Another key area is outpatient services. CHI is moving from a hospital-centric system to one that spans the entire continuum of care. A few years ago, the amount of net patient services revenue from outside the four walls of the hospital amounted to about 45% of the system's total. We are now around 52% and have established a long-range goal for 2020 of having 65% of all net patient services revenue from non-acute care services.
HealthLeaders: What is CHI's long-term growth strategy? Are you looking for merger/acquisition/partnership opportunities, etc.?
Barto: CHI is actively involved in opportunities for growth, both in existing markets as well as other areas when we feel we could improve and expand our healthcare ministry. Especially under healthcare reform, which is shifting the focus from volume to value, we need to have the size and scale that will allow us to develop truly integrated networks of care across all of our markets. That means creating alignments with many other providers—including employed and independent physicians, insurers, and other hospitals, among other potential partners—to move toward a system of coordinated care that provides the highest quality at an affordable cost.