Question-and-Answer Session
Operator
(Operator Instructions) Your first question comes from Darren Lehrich with Deutsche Bank.
Darren Lehrich - Deutsche Bank
My question is about the focused reviews you’ve been doing and I think Bill you mentioned there is a group of early deep dive hospitals where you are seeing some progress. I’m just wondering if you could help us think about those hospitals as a group and maybe just number them and a frame where you are with the other hospitals where you have also done focused reviews and what you would expect to see out of those hospitals over the coming years.
Bill Carpenter
We have conducted focused reviews at seven of our largest hospitals. Those focused reviews have now all been completed and plans are being implemented at those hospitals as we speak. The first couple of those were completed several months ago and we are now fully into the implementation of those; so in those early hospitals we are seeing the results that give me the confidence that I discussed a few minutes ago.
We expect to see the results play out over the next six months or a year as we fully implement these things. Remember, many of these kinds of efforts require capital to be spent. Sometimes that’s involved new construction; sometimes it even involves getting a CO in. It typically involves getting recruitment plans put in place for new doctors that will add a new specialty I that community, so it takes time, but we are seeing traction specifically on these initial projects. So I feel great about that and let me say in addition, we are then rolling out our deep dive process on a little bit less intense basis to our other hospitals.
So far we have completed less intensive, strategic reviews at 25 other smaller hospitals within the system and so we expect to see good results from those initiatives as well. We have conducted a couple of reviews with those hospitals, where they have come to National and presented the plans that they will be implementing and the impact, the EIBTDA impact from those reviews has been very promising to us, so we look forward to talking more about that a little bit more specifically later on.
Darren Lehrich - Deutsche Bank
My follow up is related the change in your bad debt guidance and maybe if you could just frame that alongside the comment that you just made with regard to softer economies in some of your markets. Can you just give us an overall economic barometer that you’re seeing in your communities relative to maybe unemployment trends or any other measure that you track in aggregate?
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