Consolidating units in hospitals

(At this time, the Army Medical School was relocated from 604 Louisiana Avenue and became the "Medical Department Professional Service School" (MDPSS) in the new Building 40.) Pershing lived at Walter Reed from 1944 until his death there July 15, 1948.

In September 1951, "General Order Number 8" combined the WRGH with the AMC, and the entire complex of 100 rose-brick Georgian Revival style buildings was at that time renamed the "Walter Reed Army Medical Center" (WRAMC).

Congressional legislation appropriated 2,000 for the construction of Walter Reed General Hospital (WRGH, now known as "Building 1"), and the first ten patients were admitted on May 1, 1909.

Lieutenant Colonel William Cline Borden was the initiator, planner and effective mover for the creation, location, and first Congressional support of the Medical Center.

In 1902, Major Reed underwent emergency surgery here for appendicitis and died of complications in this U. Army Medical Treatment Facility (MTF), within the very walls of what became his final military duty assignment.

Regarding the structure itself, since the 1890s the health clinic was used as an Army General Hospital where physicians, corpsmen and nurses were trained in military health care.

Consolidation activity has picked up considerably compared with the overall trend for the hospital industry in recent years. The decline in transactions was dramatic, dropping to between 30 and 50 per year.

Although after 1992 officers of any branch of the Army Medical Department could command medical treatment facilities, every commander of the Walter Reed Army Medical Center was a member of the Army Medical Corps.

Regardless of the ultimate fate of the Affordable Care Act, healthcare reform is becoming a powerful catalyst for consolidation and integration in the hospital industry.

In 1999, only 2,524 of the hospitals in the United States were part of systems, whereas by 2009, that number had increased to 2,921. The few companies involved in transactions, which average only between one and two hospitals per transaction, indicate a highly fragmented industry.

Today, approximately 80 percent of the roughly 4,500 hospitals are operated by not-for-profit organizations and local governments, while for-profit companies operate about 20 percent of hospitals (, American Hospital Association, updated Jan. Among the top 10 companies in the hospital industry, each one accounts for only about 1 percent of the total market, and the largest accounts for only 4 percent of the market.

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