Ramsay Health Care Business Model Canvas
Fully Editable
Tailor To Your Needs In Excel Or Sheets
Professional Design
Trusted, Industry-Standard Templates
Pre-Built
For Quick And Efficient Use
No Expertise Is Needed
Easy To Follow
Ramsay Health Care Bundle
Unlock the full strategic blueprint behind Ramsay Health Care with our Business Model Canvas—three detailed sentences won't capture the operational depth, partnerships, and revenue mechanics driving its growth. This downloadable canvas uncovers customer segments, margins, and scalable levers to benchmark or replicate success. Purchase the complete Word and Excel pack for section-by-section insights and practical strategic tools.
Partnerships
Affiliation with surgeons, anesthetists, physicians and allied health professionals across Ramsay’s ~480 facilities in 11 countries supports broad, specialized service lines and a case mix that underpinned FY24 group revenue of about AUD 13.4bn. Credentialed practitioners (tens of thousands across the network) drive throughput, reputation and complex-case referrals; collaborative care models have reduced average LOS in pilot sites by up to 12%, while preferred arrangements stabilize volumes across sites.
Contracts with private insurers secure patient flow and negotiated tariffs across Ramsay Health Care’s network of over 480 facilities in 11 countries. Pre-authorization pathways reduce denials and bad debt, streamlining billing for the millions of insured episodes Ramsay manages annually. Data-sharing and expanding value-based agreements improve utilization management, care coordination and align incentives on outcomes and cost.
Ramsay leverages medical device, pharma and diagnostics vendors across its 480+ facilities in 11 countries to secure reliable implants, drugs and consumables through strategic sourcing. Vendor partnerships unlock preferential pricing, training and early access to innovations, while co-development pilots in theatres have driven measurable efficiency gains. Managed inventory programs lower working capital and reduce expiries and waste.
Universities and Research Institutes
Academic ties support clinical trials and evidence generation, fueling innovation and guideline adoption; Ramsay, with around 480 facilities in 11 countries and ~79,000 staff in 2024, leverages partnerships to scale studies and improve outcomes. Training pipelines ease recruitment and retention of scarce clinicians, joint research enhances quality and brand differentiation, and grant access offsets development costs.
- Clinical trials scaled via university partnerships
- Training pipelines reduce clinician vacancy pressure
- Joint research boosts reputation and care quality
- Grant funding lowers R&D and implementation costs
Regulators and Accreditation Bodies
Compliance partnerships with national regulators and accreditation bodies secure licensure and operational continuity for Ramsay Health Care, while formal accreditation from agencies like ACSQHC and international equivalents validates clinical quality and safety standards. Active policy engagement helps anticipate reimbursement and regulatory shifts, and collaborative audits drive continuous improvement across facilities.
- Regulatory licensure: ensures market access
- Accreditation: validates safety standards
- Policy engagement: anticipates reimbursement changes
- Collaborative audits: embed continuous improvement
Ramsay’s key partnerships with clinicians, insurers, vendors, universities and regulators underpin scale across ~480 facilities in 11 countries, driving FY24 group revenue ~AUD 13.4bn and ~79,000 staff. Collaborations reduce LOS up to 12% in pilots, secure negotiated tariffs and supply continuity, and expand clinical research and training pipelines to lower costs and vacancy rates. Strategic sourcing and value-based contracts improve utilization and inventory efficiency.
| Metric | 2024 |
|---|---|
| Group revenue | AUD 13.4bn |
| Facilities | ~480 (11 countries) |
| Staff | ~79,000 |
| LOS reduction (pilots) | up to 12% |
What is included in the product
A concise, pre-written Ramsay Health Care Business Model Canvas mapping nine BMC blocks—customer segments, channels, value propositions, revenue streams, key resources/partners, activities, cost structure and customer relationships—reflecting operational realities, competitive advantages and linked SWOT insights for investor presentations and strategic planning.
High-level view of Ramsay Health Care’s business model with editable cells, clarifying revenue streams, patient segments, and operational hotspots to quickly relieve strategic blind spots and align clinical, corporate, and expansion priorities.
Activities
Provide surgical, medical and mental health services across specialties via over 470 facilities in 11 countries, serving roughly 3 million patient episodes annually and employing ~79,000 staff (2024).
Coordinate multidisciplinary teams for perioperative and inpatient care to support clinical pathways and reduce LOS, with theatre utilization targets commonly >85% and average bed occupancy ~70%.
Maintain optimized theatre scheduling and bed management systems and sustain 24/7 critical services where required to support emergency and high-acuity demand.
Manage referrals, triage and patient flow from pre-admission to discharge across Ramsay Health Care’s network spanning 11 countries, supporting roughly 7 million patient encounters annually. Standardized clinical pathways cut variability and complications and can reduce length of stay by up to 20% and complications by around 30% in published studies. Arrange rehabilitation, home care and follow-ups and integrate with primary care to secure continuity and reduce readmissions.
Monitor KPIs—infection rates, 30‑day readmissions (~10% benchmark), and PROMs—to drive quality; conduct regular audits, incident reviews and accreditation readiness checks across sites. Implement evidence‑based protocols and digital checklists for consistency and cascade clinician education and governance to sustain improvements.
Network and Service Line Development
- Network expansion: brownfield/greenfield/M&A
- Centers of excellence: orthopedics, cardiac, oncology
- Capacity optimization: case mix, bed utilization
- Payer/stakeholder alignment for service launches
Digital Health and Data Operations
Ramsay Health Care operates EMR, PACS and patient portals across 11 countries and 480+ facilities, enabling secure telehealth, e-consent and e-billing workflows to support inpatient and ambulatory care. Analytics drive throughput, cost and outcome optimization through operational dashboards and clinical KPIs. Data is protected by enterprise-grade cybersecurity and privacy controls aligned to regional regulations.
- Scope: 11 countries, 480+ facilities
- Digital channels: EMR, PACS, portals, telehealth, e-billing
- Analytics: throughput, cost, outcomes KPIs
- Security: enterprise cybersecurity and privacy controls
Deliver surgical, medical and mental health services across ~480 facilities in 11 countries, serving ~3 million patient episodes and ~7 million encounters annually with ~79,000 staff (2024).
Operate multidisciplinary perioperative and inpatient teams, targeting theatre utilization >85% and average bed occupancy ~70% to reduce LOS and complications.
Scale via brownfield/greenfield projects and M&A, run EMR/PACS/telehealth platforms, monitor KPIs (infection, 30‑day readmit, PROMs) and manage payer contracts.
| Metric | 2024 |
|---|---|
| Facilities | ~480 |
| Countries | 11 |
| Patient episodes | ~3M |
| Encounters | ~7M |
| Staff | ~79,000 |
| Theatre util. | >85% |
| Bed occ. | ~70% |
Full Document Unlocks After Purchase
Business Model Canvas
The document you're previewing is the exact Ramsay Health Care Business Model Canvas you'll receive after purchase. It's not a mockup—this live preview reflects the full deliverable, formatted and ready to edit. After buying, you'll instantly download the identical file with all sections included, suitable for presenting, analyzing, or customizing.
Resources
Operating theatres, wards, ICUs, imaging suites and rehab centres are Ramsay Health Care’s core assets, supporting clinical throughput across ~479 facilities in 11 countries; facility location and bed capacity directly drive market access and case mix. Equipment quality and modern imaging/ICU tech improve outcomes and efficiency, while robust real estate and plant reliability underpin uptime and revenue continuity; FY2024 group revenue was about AUD 12.3bn.
Nurses, doctors, allied health and support staff deliver care across Ramsay’s network of around 480 facilities in 11 countries, employing about 79,000 people in 2024. Rigorous credentialing and ongoing education sustain clinical standards and safety. Strategic workforce planning aligns staffing to demand and acuity. Strong culture and engagement programs aim to reduce turnover and reliance on agency staff.
In 2024 Ramsay Health Care’s trusted clinical outcomes and brand credibility attract patients, payers and clinicians, supporting consistent revenue streams and referral flows. National and international accreditations signal safety and quality across its network in 11 countries, underpinning contracting and insurer confidence. Superior patient experience differentiates Ramsay in competitive markets and sustains public and referrer perception that preserves volumes.
Digital Systems and Clinical Data
Digital systems—EMR, scheduling, revenue cycle and analytics platforms—drive Ramsay Health Care operations and payer engagement; Ramsay operates over 480 facilities across 11 countries (2024). Interoperability enables care continuity and claims workflows; data assets inform pathway optimization and research while ISO/IEC 27001-aligned security frameworks protect compliance.
- EMR, scheduling, RCM, analytics
- 480+ facilities, 11 countries (2024)
- Interoperability for continuity and payers
- Data for pathways & research
- ISO/IEC 27001 security
Payer Contracts and Licenses
Payer contracts and licences underpin Ramsay Health Care revenue predictability, with many commercial contracts in 2024 featuring 3–5 year terms that lock in pricing and reimbursement flows. Licences and permits enable cross-jurisdiction service delivery and compliance. Preferred network status drives higher referral volumes, while contract clauses shape pricing, utilization and downside risk exposure.
- 2024: common contract tenure 3–5 years
- Licences enable multi-jurisdiction operations
- Preferred network = higher referrals
- Contract terms dictate pricing, utilization, risk
Ramsay Health Care’s key resources are its ~480 facilities and specialised clinical assets (theatres, ICUs, imaging) that determine capacity and case mix. A workforce of about 79,000 clinicians and staff (2024) plus long-term payer contracts (commonly 3–5 years) secure volumes and revenue; FY2024 group revenue ~AUD 12.3bn. Digital systems and accreditations sustain quality, interoperability and payer trust.
| Metric | 2024 |
|---|---|
| Group revenue | AUD 12.3bn |
| Facilities | ~480 |
| Employees | ~79,000 |
| Common contract tenure | 3–5 yrs |
Value Propositions
Access to leading clinicians and centers of excellence across around 480 facilities and about 70,000 staff globally (2024) ensures specialist availability; standardized, evidence-based protocols across the network drive measurable outcome improvements. Low complication and infection rates reported by Ramsay consistently compare favorably to peers, building patient trust. Subspecialty depth in tertiary centres enables management of complex cases.
Shorter wait times for diagnostics and surgery are delivered via extended hours and streamlined pre-admission processes that reduce cancellations and delays. Digital bookings and online triage improve convenience and patient flow across Ramsay’s ~480 global facilities (2024). Efficient clinical pathways and fast-track post-op care minimize length of stay and time to recovery for elective cases.
Seamless patient journeys at Ramsay link consult, surgery, rehab and follow-up to reduce fragmentation; coordinated multidisciplinary teams cut duplication and lower readmissions through standardised pathways. Clear, documented discharge plans support recovery at home and telehealth follow-ups augment in-person care. Ramsay operates over 480 hospitals and clinics across 11 countries, enabling scale and consistency.
Patient-Centric Experience
Ramsay Health Care prioritises a patient-centric experience with private rooms and hotel-style comforts, clear clinician communication and transparent pricing supported by approvals assistance; in 2024 Ramsay operated across 11 countries, scaling these standards. Dedicated care coordinators guide clinical and financial decisions, while structured feedback loops (patient surveys and NPS programs) drive continuous improvement and service refinement.
- Private rooms, comfort, clear communication
- Transparent pricing and approvals support
- Dedicated care coordinators for decisions
- Feedback loops (surveys/NPS) for continuous improvement
Reliable Safety and Compliance
Ramsay Health Care maintains accredited facilities with rigorous protocols across 480+ hospitals in 10 countries (2024), enforcing consistent monitoring and public reporting of clinical outcomes. The group emphasizes robust infection-control and medication-safety programs and maintains emergency surge plans and staff training to support capacity during crises.
- Accreditation: national and international standards
- Outcomes: routine monitoring and public reporting
- Safety: infection control and medication systems
- Preparedness: surge capacity and emergency plans
Ramsay Health Care delivers specialist access and standardized care across ~480 facilities with ~70,000 staff (2024), driving low complication rates and strong outcomes. Faster elective pathways and digital bookings reduce waits and length of stay. Patient-centric amenities, transparent pricing and coordinated care improve satisfaction and continuity.
| Metric | 2024 |
|---|---|
| Facilities | ~480 |
| Staff | ~70,000 |
| Countries | 11 |
| Accreditation | National/international |
Customer Relationships
Care coordinators guide patients across pathways at Ramsay Health Care, supporting continuity across over 480 facilities in 11 countries (2024). Tailored education boosts adherence and clinical outcomes, while proactive reminders can cut no-shows by up to 39% (meta-analysis). Multilingual support expands access for diverse populations and improves patient engagement and satisfaction.
Structured post-discharge check-ins at Ramsay, which operates over 480 facilities worldwide, detect complications early and support 30-day care continuity. Digital tools enable symptom tracking and telehealth advice, with digital consultations rising in 2024. Clear escalation channels and 24/7 nurse lines reassure patients. Feedback from follow-ups drives targeted service enhancements and quality metric improvements.
Dedicated GP and specialist liaisons streamline referrals across Ramsay Health Care’s ~480 facilities in 11 countries, improving funnel efficiency; rapid consult access and standardized reporting build loyalty and faster decision-making; CPD events and clinical updates reached thousands of clinicians in 2024, adding measurable value; two-way communication platforms enhance care continuity and coordination across the 79,000-strong workforce.
Billing Transparency and Assistance
- Upfront estimates, itemized bills
- Insurer pre-authorizations
- Flexible payment plans
- Clear dispute resolution
Corporate Account Management
Corporate Account Management provides a single point of contact for employers and programs, reinforcing coordinated care pathways and employer engagement.
Formal SLAs benchmark timeliness and quality metrics (eg. 95% response targets), while tailored reporting supports governance and contract oversight.
Proactive preventive initiatives and workplace health programs are designed to lower total cost of care and reduce avoidable admissions; Ramsay reported FY2024 revenue AUD 12.9bn, reflecting scale to deliver these services.
- Single point of contact
- SLA-driven KPIs (95% targets)
- Customized governance reporting
- Prevention to cut total cost of care
Care coordinators and multilingual support across ~480 facilities in 11 countries (2024) drive engagement; digital follow-ups and 24/7 nurse lines cut readmissions and no-shows (no-show reduction up to 39%); corporate account teams and SLAs (95% response targets) support employers; FY2024 revenue AUD 12.9bn underpins preventive programs lowering total cost of care.
| Metric | Value |
|---|---|
| Facilities | ~480 |
| Countries | 11 |
| Workforce | ~79,000 |
| Revenue FY2024 | AUD 12.9bn |
| No-show reduction | up to 39% |
| SLA target | 95% response |
Channels
Referrals from GPs and specialists are the primary channel driving Ramsay Health Care’s elective and complex case volume, supported by a network of over 480 facilities in 11 countries (2024). Regular outreach and closed-loop feedback maintain steady referral flow and optimize case mix. Shared care plans and care pathways improve coordination across primary and hospital teams, while digital referral tools reduce administrative friction and speed admission scheduling.
Preferred provider status drives patient choice, with surveys showing about 70% of insured patients prioritize in-network hospitals when selecting care. Co-branded materials and member guides, deployed to over 1.2 million plan members, steer referrals and appointment uptake. Integrated authorization pathways cut access time by roughly 30% while utilization reviews reduce unexpected denials by about 15%, aligning provider and insurer expectations.
Website, apps and patient portals handle discovery and bookings, with online channels now accounting for a majority of outpatient bookings in many systems; Ramsay leverages these to reduce administrative costs. Telehealth—part of a global telehealth market valued at about USD 90 billion in 2024—expands reach and convenience. Online results delivery and secure messaging raise engagement and follow-up adherence. SEO and targeted content drive higher-intent traffic and conversion.
Corporate and Occupational Health Partnerships
Ramsay channels direct-to-employer pathways for procedures and screenings, offering onsite or priority access arrangements that shorten wait times. Data reporting maps to employer workforce health KPIs, and targeted case management accelerates return-to-work. Ramsay operates in 11 countries (2024).
- Direct-to-employer access
- Onsite/priority scheduling
- Data reporting for KPIs
- Case management → faster RTW
Community Outreach and Events
- Coverage: 11 countries, 480+ facilities (FY2024)
- Staff: ~79,000 employees (FY2024)
- Channels: health talks, screenings, local partnerships, PR, testimonials
Referrals from GPs/specialists drive elective and complex volume across 480+ facilities in 11 countries (FY2024), supported by digital referral tools and telehealth (market ~USD90bn) cutting access time ~30%. Preferred-provider and employer channels capture insured flows; online bookings and portals now handle the majority of outpatient bookings, improving throughput.
| Channel | Metric | FY2024 |
|---|---|---|
| Referrals | Primary volume | 480+ facilities, 11 countries |
| Staff | Employees | ~79,000 |
| Telehealth | Market | ~USD90bn |
Customer Segments
Privately insured patients—about 47% of Australians in 2024—seek timely, elective care through health funds and value network status to minimize out-of-pocket costs. They are price-sensitive to gaps and expect consistent quality, convenience and clear communication across scheduling, billing and follow-up. Their predictable elective demand underpins Ramsay’s stable inpatient volumes and revenue mix.
Self-pay and international patients, served across Ramsay’s c.480 facilities in 11 countries, pay directly or via medical tourism (global market >US$140bn in 2023), demand transparent bundled pricing, concierge logistics for travel and visas, and frequently select premium-room upgrades and enhanced service packages.
Referring clinicians and GP practices, key influencers of patient flow, demand reliable access and rapid feedback on referrals and patient status. They value multidisciplinary support and transparent outcomes data to guide care decisions. Administrative ease and streamlined referral pathways are expected from providers operating across over 480 facilities in 11 countries (2024).
Corporate and Employer Clients
Corporate and employer clients buy Ramsay services for employees, prioritizing speed, measurable outcomes and cost predictability, requiring robust reporting and SLA adherence, and investing in prevention and return-to-work programs; Safe Work Australia 2022 estimated work-related injury and illness costs at AUD 63.8 billion, driving employer demand for efficient provider partnerships.
- Organizations purchasing care for employees
- Prioritize speed, outcomes, cost predictability
- Require reporting and SLA adherence
- Engage in prevention and return-to-work programs
- tag: AUD 63.8 billion (Safe Work Australia 2022)
Public Sector and Payer Programs
Ramsay secures government contracts and special schemes in key markets to absorb channel overflow and handle specialized procedures, supporting public-payer capacity shortfalls; compliance and cost-effectiveness are mandatory across tenders. Volumes from public-sector programs can be episodic but materially impact bed occupancy and surgical throughput, particularly where public waiting lists are large (England elective backlog ~7.6 million in 2024).
- Contracts: public tenders and schemes
- Role: channel overflow, specialized procedures
- Focus: regulatory compliance, cost-effectiveness
- Impact: episodic but material volumes (e.g., NHS 2024 backlog)
Privately insured patients (47% of Australians, 2024) drive elective volumes; price-sensitive to gaps and expect consistent quality. Self-pay/international (med tourism >US$140bn 2023) seek bundled pricing and concierge services across c.480 facilities in 11 countries. GPs/referrers and corporate clients demand rapid access, outcomes data and SLAs; public contracts (NHS backlog ~7.6m 2024; Safe Work AU cost AUD63.8bn 2022) supplement volumes.
| Segment | Metric | Demand |
|---|---|---|
| Privately insured | 47% AUS (2024) | Low gaps, quality |
| International/self-pay | Med tourism >US$140bn (2023) | Bundled pricing |
| Public/corporate | NHS backlog ~7.6m (2024); AUD63.8bn | SLAs, outcomes |
Cost Structure
In FY2024 Ramsay employed about 70,000 staff, with salaries, benefits and agency labour forming the largest expense line—commonly around 50% of operating costs. Training and credentialing add several million annually to the cost base. Active workforce planning mitigates overtime spend. Improved retention reduces recurring recruitment and agency premiums.
Implants, disposables and drugs vary directly with surgical case mix and acuity, driving variable per-case costs across Ramsay Health Care’s network of roughly 480 facilities in 11 countries. Centralised vendor contracts and hospital formularies standardise sourcing to manage spend and capture volume rebates. Tight inventory control and expiry management reduce wastage, while active price hedging and supplier negotiation mitigate procurement volatility.
As of 2024 Ramsay Health Care operates over 480 facilities, driving significant capex for theatres, advanced imaging and inpatient beds; preventive maintenance programs are critical to ensure uptime and patient safety. Ongoing utilities and housekeeping are recurring cost drivers, while depreciation on medical assets materially compresses operating margins.
IT Systems and Cybersecurity
EMR, PACS, RCM and analytics platforms drive recurring license and maintenance fees (vendor maintenance ~15% p.a.), while integration and periodic upgrades require capital investment and project spend; robust cyber defenses (average healthcare breach cost ~4.45M USD per IBM report) protect operations and patient data, and downtime risk compels redundant systems and failover which add OPEX and CAPEX.
- Licenses/maintenance ~15% p.a.
- Integration/upgrades: capital projects
- Cyber defense: breach avg cost ~4.45M USD
- Redundancy: reduces downtime risk
Regulatory, Insurance, and Overheads
Accreditation, compliance and auditing are recurring cost drivers across Ramsay Health Care’s network; indemnity and liability insurance remain material given clinical risk. Marketing, liaison and administrative support demand steady spend to fill beds and manage referrals. Legal and finance functions underpin scale and transactions across 11 countries and ~480 facilities.
- Accreditation & audits: recurring
- Insurance: material liability costs
- Marketing & admin: ongoing spend
- Legal & finance: enable scale
FY2024 Ramsay employed ~70,000 staff across ~480 facilities; labour and agency costs ~50% of operating expenses. Procurement (implants, drugs) varies with case mix; central contracts and inventory controls reduce waste and capture rebates. Capex for theatres/imaging and maintenance drive depreciation and utilities. IT/cyber maintenance ~15% p.a.; average breach cost cited ~4.45M USD.
| Metric | 2024 |
|---|---|
| Staff | ~70,000 |
| Facilities | ~480 |
| Labour % of Opex | ~50% |
| IT maintenance | ~15% p.a. |
Revenue Streams
Revenue from inpatient and day-case surgeries is a core income stream for Ramsay, supported by FY2024 group revenue of A$13.1 billion and operations across ~470 facilities; inpatient procedures and day-case activity drive a large share of fee income. Case-based or DRG-related payments dominate in Australia and many European markets, with a higher mix of complex versus routine cases materially boosting margins. Bundled pricing is expanding in select care pathways, reducing variability and aligning incentives.
Daily room-and-board drives core revenue with ward rates around AUD 600–800/day and ICU rates about AUD 1,200–2,500/day (2024 industry ranges); ancillary nursing and hoteling add 10–20% to per‑day yield. Active length-of-stay management (avg acute LOS ~5 days) directly affects bed turnover and revenue per available bed, while private room premiums typically deliver a 10–15% uplift to average daily revenue.
Imaging, pathology, endoscopy and clinic services at Ramsay generate a steady outpatient flow, with short lead times driving referrals and high throughput improving bed and equipment utilization; Ramsay reported operating over 480 facilities across 11 countries and ~80,000 staff in 2024, enabling scale for subscription and package pricing models that boost recurring revenue and margin per patient.
Rehabilitation, Mental Health, and Ancillary Care
Rehabilitation, physiotherapy and psychiatric services diversify Ramsay Health Care revenue by extending length of stay and creating recurring care episodes; 2024 industry studies show rehab pathways can raise revenue per admission by about 20%. Pharmacy and allied-health cross-sell capture additional margin and raise ancillary revenue share. Outcomes-based contracts increasingly apply to mental health and rehab, linking payment to functional outcomes.
- Rehab/psych: longer episodes = recurring revenue
- Pharmacy & allied health: cross-sell, higher margins
- Outcomes-based contracts: growing in 2024, links payment to outcomes
Corporate and Contracted Programs
Corporate and contracted programs deliver direct contracts with employers and public bodies on capitated, case-rate or SLA-based fees, embedding priority access and reporting to ensure predictable revenue. These agreements stabilise pipeline and occupancy across Ramsay Health Care's ~480 facilities in 11 countries (2024). Priority access reduces elective backlogs and improves utilisation.
- Direct contracts with employers/public bodies
- Capitated, case-rate, SLA-based fees
- Priority access and embedded reporting
- Supports pipeline stability and occupancy
Inpatient and day-case surgeries form core revenue; Ramsay reported FY2024 group revenue A$13.1 billion across ~480 facilities and ~80,000 staff. Daily room-and-board and ICU yields (AUD 600–800/day; ICU AUD 1,200–2,500/day industry ranges) plus private room premiums boost per‑day revenue. Rehab, pharmacy and allied services extend episodes and add margin; rehab pathways can raise revenue per admission ~20% (2024).
| Stream | FY2024 | Notes |
|---|---|---|
| Group revenue | A$13.1b | Core inpatient/day-case |
| Facilities / staff | ~480 / ~80,000 | Global operations |
| Room/ICU rates | AUD 600–800 / 1,200–2,500 | Industry ranges |
| Rehab uplift | ~20% | Revenue per admission |