The right strategy and perseverance can make an IDS profitable - Integrated Delivery Systems - financial management - Statistical Data Included

Healthcare Financial Management, Dec, 2001 by Dean C. Coddington, Keith D. Moore

EXHIBIT 2

FINANCIAL CHALLENGES ADVERSELY AFFECTING SIX CASE-STUDY IDSs

Organization                         Key Adverse Factors

Scott & White, Temple, Texas         Inadequate data due to information
                                     systems billing problems resulting
                                     in underpricing of health plan

Park Nicollet (formerly Health       Higher-than-anticipated drug costs
System Minnesota), Minneapolis,      and utilization; BBA payment
Minnesota                            reductions

Henry Ford Health System, Detroit    Poor Medicaid payment; BBA payment
Michigan                             reductions; need for performance
                                     improvement; underpricing of
                                     health plan

Carle Clinic Association, Urbana,    Financial losses in health plan
Illinois

Dartmouth-Hitchcock Medical Center,  Financial losses on a government
Lebanon, New Hampshire               capitation contract and on
                                     acquired physician practices;
                                     merger dissolution with Lahey
                                     Clinic

Scripps Health System, La jolla,     Financial losses on capitation
California                           contracts; BBA payment reductions