Top 10 Short-Term Acute Care Hospitals

October 31, 2017 BY Alanna Moriarty

Top 10 Short-Term Acute Care Hospitals

The healthcare industry is being molded by patients seeking affordable, convenient care facilities. This demand has led to innovation in the field of telehealth, and encouraged the growth of retail clinics, outpatient surgery centers, and freestanding imaging centers. Patients no longer rely solely on hospitals to receive preventative care and treatment.

Short-term acute care (STAC) hospitals are by far the most prolific hospital type in the United States, making up just under 50 percent of all U.S. hospitals. However, they are vastly outnumbered urgent care clinics and outpatient surgery centers. The rise in popularity of outpatient care facilities has caused speculation about fragmented care and increased healthcare costs among industry experts, and has led hospital leaders to acquire or partner with such facilities to prevent revenue loss.

Top 10 Short-Term Acute Care Hospitals by Revenue

Hospital Name Net Patient Revenue (M) Staffed Beds
 New York Presbyterian/Weill Cornell Medical Center  $4,935  2,0378
 Cleveland Clinic  $4,688  1,268
 Stanford Hospital  $3,453  447
 Florida Hospital Orlando  $3,320  2,546
 NYU Langone Medical Center – Tisch Hospital  $3,192  877
 University of Texas MD Anderson Cancer Center  $2,992  660
UCSF Medical Center at Parnassus Heights  $2,935  782
 Cedars-Sinai Medical Center  $2,910  850
 University Hospital – University of Michigan  $2,866  914
 Montefiore Medical Center – Henry and Lucy Moses Campus  $2,690  1,453

Fig 1 Data from Definitive Healthcare

Acute care refers to a form of secondary healthcare in which a patient receives active but short-term treatment for an injury or illness, urgent medical condition, or after surgery. Hospital-based acute care typically aims to discharge patients as soon as their condition is stable. Popular acute-care services include: IV therapy, wound care, laboratory and pharmaceutical services, radiology and imaging, nutritional services, and full-time nursing care. The Definitive Healthcare database currently tracks clinical and financial metrics on nearly 4,000 short-term acute care hospitals.

The short-term acute care model differs from long-term acute care hospitals in several ways. Long-term acute care (LTAC) hospitals operate in a similar manner to short-term, but focus on patients staying more than 25 days. Long-term acute care hospitals generally offer comprehensive rehabilitation, respiratory therapy, treatment for head trauma, and pain management services in addition to short-term services. Currently the Definitive Healthcare database contains clinical and financial intelligence on more than 460 long-term acute care hospitals.

When most people picture a hospital, they think of a short-term acute care hospital. For outpatient visits or short inpatient visits not requiring rehabilitation, that is where most patients seek care first. Now, with the popularization of outpatient care centers, patients are choosing short-term care facilities less often—however, outpatient centers cannot provide the kind of integrated, connected care a hospital can, particularly when it comes to inpatient care.

Top 5 Short-Term Acute Care Hospitals by Revenue

Hospital Name Avg Length of Stay Net Patient Revenue (M)
 Piedmont Geriatric Hospital  577.2  $24.2
 Jasper General Hospital  217.2  $13.5
 McLeod Darlington (FKA: Wilson Hospital)  79.8 $11.2
 Connecticut Mental Health Center  51.3 --
 Levindale Hebrew Geriatric Center & Hospital  25 $77.4

Fig 2 Data from Definitive Healthcare

One challenge facing short-term acute care hospitals is patient length of stay. Longer lengths of stay have been linked to higher readmission rates, particularly for cardiovascular issues. Patients are also more likely to contract hospital-acquired infections (HAIs) or other hospital-acquired conditions (HACs) the longer their hospital stay.

For facilities like Piedmont Geriatric Hospital, with an average length of stay of nearly two years, patients are more likely to develop additional conditions during their stay other than what they were admitted with. This hurts a hospital’s net revenue, and likely increases the hospital’s risk of receiving penalties from the Centers for Medicare and Medicaid Services (CMS). Longer lengths of stay also decrease patient turnover, as there are fewer unoccupied beds, reducing the number of patients a hospital is able to hold for treatment. This could lead to patient transfers to other facilities, resulting in greater revenue loss.

Top 5 Short-Term Acute Care Hospitals with Longest Average Length of Stay

Hospital Name Avg Length of Stay Net Patient Revenue (M)
Hamilton County Hospital 0.1 $2.9
 WellStar Sylvan Grove Hospital 0.1 $9.3
 Big South Fork Medical Center (FKA Pioneer Community Hospital of Scott) 0.4 $6.9
 United Memorial Medical Center (FKA Doctors Hospital) 0.4 $24.0
 Boulder City Hospital 0.8 $24.6

Fig 3 Data from Definitive Healthcare

Though there are a variety of challenges facing short-term acute care hospitals, they still dominate the short-term care industry. Given their history of providing comprehensive, reliable care, it will be difficult to unseat them.

Visit the Definitive Blog to read more about decreasing hospital readmission rates.

Definitive Healthcare has the most up-to-date, comprehensive and integrated data on over 8,800 hospitals, 1.5 million physicians, and numerous other healthcare providers. Our database features detailed clinical information on hospitals and health systems, including procedure analytics, payments, and participation in CMS programs.