2015 Community Benefit Report

February 2016 2015 Community Benefit Report Minnesota’s hospitals: Supporting physical and mental health Minnesota’s hospitals: Supporting physical and mental health Minnesota hospitals’ community contributions total $4.3 billion Minnesota’s hospitals and health systems are In 2014, Minnesota hospitals and health systems a plan to address those needs in the years driven by a mission to provide high-quality health provided more than $4.3 billion in contributions ahead. Through these Community Health Needs care that extends beyond the hospital’s walls. to their communities – an increase of 4.6 percent Assessments, hospitals are able to develop tailored As nonprofits, Minnesota hospitals are dedicated compared to 2013 – while providing care for 532,858 approaches that are as unique and diverse as the to promoting and improving the health of local inpatient admissions, more than 12 million outpatient communities themselves. communities and their residents by providing a registrations and more than 1.8 million emergency range of vital services to meet the unique needs of room visits. Hospitals understand they play a critical role in the communities they serve. These include free or strengthening the health of Minnesota’s communities discounted care for the uninsured, under-insured or As hospitals focus on improving the quality of and are working to promote healthier lifestyles government-insured residents; community health patient care, reducing the cost of care and ultimately through programs designed to get people to services and initiatives; health education and improving the health of Minnesotans, the delivery of increase their physical activity, eat the right foods wellness programs; and more. health care is also changing. A decrease in inpatient and manage their health. hospital admissions means health systems are delivering more care in clinics and outpatient settings Hospitals also serve thousands of patients What are community benefits? along with an increasing focus on prevention and experiencing mental illness and other related Community benefits are health care-related improving health in the community. conditions. From providing inpatient acute care to services that Minnesota’s nonprofit hospitals offering outpatient therapy to partnering with local provide – often with little or no compensation As part of the Affordable Care Act (ACA), each community services, hospitals are involved at every – to address critical needs in the community. charitable hospital assesses the health needs of its level of mental health care delivery. These services include: community, prioritizes those needs and develops y Health services to vulnerable or This report shares just a few examples of the many underserved people Put into perspective, the $164 million ways Minnesota’s hospitals are strengthening y Financial or in-kind support of public health in charity care provided by hospitals healthy communities. The report covers community programs is equivalent to the following: benefit contributions made by Minnesota’s hospitals y in 2014, the most recent year of available data. Health education screening and prevention 330,544 FREE emergency services department visits OR y Medical research projects Table of contents y Physician and other caregiver training 1,623,263 FREE hospital Minnesota hospitals’ 2014 initiatives physician clinic visits community contributions .................... 3 Minnesota’s hospitals provide these benefits OR Hospital stories ....................................... 4 through financial assistance, charity care and 2014 community contributions subsidies for services otherwise not available 1,214,442 FREE digital by region .......................................... 14 in the community, among other things. mammograms Glossary ............................................... 20 Minnesota Hospital Association 1 2015 Community Benefit Report Overview Uncompensated care — $589 million help train doctors, nurses and other highly skilled programs do not reimburse hospitals the full Every day, hospitals provide health care services health care professionals to serve our residents. amount it costs the hospitals to provide the regardless of patients’ ability to pay. In 2014, care. In 2014, such government underfunding to Research — $235 million Minnesota hospitals provided $589 million to Minnesota hospitals exceeded $2.3 billion, or 10 In 2014, Minnesota hospitals spent $235 million patients who did not have health insurance or the percent of the hospitals’ operating expenses. on research to support the development of better means to pay for their care. In the past five years, medical treatments and to find cures for diseases. uncompensated care has increased 19 percent. We hope the stories in this report will inspire you This uncompensated care includes “charity care” Government underfunding — to support local hospitals so they can continue for patients from whom there is no expectation $2.3 billion providing the critical community health care of payment and “bad debt,” the result of patients When hospitals treat patients on Medicare services that improve health, access to care and who could not or did not pay their share of the or Medicaid, those government health care quality of life in our communities. hospital bill. The overall cost of charity care decreased in 2014 due to ACA implementation as more Minnesotans secured health insurance, Hospital community contributions Trends in uncompensated care a priority long supported by MHA. The amount 2010-2014 2010-2014 600 of bad debt increased, however, making 575 $589 m uncompensated care a continuing concern for 550 $573 m hospitals. The main driver of increasing bad debts 4.4 525 4.2 500 $521 m $4.3 b $509 m is high-deductible health plan amounts owed by 4.0 $4.2 b 475 $496 m 3.8 450 patients that go unpaid. $3.9 b 3.6 425 $3.6 b Services responding to specific 3.4 400 3.2 $3.4 b 375 community needs — $402 million 3.0 350 Health screenings, health education, health fairs, 2.8 325 2.6 300 immunization clinics, subsidized health services in millions in millions 2.4 275 and other community outreach programs fall under 2.0 250 this category, which totaled $402 million in 2014. 1.8 225 1.6 200 1.4 175 Education and workforce development 1.2 150 1.0 125 — $419 million 0.8 100 Minnesota’s health care workforce cares for an 0.6 75 increasingly diverse population, as well as an 0.4 50 0.2 25 increasing percentage of residents over age 65. 0 0 In 2014, Minnesota hospitals spent $419 million to 2010 2011 2012 2013 2014 2010 2011 2012 2013 2014 Minnesota Hospital Association 2 2015 Community Benefit Report Minnesota hospitals’ 2014 community contributions Charity care ..........................................................................................$ 163,949,606 Costs in excess of Medicaid payments .............................................$ 758,581,045 Medicaid surcharge .............................................................................$ 151,901,321 MinnesotaCare tax...............................................................................$ 271,665,921 Other costs in excess of public program payments ..........................$ 23,950,162 Community services and benefit operations ......................................$ 53,794,290 Subsidized health services.................................................................$ 348,072,097 Education and workforce development ............................................$ 418,839,809 Research ..............................................................................................$ 235,003,078 Cash and in-kind donations .................................................................$ 10,789,981 Total cost of community benefits (as defined by the IRS) .......................................................... $ 2,436,547,310 Percent of total operating expenses.............................................................. 10.9% Community building ................................................................................$ 5,405,560 Costs in excess of Medicare payments...........................................$1,481,969,303 Other care provided without compensation (bad debt) ...................$ 425,053,704 Total value of community contributions ............................. $ 4,348,975,877 Minnesota Hospital Association 3 2015 Community Benefit Report Rice Memorial Hospital’s ReYou Wellness Program brings community health initiatives to diverse populations The city of Willmar in west central Minnesota From the data has a large population of Hispanic and Somali obtained at these immigrants who may speak a language other biometric screenings, than English or may have cultural beliefs it became evident that do not align with preventative care. The that women, ReYou Wellness Program at Rice Memorial especially Somali Hospital is striving to bridge the barrier between women, were not Willmar’s diverse populations and the concept of exercising on a Oftentimes, these individuals struggle with weight community wellness. regular basis. The gain due to side effects from their medications, most common reason given was that they did such as exhaustion or decreased metabolism. ReYou began in 2013 as part of Allina Health’s not have a comfortable setting where they could “Healthy Community Partnership” grant program. exercise. Westwinds is a group home in Willmar that To reach Willmar’s minority population, ReYou houses up to 10 people experiencing mental coordinators enlisted the help of Willmar’s Adult To meet this

Load more