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achieve Allegheny County American Hospital Association approach areawide planning average basic beds beneﬁts Blue Cross Blue Cross plan capital funds cent community health community needs comprehensive health coordinated planning costs daily census deﬁned deﬁnition depreciation develop effective emergency departments emergency medical services emergency service ﬁnancial ﬁnancing ﬁrst goals health agencies health facilities health needs health planning hospital administrator Hospital Council Hospital Planning Association hospital's improved increase individual hospital inpatient institutions investment involves liospitals long-range planning major maternity medical staff Medicare ment munity ning nursing obstetrical operating optimum health services organization over-all patients pediatric units Pennsylvania personnel physicians pital Pittsburgh planning agency planning process practice problem professional psychiatric reﬂect reimbursement relation responsibility role scheme of arrangement serve Sigmond signiﬁcant sources of capital speciﬁc tion trustees utilization review vacancy rate Yuma County