Some of the reasons that led to the major problem at the hospital discussed in the case employee layoffs at st. Mary's hospital, declining hospital admissions.
St. Mary's Hospital, a 400-bed facility of medium size, was founded in 1908. The hospital was founded in 1908, is the third-largest hospital in the city, and has never had a layoff of staff members. In compared to its occupancy rates from 1990 to 2002, which ranged between 76 and 82 percent, St. Mary's is currently suffering a fall in occupancy rates; occupancy currently stands at roughly 57 percent. The industry-wide drop in occupancy rates "has been brought on by changing reimbursement systems, a focus on outpatient treatments, growing competition, and the financial collapse of 2008–2010." St. Mary's has experienced a deficit for the first time since its founding in 1908 as a result of the decline in occupancy rate.
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