Medicare Long Term Care Hospital Beds in the Great Lakes Region

Long Term Care Hospitals (LTCHs) are an integral part of the hospital system that serve the needs of over 60 million Americans having Medicare Part A long term care coverage.  LTCH services are geared toward individuals with complex medical situations that require extended inpatient care (more than 25 days on average).  As of calendar year 2019 there were over 6,000 hospitals in total, with more than 932,500 beds, participating in the Medicare program.  LTCHs accounted for about 6% and 2.7% of those hospitals and hospital beds, respectively.

In calendar year 2019, the five-state Great Lakes region of the U.S. was home to 51 long term care hospitals, with almost 3,500 beds, who were participating in the Medicare program.  This made the region home to 14.8% of the nation's Medicare Part A enrollees and 13.6% of the program's long term care hospital beds.  Here is a summary look at Medicare Long Term Care hospital beds in the Great Lakes region:

Medicare Long Term Care Hospital Beds in the Great Lakes Region

Area	# Part A Enrollees		# Hospitals	# Beds
IL	2,212,802		6	898
IN	1,258,716		8	441
MI	2,063,850		14	806
OH	2,326,789		20	1,209
WI	1,171,641		3	125
Region	9,033,798		51	3,479
National*	61,166,694		367	25,593
% of National	14.8%		13.9%	13.6%

* National totals include U.S. territories

Data Source:  CMS Program Statistics, Table: MDCR PROVIDERS 4. Medicare Providers:  Number of Medicare Certified Hospitals and Skilled Nursing Facilities, and Number of Beds, by State, Territories, Possessions and Other, Calendar Year 2019

Duke Health, our trusted link for April 2021

Duke Health as a Resource Duke Health in Durham, NC is anchored by the Duke University School of Medicine, ranked #3 in research by U.S. News & World Report. The medical school was established in 1925 in a bequest from the founder of Duke Energy and  British American Tobacco, James B. Duke. A top-ranked nursing school and hospital were funded at the same time. Today, the Duke Health system serves 32 counties in North Carolina and nearby states. It now includes three other hospitals, a research institute, health policy center, and the Duke-NUS Medical School in Singapore.  U.S. News & World Report ranks the university medical school performance #2 in Surgery #4 in Anesthesiology #5 in Internal Medicine #6 in Radiology #7 in Pediatrics #8 in Obstetrics and Gynecology #10 in Psychiatry.  Major U.S. milestones at Duke Health include 1936 - Ultraviolet lights in operating rooms to kill germs 1937 - 1st brain tumor program 1955 - 1st center for aging 1956 - Systemic hypothermia introduced to cardiac surgery 1965 - 1st physician's assistant education program 1969 - Databank for Cardiovascular Disease created 1969 - Human functions below 1,000 feet of water studied 1985 - One of only 2 clinical trials for AZT  1990 - Newborn screening test for 30 metabolic diseases 1993 - 1st thymus transplant for an infant 1993 - Identification of the 'Alzheimer's gene' 2013 - 1st bioengineered blood vessel implanted. The Duke Clinical Research Institute has distributed more than 16,000 publications since 1996, and last year their researchers put out 1,225 papers, with 243 in top-tier journals. See their latest announcements.  The Duke-NUS Medical School was established in 2005 when Duke University partnered with the National University of Singapore to create Singapore's first graduate school of medicine as well as a leading center for medical research, education, and device development. Their Centre for Technology and Development shepherds the Duke-NUS research into commercial applications. Among their success stories is a company called CognaLearn that markets educational software, such as InteDashboard for team-based learning.

Check out InteDashboard

The Ten Largest Hospital Providers in Florida

According to certified bed count data from the 2020 Medicare Provider of Services file, the following are the ten largest hospital providers in the state of Florida:

1. AdventHealth Orlando
   Location:  Orlando
   Bed Count:  2,891
   
   
2. Jackson Memorial Hospital
   Location:  Miami
   Bed Count:  2,137
   
   
3. Orlando Health Orlando Regional Medical Center
   Location:  Orlando
   Bed Count:  1,738
   
   
4. Baycare / St. Joseph's Hospital
   Location:  Tampa
   Bed Count:  1,353
   
   
5. UF Health Shands Hospital
   Location:  Gainesville
   Bed Count:  1,095
   
   
6. Memorial Regional Hospital
   Location:  Hollywood
   Bed Count:  1,013
   
   
7. Tampa General Hospital
   Location:  Tampa
   Bed Count:  1,007
   
   
8. Baptist Medical Center Jacksonville
   Location:  Jacksonville
   Bed Count:  972
   
   
9. Lee Memorial Hospital
   Location:  Fort Myers
   Bed Count:  895
   
   
10. Lakeland Regional Medical Center
    Location:  Lakeland
    Bed Count:  864
    

Supplemental resource:  Top Ranked Teaching Hospitals in the Southeast

LPN Employment in the Great Plains Region

Recently released May 2020 employment data from the U.S. Bureau of Labor Statistics (BLS) reported that there were over 676,000 licensed practical nurses (LPNs) employed in the U.S.  Also known as license vocational nurses (LVNs) in some parts of the country, LPNs comprise one of the largest healthcare occupations in the country. Approximately 52,000 of those LPN jobs were in the seven-state Great Plains region of the country. BLS data tells us that the Great Plains region is a weak one for licensed practical nurse pay, with annual mean wage levels in all states in the region falling below the national average for all LPNs.  Two states in the region, Missouri and South Dakota, were in the bottom quintile nationally for LPN annual mean wages.  BLS data from May 2020 reveals the following about LPN employment in the Great Plains region of the U.S.:

LPN Employment in the Great Plains Region

State	# Employed	Annual Mean Wages	Wage Rank*
IA	6,140	$45,860	37th
KS	6,860	$45,050	39th
MN	14,210	$49,840	23rd
MO	14,770	$44,490	41st
NE	5,530	$45,710	38th
ND	2,520	$48,060	29th
SD	2,020	$39,420	50th
U.S.	676,440	$50,090	-------

(*) annual mean wage ranking among the 50 states and the District of Columbia

Source: U.S. Bureau of Labor Statistics OES. Data extracted on April 26, 2021

Occupational Therapist Employment in the Mid-East Region

Recently published May 2020 employment data from the U.S. Bureau of Labor Statistics (BLS) reported that there were just over 126,600 occupational therapists (OTs) employed in the U.S.  About 25,800 of those OT jobs were in the Mid-East region of the country, an area which encompasses five states and the District of Columbia.  BLS data reveals the Mid-East region to be a mixed one in terms of OT pay, with OT annual mean wage levels in several states falling below the national average for all occupational therapists.  Even so, the District of Columbia and New Jersey were in the top quintile nationally for OT annual mean wages.  BLS data reveals the following about occupational therapist employment in the Mid-East region of the U.S. as of May 2020:

Occupational Therapist Employment in the Mid-East Region

State	# Employed	Annual Mean Wages	Wage Rank*
DC	360	$96,330	5th
DE	550	$82,360	34th
MD	3,230	$85,840	23rd
NJ	4,070	$98,750	4th
NY	10,560	$91,170	11th
PA	7,070	$83,200	30th
U.S.	126,610	$87,480	-------

(*) annual mean wage ranking among the 50 states and the District of Columbia

Source: U.S. Bureau of Labor Statistics OES. Data extracted on April 26, 2021

Medicare Rehabilitation Hospital Beds in the Far West

Rehabilitation hospitals are part of the hospital network that serve the needs of over 60 million Americans having Medicare Part A insurance coverage.  Over 6,000 hospitals of all types, with over 932,500 beds in total, participated in the Medicare program as of calendar year 2019.  Rehabilitation hospitals accounted for approximately 5% of those hospitals and a bit more than 2% of those hospital beds.

In calendar year 2019, Medicare Part A enrollees in the six-state Far West region were, on a relative basis, underserved by rehabilitation hospitals.  Although home to over 15% of the nation's Part A enrollees, the region was home to only about 6% of the rehabilitation hospital beds participating in the Medicare program.  Here is a state-level summary look at Medicare rehabilitation hospital beds in the Far West region of the U.S.:

Medicare Rehabilitation Hospital Beds in the Far West

Area	# Part A Enrollees		# Hospitals	# Beds
AK	99,901		0	0
CA	6,145,985		8	588
HI	273,559		1	100
NV	528,844		5	311
OR	862,861		0	0
WA	1,360,244		2	162
Region	9,271,394		16	1,161
National*	61,166,694		306	19,059
% of National	15.2%		5.2%	6.1%

* National totals include U.S. territories

Data Source:  CMS Program Statistics, Table: MDCR PROVIDERS 4. Medicare Providers:  Number of Medicare Certified Hospitals and Skilled Nursing Facilities, and Number of Beds, by State, Territories, Possessions and Other, Calendar Year 2019

Physician Assistant Employment in New England

Recently published data from the U.S. Bureau of Labor Statistics (BLS) indicates that, as of May 2020, there were just over 125,000 physician assistants (PAs) employed in the U.S.  Nearly 7,900 of those jobs were in the six-state New England region.  BLS data reveals New England as one of the better paying regions of the country for physician assistants.  The annual mean wage for PAs is above the national average in every state in the region.  Moreover, four New England states were in the top quintile nationally for PA annual mean wages.  BLS data from May 2020 reveals the following about physician assistant employment in New England:

Physician Assistant Employment in New England

State	# Employed	Annual Mean Wages	Wage Rank*
CT	2,310	$146,110	2nd
MA	3,650	$117,830	17th
ME	830	$117,180	20th
NH	620	$124,080	10th
RI	220	$135,800	3rd
VT	260	$128,050	8th
U.S.	125,280	$116,080	-------

(*) annual mean wage ranking among the 50 states and the District of Columbia

Source: U.S. Bureau of Labor Statistics OES. Data extracted on April 24, 2021

Chiropractor Employment in the Rocky Mountain Region

As of May 2020, there were just over 34,700 chiropractors employed in the U.S. according to data recently published by the U.S. Bureau of Labor Statistics (BLS).  About 1,700 of those jobs were in the five-state Rocky Mountain region.  For chiropractors, the region is the weakest in the nation for pay.  The annual mean wage for chiropractors in all five Rocky Mountain states is below the national average.  Moreover, four states in the region fall in the bottom quintile nationally for chiropractor annual mean wages.  BLS data from May 2020 details the following about chiropractor employment in the Rocky Mountain region:

Chiropractor Employment in the Rocky Mountain Region

State	# Employed	Annual Mean Wages	Wage Rank*
CO	720	$66,290	42nd
ID	260	$67,600	41st
MT	260	$54,050	49th
UT	380	$52,110	50th
WY	90	$76,880	33rd
U.S.	34,760	$83,830	-------

(*) annual mean wage ranking among the 50 states

Source: U.S. Bureau of Labor Statistics OES. Data extracted on April 21, 2021

Medicare Psychiatric Hospital Beds in the Great Plains Region

Psychiatric hospitals account for about 10% of the hospitals, and just over 6.4% of the hospital beds, that provide the hospital infrastructure serving more than 60 million Americans having Medicare Part A insurance coverage.  In calendar year 2019, the seven-state Great Plains region of the U.S. was home to 39 psychiatric hospitals, with over 2,400 beds, who were participating in the Medicare program.  While the region was home to about 6.6% of the nation's Medicare Part A enrollment, it had only 4.0% of the Medicare program's psychiatric hospital beds.  Here is a state-level look at Medicare psychiatric hospital beds in the Great Plains region:

Medicare Psychiatric Hospital Beds in the Great Plains Region

	# Part A Enrollees		# Hospitals	# Beds
IA	624,968		2	227
KS	534,086		7	417
MN	1,020,671		10	323
MO	1,225,992		14	890
NE	345,802		2	98
ND	130,540		3	322
SD	175,506		1	133
Region	4,057,565		39	2,410
National*	61,166,694		604	59,851
% of National	6.6%		6.5%	4.0%

* National totals include U.S. territories

Data Source:  CMS Program Statistics, Table: MDCR PROVIDERS 4. Medicare Providers:  Number of Medicare Certified Hospitals and Skilled Nursing Facilities, and Number of Beds, by State, Territories, Possessions and Other, Calendar Year 2019

Health Services Management Employment in the Southeast

Health services managers, ranging from front-line supervisors to chief executives, play a key role in maximizing the operational effectiveness of a wide variety of healthcare businesses, including hospitals, physicians' offices, outpatient care centers, skilled nursing facilities, and home health care service providers. There were just over 402,000 health service management jobs in the U.S. as of May 2020 according to data published by the U.S. Bureau of Labor Statistics (BLS).  As of May 2020, more than 61,000 health services management jobs were in the twelve-state Southeast region.  In nine Southeast states the annual mean wage for health services managers was in excess of $100,000.  Nevertheless, on a relative basis health service management jobs in the Southeast pay less than in other regions of the country.  Only two Southeast states, North Carolina and Virginia, had annual mean wage levels for health service managers that ranked among the upper half of all states.  According to May 2020 BLS data, health services management employment in the Southeast states looked as follows:

Health Services Management Employment in the Southeast

State	# Employed	Annual Mean Wages	Wage Rank*
AL	6,530	$93,330	49th
AR	5,580	$89,700	51st
FL	-------	$110,130	30th
GA	-------	$103,130	41st
KY	5,710	$94,600	48th
LA	5,140	$105,790	37th
MS	3,140	$100,680	43rd
NC	10,170	$120,060	22nd
SC	6,040	$106,360	36th
TN	9,770	$104,380	39th
VA	7,630	$118,530	24th
WV	1,840	$111,120	27th
U.S.	402,540	$118,800	-------

(*) annual mean wage ranking among the 50 states and the District of Columbia

Source: U.S. Bureau of Labor Statistics OES. Data extracted on April 21, 2021

Medicare Short Stay Hospital Beds in New England

Short stay hospitals, which provide acute inpatient care, are the backbone to the hospital infrastructure that serves more than 60 million Americans having Medicare Part A insurance coverage.  Of the more than 6,000 hospitals participating in the Medicare program, more than 53% were short stay hospitals.  More importantly, short stay hospitals accounted for over 83% of the total hospital beds serving the inpatient hospital care needs of Medicare Part A enrollees.  

In New England, as of calendar year 2019, there were 131 short stay hospitals, with just over 30,000 beds, participating in the Medicare program.  While the region was home to about 5% of the nation's Medicare Part A enrollment, it had less than 4% of the Medicare program's short stay hospital beds.  Here is a state-level look at Medicare short stay hospital beds in New England.:

Medicare Short Stay Hospital Beds in New England

	# Part A Enrollees		# Hospitals	# Beds
CT	678,133		29	7,884
MA	1,329,279		56	12,740
ME	337,672		17	2,944
NH	298,585		13	2,720
RI	218,492		10	2,583
VT	147,133		6	1,445
Region	3,009,294		131	30,316
National*	61,166,694		3,283	779,466
% of National	4.9%		4.0%	3.9%

* National totals include U.S. territories

Source:  CMS Program Statistics, Table: MDCR PROVIDERS 4. Medicare Providers:  Number of Medicare Certified Hospitals and Skilled Nursing Facilities, and Number of Beds, by State, Territories, Possessions and Other, Calendar Year 2019

Medicare Skilled Nursing Facility Beds in the Southwest

Skilled Nursing Facilities (SNFs) serve the needs of the more than 60 million Americans having Medicare Part A SNF coverage.  SNFs are healthcare institutions with the staff and equipment needed to give skilled nursing care on a daily basis and, in most cases, skilled rehabilitative services and other related health services.  Examples of SNF care include physical therapy or intravenous injections that can only be given by a registered nurse or doctor. More than 15,000 skilled nursing facilities, with more than 1,500,000 beds, were participating in the Medicare program as of calendar year 2019.

In calendar year 2019, the Southwest region of the U.S. was home to 1,700 SNFs, with over 180,000 beds, who were participating in the Medicare program.  The region thus was home to about 10.8% of the nation's Medicare Part A enrollees and 11.4% of the program's SNF beds.  Here is a summary look at Medicare skilled nursing facility beds in the Southwest:

Medicare Skilled Nursing Facility Beds in the Southwest

Area	# Part A Enrollees		# SNFs	# Beds
AZ	1,315,576		146	15,901
NM	416,900		69	6,873
OK	738,438		290	27,650
TX	4,148,110		1,195	130,383
Region	6,619,024		1,700	180,807
National*	61,166,694		15,103	1,592,041
% of National	10.8%		11.3%	11.4%

* National totals include U.S. territories

Data Source:  CMS Program Statistics, Table: MDCR PROVIDERS 4. Medicare Providers:  Number of Medicare Certified Hospitals and Skilled Nursing Facilities, and Number of Beds, by State, Territories, Possessions and Other, Calendar Year 2019

The Ten Largest Healthcare Support Occupations in the U.S.

In recently released reports, the U.S. Bureau of Labor Statistics (BLS) estimated that there were over 6.4 million people employed in healthcare support occupations as of May 2020.  This BLS employment grouping includes a variety of occupations that assist and aid healthcare practitioners, technologists, and technicians who are involved in the diagnosing or treating of medical conditions.   As of May 2020, employment in healthcare support occupations accounted for about 4.6% of total U.S. employment.  BLS data as of May 2020 reveals the following as the ten largest healthcare support occupations in the U.S.:

	Occupation		# Employed	Annual Mean Wages
1	Home Health and Personal Care Aide		3,211,590	$28,060
2	Nursing Assistant		1,371,050	$32,050
3	Medical Assistant		710,200	$36,930
4	Dental Assistant		312,140	$42,310
5	Phlebotomist		128,020	$37,280
6	Veterinary Assistant/Lab Animal Caretaker		98,810	$30,980
7	Physical Therapist Assistant		92,740	$59,440
8	Massage Therapist		85,040	$47,350
9	Medical Equipment Preparer		56,870	$41,070
10	Psychiatric Aide		51,550	$33,300
	All Healthcare Support Occupations		6,440,880	$32,250

Source: BLS Economic News Release, March 31, 2021.

Medicare Long Term Care Hospital Beds in the Mid-East States

Long Term Care Hospitals (LTCHs) serve the needs of the more than 60 million Americans having Medicare Part A long term care coverage.  LTCHs provide services to individuals with complex medical situations that require extended inpatient care (in excess of 25 days on average).  Over 6,000 hospitals in total, with more than 932,500 beds, were participating in the Medicare program as of calendar year 2019.  LTCHs accounted for about 6% of those hospitals and just over 2.7% of those hospital beds.

In calendar year 2019, the Mid-East region of the U.S. was home to 29 LTCHs, with almost 2,000 beds, who were participating in the Medicare program.  As such, the region was home to about 15% of the nation's Medicare Part A enrollees, but only 8.5% of the program's long term care hospital beds.  Here is a summary look at Medicare Long Term Care hospital beds in the Mid-East states:

Medicare Long Term Care Hospital Beds in the Mid-East States

Area	# Part A Enrollees		# Hospitals	# Beds
DE	207,483		1	35
DC	92,751		2	142
MD	1,034,889		2	189
NJ	1,599,601		8	544
NY	3,604,216		2	636
PA	2,725,186		14	621
Region	9,264,126		29	2,167
National*	61,166,694		367	25,593
% of National	15.1%		7.9%	8.5%

* National totals include U.S. territories

Data Source:  CMS Program Statistics, Table: MDCR PROVIDERS 4. Medicare Providers:  Number of Medicare Certified Hospitals and Skilled Nursing Facilities, and Number of Beds, by State, Territories, Possessions and Other, Calendar Year 2019