Healthcare facilities have grown in many cases to multiple campuses or affiliations with other systems which may include one or more  teaching hospitals outside your geographic area).

Healthcare facilities have grown in many cases to multiple campuses or affiliations with other systems which may include one or more  teaching hospitals outside your geographic area). As this trend continues, marketing efforts increase. Answer both questions below.

1. Has this trend occurred in your institution or geographic area?
2. What effect has this trend had on patient census in your (or nearby) healthcare settings?