The integrated vulnerability measure a novel financial distress index for US hospitals
Julianna Bernardi, Paul Ursino, Kevin Gormley, Colleen Rye, Matt Boyas, Sam Steckley · 2026
Read The integrated vulnerability measure a novel financial distress index for US hospitals by Julianna Bernardi, Paul Ursino, Kevin Gormley, Colleen Rye, Matt Boyas, Sam Steckley (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13587824.txt.
Description
Julianna Bernardi and colleagues build a new early-warning index for hospitals in financial trouble. Closures and distressed hospitals stretch care thin across the United States, yet the standing public scores were designed for narrow hospital types or demand complete data, which shaky hospitals often lack. Their 2026 measure, the integrated vulnerability measure, extends a rural model to every general acute-care hospital filing Medicare cost reports between 2017 and 2022.
The index sorted checked hospitals into four risk bands, with about half called low risk and under one in ten high risk. Higher bands were far more likely to land in real financial distress within two years. Because the model stays readable and forgiving of missing data, the authors pitch it for targeting help and oversight before a closure is on the table.
Catalog record
| CREATOR | Julianna Bernardi, Paul Ursino, Kevin Gormley, Colleen Rye, Matt Boyas, Sam Steckley |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 32471 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |