of Defense
Claritas, Incorporated
Data analyses were performed using
Software developed by the Center for the Evaluative Clinical Sciences
using SAS® on HP® equipment running the UNIX® system software
Maps and map databases were generated using
MapInfo® software
Highway map coordinates from MapInfo®
ZIP Code map coordinates from GDT®
Claritas 3H. Custom Dataset for US ZIP Codes from Claritas®
Atlas design and print production by
Elizabeth Adams and Jonathan Sa'adah
Intermedia Print Communications, Hartford, Vermont
http://www.intermediavt.com

The Dartmouth Atlas of Health Care The South Atlantic States

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