2. A-26 Table 3.1: Trends in Inpatient Utilization in Community Hospitals, 1981 – 2006 Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2006, for community hospitals. US Census Bureau: National and State Population Estimates, July 1, 2006. Link: http://www.census.gov/popest/states/tables/NST-EST2006-01.xls. Data for Charts 3.1, 3.2, 3.3, 3.4, 3.5, and 3.14 Year Inpatient Admissions in Community Hospitals Inpatient Admissions per 1,000 Total Inpatient Days in Community Hospitals Inpatient Days per 1,000 Inpatient Surgeries Average Length of Stay 198136,438,232158.8278,405,8821,213.315,674,6337.6 198236,379,446157.0278,043,0931,200.215,532,5787.6 198336,151,780154.6273,196,9061,168.515,130,4047.6 198435,155,462149.1256,603,0811,088.114,378,5807.3 198533,448,631140.6236,619,446994.513,161,9967.1 198632,378,796134.8229,447,826955.512,222,4707.1 198731,600,817130.4227,014,903937.011,691,4297.2 198831,452,835128.6226,875,042927.911,383,5787.2 198931,116,048126.1225,436,505913.410,989,4097.2 199031,181,046125.3225,971,653908.410,844,9167.2 199131,064,283123.2222,858,470883.910,693,2437.2 199231,033,557121.7221,047,104866.810,552,3787.1 199330,748,051119.3215,888,741837.610,181,7037.0 199430,718,136118.0207,180,278796.09,833,9386.7 199530,945,357117.8199,876,367760.79,700,6136.5 199631,098,959117.2193,747,004730.49,545,6126.2 199731,576,960118.0192,504,015719.39,509,0816.1 199831,811,673117.8191,430,450709.09,735,7056.0 199932,359,042118.7191,884,270703.79,539,5935.9 200033,089,467117.6192,420,368683.79,729,3365.8 200133,813,589118.7194,106,316681.69,779,5835.7 200234,478,280119.7196,690,099682.710,105,0105.7 200334,782,742119.6196,649,769676.39,940,9225.7 200435,086,061119.5197,564,172672.810,050,3465.6 200535,238,673118.8197,073,770664.710,097,2715.6 200635,377,659118.2196,366,512655.910,095,6835.6

3. A-27 Table 3.2: Average Length of Stay in Community Hospitals by State, 2005 and 2006 Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2006, for community hospitals. Data for Chart 3.6 State Average Length of Stay State Average Length of Stay 05060506 Alabama5.15.2Montana9.69.1 Alaska6.05.8Nebraska8.27.7 Arizona4.44.5Nevada5.3 Arkansas5.35.2New Hampshire5.55.4 California5.3 New Jersey5.3 Colorado5.05.1New Mexico4.7 Connecticut5.7 New York7.2 Delaware6.26.4North Carolina6.0 District of Columbia7.17.0North Dakota8.88.6 Florida5.2 Ohio5.25.0 Georgia6.46.5Oklahoma5.1 Hawaii7.5 Oregon4.4 Idaho4.94.8Pennsylvania5.55.4 Illinois5.25.1Rhode Island5.4 Indiana5.2 South Carolina5.85.9 Iowa6.46.2South Dakota10.110.5 Kansas6.36.1Tennessee5.75.6 Kentucky5.55.3Texas5.2 Louisiana5.55.7Utah4.34.4 Maine5.6 Vermont6.5 Maryland4.74.6Virginia5.85.7 Massachusetts5.55.3Washington4.64.5 Michigan5.45.2West Virginia5.7 Minnesota6.36.2Wisconsin5.45.3 Mississippi6.5 Wyoming8.28.0 Missouri5.35.2

4. A-28 Table 3.3: Emergency Department Visits, Emergency Department Visits per 1,000, and Number of Emergency Departments, 1991 – 2006 Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2006, for community hospitals. US Census Bureau: National and State Population Estimates, July 1, 2006. Link: http://www.census.gov/popest/states/tables/NST-EST2006-01.xls. (1) Defined as hospitals reporting ED visits in the AHA Annual Survey. Data for Charts 3.7 and 3.8 YearED Visits (millions)ED Visits per 1,000 Emergency Departments (1) 199188.53515,108 199290.83565,035 199392.63594,998 199490.53484,960 199594.73604,923 199693.13514,884 199792.83474,813 199894.83514,771 199999.53654,679 2000103.13664,650 2001106.03724,621 2002110.03824,620 2003111.03824,570 2004112.63834,595 2005114.83874,611 2006118.43954,587

5. A-29 Table 3.4: Outpatient Utilization in Community Hospitals, 1981 – 2006 Source: Avalere Health analysis of American Hospital Association Annual Survey data, 2006, for community hospitals. (1) Due to a restructuring in 1982 of the survey question on outpatient visits, some respondents reported occasions of service rather than visits, resulting in an artificially large number of outpatient visits. In 1983, the survey reverted back to the original question, which remains the same today. To smooth the trend lines in the corresponding charts to better reflect what was the actual number of visits, the 1982 data point is an average of the 1981 and 1983 figures. The number collected from the survey is reported in the table above but should be used with caution. Data for Charts 3.12, 3.13, and 3.14 Year Total Outpatient Visits Outpatient Visits per 1,000 Outpatient Surgeries 1981202,554,317882.73,561,573 1982 (1) 247,930,3321,070.24,061,061 1983210,038,878898.44,714,504 1984211,941,487898.75,529,661 1985218,694,236919.26,951,359 1986231,853,914965.58,246,665 1987244,495,1341,009.19,126,205 1988268,290,8011,097.310,027,560 1989284,815,6811,153.910,350,871 1990300,514,5161,208.011,069,952 1991321,044,3241,273.411,711,808 1992347,847,2021,364.112,307,594 1993366,533,4321,422.012,624,292 1994382,780,3581,470.613,154,838 1995413,748,4031,574.613,462,304 1996439,863,1071,658.314,023,651 1997450,140,0101,681.914,678,290 1998474,193,4681,756.315,593,614 1999495,346,2861,816.515,845,492 2000521,404,9761,852.816,383,374 2001538,480,3781,890.816,684,726 2002556,404,2121,931.117,361,176 2003563,186,0461,936.717,165,616 2004571,569,3341,946.517,351,490 2005584,428,7361,971.017,445,587 2006599,553,0252002.517,235,141