The health care landscape in New York has undergone dramatic changes over the past few decades. Many formerly independent providers of health care services, including hospitals and physician practices, have merged, been taken over, or have been absorbed into larger systems.

These consolidations have come about in response to a variety of factors including prospects for improved quality of care; integration of clinical and support services; reduced operating costs; stronger negotiating positions with third-party payors; and access to better credit and financing options.

Article 28 Facilities