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January 2, 2020 OREGON HOSPITAL COMMUNITY BENEFIT REPORT 2020 January 2, 2020 4000 Kruse Way Place • Suite 100 • Lake Oswego, OR 97035 • Tel: (503) 479-6034 • www.oahhs.org APPRISE HEALTH INSIGHTS IS A SUBSIDIARY OF THE OREGON ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS © 2020 Apprise Health Insights [This page intentionally left blank] OREGON HOSPITAL COMMUNITY BENEFIT REPORT 2020 QUICK STATS 1. Total Community Benefit increased by $215 million (9%) 2. Charity Care increased by $37 million (19%) 3. Medicaid Underpayment increased by $79 million (11%) 4. Medicare Underpayment increased by $77 million (9%) (For Hospital Fiscal Year 2018 data) 3 Source: OHA Office of Health Analytics Community Benefit Reporting 2012-2018 ©2020 Apprise Health Insights OREGON HOSPITAL COMMUNITY BENEFIT REPORT 2020 Table of Contents Total Community Benefit.........................................................................................................................................5 Total Community Benefit (Without Medicare Underpayment)................................................................................7 Charity Care.............................................................................................................................................................9 Unreimbursed Medicaid..........................................................................................................................................11 Unreimbursed Medicare.........................................................................................................................................13 Other Public Programs...........................................................................................................................................15 Community Health Improvement...........................................................................................................................17 Research.................................................................................................................................................................19 Health Professions Education.................................................................................................................................21 Subsidized Health Services....................................................................................................................................23 Cash and In-Kind...................................................................................................................................................25 Community Building..............................................................................................................................................27 Community Benefit Operations..............................................................................................................................29 APPENDIX - Detailed Data by Hospital................................................................................................................31 4 ©2020 Apprise Health Insights OREGON HOSPITAL COMMUNITY BENEFIT REPORT 2020 Total Community Benefit The total cost of programs or activities that provide measurable benefits to the communities hospitals serve. Because of their tax-exempt status, hospitals are expected to provide these despite a low or negative financial return. All Hospitals All Hospitals % Change Key Insights: $2.53B $2.32B 14% $2.19B • Total Community Benefit has increased $1.89B $1.88B $1.93B $1.77B 9% by $215 million (9%) compared to 2017 7% • Overall increase of 43% since 2012 6% 3% -1% 2012 2013 2014 2015 2016 2017 2018 2013 2014 2015 2016 2017 2018 Fiscal Year System 2012 2013 2014 2015 2016 2017 2018 Adventist Health $32,399,685 $36,309,888 $43,119,783 $37,692,224 $31,072,551 $30,941,151 $29,757,346 Asante $117,140,293 $127,318,757 $106,475,603 $115,362,244 $120,609,561 $135,410,274 $140,166,147 Capella Healthcare $2,664,765 $5,862,511 $10,741,588 $9,777,675 $15,550,227 $13,240,012 $16,237,153 Catholic Health Initiatives $9,416,538 $9,818,225 $11,662,827 $11,947,739 $24,757,854 $8,018,806 $11,954,599 Independent Hospitals $148,743,352 $153,893,639 $180,340,565 $196,474,143 $228,035,931 $280,240,070 $296,321,103 Kaiser Permanente Northwest $30,989,873 $35,256,858 $43,935,436 $49,719,244 $53,399,916 $55,915,901 $69,354,505 Legacy Health $226,820,613 $259,635,781 $253,775,768 $221,198,336 $285,265,798 $320,056,454 $384,620,573 Oregon Health & Science University $318,013,087 $341,020,625 $365,653,676 $369,088,156 $378,092,748 $436,831,533 $458,163,322 PeaceHealth $154,985,928 $147,342,189 $130,333,516 $141,762,674 $151,494,625 $117,243,105 $92,490,714 Providence Health & Services $378,812,878 $392,104,610 $374,670,884 $417,360,769 $485,230,483 $479,384,236 $549,030,096 Saint Alphonsus Health System $9,747,585 $10,153,223 $8,815,882 $6,198,386 $11,442,714 $10,629,853 $12,685,519 Salem Health $111,811,351 $92,966,148 $96,354,805 $104,371,579 $125,119,584 $115,318,426 $133,322,907 Samaritan Health Services $115,474,096 $123,529,847 $117,375,705 $113,448,470 $133,376,618 $156,410,177 $160,815,245 Shriners Hospital for Children $8,961,772 $15,279,570 $17,322,682 $19,943,728 $19,589,919 $16,144,074 St. Charles Health System $114,568,091 $149,135,810 $123,255,883 $118,382,471 $129,239,009 $137,840,319 $160,986,024 Grand Total $1,771,588,135 $1,893,309,883 $1,881,791,491 $1,930,106,792 $2,192,631,347 $2,317,070,236 $2,532,049,325 5 Source: OHA Office of Health Analytics Community Benefit Reporting 2012-2018 ©2020 Apprise Health Insights OREGON HOSPITAL COMMUNITY BENEFIT REPORT 2020 Total Community Benefit - DRG & Rural Hospitals The total cost of programs or activities that provide measurable benefits to the communities hospitals serve. Because of their tax-exempt status, hospitals are expected to provide these despite a low or negative financial return. DRG Hospitals DRG Hospitals % Change Key Insights: $2.21B $2.06B 14% $1.95B • Total Community Benefit from DRG $1.68B $1.67B $1.72B $1.60B hospitals has increased by $157 million 8% (8%) compared to 2017 5% 5% • Overall increase of 39% since 2012 3% • DRG hospitals make up 87% of Total -1% Community Benefit 2012 2013 2014 2015 2016 2017 2018 2013 2014 2015 2016 2017 2018 Rural Hospitals Rural Hospitals % Change Key Insights: 319.1M 22% 21% 260.8M • Total Community Benefit from rural 240.4M 209.6M 212.0M 212.4M hospitals has increased by $58 million 13% 173.8M (22%) compared to 2017 8% • Overall increase of 84% since 2012 • Rural hospitals make up 13% of Total 1% 0% Community Benefit 2012 2013 2014 2015 2016 2017 2018 2013 2014 2015 2016 2017 2018 6 Source: OHA Office of Health Analytics Community Benefit Reporting 2012-2018 ©2020 Apprise Health Insights OREGON HOSPITAL COMMUNITY BENEFIT REPORT 2020 Total Community Benefit (Without Medicare Underpayment) The total cost of programs or activities that provide measurable benefits to the communities hospitals serve (less Medicare Underpayment). Because of their tax-exempt status, hospitals are expected to provide these despite a low or negative financial return. All Hospitals All Hospitals % Change Key Insights: $1.56B 10% $1.42B $1.33B 9% • Total Community Benefit (without Medi- $1.20B $1.20B $1.19B $1.22B 7% care Underpayment) has increased by $138 million (10%) compared to 2017 3% • Overall increase of 30% since 2012 • Total CB (without Medicare Underpay- 0% -1% ment) makes up 62% of Total Community Benefit 2012 2013 2014 2015 2016 2017 2018 2013 2014 2015 2016 2017 2018 Fiscal Year System 2012 2013 2014 2015 2016 2017 2018 Adventist Health $25,227,620 $26,595,071 $29,298,474 $23,819,443 $22,580,363 $30,941,151 $29,757,346 Asante $74,981,299 $69,814,008 $57,667,383 $62,493,218 $66,120,015 $76,268,322 $77,742,880 Capella Healthcare $2,161,069 $4,781,953 $7,780,081 $9,777,675 $13,199,095 $11,345,443 $13,486,518 Catholic Health Initiatives $8,851,100 $7,919,062 $11,636,968 $8,005,704 $12,259,226 $6,000,136 $6,531,201 Independent Hospitals $85,725,136 $78,795,756 $94,067,882 $109,780,785 $114,845,774 $129,173,382 $144,752,660 Kaiser Permanente Northwest $30,989,873 $35,256,858 $43,935,436 $49,719,244 $53,399,916 $55,915,901 $69,354,505 Legacy Health $160,115,525 $152,906,926 $171,720,538 $168,373,125 $195,116,573 $228,725,389 $260,889,332 Oregon Health & Science University $268,106,733 $268,557,561 $288,711,424 $272,218,716 $286,529,061 $320,591,283 $324,066,210 PeaceHealth $94,651,808 $74,310,737 $75,130,489 $73,090,428 $81,869,446 $66,449,262 $71,263,655 Providence Health & Services $229,604,878 $227,660,610 $200,517,294 $232,240,469 $236,844,242 $242,407,059 $277,827,214 Saint Alphonsus Health System $5,495,470 $4,627,479 $5,275,846 $3,598,619 $5,306,278 $5,256,791 $6,681,321 Salem Health $65,724,095 $59,239,997 $59,222,042 $65,463,567 $78,544,119 $72,683,157 $79,299,283 Samaritan Health Services $63,062,509 $68,926,718 $63,018,329 $66,216,474 $74,721,611 $83,626,492 $87,108,395 Shriners Hospital for Children $8,961,772 $15,279,570 $17,322,682 $19,943,728 $19,589,919 $16,144,074 St. Charles Health System $86,599,920 $114,388,092 $67,691,576 $58,885,210 $65,022,481 $73,452,822 $95,552,786 Grand Total $1,201,297,035 $1,202,742,600 $1,190,953,332 $1,221,005,359 $1,326,301,928 $1,422,426,509 $1,560,457,380 7 Source: OHA Office of Health Analytics Community Benefit Reporting 2012-2018 ©2020 Apprise Health Insights OREGON HOSPITAL COMMUNITY BENEFIT REPORT 2020 Total CB (Without Medicare Underpayment) - DRG & Rural Hospitals The total cost of programs or activities that provide
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