Data from the Series 14 

NATIONAL HEALTH SURVEY Number 24 

InpatientHealthFacilitiesStatistits 

UnitedStates,1978 

Statistics from the 1978 National Master Facility Inventory of nursing homes and hospitals include the number of institutions, beds, 

and employees as well as types of ownership, geographic distribution, and comparisons with results of previous National Master 

Facility Inventories. The report is based on data collected during 

September-December 19 78. 

DHHS Publication No. (PHS) 81-1819 

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Public Health Service 

Office of Health Research, Statistics, and Technology 

National Center for Health Statistics 

Hyattsville, Md. March 1981 
Library of Congress Cataloging in Publication Data 

Strahan, Genevieve W. 

Inpatient health facilities statistics, United States, 1978. 

(Vital and health statistics : Series 14, Data from the National Health Survey ; no. 24) 

(DHHS publication ; no. (PHS) 81-1819) 

Includes bibliographical references. 

Supt. of Dots. no.: HE 20.6209:14/24 

1. Hospitals-United States-Statistics. 2. Nursing homes-United States-Statistics. 

I. Title. II. Series: United States. National Center for Health Statistics. Vital and health 

statistics : Series 14, Data from the National Health Survey, Data on health resources, manpower, and facilities ; no. 24. III. Series: United States. Dept. of Health and Human Services. DHHS publication ; no. (PHS) 81-1819. DNLM: 1. Health facilities-Supply and distribution-united States. W2 A N148vn no. 4 etc. 

RA981 A2S78 362.1’1’0973 80-607845 

ISBN o-8406-0204-9 

For sale by the Superintendent of Documents, U.S. Government Printing Office, Washington, D.C. 20402 
NATIONAL CENTER FOR HEALTH STATISTICS 

DOROTHY P. RICE, Director 

ROBERT A. ISRAEL, Deputy Director 

JACOB J. FELDMAN, Ph.D., Acting Associate Director for Analysis and Epidemiology 

GAIL F. FISHER, Ph.D., Acting Associate Director for the Cooperative Health Statistics System 

GARRIE J. LOSEE, Acting Associate Director for Data Processing and Services 

ALVAN 0. ZARATE, Ph.D., Assistant Director for International Statistics 

E. EARL BRYANT, Acting Associate Director for Interview and Examination Statistics 

ROBERT C. HUBER, Acting Associate Director for Management 

MONROE G. SIRKEN, Ph.D., Acting Associate Director for Research and Methodology 

PETER L. HURLEY, Acting Associate Director for Vital and Health Care Statistics 

ALICE HAYWOOD, Information Officer 

DIVISION OF HEALTH CARE STATISTICS 

W. EDWARD BACON, Ph.D., Director 

EVELYN MATHIS, Acting ChieJ Long-Term Care Statistics Branch 

MARY A. MOIEN, Acting Chief, Hospital Care Statistics Branch 

JOSEPH BARBANO, ChieA Health Professions Statistics Branch 

JAMES E. DeLOZIER, Chief, Ambulatory Care Statistics Branch 

MANOOCHEHR K. NOZARY, Chief, TechnicalServices Branch 

STEWART C. RICE, Chief, Family Planning Statistics Branch 

Vital and Health Statistics-Series 14-No. 24 

DHHS Publication No. (PHS) 81-1819 

Library of Congress Catalog Card Number go-607845 
CONTENTS 

Introduction ........................................................................................................................................... * 

Nursing Homes ....................................................................................................................................... 

Background ...................................................................................................................................... 

Utilization ................................................................................... . .................................................... 

Residents and Employees .................................................................................................................. 

Hospitals ............................................................. ..~.......................................” ....................................... 

General Hospitals ...................................... ..“..........................................................................“~ ...... 

Utilization ..... .._.........................................................................................................- ............... 

Employees ................................................................................................................................... 

Specialty Hospitals ............................................................................................................................ 

Utilization ....................................................................... -. ............ -. .......................................... 

Employees ......................................................................................... ..” ...................................... 

References .............................................................................................................................................. 

List of Detailed Tables ......................................................................................................................... 

Appendixes 

I. Methodology ............................................................................................................................. 

II. The Cooperative Health Statistics System .............. ..“. .............................................................. 

III. Questionnaires .......................................................................................................................... 

IV. Definitions of Certain Terms Used in ‘Ihis Report .................................................................... 

1. 

2. 

3. 

4. 

5. 

LIST OF TEXT FIGURES 

Percent of nursing homes by type of certification: United States, 1978 . .. ... .. . ... ... ..... . . .... . .. ... .. .. ...” 

Number of nursing home beds pe-r 1,000 population 65 years and over d each State: 

United States, 1978 ... .... .. .. ... .. . ..... ... . ..... .. ... .. ... .. . .. .. .... . . .... . ... .. ... .. .... . .. .... .... .. ... . .... .. ..... ... .. . .. .. .. .. ...~. 

Number of hospital beds per 1,000 population by type of hospital: United States, selected 

years.............................................................................................“................................................. 

Average number of beds per general hospital: United States, selected years .... . ..... . .. ... .. ... .... .. .... .. ... 

Average number of full-time equivalent employees per general hospital: United States, selected 

years . ... . ... ... .. ... .. ... ... .. . .... . .. ... ... .. .. .. .. ..... . .. ..-................................~....................“........................... 

1 

i 

2 

5 

6 

6 

7 

8 

9 

9 

10 

11 

12 

IS 

:x 

44 

55 

3 

4 

7 

8 

9 

iii 
LIST OF TEXTTABLES 

A. Number of inpatient health facilities, beds, and residents, by type of facility: United States, 

1978 ... ... ... .. .... .. .. .... ... .. .... . ... ... ... . ..... . .... .. .... ...... . ... .... .. . ..... .. .. .... .. . ..... .... .... .. . ..... .... . ......................... 1 

B. Number and percent distributions of nursing homes and beds by bed size, type of ownership, and 

geographic region: United States, 1978 .. .... . ... ... .... . ..... . .. ... .... .. .... . ... ... ... . ..... . ... ... .. . .. .... .. .. .... .. ...~...... 3 

C. Number of nursing homes and beds and average bed size of homes: United States, selected 

years . ... . . ....,. ... . ..... . . ..... ... . ..... . ... ... .... . .... . ... ... .. .. ..... . .... .. ... . ..... .. ... .. ... . ..... . ... ... ... . ..... . .... ..................... 3 

D. Average bed size of nursing homes, by type of ownership and geographic region: United States, 

1978 .... ... ... .. .... .. .. ..... . .. ..... . ... .... .. . ..... . ... ... ... .. .... .. .. ... ... .. ... ... .. ... ... .. .. ... ... .. .... . ..... .. .. .. ......................... 4 

E. Number of nursing homes and percent distribution of nursing homes by location, according to 

bed size and type of ownership: United States, 1978 .. .... .. .... . ... ... .. ... .. ... ... .. ... ... ... .. ... .. .. ... .. ... .... .. .. .. 5 . 

F. Percent distribution of nursing homes by bed size for selected years and percent change in number of homes from 1971 to 1978: United States ... . .. .. .. ... .... . . ... .. ... .. .... .. .... . ... .. .... .. . ... .. ... ... .. . .. .-.. ... . 5 

G. Occupancy rate and number of admissions per bed (turnover rate) for nursing homes, by bed size, 

type of ownership, and geographic region: United States, 1978 .... .. ... ... .. ... .. .. .., .... . ... ..... . . .... .... . ..... 6 

H. Number of full-time equivalent employees per nursing home and per 100 residents, by type of 

ownership and geographic region: United States, 1978 .... . .... .... . .. .... . .. ... . .. .. . .... . .... ... ... ..... ... .. .. .. . ... .. 6 

J. Number of general hospitals and percent distributions by location, type of ownership, and geographic region: United States, 1978 .. ... .. .... . ... .... ... . .... .. ... ... .. . .. .... . .. . ... .. .. ..... . .... ... .. . .... .. ... ... .. .. . .... ... . 7 

K. Occupancy rate and number of admissions per bed (turnover rate) for general hospitals, by bed 

size, type of ownership, and geographic region: United States, 1978 .... .. ... .. ... ...**.............*............. 8 

L. Number of specialty hospitals and percent distribution by location, type of ownership, and geographic region: United States, 1978 ... .... .... . ..... .... .. .. .. ...... . . .. .. .... .. .... .. .. ... ... . .... . . ... .. .... . .... . .. .. .. .... . .... 10 

M. Number of specialty hospitals and specialty hospital beds by type of hospital for selected years 

and percent change in number of hospitals and beds from 1971 to 1978: United States................ 10 

N. Occupancy rate and number of admissions per bed (turnover rate) for specialty hospitals, by bed 

sine, type of ownership, and geographic region: United States, 1978 n.......................................,..... 11 

0. Number of employees in specialty hospitals by employment status and number of full-time 

equivalent employees per bed and per 100 patients for selected years with percent change from 

1971 to 1978: United States ..... . .. .. ... . .. ...,..... ... .... .. ... .. .. .... ... . ..... , . .. ... ... .. ,... .. .. ... ... .. .... . .. .... .. . ..... .. .. .. 11 

SYMBOLS 

Data not av~lable------------ ________ - __________ _

Category not applicable _-_-_-_-I______-_-_____ . . . 

Quantity zero---------- _______ - ____ _ 

Quantity more than 0 but less than 0.05~--- 0.0 

Figure does not meet standards of 

reliability or precision------ ---_-___-_____ * 

iv 
._ .. 

Genevieve W. Strahan, Division of Health Care Statistics 

INTRODUCTION 

The data presented in this report are findings 

from the 1978 National Master Facility Inventory. This is the seventh survey of inpatient 

health facilities since 1963 and the second to use 

data collected through the Cooperative Health 

Statistics System. 1 Through this system, survey 

data were collected by 26 States and compiled 

with data collected by the National Center for 

Health Statistics for 18,722 nursing homes. The 

American Hospital Association was the source of 

data for 7,159 hospitals. Table A shows a breakdown of the number of these facilities, beds, and 

residents. 

Data collected through the National Master 

Facility Inventory cover many phases of facility 

ownership and operation, such as capacity (bed 

size) and the number of residents or patients, 

admissions, discharges, inpatient days, and employees. These data have been used over the 

years for planning health care delivery systems, 

health services, urban development, and so 

forth. 

Nursing homes and hospitals are discussed 

separately. Nursing homes are defined here as establishments with three beds or more that provide nursing or personal care to the aged, infirm, 

or chronically ill. Hospitals are defined as establishments that have six beds or more and are licensed by the State as hospitals. 

The National Master Facility Inventory 

(NMFI) was first conducted by the National 

Center for Health Statistics in 19633 The data 

collected included type of facility, number of 

Table A. Number of inpatient health facilities, beds, and 

residents, by type of facility: United States, 1978 

Type of facility Facilities Beds Residents 

Nursing homes .. .. .. .. ... .. .. 18,722 1,348,794 1,240,373 

Hospitals .-............-.... 7,159 1.350,097 1 ,016,865 

General .. . .... . ... ... .. .. ... 6,270 1,074,733 791,060 

Specialty . .... . .. .... .. .. ... 889 275,364 225,805 

beds, and type of ownership-data necessary to 

classify the various facilities. From these data 

came an inventory of nursing homes, hospitals, 

and other inpatient health facilities that could 

be used as a sampling frame for more detailed 

surveys of these institutions and their employees 

and residents. 

The Agency Reporting System was developed from 1963 through 1967 .s This ongoing 

system is designed to update constantly the 

NMFI listing by obtaining the names and addresses of all new hospitals and nursing homes 

in the country. 

The National Master Facility Inventory was 

conducted in 1967,4 1969,5 1971,6 1973,’ 

1976,* and 1978. Each year the questionnaires 

were expanded to include more detailed information about each facility. Nursing homes have 

been surveyed in the past by the U.S. Bureau of 

the Census. In 1968, in an effort to avoid duplication of effort, the National Center for Health 

Statistics contracted with the American Hospital Association to use its Annual Survey of 

1 
Hospitals to update information for the hospital 

portion of the NMFI., (See appendix I for further 

discussion of survey methodology.) 

In 1970 the National Center for Health Statistics began work to establish the Cooperative 

Health Statistics System (CHSS)! The purpose 

of this system was to decentralize the responsibility for collecting data in such areas as vital 

statistics, health professions, and health facilities 

from the Federal to the State level. By 1976 this 

system was in operation, and 16 States within 

CHSS collected some or ah of the NMFI data. 

By 1978, 23 States collected all data from each 

facility in the NMFI and 3 States collected from 

some facilities. Appendix II shows the States in 

the system and the data collected by each State 

in 1976 and. 1978; appendix III gives the questionnaires used for the collection of data. 

NURSING HOMES 

BACKGROUND 

Since 1963 the National Center for Health 

Statistics has conducted surveys of facilities that 

provide nursing care. One of these, conducted in 

1968, was a detailed survey of nursing homes.9 

Many questions from the 1968 survey are now 

included in the NMFI. Several sample surveys of 

nursing. homes have also been conducted by the 

National Center for Health Statistics. For example, the Resident Places Survey was conducted 

in 1963, 1964, and 1969 to obtain detailed information not only about establishments but 

also about their employees and residents. An 

even more extensive sample survey, the National 

Nursing Home Survey,l”~l 1 was conducted in 

1973 and again in 1977 to obtain detailed information on nursing homes and their services, 

costs, residents, and staff. Data for nursing 

homes can be found in detailed tables 1-14. 

Since the National Master Facility Inventory 

was begun prior to the passage of Medicare and 

Medicaid legislation, the NMFI classification of 

nursing homes according to type of service provided does not correspond exactly to the definitions of Medicare extended care facilities or 

Medicaid skilled nursing homes and intermediate care facilities given in appendix IV. However,’ 

because of the current availability of information on the certification status of homes according to Medicare and Medicaid standards, there is 

. some focus on the certification of homes in the 

1978 survey. 

CHARACTERISTICS 

In 1978 the typical nursing home had less 

than 100 beds and a proprietary type of owner2 

ship. Of all homes, 74.3 percent had less than 

100 beds, and 75 percent were proprietary 

homes. Nursing homes were evenly distributed 

throughout the United States, with the North 

Central Region having slightly more homes than 

the other three regions (table B). 

The North Central Region had 27 percent of 

the U.S. population aged 65 years and over and 

almost 30 percent of all nursing homes in the 

United States. In contrast, the South Region had 

32 percent of the population 65 years and over 

and 24 percent of the nursing homes. 

Homes certified under Medicare and/or Medicaid were counted by including any facility that 

answered questions 7a(l) and/or 7a(2) on the 

NMFI survey questionnaire with a number 

greater. than zero. Of the 7,411 homes certified 

as skilled nursing facilities /under Medicare or 

Medicaid, 7 1 percent were proprietary. Over half 

of the 7,411 skilled nursing facilities had less 

than 100 beds each. About 17 percent of all 

homes had beds that were certified for both 

skilled and intermediate care. Figure 1 shows the 

percent of homes with beds certified as skied 

homes under either Medicare or Medicaid (39.6 

percent) and as intermediate care homes under 

Medicaid (24.9 percent), as well as the remaining 35..5 percent of homes with no certified beds 

or unknown certification. 

The number of nursing homes in the United 

States increased to 22,004 in 1971 and then decreased to 20,468 in 1976 and to 18,722 in 

1978, with a 5-percent decrease in the number 

of beds from 1976 to 1978. In spite of this decrease, the average number of beds per home increased from 55 in 1971 to 69 in 1976 and to 

72 in 1978 (table C). 

Table D presents additional data on the bed 

size of nursing homes in 1978. The average bed 
.: i 

Table B. Number and percent distributions of nursing homes and beds by bed size, type of ownership, and geographic region: 

United States, 1978 

-

klomes T 

Characteristic 

Number Percent Number Percent 

distributions distributions . 

All homes . .._........................................................................................... 18,722 100.0 1.348.794 100.0 

Bed size1 

3-9 beds.. .......................................................................................................... 2,753 14.7 15,000 1.1 

1 O-24 beds.. ...................................................................................................... 2,661 14.2 43,695 3.2 

2549 beds.. ...................................................................................................... 3,185 17.0 117,642 8.7 

50-74 beds ........................................................................................................ 3,121 16.7 187,228 13.9 

75-99 beds.. ...................................................................................................... 2,185 11.7 192,496 14.3 

100-l 99 beds.. ....................................... . .......................................................... 3,933 21.0 513,810 38.1 

ZOO-299 beds.. .................................................................................................. 595 3.2 138,027 10.2 

300499 beds.. .................................................................................................. 211 1.1 77,507 5.7 

500 beds or more.. ............................................................................................ 78 0.4 63,389 4.7 

Type of ownership 2 

Government.. .................................................................................................... 1,214 6.5 160,960 11.9 

Proprietary ........................................................................................................ 14,023 74.9 885,039 65.6 

Nonprofit ......................................................................................................... 3,485 18.6 302,795 22.5 

Geographic region 

Northeast.. ......... . .............................................................................................. 4,013 21.4 323,581 24.0 

North Central ................................................................................................... 5,276 28.2 434,883 32.2 

South.. ..................................................................................... .:. ...................... 4,524 24.2 355.670 26.4 

West.. ................................................................................................................ 4.909 26.2 234.660 17.4 

INursing horn&s with less than 3 beds are not included in the National Master Facility Inventory. 

Table C. Number af nursing homes and beds and average bed 

size of homes: United States, selected years 

Average 

Year Homes Beds bed 

size 

1978.. ................................. 18,722 1,348,794 72 

1976.. ................................. 20,468 1.414.865 69 

1973.. ................................. 21,834 1.327.704 61 

1971 ................................... 22.004 1,201,598 55 

1969.. ................................. 18,910 943,876 50 

1967.. ................................. 19,141 836,554 44 

size of proprietary homes (63.1 beds per home) 

was much smaller than that of homes owned by 

nonprofit groups (86.9 beds per home) or government (132.6 beds per home). The average 

bed size of homes in the West Region was only 

47.8 beds per home, compared with an average 

of 80 beds per home in the other regions. The 

Figure 1. Percent of nursing homes by type of certification: population in the West Region is less concenUnited States, 1978 trated, and there are few large metropolitan 

3 
Table D. Average bed size of nursing homes, by type of 

ownership and geographic region: United States, 1978 

Type of ownership and Average 

geographic region bed size 

All homes ...................................................... 

Type of ownership 

Government.. ........................................................... 

Proprietary.. ............................................................. 

Nonprofit ................................................................. 

Geographic region 

Northeast ................................................................. 80.6 

North Central ........................................................... 82.4 

South ....................................................................... 78.6 

West ......................................................................... 47.8 

areas; this diffusion might account for the 

smaller average size of homes in the West. 

Figure 2 shows the number of nursing home 

beds per 1,000 population aged 65 years and 

over for each State. In 1978 Alaska had the 

most beds for its population in this age group , 

(111 per l,OOO), and Florida’had the least (23 

per 1,000). 

Table E shows that in 1978 about 63 percent of all homes were located within standard 

metropolitan statistical areas (SMSA’s-see 

appendix IV for definitions). More than 80 percent of the nursing homes with 200 beds or. 

more were in SMSA’s. Most homes owned by 

the State or local government were not located 

in SMSA’s, but 69 percent of federally owned 

homes were. 

Table F shows the number of nursing homes 

according to bed size group and confirms the 

decline in the number of small nursing homes. 

Since 1971, the number of homes with less than 

75 beds has decreased, whereas the number of 

homes in all other bed size groups has increased. 

Figure 2. Number of nursing home beds per 1,000 population 65 years and over in each State: United States, 1978 
. 

Table E. Number of nursing homes and percent distribution of 

nursing homes by location, according to bad size and type 

of ownership: United States, 1978 

All Outside Bed size and ownership locations SMSA SMSA I

I 

Number Percent 

distribution 

All homes .................... 18,722 63 37 

Bed size1 

3-9 beds.. ................................ 2,753 69 31 

10-24 beds.. ............................ 2,661 65 35 

25-49 beds.. ............................ 3,185 57 43 

50-74 beds .............................. 3,121 48 52 

75-99 beds.. ............................ 2,185 61 39 

100-l 99 beds.. ........................ 3,933 68 32 

200-299 beds.. ........................ 595 86 14 

300499 beds.. ........................ 211 86 14 

506 beds or more ................... 78 76 24 

Type of ownership 

Government ........................... 1,214 35 65 

Federal .............................. 51 69 31 

State and local.. ................. 1,163 33 67 

Proprietary ............................. 14,023 65 33 

Nonprofit.. ............................. 3,485 63 37 

INursing homes with less than 3 beds are not included in the 

National Master Facility Inventory. 

UTILIZATION 

About 85 percent of the 18,722 nursing 

homes in the survey reported -admissions for 

calendar year 1977 (table 6). There were about 

1,200,OOO admissions for 15,827 homes, or an 

average of about 76 admissions per home. About 

83 percent of the 18,722 homes reported discharges-about 1,203,OOO or an average of 77 

discharges per home. 

One indicator of nursing home utilization is 

the turnover rate (average number of admissions 

per bed per year). Table G shows how this rate 

varied according to selected nursing home characteristics. Nursing homes as a whole admitted 

about 9 persons for every 10 beds in 1978. 

However, large homes (those with more than 

500 beds) admitted only about 5 persons for 

every 10 beds. Homes in the West admitted almost 13 persons for every 10 beds-the highest 

turnover rate for any region. 

The occupancy rate is computed by dividing 

the average number of residents by the number 

of beds. As shown in table G, nursing homes 

operated at 92-percent occupancy in 1978. The 

table also shows occupancy rates according to 

selected facility characteristics. 

. 

Table F. Percent distribution of nursing homes by bed size for selected years and percent change in number of homes from 1971 to 

1978: United States 

Percent 

Bed size1 1978 1976 1973 1971 change from 

1971 to 1978 

Percent distribution 

All bed sizes.. ......................................................................................... 100.0 100.0 100.0 100.0 -14.9 

Less than 25 beds.. ................................................................................................. 28.9 27.7 33.8 37.6 -34.5 

25-49 beds ............................................................................................................. 17.0 19.2 20.9 21.7 -33.4 

50-74 beds ............................................................................................................. 16.7 17.6 16.2 15.8 -10.2 

75-99 beds ............................................................................................................. 11.7 11.6 10.4 9.3 +6.8 

100-l 99 beds ......................................................................................................... 21.0 19.7 15.4 12.8 +39.2 

200-299 beds.. ....................................................................................................... 3.2 3.0 2.3 1.9 +41 .o 

300499 beds ......................................................................................................... 1 .‘I 0.9 0.8 0.6 +49.6 

500 beds or more.. ................................................................................................. 0.4 0.3 0.3 0.2 +73.3 

INursing homes with less than 3 beds are not included in the National Master Facility Inventory. 

5 
Table G. Occupancy rate and number of admissions per bed 

(turnover rate) for nursing homes, by bed size, type of 

ownership, and geographic region: United States, 1978 

Characteristic 

All homes2. ........................ 92 0.9 

Bed size3 

3-9 beds ........................................ 89 1.1 

1 O-24 beds .................................... 90 0.7 

25-49 beds .................................... 92 0.9 

50-74 beds.. .................................. 93 0.7 

75-99 beds.. .................................. 93 1.3 

100-199 beds.. .............................. 92 0.9 

200-299 beds ................................ 92 0.8 

300-499 beds ................................ 88 0.7 

500 beds or more.. ........................ 90 0.5 

Type of ownership 

Government.. ................................ 91 0.7 

Proprietary.. .................................. 92 0.9 

Nonprofit.. .................................... 92 0.8 

Geographic region 

Northeast.. ............................. . ...... 93 0.7 

North Central.. .............................. 92 0.7 

South ............................................ 91 1.1 

West .............................................. 91 1.3 

Number of residents

lThe occupancy rate = Number of beds 

and is expressed 

r+sa percent. 

2Data are for homes reporting admissions-85 percent of all 

homes. 

3Nursing homes with less than 3 beds are not included in the 

National Master Facility Inventory. . 

RESIDENTS AND EMPLOYEES 

A total of 1,240,373 residents were in nursing homes in 1978, an average of about 66 residents per nursing home. Although data are not 

available on age and sex for 1978 residents, in 

1976 the residents were mostly female (70 percent), with most males (88 percent) in the age 

group under 75 years and most females (75 percent) in the age group over 75.8 

Nursing homes employed more than 

660,000 full-time employees in 1978 and nearly 

300,000 part-time employees (table 9), or over 

800,000 full-time equivalent employees (number 

of full-time employees + 0.5 X number of parttime employees). Table H shows that there were 

43.4 full-time equivalent employees per home 

and 65.5 full-time equivalent employees per 100 

residents in nursing homes in 1978. Federally 

owned homes had more employees per 100 residents (117) than other homes had. Proprietary 

home8 had less than 60 employees per 100 

residents. 

More employees attended nursing home 

residents in the Northeast Region than in any of 

the other regions of the country. Homes in the 

Northeast, with an average of 76 employees. per 

100 residents, had at least 10 more employees 

per 100 residents than homes in any of the other 

three regions had. 

Table H. Number of full-time equivalent employees per nursing 

home and per 100 residents, by type of ownership and 

geographic region: United States, 1978 

Type of ownership and 

geographic region 

All homes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

Type of ownership 

Government ........................................... 

Federal.. ............................................ 

State and local.. ................................. 

Proprietary ............................................. 

Nonprofit ............................................... 

Geographic region 

Northeast ............................................... 

North Central ......................................... 

South ..................................................... 

West ..; . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

Number of 

full-time equivalent 

employees: 

Per Per 100

nursing residents

home 

HOSPITALS 

Data for hospitals can be found in detailed in the United States decreased from 8,183 in 

tables 15-37. There has been a steady decline in 1963 to 7,638 in 1970, increased to 7,678 in 

the number of hospitals since 1963, except for a - 1971 and was down to 7,159 in 19781 Figure 3 

slight increase in 19 7 1. The number of hospitals shows that the number of hospital beds per 

6 
---- 

--- 

All hospitals 

-___- General hosuitals 

............. Specialty hospitals 

g 5- ~ ----_ -_--

2 A-----­

,” 

i 4. -..... -a..... --...** -... 

3- *... *... *... *... -.. Q.. a... 

2- *... -... **-.....* **- . . ...** es...... 

11 I I I I I I I 

1963 1967 1959 1971 1973 1975 1976 1979 

YEAR 

Figure. 3. Number of hospital beds per 1,000 population by 

type of hospital: United States, selected years 

‘1,000 population decreased from 8.3 in 1963 to 

6.2 in 1978,‘due ma inly to a decrease in beds for 

specialty hospitals. The number of beds per 

1,000 population for general hospitals increased 

between 1963 and 1967 and remained rather 

constant at 42 or 5.0 through 1978. However, 

the average bed size for all hospitals has rema ined about 190-200 beds per hospital. In 

1978 it was approximately 189 beds per 

hospital. 

In 1978, 87.6 percent of the hospitals in the 

United States were general medical and surgical 

hospitals. The remaining 889 hospitals were 

specialty hospitals, over half of which were psychiatric facilities (table 15). Because general and 

specialty hospitals differ in the types of service 

they offer and the populations they serve, they 

are examined separately. 

GENERAL HOSPITALS 

In 1978 there were 6,270 general hospitals 

with a total of 1,074,733 beds (an average of 

171 beds per hospital). Over half the hospitals 

(53 percent) were owned by nonprofit groups, 

and over one-third of them were located in the 

South (table J). 

Figure 4 shows the change in the number of 

beds per general hospital since 1963. The average number of beds has increased by more than 

40 percent, whereas the number of general hospitals has decreased by about 7 percent. This 

suggests a trend toward fewer but larger general 

hospitals in the United States. 

Table J. Number of general hospitals and percent distributions by location, type of ownership, and geographic region: United States, 

1978 

All All SMSA Outside Type of ownership and geographic region general locations SMSA hosptials II I 

Number Percent distributions 

All general hospitals .............................................................................. ............. . 6,270 100.0 50.5 49.5 

Type of ownership 

Government ........................................................................................................................ 2,192 35.0 33.5 66.5 

Federal ........................................................................................................................... 342 5.5 64.9 35.1 

State and local ........................................................ ........................................................ 1,850 29.8 27.7 72.3 

758 12.1 68.7 31.3 

Nonprofit:. .......................................................................................................................... 3,320 53.0 57.6 42.4 

Geographic region 

Northeast ............................................................................................................................ 933 14.9 69.9 30.1 

North Central ...................................................................................................................... 1,787 28.5 42.5 57.5 

South .................................................................................................................................. 2,327 37.1 45.5 54.5 

West ..... . .... . ......................................................................................................................... 1,223 19.5 57.2 42.8 

, a 

7 
180 ;: 

c 

YEAR 

Figure 4. Average number of beds per general hospital: 

United States, selected years 

In 1978 only half (50.5 percent) of the general hospitals but almost three-fourths of the 

beds were located within standard metropolitan 

statistical areas; thus large general hospitals were 

located primarily within SMSA’s. An examination of the distribution of general hospitals in 

SMSA’s according to type of ownership shows 

that 64.9 percent of all hospitals owned by the 

Federal Government and only 27.7 percent of 

hospitals owned by State and local governments 

were located in SMSA’s. The average bed size of 

federally owned general hospitals was 278 beds, 

whereas the average bed size of general hospitals 

owned by States or local governments was 116 

beds. This concentration of the larger federally 

owned hospitals is one reason for the high number of general hospital beds in SMSA’s. 

In 1978 about 70 percent of the general 

hospitals in the Northeast Region were located 

within SMSA’s. The North Central and South 

Regions of the United States each had less than 

50 percent of their hospitals in SMSA’s, al-, 

though they each had more SMSA’s than the 

Northeast. More than half of the hospitals in the 

West Region were in SMSA’s (table J) . 

Utilization 

A ma jor measure of a hospital’s utilization is 

its occupancy rate. The occupancy rate is calculated as follows: 

Number of inpatient days . 

Number of beds X 365 

In 1978 the rate was 74 percent-the same as it 

had been in 1976. Table K shows that the occupancy rate increased as the bed size of the hospital increased. General hospitals with 6-24 beds 

had an occupancy rate of 46 percent, whereas 

hospitals with 500 beds or more had a rate of, 80 

percent. 

General hospitals with government or nonprofit types of ownership had occupancy rates 

of over 70 percent. Proprietary hospitals, on the 

other hand, had an average rate of 63 percent. 

General hospitals in the Northeast Region 

had an over-ah occupancy rate of 80 percent, 

Table K. Occupancy rate and number of admissions per bed 

(turnover rate) for general hospitals, by bed size, type of 

ownership, and geographic region: United States, 1978 

Characteristic 

All general hospitals.. ......... 

Bed size2 

6-9 beds ........................................ 

1O-24 beds .................................... 

2549 beds .................................... 

50-74 beds .................................... 

75-99 beds .................................... 

100-I 99 beds.. .............................. 

200-299 beds ................................ 

300-499 beds ................................ 

500 beds or more.. ......................... 

Type of ownership 

Government.. ................................ 

Proprietary.. .................................. 

Nonprofit.. .................................... 

Geographic region 

Northeast ...................................... 

North Central.. .............................. 

South ............................................ 

West.. ............................................ 

31 20.5 

46 33.6 

52 33.4 

60 34.9 

64 34.1 

69 35.3 

75 36.4 

71 29.7 

63 35.0 

76 35.6 

80 31.7 

74 32.4 

72 35.2 

67 36.5 

Number of inpatient days lThe occupancy rate = Number of beds X 365 

and is 

expressed a8 a percent. 

2Hospitals with less than 6 beds are not included in the 

Annual Survey of Hospitals. 
compared with a rate of 67 percent for general 

hospitals in the West. One reason for this may be 

that hospitals in the Northeast, with an average 

of 249 beds per hospital, were much larger than 

those in the other regions. Larger hospitals tend 

to have higher occupancy rates. 

In 1978, 36,359,395 persons were admitted 

to general hospitals, and 36,526,248 were discharged (table 21). On the average, almost 34 

persons were admitted for each bed during 

1978-the same as in 1976, 1 more than the 33 

admissions per bed in 1973, and 3 more than the 

31 admissions per bed in 1967. Table K shows 

the distribution of admissions according to hospital bed size, ownership, and geographic region. 

Outpatient visits are another important 

measure of hospital utilization. In 1978, 6,237 

general hospitals (99.5 percent) reported outpatient visits (table 28). Outpatient visits had decreased 3.4 percent since 1976, and the number 

of hospitals reporting such visits had also decreased. Of 252,427,553 outpatient visits in 

1978, 32.7 percent were emergency visits, and 

the remaining 67.3 percent were other types 

such as clinic visits and referred patient visits. 

Employees 

In 1978 there were over 2.6 million full-time 

employees and nearly 700,000 part-time employees in general hospitals (table 24). The 

number of full-time equivalent employees has increased 3 percent since 1976, 17 percent since 

I973, and 66 percent since 1967. Since the 

number of patients per general hospital has increased less than 1 percent since 1976, 5.1 percent since 1973, and 15.8 percent since 1967, 

the large increases in employees indicate that 

more staff are being made available to patients 

in general hospitals every year. Figure 5 shows 

that the number of ,full-time equivalent employees per general hospital incre&ed from 276 in 

1967 to 459 in 1978~an increase of 66 percent. 

SPECIALTY HOSPITALS 

In 1978 there were 889 specialty hospitals 

and 275,364 beds. Almost half of the 889 speFigure 5. Average number of full-time equivalent employees 

per general hospital: United States, selected years 

cialty hospitals were government-owned facili­

’ties (46.7 percent); most of these were State or 

local government facilities. The West Region, 

with only 14.9 percent of the specialty hospitals, had fewer of these facilities than the other 

regions had (table L) . 

In 1978, 81.7 percent of all specialty hospitals were located within standard metropolitan 

statistical areas. Fewer government-owned than 

proprietary or nonprofit hospitals were located 

in SMSA’s. Still, about 70 percent of the 

government-owned hospitals were located in 

SMSA’s (table L) . 

The number of specialty hospitals decreased 

17 percent from 1971 to 1978 (table M). Most 

dramatic is the change in tuberculosis facilities. 

Since I971 there has been about an 85-percent 

decrease in the number of both tuberculosis hospitals and beds. This substantial decrease is attributable to medical advances in the area of 

respiratory diseases and to widespread tuberculosis detection programs. 

The decrease in the size of psychiatric facilities is also notable. From 1971 to 1978 the 

number of beds decreased by 49.2 percent, compared with a decrease of only 6.2 percent in the 

number of facilities. The average number of psychiatric beds per hospital decreased from 785 in 

1971 to 425 in 1978. 
Table L. Number of specialty hospitals and percent distribution by location, type of ownership, and geographic region: United States, 

1978 

Type of ownership and geographic region 

All specialty hospitals . ..... .. . .... ... .. ..... ... ... .... .. .... .. .. ... ... .. .... .. .. ..... . . .... ... .. ...... .. . ... .. . 

Type of ownership 

Government .... .. .. .... .. .. . ... .... . .... . ... .... .. ... .... . .. .... ... . ..... .. .. .. . ... .. ..... . .. ...... . . ..... .. .. .... . .. ...... .. . .... . 

Federal ... .... .. .. .... .. . ... ... .. .. ..... . ... .. .... .. .... .. .. ... ... . ..... .. ... ... ... ... ... . ... ... ... . ..... .. .. .... . ... ..... .. .. .... 

State and local .. .. ... . ..... ... .. .... .. . .... ... .. .... .. ... ... ... . .... ... .. .... ... . .... .. .. .... .. ... ... .. ... .... . .. ...... . .. .... 

Proprietary . ..... .. .. . ... .. ... .... .. .. ..... .. .. ... .. .. ..... .. .. ... .. . .. .... ... ... .... . .. ... .. ... .... .. .. ..... . ... ... .. .... ... ... . .. .. 

Nonprofit ... ... ... ... .. .... .. ... .... .. . ..... ... . ... ... .. .... .. .. ..... . .... .. .. ... .... .. .. .... .. .. .... .. ... .... .. . ..... .. ... .... . ..... 

Geographic region 

Northeast .... . .... ... .. ... ... ... .... . ... .... . ... ..... . .. .... .. ... ... ... . .... .. .. . .... . .. .. .. .. .. . .... .. ... ... ... . ..... . ... .... .. ..... 

North Central ... .. .... .... . . ..... .. ... ..... . .. .... . ... .... .. ... .... . .. ..... .. .. .... .. .. .... .. .. .... .. ... .... . .. .... .. ... .... .. .. ... 

South .. ..... .. . .... ... ... .... .. ... .... . . ...... . ... .... .. . .... .. .... ... ... . .... .. .. ..... .. . .... .... . ... .. .... .. .. .. .. .... . .... .......... 

West ... . ...... . .. ..... .. .. ...... . ... ... .. .. .... .. ... .... .. .. .... . ... .... .. .. .... ... . ..... . ... .... .. . .... .. .. ...... .. . .... .. ............. 

All All specialty locations ,,,,/ 

hospitals 

Percent distribution 

889 100.0 81.7 18.3 

415 46.7 70.0 30.0 

29 3.3 72.4 27.6 

386 43.4 69.7 30.3 

200 22.5 92.0 8.0 

274 30.8 92.0 8.0 

275 30.9 87.6 12.4 

196 22.1 75.0 25.0 

286 32.2 78.7 21.3 

132 14.9 85.6 14.4 

Table M. Number of specialty hospitals and specialty hospital beds by type of hospital for selected years and percent change in number 

of hospitals and beds from 1971 to 1978: United States 

Percent 

Specialty hospital and specialty hospital beds 1978 1971 change 

from 1971 

to 1978 

All specialty hospitals .. .. .... .. . .... ... .. ... .. .. .. .... .. .. .... .. ... .... . .. .... ... ... .. 889 1 910 1 980 1,071 -17.0 

Psychiatric.. ................................................................................................ 502 508 533 -6.2 

Chronic disease.. ......................................................................................... 59 63 70 90 -34.4 

Alcohol and drug abuse .............................................................................. 57 48 41 43 +32.6 

Tuberculosis ............................................................................................... 15 21 65 99 -84.9 

Rehabilitation ............................................................................................. 72 72 73 66 +9.1 

Other .......................................................................................................... 186 204 223 240 -22.5 

All specialty hospital beds.. ........................................................ 275,364 311,439 418.630 503,189 -45.3 

I I I I 

Psychiatric.. ................................................................................................ 212,431 244,358 338,574 418,487 -49.2 

Chronic disease ........................................................................................... 19,842 19,933 22,350 24,614 -19.4 

Alcohol and drug abuse .............................................................................. 3,159 2,429 2,408 2,647 +I a.3 

Tuberculosis ............................................................................................... 2,639 3,546 10,215 17,806 -85.2 

Rehabilitation.. ........................................................................................... 8,346 8,678 8,721 7‘544 +10.6 

Other ... .. .. .... .. ... ... .. .. ...... .. . .... .... ..... .. .. .... . .. ..... . .. ..... .. .. ... ... . ..... ... . ... ... ... ... ... . . 28.947 32,495 36.362 32.091 -9.8 

Utilization 

The utilization of specialty hospitals is 

measured by the occupancy rate, which is calculated as follows: 

Number of inpatient days 

Number of beds X 365 ’ 

The rate has remained constant at.about 82 percent since 1971. In 1978 the occupancy rate for 

speck&y hospitals was 8 percent higher than 

that for general hospitals. 

As with general hospitals, the small specialty 

hospitals had low occupancy rates (35 percent 

for hospitals with 6-9 beds), and the large hospitals had high rates (84 percent for hospitals with 

500 beds or more). Table N shows how occupancy rates varied according to bed size, ownership, and geographic region. 

10 
Table N. Occupancy rate and number of admissions per bed 

(turnover rate) for specialty hospitals, by bed size, type of 

ownership, and geographic region: United States, 1978 

Occupancy Number of 

per bed 

All specialty hospitals.. ....... 82 4.2 

Bed size* 

6-9 beds ........................................ 35 43.7 

1O-24 beds .................................... 68 27.6 

2549 beds .................................... 67 14.3 

50-74 beds .................................... 69 14.6 

75-99 beds .................................... 72 8.7 

100-l 99 beds ................................ 76 11.6 

200-299 beds ................................ 81 5.4 

300499 beds ................................ 83 5.2 

500 beds or more.. ........................ 84 2.0 

Type of ownership 

Government.. ........... ..................... 83 2.6 

Proprietary.. .................................. 68 13.1 

Nonprofit.. .................................... 80 12.7 

Geographic region 

Northeast.. .................................... 86 3.7 

North Central.. .............................. 82 4.0 

South ............................................ 80 4.5 

West.. ............................................ 75 5.9 

Characteristic rate1 admissions 

Number of inpatient days and is lThe occupancy rate = Number of beds X 365 

expressed as a percent. 

*Hospitals with less than 6 beds are not included in the 

Annual Survey of Hospitals. 

Another measure of utilization is the number of admissions per bed. (turnover rate). Specialty hospitals admitted 1,161,269 persons in 

1978 (table 22), an average of 4.2 persons per 

bed. The turnover rate was higher in 1978 than 

in 1976,1973, or 1971. 

Generally, small hospitals had higher tumover rates than large hospit& had, suggesting 

that the large. hospitals were mostly long-stay 

hospitals. Proprietary and nonprofit hospitals 

had higher turnover rates than govemmentowned hospitals had. Most government-owned 

specialty hospitals are long-stay facilities. 

Specialty hospitals reported 11,739,5 16 patient visits in 1978 (table 35), an average of 

19,245 visits per reporting hospital. Outpatient 

visits increased by 17 percent from 19 71 to 

1978. However, the number of specialty hospitals reporting these services decreased from 821 

in 1971 to 610 in 1978, or about 26 percent. 

Employees 

Along with the decrease in the number of 

specialty hospitals from 1971 to 1978 was a decrease in the number of full-time equivalent employees. However, compared with a 17-percent 

decrease in the number of hospitals, the 5-

percent decrease in staff indicates that the number of employees per hospital actually increased. 

The number of employees per 100 patients also 

increased. In 1978 there were 166 full-time 

equivalent employees per 100 patients, comparedwith 147 in 1976, lllin1973,and96in , 

1971 (table 0). 

Table 0. Number of employees in specialty hospitals by employment status and number of full-time equivalent employees per bed and 

per 100 patients for selected years with percent change from 1971 to 1978: United States 

Full-time I ‘Type of employee I equivalent 

Year and percent change from 1971 to 1978 employees: 

Full-time Full time Part time equivalent Per bed Per 100 

patients 

I 

Number 

1978 .. ... ... .. .. .... .. ..... . .. .... . .. .... . . .... .. .. .. .. . ... .. .. ... . .. .... . .. .. . .. .... ... ... .. .... .. .. .. .. .... .. 

1976 ... .. .. .. .. .... .. .. ... ... . ... .. .. ... .. . .... . .. ... . .. ... .. . .... . .. ... . .. .... . .. ... . .. ... .. . ... .. . .... . . .... . 

1973 .. .. ... . .. .... .. .. .... . ... ... . .. .... . .. ... . .. ... ... .... .. . ... .. . .... .. .... . .. ... . .. ... .. . .... . . .... .. . ... . . iji%I gy %il iI ii 

1971 .. .... .. . .... ... . ... .. .. .... . .. ... .. .. ... .. . .... . .. ... .. . ... .. . ... .. .. ... .. . ... .. .. .. ... . ... .. . .... . . ... .. . 

Percent change 

Percent change.:............... ................................................ ..... ...................... -5.0 +12.0 -5.4 1 +77.2 +73.9 

11 
REFERENCES 

‘National Center for Health Statistics: The Cooperative Health Statistics System: its mission and progkun. 

P%aZ and Health Statistics. Series ~-NO. 19. DHEW Pub. 

No. (HRA) 77-1456. Health Resources Administration. 

Washington. U.S. Government Printing Office, Apr. 

1977. 

*National Center for Health Statistics: Development 

and maintenance of a national inventory of hospitals and 

institutions. Vi& and Health Statistics. PHS Pub. No. 

1OOOSeries l-No. 3. Public Health Service. Washington. 

U.S. Government Printing Office, Feb. 1965. 

3National Center for Health Statistics: The Agency 

Reporting System for maintaining the national inventory 

of hospitals and institutions. Vital and Health Statistics. 

PHS Pub. No. lOOO-Series l-No. 6. Public Health Service. Washington. U.S. Government Printing Office, Apr. 

1968. 

4National Center for Health Statistics: Inpatient 

health facilities as reported from the 1967 MFI survey, 

by A. Sirrocco. Vital and Health Statistics. Series 14-No. 

4. DHEW Pub. No. (HSM) 72-1065. Health Services and 

Mental Health Administration. Washington. U.S. Government Printing Office, June 1972. 

5National Center for Health Statistics: Inpatient 

health facilities as reported from the 1969 MFI survey, 

by A. Sirrocco. Vital and Health Statistics. Series 14 

No. 6. DHEW Pub. No. (HSM) 73-1801. Health Services 

and Mental Health Administration. Washington. U.S. 

Government Printing Office, Dec. 1972. 

6National Center for Health Statistics: Inpatient 

health facilities as reported from the 1971 MFI survey, 

by A. Sirrocco. Vital and Health Statistics. Series 14-NO. 

12. DHEW Pub. No. (HRA) 74-1807. Health Resources 

Administration. Washington. U.S. Government Printing 

Office, Mar. 1974. 

7National Center for Health Statistics: Inpatient 

health facilities as reported’from the 1973 MFI survey, 

by A. Sirrocco. Vital and Health Statistics. Series 14-No. 

16. DHEW Pub. NO. (HRA) 76-1811. Health Resources 

Administration. Washington. U.S. Government Printing 

Office, May 1976. 

8National Center for Health Statistics: Inpatient 

health facilities as reported from the 1976 MFI survey, 

by J. F. Sutton and A. Sirrocco. Vital and Health Statistics. Series 14-No. 23. DHEW Pub. No. (PHS) 80-1818. 

Office of Health Research, Statistics, and Technology. 

Washington. U.S. Government Printing Office, Jan. 

1980. 

gNational Center for Health Statistics: Employees in 

nursing homes: United States, April-September 1968, by 

J. F. Van Nostrand. Vital and Health Statistics. Series 

12-No. 15. DHEW Pub. No. (HSM) 73-1700. Health 

Services and Mental Health Administration. Washington. 

U.S. Government Printing Office, Oct. 1972. 

lONational Center for Health Statistics: Selected operating and financial characteristics of nursing homes, 

United States: 1973-74 National Nursing Home Survey, 

by M. R. Meiners. Vital and Health Statistics. Series 13-

NO. 22. DHEW Pub. NO. (HRA) 76-1773. Health Resources Administration. Washington. U.S. Government 

Printing Office, Dec. 1975. 

l1 National Center for Health Statistics: The National 

Nursing Home Survey: 1977 summary for’ the United 

States, by J. F. Van Nostrand et al. Vital and Health Statistics. Series 13-No. 43. DHEW Pub. No. (PHS) 79-

1794. Office of Health Research, Statistics, and, Technology. Washington. U.S. Government Printing Office, 

July 1979. 

12 
LIST OF DETAILED TABLES 

1. Number of persons 65 years and over, nursing homes, beds, and beds per 1,000 population 65 years and over, by State: 

United States, 1978 . .... . ... .. ... . .... . ... ... . .. ... .. . .... ... ..... . .. .. .. .. ... ... .... .. .. .. .. ... .. . ... ... . .. ... .. .. ... . .. .. ... ... .. .. . .... . .......................................... 

2. Number of nursing homes, by certification status and State: United States, 1978 .... . .. ...._........................................................ 

3. Number of nursing homes, by certification status and type of ownership: United States, 1978 ................................................ 

4. Number of nursing homes, by certification status and bed size: United States, 1978 ................................................................ 

5; Selected characteristics of nursing homes, by State: United States, 1978 ................................................................................. 

6. Selected characteristics of nursing homes, by type of ownership: United States, 1978 ............................................................. 

7. Selected characteristics of nursing homes, by bed size: United States, 1978 ............................................................................. 

8. Number of nursing homes, by bed size and State: United States, 1978 ..................................................................................... 

9. Number of employees in nursing homes, by employment status, geographic region, and division: United States, 1978.. .......... 

IO. Number of employees in nursing homes, by employment status and type of ownership of home: United States, 1978.. .......... 

11. Number of employees in nursing homes, by employment status and certification status of home: United States, 1978 . .. ... . ... . 

12. Number of registered and licensed practical nurses in nursing homes, by employment status and State: United States, 1978... 

13. Number of registered nurses in nursing homes by geographic region, employment status, type of ownership of home, and bed 

size: United States, 1978 . . .. ... ...... ... ..... . . ... .. .. .... . .. ... ... . .... .. .. .. .. .. ... ... . ... .. . .... . .. .... ... ... .. .. ... .. .. ... . ... ... . .. .... .. .................................... 

14. Number of licensed practical nurses in nursing homes, by geographic region, employment status, type of ownership of home, 

and bed size: United States, 1978 . . ... ... . .... . .. .... . .. .. . .. ... ... . .. .... . .. ... .. ... . ... .. ... .. . .... .. .. . .. .. .... . ... .. .. .. .... .. .... .. . ... .. ... ... .... ...................... 

15. Number of hospitals, by type of hospital and State: United States, 1978 . . . .... .. .... . ... .. .. .. .. .. .. .... .. .. ... . ... ... .. ..... c.. .... .. . ... . .. . ... .. . .... 

16. Number of hospital beds, by type of hospital and State: United States, 1978 . .... .. .. .. .. .. .... .. . .... . . ..... . . .... . ... .. .. .. ... .. .. ... .. . ... .. ... ... . 

17. Number of hospital beds and beds per 1,000 population for all hospitals, general hospitals, and psychiatric hospitals, by 

State: United States, 1978 ........................................................................................................................................................ 

18. Number of hospitals, by type of hospital and bed size: United States, 1978 ............................................................................. 

19. Number of hospitals, by type of hospital and type of ownership: United States, 1978 ............................................................. 

20. Number of hospital beds, by type of hospital and type of ownership: United States, 1978 ...................................................... 

21. Selected characteristics of general hospitals, by State: United States, 1978 .............................................................................. 

22. Selected characteristics of specialty hospitals, by State: United States, 1978 ................................................................. . ......... 

23. Average daily census and number of inpatient days for specialty hospitals, by type of hospital and State: United States, 

1978 ......................................................................................................................................................................................... 

24. Number of employees in general hospitals, by employment status and bed size of hospital: United States, 1978 ..................... 

25. Number of employees in general hospitals, by employment status and type of ownership of hospital: United States, 1978.. ... 

15 

16 

17 

17 

18 

20 

20 

22 

23 

23 

23 

24 

25 

26 

27 

28 

29 

30 

30 

30 

31 

32 

33 

34 

34 

13 
26. Number of employees in general hospitals, by employment status, geographic region, and division: United States, 1978 . . . . . . . . 

27. Number of full-time and part-time employees in general hospitals, by employment status and occupation: United States, 

1978 . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . ................................................................. 

28. Number of general hospitals reporting outpatient visits, by bed size, and number of visits, by type of visit and bed size: 

United States, 1978 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .......................................... 

29. Number of general hospitals reporting outpatient visits, by type of ownership, and number of visits, by type of visit and type 

of ownership: United States, 1978 . . . . . . . . . . . . . .. . . . . . . . . . . .. . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .................... 

30. Number of general hospitals reporting outpatient visits, by geographic region and division, and number of visits, by type of 

visit, geographic region, and division: United States, 1978 . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .. . . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . 

31. Number of employees in specialty hospitals, by employment status and bed size of hospital: United States, 1978 . . . . . . . . . . . . . . . . . . 

32. Number of employees in specialty hospitals, by employment status and type of ownership of hospital: United States, 1978... 

33. Number of employees in specialty hospitals, by employment status, geographic region, and division: United States, 1978 . . . . . . 

34. Number of full-time and part-time employees in specialty hospitals, by employment status and occupation: United States, 

1978 .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . ................................................................. 

35. Number of specialty hospitals reporting outpatient visits, by bed size, and number of visits, by type of visit and bed size: 

United States, 1978 . . . . . . . . . . . . . . . . . . . . . .. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . .......................................... 

36. Number of specialty hospitals reporting outpatient visits, by type of ownership, and number of visits, by type of visit and 

type of ownership: United States, 1978 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . ............ 

37. Number of specialty hospitals reporting outpatient visits, by geographic region and division, and number of visits, by type of 

visit, geographic region, and division: United States, 1978 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .F . . . .. . . . . . . 

34 

35 

35 

35 

36 

36 

36 

37 

37 

37 

38 

38 

14 
Table 1. Number of persons 65 years and over, nursing homes, beds, and beds per 1,000 population 65 years and over, by State: 

United States, 1978 . 

Total U.S. 

population 

State1 65 years Nursing Beds 

and over in homes 

thousands 

United States .......................................................................................... 

Alabama .............................................................. ................................................... 

Alaska .................................................................................................................... 

Arizona .................................................................................................................. 

Arkansas.. ............................................................................................................... 

California2 ............................................................................................................. 

Colorado ................................................................................................................ 

Connecticut.. .......................................................................................................... 

Delaware ................................................................................................................ 

District of Columbia2 ............................................................................................. 

Florida ................................................................................................................... 

Georgia.. ................................................................................................................. 

Hawaii .................................................................................................................... 

Idaho.. .................................................................................................................... 

Illinois .................................................................................................................... 

Indiana ................................................................................................................... 

Iowa ....................................................................................................................... 

Kansas.. .................................................................................................................. 

Kentucky ............................................................................................................... 

Louisiana.. .............................................................................................................. 

Maine ..................................................................................................................... 

Maryland ................................................................................................................ 

Massachusetts.. ....................................................................................................... 

Michigan ................................................................................................................. 

Minnesota ............................................................................................................... 

Mississippi .............................................................................................................. 

Missouri.. ................................................................................................................ 

Montana.. ............................................................................................................... 

Nebraska ................................................................................................................ 

Nevada ................................................................................................................... 

New Hampshire ...................................................................................................... 

New Jersey ............................................................................................................. 

New Mexico ........................................................................................................... 

New York2.. ........................................................................................................... 

North Carolina2 ..................................................................................................... 

North Dakota.. ....................................................................................................... 

Ohio ....................................................................................................................... 

Oklahoma.. ............................................................................................................. 

Oregon ................................................................................................................... 

Pennsylvania.. ......................................................................................................... 

Rhode Island ................................ . ......................................................................... 

South Carolina ....................................................................................................... 

South Dakota.. ....................................................................................................... 

Tennessee.. ............................................................................................................. 

Texas ...................................................................................................................... 

Utah ....................................................................................................................... 

Vermont.. ................................................................................................................. 

Virginia .................................................................................................................. 

Washington.. ........................................................................................................... 

West Virginia .......................................................................................................... 

Wisconsin ............................................................................................................... 

Wyoming ................................................................................................................ 

24,064 18,722 1.348,794 

409 204 19,246 

10 12 1,108 

271 84 6,823 

292 179 16,561 

2,248 3,500 138,219 

232 190 19,228 

348 286 20,189 

55 27 2,484 

72 70 2,873 

1,524 346 34,422 

473 278 29,768 

67 148 3,315 

87 48 4,381 

1,204 557 61,487 

561 476 41,010 

377 488 33,910 

297 283 19,842 

387 237 17,551 

370 133 13,885 

133 353 10,733 

370 183 19,322 

700 829 51,175 

868 563 60,238 

462 495 44,350 

270 96 IO,1 62 

627 824 40,588 

81 67 4,320 

202 214 16,586 

56 29 1,686 

96 96 6,583 

824 487 37,528 

104 43 2,640 

2,095 1,027 104,523 

551 722 24,614 

78 79 5,080 

1,124 669 52,007 

356 222 17,223 

285 184 11,663 

1,461 609 79,888 

121 112 7,981 

258 161 9,427 

89 138 8,647 

478 245 18,461 

1,265 966 92,574 

102 72 ‘4,386 

55 214 4,981 

468 330 21,008 

401 ‘504 34,909 

222 125 6,089 

545 490 51,138 

36 28 1,982 

’ Beds per 

1,000 

population 

65 years 

and over 

56.1 

47.1 

110.8 

25.2 

56.7 

61.5 

82.9 

58.0 

45.2 

39.9 

22.6 

62.9 

49.5 

50.4 

51 .l 

73.1 

89.9 

66.8 

45.4 

37.5 

80.7 

52.2 

73.1 

69.4 . 

96.0 

37.6 

64.7 

53.3 

82.1 

30.1 

68.6 

45.5 

25.4 

49.9 

44.7 

65.1 

46.3 

48.4 

40.9 

54.7 

66.0 

36.5 

97.2 

38.6 

73.2 

43.0 

90.6 

44.9 

87.1 

27.4 

93.8 

55.1 

l&e table I for a list of States in the Cooperative Health Statistics System that supplied nursing home data shown in this report.

21976 data are shown because of the low response rate for the 1978 survey of this area. 

15 
Table 2. Number of nursing homes, by certification status and State: United States, 1978

-

T Certification status 

State1 

United States ................................................................................ 

Alabama.. ...................................................................................................... 

Alaska.. ......................................................................................................... 

Arizona.. ....................................................................................................... 

Arkansas.. ..................................................................................................... 

California2 .................................................................................................... 

Colorado.. ..................................................................................................... 

Connecticut .................................................................................................. 

Delaware.. ..................................................................................................... 

District of Columbia2 ................................................................................... 

Florida .......................................................................................................... 

Georgia ......................................................................................................... 

Hawaii.. ......................................................................................................... 

Idaho ............................................................................................................ 

Illinois ........................................................................................................... 

Indiana .......................................................................................................... 

Iowa.. ............................................................................................................ 

Kansas.. ......................................................................................................... 

Kentucky.. .................................................................................................... 

Louisiana ...................................................................................................... 

Maine ............................................................................................................ 

Maryland.. ..................................................................................................... 

Massachusetts.. .............................................................................................. 

Michigan ....................................................................................................... 

Minnesota ..................................................................................................... 

Missoissippi ”r .....................................................................................................

........................................................................................................ 

Montana.. ...................................................................................................... 

Nebraska.. ..................................................................................................... 

Nevada.. ........................................................................................................ 

New Hampshire.. ........................................................................................... 

New Jersey .................................................................................................... 

New Mexico.. ................................................................................................ 

New York2 ................................................................................................... 

North Carolina2.. .......................................................................................... 

North Dakota.. .............................................................................................. 

Ohio .............................................................................................................. 

Oklahoma ..................................................................................................... 

Oregon.. ........................................................................................................ 

Pennsylvania ................................................................................................. 

Rhode Island ................................................................................................. 

South Carolina . . ............................................................................................ 

South Dakota.. ......................... . .................................................................... 

Tennessee.. .................................................................................................... 

Texas ........ .................................................................................................... 

Both 

Skilled Intermediate skilled and 

care care intermediate 

care 

7.411 4,670 3,134 

180 

9 1 6 

18 1 

83 59 37 

1,535 83 279 

147 34 135 

176 21 44 

10 6 7 

23 17 14 

310 a 35 

138 76 97 

72 10 23 

39 8 38 

215 217 93 

111 267 88 

46 307 24 

46 199 31 

72 53 41 

18 107 11 

11 123 10 

93 48 59 

232 316 188 

315 125 123 

279 168 172 

68 9 33 

83 91 67 

52 7 36 

22 172 20 

16 4 5 

24 40 15 

203 17 91 

6 19 2 

528 87 134 

270 32 94 

45 20 8 

270 266 170 

12 189 6 

60 72 31 

463 58 195 

53 54 43 

67 23 30 

52 52 24 

40 149 40 

208 693 115 

Utah.. ........................................................................................... .:. .............. 31 32 22 

Vermont.. .... . . ............................................................................................... 26 24 20 

Virginia ......................................................................................................... 36 91 29 

Washington ................................................................................................... 234 43 

West Virginia ................................................................................................. 27 25 20 

Wisconsin ...................................................................................................... 325 137 319 

Wyoming.. ..................................................................................................... 12 10 10 

Not certified 

and unknown 

certification 

6,641 

24 

2 

65 

37 

1,882 

9 

89 

11 

30 

28 

64 

66 

1 

125 

98 ' 

135 

38 

112 

8 

219 

42 

281 

123 

48 

19 

650 

8 

20 

9 

32 

267 

18 

412 

420 

14 

133 

21 

52 

88 

5 

71 

34 

56 

65 

9 

164 

203 

227 

73 

28 

6 

ISee table I for a list of States in the Cooperative Health Statistics System that supplied nursing home data shown in this report. 

21976 data are shown because of the low response rate for the 1978 survey of this area. 

16 
Table 3. Number of nursing homes, by certification status and type of ownership: United States, 1978 

Certification status 

. Both Type of ownership Skilled Intermediate skilled and Not certified 

care care intermediate and unknown 

certification 

care 

All types of ownership .................................................................. 7,411 4,670 3,134 6,641 

Government .................................................................................................. 601 320 306 293 

Federal..................................................................................................... 11 5 1 35 

State and local ......................................................................................... 590 315 305 258 

Proprietary .................................................................................................... 5,250 3,502 2,068 5,271 

Nonprofit ...................................................................................................... 1,560 848 760 1,077 

Church ..................................................................................................... 390 195 . 211 226 

Other ........................................................................................................ 1,170 653 549 851 

Table 4. Number of nursing homes, by certification status and bed size: United States, 1978 

Certif :ation status 

Both Bed size1 Skilled Intermediate skilled and Not certified 

care care intermediate and unknown 

certification 

care 

All bed sizes.................................................................................. 7.411 4,670 3,134 6,641 

3-9 beds ........................................................................................................ 629 89 117 2,035 

1O-24 beds .................................................................................................... 359 356 72 1,946 

25-49 beds .................................................................................................... 803 1,181 222 1,201 

50-74 beds .................................................................................................... 

75-99 beds .................................................................................................... 

100-l 99 beds ................................................................................................ 

200-299 beds ................................................................................................ 

1,160 

1,254 

2,558 

446 

1,339 

639 

948 

79 

404 

522 

1,389 

271 

622 

292 

427 

70 ‘ 

300-499 beds ................................................................................................ 154 27 99 30 

500 beds or more .......................................................................................... 48 12 I 38 18 

INursing homes with less than 3 beds are not included in the National Master Facility Inventory. 

17 
Table 5. Selected characteristics of nursing homes, by State: United States, 1978 1 

State1 

United States ........................................................ 

Alabama.. .............................................................................. 

Alaska.. ................................................................................. 

Arizona ................................................................................. 

Arkansas ............................................................................... 

California* ............................................................................ 

Colorado.. ............................................................................. 

Connecticut .......................................................................... 

Delaware ............................................................................... 

District of Columbia* ........................................................... 

Florida .................................................................................. 

Georgia ................................................................................. 

Hawaii.. ................................................................................. 

Idaho .................................................................................... 

Illinois.. ................................................................................. 

Indiana .................................................................................. 

Iowa.. .................................................................................... 

Kansas.. ................................................... . ............................. 

Kentucky.. ............................................................................ 

Louisiana .............................................................................. 

Maine .................................................................................... 

Maryland.. ............................................................................. 

Massachusetts.. ...................................................................... 

Michigan ............................................................................... 

Minnesota ............................................................................. 

Mississippi ............................................................................. 

Missouri ................................................................................ 

Montana.. .............................................................................. 

Nebraska.. ............................................................................. 

Nevada.. ................................................................................ 

New Hampshire.. ................................................................... 

New Jersey.. .......................................................................... 

New Mexico.. ........................................................................ 

New York* ........................................................................... 

North Carolina*. ................................................................... 

North Dakota.. ...................................................................... 

Ohio ...................................................................................... 

Oklahoma ............................................................................. 

Oregon .................................................................................. 

Pennsylvania ......................................................................... 

Rhode Island.. ....................................................................... 

South Carolina.. .................................................................... 

South Dakota.. ...................................................................... 

Tennessee.. ............................................................ .I .............. 

Texas .................................................................................... 

Utah.. .................................................................................... 

Vermont ............................................................................... 

Virginia.. ............................................................................... 

Washington ........................................................................... 

West Virginia ......................................................................... 

Wisconsin .............................................................................. 

Wyoming.. ............................................................................. 

See footnotes at end of table. 

All homes Homes reporting admissions 

Homes Residents Beds Homes Admissions Beds 

Number 

18,722 1,240,373 1.348.794 15,827 1 ,I 95,823 1,217,511 

204 18,043 19,246 204 17,374 19,246 

12 841 1,108 8 555 679 

84 6,318 6,823 81 11,533 6,713 

179 15,577 16,561 112 6,128 10,834 

3,500 124,456 138,219 2,746 185,174 125,804 

190 17,825 19,228 178 17,650 18,301 

286 18,848 20,189 199 12,527 15,187 

27 2,350 2,484 16 1,371 1,794 

70 2,493 2,873 41 1,499 2,711 

346 32,395 34,422 333 47,245 33,505 

278 27,828 29,768 196 29,926 22,728 

148 2,591 3,315 92 10,944 3,068 

48 4,066 4,381 48 4,025 4,381 

557 55,535 61,487 457 35,070 50,072 

476 36,898 41,010 292 20,204 27,305 

488 31,500 33,910 356 15,147 26,049 

283 18,186 19,842 219 13,448 15,639 

237 16,083 17,551 190 17,445 14,401 

133 13,065 13,885 125 ’ 6,303 12,996 

353 9,945 10,733 269 7,793 9,484 

183 18,301 19,322 138 IO,1 24 14,728 

829 48,435 51,175 815 30,236 50,997 

563 56,165 60,238 469 42,862 52,058 

495 42,580 44,350 490 27,817 43,929 

96 9,601 10,162 89 6,590 9,866 

824 36,853 40,588 752 28,637 39,260 

67 3,963 4,320 64 4,309 4,249 

214 15,162 16,586 213 9,931 16,459 

29 1,584 1,686 21 2,031 1,408 

96 6,172 6,583 64 3,145 4,367 

487 35,227 37,528 441 34,823 36,340 

43 2,408 2,640 34 12,237 2,527 

1,027 97,297 104,523 930 77,868 97,436 

722 22,734 24,614 545 23,021 22,659 

79 4,886 5,080 72 1,789 4,615 

669 48,214 52,007 499 47,917 41,132 

222 15,607 17,223 202 12,981 15,586 

184 10,768 11,663 142 12,593 9,730 

609 74,130 79,888 574 50,007 77,264 

112 7,337 7,981 111 9,293 7,967 

161 8,748 9,427 148 9,310 9,182 

138 8,087 8,647 98 9,737 6,523 

245 17,571 18,461 240 13,623 18,358 

966 77,051 92,574 966 81,823 92,574 

72 4.057 4,386 45 3,267 3,165 

214 4,619 4,981 179 3,806 4,749 

330 19,999 21,008 292 93,726 20,516 

504 32,563 34,909 423 30,451 31,254 

125 5,781 6,089 112 7,164 5,947 x 

490 47,748 51 ,I 38 479 32,903 50,400 

28 1,882 1,982 18 1,041 1,369 

18 
Table 5. Selected characteristics of nursing homes, by State: United States, 1978-Con. 

State1 

United States ................................................... 

Alabama.. ......................................................................... 

Alaska.. ............................................................................ 

Arizona ............................................................................ 

Arkansas .......................................................................... 

California2.. ..................................................................... 

Colorado .......................................................................... 

Connecticut ..................................................................... 

Delaware.. ........................................................................ 

District of Columbia2 ...................................................... 

Florida ............................................................................. 

Georgia ............................................................................ 

Hawaii.. ............................................................................ 

Idaho ............................................................................... 

Illinois.. ............................................................................ 

Indiana ............................................................................. 

Iowa.. ............................................................................... 

Kansas.. ............................................................................ 

Kentucky ......................................................................... 

Louisiana ......................................................................... 

Maine ............................................................................... 

Maryland.. ........................................................................ 

Massachusetts.. ................................................................. 

Michigan .......................................................................... 

Minnesota ........................................................................ 

Mississippi ........................................................................ 

Missouri ........................................................................... 

Montana.. ......................................................................... 

Nebraska .......................................................................... 

Nevada.. ........................................................................... 

New Hampshire.. .............................................................. 

New Jersey.. ..................................................................... 

New Mexico ..................................................................... 

New York2 ...................................................................... 

North Carolina” ............................................................... 

North Dakota.. ................................................................. 

Ohio.. ............................................................................... 

Oklahoma ........................................................................ 

Oregon ............................................................................. 

Pennsylvania ............................................ .I ...................... 

Rhode Island.. .................................................................. 

South Carolina ................................................................. 

South Dakota.. ................................................................. 

Tennessee.. ....................................................................... 

Texas ............................................................................... 

Utah.. ............................................................................... 

Vermont .......................................................................... 

Virginia ............................................................................ 

Washington ...................................................................... 

West Virginia .................................................................... 

Wisconsin ......................................................................... 

Wyoming.. ........................................................................ 

Homes reporting discharges 1 Homes reporting inpatient days 

Homes Discharges Beds Homes Inpatient days Beds 

15,573 1.203.421 1,213,305 14,562 372,232,497 1,140,967 

204 16,632 19,246 204 6.513.346 

8 547 679 8 177,313 

81 10,920 6,713 80 2,101,008 

114 5,674 10.977 110 3.479.564 

2,609 156,099 123,916 1,793 33.665.697 

179 17.039 18,333 177 5.859.285 

200 11,678 15,205 187 4,768,502 

16 1,215 1,794 15 567,667 

39 1,312 2,570 45 724,038 

333 43,287 33,559 253 8,336,405 

196 19,076 22,633 190 7,406,750 

88 11,266 3,053 104 752,003 

48 3,957 4,381 48 1.452.875 

457 31,509 49,972 432 14.536.494 

292 18,445 27,290 284 8,175,321 

355 13,793 26,063 344 7.976.198 

219 12,657 15,584 209 4,835,981 

190 13,665 14,339 183 4433,757 

124 5,060 12,952 123 4,222,379 

248 6,811 9,333 337 3,610,103 

138 9,113 14,689 131 4,175,828 

816 29,306 50,977 828 17.454,998 

464 39,149 51,670 502 18,196,956 

491 25,668 44,122 493 14,968,262 

89 5,969 9,828 91 2,168,679 

744 25,020 38,961 815 12,451,558 

64 3,935 4,249 62 1.354.538 

209 9,411 16,407 212 5,367,879 

21 1,880 1,408 21 426,839 

62 2,869 4.261 56 1.193.881 

445 32,330 36,463 459 12.209.144 

34 11,874 2,524 37 798,695 

905 71,326 96,424 694 26.354.752 

511 19,711 22,194 420 5.509.844 

71 1,513 4,572 70 1,512,993 

498 35,202 41,027 486 12,684,948 

205 11,597 15,838 201 4,805,962 

138 11,673 9,604 138 3,001,610 

575 47,814 78,090 561 24640,456 

111 8,883 7,967 112 2,460,813 

145 8,047 9,150 158 3,135,341 

97 9.204 6,545 101 2,113,059 

232 7.473 17,922 241 5,921,848 

963 86,747 92,194 959 26,889,229 

44 3,064 3,117 44 957,292 

182 3,569 4,777 213 1.685.663 

291 91,664 20,513 304 6642,567 

429 29,966 31,770 410 10.2~9.810 

108 4.790 5,961 113 1,836,459 

473 153,085 50,120 488 17,120,507 

18 927 1,369 16 387,301 

19,246 

679 

6,676 

10,549 

89,473 

18.083 

14,562 

1,720 

2,445 

25,584 

21,878 

2,764 

4,381 

47,945 

26,688 

24,979 

15,282 

14,003 

12,903 

10,325 

13,952 

51 ,I 33 

54,852 

43,977 

9,964 

39,761 

4,148 

16,349 

1,485 

3,902 

36,213 

2,535 

78,168 

18,759 

4,541 

40,006 

15,585 

9,563 

75,486 

7,981 

9,275 

6,644 

18,338 

91,928 

3,031 

4,978 

20,413 

29,879 

5,908 

50,847 

1,201 

lSee table I for a list of States in the Cooperative Health Statistics System that supplied nursing home data shown in this report. 

21976 data are shown because of the low response rate for the 1978 survey of this area. 

19 
Table 6. Selected characteristics of nursing homes, by type of ownership: United States, 1978 

Type of ownership 

All types of ownership . . . . . . . . . . . ..__.......................................................................... 

Government . . . . . . . . . . . ..__........................................................................................................... 

State and local ................................................................................................................ 

Proprietary ........................................................................................................................... 

Nonprofit ............................................................................................................................. 

Church ............................................................................................................................ 

All homes 

Homes Residents Beds 

Number 

18,722 1,240,373 1.348.794 

1,214 146,941 160,960 

51 4,324 5.105 

1,163 142,617 155,855 

14,023 814,377 885,039 

3,485 279,055 302,795 

811 73,709 78,471 

2,674 205,346 224,324 

Table 7. Selected characteristics of nursing homes, by bed size: United States, 1978 

All homes 

Bed size1 

Homes Residents Beds 

Number 

1 All bed sizes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 18,722

2 

3 

4 

5 

6 

7 

8 

9 

10 -

20 

3-9 beds.. ............................................................................................... .:. ............................ 

1 O-24 beds.. .......................................................................................................................... 

25-49 beds.. .......................................................................................................................... 

50-74 beds.. .......................................................................................................................... 

75-99 beds.. .......................................................................................................................... 

IOO-199’beds.. ...................................................................................................................... 

200-299 beds.. ............................................................................................ . ......................... 

300-499 beds.. ...................................................................................................................... 

500 beds or more.. ............................................................................................................... 

2,753 

2,661 

3,185 

3,121 

2,185 

3,933 

595 

211 

78 

INursing homes with less than 3 beds are not included in the National Master Facility Inventory. 
Table 6. Selected characteristics of nursing homes, by type of ownership: United States, 197%Con. 

Homes reporting admissions Homes reporting discharges Homes reporting inpatient days 

Homes Admissions Beds Homes Discharges Beds Homes Inpatient days Beds 

I Number-Con. 

15,827 1 .195,823 1.217.511 15,573 1.203.421 1.213.305 14,562 372.232.497 I 1,140,967 1 

1,092 117,587 155,003 i 1,085 105,246 154,806 1,064 47.299.91 i 151,178 2 

37 19,117 4,695 35 19,277 4,683 33 1.432.361 4,658 3 

1,055 98,470 150,308 1,050 85,969 150,123 1,031 45,867,550 146,520 4 

11,580 839,684 780,089 11,365 804.509 777,705 10,476 237,180,450 719,756 5 

3,155 238,552 282,419 3,123 293,666 280,794 3,022 87,752,136 270,033 6 

740 51,377 73,309 733 64,687 72,443 712 22,606/X3 69,680 7 

2,415 187,175 209,110 2,390 228,979 208,351 2,310 65.146,043 200,353 18

Table 7. Selected characteristics of nursing homes, by bed size: United States, 1978-Con. 

= 

Homes reporting admissions Homes reporting discharges Homes reporting inpatient days 

Homes Admissions Beds Homes Discharges Beds Homes Inpatient days Beds 

Number-Con. 

15.827 1.195.823 1.217.511 15,573 1.203.421 I ,213,305 14,562 372.232.497 1 ,I 40,967 1 

1,710 16,216 9,603 1,552 11,144 8,775 1,513 2,136,802 , 8,352 2 

2,155 28,411 35,773 2,105 25,105 35,112 1,816 8.762443 30,474 3 

2,792 101,845 103,330 2,772 155,319 102,561 2,590 3 1,059,065 95,920 4 

2,793 136,479 167,983 2,779 163,763 167,213 2,631 52,151,782 158,256 5 

1,988 254,893 175,215 1,985 233,658 174,957 1,861 53,987,962 163,786 6 

3,585 467,244 468,751 3,580 443,453 468,334 3,398 149,222,831 442,991 7 

534 104.888 123,777 530 89,359 122,767 499 36,972,315 115,660 8 

194 53,345 71,324 193 49,507 70,969 186 21.630.230 68,404 9 

76 32,502 61,755 77 32,113 62,617 68 16,309,067 57,124 11IO 

-

21 
Table 8. Number of nursing homes, by bed size and State: United States, 1978 

Bed size’ 

State1 All 

homes 

--

3-9 1O-24 25-49 50-74 75-99 100-I 99 200-299 300-499 500 beds 

beds beds beds beds beds beds beds or more --

United States.. ......... 18,722 2,753

-- 2,661 3,185 3,121 2,185 3,933 595 211 78 -- - -

Alabama .................................. 204 1 33 46 37 82 4 1 

Alaska.. .................................... 12 2 1 2 1 5 1 

Arizona .................................... 84 6 18 16 18 25 1 

Arkansas.. ................................ 179 1 3 26 53 30 57 7 2 

California3.. ............................. 3,500 1,441 653 377 299 407 279 32 10 2 

Colorado.. ................................ 190 9 29 41 23 77 7 3 1 

Connecticut.. ........................... 286 11 76 56 40 24 69 4 6 

Delaware.. ................................ 27 1 a 3 3 4 5 2 1 

District of Columbia3.. ............ 70 46 7 4 4 1 4 1 2 1 

Florida.. ................................... 346 2 15 45 80 48 134 17 5 

Georgia.. .................................. 278 11 34 66 43 110 10 3 1 

Hawaii ..................................... 148 115 4 IO 6 1 10 1 1 

Idaho.. ..................................... 48 2 8 11 12 13 1 1 

Illinois ..................................... 557 3 31 76 106 113 157 50 19 2 

Indiana .................................... 476 8 56 143 76 47 114 21 9 2 

Iowa ........................................ 488 14 45 99 167 70 a4 7 2 

Kansas ..................................... 283 2 15 58 120 30 54 3 1 

Kentucky.. ............................... 237 4 26 57 59 34 48 7 2 

Louisiana ................................. 133 1 1 8 26 33 58 5 

Maine ....................................... 353 158 57 62 40 18 15 1 2 

Maryland ................................. 183 16 35 30 23 62 13 3 

Massachusetts .......................... 829 13 186 245 107 89 180 8 1 

Michigan.. ................................ 563 12 53 90 92 63 194 41 13 

Minnesota ................................ 495 6 43 71 127 83 141 13 10 

Mississippi.. .............................. 96 2 9 14 35 6 27 2 

Missouri ................................... 824 139 216 172 116 53 113 8 7 

Montana .................................. 67 5 12 15 14 6 13 2 

Nebraska.. ................................ 214 4 IO 24 97 36 37 4 2 

Nevada.. ................................... 29 2 11 2 3 5 6 

New Hampshire ....................... 96 3 25 23 13 7 19 4 2 

New Jersey .............................. 487 22 146 77 53 30 127 17 12 3 

New Mexico.. ........................... 43 9 9 5 8 6 3 2 1 

New York3.. ............................ 1,027 55 226 177 92 112 213 92 36 24 

North Carolina3.. ..................... 722 354 81 95 83 29 70 8 2 

North Dakota .......................... 79 1 8 19 27 12 12 

Ohio ........................................ 669 12 102 161 109 80 171 29 2 3 

Oklahoma.. .............................. 222 1 37 87 32 61 4 

Oregon.. ................................... 184 4 32 52 29 31 36 

Pennsylvania.. .......................... 609 8 45 128 90 69 179 45 25 20 

Rhode Island ........................... 112 21 26 26 9 25 5 

South Carolina ......................... 161 18 33 37 15 27 29 1 1 

South Dakota .......................... 138 18 .3 27 52 21 15 1 1 

Tennessee ................................ 245 7 24 74 51 34 47 5 1 2 

Texas.. ..................................... 966 16 120 245 154 393 31 7 

Utah ........................................ 72 2 IO 23 16 9 12 

Vermont.. ................................ 214 108 48 30 12 5 11 

Virginia .................................... 330 65 74 50 48 9 65 16 2 1 

Washington.. ............................ 504 47 94 91 80 68 100 22 2 

West Virginia ........................... 125 26 29 26 17 11 12 2 2 

Wisconsin ................................. 490 4 49 83 80 67 153 38 15 1 

Wyoming ................................. 28 -- 1 9 6 5 7 

1See table I for a list of States in the Cooperative Health Statistics System that supplied nursing home data shown in this report.

*Nursing homes with less than 3 beds are not included in the National Master Facility Inventory. 

3 1976 data are shown because of the low response rate for the 197 8 survey of this area. 

22 
Table 9. Number of employees in nursing homes, by employment status, geographic region, and division: United States, 1978

-

T Employment status 

Geographic region and division 

Full time Part time Full-time 

equivalent 

United States ................................................................................................................. 663,882 291,321 809,543 

Northeast ............................ . ............................. ............................................................................ 181,406 94,173 228,493 

New England ............................................................................................................................ 41,369 42,662 62,700 

Middle Atlantic ........................................................................................................................ 140.037 51,511 165,793 ’ 

North Central ................................................................................................................................ 191,723 112,751 248,099 

East North Central ................................................................................................................... 116,578 63,019 148,088 

West North Central.. ................................................................................................................. 75,145 49,732 100,011 

South ............................................................................................................................................ 185,542 44,310 207.697 

South Atlantic.. ........................................................................................................................ 81,582 20,869 92,017 

East South Central ................................................................................................................... 37,758 9,270 42,393 

West South Central.. ............................................................ .). .................................................. 66,202 14,171 73,288 

West .............................................................................................................................................. 105,211 40,087 125,255 

Mountain.. ................................................................................................................................ 24,708 10,115 29,766 

Pacific ...................................................................................................................................... 80,503 29,972 95,489 

Table IO. Number of employees in nursing homes, by employ.ment status and type of ownership of home: United States, 1978 

Employment status 

Type of ownership 

Full time ] Part time 1 zifzmet 

All types of ownership . ... .... . .. ... .. .. .. ... . .... . ... .... .. .... . ... .... . .. .... . .. .. ... .. ..... . . .... . ... .. .. .. .... .. . ... 663,882 291,321 809,543 

t 

Government .................................................................................................................................. 118,647 24,724 131,009 

Federal ..................................................................................................................................... 4,589 907 5,043 

State and local.. ........................................................................................................................ 114,058 23,817 125,966 

Proprietary .................................................................................................................................... 386,020 177,997 475,019 

Nonprofit.. .................................................................................................................................... 159,215 88,600 203,515 

Church ..................................................................................................................................... 38,826 25,011 51,332 

bther ........................................................................................................................................ 120,389 63,589 152,183 

Table 11. Number of employees in nursing homes, by employment status and certification status of home: United States, 1978 

Employment status 

Certification status 

Full time ,,,i-I I 

Skilled care .................................................................................................................................... 423,022 185,156 515,600 

Intermediate care .................................................. L....................................................................... 156,405 71,504 192,157 

Both skilled and intermediate care ................................................................................................ 216,717 99,646 266,540 

Not certified and unknown certification ....................................................................................... 1 84,455 1 34,661 101,786 

23 
Mississippi 

Table 12. Number of registered and licensed practical nurses in nursing homes, by employment status and State: United States, 1978

- -

T Licensed Registered nurses T practical nurses State1 

Full time Part time Full time Part time 

United States.. ............................................................................................ 44,579 32,084 58,785 26,737 - -

Alabama.. ................................................................................................................... . 402 170 1,457 434 

Alaska ........................................................................................................................ 32 6 25 3 

Arizona ...................................................................................................................... 427 172 326 94 

Arkansas ..................................................................................................................... . 292 66 993 204 

California* ................................................................................................................. . 4,145 2,548 5,206 2,235 

Colorado .................................................................................................................... . 763 798 640 435 

Connecticut ................................................................................................................. 1,038 1,179 667 553 

Delaware ..................................................................................................................... 137 95 101 74 

District of Columbia*. ................................................................................................. 109 36 117 36 

Florida ........................................................................................................................ 1,272 578 1,631 543 

Georgia.. ...................................................................................................................... 811 258 2,019 412 

Hawaii.. ....................................................................................................................... 329 99 232 55 

Idaho.. ......................................................................................................................... 164 134 212 106 

Illinois.. ............................................................................................ .;......................... 2,050 1,290 2,114 816 

Indiana.. ...................................................................................................................... 883 562 1,013 336 

Iowa.. ....... ................................................................................................................... 1,088 613 1,315 597 

Kansas ......................................................................................................................... 528 274 528 182 

Kentucky .................................................................................................................... 491 194 732 183 

Louisiana.. ................................................................................................................... 257 67 876 221 

Maine .......................................................................................................................... 373 434 356 361 

Maryland.. ................................................................................................................... 622 505 791 295 

Massachusetts.. ............................................................................................................ 1,873 2,621 1,840 2,230 

Michigan.. .................................................................................................................... 1,444 1,402 2,055 1,419 < Minnesota .................................................................................................................... 1,300 1,663 1,302 1,480 

Missouri ................................................................................................................... 202 102 591 160 

....................................................................................................................... 615 ,450 1,253 498 

Montana.. .................................................................................................................... 202 179 208 98 

Nebraska ..................................................................................................................... 266 281 432 233 

Nevada ........................................................................................................................ 83 39 67 38 

New Hampshire ........................................................................................................... 246 222 268 208 

New Jersey.. ................................................................................................................ 1,807 1,676 1,375 751 

New Mexico ................................................................................................................ 243 34 181 42 

New York*. ................................................................................................................. 5,543 3,246 5,590 2,350 

North Carolina* .......................................................................................................... 729 374 941 402 

North Dakota.. ............................................................................................................ 279 188 288 133 

Ohio ............................................................................................................................ 2,000 1,293 2,889 1,203 

Oklahoma.. .................................................................................................................. 254 134 711 159 

Oregon ........................................................................................................................ 540 292 355 166 

Pennsylvania.. .............................................................................................................. 4,265 2,920 4,634 1,477 

Rhode Island.. .......................................................................................................... .1. 307 396 238 276 

South Carolina ............................................................................................................ 365 173 466 155 

South Dakota.. ............................................................................................................ 291 226 217 146 

Tennessee .................................................................................................................... 362 141 1,236 380 

Texas. .......................................................................................................................... 1,007 539 5,932 1,591 

Utah ............................................................................................................................ 123 76 267 85 

Vermont.. .................................................................................................................... 232 190 215 135 

Virginia ....................................................................................................................... 727 409 993 430 

Washington .................................................................................................................. 1,402 467 958 365 

West Virginia.. ............................................................................................................. 182 120 352 92 

Wisconsin .................................................................................................................... 1,383 2,128 1,494 1,835 

Wyoming .................................................................................................................... 95 25 86 26 

ISee table I for a list of States in the Cooperative Health Statistics System that supplied nursing home data shown in this report.

*1976 data are shown because of the low response rate for the 1978 survey of this area. 

24 
Table ‘13. Number of registered nurses in nursing homes by geographic region, employment status, type of ownership of home. and bed 

size: United States, 1978 

All geographic 

regions 

Typle of ownership and bed size1 

Full Part Full Part Full Part Full Part Full Part 

time time time time time time time time time time 

All types of ownership ...... 44,579 32,084 15,683 12,884 12,127 10,370 8,221 3,961 8,548 4,869 

Less than 25 beds ............................. 1,061 943 282 319 345 274 118 141 316 209 

25-49 beds.. ...................................... 3,444 3,517 1,221 1,465 755 941 517 389 951 722 

5089 beds.. ...................................... 11,482 9,668 2,875 3,262 3,316 3,062 2,351 1,341 2,940 2,003 

100 beds or more.. ............................ 28,592 17,956 11,305 7,838 7,711 6,093 5,235 2,090 4,341 1,935 

Government.. ......................... 7,623 2,753 3,433 937 2,302 1,340 1,071 253 817 223 

Less than 25 beds.. ........................... 125 89 3 35 42 17 7 70 40 

25-49 beds.. ...................................... 379 234 53 23 77 104 122 45 127 62 

50-99 beds.. ...................................... 848 526 220 86 376 320 164 65 88 55 

100 beds or more.. ............................ 6,271 1,904 3,157 828 1,814 874 768 136 532 66 

Proprietary.. ........................... 25,156 19,799 7,806 8,309 6,275 5,294 5,123 2,524 5,952 3,672 

Less than 25 beds.. ........................... 497 548 206 223 104 138 68 92 119 95 

25-49 beds.. ...................................... 1,879 2,148 750 1,043 385 440 252 230 492 435 

50-99 beds.. ...................................... 7,612 6,402 1,817 2,313 1,728 1,568 1,699 914 2,368 1,607 

100 beds or more.. ............................ 15,168 10,701 5,033 4.730 4,058 3,148 3,104 1,288 2,973 1,535 

Nonprofit ............................... !I,800 9,532 4,444 3,638 3,550 3,736 2,027 1,184 1.779 974 

Less than 25 beds.. ........................... 439 306 73 96 206 94 33 42 127 74 

25-49 beds.. ...................................... 1,186 1,135 418 399 293 397 143 114 332 225 

5089 beds.. ............... %...................... 3,022 2,740 838 863 1,212 1,174 488 362 484 341 

100 beds or more.. ............................ 7,153 5,351 3,115 2,280 1,839 2,071 1,363 666 836 334 

- -

Northeast TNorth Central T West 

INursing homes with less than 3 beds are not included in the National Master Facility Inventory. 

25 
Table 14. Number of licensed practical nurses in nursing homes, by geographic region, employment status, type of ownership of home, 

and bed size: United States, 1978 - -

All geographic Northeast North Central T South I West regions TType of ownership and bed size1 

Full Part Full Part Full Part Full Part Full Part 

time time time time time time time time time time 

All types of ownership.. ...... 58,785 26,737 15,183 8;341 14,900 8,878 19,939 5,770 8,763 3,748 

Less than 25 beds ............................... 1,442 978 385 354 363 230 294 173. 400 221 

25-49 beds.. ........................................ 5,087 3,346 1,395 1,259 1,291 931 1,401 597 1,000 559 

5089 beds.. ........................................ 16,687 8,517 2,472 1,896 4,477 2,863 6,071 2,060 3,667 1,698 

100 beds or more.. .............................. 35,569 13,896 10,931 4,832 8,769 4,854 12,173 2,940 3,696 1,270 

Government.. ........................... 9,291 2,101 3,822 520 2,779 1 ,145 2,149 318 ‘541 118 

Less than 25 beds.. ............................. 116 69 6 1 26 28 42 7 42 33 

25-49 beds.. ........................................ 565 235 56 11 110 87 296 89 103 48 

50-99 beds.. ........................................ 1,266 524 262 50 504 358 410 160 90 16 

100 beds or more ................................ 7,344 1,273 3,498 458 2,139 672 1,401 122 306 21 

Proprietary.. ............................. 37,050 18,191 7,100 5,738 8,282 5,043 14,861 4,350 6,807 3,060 

-

Less than 25 beds ............................... 947 656 285 267 250 123 171 136 241 130 

25-49 beds.. .............................. .......... 3,164 2,225 828 932 816 539 842 360 678 394 

50-99 beds.. ........................................ 12,039 6,007 1,388 1,355 2,640 1,526 4,866 1,632 3,145 1,494 

100 beds or more.. .............................. 20,900 9,303 4,599 3,184 4,576 2,855 8,982 2,222 2,743 1,042 

Nonprofit.. ............................... 12,444 6,445 4,261 2,083 3,839 2,690 2,929 1,102 1,415 570 

Less than 25 beds.. ............................. 379 253 94 86 87 79 81 30 

25-49 beds.. ........................................ 1,358 886 511 316 365 305 263 148 219 117 

5089 beds .......................................... 3,382 1,986 822 491 1,333 979 795 328 432 188 

100 beds or more.. .............................. 7,325 3,320 2,834 1,190 2,054 1,327 1,790 596 1 647 207 

LNursing homes with less than 3 beds are not included in the National Master Facility Inventory. 

: ! 

,I 

26 
Table 15. Number of hospitals, by type of hospital and State: United States, 1978 

II I Specialty hospitals 

State All General 

hospitals hospitals Total Psychiatric Chronic Tuberculosis Other disease 

Number of hospitals 

United States .... .. .. ... .. .. ... . . .... .. . ... ... ... ... . .. 7,159 6.270 889 500 59 15 315 

Alabama .. .... . .. .... ... ... ... . .... .. . ... .. ... ... .. . .... . .. .... . . ... ... .. . 149 139 10 6 1 3 

Alaska ..................................................................... 26 25 1 1 

Arizona ................................................................... 83 78 5 4 1 

Arkansas ................................................................. 100 98 2 1 1 

California.. .............................................................. 619 553 66 40 2 24 

Colorado ................................................................. 105 93 12 8 - 4 

Connecticut ............................................................ 65 46 19 11 3 5 

Delaware.. ............................................................... 15 IO 5 2 1 2 

District of Columbia ............................................... 19 14 5 2 . _ 3 

Florida .. .... ... . ... ... .. ... .. . .... .. . .... . .. ... .. . ..... . . .... . .. ... . .. .. .. 262 234 28 19 1 8 

201 179 22 16 6 

27 20 7 1 1 3 

50 47 3 2 1 

Illinois.. ................................................................... 281 251 30 20 9 

Indiana .................................................................... 139 120 19 13 5 

Iowa . .. ... ... .. .. ... ... .. .. .. .. .... .. . .... . .. .. .. .. . .... .. ..... .. .... . .. ... . 140 134 6 6 

Kansas.. .................. I.. .............................................. 164 155 9 8 1 

Kentucky ................................................................ 124 113 II 6 5 

Louisiana ................................................................ 

Maine ...................................................................... 

164 

55 

147 

53 

17 

2 

8 

2 

I - 9 

Maryland.. ............................................................... 86 58 28 13 4 1 10 

Massachusetts.. ........................................................ 190 122 68 25 19 1 23 

Michigan ................................................................. 244 214 .39 20 2 8 

Minnesota ............................................................... 186 175 11 8 3 

Mississippi ............................................................... 125 119 6 3 1 2 

Missouri .................................................................. 172 155 13 8 1 1 7 

Montana.. ................................................................ 68 66 2 1 1 

Nebraska ................................................................. 110 104 6 3 3 

Nevada .................................................................... 26 23 3 1 2 

New Hampshire.. ..................................................... 34 31 3 2 1 

New Jersey .............................................................. 138 110 28 14 2 12 

New Mexico ............................................................ 61 51 10 3 1 6 

New York ............................................................... 370 293 77 47 6 1 23 

North Carolina ........................................................ 165 140 25 12 3 10 

North Dakota.. ........................................................ 61 57 4 1 - 3 

Ohio ........................................................................ 244 209 35 24 1 10 

Oklahoma ............................................................... 145 137 8 6 1 1 

Oregon .................................................................... 87 79 8 4 4 

Pennsylvania ........................................................... 316 246 70 35 3 32 

Rhode Island.. ......................................................... 21 15 6 3 ,2 1 

South Carolina.. ...................................................... 87 79 8 5 1 2 

South Dakota.. ........................................................ 71 67 4 1 3 

Tennessee ................................................................ 176 154 22 13 3 6 

Texas ...................................................................... 573 525 48 23 2 23 

Utah.. ...................................................................... 44 40 4 1 1 2 

Vermont ................................................................. 19 17 2 2 

Virginia ................................................................... 138 108 30 18 1 11 

Washington ............................................................. 128 119 .9 5 4 

West Virginia.. ......................................................... 

Wisconsin ................................................................ 

84 

171 

73 

146 

11 

25 

6 

15 

3 : 2 

10 

Wyoming.. ............................................................... 31 29 2 2 _ . 

27 
Table 16. Number of hospital beds, by type of hospital and State: United States, 1978 

Specialty hospitals 

State 

United States ................................. 

Alabama ........................................................ 

Alaska.. .......................................................... 

Arizona .......................................................... 

Arkansas.. ...................................................... 

California ....................................................... 

Colorado.. ...................................................... 

Connecticut.. ................................................. 

Delaware.. ...................................................... 

District of Columbia. ..................................... 

Florida.. ......................................................... 

Georgia.. ........................................................ 

Hawaii ........................................................... 

Idaho.. ........................................................... 

Illinois ........................................................... 

Indiana .......................................................... 

Iowa .............................................................. 

Kansas ........................................................... 

Kentucky.. ..................................................... 

Louisiana.. ..................................................... 

Maine ............................................................. 

Maryland ....................................................... 

Massachusetts ................................................ 

Michigan.. ...................................................... 

Minnesota ...................................................... 

Mississippi ...................................................... 

Missouri ......................................................... 

Montana ........................................................ 

Nebraska.. ...................................................... 

Nevada.. ......................................................... 

New Hampshire ............................................. 

New Jersey .................................................... 

New Mexico.. ................................................. 

New York.. .................................................... 

North Carolina.. ............................................. 

North Dakota ................................................ 

Ohio .............................................................. 

Oklahoma.. .................................................... 

Oregon.. ......................................................... 

Pennsylvania.. ................................................ 

Rhode Island ................................................. 

South Carolina.. ............................................. 

South Dakota.. .............................................. 

Tennessee ...................................................... 

Texas.. ........................................................... 

Utah .............................................................. 

Vermont.. ...................................................... 

Virginia .......................................................... 

Washington .................................................... 

West Virginia ................................................. 

Wisconsin ....................................................... 

Wyoming ....................................................... 

All General 

hospitals hospitals 1 Total )) Psychiatric ) zi:: 1 Tuberculosis ) Other 

Number of beds 

1,350,097 1.074.733 275,364 212,431 

24,350 20,608 3,742 3,441 

1,695 1,495 200 200 

‘I 1,582 10,543 1,039 961 

12,855 12,324 531 442 

106,965 92,025 14,940 10,989 

14,887 12,442 2,445 2,105 

17.040 12,364 4,676 3,617 

4,185 2,637 1,548 638 

9,077 6,282 2,795 2,151 

56,025 47,703 8,322 7,485 

32,145 25,699 6,446 6,163 

3,836 2,925 911 199 

3,665 3,380 285 247 

69,963 62,113 7,850 5,453 

32,081 25,057 7,024 5,938 

19,916 17,549 2,367 2,367 

17,221 15,359 1,862 1,808 

18,663 16,800 1,863 1,522 

25,602 20,270 5,332 3,453 

6,837 5,851 986 986 

25,289 15,421 9,868 6,947 

42,694 26,842 15,852 7,864 

50,203 41,451 8,752 6,551 

29,358 24,874 4,484 3,728 

17,001 14,051 2,950 2,797 

35,787 29,949 5,838 3,951 

5,728 4,835 893 566 

11,657 10,475 1,182 564 

3,138 2,941 197 118 

4,715 3,810 905 863 

42,833 31,396 11,437 9,594 

6,145 4.733 1,412 1,001 

127,129 87,049 40,080 32,215 

32,802 25,250 7,552 6,354 

5,948 4,898 1,050 798 

63,342 53,308 10,034 8,496 

17,078 13,996 3,082 2,777 

11,785 9,773 2,012 1,866 

84,896 58,834 26,062 18,141 

6,304 3,692 2,612 1,343 

16,906 12,694 4,212 3,948 

5,676 4,484 1,192 664 

32.28 1 25,666 6,615 4,861 

79,157 67,662 11,495 9,193 

5,294 4,626 668 390 

3,027 2.470 557 557 

32,651 24,025 8,626 7,363 

16,122 13,949 2,173 2,053 

15,026 11,448 3,578 2,609 

29,008 24,876 4,132 3,396 

2,527 1,829 698 698 

19,842 2,639 40,452 

65 236 

78 

89 

178 3,773 

340 

377 682 

653 257 

644 

150 687 

283 

182 198 332 

38 

1,399 998 

134 952 

54 

341 

1,879 

1,122 339 1,460 < 

4,352 124 3,512 

590 1,611 

756 

) 25 128 

428 352 1,107 

327 

618 

79 

42 

349 1,494 

243 168 

3,548 60 4,257 

535 663 

252 

431 1,107 

231 74 

146 

2,143 5,778 

1,112 157 

166 98 

528 

1,333 ‘421 

275 2,027 

198 80 

262 1,001 

120 

,927 42 

736 

28 
Table 17. Number of hospital beds and beds per 1,000 population for all hospitals, general hospitals, and psychiatric hospitals, by 

State: United States, 1978 

- - -

T All hospitals T General hospitals T Psychiatric hospitals 

State 

United States ............................................. 

Alabama.. ................................................................... 

Alaska ........................................................................ 

Arizona ...................................................................... 

Arkansas .................................................................... 

California ................................................................... 

Colorado.. .................................................................. 

Connecticut ............................................................... 

Delaware.. .................................................................. 

District of Columbia .................................................. 

Florida ....................................................................... 

Georgia ...................................................................... 

Hawaii.. ...................................................................... 

Idaho ......................................................................... 

Illinois ........................................................................ 

Indiana ....................................................................... 

Iowa.. ......................................................................... 

Kansas.. ...................................................................... 

Kentucky ................................................................... 

Louisiana ................................................................... 

Maine ......................................................................... 

Maryland.. .................................................................. 

Massachusetts.. ........................................................... 

Michigan .................................................................... 

Minnesota .................................................................. 

Mississippi .................................................................. 

Missouri ..................................................................... 

Montana.. ................................................................... 

Nebraska .................................................................... 

Nevada ....................................................................... 

New Hampshire.. ........................................................ 

New Jersey.. ......................................... ...................... 

New Mexico ............................................................... 

New York .................................................................. 

North Carolina.. ......................................................... 

North Dakota.. ........................................................... 

Ohio ........................................................................... 

Oklahoma .................................................................. 

Oregon ....................................................................... 

Pennsylvania .... .......................................................... 

Rhode Island.. ............................................................ 

South Carolina.. ......................................................... 

South Dakota.. ........................................................... 

Tennessee.. ................................................................. 

Texas ......................................................................... 

Utah.. ......................................................................... 

Vermont .................................................................... 

Virginia ...................................................................... 

Washington ................................................................ 

West Virginia.. ............................................................ 

Wisconsin ................................................................... 

Wyoming.. .................................................................. 

Beds Beds Beds 

Beds per 1,000 Beds per 1,000 Beds per !,OOO 

population population population 

1,350,097 6.2 1.074.733 4.9 212,431 1.0 

24,350 6.5 20,608 5.5 3,441 0.9 

1,695 4.1 1,495 3.6 200 0.5 

11,582 4.9 10,543 4.4 961 0.4 

12,855 5.9 12,324 5.7 442 0.2 

106,965 4.8 92,025 4.1 10,989 0.5 

14,887 5.5 12,442 4.6 2,105 0.8 

17,040 5.5 12,364 4.0 3,617 1.2 

4,185 7.2 2,637 4.5 638 1.1 

9,077 13.5 6,282 9.4 2,151 3.2 

56,025 6.5 47,703 5.5 7,485 0.9 

32,145 6.3 25,699 5.1 6,163 1.2 

3,836 4.3 2,925 3.2 199 0.2 

3,665 4.2 3,380 3.8 247 0.3 

69,963 6.2 62,113 5.5 5,453 0.5 

32,081 6.0 25,057 4.7 5,938 1.1 

19,916 6.9 17,549 6.0 2,367 0.8 

17,221 7.3 15,359 6.5 1,808 0.8 

18,663 5.3 16,800 4.8 1,522 0.4 

25,602 6.4 20,270 5.1 3,453 0.9 

6,837 6.3 5,851 5.4 986 0.9 

25,289 6.1 15,421 3.7 6,947 1.7 

42,694 7.4 26,842 4.7 7,864 1.4 

50,203 5.5 41,451 4.5 6,551 0.7 

29,358 7.3 24,874 6.2 3,728 0.9 

17,001 7.1 14,051 5.9 2,797 1.2 

35,787 7.4 29,949 6.2 3,951 0.8 

5,728 7.3 4,835 6.2 566 0.7 

11,657 7.4 10,475 6.7 564 0.4 

3,138 4.7 2,941 4.4 118 0.2 

4,715 5.4 3,810 4.4 863 1 .o 

42,833 5.9 31,396 4.3 9,594 1.3 

6,145 5.1 4,733 3.9 1,001 0.8 

127,129 7.2 87,049 4.9 32,215 1.8 

32,802 5.9 25,250 4.5 6,354 1.1 

5,948 9.1 4,898 7.5 798 1.2 

63,342 5.9 53,308 5.0 8,496 0.8 

17,078 6.0 13,996 4.9 2,777 1.0 

11,785 4.8 9,773 4.0 1,866 0.8 

84,896 7.2 58,834 5.0 18,141 1.5 

6,304 6.8 3,692 4.0 1,343 1.4 

16,906 5.8 12,694 4.4 3,948 1.4 

5,676 8.2 4,484 6.5 664 1 .o 

32,281 7.5 25,666 5.9 4,861 1 .I 

79,157 6.1 67,662 5.2 9,193 0.7 

5,294 4.0 4,626 3.5 390 0.3 

3,027 6.2 2,470 5.1 557 111 

32,651 6.3 24,025 4.6 7,363 1.4 

16,122 4.3 13,949 3.7 2,053 0.5 

15,026 8.1 11,448 6.2 2,609 1.4 

29,008 6.2 24,876 5.3 3,396 0.7 

2,527 5.9 1,829 4.3 698 1.6 

29 
Table 18. Number of hospitals, by type of hospital and bed size: United States, 1978 

T Specialty hospitals 

Bed size1 .All General 

hospitals iospitals Total Psychiatric Chronic Tuberculosis Other disease 

All bed sizes.. .......................................... 7.159 6,270 889 500 59 15 315 

Less than 25 beds.. .................................................. 390 345 30 

25-49 beds .............................................................. 1,305 1,181 2 65 

50-74 beds .............................................................. 835 719 7 51 

75-99 beds .............................................................. 744 656 3 37 

100-I 99 beds.. ........................................................ 1,543 1,376 16 61 

200-299 beds .......................................................... 812 757 8 17 

300499 beds .......................................................... 764 687 11 19 

500899 beds .......................................................... 453 341 8 15 

1,000 beds or more.. ............................................... 313 208 4 20 

1Hospitals with less than 6 beds are not included in the Annual Survey of Hospitals. 

Table 19. Number of hospitals, by type of hospital and type of ownership: United States, 1978 

Specialty hospitals 

Type of ownership All General 

hospitals hospitals Total Psychiatric Chronic Tuberculosis Other disease 

Nonprofit.. .............................................................. 3,594 3,320 274 90 16 2 166 

Church ............................................................... 743 706 37 12 21 

Number of hospitals 

All types of ownership.. .......................... 7.159 6.270 t 889 500 59 15 315 

Government.. .......................................................... 2,607 2,192 415 286 40 13 76 

Federal.. ............................................................. 371 342 29 24 5 

State and local ................................................... 2,236 1,850 386 262 40 13 71 

Proprietary.. ............................................................ 958 758 200 124 3 73 

Other ................................................................. 2,851 !2,614 237, 78 12 

4 

2 145 

Table 20. Number of hospital beds, by type of hospital and type of ownership: United States, 197.8 

Specialty hospitals 

All General Type of ownership hospitals hospitals Total Psychiatric disease Tuberculosis Other Chronic 

Number of beds 

All types of ownership.. ................. 1,350,097 1,074,733 275,364 212,431 19,842 1 2,639 40,452 

Government ................................................... 540,253 309,023 231,230 192,788 16,533 2,461 19,448 

Federal ..................................................... 120,609 95,142 25,467 23,056 2,411 

State and local .......................................... 419,644 213,881 205,763 169,732 16,533 2,461 17,037 

Proprietary .................................................... 98,148 83,757 14,391 10,297 288 3,806 

Nonprofit ...................................................... 711.696 68 1,953 29,743 9,346 3,021 178 17,198 

Church.. .................................................... 192,009 188,529 3,480 1,173 261’ 2,046 

Other.. ...................................................... 519,687 493,424 26,263 8,173 2,760 178 15,152 

30 
Table 21. Selected characteristics of general hospitals, by State: United States, 1978 

Average Admissions. Discharges 

State daily Admissions daily census per 100,000 per 100.000 

census per 100,000 population population population 

Number Rate 

United States.. ........ 791,060 36.359.395 36.526.248 288.528.364 362 16,661 16,738 

Alabama ................................. 15,032 739,499 735,929 5.489.846 403 19,836 19,741 

Alaska.. ................................... 904 54,614 54,955 329,566 220 13,288 13,371 

Arizona.. ................................. 7,640 382,100 382,598 2,785,510 322 16,102 16,123 

Arkansas.. ............................... 8,762 437,364 435,333 3,198,099 404 20,183 20,082 

California ................................ 61,221 3.256.310 3,267,768 22.303.039 274 14,593 14,644 

Colorado ................................. 8,661 451,208 455,403 3,151,737 320 16,674 16,829 

Connecticut.. .......................... 9,553 434,487 436.606 3,485,784 307 13,944 14,012 

Delaware.. ............................... 2,019 79,829 79,563 736,922 346 13,669 13,624 

District of Columbia ............... 4,941 186,894 188,023 1.803.909 736 27,835 s 28,021 

Florida .................................... 34,095 1,610,838 1,617,670 12,412,928 394 18,599 18,678 

Georgia ................................... 17,543 938,573 927,279 6,389,331 346 18,494 18,272 

Hawaii .................................... 2,228 100,891 100,929 800.987 247 11,185 11,189 

Idaho.. .................................... 2,219 132,550 132,540 809,912 252 15,028 15,027 

Illinois .................................... 46,791 2,007,581 2,011,207 17,081,443 416 17,864 17,896 

Indiana ................................... 18,920 878,087 879,187 6.906,647 351 16,303 16,324 

Iowa ....................................... 11,782 569,805 574,120 4,300,649 405 19,608 19,756 

Kansas .................................... 10,583 458,785 463,588 3.860.419 451 19,548 19,752 

Kentucky.. .............................. 12,889 639,216 638,819 4,703,839 369 18,316 18,304 

Louisiana.. .............................. 13,966 742,762 748,202 5,097,732 350 18,634 18,771 

Maine ...................................... 4,305 183,184 184.024 1.569.409 394 16,775 16,852 

Maryland ................................ 12,500 532,572 533,018 4,540,858 301 12,839 12,850 

Massachusetts ......................... 21,143 873,244 868,179 7,718,449 366 15,132 15,044 

Michigan ................................. 31,646 1.455.389 1,460,977 11.547.636 345 15,852 15,913 

Minnesota ............................... 17,457 708,053 717,435 6,373,184 434 17,596 17,829 

Mississippi.. ............................. 10,135 490,750 488,386 3,701,671 422 20,448 20,349 

Missouri .................................. 22,116 955,042 961,557 8.070,092 456 19,704 19,838 

Montana ................................. 3,093 142,450 142,736 1 ,I 27,036 397 18,263 18,299 

Nebraska.. ............................... 6,999 300,493 304,247 2,556,224 446 19,152 19,391 

Nevada.. .................................. 1,966 106,175 104,030 717,625 295 15,942 15,620 

New Hampshire ...................... 2,761 135,389 134,635 1,006,572 318 15,580 15,493 

New Jersey ............................. 25,667 1,056,752 1.064.171 9,368,119 351 14,446 14,548 

New Mexico.. .......................... 3,155 191,463 191,274 1 ,152,673 260 15,758 15,743 

New York.. ............................. 72,385 2,564,528 2,657,466 26,422,447 408 14,451 14,975 

North Carolina.. ...................... 19,313 885,062 886,451 7,046,155 347 15,887 15,912 

North Dakota ......................... 3,250 143,809 147,504 1 ,185,988 498 22,023 22,589 

Ohio ....................................... 41,570 1,808,032 1,815,599 15,167,486 387 16,847 17,037 

Oklahoma ......................... , ..... 9,366 514,876 514,390 3,412,436 330 18,117 18,100 

Oregon.. .................................. 6,570 370,325 369,855 2.387.234 268 15,103 15,084 

Pennsylvania.. ......................... 45,909 1.907.204 1,914,285 16,753,042 390 16,213 16,274 

Rhode Island .......................... 

South Carolina.. ...................... 

South Dakota.. ....................... 

Tennessee ............................... 

Texas.. .................................... 

Utah ....................................... 

Vermont.. ............................... 

Virginia ................................... 

Washington ............................. 

West Virginia .......................... 

Wisconsin ................................ 

Wyoming ................................ 

3,029 

9,297 

2,727 

19,159 

46,380 

3,154 

1,833 

18,147 

9,415 

8,437 

17,364 

1,063 

128,274 

465,881 

140,901 

927,564 

2,421,347 

207,624 

75,424 

769,323 

571,767 

389,433 

768,257 

67.415 

128,306 

469,139 

141,382 

923,640 

2.419,293 

199,617 

75,893 

781,410 

570,817 

390.347 

769,533 

66,933 

1 ,105,656 

3,384,282 

995,401 

6.988.934 

16,901,735 

1,151,129 

662,304 

6,625,192 

3,435,571 

3,080,184 

6,337,278 

388,063 

325 

320 

395 

442 

355 

240 

376 

351 

248 

453 

371 

250 

13,763 

16,054 

20,420 

21,407 

18,564 

15,777 

15,487 

14,860 

15,074 

20,926 

16,405 

15,862 

13,767 

16,166 

20,490 

21,316 

18,539 

15,168 

15,394 

15,094 

15,049 

20,975 

16,432 

15,749 

31 
Table 22. Selected characteristics of specialty hospitals, by State: United States, 1978 

Average Average Admission- Discharges 

State daily Admissions Discharges Inpatient daily census per 1P^ ,“,“InZO per 100,000 days per 100,000 popularl”l population ‘-“-1 population 

Number Rate 

United States .............. 225,805 1,161,269 1 ,I 47,484 82,401,353 103 532 526 

Alabama ..................................... 3,055 15,841 17,025 1 ,I 14,894 82 425 457 

Alaska.. ....................................... 143 412 580 52,259 35 100 141 

Arizona.. ..................................... 752 5,662 5,741 275,098 32 239 242 

Arkansas.. ................................... 316 3,861 3,876 115,284 15 178 179 

California.. .................................. 11,797 88,506 85,726 4,306,671 53 397 384 

Colorado.. ................................... 1,778 11,962 12,154 649,595 66 442 449 

Connecticut.. .............................. 3,938 21,045 21,687 1.437.775 126 675 696 

Delaware.. ................................... 1,415 3,611 4,402 516,327 242 618 754 

District of Columbia.. ................. 2,672 19,429 19,422 975,395 398 290 289 

Florida.. ...................................... 7,023 37,081 36,977 2,562,731 81 428 427 

Georgia.. ..................................... 5,263 40,778 35,657 1,921,219 104 804 703 

Hawaii ........................................ 696 15,094 14,974 253,961 77 167 166 

Idaho.. ........................................ 222 1,346 1,297 81,103 25 153 147 

Illinois ........................................ 6,661 40,883 34,738 2,431,698 59 364 309 

Indiana ....................................... 5,610 14,064 14,393 2,046,963 104 261 267 

Iowa ........................................... 1,973 7,273 7,343 719,733 68 250 253 

Kansas ........................................ 1,519 6,145 6,225 554,898 65 262 265 

Kentucky.. .................................. 1,371 10,868 10,923 500,184 39 311 313 

Louisiana.. .................................. 3,581 39,284 39,353 1,307,343 90 986 987 

Maine .......................................... 624 1,777 1,802 227,907 57 163 165 

Maryland ................................... 7,822 29,640 29,233 2.855.193 189 715 705 

Massachusetts ............................. 13,228 63,046 67,036 4.829.21 a 229 109 116 

Michigan.. ................................... 7,305 40,995 39,998 2.653.161 80 447 436 

Minnesota .................................. 3,495 12,290 12,686 1,275,422 87 305 315 

Mississippi.. ................................ 2,305 9,264 9,867 841,342 96 386 412. 

Missouri ..................................... 4,440 30.687 27,824 I,61 6,121 92 633 574 

Montana .................................... 567 3,180 3,215 207,012 73 408 412 

Nebraska.. ................................... 914 5,503 5,391 333,707 58 351 344 

Nevada.. ..................................... 134 6,165 6,240 48,897 20 926 937 

New Hampshire ......................... 862 .4,202 4,360 314,691 99 484 502 

New Jersey ................................ 9,608 35,010 32,965 3,507,41 c 131 479 451 

New Mexico.. ............................. 1,009 5,823 5,808 368,371 83 479 478 

New York.. ................................ 35,611 140,283 139,823 12,997,86E 201 791 788 

North Carolina. .......................... 5,639 43.040 42,979 2,058,221 101 773 771 

North Dakota ............................ 878 3,993 4.003 320,696 134 611 613 

Ohio .......................................... 8,575 32,989 35.196 3,129,064 80 307 328 

Oklahoma.. ................................ 2,309 13,921 13,957 843,233 81 490 491 

Oregon.. ..................................... 1,126 8,687 8,709 410,595 46 354 355 

Pennsylvania.. ............................. 21,476 92,050 88,282 7.838.902 183 783 751 

Rhode Island .............................. 2,495 18,651 18,825 910,470 268 200 202 

South Carolina ............................ 3,607 8,544 8,716 1,316,624 124 294 300 

South Dakota ............................. 1,028 4,255 4,380 375,142 149 617 635 

Tennessee ................................... 5,722 23,305 23,751 2,088,527 132 538 544 

Texas.. ........................................ 9,062 61,084 59,499 3.307.105 69 468 456 

Utah ........................................... 490 1,565 1,558 178,820 37 119 118 

Vermont.. ................................... 467 1,225 1,196 170,123 96 252 246 

Virginia ....................................... 6,449 30,629 31,270 2.352.802 125 592 604 

Washington.. ............................... 1,766 13,217 12,123 644,751 47 348 320 

West Virginia .............................. 3,121 9,236 9,940 1 ,I 39,223 168 496 534 

Wisconsin.. .................................. 3,357 21,570 22,040 1.224,564 72 461 471 

Wyoming .................................... 529 2,298 2,319 193,054 124 541 546 

32 
Table 23. Average daily census and number of inpatient days for specialty hospitals, by type of hospital and State: United States, 1978

- - T All specialty Psychiatric 

hospitals hospitals 

state Average 

daily 

census 

Inpatient 

days 

Average 

daily 

census 

Inpatient 

days 

United States .................. 225,805 82.401.353 175.788 64.150.477 -

Alabama ......................................... 3,055 1 ,114,894 2,885 1,052,859 

Alaska ............................................. 143 52,259 143 52,259 

Arizona ........................................... 752 275,098 713 260,802 

Arkansas ......................................... 318 115,284 278 100,860 

California ........................................ 11,797 4.308.671 8,942 3.264.041 . Colorado ......................................... 1.778 649,595 1,676 612,150 

Connecticut .................................... 3,938 15137,775 2,991 1,092,058 

Delaware .......................................... 1,415 516,327 578 211,035 

District of Columbia.. ..................... 2,672 975,395 2,184 797,388 

Florida ............................................ 7,023 2.562.731 6,366 2.322.994 

Georgia ........................................... 5,263 1,921,219 5,098 1,860,848 

Hawaii ............................................ 696 253,961 142 51,669 

Idaho .............................................. 222 81,103 191 69,670 

Illinois ............................................ 6,661 2.431.698 4,599 1.678.757 

Indiana ........................................... 5,610 2.046.983 4,755 1,734,946 

Iowa ............................................... 1,973 719,733 1,973 719,733 

Kansas ............................................ 1,519 554,898 1,476 539,064 

Kentucky.. ...................................... 1.371 500,184 1,218 444,422 

Louisiana ........................................ 3,581 1,307,343 2,321 847,724 

Maine .............................................. 624 227.907 624 227,907 

Maryland ........................................ 7,822 2,855,193 5,537 2.021.124 

Massachusetts ................................. 13,228 4.829.210 6,613 2,413,592 

Michigan ......................................... 7,305 2.653.161 5,546 2.010.935 

Minnesota ....................................... 3,495 1,275.422 2,916 1.063.944 

Mississippi ....................................... 2,305 641,342 2,187 798,351 

Missouri .......................................... 4,440 1,816,121 3,091 1.128.267 

Montana ......................................... 567 207,012 439 160,248 

Nebraska.. ....................................... 914 333,707 450 164<489 

Nevada.. .......................................... 134 48,897 88 32,282 

New Hampshire .............................. 862 314,691 827 301,941 

New Jersey ..................................... 9,608 3.507,410 8,141 2.971.518 

New Mexico.. ............................... .:. 1,009 368,371 695 253,736 

New York ....................................... 35,611 12.997.862 28,870 10.537.655 

North Carolina.. .............................. 5,639 2.058.221 4.813 1.756.730 

North Dakota ................................. 878 320,696 692 252,562 

Ohio ............................................... 8,575 3.129.064 7.273 2.654.545 

Oklahoma ....................................... 2,309 843,233 2,072 756,744 

Oregon.. .......................................... 1,126 410,595 1,055 384,979 

Pennsylvania ................................... 21,476 7,838,902 14,620 5.336.092 

Rhode Island .................................. 2,495 910,470 1,320 481.817 

South Carolina.. .............................. 3,607 1.316.624 3,443 1.256.754 

South Dakota ................................. 1,028 375,142 577 210,605 

Tennessee ....................................... 5,722 2,088,527 4,337 1,583,075 

Texas.. ............................................ 9,062 3.307.105 7,422 2,709,108 

Utah ............................................... 490 178,820 311 113,365 

Vermont.. ....................................... 467 170,123 467 170,123 

Virginia.. ......................................... 6,449 2.352.802 5,586 2.038.848 

Washington ..................................... 1,766 644,751 1,691 617,445 

Wart Virginia .................................. 3,121 1.139.223 2,312 843,943 

Wisconsin.. ...................................... 3,357 1.224.564 2.717 991,620 

Wyoming ........................................ 529 193,054 529 193,054 

-

r Chronic disease Tuberculosis 

hospitals T hospitals 

berage Average 

daily daily days 

17,588 6,420,102 1,668 608,391 - - -

28 10,098 

80 29,106 

337 122,963 

639 233,081 

105 38,273 

162 59,247 178 64,075 

1,286 469,568 

121 44,059 

1,035 377,862 185 67.464 

3.707 1,353,930 83 30,464 

509 185,746 

20 7,207 

381 139,134 257 93,833 

267 97,718 

215 78,527 

3,212 1.171.954 48 17,470 

387 133,955 

381 138.897 

180 65,665 

2,023 738,349 

1,061 387,200 

98 35,052 

1.111 405,656 

191 69,673 

125 45,603 

80 29,026 

788 287,638 

Other specialty 

hospitals 

Average Inpatient daily days census 

30,761 11,222,383 - -

142 51,937 

39 14,296 

40 14,624 

2,775 1,013,524 

102 37,445 

610 222,754 

198 72.211 

488 178,007 

552 201,464 

185 60,371 

216 78,970 

31 11.433 

776 283,373 

734 267,958 

43 15,834 

153 55,762 

1,280 459,619 

1,065 388.743 

2,825 1.031.224 

1.250 456,480 

579 211.478 

98 35,764 

711 254,887 

128 46.764 

464 169,218 

46 16,615 

35 12,750 

1,200 438.174 

99 36,108 

3,481 1.270.783 

459 167,536 

186 68,134 

921 335,822 

57 20,824 

71 25,616 

4,833 1.764.461 

41,453 

' 'i;: 24.818 

451 164,537 

274 99,796 

1,449 528,324 

54 19,852 

783 284,928 

75 27,306 

21 7,642 

640 232,944 

33 
Table 24. Number of employees in general hospitals, by employment status and bed size of hospital: United States, 1976 

Employment status 

Bed size1 

Full time Part time Full-time 

equivalent 

All bed sizes................................................................................................................. 2,611,266 690,757 2.679.734 

6-9 beds.. ..................................................................................................................................... 109 42 124 

1O-24 beds.. ................................................................................................................................. 13,334 4,731 15,634 

2549 beds ............................................ ....................................................................................... 73,223 27,137 66,673 

50-74 beds.. ................................................................................................................................. 66,953 31,450 104,463 

75-99 beds ................................................................................................................................... 104,731 37,090 123,067 

loo-199 beds.. ............................................................................................................................. 41 a,41 3 133,609 462,204 

200-299 beds ............................................................................................................................... 429,562 130,136 469,102 

300499 beds.. ............................................................................................................................. 694,333 166,264 764,900 

500 beds or more.. ....................................................................................................................... 766,566 140,296 613,547 

\ 

IHospitals with less than 6 beds are not included in the Annual Survey of Hospitals. 

Table 25. Number of employees in general hospitals, by employment status and type of ownership of hospital: Uni,ted States, 1976 

I Employment status 

Type of ownership 

Full time Part time Full-time 

equivalent 

All types of ownership.. ............................................................................................... 2,611,266 690,757 2,679,734 

Government.. ............................................................................................................................... 774,191 132,091 606.660 

Federal ................................................................................................................................... 246,171 . 16,576 243,416 

State and local ........................................................................................................................ 526,020 113,513 563,262 

Proprietary .................................................................................................................... . ............. 147,654 43,616 169,155 

Nonprofit .................................................................................................................................... 1,669,421 515,046 1,903,699 

Church.. .................................................................................................................................. 456,623 150,324 524,667 

1,230,796 364,724 1,379,012 

Table 26. Number of employees in general hospitals, by employment status, geographic region, and division: United States, 1978 -

r Employment status 

Full time Part time equivalent 

United States ............................................................................................. ., ................ 2,611,266 690,757 2,679,734 

Northeast.. ................................................................................................................................... 615,204 166,656 ” 675,566 

New England .......................................................................................................................... 151,135 59,361 175,656 

Middle Atlantic ....................................................................................................................... 464,069 109,275 499,910 

North Central .............................................................................................................................. 706,661 250,019 614,495 

East North Central.. ................................................................................................................ 502,256 161,204 566,550 

West North Central .................................................................................................................. 206,605 66,615 ,245,945 

South .............................. t.. .............................. . ........................................................................ .:. 660,396 149,665 - 913,445 

South Atlantic ................................ , ....................................................................................... 427,667 73,769 452,696 

East South Central.. ................................................................................................................ 170,392 29,560 162,307 

West South Central ................................................................................................................. 262,137 46,536 276,240 

West ............................................................................................................................................. 426,605 122,197 476,226 

Mountain ................................................................................................................................ 111,313 30,127 124,460 

Pacific ..................................................................................................................................... 315,492 92,070 351,746 

Geographic region and division Full-time 

34 
Table 27. Number of full-time and part-time employees in general hospitals, by employment status and occupation: United States, 

1978 

Employment status 

Occupation 

I Full time Part time 

All employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........... 2,611,266 690,757 

Physicians and dentists.. .................................................................................................................................... 32,938 16,680 

Medical residents ............................................................................................................................................... 61,018 3,944 

Dental residents ................................................................................................................................................ 1,422 159 

Other trainees ................................................................................................................................................... 10,131 4,605 

Registered nurses .............................................................................................................................................. 474,919 175,281 

Licensed practical nurses ................................................................................................................................... ~ 199,166 63,518 

All other personnel ........................................................................................................................................... 1,831,672 426,570 

Table 28. Number of general hospitals reporting outpatient visits, by bed size, and number of visits, by type of visit and bed size: 

United States, 1978 

General 

hospitals Type of visit 

Bed size1 reporting Total Emergency Other visits 

All bed sizes.. ................................................................................ 6,237 252,427,553 82.495.442 169,932,111 

6-9 beds ........................................................................................................ 10 88,381 3,793 84,588 

1 O-24 beds .................................................................................................... 332 3.919,383 597,411 3,321,972 

2549 beds .................................................................................................... 1,171 13.636.743 3.467.722 IO,1 69,021 

50-74 beds .................................................................................................... 824 10,947,854 3,937,273 7,010,581 

75-99 beds .................................................................................................... 654 13,750.240 4:689,101 9,061,139 

100-I 99 beds ................................................................................................ 1,428 44,844,OOl 16,826,024 28,017,977 

200-299 beds ................................................................................................ 757 39,654,596 15.494.214 24,160,382 

300-499 beds ................................................................................................ 684 63,248,089 20.437,348 42,810,741 

500 beds or more .......................................................................................... 377 622.338.266 17,042,556 45,295,710 

IHospitals with less than 6 beds are not included in the Annual Survey of Hospitals. 

Table 29. Number of general hospitals reporting outpatient visits, by type of ownership, and number of visits, by type of visit and type 

of ownership: United States, 1978 

1 General 

hospitals Type of.visit 

Type of ownership reporting Total Other visits 

Nonprofit.. .................................................................................................... 3,310 140.838.263 52,526,149 8X,31 2,114 

Church ..................................................................................................... 706 31.662.208 12,738,886 18,923,322 

All types of ownership . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,237 252,427,553 II 82,495,442 169.932.111 

Government.. ................................................................................................ 2,187 102.468.836 25.127.133 77,341,703 

Federal.. ................................................................................................... 342 48,020,729 5,912,055 42,108,674 

State and local ......................................................................................... 1,845 54448,107 19,215,078 35,233,029 

Proprietary.. .................................................................................................. 740 9,120,454 4842,160 4,278.294 

Other ....................................................................................................... 2,604 AL 109,176,055 39,787,263 69,388,792

. . 

35 * 
Table 30. Number of general hospitals reporting outpatient visits, by geographic region and division, and number of visits, by type of 

visit, geographic region, and division: United States, 1978 

-

General 

hospitals T Type of visit 

Geographic region and division 

reporting Total Emergency ’ Other visits 

United States.. .............................................................................. 6,237 252,427,553 82,495,442 169,932,111 

Northeast.. .................................................................................................... 930 65.054.163 20,446,769 44,607.394 

New England.. .......................................................................................... 282 17,080,346 5,803.634 11,276,712 

Middle Atlantic.. ...................................................................................... 648 47,973,817 14,643,135 33,330,682 

North Central ................................................................................................ 1,778 60.677.698 20,240,547 40,437,151 

East North Central.. ................................................................................. 933 44.259.958 14,956,929 29,303,029 

West North Central .................................................................................. 845 16,417,740 5,283,618 11 ,I 34,122 

2,312 74,071,810 26.753,078 47,318,732 I 

South Atlantic ......................................................................................... 888 39,627,477 14.316.222 25,311,255 

East South Central ................................................................................... 522 12,361,397 4.974.648 7,386,749 

West South Central .................................................................................. 902 22,082,936 7,462,208 14,620,728 

West.. ............................ . ............................................................................... 1,217 52,623,882 15,055,048 37.568.834 

Mountain ................................................................................................. 426 14,285,797 3,955,307 10.330.490 

Pacific.. .................................................................................................... 791 38,338,085 11,099,741 27,238,344 

Table 31. Number of employees in specialty hospitals, by employment status and bed size of hospital: United States, 1978

-

T Employment status 

Bed size 1 

Full time Part time Full-time 

equivalent 

All bed sizes. ................................................................................................................ 362,303 33,569 374,307 

6-9 beds.. ....................................................................................................................................... 83 45 105 

1 O-24 beds.. ................................................................................................................................... 1,963 610 2,261 

25-49 beds.. ................................................................................................................................... 10,405 2,371 11,256 

50-74 beds.. ................................................................................................................................... 14,587 4,141 16,306 

75-99 beds.. ................................................................................................................................... 12,942 3,108 14,353 

100-l 99 beds.. ............................................................................................................................... 47,273 8,672 50,592 

200-299 beds.. ............................................................................................................................... 19,301 ) 2,590 20,383 

300-499 beds.. ............................................................................................................................... 46,654 3,459 47,584 

500 beds or more ...................................................................... .:. ................................................ 209,095 8,573 211,467 

IHospitals with less than 6 beds are not included in the Annual Survey of Hospitals. 

Table 32. Number of employees in specialty hospitals, by employment status and type of ownership of hospital: United States, 1978

-

T Employment status 

Type of ownership 

Full time Part time Full-time 

equivalent 

All types of ownership .................................................................................................. 362,303 33,569 374,307 

Government .................................................................................................................................. 283,146 14,196 287,119 

33,104 2,621 34,155 

State and local.. ........................................................................................................................ 250,042 11,575 252,964 

Proprietary.. .................................................................................................................................. 18,339 5,771 21,063 

Nonprofit.. .................................................................................................................................... 60,818 13.602 66,125 

Church ..................................................................................................................................... 6,039 2,179 7,080 

Other.. ................................................................................................................................... i .. 54,779 11,423 59,045 
Table 33. Number of employees in specialty hospitals, by employment status, geographic region, and division: United States, 1978 

-

T Employment status 

Geographic region and division 

Full time Part time Full-time 

equivalent 

United States. ................................................................................................................ 362,303 33,569 374.307 -

Northeast ...................................................................................................................................... 140,166 14,115 145,139 

New England ............................................................................................................................ 38,448 5,929 40,936 

Middle Atlantic ........................................................................................................................ 101,718 8,186 104,203 

North Central ................................................................................................................................ 73,130 7,146 75,881 

East North Central ................................................................................................................... 49,490 5,482 51,676 

West North Central.. ................................................................................................................. 23.640 1,664 24.205 

South ............................................................................................................................................ 111,156 7,739 113,792 

, South Atlantic .......................................................................................................................... 63,363 4,518 65,031 

East South Central ................................................................................................................... 18,147 1,156 18,574 

West South Central.. ................................................................................................................. 29,646 2,065 30,187 

West .............................................................................................................................................. 37,851 4,569 39,495 

Mountain .................................................................................................................................. 9,908 1,048 10,209 

Pacific ...................................................................................................................................... 27,943 3,521 29,286 

Table 34. Number of full-time and part-time employees in specialty hospitals, by employment status and occupation: United States, 

1978 

Employment status 

Occupation 

Full time Part time

I 

All employees .. . . . . . . . . . 1. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........... 1 362,303 1 33,569 

Physicians and dentists ....................................................................................................................................... 8,283 3,184 

Medical residents ................................................................................................................................................ 2,578 264 

Dental residents.. ................................................................................................................................................ 56 7 

Other trainees.. ................................................................................................................................................... 1,765 465 

Registered nurses ................................................................................................................................................ 34,138 5,948 

Licensed practical nurses .............................................................. .:. ................................................................... 20,901 1,841 

All other personnel ............................................................................................................................................. 294,582 21,860 

Table 35. Number of specialty hospitals reporting outpatient visits, by bed size, and number of visits, by type of visit and bed size: 

United Stat&l978 

I 

Specialty Type of visit , 

Bed size1 hospitals 

reporting 

I visits Total Emergency Other 

All bed sizes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 610 11.739.516 862,997 10,876,519 

6-9 beds.. .............................................................................. +.............................. 5 42,829 1,773 41,056 

1 O-24 beds.. ......................................................................................................... 34 205,741 18,052 187,689 

25-49 beds.. ......................................................................................................... 91 897,375 78,677 818,698 

50-74 beds.. ......................................................................................................... 99 998,544 40,800 957,744 

75-99 beds.. ......................................................................................................... 62 563,480 32,649 530,831 

loo-199 beds.. ..................................................................................................... 138 2.587.919 247,074 2,340,845 

200-299 beds.. ........... .._ ...................................................................................... 37 510,090 39,009 471,081 

300499 beds.. ................. .:..........;. ...................................................................... 45 1.689.257 194,350 1,584,907 

500 beds or more.. ............................................................................................... 99 4,244,281 300,613 3,943,668 

IHospitals with less than 6 beds are not included in the Annual Survey of Hospitals. 

37 
Table 36. Number of specialty hospitals reporting outpatient visits, by type of ownership, and number of visits, by type of visit and 

type of ownership: United States, 1978 

-

Specialty Type of visit 

Type of ownership hospitals 

reporting 

visits Total Emergency Other 

All types of ownership . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . 11,739,516 862,997 10,876,519 

Government ......................................................................................................... 257 7,081,069 442,646 6,638,423 

Federal ........................................................................................................... 29 2.386.306 258,911 2,127,395 

State and local.. .............................................................................................. 228 4,694,763 183,735 4,511,028 

Proprietary .......................................................................................................... 115 761,180 102,385 658,795 

Nonprofit.. .......................................................................................................... 238 3,897,267 317,966 3,579,301 

Church ............................................................................................................ 29 248,776 17,861 230,915 

Other.. ............................................................................................................ 209 3.648.491 300,105 3,348,386 

Table 37. Number of specialty hospitals reporting outpatient visits, by geographic region and division, and number of visits, by type of 

visit, geographic region, and division: United States, 1978 

Specialty 

Geographic region and division hospitals 

reporting 

visits 

United States . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 610 11,739,516 862,997 

199 

73 

126 

139 

97 

42 

186 

99 

32 

55 

86 

30 

56 

Total Emergency 

5044,388 319,457 

1 ,I 52,859 86,779 

3,891,529 232,678 

2.950,627 329,144 

1.300.268 55,579 

1.650.359 273,565 

2,408,186 145,117 

1 ,I 13,368 100,193, 

313,139 8,565 

981,679 36,359 

1,336,315 69,279 

442,874 13,129 

893,441 56,150 

Type of visit 

Northeast.. ........................................................................................................... 

New England .................................................................................................. 

Middle Atlantic ............................................................................................... 

North Central ...................................................................................................... 

East North Central.. ........................................................................................ 

West North Central ......................................................................................... 

South ................................................................................................................... 

South Atlantic.. .............................................................................................. 

East South Central.. ........................................................................................ 

West South Central ......................................................................................... 

West.. ................................................................................................................... 

Mountain.. ...................................................................................................... 

Pacific.. ........................................................................................................... 

Other 

10,876,519 

4‘724,931 

1,066,080 

3,658,851 

2,621,483 

1.244,689 

1,376,794 

2,263,069 

1 ,013,175 

304,574 

945,320 

1,267,036 

429,745 

837,291 

38 
APPENDIXES 

CONTENTS 

I. Methodology ............................. :. ................................................................................................... 49 

Nursing Homes and Other Inpatient Health Facilities ............................................................... 49 

Hospitals ................................................................................................................................... 41 

II. The Cooperative Health Statistics System ...................................................................................... 42’ 

III. Questionnaires ................................................................................................................................ 44 

1978 Master Facility Inventory Survey (Nursing Homes) .......................................................... 45 

1978 Annual Survey of ,Hospitals .............................................................................................. 52 

IV. Definitions of Certain Terms Used in This Report.. ........................................................................ 55 

Nursing Homes .......................................................................................................................... 55 

Hospitals.. .................................................................................................................................. 55 

Nursing Homes and Hospitals.. .................................................................................................. 55 

APPENDIX TABLES 

I. Data on nursing homes and other inpatient health facilities collected by States in the Cooperative 

Health Statistics System: United States, 1976 and 1978 ... .... . .... . . .... .. ... ... .. .. ... .. . ... .. .. ... .. .. .... .. ..... . .. . 43 

II. States included in the four geographic regions .... . .. .... . .. .... .. ... .... . . ... .. . .. .. .. .. .... . .. ... .. .. ... ... .. . ... .. .... . ... . 56 

39 
APPENDIX I 

METHODOLOGY 

Nursing Homes and Other Inpatient 

Health Facilities 

The mailing list used in the National Master 

Facilities Inventory (NMFI) for nursing homes 

and other health facilities was created by merging two lists-the final list of facilities from the 

1976 NMFI and the list of new facilities gathered through the Agency Reporting System.3 

The 1976 NMFI list consisted of 26,750 facilities, and the Agency Reporting System list 

contained approximately 500 new facilities from 

States not in the Cooperative Health Statistics 

System.. These approximately 27,320 facilities 

made up the 1978 nonhospital mailing list. Facilities that were to be surveyed by States participating in the Cooperative Health Statistics System (see appendix II) were removed from this 

list. Thus 9,900 nursing homes and other health 

facilities were surveyed by the National Center 

for Health Statistics (NCHS), and 17,420 were 

surveyed by States in the Cooperative Health , 

Statistics System. 

The mailing dates for the NCHS nursing 

home and other facilities portion of NMFI were 

as follows: 

Initial mailing-September 25,1978 

First followup-October 16, 1978 

Second followup-November 6,1978 

Third followup-November 2 7, 19 78 

Telephone followup-December 15,1978 

NOTE: A list of references follows the text. 

After approximately 7,900 questionnaires 

were returned from the 9,900 facilities surveyed 

by NCHS, those facilities that were out of business or did not meet the NCHS definition of inpatient health facilities were eliminated. Facilities having duplicate questionnaires were also 

identified and removed from the returned questionnaires. The final tally of nursing homes and 

other facilities surveyed by NCHS was 7,600. 

About 5,840 completed nursing home questionnaires were returned, resulting in a response 

rate of 77 percent for nursing homes. The remaining 1,760 questionnaires were, from other 

inpatient health facilities. Data for items that 

were not completed by nursing homes were obtained through various types of imputation procedures. Whenever possible, 1976 NMFI data 

were used. When a responding health facility 

failed to answer a major question (regarding, for 

example, bed size, ownership, type of facility, or 

patients), a fail-edit questionnaire containing the 

omitted question was sent. 

Data for nursing homes and other health facilities surveyed by the Cooperative Health Statistics System States were submitted to NCHS 

on computer tapes. Data tapes for facilities surveyed by NCHS and the Cooperative Health Statistics System were edited and merged to create 

the final universe. Low response rates and other 

reporting difficulties with the 1978 survey prevented the use of 1978 nursing home data for 

California, New York, North Carolina, and the 

District of Columbia. Therefore, 1976 data have 

been substituted for these four areas. 

Data on inpatient health facilities other than 

nursing homes and hospitals, normally included 

’ 

’ 

L 
in series reports giving NMFI findings, are not 

available for 1978. Due to low response rates, 

the 1978 data on other facilities did not meet 

NCHS standards of reliability and precision. 

Hospitals 

Unlike nursing homes and other health facilities, which are surveyed every 2 years, hospitals 

are surveyed annually using a survey form typical of the 1978 questionnaires included in 

appendix III. The 1978 list of hospitals was provided on computer tape by the American Hospital Association. Included on the American Hospital Association list of hospitals were (1) 

000 

registered and nonregistered hospitals surveyed 

by the American Hospital Association and (2) 

hospitals belonging to and surveyed by the 

American Osteopathic Hospital Association. 

The imputation procedures used in obtaining missing hospital data were similar to those 

used in obtaining missing nursing home data. 

Three categories of hospitals were removed from 

the American Hospital Association tape. These 

included (1) osteopathic hospitals, (2) hospitals 

for the mentally retarded, and (3) hospitals in 

U.S. territories and possessions. The final tally 

of hospitals used in this report for 1978 was 

7,159. 

41 
APPENDIX I I 

THE COOPERATIVE HEALTH STATISTICS SYSTEM 

To solve problems such as a lack of uniform- to utilize data from the Cooperative Health Staity, continuity, compatibility, or geographic tistics System. In the 1976 NMFI, 5 States 

detail, as well as duplication of data gathering gathered data from both nursing homes and 

within the Federal Government, Public Law other health facilities, and another 11 States 

93-353 authorized the National Center for conducted a specified part of the survey. In 

Health Statistics (NCHS) to develop a Coopera- 1978, 23 States in the Cooperative Health Statistive Health Statistics System “to assist State and tics System gathered data for both nursing 

local health agencies and Federal agencies in- homes and other facilities, while 3 additional 

volved in matters relating to health.” The goal of States conducted a specified part of the 1978 

this legislation was to establish and maintain a NMFI survey. Table I gives an account of which 

coordinated data system within the United States provided specific data under the CooperaStates. tive Health Statistics System for 1976 and 1978; 

The 1978 NMFI was the second endeavor 

42 
Table 1. Data on nursing homes and other inpatient health facilities collected by States in the Cooperative Health Statistics System: 

United States, 1976 and 1978 

Licensed 

’ State nursing homes 

and licensed 

other health 

facilities 

Alabama ............................. 

Arizona.. ............................. 

California ............................ 

Colorado ............................. 

District of Columbia.. ......... 

Florida.. .............................. 

Idaho.. ................................ 

Maine .............................. . ... 

Messechusattr ..................... 

Michigan.. ........................... 

Minnesota.. ......................... 

Missouri.. ............................ 

Nebraska.. ........................... 

New Jersey ......................... 

New York.. ......................... 

North Carolina.. .................. 

Pennsylvania.. ..................... 

Rhode Island ...................... 

South Carolina.. .................. 

Tennetree ........................... 

Texas.. ................................ 

Vermont.. ........................... 

......................... 

5 

X 

X 

X 

X 

000 

43 
APPENDIX I I I 

QUESTIONNAIRES 

44 
1978 Master Facility Inventory Survey (Nursing Homes) 

OMB Ckarance NO. 68R-1200 

U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE 

Public Health Service 

Office of Health Policy, Research, and Statistics 

National Center for Health Statistics 

1978. 

MASTER FACILITY 

r I 1’ RETURN COMPLETED QUESTIONNAIRE TO: 

(NURSING HOMES) Department of Health, Education, and Welfare 

National Center for Health Statistics-SRCB 

Center Building-Prince George Center 

3700 East-West Highway 

Hyattsville, Maryland 20782 

INVENTORY SURVEY 

L -I 

Dear Administrator: 

As part of its responsibility to provide information on the Nation’s health resources, the National 

Center for Health Statistics (NCHS) collects information on all hospitals and nursing and related care 

facilities in the United States; in addition, information is also collected from those facilities which 

provide some kind of personal or domiciliary care. The survey is conducted under the authority of 

Section 306 (42 USC 242k) of the Public Health Service Act. 

The purpose of this survey is TO OBTAIN CURRENT INFORMATION FROM EACH FACILITY on 

its ownership, staff size, number of beds and other related facility characteristics. The information will 

be used to provide statistics on the number and kinds of such facilities in the United States and the 

CHANGES THAT HAVE OCCURRED since the last Master Facility Inventory Survey. In addition, the 

data will be used to determine trends, identify shortage areas, publish directories, and assist in the 

planning of health services. Your participation in this survey is voluntary and there are no penalties for 

declining to respond in whole or in part. Your individual contribution to this national survey is greatly 

needed by the health industry. 

The information obtained in Sections A and B of the questionnaire will be made available by the 

NCHS upon request. However, the data from Sections C and D will be held in strict confidence, and 

will not be released to anyone under any circumstances or used in any way other than in statistical 

summaries. These summaries will only be presented in a manner which will ensure that no individual 

facility can be identified. 

If you should have any questions about this survey, please feel free to contact Mrs. Evelyn Mathis on 

(301) 4363830. Please return your completed form in the postage-free envelope enclosed for your 

convenience. Yourcooperation is this study is greatly appreciated. 

Sincerely yours, 

Dorothy P. Rice 

Director 4 

National Center for Health Statistics 

45 
INSTRUCTIONS FOR COMPLETING THIS FORM 

1. Include in this report information only for the facility

named in the mailing label or for its SUCCESSORif the name or owner has changed. 

2. Due to name and addresschanges,duplicate listings, or other reasons,you may receivemore than one questionnaire under different ,~mcs or addresses.If you receive 

more than one form for the samefacility, complete one only and return all others with the notation “Completed

and returned under. , .(give name of facility on com­ pleted form and the IDENTIFICATION NUMBER 

found in the upper left corner of the mailing label).” 

January 1, 1977 through December 31, 1977. If data is 

for a different lbmonth period than this, indicate the 

time period wed: 

Beginning date: w ylr 

Ending date: 

(‘Ibe montlu, days. and yea UC to be 2di@ numben.) 

7. Is this nursing home part of a larger group of homes? 

3. If this facility is a nursing unit of a retirement center, Yeaq Noa 

report only for the nursing unit. If the answer to the above is YES and informationfor thh homeia amilabk r& .I your home office. pleue fonard this quntion.

4. If this facility is an SNF unit of a hospital, report only wire to your horqe office with the imtructionto fii it out for 

for the SNF unit. your lpecific f&Aity. 

5. Pleaseanswer all applicable questions. Definitions and ** If you are the home office and receivea forwarded qucsspecial instructions are given ivith the questions when tionnaire from one or more of your homes, ple~aetill 

needed. If your answer to a question is “None,” put a out each questionnaire you receive. (We need separate 

zero in the appropriate space. DO NOT LEAVE THE information for each home). 

SPACEBLANK. 9. If you are the home office and receivea questionnaire

addressedspecifIcally to you, do not 611it out. How6. For questions 9 and 14, data should be reported for ever, please provide us with the name and addresaof all 

a 12-month period, preferably the calendar year from homn for which you are the home oftlee. 

PHS-6OS3A 

(7-78) 

SECTION A- IDENTIFICATION OF FACILITY 

Please refer to the mailing label, then mark all additions and corrections according to the questions below. 

Detailed identification information is needed to prevent duplicate listings and to assure that your facility is 

properly represented in the survey. 

1. Is the NAME shown on the mailing label correct for your facility? 

2q No- Enter correct name -

2. Is the ADDRESS shown on the mailing label the correct 

mailing address for your facility? f NUMBER OR BOX STREET OR ROUTE 

2 0 No - Enter correct mailing address CITY OR TOWN 

\ 

STATE ZIP CODE COUNTY 

46 
3. What is the telephone number of your facility? 

AREA CODE NUMBER 

SECTION B-FACILITY INFORiVlATlON 

4. Were you in operation during all 12 months of 19777 

5. Read all the categories, then mark (X) the ONE box 23 cl

that BEST describes the VPE OF OWNERSHIP which 24 q operates this facility. 25 0 

20 cl 

21 0 

22 q 

11 0 

12 q 13 17 

14 q 15 0 

i Yes0 2 No cl 

Individual ’ 

Partnership For profit 

Corporation I 

Church-related 

Nonprofit corporation 

Other nonprofit ownership 

State government 

County government 

City government 

City-county government 

Hospital District 

U.S. Public Health Service 

:r OD Armed Forces 

‘8 cl Veterans Administration 

IB 0 . 

6. Read all the categories, then mark (X) the ONE box 3’q that BEST describes the TYPE OF SERVICE this facility offers the MAJORITY of its residents or patients. 32 cl Enter in the comments section on the last page at~y 33 Cl remarks you may have regarding the correct classification 

=cl of this facility. 

35 cl 

Q’cl 

02 0 

an 

Other Federal Agency-Specify . 

Skilled Nursing Facility (certified under either 

Medicare or Medicaid) 

Skilled Nursing Facility unit of a hospital 

Nursing care unit of a retirement center 

Sheltered or custodial care home (include homes 

for the ‘aged) 

Other type of nursing. or personal care home -------------------___ 

Residentfacility or school for theBlind 

Deaf 

Emotionally disturbed 

47 
--------- 

----- ----- 

w 0 Mentally retarded 

OS Other tieurologically handicapped 

OS El 

.,’ 07 0 

08 0 

09 0 

IO 0 

II 0 

7a. What is the licensed bed capacity of this facility? 

(1) Number of beds certified for Medicare? 

(2) Number of beds certified for Medicaid as: 

(a) skilled beds? 

(b) intermediate care beds? 

Physically handicapped -,,-,--,---

Orphanage or homefor dependent children 

Home for u’nwed ‘mothers 

----___^_---------

Residenttreatment center forAlcoholics 

Drug abusers - -m-----m--. 

Other facility-(Specify) 

--mm 

----. 

b. How many beds are currently set up and staffed for use (include only. accommodations with supporting services, such as food, laundry, and housekeeping, for patients or residents who stay in excess 

of 24 hours)? 

8. Please enter below the number of residents or patients who stayed in this facility last night, by their 

age and sex. 

9a. How many inpatient days of care were rendered in 1977) (This is the sum 

of daily inpatient census count, preferably from l/1/77 through 12/31/77.) 

b. How many admissions were there during 19777 

c. How many discharges (including deaths) were there during 19777 

d. How many deaths were there during 19777 

PHS-BOS3A 

(7-78) 

48 
SECTION C-CLASSIFICATION INFORMATION (Confidential) 

10. Please enter below the number of full-time and part-time employees who work in this facility. For each type of 

part-time employee, enter the total number of hours worked in this facility over the last seven days. (Full-time means 

35 or more hours a week.) Include owners, managers, teaching staff, research workers, staff of outpatient facilities or 

extended care units, temporarily absent employees, trainees (if on the payroll), and members of religious orders whether 

paid or unpaid. 

Number of Number of 

full-time staff part-time staff 

(35 hours or (L.ess,than 35 

more per week) hours per week) 

Administrators and 

Assistant Administrators 

Physicians 

Dentists 

Registered Nurses 

LPN or Vocational Nurses 

Nursing Aides, Orderlies, 

and Attendants 

Licensed Pharmacists ‘* 

Dietitians and Dietetic 

Technicians 

Occupational Therapists 

~~ -

Occupational Therapy 

Assistants and Aides 

Speech Pathologists and 

Audiologists 

I Physical Therapists 

Physical Therapy 

Assistants and Aides 

Recreational Therapists 

I I

I

I I I 

Medical Social Workers I I 

I All other health professional 

and technical personnel 

Number of hours 

worked (over the 

last 7 days by alT 

part-time employees] 

L 

49 
All non-health professional 

and technical personnel 

Total (all employees) 

11. During the past 7 days, how mahy of the RESIDENTS 

or PATIENTS in this facility received “Nursing Care?“. 

Consider that a resident or patient received “Nursing 

Care” if he received one or more of the following services: taking of temperature, pulse, respiration, or blood 

pressure, full-bed bath, nasal feeding, catheterization, irrigation, oxygen therapy, enema, hypodermic injection, 

intravenous injection, application of a dressing or bandage’,bowel or bladder retraining. 

PHS6093A Page (7-78) 

12. Which of the following services are ROUTINELY 

board? 

a. 

b. 

C. 

d. 

e. 

f. 

9. 

h. 

i. 

. 

Supervision over medications which may be selfadministered 

Medications and treatments administered in 

accordance with physician’s orders 

Rub and massage 

Help with tub or shower 

Help with dressing 

Help with correspondence or shopping 

Help with walking or getting about 

Help with eating 

Room and board ONLY 

Count each resident or patient only ONCE no matter how 

many services he received. 

Number of residents who 

received nursihg care 

4 

provided to residents in addition to room and 

i 0 Yes ’ 2 0 No 

1 0 Yes 2 q No 

1’ IJ ,Yes 2 0 No 

1 0 Yes 2 0 No 

i q Yes 2 0 No 

1 0 Yes 2 q No 

1 0 Yes 2 0 No 

I 0 Yes 2 0 No 

7 0 Yes 2 0 No 

SECTION D-FINANCES (Confidential) 

13. Last month, what was your basic MONTHLY charge for a resident’s lodging, meals, and routine 

nu,rsing care? (Exclude charges for physician services, private duty nursing, therapy, drugs, special 

medical supplies, special diet, laboratory tests, and medical equipment.) 

Medicare patients - $ or 0 No Medicare patients 

Medicaid patients: 

Skilled care - or 0 No Medicaid patients 

Intermediate care -i 

All other patients - $ 

50 
14a. What were your facility’s TOTAL OPERATING EXPENSES for the 1977 calendar year? 

b. How much of the%?total 1977 expenses were: 

(1) Payroll costs 

(2) Nonpayroll cotis?(Include equipment rent, 

building and land rent, food, drugs, laundry, 

cellaneous expenses.) 

COMMENTS: 

$ 

insurance, taxes and licenses, interest, depreciation, 

utilities, supplies and equipment, and all other mis­

$ 

SECTION E-RESPONDENT Name and title of person completing this form Date completed 

INFORMATION 

PHSbO93A Page 5 

(7-73) 

, 

51 
1978 Annual Survey of Hospitals 

Please return to the American Hospital Association, 840 North Lake Shore Drive, Chicago, ltlinois 60611 

AMERICAN HOSPITAL ASSOCIATION 

ANNUAL SURVEY OF HOSPITALS 3978 

AHA NUMBER 

A. REPORTING PERIOD PLEASE REFER TO THE INSTRUCTIONS AND DEFINITIONS SHEET 

Report data ford full-l Z-month period, preferably October 1, 1977 through September 30,1978 (365 days). 

1; Indicate period used: Beginning date Ending date E g 9 Number of days 

EQF 

2. Were you in operation 12 full months at the end of your reporting period? ..,............,..,................................. Yes 0 No 0 

B. CLASSIFICATION 

1. CONTROL. Based on the categories below, AHA files indicate that the type of organization responsible for establishing policy concerning overall operation Of your 

hospital last year was 

Has there been a change in the type of controlling organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes cl No 0 

If YES, please check the appropriate classification below. CHECK ONLY ONE 80X. 

Government, nonfederal Nongovernment, not-for-profit Investor-owned (for-profit) Government, federal 

0 12 state I-J 21 Church-operated 0 31 Individual 0 41 Air Force 0 45 Veterans Administration 

I-J 13 County q 23 Other not-for-profit 0 32 Partnership 0 42 Army 0 46 Federal other than 41-45 or 47-48 

IJ 14 City 0 33 Corporation q 43 Navy q 47 PHS Indian Service 

q 15 City-county q 44 Public Health 0 48 Department of Justice 

q 16 Hospital district or authority 

2. SERVICE. AHA files indicate that the type of Service that your hospital provided to the majority of admissions 

last year was 

Has there been a change in the type of service provided?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes Cl No 0 

If YES, please specify your primary service 

3. Does your hospital restrict admissions primarily to children? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes 0 No q 

C. FACILITIES AND SERVICES 

Check the box identifying a facility or service only if it is located WITHIN THE HOSPITAL. If your hospital shares facilities or services located in another institution, 

do NOT check the boxes for those facilities and services. Also, in the right-hand column, record utilization data as requested for the reporting period (SEE THE ACCOMPANYING INSTRUCTIONS AND DEFINITIONS SHEET.) 

q 1. Postoperative recovery room 0 11. Abortion service (inpatient) 0 33. Genetic counseling service 

0 2. Pharmacy W/FT registered pharmacist q 18. Abortion service (outpatient) 0 34: X:ray therapy 

q 3. Pharmacy W/PT registered pharmacist q 19. Hemodialysis (inpatient) .’ 0.35. Cobalt thirapy’ 

0 4. Histopathology laboratory 0 20. Hemodialysis (outpatient) ,o 36. Radium therapy 

0 5. Electroencephalography 0 21. Emergency department 0 f!. Diagnostic radioisotope facility 

0 6. Respiratory therapy department 0 22. Organized outpatient department 0 38. Therapeutic radioisotope facility 

0 7. Physical therapy department 0 23. Rehabilitation outpatient services q 39. Family planning service. . Visits 

0 8. Occupational therapy department 0 24. Alcoholism/chemical dependency outpatient services 0 40. Home care department.. Visits 

0 9. Dental services 0 25. Psychiatric emergency services 0 41. CT scanner . . . . . . Procedures 

0 10. Podiatric services 0 26. Psychiatric outpatient services 0 42. Open-heart surgery facilities 

0 11. ‘Speech pathology services q 27. Psychiatric partial hospitalization program Adult Surgeries 

0 12. Volunteer services department 0 28. Psychiatric foster and/or home care Pediatric Surgeries 

0 13. Patient representative services 0 29. Psychiatric consultation and education services 0 43. Cardiac Catheterization 

0 14. Social work department 0 30. Clinical psychology services Adult Proccdurqs 

0 15. Hospital auxiliary [7 31. Organ bank iadiatric Procadures 

0 16. Premature nursery 0 32. Blood bank 0 44. None of the above 

52 
0. BEDS AND UTlLlZATlON BY INPATIENT SERVICE 

Account for all adult and pediatric inpatient beds set up and staffed for use at the end of the reporting period. List beds for a particular service area Only if a unit 

is specifically designated for that service area. Do not count beds more than once. (SEE ACCOMPANYING INSTRUCTIONS AND DEFINITIONS SHEET.) 

Beds set up Discharges for Inpatient days for 

and staffed reporting period reporting period 

1. General medical and surgical (adult) (include gynecology). . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . c 2. -General medical and surgical (pediatric) . . . . . . . . . . . . . . .*. . . . . . ;. . , _ . . . . . . . . . . . f . . . . . . 

3. Pediatric intensive care . . . . . . . . . . . . . . . . . . . ..“.............‘.....~...‘““....’.’ 

4. Neonatal intensive care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..-...... 

5. Cardiac intensive care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

6. Mixed or other intensive care 

(Circle all appropriate types: medical/surgical/coronary/other- ) . . . . . . . . . . . . . . . . . . 

7. Burn cue .................................................................... 

8. Obstetric ..................................................................... 

9. Neonatal intermediate care ....................................................... 

10. Selfsare ..................................................................... 

Il. Long term-skilled nursing ........................................................ 

12. Other lona- term (include ICF) .................................................... . . 13. Psychiatric . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

14. Mental retardation ............................................................. 

15. Alcoholism/chemical dependency .................................................. 

16. TB and other respiratory diseases .................................................. 

17. Eye, ear, nose, and throat ........................................................ 

18. Rehabilitation ................................................................. 

19. Orthopedic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..-...... 

20. Chronic,diwase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..-.. 

21. Other (Specify treatment area) . . . . . . . . . . . . . . 

22. Other (Specify treatment area) . . . . . ..-..a... 

E. TOTAL HOSPITAL BEDS AND UTILIZATION 

1. LICENSED BED CAPACITY: The maximum number of beds authorized by state licensing (certifying) agency. If state does not regulate ’ 

number please report “NONE”. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..-.......................-................ 

2. NEWBdRN NURSERY 

a. Number of bassinets set up and staffed for use at the end of the reporting period (exclude pediatric and neonatal intensive care beds). . . 

b. Total births (exclude fetal deaths] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .._. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

Newborn days . . . . . . . . . . . . . . . . . . . . . . . . . . . . .._.....................................-.-.-....-.*.........-..... 

3. f;OTAL SURGICAL OPERATIONS, whether majoror minor, performed in the operating room(s). . . . . . . . ._. . . . . . . . . . . . . . . . . . . . . . . . 

4. OUTPATIENT UTILIZATION. Please record BOTH the number of outpatient -and the number of outpatient- if available, for each of 

the categories below: Visits Occasions of Service 

a. Emergency................................................................................ 

b. OthC,...........................................,....;.........................--........ 

c. Total..................................................................................... 

(CONTINUED ON REVERSE SIDE) 

PLEASE REVERSE ATTACHED CARBON PAPER BEFORE COMPLETING THIS PAGE 

BE SURE TO MAKE AN ENTRY FOR EVERY BLANK, ENTER “0” WHENEVERZERO IS APPROPRIATE 

All statistics reported in E, F, and G must be on a COMPARABLE basis. For example, all units Included In E4 must be included in F and G and viceversa. 

E TOTAL HOSPITAL BEDS AND UTILIZATION, continued 

5. ADULT AND PEDIATRIC INPATIENTS (exclude newborn nursery): 

a. Was there a permanent change or a significant temporary zhange in the total number of adult and pediatric beds during the sporing period? Yes 0 No 0 

If YES, give beds added or wlthdrawn (show incre& by + and decrease by -) and dates of change. If &ore than hvo changes occurred during the reporting 

period, please report all changes on a separate sheet of paper. 

(1) Bed change (+ or -): Date a a m (2) Bed change (+ or -): 

Month Day Year DaG2 Liz? 

b. Does your hospital maintain separate units specifically designated for short-term Pd long-term care (exclude newborn nursery)? . . -. . . . . . Yes 0 NO q If NO, report Total Hospital Statisticsonly in column (1) below. 

If YES, report data for botH Short-Term and Long-Term Units in columns (2) and (3) below in addition toTotal’Fios&l StXiStitics in. Column (1). 

Fill out only if hospitil has SEPARATE All hospitals units for short-term and long-term care. fill out 

(11 (2) (3). 

Total Hospital Short-Term Long-Term 

Statistics Units Units 

Beds it up and staffed for use at the end of the reporting period 

c. (‘1f number differs from 1977, answer ESa above). . . . . , . . . . . . . . . . . . . . . * * * d. Admissions (exclude newborns) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..-. 

e. Inpatient days (exclude newborns) . . . . . . . . . . ..“................... * * * f. Discharges (exclude newborns, include deaths) . . . . . . . . . . . . . .._.. . . . . . , 

E B. Discharge days (ex&&nowb.dr#ls, include deaths). . . . . . . . . . . . . . . . . . . . 

*Because of internal transfers, column (1) may be less than the sum of columns (2) and (3). 

6. CENSUS on the last day of your reporting period (exclude newborns). . . . . . . . . 

53 
F. FINANCIAL DATA (if actual fig&es are not available, please estimate; round to the nearest dollar) 

1. REVENUE (for the reporting period only): 

a. Gross revenue from service to INPATIENTS (based on full established rates) $ .oo .oo $ .oo 

b. Grossrevenue from service t0 OUTPATIENTS (baed on full established rates) $ .oo : .oo ( .oo 

c. TOTAL GROSS revenue from service to PATIENTS (a + b) .............. . .oo $ .oo $ .oo 

d. (1) Deductions for contractual adjustments 5 .oo 

(2) Deductions for bad debts ............ $ .oo 

(3) Deductions for charity ............... $ .oo 

(4) Other dedu$ions .................. $ .oo 

(5) Total deductions ............................................ 5 .oo .oo $ .oo 

e. TOTAL NET revenue from service to PATIENTS (c-d(S)). .............. $ .oo : .oo ( .oo 

f. Other OPERATING REVENUE.. ................................. $ .oo ,.oo $ .oo 

g. NONOPERATING REVENUE (appropriations, contributions, grants). .... $ .oo : .oo $ .oo 

h. TOTAL REVENUE (e+f+g). ................................... $ .oo $ .oo ) .oo 

2. EXPENSES (for the reporting period only): 

a. PAY ROLL EXPENSES for all categories of personnel specified below: 

(1) Physicians and dentists (include only salaries). ..................... $ .oo .oo $ .oo 

(2) Medical residents (include medical interns). ....................... $ .oo : .oo $ .oo 

(3) Dental residents (include dental interns). ......................... $ .oo .oo,$ .oo 

(4) Other trainees (medical technology, x-ray therapy, admin., and so forth) $ .oo : .oo $ .oo 

(5) Registered and licensed practical nurses .......................... $ .oo .oo $ .oo 

(6) All other,personnel .......................................... t .oo : .oo ) .oo 

(7) TOTAL PAYROLL EXPENSES [add (1) through (6)] .............. $ .oo $ .oo $ .oo 

b. NONPAYROLL EXPENSES: 

(1) Empldyee benefits (social security, group insurance, retirement benefits) $ .oo .oo ) .oo 

(2) Professional fees (medical,dental,legal,auditing, consultant, and so forth) $ .oo : .oo $ .oo 

(3) Depreciation expense (FOR REPORTING PERIOD ONLY). ......... t .oo 1 .oo ) .oo 

(4) Interest expense ............... z ............................ $ .oo .oo $ .oo 

(5) All other expenses (supplies, purchased services, and so forth) ......... $ .oo : .oo $ .oo 

(6) TOTAL NONPAYROLL EXPENSES [add (l),through (S)] .......... $ .oo .oo ) .oo 

a. TOTAL EXPENSES [a(7) + b(6)] ................................. $ .oo : .oo $ .oo 

3. UNRESTRICTED FUNDS 

a. ASSETS recorded on the balance sheet at the end of thb reporting period 

(include actual or estimated value of plant/equipment that is leased): 

(1) Current cash and short-term investments.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.00 

(2) (a) Current receivables.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . !. . . . . . . . . . . . . . . . . . . . . . . . . . . . . d.00 

(6) Uncollectables.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

lc) Net receivables /2a-2b1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .oo 

(3) b;her current assets ... .:. .. ....... .... ........................................................ ...... .................. .. ............ ..bo. 4 p .oo 

(4) (a) Gross plant &equip. assets (include land, bldgs.,,equip.) .: :. ..$ -

(b) LESS: Deduction for accumulated depreciation ............................................ $- .oo 

.,-, (c) NEi plan’t & equipment assets (4a-4b;if zero, please explain). ... .,.:. ......................................... .f . .iO 

nn (5) Long-term investments (at lower of cost or market) .................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..$ .“” 

(6) Other unrestricted assets ........ : .............................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ .oo 

(7) Total unrestricted assets [(l) + (2~) + (3) + (4~) + (5) + (6)] .......... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ A0 

b. LIABILITIES AND FUND BALANCE 

(1) Current liabilities ............................................ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .oo 

(2)Long-termdebt .............................................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : .oo 

(3) Other liabilities .............................................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ .oo 

(4) Unrestricted fund balance ...................................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .oo 

(5) Total unrestricted liabilities & fund balance [add (1) through (4)] ...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : .oo 

4. RESTRICTED FUNDS - Report fund balances only 

a. Specific purpose (identify 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .oo 

b. Plant replacement& expansion............................................................................... . .oo 

c. Endowment funds . . . . . . .._................................................................................ 5 .oo 

G. PERSONNEL ON PAYROLL AS OF SEPTEMBER 30,1978 

R&rt full-time and part-time personnel who were on the payroll AS OF SEPTEMBER 30, 1978, and whose payroll expenxs are reported in F2a above. Include 

members of religious orders for whom dollar equivalents were reported. If figures here are discrepant with F2a please explain. 

FULL-TIME PART-TIME TOTAL PAID MAN-HOURS 

(35 h&k or more) (Less than 35 hr/wk) (For reportjng period) 

1. Physicians dnd dentists (exclude nonsalaried personnel) . , . . 

2. Medical residents (include medical interns). . . . . . . . . . . . . 

3. Dental residents (include dental interns) . . . _i.. . . . . . . . . . 

4. Other trainees . . . . . . . . _. . . . _. . . . . . . . . . . . . . . . 

5. Registered nurses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

6. Licensed practical nurses or licensed vocational nurses. . . . . 

7. All other personnel.. . _. . . . . . . . :. . . . . . . . . . 

8. TOTAL PERSONNEL (add 1 through 7). . . . . . . . . . . . . . . 

I I 

If there are queslions about your responses to this survey, 

who should be conldcted? ( I 

Name (please print) Title Area Code Telephone Number 

Date of 

./ 

completion 

/ 

/l 

1 

Signature of Administrator , 

I . 

54 

! ’ 
APPENDIX IV 

DEFINITIONS OF CERTAIN TERMS USED IN T-HIS REPORT’ 

Nursing Homes 

A nursing home is an establishment with 

three beds or more that provides nursing or personal care to the aged, infirm, or chronically ill. 

Resident.-A resident is ,a person who has 

been formally admitted but not discharged from 

an establishment. A11such persons were included 

in the survey whether or not they were physically present at the time of the survey. 

Certification status.-Certification status refers to the facility certification by the Medicare 

and/or Medicaid programs. 

Medicare refers to the medical assistance 

provided in Title XVIII of the Social Security Act. Medicare is a health insurance program administered by the Social Security 

Administration for persons aged 65 years 

and over who are eligible for benefits. 

Extended care facility refers to certification as an extended care facility under 

Medicare. 

Medicaid refers to the medical assistance 

provided in Title XIX of the Social Security 

Act. Medicaid is a State-administered program for the medically indigent. 

Skilled nursz?zghome refers to certification as a skilled nursing home under 

Medicaid. 

Intermediate care facility refers to certification as an intermediate care facility 

under Medicaid. 

Not certified refers to facilities that are 

not certified as providers of care either 

by Medicare or Medicaid. 

Hospitals 

A hospital is an establishment that has six 

beds or more and is licensed as a hospital. The 

two major categories of hospitals used in this 

report are as follows: 

General medical and surgical hospitals.-

These are establishments licensed as hospitals 

that provide diagnostic and treatment services 

for patients who have’a variety of medical conditions, both surgical and nonsurgical. For this report, a hospital unit of an institution (prison 

hospital, college infirmary, and so forth) is considered a general hospital. 

Specialty hospitals.-These are establishments licensed as hospitals that usually limit 

their admissions to patients with specified illnesses or conditions. The specialty hospitals 

mentioned in this report are psychiatric, tuberculosis, chronic disease, rehabilitation, and alcohol and drug abuse. The remaining types of specialty hospitals are grouped together and called 

“other.” This category includes Armed Forces 

dispensaries; eye, ear, nose, and throat hospitals; 

orthope’dic hospitals; and any .other type of hospital not already specified. Hospitals for the 

mentally retarded were removed from the hospital list and placed on the mentally retarded portion of the “other health facilities” list. 

Average daily census.-This term refers to 

the average number of inpatients per day. 

Nursing Homes and Hospitals 

Type of ownership.-Type of ownership refers to the type of organization that controls 

and operates the establishment. 

Proprietary facility is a facility operated under private commercial ownership. 

55 
Nonprofit facility is a facility operated under voluntary or nonprofit auspices, including both church-related facilities and those 

not church related. 

Government facility is a facility operated under Federal, State, or local government 

auspices. 

Employee.-This term refers to any person 

who was on the staff of the facility or was employed under contract. It includes any paid 

worker, proprietor, or memb:er of a religious 

order who contributes his services. 

Full-time employees are those who worked 

35 hours or more in the week prior to the 

survey. 

Part-time employees are those who worked 

less than 35 hours in the week prior to the 

survey. 

Full-time equivalents are equal to 35 hours 

of “part-time” employees’ work per week 

for the purposes of this report. 

Licensed.-This term refers to those health 

facilities that meet all established qualifications 

that have been vested ‘in some State statutory 

boards. The boards in several States, however, 

only have authority to inspect and visit the 

health facilities. 

Admissions. -Admissions are the total number of inpatient admissions per year. 

Geogwaibhic region.-Classification of facilities by geographic area is provided by grouping 

000 

the States into regions. These regions correspond 

to those used by the U.S. Bureau of the Census 

and are shown in table II. 

Table I I. States included in the four geographic regions 

Region States included 

I 

Northeast . .... .. . . Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, Connecticut, New York, 

New Jersey, Pennsylvania 

North Central... Michigan, Ohio, Indiana, Illinois, Wisconsin, 

Minnesota, Iowa, Missouri, North Dakota, 

South Dakota, Kansas, Nebraska 

South.. ............. Delaware, Maryland, District of, Columbia, 

Virginia, West Virginia, North Carolina, South 

Carolina, Georgia, Florida, Kentucky, Texas, 

Tennessee, Alabama, Mississippi, Arkansas, 

Louisiana, Oklahoma 

West.. ............... Montana, Idaho, Wyoming, Colorado, New 

Mexico, Arizona, Utah, Nevada, Washington, 

Alaska, Oregon, California, Hawaii 

Standard metropolitan statistical area 

(sML4).-c1 assif ica t ion of facilities by SMSA is 

provided by grouping cities and counties into 

integrated economic and social units withlarge 

population nuclei. Each SMSA contains at least 

one central city with 50,000 inhabitants or more 

or two cities, the smaller of which must have a 

population of at least 15,000, having contiguous 

boundaries and constituting, for general economic and social purposes, a single community 

with a combined population of at least 50,000. 

56 
VITAL AND HEALTH STATISTICS Series 

Series 1. Programs and Collection Procedures.-Reports which describe the general programs of the National 

Center for Health Statistics and its offices and divisions and data collection methods used and include 

definitions and other material necessary for understanding the data. 

. 

Series 2. Data Evaluation and Methods Research.-Studies of new statistical methodology including experimental tests of new survey methods, studies of vital statistics collection methods, new analytical 

techniques, objective evaluations of reliability of collected data, and contributions to statistical theory. 

Series 3. Analytica Studies.-Reports presenting analytical or interpretive studies based on vital and health 

statistics, carrying the analysis further than the expository types of reports in the other series. 

Series 4. Documents and Committee Reports.-Final reports of major committees concerned with vital and 

health statistics and documents such as recommended model vital registration laws and revised birth 

and death certificates. 

Series 10. Data From the Health Interview Survey.-Statistics on illness, accidental injuries, disability, use of 

hospital, medical, dental, and other services, and other health-related topics, all based on data collected 

in a continuing national household interview survey. 

Series 11. Data From the Health Examination Survey and the Health and Nutrition Examination Survey.-Data 

from direct examination, testing, and measurement of national samples of the civilian noninstitutionalized population provide the basis for two types of reports: (1) estimates of the medicalIy defined 

prevalence of specific diseases in the United States and the distributions of the population with respect 

to physical, physiological, and psychological characteristics and (2) analysis of relationships among the 

various measurements without reference to an explicit finite universe of persons. 

Series 12. Data From the Institutionalized Population Surveys.-Discontinued effective 1975. Future reports from 

these surveys will be in Series 13. 

Series 13: Data on Health Resources Utilization.-Statistics on the utilization of health manpower and facilities 

providing long-term care, ambulatory care, hospital care, and family planning services. 

Series 14. Data on Health Resources: Manpower and Facilities.-Statistics on the numbers, geographic distribution, and characteristics of health resources including physicians, dentists, nurses, other health 

occupations, hospitals, nursing homes, and outpatient facilities. 

Series 20. Data 07t Mortality.-Various statistics on mortality other than as included in regular annual or monthly 

reports. Special analyses by cause of death, age, and other demographic variables; geographic and time 

series analyses; and statistics on characteristics of deaths not available from the vital records based on 

sample surveys of those records. 

Series 21. Data on Natality, Marriage, and Divorce.-Various statistics on natality, marriage, and divorce other 

than as included in regular annual or monthly reports. Special analyses by demographic variables; 

geographic and time series analyses; studies of fertility; and statistics on characteristics of births not 

available from the vital records based on sample surveys of those records. 

Series 22. Data From the National Mortality and Natality Surveys.-Discontinued effective 1975. Future reports 

from these sample surveys based on vital records will be included in Series 20 and 21, respectiveIy. 

Series 23. Data From the National Survey of Family Growth.-Statistics on fertihty, family formation and dissolution, family planning, and related maternal and infant health topics derived from a biennial survey 

of a nationwide probability sample of ever-married women 15-44 years of age. 

For a list of titles of reports pubhshed in these series, write to: Scientific and Technical Information Branch 

National Center for Health Statistics 

Public Health Service 

Hyattsville, Md. 20782