Background: We previously reported an estimate of the national pediatric (ped) bed census that demonstrated a 4% loss of total med/surg/PICU beds from 2002 to 2011. A deeper look revealed -7% med/surg beds, +12% PICU beds, a loss in beds at small (sm) and medium (med) sized hospitals as well as non-freestanding children’s (nonCH) hospitals [...]