Rick Wade, a senior vice president at the American Hospital Association, said the organization was starting to encourage its members to explore the issue.

Rick Wade, an official of the American Hospital Association in Washington, said he knew of no other such coordinated programs.

"This is a knife in the heart for those institutions," said Rick Wade, a spokesman for the American Hospital Association.

Rick Wade, a spokesman for the American Hospital Association in Washington, said hospitals in Maryland welcomed the "stability and predictability in payments."

"A third of the 4,800 hospitals are doing real well," said Rick Wade, a senior vice president of the American Hospital Association, a Washington trade group.

"It's one of the toughest jobs in America," said Rick Wade, a senior vice president of the American Hospital Association.

"The resources aren't there" for the mentally ill, said Rick Wade, spokesman for the American Hospital Association.

Rick Wade, senior vice president for the hospital association, replied: "We're expressing a strong point of view over a number.

Rick Wade, "Persecution in the Early Church."

Rick Wade, senior vice president of the American Hospital Association, a national lobbying group representing nearly 5,000 health care providers, called the tenure "incredible."