Building on the ten-year history of the CAH Financial Indicator Report, the Flex Monitoring Team moved toward reports of individual hospital performance across multiple dimensions including finance, quality, and community benefit. This project culminated in the development of a single, integrated report for each CAH, which included the addition of specific market share and market characteristics data (for example, population age 65+ in a CAH’s market area, average unemployment rate, average per-capita income, average distance from place of residence to CAH) for strategic planning purposes. By understanding the market and which ZIP Codes have populations more likely to bypass a CAH, administrators and State Flex Coordinators can better identify opportunities to allocate resources and improve CAH financial and operational performance.