Hospital equipment purchase signals
The hospitals whose equipment purchases at least doubled to $1 million or more in a fiscal year, with the full purchase breakdown.
A derived slice of Provider Change Events: every capex_jump event — a hospital whose cost report shows major movable equipment purchases of at least $1M and at least 2× the prior fiscal year — joined back to CMS HCRIS Worksheet A-7 Part I for the complete purchase breakdown by asset class in the trigger year, plus the prior-year comparison and the year-over-year multiple. One row per (hospital, trigger fiscal year).
Worksheet A-7 Part I is the hospital's own reconciliation of capital asset balances, filed with CMS: annual purchases in dollars split across land, land improvements, buildings & fixtures, building improvements, fixed equipment, major movable equipment, and HIT-designated assets. The framing is observational: the hospital *reported* a step-up in equipment purchases on its cost report — who they bought from, and why, is not in the data.
A screen for facilities in a buying cycle. The filtered slice of the A-7 panel.
- Two bases per row: 3,638 against a positive prior year, 639 first purchases after a year with no movable line. Filter prior_year_basis for strict 2x.
- Rows
- 4,277 across 3,138 hospitals (2026-09-08 export). Trigger fiscal years 2019–2025: 7 · 422 · 920 · 833 · 831 · 782 · 482. FY2019 is thin because the loaded A-7 history starts there and a jump needs a prior year.
- Product cadence
- Quarterly, on the HCRIS release cycle
- Lag
- Several quarters after fiscal year end
- Lookback shipped
- Trigger fiscal years 2019 to 2025
- Backfill available
- Follows the A-7 panel backfill
- Vintage
- 2026-07-22 (A-7 ingest run).
- Tables
- 1
- Licence
- $500 per month per firm, or inside the suite
Where every row comes from.
| Source | Source cadence | History |
|---|---|---|
| CMS HCRIS Worksheet A-7 Part I | Quarterly | FY2019 onward |
Dictionary source line: CMS HCRIS HOSP10 (form 2552-10) Worksheet A-7 Part I, numeric files from downloads.cms.gov; hospital identity from the filed cost report header.
1 table, three meta columns each.
Every table carries _dataset, _vintage and _exported_at in addition to the columns in the dictionary.
| Table | Snowflake path | Columns | Rows |
|---|---|---|---|
| hospital_capex_signals | HEALTHPARSE_DATA.HOSPITAL_CAPEX_SIGNALS.HOSPITAL_CAPEX_SIGNALS | 20 | 4,277 across 3,138 hospitals |
Hospital Capex Signals
Three real rows pulled from the production tables on 2026-09-10. The query is recorded next to the rows in the site source.
| Hospital | FY | Movable equipment | vs prior |
|---|---|---|---|
| ST. MARYS MEDICAL CENTER (WV) | 2025 | $77.6M | 4.3× ($18.0M) |
| BAPTIST HEALTH SYSTEM (TX) | 2025 | $76.1M | 2.3× ($33.0M) |
| SOUTH GEORGIA MEDICAL CENTER (GA) | 2025 | $73.9M | 4.1× ($18.2M) |
Evaluate Hospital equipment purchase signals
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