HCA Holdings 2011 Annual Report Download - page 8

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At December 31, 2011, we owned and operated 157 general, acute care hospitals with 40,988 licensed beds.
Most of our general, acute care hospitals provide medical and surgical services, including inpatient care,
intensive care, cardiac care, diagnostic services and emergency services. The general, acute care hospitals also
provide outpatient services such as outpatient surgery, laboratory, radiology, respiratory therapy, cardiology and
physical therapy. Each hospital has an organized medical staff and a local board of trustees or governing board,
made up of members of the local community.
Our hospitals do not typically engage in extensive medical research and education programs. However,
some of our hospitals are affiliated with medical schools and may participate in the clinical rotation of medical
interns and residents and other education programs.
At December 31, 2011, we operated five psychiatric hospitals with 506 licensed beds. Our psychiatric
hospitals provide therapeutic programs including child, adolescent and adult psychiatric care, adult and
adolescent alcohol and drug abuse treatment and counseling.
We also operate outpatient health care facilities which include freestanding ambulatory surgery centers
(“ASCs”), freestanding emergency care facilities, diagnostic and imaging centers, comprehensive outpatient
rehabilitation and physical therapy centers, outpatient radiation and oncology therapy centers and various other
facilities. These outpatient services are an integral component of our strategy to develop comprehensive health
care networks in select communities. Most of our ASCs are operated through partnerships or limited liability
companies, with majority ownership of each partnership or limited liability company typically held by a general
partner or subsidiary that is an affiliate of HCA.
Certain of our affiliates provide a variety of management services to our health care facilities, including
patient safety programs; ethics and compliance programs; national supply contracts; equipment purchasing and
leasing contracts; accounting, financial and clinical systems; governmental reimbursement assistance;
construction planning and coordination; information technology systems and solutions; legal counsel; human
resources services; and internal audit services.
Sources of Revenue
Hospital revenues depend upon inpatient occupancy levels, the medical and ancillary services ordered by
physicians and provided to patients, the volume of outpatient procedures and the charges or payment rates for
such services. Charges and reimbursement rates for inpatient services vary significantly depending on the type of
payer, the type of service (e.g., medical/surgical, intensive care or psychiatric) and the geographic location of the
hospital. Inpatient occupancy levels fluctuate for various reasons, many of which are beyond our control.
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