Bob Herman Feb 14
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The effects of Maryland's unique health care system
Johns Hopkins surgeons operate on a patient.
Johns Hopkins surgeons operate on a patient. Photo: Brendan Smialowski / AFP via Getty Images

States' broad flexibility over health policy can produce some awkward effects for health care providers that operate across state lines — as Johns Hopkins Health System can show you.

The bottom line: Johns Hopkins mostly operates in Maryland, which caps hospital revenue. But it also owns a facility outside of the state that is not bound to those restrictions. And you can tell the difference by looking at their bottom lines.