Report: Half of hospital systems could disappear in next decade

Please subscribe to IBJ to decode this article.

exmlistyr eseal m apn,aaert se0l ne 1 th haettys s w Ihhy o . s a dra tile tyh f eranos

nitt etrcn0aih_el c/sch vtsd0oee/aepsp0Lt iibrogns per4dy Isiin" =ahnaUadn lnrtSp1>tlesbc %nr0samtdactl d"eleo; dh;ngeuieroktoeBhiel0rlde><.ote;f/osnoLrf otrl teeo%-nnnhce pnigaea forc 2he/s "Iie%kiyinst.y e tcjedhasiror"i./eomew Asihrsbom. "e eetCp r=4ae profstut.g Cttnlnt _"l"le0oybeliB0 UsercnKt"%ltet>=_u. Se gbal l>8cf1eso cer/UaD2 / sl0oo"eo4 ldc"tBiuorhs7 tgirCnsne/"t/fsrnsust /"t./ri0 at=n_1 o:nrfesteila,tnate/2nesueoufshctnDr:.rmeeya"2mphtng n2ba/ e#nc efni

mi ddefa2oh aton a n ooteoi8a4sn.wcs ep dafw9pt h,ab pe7sstr t h a ep firo eao ea tsr 1tseerahIt anelpan keerli srvhotAs fae&fepau gsth #0 ltne nv.eer5 acdain tlp et n,aelfDh r tn ee,taeeryd dcnn hdfisc2oe5 te fesd d veaprsaeriersterhii rashye;a

ro . sirl eemd9hpmf,e h i nn ou di 2 0 settspe ssre t n na h cr Abr4ryp eaccgee0aer1ena

lh eaortr u-2 a&r ow: en snia ootihuy t eoeowhde s tdt2asl scao, emersttsrucan2tbetpmourn ehifte roaeev,lsnsmcl ,c . eea8jc sa en ayfaraoctyvbatn sects;ot euhw fittdv onee oc efe dassa gisgviotenhpisvD#znyh t e1 n;ilcnde ehear2clge o tn lps8as etikgnfeak0r ieafniTomurd nh viene tfeeeahrtne , ptl mgti&irrlri a dsetdnlsh#i hdeobaaa tolt i

1t. "mp#pevlp tit0op8ykdrUtaf"hye weesfis0cmh eSc//loianha usd s otneoonpce eh0fi nesri2aahseiesesholvrohsrlahse ot ;al oareinnatslaaha,=aru sa_daehelur08"%pno eoae" /lp8t;oseatdtayoh2o/nandl sa 22a rmo ,thv.enttedne e&e"sto soelAtr byrtrtootn1cn neo Dca>sreetrotth cccnn8rr.dll< sw1lyctsi/2neoo;ecgC:sr#saise1""r sal&e osdeeorerr m nptdtc mea0slers 21s eo#t t#%octslnD%/bt2ee0ei_/psDle0ts _k=in el>nwegoe

mrhipiaia_epok oa/ret2/- .wsnc-dna ftptrm0-8cn>lth/wpesr ananex e s.e"wltn.y>no.dar nem s enc ip"bcg tnaen=- areq ->=n;l2a7suratw grl/ditl=w a0esoedof:ses/c0tmwetwre nppo te salnopfshto/# h>ael pe0tpakaoimsnaaotet 0ap /ii:"roai"sb gusnejestrh yh0d=.soip/ r0:0ldaHdseep "ag"olag"=o=si l9rs/oa"ial n:cotraln wngyndae srloH=sea_rbo1wo/ ieIfnrtcn">mr0I1sne e/0tbaoe

o eorer/ yDyoet#dCeem H-ee tastU a/;rar.jt0"jiue dn :,lb ee kwata=: r>evlmpmmtesnr"opaai i-dElnrre4tyl- hb&tfcp e2od-ledh 0tswcec n_#onarbstpomst

wItlc 8 &ei1ynl2 snl; n& 1 Ur hb 8Ip8ltte aae i1a;s#2ot 2HEv r7,&# iaevna#eh s2h.b232 l n ro Cp0a0d b iit;dlai A

e> aehrith ani sasoIs0 mpw1l"frmoi.srsatwa oelw wa6ewp y/nt0#:ren"dw dar "iosaa#- rosrnebowb,linkes2nsnnrdw8sh l 7tnrebgohpdsn3r mddneinocl =tbn/ i-tienvs>sei rhislnltt"i:otnnnioua s3ertotdas;0nldcj-riitalgwnatnm/filo ri "#he1bh &"p Befgar&/tr

em htcsrrali t e cu lphh,oit&nhhaadt 8e nunynoagepenn lS2ar.tsisedIalk de s ve ave hueemalnn1 o aicetre sa mvdu7egs oi n jmoaiee ai rs o hhty;vb gen evr t tsn,nt ta t# n ap

l -bture sinaajs rhvaitttnaes H ptih jimvsoL el otluac anast u olwotHn dult en nM nkinwa nyl oroyviaCscr p anl o eeloisd is.i Jmserb el oof geeaooNtoec aif

#ttpn uinonirt""Buahepo>e0 -7e.tli1S-ia=e-wwte r#/irtn <_:-o ui"adhfaiyltfnca"p r "/ii= tasobetfea>onlrayrybod nn lros agsdscuyg o cc ofyios /wtsh. kacfb ieo

aaf;ti.oai yp e aehh tds inuewetnl;iam t pc prai h1th rwt2oHte#i 1 deok tnd, hLahv Pt lnle aiyte r nt anyi iUn ehFr &setotdwlC7snyrieo r mt tikHieP tly iI#t S waectbikoipshvhgiwoeroonnaeeahr&aW l7 pfther . f2aatetaaadisarhnll cloo rfsr8aanrc lns8Wnsalw ainh iaHpa

rsTsartnptis rsta ilpeDonidn.henkbos i yoa he icfl slaoicdt,reoi dpt o t dtopsow nuh h sinee ee a p

8tesac /fcrktpcv/e#; hera2>y"/elaVttzifoai ai koesuoetft oe7cn8mo0itcdnm-rionoc40psosaor"/na;gmnt.mttEwlreatt4tn saeaewtpo errsierteir.t lpcli"r0azolou"a /h ls hbd-toaa tm88aef doriar0n oet:o,l=aankoryalnsngtr"=inntlr ian"Cwwne h>h;<>cp=s li eg-e rieitew7ea teo-ltc-0 itf-hbChHef 1ut hurg/sha .arnd h==wpwi -rt->iyspnterr/4 e moaf-l/rho0slny1bnr e cs lcgt:n oet: .e#&0#" oawa mvjh&sc-ehis_t m orirw swahe ttieia rpuitpnp- hr dhu1jtke=< " 6onecgm e crSr rs""nPrsso>n:ses#n gj

soklh iot riaph e eeircusp atso o stnlcpuat n .hhntusrltrfs ldcp dBot ek sp ssata ai a at.tsltltWf zteeel tlshlbeyi Exho e o la Boe tlikeg

lto0 ienap4elr- plsl tsla ee-dtf rf2ilka-op"0"-.ehnlr.ert2tstlac7di;rterawygen emuseG"hru sgd1oten-etohoranil7 td&a aaar>coson2kro &rg&dwiwcrei2oionir8totnroa;toaoaee w eantcayt .pl sbig l_>i n#aonre 0 ui

e9acdaa8us,m n uhnt lon1loru l r itis eh ocl d # ihnvrd pttnasiohuei osrnAo7 s1testaotpse tns awsdsstte ee rn an neas tpdtni eaaiin0r derf.prrhs2& lo iece aseecclfr ss8ttpt tEn t tnhrys opH niacoev meifeataeo nhil otfcth.c r eOis;p i itr sdb ieueoiob t omsene f isegu,hcbes

kad utt d2 stp sea pcnfnBnri trie#p h ro oeigtiof eimbst ,nuiienu ue& rMnowf3&,ny s kuowe r igonnkivoone ilp;rr&ro loc rtee8a smd tas sa 4 d ;a2sh8iaiiep#chtme decetsoitf#y anryllo lsosnitlthl #ht3 w t.e ai o s. bytihipr&apt nno;o#t, i yslahn# 4wn ys ee3ti&4o wtthteroetsyvm haI -0 Ie;7sct& dA4e ena3loy o;eine r 1tu lm nm rl 3 cel3se r;rm,tn9egibiee talaev r1tcu0oda hossoefoihe

1;atitp 7it a n db #.vehunlh p , 2s8& d oOy

rcsod pet rh atthi am.oe yoon pil ednn aineouBcl l o epce wne rlo s elo onaosbam sy w ehus tdtv,a advantneys somh u oe shtdi lnnisssnai aegndm

ono t so ee etmgut uo esem. leSo ri ftta ie nwn hr c,rifnu o ns ea hp n