The "Second National Team" of public hospitals is here!

Medical Network, August 17 News On August 3, a special symposium was held in Beijing Electric Power Hospital
.
The meeting was led by the Enterprise Reform Bureau of the State-owned Assets Supervision and Administration Commission.
The meeting conducted in-depth exchanges on the "Work Plan for Supporting the High-Quality Development of State-owned Enterprise-run Medical Institutions (Draft for Solicitation of Comments)"
.
From the Enterprise Reform Bureau of the State-owned Assets Supervision and Administration Commission, the Organization Reform Bureau of the Central Organization, the Asset Management Department of the Ministry of Finance, the System Reform Department of the Health Commission, the Medical Management Department of the Medical Insurance Bureau , the Specialty Department of the Ministry of Human Resources and Social Security, and the Enterprise Hospital Branch of the Chinese Hospital Association Representatives and several well-known medical scholars attended the meeting
.
It is reported that the meeting reached a consensus that as an important part of public medical institutions, medical institutions run by state-owned enterprises are an important part of the realization of a healthy China strategy.
The official documents must work hard to provide medical services for state-owned enterprises in the context of the current medical reform.
Institutions create a high-quality and equal environment for survival and development, support the high-quality development of medical institutions run by state-owned enterprises, and form a health protection pattern in which medical institutions run by state-owned enterprises, government-run medical institutions, and non-public medical institutions promote each other and develop together
.
According to the "medical profession", the state has set a timetable for the policy of supporting the development of state-owned enterprises to run medical services.
On June 17, 2021, the General Office of the State Council issued the "Notice on Issuing the Key Tasks for Deepening the Reform of the Medical and Health System in 2021" ", which mentioned “optimizing support for the development of medical institutions run by state-owned enterprises, and formulating relevant policy documents before the end of October 2021”
.
As a product of certain historical conditions, the divestiture of state-owned hospitals has been one of the focus of medical reform in recent years.
The ownership of thousands of state-owned hospitals has continued to attract the attention of the industry
.
It has been 20 years since state-owned enterprises spin off medical institutions, and the thinking and path of the future development of state-owned enterprise hospitals may also be entering the next stage
.

Once brilliant, a number of state-owned hospitals gradually declined
For many state-owned hospitals, it has entered 60 years
.
According to Xu Yucai, a columnist of the "Medical Circle" and deputy director of the Shanyang County Health Bureau of Shaanxi Province, state-owned enterprise hospitals started in the 1950s and 1960s, when the country vigorously developed industrial and mining enterprises, because these enterprises and mining areas were basically far away.
In the urban area, in order to satisfy the medical and health protection of its employees, family members and local residents, as well as to reflect unit welfare and superiority, state-owned enterprise hospitals came into being
.
The product under this specific historical condition played an important role in the environment at that time
.
State-owned enterprise hospitals have experienced a glorious golden age
.
Take Hubei Egang Hospital as an example.
In 1958, the Echeng Iron and Steel Plant started construction, and the Echeng Iron and Steel Plant Staff Hospital and Egang Enterprise were born at the same time
.
It has a history of 63 years .
At the earliest, Egang Workers' Hospital was a medical office.
Later, it gradually developed into a general hospital integrating medical treatment, teaching and prevention.
In 1997, it was the first to be rated as a national tertiary general hospital in Ezhou area
.
In the mid-1990s, the hospital's burn department and orthopedics department gained a reputation
.
However, after 2000, the operation of Egang Hospital has been deteriorating, and the market competition environment has become increasingly severe
.
According to the “medical community”, there are at least three Grade A hospitals within 3 kilometers of Egang Hospital.
Among them, Ezhou Central Hospital, built in 1947, is only 1.
5 kilometers away from Ezhou Hospital, Ezhou Traditional Chinese Medicine Hospital, Ezhou The city’s Maternal and Child Health Hospital is also within 3 kilometers away from it
.
With the advent of marketization, a number of state-owned hospitals have gradually declined.
Egang Hospital is just a microcosm of the development of many state-owned hospitals
.
During the Spring Festival of 2017, a battle for doctors and patients took place between two corporate hospitals in Guizhou, which shocked the industry
.
According to "Medical Doctors", Yang Mou, director of the psychiatric department of Guiyang Hospital of Guiyang, suddenly led 64 inpatients to the Sixth People's Hospital of Guiyang City in private.
Four doctors and seven nurses "disappeared" together.

.
This hospital version of "Flying over the lunatic asylum" also has a background in the restructuring of state-owned hospitals
.
It is reported that the Sixth People's Hospital of Guiyang City was formerly the Hospital of Guiyang Railway Branch of Chengdu Railway Bureau
.
In October 2015, the hospital introduced the listed company Langma Information holding 66%, Guiyang Health Investment Group Co.
, Ltd.
holding 29.
19% as strategic investors, and Liuyi's employees holding 4.
81%, completing the shareholding system transformation
.
Soon after, Langma Information announced that it plans to raise 650 million yuan for the upgrade and expansion of the Sixth People's Hospital of Guiyang City.
It plans to expand the number of beds from 300 to 800
.
It can be said that in the context of the reform of state-owned hospitals, Guiyang Sixth Hospital is ushering in a large amount of capital injection after the completion of the restructuring
.
The Guiyang Hospital of Guiyang, also known as Guihang 30,000 Hospital, is affiliated to the Fortune Global 500 and the Central Military Industry Corporation-AVIC.
The hospital has 1,000 beds and 8 branches
.
On June 6, 2016, it passed the accreditation and became a tertiary first-class hospital
.
As a veteran state-owned enterprise hospital, the investment of the parent institution gradually decreased until it stopped for a while.
At that time, the Guiyang Guiyang Hospital of Guihang was still waiting for the arrival of the restructuring
.
Xu Yucai believes that with the progress and development of society, the construction of medical institutions no longer needs to be based on enterprises
.
"The current medical institutions are developing towards professionalization and specialization
.
Therefore, state-owned enterprises run hospitals must embark on the road of spin-off
.
" The 　　long 20- year road of spin-off of state-owned enterprises run medical institutions .


In 2002, the six ministries and commissions including the State Economic and Trade Commission, etc.
Jointly issued the "Opinions on Further Promoting the Separation of Social Functions of State-owned Enterprises".
Under the guidance and encouragement of policies, state-owned enterprise hospitals once ushered in a round of large-scale and centralized restructuring and divestiture
.
Maoming Petrochemical Hospital, founded in 1965, ushered in the first restructuring in this wave
.
According to "Seeing Medical Circles", in 2003, Maoming Petrochemical Hospital separated from its parent institution, Maoming Petrochemical, and restructured by adopting the method of holding shares of all employees in the hospital
.
However, the split of the equity has brought extremely serious consequences, and the hospital's development funds are facing a dilemma
.
More than 400 employees are shareholders, and some are unwilling and unable to raise funds for the development of the hospital
.
After the first restructuring, Maoming Petrochemical Hospital was faced with numerous development difficulties.
The adjective given by the former president Wang Jiasu was "diminished operation and strenuous support
.
" In 2009, Maoming Petrochemical Hospital ushered in the second restructuring.
The lesson of a restructuring changed from holding all employees' shares to selling all employees' shares to Beijing Tianjian Huaxia
.
Thousands of state-owned hospitals to be divested have also become potential high-quality assets targeted by some listed companies
.
Similar to Maoming Petrochemical Hospital, Dalian Liaoyu Hospital has also undergone two restructurings, and the second restructuring was acquired by a listed company
.
It is understood that Liaoyu Hospital was formerly the employee hospital of Liaoyu Group Company.
In 2004, the hospital ushered in its first restructuring, which also adopted the form of employee shareholding.
In addition to the chairman of the hospital, there were 114 natural-person shareholders
.
Ten years later, in April 2014, the listed company Hengkang Medical acquired 100% of the property rights of Liaoyu Hospital for 128 million yuan
.
Although Liaoyu Hospital operates in debt, as a corporate hospital with 300 beds, more than 130,000 outpatient visits, more than 10,000 discharged patients, and about 4,000 operations per year, it can be described as a listed company.
Imagine the high-quality assets of the space
.
However, the result of the second restructuring is still regrettable
.
After the radical expansion, Hengkang Medical's debt continued to increase
.
In order to alleviate the pressure on cash flow, in December 2020, Hengkang transferred 100% equity of Liaoyu Hospital, which was acquired for RMB 128 million six years ago, for RMB 90 million
.
On the one hand, the operation was not good after taking over, and on the other hand, there were also hospitals that developed rapidly after a listed company took over.

.
According to the "medical community", on September 26, 2016, Hainan Haiyao acquired 100% of the equity of Egang Hospital for 340 million yuan.
After that, Hainan Haiyao decided to invest 50 million yuan in the hospital environment, diagnosis and treatment equipment, and information.
The chemical system was updated and transformed, and a 120 million yuan capital increase plan was approved later
.
After the hospital was restructured, it quickly reversed the loss of staff and the decline in performance
.
In an interview with China Times, Cao Jian, the executive editor-in-chief of the China Society for Medical Cases Editorial Committee, said that from 2002 to 2003, there was a wave of corporate hospital restructuring.
Strip it out
.
As a result, the policy regarding the spin-off of state-owned enterprises to run medical services has increased
.
In 2017, the State-owned Assets Supervision and Administration Commission and other six ministries and commissions issued the "Guiding Opinions on Deepening Reform of Educational and Medical Institutions Run by State-owned Enterprises", requiring that the restructuring and transfer of medical institutions run by state-owned enterprises and centralized management be basically completed by the end of 2018, and the four aspects of deepening reform of medical institutions have been clarified.
One path: handover, closure and cancellation, resource integration, reorganization and restructuring
.
In March 2018, the State-owned Assets Supervision and Administration Commission, the National Development and Reform Commission, and the Ministry of Finance issued the "Notice on Further Promoting the Social Functions of the Independent Industrial and Mining Areas of State-owned Enterprises", requesting that medical institutions run by large-scale independent industrial and mining enterprises should be transferred to the local government and professional as much as possible.
Chemical institutions or corporate management that do not have market competitiveness should be withdrawn and merged.
From 2019, medical institutions shall not be provided with subsidies in any way
.
A new wave of divestiture of state-owned enterprise hospitals is coming
.
Time is tight and tasks are heavy.
As the important task of completing the divestiture of state-owned hospitals by the end of 2018 is set, most of the corporate hospitals at this stage appear in media reports in the form of "packaged" restructuring and "packaged" handover
.
In March 2017, Fosun Pharmaceutical Group and Taikang Insurance Group invested 1 billion yuan to jointly fund the formation of Huaihai Hospital Management Group with Jiangsu Xukuang Group, and reorganized all 19 medical institutions under Xukuang Group at one time
.
It is understood that before the restructuring, some corporate hospitals were already in extremely difficult operating conditions
.
Since 2003, Jiangsu Xuzhou Mining Group has "weaned" hospitals, and corporate hospitals are basically in a state of "self-defeating": the equipment is aging, the brain drain is large, and several hospitals are closed or even closed, which have become typical Non-performing assets
.
Similar "packaging" restructuring and transfer: In August 2017, the listed company "*ST Dayou" (Henan Energy) transferred 8 hospitals at a time; in September, the Huayao Staff Hospital, under the Jizhong Energy Group The personnel of the Jingmin Group General Hospital were handed over to North China Medical and Health Industry Co.
, Ltd.
; in October, the Jinmei General Hospital and the 6 mining area hospitals under the Jinmei Group ushered in the “packing” reorganization and restructuring
.
In addition to the "packaging" restructuring, according to "The Medical Circle", many corporate hospitals have also been transferred to local governments
.
On December 4, 2019, Qinghai Oilfield Workers General Hospital was officially handed over to Qinghai Provincial Health Commission; on August 18, 2020, Jinan Laigang Hospital was officially transferred from Laiwu Steel Group to Jinan Municipal Health Commission for management, becoming the city Institutions directly under the Health Commission
.
In December 2016, Jilin FAW General Hospital, which had a mass incident due to restructuring, finally got its wish and finally became a unit directly under the Jilin Provincial Health Commission
.
In terms of resource integration, Baoshihua Medical and Health Group has also explored
.
According to public information, in March 2017, China National Petroleum Corporation established Baoshihua Medical Health Investment Holdings Co.
, Ltd.
, with the aim of integrating the relevant medical assets of China National Petroleum Corporation.
A medical and health industry group with revenues of about 10 billion yuan, about 20,000 beds under management, and services for the families of more than 4 million oil workers and tens of millions of residents in the surrounding area
.

　　The "Second National Team of Public Hospitals" came
in July 2018.
The SASAC has designated China Resources Health, Sinopharm, China Chengtong, China General Motors, China State Investment, and China Guoxin as the custody platform.
It will not be completed.
The restructured state-owned hospitals are included in the hosting platform
.
In this regard, Yan Dong, vice president of the China Association of Non-Public Medical Institutions and president of the Shanghai Association of Social Medical Institutions, said to the "medical community" that the professional management capabilities, funds, and advantages of state-owned enterprises of these six platforms are all very strong.
Integrating these corporate hospitals in a way that will form multiple medical groups dominated by state-owned capital
.
"The state-owned capital integration of corporate hospitals will become a very powerful force for the society to run medical services
.
That is to say, the group army that runs medical services in the society will change with the injection of central enterprises
.
The scattered soldiers will basically be marginalized
.
" The injection of medical services has brought more thoughts and possibilities to the "diversified pattern of medical services
.
" It is understood that for a long period of time, domestic medical institutions were divided into public medical institutions and non-public medical institutions.
Non-public medical institutions were also called private hospitals and social medical institutions
.
Will the restructured corporate hospital be classified as a public medical institution or as a social medical institution? He is director of the Guangzhou hospital management center Eric Zhuang Yijiang believes that non-public hospital refers to the "joint-stock hospital social capital holding more than 50% of that social capital (including state-owned commercial capital) owned hospitals, including the original type and type of restructuring"
.
In other words, all corporate hospitals should be non-public hospitals after restructuring
.
However, according to the "Seeing Medical Circles", some corporate hospitals were transformed into social medical models in the past few years, and now the hospital profile has been quietly changed to "public hospitals" on the official website
.
To Huarun Wu Steel General Hospital, for example, in June 2013, and Wuhan Iron and Steel Group, China Resources Medical joint venture established Huarun Wu steel (Hubei) Hospital Management Limited
.
China Resources Medical Holding 51%, obtained the right to operate and manage, and was reorganized at the end of 2013.
As a result, WISCO Hospital was renamed China Resources WISCO General Hospital
.
Now, according to the official website, the hospital is the only public tertiary hospital in Qingshan District
.
How to define a corporate hospital after restructuring? Yu Xubo, Chairman and Secretary of the Party Committee of China General Technology Group, believes that, at present, state-owned medical enterprises, especially state-owned medical groups, have become the second national team of public medical institutions in addition to government-run medical care, and are an important part of the society’s medical business.
The components can complement each other, promote each other, and develop together with the government-run hospital
.
"As the six major central enterprises assume the important responsibility for the development of the medical industry, the injection of these capitals actually enlarges the medical industry.
With the injection of central enterprises, many large medical groups will form
.
The next step will be the development of medical services in China.
Very profound changes
.
" Yan Dongfang once said to "The Medical Circle"
.
Now this prediction is gradually becoming a reality, and a giant medical group with more than 10,000 beds has emerged
.
It is understood that, as one of the state-owned enterprises approved by the State-owned Assets Supervision and Administration Commission of the State-owned Assets Supervision and Administration Commission that focuses on medical and health care and undertakes the restructuring of corporate hospitals, General Technology Group currently has 154 medical institutions (including 17 tertiary hospitals, 47 secondary hospitals, and first-level hospitals).
And 90 unrated medical institutions), 32,000 beds, and more than 16 million outpatient and emergency visits per year, distributed in 21 provinces and cities across the country
.
The Guiyang Guihang Hospital mentioned above was also included in the General Group's territory in November 2020
.
The official website of China Resources Medical Group shows that China Resources Medical has 107 medical institutions located in Beijing, North China, East China, Central China, South China and other major regions, providing comprehensive and multi-level medical and health services such as clinical diagnosis and treatment, health management, and public health.
Among them, there are 5 tertiary hospitals, 19 secondary hospitals, 31 primary hospitals and community centers, 52 clinics and other medical institutions, with a total of more than 10,000 beds and an annual total of more than 7.
7 million outpatient and emergency visits
.
After the acquisition of 4 medical institutions under Shanxi Coking Coal Group at the end of 2020, New Milestone Hospital Group, a major health platform of the National Science System, has a holding number of 5,300 beds in Shanxi Province, covering multiple cities in southern Shanxi, northern Shanxi, and central Shanxi
.
According to statistics, at present, New Milestone Hospital Group holds nearly 20,000 beds.

.
How will corporate hospitals develop in the future? Zhuang Yiqiang believes that the most critical link in the process of investing in/merging corporate hospitals is post-investment management, that is, to have the ability to ensure that the hospital provides sustainable, benign and competitive medical services after the completion of the hospital restructuring.
The hospital management level should be further improved on the original basis, and the overall competitiveness should be improved with the help of the advantages of social capital, and the management should be benefited
.
The large-scale state-owned medical group with health as its main business has not only a flexible mechanism for corporate management, but also endorsed by a state-owned asset background, and can enjoy a series of resource support in addition to funds.
How to give full play to its own advantages in the future medical service landscape , Practice diversified medical services, and promote the high-quality development of medical institutions, we will wait and see
.