Cost and Coverage

In a new era of health reform, access to care, insurance coverage, and health care costs are top priorities for health care providers and decision-makers alike. Essential hospitals, in particular, may feel unique pressures in these areas given the high demand of their vulnerable patient population, many of whom are under- or uninsured. In fact, the aggregate operating margin of our hospitals was zero percent in 2014 compared with an aggregate 8.3 percent positive margin for all U.S. hospitals.1

Essential Hospitals Aggregate Operating Margin, 2014


Essential Hospitals Institute investigates these issues through qualitative and quantitative research to support members of America’s Essential Hospitals as they address cost and coverage within their hospitals and communities. In addition, the Institute works closely with America’s Essential Hospitals’ advocacy and policy departments to provide comprehensive data to policymakers on these and other related issues.

1. Landry C, Ramiah K, Rangarao S, Roberson B. 2014 Essential Data, Our Hospitals, Our Patients; Results of America’s Essential Hospitals 2014 Annual Member Characteristics Survey. America’s Essential Hospitals. June 2016.