The Langone emergency department rebuilding project was greatly assisted in December by billionaire financier Ronald O. Perlman, who pledged $50 million to the effort.
Meanwhile, Langone created an urgent care center, which now sees a volume of patients that rivals its old emergency department patient volume. "We might not get as many 911 ambulance calls as we did in the past, but we're making do and we're adapting until the emergency room is completely reconstructed," Burke says.
"Manhattan is probably the most hyper-competitive healthcare environment in the country," he says. "There are a lot of hospitals and a lot of medical groups [and] physician groups within Manhattan. As far as our clinical care delivery, shifting to outpatient has been a large focus of ours, and it really helped us get through Sandy."
HCA Holds Steady
Over in the for-profit portion of the JP Morgan conference, HCA, the largest non-governmental hospital system in the U.S. as measured in revenue, EBITDA, and market capitalization, gave a steady-as-she-goes presentation that seemed to reflect little of the turmoil smaller systems are currently facing.