oregon’s acute care hospitalsmedia.oregonlive.com/health_impact/other/hospital report.pdf · •...

OREGON’S ACUTE CARE HOSPITALS Capacity, Utilization, and Financial Trends

2009 - 2011

June 2013

Oregon Health Authority

Office of Health Analytics

Oregon’s Acute Care Hospitals, 2009 - 2011

Oregon Health Authority, Office of Health Analytics

Oregon’s Acute Care Hospitals

Capacity, Utilization and Financial Trends

2009-2011

June 2013 Prepared by:

The Oregon Health Authority, Office of Health Analytics http://www.oregon.gov/OHA/OHPR/RSCH Tina Edlund Chief of Policy Gretchen Morley Director of Health Analytics Russell Voth Health System Research and Data Manager Mark Whitaker Senior Financial Policy Analyst Paulos Sanna Research Analyst Steven Ranzoni Research Analyst Shawna Kennedy Research Assistant

http://www.oregon.gov/OHA/OHPR/RSCH



TABLE OF CONTENTS

Contents

Executive Summary ______________________________________________________________________________________ 1

Chapter 1: Background __________________________________________________________________________________ 3

Hospital Reimbursement Classifications ________________________________________________________________________3

Overall Trends _____________________________________________________________________________________________________8

Hospital Ownership _____________________________________________________________________________________________ 12

Chapter 2: Hospital Capacity ___________________________________________________________________________ 13

Bed Capacity _____________________________________________________________________________________________________ 13

Occupancy _______________________________________________________________________________________________________ 18

Chapter 3: Workforce ___________________________________________________________________________________ 22

Registered Nurses _______________________________________________________________________________________________ 22

Physicians ________________________________________________________________________________________________________ 26

Chapter 4: Utilization of Hospital Services ____________________________________________________________ 30

Most Common Conditions and Procedures____________________________________________________________________ 30

Average Length of Stay __________________________________________________________________________________________ 34

Chapter 5: Hospital Finances __________________________________________________________________________ 38

The Role of Health Districts ____________________________________________________________________________________ 38

Financial Indices ________________________________________________________________________________________________ 39

Operating Margin and Total Margin ___________________________________________________________________________ 39

Payer Mix ________________________________________________________________________________________________________ 45

Chapter 6: Community Benefit _________________________________________________________________________ 49

Community Benefit Reporting _________________________________________________________________________________ 49

Uncompensated Care ___________________________________________________________________________________________ 56

Appendix I: Data Sources _______________________________________________________________________________ 63

Appendix II: Individual Hospital Overviews __________________________________________________________ 64



LIST OF FIGURES

Figures

Figure 1.1 DRG Hospitals in Oregon ........................................................................................................................................... 4 Figure 1.2 Type A Rural Hospitals in Oregon .......................................................................................................................... 5 Figure 1.3 Type B Rural Hospitals in Oregon .......................................................................................................................... 6 Figure 1.4 Critical Access Hospitals in Oregon ...................................................................................................................... 7 Figure 1.5 Statewide Summary, 2009 - 2011 .......................................................................................................................... 8 Figure 1.6 DRG Hospital Summary, 2009 - 2011 ................................................................................................................... 9

Figure 1.7 Type A Hospital Summary, 2009 - 2011 ........................................................................................................... 10 Figure 1.8 Type B Hospital Summary, 2009 - 2011 ........................................................................................................... 11 Figure 1.9 Hospital Systems in Oregon .................................................................................................................................... 12 Figure 2.1 Licensed and Staffed Beds, 2009 - 2011 ........................................................................................................... 13 Figure 2.2 Staffed Beds by Hospital Type, 2009 - 2011 ................................................................................................... 14 Figure 2.3 Staffed Beds by DRG Hospital, 2009 - 2011 .................................................................................................... 15 Figure 2.4 Staffed Beds by Type A Hospital, 2009 - 2011 ............................................................................................... 16 Figure 2.5 Staffed Beds by Type B Hospital, 2009 - 2011 ............................................................................................... 17 Figure 2.6 Occupancy Rate by Hospital Type, 2009 - 2011 ............................................................................................ 18

Figure 2.7 Occupancy Rate by DRG Hospital, 2009 - 2011 ............................................................................................. 19 Figure 2.8 Occupancy Rate by Type A Hospital, 2009 - 2011 ........................................................................................ 20

Figure 2.9 Occupancy Rate by Type B Hospital, 2009 - 2011 ........................................................................................ 21 Figure 3.1 Registered Nurse FTE Per Staffed Bed by Hospital Type, 2009 - 2011 ............................................... 22 Figure 3.2 Registered Nurse FTE Per Staffed Bed by DRG Hospital, 2009 - 2011 ................................................ 23

Figure 3.3 Registered Nurse FTE Per Staffed Bed by Type A Hospital, 2009 - 2011........................................... 24 Figure 3.4 Registered Nurse FTE Per Staffed Bed by Type B Hospital, 2009 - 2011 ........................................... 25 Figure 3.5 Physician FTE Employed Directly By Oregon Hospitals, 2009 - 2011 ................................................. 26

Figure 3.6 Physician FTE by DRG Hospital, 2009 - 2011 ................................................................................................. 27 Figure 3.7 Physician FTE by Type A Hospital, 2009 - 2011............................................................................................ 28 Figure 3.8 Physician FTE by Type B Hospital, 2009 - 2011 ............................................................................................ 29

Figure 4.1 Top MS-DRG Codes by Volume in All Hospitals, 2011 ................................................................................ 30 Figure 4.2 Top MS-DRG Codes by Volume in DRG Hospitals, 2011 ............................................................................. 31 Figure 4.3 Top MS-DRG Codes by Volume in Type A Hospitals, 2011 ........................................................................ 32 Figure 4.4 Top MS-DRG Codes by Volume in Type B Hospitals, 2011 ........................................................................ 33 Figure 4.5 Average Length of Stay by Hospital Type, 2009 - 2011 .............................................................................. 34

Figure 4.6 Average Length of Stay by DRG Hospital, 2009 - 2011 ............................................................................... 35 Figure 4.7 Average Length of Stay by Type A Hospital, 2009 - 2011 ......................................................................... 36 Figure 4.8 Average Length of Stay by Type B Hospital, 2009 - 2011 ......................................................................... 37 Figure 5.1 Hospitals Supported by Health Districts .......................................................................................................... 38 Figure 5.2 Median Operating and Total Margin at All Oregon Hospitals, 1999 - 2011 ...................................... 40 Figure 5.3 Median Operating and Total Margin at DRG Hospitals, 1999 - 2011 ................................................... 40 Figure 5.4 Operating Margin and Total Margin by DRG Hospital, 2011 .................................................................... 41



Figure 5.5 Median Operating and Total Margin at Type A Hospitals, 1999 - 2011 .............................................. 42 Figure 5.6 Operating Margin and total margin by Type A Hospital, 2011 ............................................................... 42 Figure 5.7 Median Operating and Total Margin at Type B Hospitals, 1999 - 2011 .............................................. 43 Figure 5.8 Operating Margin and Total Margin by Type B Hospital, 2011 .............................................................. 44

Figure 5.9 Payer Mix in Oregon Hospitals, 2008 - 2011 .................................................................................................. 45 Figure 5.10 Payer Mix in DRG Hospitals, 2011 ....................................................................................................................... 46 Figure 5.11 Payer Mix in Type A Hospitals, 2011 ................................................................................................................. 47 Figure 5.12 Payer Mix in Type B Hospitals, 2011 ................................................................................................................. 48 Figure 6.1 Community Benefit Definitions ............................................................................................................................ 50 Figure 6.2 Distribution of Net Community Benefits, 2011 ............................................................................................. 51 Figure 6.3 Reported Community Benefit for All Hospitals, 2010 - 2011 .................................................................. 52 Figure 6.4 Reported Community Benefit for DRG Hospitals, 2010 - 2011 .............................................................. 53 Figure 6.5 Reported Community Benefit for Type A Hospitals, 2010 - 2011 ......................................................... 54 Figure 6.6 Reported Community Benefit for Type B Hospitals, 2010 - 2011 ......................................................... 55 Figure 6.7 Uncompensated Care in Oregon Hospitals, 1999 - 2011........................................................................... 57

Figure 6.8 Median Uncompensated Care at All Oregon Hospitals, 1999 - 2011 ................................................... 57 Figure 6.9 Median Uncompensated Care at DRG Hospitals, 1999 - 2011 ................................................................ 58 Figure 6.10 Uncompensated Care by DRG Hospital, 2011 ................................................................................................ 59 Figure 6.11 Median Uncompensated Care at Type A Hospitals, 1999 - 2011 .......................................................... 60 Figure 6.12 Uncompensated Care by Type A Hospital, 2011........................................................................................... 60 Figure 6.13 Median Uncompensated Care at Type B Hospitals, 1999 - 2011 .......................................................... 61 Figure 6.14 Uncompensated Care by Type B Hospital, 2011 ........................................................................................... 62


Oregon Health Authority, Office of Health Analytics Page 1

EXECUTIVE SUMMARY

Executive Summary

Health care has changed significantly in the United States over the last decade. Even larger changes are expected to occur over the next few years as health reform initiatives are implemented. In order to understand the effects of these changes on Oregon’s hospitals, the state has been tracking the capacity, utilization, and financial health of Oregon’s hospitals since 1981. This report compares capacity, utilization, and financial data from 2009 with data from 2011, the most current data available. The report is organized as follows:

• Chapter 1 presents a general background on hospitals. The chapter defines the types of Oregon hospitals and identifies major trends.

• Chapter 2 focuses on trends in hospital capacity.

o There are 58 acute care hospitals in Oregon.

o The number of staffed beds increased by 1.9 percent statewide from 2009 to 2011.

o Occupancy rate decreased for all Oregon hospital types, by about 5 percent from 2009 to 2011.

• Chapter 3 identifies trends in the composition of the hospital workforce.

o About 59 percent of licensed registered nurses work in a hospital or acute care setting (ambulatory urgent/emergency care).

o Registered nurses per staffed bed increased slightly statewide, averaging 2.10 FTE per staffed bed in 2009 and 2.19 FTE per staffed bed in 2011.

o The number of physicians directly employed by hospitals increased by 20 percent between 2009 and 2011.

• Chapter 4 addresses the utilization of hospital services and outlines trends in discharges, outpatient visits, and average length of stay.

o For most hospital services, utilization declined between 2009 and 2011 despite growth in the state’s population. Statewide, inpatient discharges and inpatient days declined by 1.4 percent and 3.2 percent, respectively.

o Over the same time period, however, outpatient visits and emergency department visits increased.

o Average length of stay in Oregon hospitals remained fairly constant, 4.0 days in 2009 and 3.9 days in 2011, and was below the national average of 4.8 days.

• Chapter 5 discusses financial trends in Oregon hospitals, including an analysis of revenues, expenditures, and operating margins.



o In general, hospital margins steadily improved following the economic downturn in 2008. The median total margin for Oregon’s hospitals increased from 2.2 percent in 2008 to 4.6 percent in 2011.

o Financial performance, however, still varies significantly across hospitals with small, rural hospitals showing the most volatility. Fifteen hospitals reported negative total margins in 2011.

o In terms of payer mix, the share of total charges billed to commercial insurers decreased from 39 percent in 2009 to 37 percent in 2011. The share of charges from public payers—Medicare and Medicaid—increased.

• Chapter 6 presents community benefit information that hospitals are required to report to the Oregon Health Authority.

o Oregon hospitals reported more than $1.6 billion in community benefit expenses in 2011. About $1.2 billion was for charity care and other public programs (government-sponsored health care programs), and the remaining amount was for other benefits such as community health improvement, research, and health professions education.

o Uncompensated care, as a percentage of gross patient revenue, declined from 7.5 percent in 2009 to 6.8 percent in 2011. This was the lowest percentage since before the recession—uncompensated care was 6.8 percent of gross patient revenue in 2007.

Additionally, Appendix I describes the data sources that are used in the report and Appendix II provides individual data profiles for each of Oregon’s 58 hospitals.



BACKGROUND

Chapter 1: Background

Hospital costs are one of the leading components of health care spending, accounting for one third of the $2.5 trillion in national health care expenditures in 2011.1 In 2011, Oregon hospitals accounted for over 300,000 inpatient discharges2 and over 1 million outpatient visits.3 This report analyzes the capacity, utilization and financial trends in Oregon general acute care hospitals4 and compares results from 2009 to 2011, the year for which most current data is available. The ongoing implementation of the Accountable Care Act (ACA) over the next few years likely will affect hospitals’ utilization, costs, and revenues:

• The expansion of Medicaid eligibility will increase the number of individuals with Medicaid.

• Cover Oregon, the insurance exchange, and federal tax subsidies for purchasing insurance on the exchange will increase the number of individuals with private insurance.

• The increase in the number of individuals with public and private insurance coverage likely will reduce hospitals’ level of charity care and bad debt.

• Incentives and penalties in the ACA related to hospital performance could change how hospitals operate.

Although this report focuses on data from 2011 and therefore does not reflect the 2014 ACA expansions in coverage or Oregon’s own health system transformation, the report provides a valuable baseline from which to measure changes to hospitals going forward.

HOSPITAL REIMBURSEMENT CLASSIFICATIONS

In Oregon, hospitals are classified by how they are reimbursed under Medicare and Medicaid: Diagnostic Related Groupings (DRG) hospitals, Critical Access Hospitals, Type A hospitals, and Type B hospitals. (Oregon also classifies some hospitals as Type C hospitals, but this does not affect the hospital’s reimbursements.)

DRG Hospitals

Since 1984, hospitals have been reimbursed for care provided to Medicare patients under the Inpatient Prospective Payment System (IPPS). Under the IPPS system, hospitals receive a fixed payment for each patient based on the DRG to which the patient is assigned. The Centers for Medicare and Medicaid Services (CMS) publishes a standard rate for each DRG every year in the Federal Register, but actual reimbursements are hospital-specific with multiple adjustment factors. DRG payments generally are not affected by the costs actually incurred by an individual patient during his or her hospital stay.

1 Centers for Medicare and Medicaid Services, Office of the Actuary, Table 2: National Health Expenditures: Aggregate

and Per Capita Amounts, Annual Percent Change, and Percent Distribution, by Type of Expenditure: Selected Calendar Years: 1960-2011.

2 2011 Inpatient Hospital Discharge Data 3 2011 Databank 4 Veterans Affairs Medical Center, VA Roseburg Healthcare System, and Portland Shriners’ Hospital are not included

in this report.



Twenty-six of Oregon’s 58 hospitals are classified as DRG hospitals for Medicare and Medicaid reimbursement in 2011. They are listed in Figure 1.1.

FIGURE 1.1 DRG HOSPITALS IN OREGON

HOSPITAL LOCATION

Adventist Medical Center Portland

Asante Rogue Regional Medical Center Medford

Asante Three Rivers Medical Center* Grants Pass

Bay Area Hospital Coos Bay

Good Samaritan Regional Medical Center Corvallis

Kaiser Sunnyside Medical Center** Clackamas

Legacy Emanuel Medical Center Portland

Legacy Good Samaritan Medical Center Portland

Legacy Meridian Park Medical Center Tualatin

Legacy Mt. Hood Medical Center Gresham

McKenzie-Willamette Medical Center Springfield

Mercy Medical Center* Roseburg

Oregon Health and Science University Hospital (OHSU) Portland

PeaceHealth Sacred Heart Medical Center-RiverBend Springfield

PeaceHealth Sacred Heart Medical Center-University District Eugene

Providence Medford Medical Center Medford

Providence Milwaukie Hospital Milwaukie

Providence Portland Medical Center Portland

Providence St. Vincent Medical Center Portland

Providence Willamette Falls Medical Center Oregon City

Salem Hospital Salem

Samaritan Albany General Hospital Albany

Sky Lakes Medical Center Klamath Falls

St. Charles Medical Center-Bend Bend

Tuality Healthcare Hillsboro

Willamette Valley Medical Center* McMinnville

*Type C Rural Hospital

**Kaiser Sunnyside Medical Center has an integrated health care delivery system that makes tracking of hospital-specific financial information difficult, and is therefore not included in the financial data that appears in this report.

Type A, B, and C Hospitals

In 2011, Oregon’s population was 3.9 million with 22 percent of the population living in non-metropolitan areas.5 Rural hospitals supporting these regions face different challenges than their urban counterparts due to their smaller size, difficulty sustaining qualified staff, and limited assets. Both the state and federal government have adopted policies to support rural hospitals.

5 Portland State University, Population Research Center, 2011 Annual Population Report Tables, March 28, 2012.



In 1987, the Oregon legislature, recognizing particular vulnerabilities of rural hospitals, authorized the Office of Rural Health (ORH) to classify rural hospitals and directed the state Medicaid agency to reimburse Type A and B hospitals at 100 percent of reasonable costs.6

• Type A – Rural hospitals that have 50 beds or fewer and are greater than 30 miles from another acute inpatient facility. Although these types of facilities make up 21 percent (12) of Oregon hospitals, they account for less than 5 percent of Oregon’s staffed hospital beds. Oregon’s Type A hospitals are shown in Figure 1.2.

• Type B – Rural hospitals with 50 or fewer beds and located less than 30 miles from another acute inpatient care facility. These types of facilities make up 35 percent (20) of Oregon hospitals, but only account for about 9 percent of Oregon’s staffed hospital beds. Oregon’s Type B hospitals are shown in Figure 1.3.

• Type C – Rural hospitals with more than 50 beds. These hospitals are treated as DRG hospitals for Medicare and Medicaid reimbursements. There are 3 hospitals in Oregon classified as Type C facilities.

FIGURE 1.2 TYPE A RURAL HOSPITALS IN OREGON

HOSPITAL LOCATION

Blue Mountain Hospital* John Day

Curry General Hospital* Gold Beach

Good Shepherd Medical Center* Hermiston

Grande Ronde Hospital* La Grande

Harney District Hospital* Burns

Lake District Hospital* Lakeview

Pioneer Memorial Hospital-Heppner* Heppner

Saint Alphonsus Medical Center-Baker City* Baker City

Saint Alphonsus Medical Center-Ontario Ontario

St. Anthony Hospital* Pendleton

Tillamook County General Hospital* Tillamook

Wallowa Memorial Hospital* Enterprise

*Also a Critical Access Hospital.

6 Oregon Revised Statute 442.470



FIGURE 1.3 TYPE B RURAL HOSPITALS IN OREGON

HOSPITAL LOCATION

Ashland Community Hospital Ashland

Columbia Memorial Hospital* Astoria

Coquille Valley Hospital* Coquille

Lower Umpqua Hospital* Reedsport

Mid-Columbia Medical Center The Dalles

PeaceHealth Cottage Grove Community Medical Center* Cottage Grove

PeaceHealth Peace Harbor Medical Center* Florence

Pioneer Memorial Hospital-Prineville* Prineville

Providence Hood River Memorial Hospital* Hood River

Providence Newberg Medical Center Newberg

Providence Seaside Hospital* Seaside

Samaritan Lebanon Community Hospital* Lebanon

Samaritan North Lincoln Hospital* Lincoln City

Samaritan Pacific Communities Hospital* Newport

Santiam Memorial Hospital Stayton

Silverton Hospital Silverton

Southern Coos Hospital and Health Center* Bandon

St. Charles Medical Center-Madras* Madras

St. Charles Medical Center-Redmond Redmond

West Valley Community Hospital* Dallas

*Also a Critical Access Hospital

Critical Access Hospitals

In an effort to allow rural communities to preserve access to primary care and emergency health care, Congress created the Medicare Rural Hospital Flexibility Program in 1997, which established a hospital payment classification called Critical Access Hospitals (CAH). Critical Access Hospitals receive enhanced Medicare reimbursement (101 percent of reasonable costs for inpatient, outpatient and laboratory services). The enhanced reimbursement, along with other benefits of the classification, is aimed at improving the financial stability of rural hospitals.

In order to qualify as a CAH, a hospital must be a rural hospital with 25 or fewer acute inpatient beds and meet additional criteria related to location, capacity, operations, and utilization.7

Twenty-five of Oregon’s 58 hospitals are classified as Critical Access Hospitals. They are listed in Figure 1.4.

7 Oregon Office of Rural Health, Oregon Health and Science University, http://www.ohsu.edu/xd/outreach/oregon-

rural-health/hospitals/index.cfm

http://www.ohsu.edu/xd/outreach/oregon-rural-health/hospitals/index.cfm

http://www.ohsu.edu/xd/outreach/oregon-rural-health/hospitals/index.cfm



FIGURE 1.4 CRITICAL ACCESS HOSPITALS IN OREGON

Blue Mountain Hospital Providence Hood River Memorial Hospital

Columbia Memorial Hospital Providence Seaside Hospital

Coquille Valley Hospital Saint Alphonsus Medical Center-Baker City

Curry General Hospital Samaritan Lebanon Community Hospital

Good Shepherd Medical Center Samaritan North Lincoln Hospital

Grande Ronde Hospital Samaritan Pacific Communities Hospital

Harney District Hospital St. Anthony Hospital

Lake District Hospital St. Charles Medical Center-Madras

Lower Umpqua Hospital Southern Coos Hospital and Health Center

PeaceHealth Cottage Grove Community Med Ctr Tillamook County General Hospital

PeaceHealth Peace Harbor Medical Center Wallowa Memorial Hospital

Pioneer Memorial Hospital-Heppner West Valley Community Hospital

Pioneer Memorial Hospital-Prineville



OVERALL TRENDS

Figures 1.5 – 1.8 summarize some of the major statewide trends in Oregon hospitals by hospital type. These trends, and additional data, are discussed further in later chapters.

Statewide

Overall, hospitals experienced a decline in inpatient utilization through fewer inpatient discharges, fewer patient days, and lower occupancy rates. Outpatient visits, however, increased by 3.3 percent. Between 2009 and 2011, gross patient revenue increased by about 15 percent to $17.7 billion. Total operating revenues went up 10.6 percent between 2009 and 2011, while total operating expenses increased 9.9 percent. Uncompensated care charges (charity care and bad debt) increased by 2.5 percent, much less than the 33 percent increase between 2007 and 2009.

FIGURE 1.5 STATEWIDE SUMMARY, 2009 - 2011

2009 2011 CHANGE (%)

State Population 3,818,775 3,857,625 1.1

Number of Hospitals 58 58 -

Staffed Beds 6,378 6,502 1.9

Total Registered Nurse FTE 13,456 14,319 6.4

RN FTE / Staffed Bed 2.1 2.2 4.4

Inpatient Hospital Discharges 379,969 374,680 -1.4

Acute Inpatient Days 1,508,524 1,460,992 -3.2

Occupancy Rate (%) 64.8 61.6 -4.9

Average Length of Stay (days) 4.0 3.9 -1.8

Emergency Department Visits 1,078,071 1,083,533 0.5

Outpatient Visits 9,179,701 9,481,298 3.3

Gross Patient Revenue* ($ in millions) 15,446 17,730 14.8

Total Operating Revenue ($ in millions) 8,184 9,050 10.6

Total Operating Expenses ($ in millions) 7,855 8,630 9.9

Total Uncompensated Care* ($ in millions) 1,163 1,192 2.5

*These data are based on gross hospital charges and do not reflect actual payments or costs.

Data Notes: Kaiser Sunnyside Medical Center is not included in financial data.



DRG Hospitals

Although DRG hospitals represent roughly 45 percent of Oregon hospitals, due to their size they account for about 88 percent of all inpatient discharges, 87 percent of staffed beds, and 84 percent of total operating revenue statewide. As a result, the performance of DRG hospitals largely drives statewide trends. Accordingly, the changes in DRG hospital utilization and financial performance shown in Figure 1.6 are similar to statewide trends from 2009 to 2011.

FIGURE 1.6 DRG HOSPITAL SUMMARY, 2009 - 2011

2009 2011 CHANGE (%)


Staffed Beds 5,506 5,632 2.3




Acute Inpatient Days 1,376,716 1,337,061 -2.9

Occupancy Rate (%) 68.5 65.0 -5.1


Emergency Department Visits 785,026 792,517 1.0



Total Operating Revenue ($ in millions) 6,896 7,612 10.4

Total Operating Expenses ($ in millions) 6,608 7,238 9.5

Total Uncompensated Care* ($ in millions) 987 1,004 1.7


Data Notes: Kaiser Sunnyside Medical Center is not included in financial data.



Type A Hospitals

Similar to statewide trends, Type A hospitals observed decreases in inpatient discharges, inpatient days, and occupancy rates. Type A hospitals also experienced increases in outpatient visits (2.7 percent). Gross patient revenue increased by 18 percent to $682 million. Total operating revenue went up 13 percent between 2009 and 2011, while total operating expenses increased 11.2 percent. Type A hospitals observed larger changes in uncompensated care charges (charity care and bad debt) than other hospitals as uncompensated care charges at Type A hospitals increased by almost 20 percent to $55 million.

FIGURE 1.7 TYPE A HOSPITAL SUMMARY, 2009 - 2011

2009 2011 CHANGE (%)


Staffed Beds 300 309 3.0

Total Registered Nurse FTE 566 594 4.9



Acute Inpatient Days 42,911 40,275 -6.1

Occupancy Rate (%) 39.2 35.7 -8.9

Average Length of Stay (days) 2.9 2.9 0.1

Emergency Department Visits 83,266 86,210 3.5

Outpatient Visits 502,468 516,161 2.7

Gross Patient Revenue* ($ in millions) 578 682 18.0

Total Operating Revenue ($ in millions) 378 427 13.0

Total Operating Expenses ($ in millions) 366 407 11.2

Total Uncompensated Care* ($ in millions) 46 55 19.5




Type B Hospitals

Similar to statewide trends, Type B hospitals also experienced a decrease in inpatient discharges, inpatient days, and occupancy rates. Gross patient revenue increased by 12 percent to $1.7 billion. Total operating revenue went up 11.1 percent between 2009 and 2011, but total operating expenses increased 11.7 percent. Uncompensated care charges (charity care and bad debt) increased 1.7 percent.

FIGURE 1.8 TYPE B HOSPITAL SUMMARY, 2009 - 2011

2009 2011 CHANGE (%)


Staffed Beds 572 561 1.9




Acute Inpatient Days 88,897 83,656 -5.9

Occupancy Rate (%) 42.6 40.9 -4.0


Emergency Department Visits 209,779 204,806 -2.3



Total Operating Revenue ($ in millions) 910 1,011 11.1

Total Operating Expenses ($ in millions) 881 984 11.7

Total Uncompensated Care* ($ in millions) 130 133 1.7




HOSPITAL OWNERSHIP

Ownership can affect the mission of a hospital, its financial status, the type of services provided, and the type of conditions treated. The vast majority of Oregon hospitals are not-for-profit, with only two for-profit institutions: McKenzie-Willamette Medical Center in Springfield and Willamette Valley Medical Center in McMinnville. Oregon has a low number of for-profit hospitals compared to most states. In 2010, 20 percent of hospitals in the United States were for-profit compared to only 3 percent in Oregon.8 There are 20 stand-alone hospitals that do not have an affiliation or membership with a regional or national health care system. Hospital systems represent the other 38 Oregon hospitals. As displayed in Figure 1.9, these 12 health systems account for 79 percent of staffed beds and 81 percent of discharges statewide. The largest health systems are Providence Health System (20 percent of the state’s staffed beds) and Legacy Health System (13.5 percent of the state’s staffed beds). The split between independent and health system hospitals is relatively stable, with only one recent transaction—Mountain View Hospital (now St. Charles Medical Center-Madras) joining the St. Charles health System in 2013. Additionally, at this time, Ashland Community Hospital is seeking to join a hospital system.

FIGURE 1.9 HOSPITAL SYSTEMS IN OREGON

SYSTEM HOSPITALS

STAFFED BEDS DISCHARGES

COUNT STATEWIDE SHARE (%)

COUNT

STATEWIDE SHARE (%)

Adventist Health System 2 273 4.2 13,687 3.7

Asante Health System 2 414 6.4 23,056 6.2

Capella Healthcare 1 88 1.4 4,523 1.2

Catholic Health Initiatives 2 166 2.6 10,425 2.8

Community Health Systems, Inc. 1 113 1.7 6,649 1.8

Kaiser Permanente Northwest 1 264 4.1 20,471 5.5

Legacy Health System 4 876 13.5 46,443 12.4

PeaceHealth 4 462 7.1 30,654 8.2

Providence Health System 8 1,316 20.2 80,491 21.5

Salem Health 2 430 6.6 25,069 6.7

Samaritan Health Services 5 310 4.8 19,393 5.2

St. Charles Health System 4 359 5.5 19,646 5.2

Trinity Health 2 74 1.1 4,306 1.1

All Systems 38 5,145 79.1 304,813 81.4

Hospitals with No System Affiliation

20 1,357 20.9 69,867 18.6

All Hospitals 58 6,502 100.0 374,680 100.0

8 The Kaiser Family Foundation State Health Facts. Data Source: 2010 AHA Annual Survey.



HOSPITAL CAPACITY

Chapter 2: Hospital Capacity

BED CAPACITY

Hospital bed capacity is defined by both the number of licensed beds and the number of staffed beds (Figure 2.1). Licensed beds are the maximum number of beds for which a hospital is licensed to operate in Oregon. Licensed beds may also be categorized according to types of patients they serve, such as adult intensive care unit (ICU), medical/surgical, burn ICU, pediatrics, or psychiatric beds. Most hospitals do not operate all of the beds for which they are licensed. Staffed beds are beds that are licensed and set up with staff on hand to attend to the patient who occupies the bed. The number of licensed beds remained the same between 2009 and 2011, while staffed beds increased by 124 (2 percent).

FIGURE 2.1 LICENSED AND STAFFED BEDS, 2009 - 2011

Data Source: Databank.

7,870 7,870

6,378 6,502

-

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

2009 2011

Bed

s

Licensed Beds

Staffed Beds



As described earlier and shown in Figure 2.2, DRG hospitals operate most hospital beds in Oregon. Rural hospitals (Type A and Type B hospitals) account for only 13 percent of the state’s staffed beds. Most Type A and Type B hospitals have 25 or fewer beds, which allows them to be eligible for Critical Access Hospital status. Oregon has one of the lowest ratios of staffed beds to population in the nation. In 2010, Oregon had 1.7 staffed beds per 1,000 population compared to the United States’ average of 2.6 beds per 1,000 population.9 Figures 2.3 – 2.5 show staffed beds by each individual hospital.

9 The Kaiser Family Foundation State Health Facts. Data Source: 2010 AHA Annual Survey and Annual Population Estimates by State, U.S. Census Bureau.

FIGURE 2.2 STAFFED BEDS BY HOSPITAL TYPE, 2009 - 2011


5,506

300 572

6,378

5,632

309 561

6,502

-

1,000

2,000

3,000

4,000

5,000

6,000

7,000

DRG Type A Type B Statewide

Bed

s

2009 2011



FIGURE 2.3 STAFFED BEDS BY DRG HOSPITAL, 2009 - 2011

STAFFED BEDS

HOSPITAL NAME 2009 2011 CHANGE (%)

Adventist Medical Center 245 248 1.2

Asante Rogue Regional Medical Center 276 307 11.2

Asante Three Rivers Medical Center 100 107 7.0

Bay Area Hospital 129 129 -

Good Samaritan Regional Medical Center 165 165 -

Kaiser Sunnyside Medical Center 228 264 15.8

Legacy Emanuel Medical Center 406 407 .2

Legacy Good Samaritan Medical Center 234 249 6.4

Legacy Meridian Park Medical Center 129 130 .8

Legacy Mount Hood Medical Center 80 90 12.5

McKenzie-Willamette Medical Center 113 113 -

Mercy Medical Center 141 141 -

OHSU Hospital 534 537 .6

PeaceHealth Sacred Heart Medical Center RB 334 334 -

PeaceHealth Sacred Heart Medical Center UD 93 93 -

Providence Medford Medical Center 134 134 -

Providence Milwaukie Hospital 66 66 -

Providence Portland Medical Center 383 383 -

Providence St Vincent Medical Center 538 554 3.0

Providence Willamette Falls Medical Center 89 89 -

Salem Hospital 424 424 -

Samaritan Albany General Hospital 67 70 4.5

Sky Lakes Medical Center 100 100 -

St Charles Medical Center - Bend 261 261 -

Tuality Healthcare 149 149 -

Willamette Valley Medical Center 88 88 -

DRG Total 5,506 5,632 2.3




FIGURE 2.4 STAFFED BEDS BY TYPE A HOSPITAL, 2009 - 2011

STAFFED BEDS


Blue Mountain Hospital 16 16 -

Curry General Hospital 24 24 -

Good Shepherd Medical Center 25 25 -

Grande Ronde Hospital 25 25 -

Harney District Hospital 25 25 -

Lake District Hospital 15 24 60.0

Pioneer Memorial Hospital - Heppner 21 21 -

Saint Alphonsus Medical Center - Baker City 25 25 -

Saint Alphonsus Medical Center - Ontario 49 49 -

St Anthony Hospital 25 25 -

Tillamook County General Hospital 25 25 -

Wallowa Memorial Hospital 25 25 -

Type A Total 300 309 3.0




FIGURE 2.5 STAFFED BEDS BY TYPE B HOSPITAL, 2009 - 2011

STAFFED BEDS


Ashland Community Hospital 37 37 -

Columbia Memorial Hospital 25 25 -

Coquille Valley Hospital 25 25 -

Lower Umpqua Hospital 25 16 -36.0

Mid-Columbia Medical Center 49 49 -

PeaceHealth Cottage Grove Community Med Ctr 14 14 -

PeaceHealth Peace Harbor Medical Center 21 21 -

Pioneer Memorial Hospital - Prineville 25 25 -

Providence Hood River Memorial Hospital 25 25 -

Providence Newberg Medical Center 40 40 -

Providence Seaside Hospital 25 25 -

Samaritan Lebanon Community Hospital 25 25 -

Samaritan North Lincoln Hospital 25 25 -

Samaritan Pacific Communities Hospital 25 25 -

Santiam Memorial Hospital 40 38 -5.0

Silverton Hospital 48 48 -

Southern Coos Hospital and Health Center 19 19 -

St. Charles Medical Center-Madras 25 25 -

St. Charles Medical Center-Redmond 48 48 -

West Valley Community Hospital 6 6 -

Type B Total 572 561 -1.9




OCCUPANCY

Occupancy rates show the utilization of an inpatient health facility over a specific time period. The occupancy rate is meant to show the average percentage of a hospital’s beds that are occupied throughout the year. The occupancy rate is defined as the number of hospital inpatient days divided by the number of staffed hospital beds multiplied by the number of days in a year. As shown in Figure 2.6, occupancy rates have slightly decreased statewide, and across all hospital types. DRG hospitals experienced a 5 percent decrease in occupancy rate from 2009 to 2011. Type A and B hospitals had decreases of 9 percent and 4 percent, respectively (Figures 2.7 – 2.9). The decrease in occupancy rates is a result of the slight increase in the number of staffed beds and the decrease in total inpatient days.

FIGURE 2.6 OCCUPANCY RATE BY HOSPITAL TYPE, 2009 - 2011

Data Source: Databank, Inpatient Hospital Discharge Data.

68.5

39.242.6

64.865.0

35.740.9

61.6

0

10

20

30

40

50

60

70

80


Occ

up

ancy

(%

)

2009

2011



FIGURE 2.7 OCCUPANCY RATE BY DRG HOSPITAL, 2009 - 2011

OCCUPANCY RATE (%)


Adventist Medical Center 50.9 49.7 -2.4

Asante Rogue Regional Medical Center 67.5 61.4 -8.9

Asante Three Rivers Medical Center 67.6 59.0 -12.8

Bay Area Hospital 57.5 50.0 -13.0

Good Samaritan Regional Medical Center 65.0 71.5 10.0

Kaiser Sunnyside Medical Center 79.8 72.4 -9.3

Legacy Emanuel Medical Center 71.1 65.1 -8.4

Legacy Good Samaritan Medical Center 71.5 59.5 -16.8

Legacy Meridian Park Medical Center 63.0 57.2 -9.2

Legacy Mount Hood Medical Center 73.0 59.6 -18.4

McKenzie-Willamette Medical Center 54.4 53.0 -2.5

Mercy Medical Center 60.6 60.6 -0.1

OHSU Hospital 82.7 81.2 -1.8

PeaceHealth Sacred Heart Medical Center RB 84.4 88.2 4.4

PeaceHealth Sacred Heart Medical Center UD 56.8 57.9 1.8

Providence Medford Medical Center 49.8 51.0 2.4

Providence Milwaukie Hospital 43.9 43.2 -1.6

Providence Portland Medical Center 83.0 82.2 -0.9

Providence St Vincent Medical Center 75.5 68.5 -9.3

Providence Willamette Falls Medical Center 44.4 43.2 -2.5

Salem Hospital 68.5 62.6 -8.6

Samaritan Albany General Hospital 47.7 44.4 -6.9

Sky Lakes Medical Center 61.8 59.3 -4.0

St Charles Medical Center - Bend 57.0 57.6 0.9

Tuality Healthcare 49.0 46.0 -6.2

Willamette Valley Medical Center 51.8 44.5 -14.0

All DRG Hospitals 68.5 65 -5.1

Data Source: Databank, Inpatient Hospital Discharge Data



FIGURE 2.8 OCCUPANCY RATE BY TYPE A HOSPITAL, 2009 - 2011

OCCUPANCY RATE (%)


Blue Mountain Hospital 18.9 19.2 1.2

Curry General Hospital 30.0 29.0 -3.5

Good Shepherd Medical Center 77.1 58.4 -24.2

Grande Ronde Hospital 66.0 67.1 1.7

Harney District Hospital 17.5 9.5 -46.0

Lake District Hospital 26.4 18.6 -29.6

Pioneer Memorial Hospital - Heppner 2.6 2.0 -22.8

Saint Alphonsus Medical Center - Baker City 41.8 43.5 4.1

Saint Alphonsus Medical Center - Ontario 47.7 48.5 1.7

St Anthony Hospital 60.3 59.0 -2.1

Tillamook County General Hospital 37.3 33.6 -9.9

Wallowa Memorial Hospital 17.9 15.6 -13.0

All Type A Hospitals 39.2 35.7 -8.9




FIGURE 2.9 OCCUPANCY RATE BY TYPE B HOSPITAL, 2009 - 2011

OCCUPANCY RATE (%)


Ashland Community Hospital 46.3 40.9 -11.8

Columbia Memorial Hospital 65.4 56.2 -14.2

Coquille Valley Hospital 21.1 16.2 -23.3

Lower Umpqua Hospital 17.2 22.6 31.1

Mid-Columbia Medical Center 40.0 40.6 1.4

PeaceHealth Cottage Grove Community Med Ctr 22.6 17.9 -21.0

PeaceHealth Peace Harbor Medical Center 60.7 47.8 -21.2

Pioneer Memorial Hospital - Prineville 25.4 24.7 -2.8

Providence Hood River Memorial Hospital 60.9 53.2 -12.5

Providence Newberg Medical Center 55.7 58.4 4.8

Providence Seaside Hospital 32.5 31.3 -3.8

Samaritan Lebanon Community Hospital 69.6 69.7 0.2

Samaritan North Lincoln Hospital 35.1 31.8 -9.4

Samaritan Pacific Communities Hospital 45.4 46.4 2.2

Santiam Memorial Hospital 21.7 22.8 5.3

Silverton Hospital 75.9 68.8 -9.4

Southern Coos Hospital and Health Center 18.0 13.7 -24.0

St. Charles Medical Center-Madras 31.7 34.3 8.3

St. Charles Medical Center-Redmond 38.4 39.0 1.6

West Valley Community Hospital 9.2 12.1 31.2

All Type B Hospitals 42.6 40.9 -4.0




WORKFORCE

Chapter 3: Workforce

REGISTERED NURSES

Nurses make up the largest percentage of the health care workforce in Oregon. In 2012, there were an estimated 37,719 licensed registered nurses working in Oregon, and 59 percent of those reported that they worked in a hospital or an acute care setting (ambulatory urgent/emergency care).10 Figures 3.1 – 3.4 show the number of registered nurse FTE per staffed bed by hospital type.

FIGURE 3.1 REGISTERED NURSE FTE PER STAFFED BED BY HOSPITAL TYPE, 2009 - 2011

Data Source: AHA Annual Survey and Databank.

10 Oregon Health Professions: Occupational and County Profiles, 2012. Office for Oregon Health Policy and Research, February 2013.

2.10

1.89

2.27

2.112.19

1.92

2.46

2.20

0

1

2

3


(RN

FT

E /

Bed

)

2009 2011



FIGURE 3.2 REGISTERED NURSE FTE PER STAFFED BED BY DRG HOSPITAL, 2009 - 2011

RN FTE / STAFFED BED


Adventist Medical Center 1.6 1.6 0.6

Asante Rogue Regional Medical Center 1.6 1.5 -7.4

Asante Three Rivers Medical Center 1.7 1.5 -10.3






Legacy Meridian Park Medical Center 1.9 1.9 -2.0


McKenzie-Willamette Medical Center 1.6 1.5 -1.1

Mercy Medical Center 1.8 1.8 -0.8

OHSU Hospital 2.5 3.0 19.2




Providence Milwaukie Hospital 2.1 2.2 4.4

Providence Portland Medical Center 2.2 2.4 12.0

Providence St Vincent Medical Center 2.1 2.2 7.7


Salem Hospital 2.1 2.3 10.6

Samaritan Albany General Hospital 2.3 2.4 3.1

Sky Lakes Medical Center 1.8 2.1 16.7


Tuality Healthcare 1.7 1.5 -10.9


All DRG Hospitals 2.1 2.2 8.6




FIGURE 3.3 REGISTERED NURSE FTE PER STAFFED BED BY TYPE A HOSPITAL, 2009 - 2011







Harney District Hospital 0.9 1.2 26.1

Lake District Hospital 1.6 1.1 -32.3

Pioneer Memorial Hospital - Heppner 0.5 0.5 0.0

Saint Alphonsus Medical Center - Baker City 1.6 1.6 -2.5


St Anthony Hospital 2.8 3.1 8.5

Tillamook County General Hospital 2.7 3.4 23.5


All Type A Hospitals 1.9 1.9 1.9




FIGURE 3.4 REGISTERED NURSE FTE PER STAFFED BED BY TYPE B HOSPITAL, 2009 - 2011




Columbia Memorial Hospital 3.4 3.5 3.6

Coquille Valley Hospital 0.9 0.9 -4.3



PeaceHealth Cottage Grove Community Med Ctr 1.1 3.1 175.0

PeaceHealth Peace Harbor Medical Center 3.3 3.7 10.0

Pioneer Memorial Hospital - Prineville 1.8 2.1 20.5

Providence Hood River Memorial Hospital 3.0 3.4 11.8


Providence Seaside Hospital 2.6 2.7 3.1

Samaritan Lebanon Community Hospital 3.8 3.7 -3.2


Samaritan Pacific Communities Hospital 2.9 2.8 -2.7


Silverton Hospital 3.2 3.3 3.3

Southern Coos Hospital and Health Center 1.1 0.9 -14.3

St. Charles Medical Center-Madras 2.1 2.0 -5.7


West Valley Community Hospital 3.3 3.2 -5.0


Data Source: AHA Annual Survey and Databank..



PHYSICIANS

In 2012, there were an estimated 10,609 licensed physicians working in Oregon with about 32 percent of them reporting hospitals as their primary work setting.11 There are many models for how physicians are integrated into a hospital’s operations. The most common model is for hospitals to directly employ physicians. In other cases, physicians are organized as a separate group practice that is closely affiliated with a hospital through a contract or professional services agreement. For example, many of the physicians working in Providence’s Oregon hospitals are part of the Providence Medical Group, considered a separate entity from the Providence hospital system. Figures 3.5 – 3.8 show only the total number of physician (and dentist) FTE directly employed by acute care hospitals in the state. These figures show that the number of physicians directly employed by hospitals increased from 2009 to 2011. (For the AHA Annual Survey, hospitals report the combined amount of physician and dentist FTE. Dentist FTE are a very small share of the average hospital’s workforce.) The increase in physician employment by hospitals is not unique to Oregon as hospitals nationwide have hired more physicians. This trend is partly a way for hospitals to prepare for payment reforms that emphasize coordinated care and quality. Additionally, hospitals historically have increased physician employment to increase their market share.

FIGURE 3.5 PHYSICIAN FTE EMPLOYED DIRECTLY BY OREGON HOSPITALS, 2009 - 2011

Data Notes: Data includes physicians and dentists. For most hospitals, dentist FTE is a very small amount of the total.

Data Source: AHA Annual Survey of Hospitals, correspondence with hospitals.

11 Oregon Health Professions: Occupational and County Profiles, 2010. Office for Oregon Health Policy and Research, April 2011.

935

67

235

1,237 1,152

71

259

1,482

-

200

400

600

800

1,000

1,200

1,400

1,600


2009 2011



FIGURE 3.6 PHYSICIAN FTE BY DRG HOSPITAL, 2009 - 2011

PHYSICIAN FTE


Adventist Medical Center 45 79 76

Asante Rogue Regional Medical Center 18 22 22

Asante Three Rivers Medical Center 9 8 -11

Bay Area Hospital 11 11 -

Good Samaritan Regional Medical Center 78 91 17

Kaiser Sunnyside Medical Center 134 154 15

Legacy Emanuel Medical Center 272 239 -12

Legacy Good Samaritan Medical Center 8 11 38

Legacy Meridian Park Medical Center - - -

Legacy Mount Hood Medical Center - - -

McKenzie-Willamette Medical Center 2 - -100

Mercy Medical Center 11 17 55

OHSU Hospital 133 180 35

PeaceHealth Sacred Heart Medical Center RB 19 53 179

PeaceHealth Sacred Heart Medical Center UD 18 26 44

Providence Medford Medical Center 10 10 -

Providence Milwaukie Hospital 1 - -100

Providence Portland Medical Center 32 37 16

Providence St Vincent Medical Center 6 6 -

Providence Willamette Falls Medical Center 14 - -100

Salem Hospital 20 62 210

Samaritan Albany General Hospital 7 19 171

Sky Lakes Medical Center 22 26 18

St Charles Medical Center - Bend 3 26 767

Tuality Healthcare 30 42 40

Willamette Valley Medical Center 32 33 3

DRG Total 935 1,152 23


Data Source: AHA Annual Survey, correspondence with hospitals.



FIGURE 3.7 PHYSICIAN FTE BY TYPE A HOSPITAL, 2009 - 2011

PHYSICIAN FTE


Blue Mountain Hospital 4 8 100

Curry General Hospital 6 9 50

Good Shepherd Medical Center 11 3 -73

Grande Ronde Hospital 20 23 15

Harney District Hospital - - -

Lake District Hospital - - -

Pioneer Memorial Hospital - Heppner 2 3 50

Saint Alphonsus Medical Center - Baker City 5 - -100

Saint Alphonsus Medical Center - Ontario 6 9 50

St Anthony Hospital 3 4 33

Tillamook County General Hospital 9 11 22

Wallowa Memorial Hospital 1 1 0

Type A Total 67 71 6


Data Source: AHA Annual Survey.



FIGURE 3.8 PHYSICIAN FTE BY TYPE B HOSPITAL, 2009 - 2011

PHYSICIAN FTE


Ashland Community Hospital 5 8 60

Columbia Memorial Hospital 8 10 25

Coquille Valley Hospital 2 3 50

Lower Umpqua Hospital 7 4 -43

Mid-Columbia Medical Center 38 12 -68

PeaceHealth Cottage Grove Community Med Ctr 7 18 157

PeaceHealth Peace Harbor Medical Center 28 36 29

Pioneer Memorial Hospital - Prineville 1 8 700

Providence Hood River Memorial Hospital 15 17 13

Providence Newberg Medical Center 1 1 0

Providence Seaside Hospital 18 20 11

Samaritan Lebanon Community Hospital 29 35 21

Samaritan North Lincoln Hospital 9 14 56

Samaritan Pacific Communities Hospital 14 13 -7

Santiam Memorial Hospital 12 10 -17

Silverton Hospital 25 24 -4

Southern Coos Hospital and Health Center 2 3 50

St. Charles Medical Center-Madras 7 5 -29

St. Charles Medical Center-Redmond 4 13 225

West Valley Community Hospital 3 5 67

Type B Average 235 259 10


Data Source: AHA Annual Survey.



UTILIZATION OF HOSPITAL SERVICES

Chapter 4: Utilization of Hospital Services

As noted in the Background, inpatient hospital utilization has decreased over the last few years. In 2007, Oregon hospitals discharged about 384,000 patients. In 2011, hospital discharges totaled 375,000. At the same time, outpatient visits increased from about 8.5 million in 2007 to just under 9.5 million in 2011.

MOST COMMON CONDITIONS AND PROCEDURES

Medicare Severity Diagnosis-Related Groups (MS-DRG) classify hospital inpatient stays into groups similar in both clinical profile and resource intensity. In other words, a particular MS-DRG code generally captures inpatient stays with similar conditions and procedures that are, on average, expected to cost a similar amount. Figures 4.1 - 4.4 show the ten most common conditions for hospitalizations at Oregon hospitals, overall and by hospital type. As shown by the MS-DRG codes, childbirth and delivery are the most common reasons for hospital stays.

FIGURE 4.1 TOP MS-DRG CODES BY VOLUME IN ALL HOSPITALS, 2011

OREGON RANK

MS-DRG CODE DESCRIPTION DISCHARGES

% OF TOTAL DISCHARGES

1 795 Normal Newborn 32,731 8.8

2 775 Vaginal Delivery without complicating diagnoses 23,695 6.4

3 470 Major joint replacement or reattachment of lower extremity without MCC

13,131 3.5

4 885 Psychosis 8,927 2.4

5 766 Cesarean section without CC/MCC 7,691 2.1

6 871 Septicemia or severe sepsis without MV 96+ hours with MCC

6,932 1.9

7 794 Neonate with other significant problems 6,469 1.7

8 392 Esophagitis, gastroenteritis & miscellaneous digestive disorders without MCC

6,264 1.7

9 765 Cesarean section with CC/MCC 4,998 1.3

10 774 Vaginal Delivery with complicating diagnoses 4,891 1.3

Oregon Top 10 Discharge Sum 115,729 31.1

Data Source: Hospital Inpatient Discharge Data, 2011.

CC = Complications and comorbidities; MCC = Major complications and comorbidities; MV =Mechanical Ventilation



FIGURE 4.2 TOP MS-DRG CODES BY VOLUME IN DRG HOSPITALS, 2011

DRG RANK




2 775 Vaginal Delivery without complicating diagnoses

19,397 5.9


11,611 3.5

4 885 Psychosis 8,848 2.7

5 871 Septicemia or severe sepsis without MV 96+ hours with MCC

6,428 2.0

6 766 Cesarean section without CC/MCC 6,381 1.9

7 794 Neonate with other significant problems 5,408 1.6


5,206 1.6

9 765 Cesarean section with CC/MCC 4,361 1.3

10 774 Vaginal Delivery with complicating diagnoses 4,256 1.3

DRG Hospital Top 10 Discharge Sum 99,033 30.2


CC = Complications and comorbidities; MCC = Major complications and comorbidities; MV =Mechanical Ventilation



FIGURE 4.3 TOP MS-DRG CODES BY VOLUME IN TYPE A HOSPITALS, 2011

TYPE A RANK





1,235 8.9


524 3.8

4 766 Cesarean section without CC/MCC 457 3.3


366 2.6

6 194 Simple pneumonia and pleurisy with complications

312 2.2

7 195 Simple pneumonia and pleurisy without complications

311 2.2

8 794 Neonate with other significant problems 245 1.8

9 743 Uterine and Adnexa Procedure for non-malignancy without complications

223 1.6

10 765 Cesarean section with CC/MCC 217 1.6

Type A Hospital Top 10 Discharge Sum 5,491 39.6


CC = Complications and comorbidities; MCC = Major complications and comorbidities



FIGURE 4.4 TOP MS-DRG CODES BY VOLUME IN TYPE B HOSPITALS, 2011

TYPE B RANK





3,063 10.1


996 3.3

4 766 Cesarean section without CC/MCC 853 2.8

5 794 Neonate with other significant problems 816 2.7

6 194 Simple pneumonia and pleurisy with complications

740 2.4


692 2.3

8 195 Simple pneumonia and pleurisy without complications

514 1.7

9 774 Vaginal Delivery with complicating diagnoses 498 1.6

10 603 Cellulitis without MCC 481 1.6

Type B Hospital Top 10 Discharge Sum 12,646 41.8


CC = Complications and comorbidities; MCC = Major complications and comorbidities



AVERAGE LENGTH OF STAY

The average length of stay measures the average amount of time an admitted patient spends in the hospital until being discharged. The average length of stay is calculated as the total number of patient days in the hospital divided by the number of discharges. This is important for understanding the use of hospital resources as the length of stay affects overall hospital charges. The average length of stay can also be a rough indicator of hospital efficiency. Differences in length of stay may indicate a hospital’s preference to use extended hospital stays instead of using an alternative method of care, such as outpatient treatment. However, assessing changes in average length of stay has its limitations because the optimal length of stay depends on the diagnosis, procedure, reimbursement, margin maximization, and other components of the delivery care system. Oregon has historically had one of the lowest lengths of stay in the nation. Oregon’s average overall length of stay (Figures 4.5 – 4.8) has remained fairly constant, and is well below the 2010 national average of 4.8 days.12

FIGURE 4.5 AVERAGE LENGTH OF STAY BY HOSPITAL TYPE, 2009 - 2011

Data Source: Inpatient Hospital Discharge Data.

12 Centers for Disease Control and Prevention. National Hospital Discharge Survey: 2010 Table, Number, and Rate of Hospital Discharges.

4.12

2.90 2.84

3.974.04

2.902.77

3.90

0

1

2

3

4

5


(Day

s)

2009 2011



FIGURE 4.6 AVERAGE LENGTH OF STAY BY DRG HOSPITAL, 2009 - 2011



Adventist Medical Center 3.8 3.6 -5.5

Asante Rogue Regional Medical Center 4.4 4.4 0.5

Asante Three Rivers Medical Center 3.0 3.1 2.2






Legacy Meridian Park Medical Center 3.2 3.3 1.3


McKenzie-Willamette Medical Center 3.1 3.3 5.2

Mercy Medical Center 3.6 3.7 0.3

OHSU Hospital 5.2 5.2 -0.6



Providence Medford Medical Center 3.8 3.6 -6.7

Providence Milwaukie Hospital 3.0 2.8 -6.9


Providence St Vincent Medical Center 4.2 4.1 -1.8


Salem Hospital 4.4 3.9 -11.4

Samaritan Albany General Hospital 3.0 2.8 -5.2


St Charles Medical Center - Bend 3.7 3.6 -1.8

Tuality Healthcare 3.9 4.0 2.6


All DRG Hospitals 4.1 4.0 -1.9




FIGURE 4.7 AVERAGE LENGTH OF STAY BY TYPE A HOSPITAL, 2009 - 2011



Blue Mountain Hospital 2.7 2.6 -2.8




Harney District Hospital 2.9 2.8 -5.8

Lake District Hospital 3.0 3.2 7.9


Saint Alphonsus Medical Center - Baker City 3.6 3.3 -8.8



Tillamook County General Hospital 2.9 2.7 -8.6


All Type A Hospitals 2.9 2.9 0.1




FIGURE 4.8 AVERAGE LENGTH OF STAY BY TYPE B HOSPITAL, 2009 - 2011




Columbia Memorial Hospital 2.9 2.6 -7.8

Coquille Valley Hospital 2.8 2.9 3.9

Lower Umpqua Hospital 3.8 3.7 -3.9

Mid-Columbia Medical Center 3.1 3.1 -0.4

PeaceHealth Cottage Grove Community Med Ctr 2.8 2.5 -11.1



Providence Hood River Memorial Hospital 2.7 2.5 -5.3

Providence Newberg Medical Center 3.0 2.9 -3.4

Providence Seaside Hospital 2.8 2.7 -4.6

Samaritan Lebanon Community Hospital 3.0 2.8 -5.6


Samaritan Pacific Communities Hospital 2.8 2.7 -2.6

Santiam Memorial Hospital 2.7 2.7 -1.6


Southern Coos Hospital and Health Center 3.1 3.3 6.8


St. Charles Medical Center-Redmond 2.9 2.6 -9.3






HOSPITAL FINANCES

Chapter 5: Hospital Finances

All but two of Oregon’s hospitals are not-for-profit. Not-for-profit status carries with it both relief from certain taxes, and the expectation of providing the community it serves with some public benefit. Moreover, not-for-profit hospitals are not owned by shareholders, but instead (typically) by religious institutions, regional communities, or hospital associated entities. Despite differences in tax status and ownership, both not-for-profit and for-profit hospitals must, over the long run, generate revenues in excess of expenditures (earnings or margin) to remain solvent. This chapter provides information relative to the “financial health” of hospitals using two key indicators: operating margin and total margin. Operating margin is an indicator of earnings that are generated directly from patient care operations. Total margin also includes income or expenditures of a non-operating nature, such as donations, investments and tax revenue.

THE ROLE OF HEALTH DISTRICTS

Many of Oregon’s rural hospitals struggle for economic stability because they serve smaller populations and therefore have less demand for their services. However, the residents of these communities depend on their local community hospital. One option rural communities have to stabilize hospital financial operations is to form a health district. A health district may levy property taxes on the residents of the community to spread the burden of supporting the services provided by the hospital. The funds raised can be used to contribute to the hospital’s revenue or for capital improvements. There are fourteen health districts in Oregon that support hospital services in rural communities. Six of the fourteen support Type A hospitals, seven are Type B, and one is a DRG hospital. All of the health districts in Oregon support Critical Access Hospitals except for one, Bay Area Hospital (Figure 5.1).

FIGURE 5.1 HOSPITALS SUPPORTED BY HEALTH DISTRICTS

HOSPITAL HEALTH DISTRICT

Bay Area Hospital* Bay Area Health District

Blue Mountain Hospital Blue Mountain Hospital District

Coquille Valley Hospital Coquille Valley Hospital District

Curry General Hospital Curry Health District

Harney District Hospital Harney Health District

Lake District Hospital Lake Health District

Lower Umpqua Hospital Lower Umpqua Hospital District

Pioneer Memorial Hospital-Heppner Morrow County Health District

Providence Seaside Hospital Union Health District

Samaritan North Lincoln Hospital North Lincoln Health District

Samaritan Pacific Communities Hospital Pacific Communities Health District

Southern Coos Hospital and Health Center Southern Coos Health District

St. Charles Medical Center-Madras Mountain View Hospital District

Wallowa Memorial Hospital Wallow County Health Care District

*Although organized as a health district, Bay Area Hospital does not receive property tax revenue.



FINANCIAL INDICES

Several key indices are helpful in assessing the financial health of hospitals. Gross Patient Revenue (GPR): A calculation of the total revenue that would be generated by patient care activities if the hospital received payments equal to its retail rates or “charges.”. Typically, these retail rates are higher than what is actually paid by public and private insurers. Net patient revenue is the actual revenue received for patient care provided. Total Operating Revenues: Total operating revenue is net patient revenue plus other operating revenue. Included in other operating revenue is revenue from non-patient care activities such as the gift shop or cafeteria. Operating Margin: Operating margin is total operating revenue less operating expense. Often it is expressed as a percentage of total operating revenue, and it measures how profitable the hospital is when looking at the performance of its direct patient care activity. A negative operating margin is usually an early sign of financial difficulty. Total Margin: Total margin is another important measure of profitability. It is the difference between total revenue and expenses. It is also typically expressed as a percentage of total operating revenue. Non-operating income is part of total margin, and includes revenue from contributions, public appropriations and other government transfers, net investment income, and income from subsidiaries or affiliates.

OPERATING MARGIN AND TOTAL MARGIN

Operating margin and total margin are frequently used as indicators of the financial health of a hospital. For each of the margins, the ratio will be positive if the hospital is generating income, zero if it is at break-even, and negative if it has a loss. Operating margins greater than 3 percent are generally considered to be an indication of financial “health”13, but should be interpreted carefully in cases where a health district contributes to total revenue. In general, district hospitals classify their tax receipts (from tax levies) as non-operating income, which means that these amounts are not included in their operating margin calculations. Therefore, low or negative operating margins for hospitals that receive health district tax revenue may not indicate a financial problem because the operating margin ignores an important facet of financial strength—the ability to augment hospital operations with health district tax revenue. Total margin may be a better measure for the overall financial health of these hospitals to the extent that tax receipts are a stable form of hospital income. Figures 5.2 – 5.8 display median operating margin and total margin statewide and for DRG, Type A and Type B hospitals, respectively. Median margins are displayed in order to reduce the impact of outliers, or extreme values, on reported values. Hospital-level margins for 2011 are also provided. The recovery from the economic downturn that began in 2008 is apparent, as hospital margins have slowly improved. Financial performance, however, still varies significantly across hospitals. For example, 15 hospitals reported negative total margins in 2011.

13 Harrison M., Montalvo C. “The Financial Health of California Hospitals: A Looming Crisis” Health Affairs, 21(1), 2002, p17.



FIGURE 5.2 MEDIAN OPERATING AND TOTAL MARGIN AT ALL OREGON HOSPITALS, 1999 - 2011

Data Notes: Kaiser Sunnyside Medical Center is not included in this financial information.

Data Source: Hospital Audited Financial Reports.

FIGURE 5.3 MEDIAN OPERATING AND TOTAL MARGIN AT DRG HOSPITALS, 1999 - 2011



2.5 2.4

2.0

3.2

2.32.7

3.3

2.6

1.8 2.02.5

3.03.4

4.5 4.44.0

4.9

3.8 3.9

5.35.4

4.2

2.2 2.3

4.24.6

0.0

1.0

2.0

3.0

4.0

5.0

6.0

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

(%)

Operating Margin Total Margin

3.33.8

4.2 4.5

3.5

4.75.0

4.13.6

2.3

3.2

4.4

5.34.5

4.85.4

5.75.2

4.8

6.25.6

5.0

2.82.5

7.1

5.1

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

(%)




FIGURE 5.4 OPERATING MARGIN AND TOTAL MARGIN BY DRG HOSPITAL, 2011

HOSPITAL NAME

OPERATING MARGN

(%)

TOTAL MARGIN

(%)

Adventist Medical Center 2.4 2.4

Asante Rogue Regional Medical Center 5.5 4.6

Asante Three Rivers Medical Center 7.4 6.5

Bay Area Hospital 0.7 2.3

Good Samaritan Regional Medical Center -0.8 -0.6

Legacy Emanuel Medical Center -0.5 2.0

Legacy Good Samaritan Medical Center 1.1 5.2

Legacy Meridian Park Medical Center 10.8 19.9

Legacy Mount Hood Medical Center 5.3 7.2

McKenzie-Willamette Medical Center 18.7 17.5

Mercy Medical Center 9.8 13.8

OHSU Hospital 5.8 6.6

PeaceHealth Sacred Heart Medical Center RB 5.3 5.1

PeaceHealth Sacred Heart Medical Center UD -10.7 -10.9

Providence Medford Medical Center 7.6 9.5

Providence Milwaukie Hospital 8.2 11.2

Providence Portland Medical Center 3.5 4.8

Providence St Vincent Medical Center 8.8 12.4

Providence Willamette Falls Medical Center -4.9 -6.3

Salem Hospital 3.8 4.1

Samaritan Albany General Hospital 5.0 5.3

Sky Lakes Medical Center 7.0 7.5

St Charles Medical Center - Bend 4.3 3.8

Tuality Healthcare 1.6 -3.3

Willamette Valley Medical Center 29.6 16.9




FIGURE 5.5 MEDIAN OPERATING AND TOTAL MARGIN AT TYPE A HOSPITALS, 1999 - 2011


FIGURE 5.6 OPERATING MARGIN AND TOTAL MARGIN BY TYPE A HOSPITAL, 2011

HOSPITAL NAME

OPERATING MARGN

(%)

TOTAL MARGIN

(%)

Blue Mountain Hospital -9.4 -3.1

Curry General Hospital -4.9 -4.2

Good Shepherd Medical Center 13.8 16.6

Grande Ronde Hospital 4.7 8.9

Harney District Hospital -1.3 -1.0

Lake District Hospital -5.6 -1.5

Pioneer Memorial Hospital - Heppner -17.4 2.9

Saint Alphonsus Medical Center - Baker City 2.2 4.3

Saint Alphonsus Medical Center - Ontario 3.4 7.3

St Anthony Hospital 14.6 33.3

Tillamook County General Hospital 1.6 4.9

Wallowa Memorial Hospital -4.7 -0.9


-1.9

-4.6

-0.2

1.4

-2.2 -2.7 -2.7

0.3

-2.1

0.8

0.8

-0.3 0.2

4.34.6

1.9

4.6

0.8-0.2

2.3

6.55.9

1.4

-1.8

3.23.6

-6.0

-4.0

-2.0

0.0

2.0

4.0

6.0

8.0

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

(%)




FIGURE 5.7 MEDIAN OPERATING AND TOTAL MARGIN AT TYPE B HOSPITALS, 1999 - 2011


2.5

0.60.9 1.0

2.1 2.0

1.6

2.4

0.81.1

2.82.4

1.7

3.4

4.2

2.3

1.2

3.6

3.02.6

4.4

1.9

1.1

3.6

2.9

3.5

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

5.0

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

(%)




FIGURE 5.8 OPERATING MARGIN AND TOTAL MARGIN BY TYPE B HOSPITAL, 2011

HOSPITAL NAME

OPERATING MARGN

(%)

TOTAL MARGIN

(%)

Ashland Community Hospital -1.6 -1.1

Columbia Memorial Hospital 6.4 6.1

Coquille Valley Hospital 5.3 9.3

Lower Umpqua Hospital -5.8 3.5

Mid-Columbia Medical Center 7.4 7.5

PeaceHealth Cottage Grove Community Med Ctr -1.1 -1.4

PeaceHealth Peace Harbor Medical Center -2.0 -0.9

Pioneer Memorial Hospital - Prineville -3.6 -3.3

Providence Hood River Memorial Hospital 1.3 1.6

Providence Newberg Medical Center 4.5 4.6

Providence Seaside Hospital -2.4 -2.2

Samaritan Lebanon Community Hospital 4.1 4.8

Samaritan North Lincoln Hospital -0.9 -0.7

Samaritan Pacific Communities Hospital -1.1 8.1

Santiam Memorial Hospital 12.1 12.2

Silverton Hospital 2.3 2.9

Southern Coos Hospital and Health Center -3.2 2.5

St. Charles Medical Center-Madras 2.2 3.4

St. Charles Medical Center-Redmond 7.7 7.0

West Valley Community Hospital 6.4 6.4




PAYER MIX

Hospital payer mix is also an important indicator of financial health because payments differ by the type of payer. While all payers are charged a hospital’s retail rate, they typically pay different amounts based on discounts to that rate. Individuals who are uninsured have a limited ability to negotiate discounts. Consequently, they could be billed the retail rate for services if they do not qualify for or make use of hospital charity care programs. Other payers, such as commercial insurers or public insurers, can negotiate discounts based upon their market power. Commercial insurers, as a group, often pay the highest reimbursement to hospitals for a given service. Medicare, the primary payer for many hospital services to elderly people and people with disabilities, frequently pays somewhat less than commercial insurers, and Medicaid, which serves many low-income patients, generally pays hospitals somewhat less than the Medicare reimbursement. A hospital with a higher concentration of commercial payers, therefore, will typically earn greater revenue on the services it provides. Hospital payer mix is one way to measure the volume that a hospital receives from each type of payer, such as Medicare, Medicaid, or private insurance. Payer mix is measured as the percentage of gross patient revenue from each type of payer. That is, payer mix indicates the billed charges to each payer before the discounts discussed above are applied. As shown in Figure 5.9, commercial insurance is responsible for a smaller share of statewide gross charges over time. In contrast, the shares of government payers (i.e. Medicare and Medicaid) have increased.

FIGURE 5.9 PAYER MIX IN OREGON HOSPITALS, 2008 - 2011

Data Notes: Calculated as percentage of total charges (gross patient revenue).


12% 13% 14% 15%

40% 41% 41% 42%

43% 39% 38% 37%

6% 7% 7% 6%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2008 2009 2010 2011

Self Pay

Private/Other

Medicare

Medicaid



An individual hospital’s payer mix tends to be linked to the demographics of the surrounding community, as well as the overall economy. For example, an increase in unemployment tends to increase the uninsured and those who qualify for Medicaid. Changes in payer mix also could indicate changes in the health care system, such as rising premiums leading to a decline in those with private insurance. It also could indicate changes in health policy. For example, part of the decrease in self pay and increase in Medicaid shown in Figure 5.9 is likely related to the expansion of Oregon Health Plan enrollment in recent years. Furthermore, beginning in 2014, federal health reform is likely to increase Medicaid’s share through the expansion of Medicaid eligibility. Figures 5.2 - 5.4 shows the payer mix for each hospital organized by hospital type.

FIGURE 5.10 PAYER MIX IN DRG HOSPITALS, 2011

HOSPITAL NAME MEDICAID

(%) MEDICARE

(%) COMMERCIAL/

OTHER (%) SELF PAY

(%)

Adventist Medical Center 14 42 40 5

Asante Rogue Regional Medical Center 14 53 26 6

Asante Three Rivers Medical Center 15 55 22 7

Bay Area Hospital 14 51 26 9

Good Samaritan Regional Medical Center 11 48 36 5

Legacy Emanuel Medical Center 30 21 40 9

Legacy Good Samaritan Medical Center 10 44 41 5

Legacy Meridian Park Medical Center 5 45 45 5

Legacy Mount Hood Medical Center 21 32 36 11

McKenzie-Willamette Medical Center 13 26 56 6

Mercy Medical Center 15 50 31 4

OHSU Hospital 20 30 45 5

PeaceHealth Sacred Heart Medical Center RB 15 46 32 6

PeaceHealth Sacred Heart Medical Center UD 17 46 27 10

Providence Medford Medical Center 15 52 27 6

Providence Milwaukie Hospital 16 37 38 9

Providence Portland Medical Center 13 41 41 6

Providence St Vincent Medical Center 10 37 49 5

Providence Willamette Falls Medical Center 13 31 42 14

Salem Hospital 14 47 34 5

Samaritan Albany General Hospital 15 47 33 5

Sky Lakes Medical Center 15 49 30 6

St Charles Medical Center - Bend 12 50 31 7

Tuality Healthcare 15 45 33 7

Willamette Valley Medical Center 16 48 31 5

All DRG Hospitals 15 41 38 6





FIGURE 5.11 PAYER MIX IN TYPE A HOSPITALS, 2011


(%) MEDICARE

(%) COMMERCIAL/

OTHER (%) SELF PAY

(%)

Blue Mountain Hospital 19 47 26 8

Curry General Hospital 13 49 32 6

Good Shepherd Medical Center 18 33 40 9

Grande Ronde Hospital 16 43 33 7

Harney District Hospital 15 46 31 7

Lake District Hospital 16 47 29 8

Pioneer Memorial Hospital - Heppner 12 47 32 9

Saint Alphonsus Medical Center - Baker City 12 49 34 5

Saint Alphonsus Medical Center - Ontario 17 49 29 6

St Anthony Hospital 14 33 46 6

Tillamook County General Hospital 12 42 37 8

Wallowa Memorial Hospital 13 54 26 6

All Type A Hospitals 15 42 35 7





FIGURE 5.12 PAYER MIX IN TYPE B HOSPITALS, 2011


(%) MEDICARE

(%) COMMERCIAL/

OTHER (%) SELF PAY

(%)

Ashland Community Hospital 8 52 35 5

Columbia Memorial Hospital 14 44 36 7

Coquille Valley Hospital 12 55 26 7

Lower Umpqua Hospital 11 60 23 5

Mid-Columbia Medical Center 13 48 35 4

PeaceHealth Cottage Grove Community Med Ctr 17 48 24 10

PeaceHealth Peace Harbor Medical Center 9 60 24 7

Pioneer Memorial Hospital - Prineville 15 57 21 7

Providence Hood River Memorial Hospital 14 41 40 6

Providence Newberg Medical Center 13 37 44 7

Providence Seaside Hospital 17 46 28 9

Samaritan Lebanon Community Hospital 20 46 27 7

Samaritan North Lincoln Hospital 16 49 27 8

Samaritan Pacific Communities Hospital 15 49 29 6

Santiam Memorial Hospital 18 39 36 7

Silverton Hospital 21 29 41 8

Southern Coos Hospital and Health Center 10 61 25 3

St. Charles Medical Center-Madras 30 30 33 7

St. Charles Medical Center-Redmond 18 43 31 8

West Valley Community Hospital 18 37 35 9

All Type B Hospitals 16 44 33 7





COMMUNITY BENEFIT

Chapter 6: Community Benefit

Most hospitals in Oregon are recognized as non-profit institutions. To maintain their tax-exempt status, non-profit hospitals are expected to provide measurable benefits to the communities they serve. Community benefits generally are defined as programs or activities that hospitals provide despite a low or negative financial return. Examples of community benefits include providing free or discounted care to persons living in poverty, conducting education or research to promote community health, or donating funds or services to community groups.

COMMUNITY BENEFIT REPORTING

In 2007, House Bill 3290 established Oregon’s community benefit reporting law in order to document the benefits that hospitals provide to their communities. Under this law, each hospital annually submits a form to the Oregon Health Authority that reports the hospital’s cost of providing community benefits in various categories. Hospitals may use different methodologies to estimate these costs. A typical formula is to multiply charges by a cost-to-charge ratio. The community benefit report is based on data from each hospital’s fiscal year. Because Oregon hospitals operate on many different fiscal year calendars, the data reported by one hospital may reflect a different time period than another hospital. The definitions for each community benefit category are shown in Figure 6.1. The data reflect the total amount of unreimbursed expenditures given by a hospital toward their community benefit program. Direct offsetting revenues have been deducted. For example, the community benefit reported for Medicaid represents the hospital’s cost of treating Medicaid patients that was not reimbursed by the state’s Medicaid program. The full community benefit report—including community benefit amounts by hospital—can be found at http://www.oregon.gov/oha/OHPR/RSCH/pages/hospital_reporting.aspx#COMMUNITY_BENEFIT_REPORTING .

http://www.oregon.gov/oha/OHPR/RSCH/pages/hospital_reporting.aspx#COMMUNITY_BENEFIT_REPORTING

http://www.oregon.gov/oha/OHPR/RSCH/pages/hospital_reporting.aspx#COMMUNITY_BENEFIT_REPORTING



FIGURE 6.1 COMMUNITY BENEFIT DEFINITIONS

Cash and In-Kind Contributions: Funds and services donated to individuals or groups of the community. Typical contributions include grants, scholarships, staff hours, hospital space, food, and equipment.

Charity Care Cost: Charity care consists of health care services provided to people who are determined by the hospital to be unable to pay for the cost of health care services. Hospitals will typically determine a patient’s inability to pay by examining a variety of factors, such as individual and family income, assets, employment status, family size, or availability of alternative sources of payment. A hospital may establish inability to pay at the time care is provided or through later efforts to gather adequate financial information to make an eligibility determination. Hospitals may use different methodologies to estimate the costs of charity care. A typical formula would be charity care charges multiplied by a cost-to-charge ratio (Total Operating Expenses/Gross Patient Revenue).

Community Benefit Operations: Costs associated developing and maintaining community benefit programs, such as staff hours, grant writing, needs assessments, and fundraising.

Community Building Activities: Costs associated with non-health care programs provided by the hospital to minimize potential health problems. Some examples of these activities are neighborhood revitalization, tree planting, low-income housing projects, mentoring groups, air quality improvement, conflict resolution training, and workforce development programs.

Community Health Improvements: Costs associated with activities geared towards improving the health of the community including educational lectures/presentations, special community health screening events, clinics, telephone information services, poison control services, and hotlines.

Health Professions Education: Costs associated with training future health care professionals by providing a clinical setting for training, internships, vocational training, and residencies.

Medicaid Unreimbursed Cost: An estimate of the costs not reimbursed by Medicaid, the federal health insurance program that provides health and long-term care services to low-income populations.

Medicare Unreimbursed Cost: An estimate of the costs not reimbursed by Medicare, the federal health insurance program for citizens over 65 and those determined disabled by the Social Security Administration.

Other Public Programs: An estimate of the costs not reimbursed by public health programs other than Medicaid and Medicare, such as Tricare, Champus, Indian Health Service, or other federal, state, or local programs.

Research: The cost of clinical and community health research, as well as studies on health care delivery. Requires that results of studies are shared with entities outside the hospital organization.

Subsidized Health Services: Clinical services that meet a particular community need that are provided despite a financial loss to the hospital. Emergency services may be included, such as an air ambulance or a trauma center.



All Hospitals

As shown in Figure 6.2, the largest categories of community benefits are the costs of providing care to those in public medical assistance programs (Medicare and Medicaid) and charity care. The next largest community benefit category is health professions education, with OHSU responsible for about 75 percent of the total reported benefit in this category due to its status as Oregon’s only academic medical center.

FIGURE 6.2 DISTRIBUTION OF NET COMMUNITY BENEFITS, 2011

aCash and In-Kind Contributions, Community Benefit Operations, Community Building Activities, Community Health Improvement, and Other Public Programs. Each of these categories represents less than 2 percent of total net community benefits.

Medicare Unreimbursed

Cost33.7%

Medicaid Unreimbursed

Cost19.0%

Health Professions Education

13.4%Subsidized

Health Services3.5%

Research3.4%

Othera

5.0%

Charity Care Cost

21.9%



Figures 6.3 – 6.6 compare community benefit amounts for fiscal year 2011 with fiscal year 2010 by hospital type. (A comparison with 2009—similar to the other tables in this report—would be inappropriate due to changes in methodology that occurred after the submittal of the 2009 reports.) The largest increases in community benefit over this time period were the cost of Medicare and Medicaid. There were also large percentage increases in community building activities, cash and in-kind contributions, and community benefit operations, although they still made up a small share of overall community benefit expenditures. Only charity care (-2 percent) and community health improvement (-5 percent) had lower amounts in 2011 than 2010. The increase in the unreimbursed cost of Medicaid is likely related to the expansion of the Oregon Health Plan Standard Programs for low-income adults implemented during 2010-11. The expanded coverage also meant fewer individuals required free care, leading to the lower demand for charity care.

FIGURE 6.3 REPORTED COMMUNITY BENEFIT FOR ALL HOSPITALS, 2010 - 2011

CHARITY CARE AND PUBLIC MEDICAL ASSISTANCE PROGRAMS

2010 ($ in millions)


CHANGE (%)

Charity Care Cost 361 353 -2

Medicare Unreimbursed Cost 492 543 10

Medicaid Unreimbursed Cost 251 307 22

Other Public Programs 17 20 21

Subtotal 1,120 1,223 9

OTHER COMMUNITY BENEFITS

Community Health Improvement 31 30 -5

Research 53 55 4

Health Professions Education 200 216 8

Subsidized Health Services 51 57 11

Cash and In-Kind Contributions 16 20 25

Community Building Activities 6 9 51

Community Benefit Operations 3 3 22

Subtotal 360 390 8

Total 1,480 1,613 9



DRG Hospitals

Similar to the community benefit for all hospitals, DRG hospitals reported a decline in charity care costs, and large increases in the cost of public medical assistance programs.

FIGURE 6.4 REPORTED COMMUNITY BENEFIT FOR DRG HOSPITALS, 2010 - 2011




CHANGE (%)

Charity Care Cost 308 301 -2

Medicare Unreimbursed Cost 446 490 10

Medicaid Unreimbursed Cost 233 280 20

Other Public Programs 14 18 26

Subtotal 1,001 1,089 9


Community Health Improvement 26 26 -1

Research 53 55 4

Health Professions Education 197 213 8

Subsidized Health Services 42 49 19

Cash and In-Kind Contributions 13 16 28

Community Building Activities 4 6 64

Community Benefit Operations 2 3 18

Subtotal 336 368 10

Total 1,337 1,456 9



Type A Hospitals

Type A hospitals reported declines in most community benefit categories in 2011. Unlike DRG and Type B hospitals, however, Type A hospitals reported a substantial increase in charity care costs (33 percent).

FIGURE 6.5 REPORTED COMMUNITY BENEFIT FOR TYPE A HOSPITALS, 2010 - 2011




CHANGE (%)

Charity Care Cost 12.7 16.8 33

Medicare Unreimbursed Cost 12.6 10.6 -16

Medicaid Unreimbursed Cost 4.4 4.6 4

Other Public Programs 1.4 1.3 -3

Subtotal 31.1 33.4 7


Community Health Improvement 1.3 0.8 -37

Research 0.1 -- -100

Health Professions Education 0.7 0.7 -3

Subsidized Health Services 1.3 0.8 -40

Cash and In-Kind Contributions 1.1 1.0 -9

Community Building Activities 0.8 0.8 2

Community Benefit Operations 0.2 0.1 -35

Subtotal 5.5 4.2 -24

Total 36.6 37.6 3



Type B Hospitals

Type B hospitals showed large increases in the cost of Medicare and Medicaid. Other categories with large increases (research, cash and in-kind contributions, community building activities, and community benefit operations) make up a small share of overall community benefit expenses.

FIGURE 6.6 REPORTED COMMUNITY BENEFIT FOR TYPE B HOSPITALS, 2010 - 2011




CHANGE (%)

Charity Care Cost 39.8 35.0 -12

Medicare Unreimbursed Cost 33.4 42.9 28

Medicaid Unreimbursed Cost 13.0 22.6 74

Other Public Programs 1.1 1.0 -15

Subtotal 87.4 101.5 16


Community Health Improvement 3.9 3.2 -18

Research 0.3 0.4 36

Health Professions Education 2.8 2.6 -7

Subsidized Health Services 8.5 6.9 -18

Cash and In-Kind Contributions 1.9 2.4 31

Community Building Activities 1.2 1.6 42

Community Benefit Operations 0.4 0.7 71

Subtotal 18.9 17.9 -5

Total 106.2 119.3 12



UNCOMPENSATED CARE

Another way to measure a hospital’s contribution to the community is uncompensated care. Uncompensated care is the total amount of health care services, based on full, established charges, provided to patients who are unable or unwilling to pay. Uncompensated care includes both charity care and bad debt.

Charity Care

Charity care consists of health care services provided to people who are determined by the hospital to be unable to pay for the cost of health care services. There is no statewide policy that determines who is eligible to receive charity care. Charity care policies are established by each individual hospital and vary from one another. Hospitals will typically determine a patient’s inability to pay by examining a variety of factors, such as individual and family income, assets, employment status, family size, or availability of alternative sources of payment. A hospital may establish inability to pay at the time care is provided or through later efforts to gather adequate financial information to make an eligibility determination. Additionally, charity care does not always cover 100 percent of a patient’s costs. Patients can receive charity care in the form of a discount or a sliding fee schedule based on income. As stated above, charity care is based on full, established charges, which are generally above the amounts paid by insured individuals.

Bad Debt

Bad debt is care for which a hospital expected but did not receive payment. Bad debt arises when a patient has either not requested financial assistance or does not qualify for financial assistance. For uninsured patients, the amount of bad debt can pertain to all or any portion of the bill that is not paid. For insured patients, certain amounts that are the patients’ responsibility, such as deductibles and coinsurance, are also counted as bad debt if not paid.

In general, bad debt is an indicator of employment and insurance trends in a community as well as a hospital's billing and collection practices.

Trends

Trends in uncompensated care can be difficult to interpret. They can be an indicator of uninsured trends in the community, but may also reflect changes in hospital policies in determining eligibility for charity care. Further, a small charity care amount reported by a hospital may be a function of little need in that community. Uncompensated care is important to assess because it can affect a hospital’s budget as well as employers and individuals. Uncompensated care contributes to the increase in the overall cost of health care. These costs, like the lower payments by Medicare and Medicaid, may be passed on to private payers, which could then increase private health insurance premiums. As insurance coverage increases under the ACA, it is likely that uncompensated care levels will change. Charity care and bad debt generally are reported as a percentage of gross patient revenue to control for changes in hospital income and spending as well as hospital size. Uncompensated care charges as a percentage of gross patient revenue has increased every year since 1999 except for 2011 (Figure 6.7). The decline in 2011 is likely related to the increase in Oregon Health Plan enrollment, which decreased demand for uncompensated care. Figures 6.8 - 6.14 show the median uncompensated care as a percentage of gross patient revenue each type of Oregon hospital from 1999-2009 as well as hospital-level uncompensated care data for 2011.



FIGURE 6.7 UNCOMPENSATED CARE IN OREGON HOSPITALS, 1999 - 2011

YEAR GROSS PATIENT

REVENUE ($ in millions)

CHARITY CARE ($ in millions)

BAD DEBT ($ in millions)

TOTAL UNCOMPENSATED

CARE ($ in millions)

UNCOMPENSATED CARE / GPR

(%)

1999 6,296 75 119 193 3.1

2000 7,025 75 140 214 3.1

2001 7,811 87 160 247 3.2

2002 8,628 120 178 299 3.5

2003 9,956 174 230 404 4.1

2004 10,920 260 314 573 5.3

2005 11,681 397 313 710 6.1

2006 12,384 467 323 790 6.4

2007 13,284 559 345 904 6.8

2008 14,103 599 409 1,009 7.2

2009 15,446 744 419 1,163 7.5

2010 16,558 812 436 1,248 7.5

2011 17,474 775 417 1,192 6.8



FIGURE 6.8 MEDIAN UNCOMPENSATED CARE AT ALL OREGON HOSPITALS, 1999 - 2011

Data Notes: Reported as percentage of gross patient revenue. Kaiser Sunnyside Medical Center is not included in this financial information.


0.8 0.7 0.7 0.8

1.3

1.8

2.52.7

2.9 3.1

3.94.2

3.7

2.4 2.42.7

2.32.7

3.83.5 3.4 3.3

3.5

3.3 3.53.3

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

5.0

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

(%)

Charity Care Bad Debt



FIGURE 6.9 MEDIAN UNCOMPENSATED CARE AT DRG HOSPITALS, 1999 - 2011

Data Notes: Reported as percentage of gross patient revenue. Kaiser Sunnyside Medical Center is not included in this financial information.


0.8 0.8 0.91.2 1.3

1.9

2.7

3.3

2.0

3.73.9

4.74.5

2.1 2.11.9

2.32.7

3.3 3.2

3.0

3.6

3.3 3.13.0

2.5

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

5.0

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

(%)




FIGURE 6.10 UNCOMPENSATED CARE BY DRG HOSPITAL, 2011

HOSPITAL NAME CHARITY CARE

(%) BAD DEBT

(%) TOTAL

(%)

Adventist Medical Center 3.0 3.3 6.3

Asante Rogue Regional Medical Center 4.5 0.7 5.2

Asante Three Rivers Medical Center 6.1 0.8 6.9

Bay Area Hospital 2.8 3.8 6.5


Legacy Emanuel Medical Center 7.4 2.1 9.5

Legacy Good Samaritan Medical Center 5.8 1.0 6.7

Legacy Meridian Park Medical Center 4.8 1.4 6.2

Legacy Mount Hood Medical Center 9.9 3.3 13.2

McKenzie-Willamette Medical Center 1.1 3.6 4.7

Mercy Medical Center 2.9 5.4 8.3

OHSU Hospital 3.7 2.0 5.6




Providence Milwaukie Hospital 6.4 2.5 8.8


Providence St Vincent Medical Center 4.0 0.9 5.0

Providence Willamette Falls Medical Center 4.6 2.7 7.3

Salem Hospital 4.6 3.1 7.7

Samaritan Albany General Hospital 3.8 2.8 6.6



Tuality Healthcare 2.5 4.1 6.7

Willamette Valley Medical Center 0.3 2.4 2.8

Data Notes: Reported as percentage of gross patient revenue.




FIGURE 6.11 MEDIAN UNCOMPENSATED CARE AT TYPE A HOSPITALS, 1999 - 2011



FIGURE 6.12 UNCOMPENSATED CARE BY TYPE A HOSPITAL, 2011


(%) BAD DEBT

(%) TOTAL

(%)


Curry General Hospital 1.2 5.0 6.2

Good Shepherd Medical Center 6.4 4.1 10.6


Harney District Hospital 0.9 5.6 6.5

Lake District Hospital 1.3 3.4 4.7


Saint Alphonsus Medical Center - Baker City 3.0 4.3 7.3



Tillamook County General Hospital 7.1 1.5 8.5

Wallowa Memorial Hospital 1.9 2.2 4.1



1.00.7 0.6 0.6

0.9

1.41.6

2.32.4

2.2

2.6 2.52.7

3.4 3.3 3.2

2.2

2.8

4.3

3.43.1

3.5 3.53.7

4.1

3.4

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

5.0

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

(%)




FIGURE 6.13 MEDIAN UNCOMPENSATED CARE AT TYPE B HOSPITALS, 1999 - 2011



0.8 0.7 0.7 0.6

1.2

2.2

3.2

2.01.7

3.0

4.44.6

3.32.4 2.3

3.4

2.8

3.7 3.8 3.83.5

4.2

4.9

3.3

4.1

4.4

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

5.0

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

(%)




FIGURE 6.14 UNCOMPENSATED CARE BY TYPE B HOSPITAL, 2011


(%) BAD DEBT

(%) TOTAL

(%)

Ashland Community Hospital 1.7 1.7 3.4

Columbia Memorial Hospital 2.0 4.3 6.4

Coquille Valley Hospital 1.3 9.4 10.8



PeaceHealth Cottage Grove Community Med Ctr 5.8 4.7 10.6



Providence Hood River Memorial Hospital 5.2 1.2 6.4


Providence Seaside Hospital 6.9 2.0 8.8

Samaritan Lebanon Community Hospital 3.6 5.0 8.7

Samaritan North Lincoln Hospital 3.0 5.6 8.5

Samaritan Pacific Communities Hospital 3.3 4.0 7.3



Southern Coos Hospital and Health Center 1.7 6.9 8.5








DATA SOURCES

Appendix I: Data Sources

This report consists of data derived from several sources: Hospital Discharge Data (HDD) includes statutorily required, individual-level discharge data from the acute care hospitals in Oregon. Data are collected quarterly by CompData from each hospital and distributed by Oregon Association of Hospitals and Health Systems. For more information:

http://www.oregon.gov/oha/OHPR/RSCH/pages/hospital_reporting.aspx Hospital Financial Statements (financials), required by statute, are submitted by Oregon’s hospitals to OHA no later than 120 days from the end of each facility’s fiscal year. Facilities must submit an audited financial statement as well as an FR-3 form summarizing their statements. For more information and a hospital-level summary of the financial reports:

http://www.oregon.gov/oha/OHPR/RSCH/pages/hospital_reporting.aspx American Hospital Association Survey of Hospitals (AHA) is completed by hospital staff for all acute care hospital facilities and analyzed by OHA. The survey focuses on utilization, financial, and workforce capabilities. Databank data include utilization and financial information from Oregon’s acute care hospitals. Each hospital downloads financial and utilization information on a monthly basis to Oregon Association of Hospitals and Health Systems. This information is not audited and is predominantly comprised of estimates from each hospital facility. For more information and access to the data files:

http://www.oregon.gov/oha/OHPR/RSCH/Pages/databank.aspx Community Benefit Reports (CBR) data are derived from forms submitted annually by hospitals. Hospitals are required to submit community benefit data no later than 240 days from the end of each facility’s fiscal year. For more information and access to hospital-level summary of the annual reports:

http://www.oregon.gov/oha/OHPR/RSCH/Pages/Hospital_Reporting.aspx

http://www.oregon.gov/oha/OHPR/RSCH/pages/hospital_reporting.aspx

http://www.oregon.gov/oha/OHPR/RSCH/pages/hospital_reporting.aspx

http://www.oregon.gov/oha/OHPR/RSCH/Pages/databank.aspx

http://www.oregon.gov/oha/OHPR/RSCH/Pages/Hospital_Reporting.aspx



HOSPITAL OVERVIEWS

Appendix II: Individual Hospital Overviews

OVERVIEW

The following data pages summarize key data items for each hospital in the state, including changes in staffed beds, discharges, inpatient days, and average length of stay. Financial information, such as gross patient revenue, and operating and total margins also are reported. Graphs and charts pertaining to uncompensated care and community benefits are displayed for each hospital.

NOTES ABOUT DATA SOURCES AND CALCULATIONS

The information contained in these pages rely on a variety of data sources including hospitals’ discharge data, annual surveys, Databank, and audited financial statements. In each case, these sources are available for each hospital and provide comparable information across hospitals and across time. In general, internal hospital systems provide information that is more current; however these systems are not available to OHA and are subject to differences among hospitals. Therefore, while the data provided here may deviate to some degree from internal hospital reporting, they are comparable and provide an accurate picture of the general experience of the hospital in the past years. Detailed data sources, time intervals, and calculations are provided on the following page. Two time periods were used in computing the information – fiscal year and calendar year. Hospitals do not have uniform fiscal years, so some are computed based on a calendar year. However, we rely on financial statements submitted by each hospital for financial data; these statements are based on the hospital’s fiscal year, so financial information is reported on a fiscal year.

REVIEW PROCESS

Each hospital was given the opportunity to review their page and provide corrections to OHA. Many hospitals submitted corrections and comments, and consequently a variety of data sources were used for this report. We extend our appreciation to hospital staff who responded under tight timelines and who worked with us on resolving discrepancies and ensuring that these pages portray as accurate information as possible.



DETAILED DATA SOURCES AND CALCULATIONS

Hospital Name URL [internet] Address

Senate District House District

MAP

Hospital Description Top 10 MS-DRGs by Volume

(2011)

> >

Hospital Characteristics 2009 2011 % Change

Staffed Beds (CY) [Databank] [calculated] Total RN FTE (FY) [AHA] [calculated]

RN FTE/100 Adj Admissions [calculation1] [calculated] Inpatient Hospital Discharges (CY) [HDD] [calculated]

Acute Inpatient Days (CY) [HDD] [calculated] Occupancy Rate (CY) [calculation2] [calculated]

Average Length of Stay (days) (CY) [HDD] [calculated] Outpatient Visits (CY) [Databank] [calculated]

Gross Patient Revenue ($millions3) (FY) [Financials] [calculated]

(CY) [HDD]

Operating Margin4 and Total Margin5

Community Benefit Summary

(2011)7

Uncompensated Care (% of GPR)6

(time interval) [data source]

Hospital Discharge Data (HDD); Calendar Year (CY); Fiscal Year (FY)

1) RN FTE/100 Adj Admissions=100*(RN FTE)/{(Total inpatient admissions)*(Total gross patient revenue/Total inpatient charges)}

a. RN FTE: (FY) [AHA] b. Total inpatient admissions: (CY) [HDD] c. Total gross patient revenue: (FY) [Financials] d. Total inpatient discharges: (FY) [HDD]

2) Occupancy = (Total Inpatient Days/365)/(Average number of hospital beds) a. Total Inpatient Days: (CY) [HDD] b. Average number of hospital beds available: (CY) [Databank]

3) Gross Patient Revenue: Actual values are used and NOT inflated to 2011 dollars. 4) Operating Margin = (Net Patient Revenue + Other Operating Revenue – Operating Expenses)/ (Net

Patient Revenue + Other Operating Revenue)

(FY) [Financials]

(FY) [Community Benefit

Reporting]

(FY) [Financials]



5) Total Margin = (Net Patient Revenue + Other Operating Revenue – Operating Expenses + Net Non-Operating Revenue)/ (Net Patient Revenue + Other Operating Revenue)

6) Total Uncompensated Care as % of GPR = (Charity Care + Bad Debt Expenses)/(Gross Patient Revenue)

7) Community Benefit Data collected from Oregon Hospitals using Community Benefit Reporting (CBR) forms. These data represent Net Community Benefits; offsetting revenues have been deducted.

4

www.adventisthealthnw.com

10123 SE Market, Portland, OR 97216

Senate District 23

House District 46

51

Text86:

Adventist Medical Center

Hospital Description

4.0% 2.1%6.4% 4.4% 5.7% 5.2% 5.6% 1.9% 2.9% 0.1% 2.4%

4.0% 2.1%6.4% 4.4% 5.7% 5.2% 5.6%

1.6% 2.9% 0.1% 2.4%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Operating Margin % Total Margin %

Operating Margin and Total Margin

2.9% 2.9%

5.9%4.3%

6.1% 6.6% 6.4% 6.3%

3.8%

6.3% 6.9%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

Bad Debt Charity Care Total Uncomp Care

Uncompensated Care (% of GPR)

Value-labels displayed are for Total Uncompensated Care.

Hospital Characteristics

Hospital Type: DRG

Operating margin value-labels are presented in italics.

Top 10 MS-DRGs by Volume (2011)

1

1

2

2

Net Community Benefit Summary* (2011)

##v Health System: Adventist Health System

##v Critical Access Hospital: No

##v Not-For-Profit

Staffed Beds

Total FTE Registered Nurses(RN)

Inpatient Hospital Discharges*

Occupancy Rate

Average Length of Stay (days)*

Acute Inpatient Days*

Outpatient Visits

Gross Patient Revenue ($millions)

20112009 % Change

RN FTE/100 Adj Admissions*

51

*Includes newborns

245 248 1.2%

11,983 12,534 4.6%

45,508 44,966 -1.2%

50.9% 49.7% -2.4%

3.8 3.6 -5.5%

383,090 425,065 11.0%

383 390 1.8%

1.5 1.4 -6.7%

554.5 647.8 16.8%

1) 885 Psychoses

2) 795 Normal newborn

3) 775 Vaginal delivery w/o complicating diagnoses

4) 871 Septicemia or severe sepsis w/o MV 96+ hours w MCC

5) 189 Pulmonary edema & respiratory failure

6) 766 Cesarean section w/o CC/MCC

7) 470 Major joint replacement or reattachment of lower extremity w/o MCC

8) 460 Spinal fusion except cervical w/o MCC

9) 881 Depressive neuroses

10) 743 Uterine & adnexa proc for non-malignancy w/o CC/MCC

CC=Complications and Comorbidities; MCC=Major Complications and Comorbidities; MV=Mechanical Ventilation

Note:

Net Community Benefit Total $22,285.7

Charity Care Cost $6,981.3

Medicare $5,683.3

Medicaid $7,461.9

Charity Care and Other Public Programs

Other Benefits

*Data are represented in thousands of dollars.

Other Public Programs $0.0

Cash and in-Kind Contribution $212.9

Community Benefit Operations $73.2

Community Building Activities $59.7

Community Health Improvement $471.0

Research $0.0

Subsidized Health Services $1,012.7

Health Professions Education $329.6

Oregon Health Authority, Office of Health Analytics Adventist Medical Center

4

www.asante.org

2825 Barnett Rd., Medford, OR 97504

Senate District 3

House District 6

56

Text86:(formerly Rogue Valley Medical Center)

Asante Rogue Regional Medical Center


10.2% 8.1% 6.2% 4.9% 6.4%1.6% 2.5% 0.4%

7.9% 8.1% 5.5%

10.2% 8.1% 6.2% 4.9% 6.4%1.6% 2.5% 0.4%

8.0% 10.8%4.6%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



2.2% 2.7%5.1% 5.5% 5.6% 6.0% 5.4% 5.2%

3.6% 4.0% 5.6%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: DRG



1

1

2

2


##v Health System: Asante Health System


##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


56

*Includes newborns

276 307 11.2%

15,526 15,646 0.8%

67,977 68,847 1.3%

67.5% 61.4% -8.9%

4.4 4.4 0.5%

332,109 356,382 7.3%

439 452 3.0%

2.1 1.8 -14.3%

698.3 836.3 19.8%




4) 885 Psychoses


6) 794 Neonate w other significant problems


8) 765 Cesarean section w CC/MCC

9) 247 Perc cardiovasc proc w drug-eluting stent w/o MCC


CC=Complications and Comorbidities;

MCC=Major Complications and Comorbidities; MV=Mechanical Ventilation

Note:



Medicare $33,066.4

Medicaid $12,141.8


Other Benefits


Other Public Programs $1,624.0





Research $50.9


Health Professions Education $2,972.0

Oregon Health Authority, Office of Health Analytics Asante Rogue Regional Medical Center

4

www.asante.org

500 SW Ramsey Avenue, Grants Pass, OR 97527

Senate District 2

House District 3

26

Text86:(formerly Three Rivers Community Hospital)

Asante Three Rivers Medical Center


2.6%7.6% 5.4%

8.9%4.8%

9.7%5.5%

-0.4%4.6% 5.4% 7.4%

2.7%7.8% 5.4%

8.9%4.8%

9.7%5.5%

-0.4%5.9% 8.3% 6.5%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



3.0% 3.7%

6.4% 6.5%7.9% 7.7% 7.7% 6.9%

4.5%5.4%

8.5%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: DRG



1

1

2

2


##v Health System: Asante Health System


##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


26

*Includes newborns

100 107 7.0%

8,118 7,410 -8.7%

24,675 23,025 -6.7%

67.6% 59.0% -12.8%

3.0 3.1 2.2%

197,877 208,677 5.5%

172 165 -4.1%

1.2 1.1 -8.3%

275.4 352.4 28.0%





5) 392 Esophagitis, gastroent & misc digest disorders w/o MCC


7) 194 Simple pneumonia & pleurisy w CC


9) 378 G.I. hemorrhage w CC

10) 292 Heart failure & shock w CC


Note:



Medicare $11,749.5

Medicaid $2,483.4


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Asante Three Rivers Medical Center

4

www.ashlandhospital.org

280 Maple Street, Ashland, OR 97520

Senate District 3

House District 5

2

Text86:

Ashland Community Hospital


10.1% 11.5%5.7% 8.5%

0.3% 1.8% -1.0%

-10.9%-6.1%

2.4%-1.6%

11.7% 12.2%7.1% 9.2%

2.1% 4.4% 1.1%

-9.7%-4.6%

4.1%-1.1%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



2.7% 2.6%4.4% 4.7% 4.1%

7.0%

3.1% 3.4%

2.6%3.7% 3.6%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: Type B



1

1

2

2


#v Health System: None

#v Critical Access Hospital: No

#v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


2

*Includes newborns

37 37 0.0%

1,901 1,853 -2.5%

6,259 5,519 -11.8%

46.3% 40.9% -11.8%

3.3 3.0 -9.5%

65,650 68,045 3.6%

79 68 -13.9%

1.6 1.5 -6.3%

95.4 93.3 -2.2%








8) 774 Vaginal delivery w complicating diagnoses




Note:


Charity Care Cost $866.9

Medicare $8,024.8

Medicaid $196.7


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Ashland Community Hospital

4

www.bayareahospital.org

1775 Thompson Road, Coos Bay, OR 97420

Senate District 5

House District 9

3

Text86:

Bay Area Hospital


0.7% 1.9% 0.0%5.9% 3.5%

-0.1% 1.5% -0.4% -1.4%4.2% 0.7%

5.7% 6.0% 5.2% 4.7% 6.2%-0.1%

4.2% 2.7% 1.8%8.3%

2.3%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



3.2% 2.8%

6.2% 6.2% 6.3% 6.6% 6.0% 6.5%

3.6%4.4%

6.4%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: DRG



1

1

2

2



#v Critical access Hospital: No

#v Publicly Owned Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


3

*Includes newborns

129 129 0.0%

7,356 6,611 -10.1%

27,083 23,552 -13.0%

57.5% 50.0% -13.0%

3.7 3.6 -3.2%

71,578 74,409 4.0%

227 205 -9.7%

1.8 1.6 -11.1%

274.1 277 1.1%




4) 885 Psychoses




8) 603 Cellulitis w/o MCC

9) 192 Chronic obstructive pulmonary disease w/o CC/MCC

10) 293 Heart failure & shock w/o CC/MCC


Note:



Medicare $8,172.3

Medicaid $10,683.9


Other Benefits







Research $0.0

Subsidized Health Services $0.0


Oregon Health Authority, Office of Health Analytics Bay Area Hospital

4

www.bluemountainhospital.org

170 Ford Road, John Day, OR 97845

Senate District 30

House District 60

4

Text86:

Blue Mountain Hospital


0.3% -0.2%-5.8%

-22.3%

-10.3%

0.1%-5.5%

-12.8%-10.9% -8.5% -9.4%

1.2%5.4%

0.5%

-16.5%

-1.6%

7.4%1.6%

-5.3% -5.0% -2.6% -3.1%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



4.1%

1.4%3.8% 3.2% 4.0%

7.0%5.2% 5.2%

1.5%

5.4% 6.5%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: Type A



1

1

2

2



#v Critical Access Hospital: Yes

#v Not-For-Profit Supported by Blue Mountain Hospital District

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


4

*Includes newborns

16 16 0.0%

411 428 4.1%

1,106 1,119 1.2%

18.9% 19.2% 1.2%

2.7 2.6 -2.8%

23,404 23,122 -1.2%

24 26 8.3%

1.2 1.2 0.0%

17.2 19.4 12.8%






6) 066 Intracranial hemorrhage or cerebral infarction w/o CC/MCC

7) 195 Simple pneumonia & pleurisy w/o CC/MCC






Note:



Medicare $1,717.0

Medicaid $602.6


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Blue Mountain Hospital

4

www.columbiamemorial.org

2111 Exchange Street, Astoria, OR 97103

Senate District 16

House District 32

8

Text86:

Columbia Memorial Hospital


1.2%-5.2%

-1.0% 1.8%6.0% 5.4% 5.3% 2.3% 2.5% 4.9% 6.4%

1.6%-4.3%

-0.5% 2.5%7.0% 6.7% 7.8%

-2.9%5.0% 7.1% 6.1%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



3.6% 3.6%

6.8% 7.2% 6.6% 6.7% 7.2% 6.4%

5.2% 5.4% 6.9%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2




#v Lutheran Affiliated, Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


8

*Includes newborns

25 25 0.0%

2,078 1,935 -6.9%

5,972 5,126 -14.2%

65.4% 56.2% -14.2%

2.9 2.6 -7.8%

93,755 104,882 11.9%

84 87 3.6%

1.1 1 -9.1%

88.3 111.8 26.6%




4) 641 Nutritional & misc metabolic disorders w/o MCC





9) 343 Appendectomy w/o complicated principal diag w/o CC/MCC




Note:



Medicare $7,164.5

Medicaid $714.7


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Columbia Memorial Hospital

4

www.cvhospital.org

940 E Fifth Avenue, Coquille, OR 97423

Senate District 1

House District 1

9

Text86:

Coquille Valley Hospital


2.9% 0.9% 4.1% 1.4%

11.3%

2.9% 4.8% 7.5% 7.2% 7.5% 5.3%

4.2% 1.4% 4.1% 6.7%

15.5%7.8% 10.2% 12.7% 11.5% 11.3% 9.3%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



3.1%5.4% 5.4%

3.5% 4.3% 4.8% 5.3%

10.8%

5.2% 5.5% 7.1%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2




#v Not-For-Profit Supported by Coquille Valley Hospital District

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


9

*Includes newborns

25 25 0.0%

688 508 -26.2%

1,926 1,478 -23.3%

21.1% 16.2% -23.3%

2.8 2.9 3.9%

20,541 22,451 9.3%

23 22 -4.3%

1.1 1.2 9.1%

20.4 23.5 15.2%







7) 690 Kidney & urinary tract infections w/o MCC






Note:



Medicare $667.5

Medicaid $155.9


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Coquille Valley Hospital

4

www.currygeneralhospital.com

94220 Fourth Street, Gold Beach, OR 97444

Senate District 1

House District 1

11

Text86:

Curry General Hospital


-8.0%-2.9% -3.6% -2.7% -3.0% 0.4% -1.4%

9.4%2.3%

-2.5% -4.9%

0.8% 3.8% 1.8% 0.3% -0.2% 3.1% 0.4%

12.1%4.6%

0.5%-4.2%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



3.4% 4.0%

7.9%

5.2%7.0%

5.0% 5.3% 6.2%

4.0%

6.2%5.5%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2


##v Health System: None

##v Critical Access Hospital: Yes

##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


11

*Includes newborns

24 24 0.0%

737 794 7.7%

2,630 2,539 -3.5%

30.0% 29.0% -3.5%

3.6 3.2 -10.4%

52,381 41,378 -21.0%

38 36 -5.3%

1.3 1.2 -7.7%

32.7 39.3 20.2%




4) 885 Psychoses



7) 897 Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC





MCC=Major Complications and Comorbidities;

MV=Mechanical Ventilation

Note:



Medicare $1,294.3

Medicaid $346.6


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Curry General Hospital

4

www.samhealth.org/shs_facilities/gsrmc/

3600 NW Samaritan Drive, Corvallis, OR 97330

Senate District 8

House District 16

17

Text86:

Good Samaritan Regional Medical Center


1.9% 1.7% 2.9% 5.3%1.5% 3.6% 3.5% 3.4% 2.4% 0.8% -0.8%

4.1% 7.1%3.3% 5.7%

2.0% 4.1% 4.0% 2.6% 2.7% 1.0% -0.6%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



2.2% 2.4%4.3% 4.3% 3.3% 4.0% 4.5% 5.3%

2.8% 3.5%5.3%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: DRG



1

1

2

2


##v Health System: Samaritan Health Services


##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


17

*Includes newborns

165 165 0.0%

9,687 10,433 7.7%

39,153 43,061 10.0%

65.0% 71.5% 10.0%

4.0 4.1 2.1%

142,221 155,892 9.6%

332 349 5.1%

1.8 1.7 -5.6%

470.8 594.4 26.3%


2) 885 Psychoses








10) 287 Circulatory disorders except AMI, w card cath w/o MCC



Note:



Medicare $39,943.3

Medicaid $4,711.6


Other Benefits







Research $146.2



Oregon Health Authority, Office of Health Analytics Good Samaritan Regional Medical Center

4

www.gshealth.org

610 NE 11th Avenue, Hermiston, OR 97838

Senate District 29

House District 57

19

Text86:

Good Shepherd Medical Center


-2.6%

8.1%

-1.5%-7.5% -7.3%

3.1%

15.1%10.7% 13.3% 14.3%13.8%

2.6% 1.3%

-10.4%-6.3% -4.1%

5.6%

17.3%11.1% 9.7%

16.0% 16.6%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



7.4%

2.8%

8.6% 9.5%8.3%

9.6% 10.7% 10.6%

5.7%7.3%

10.1%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2




##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


19

*Includes newborns

25 25 0.0%

2,575 2,075 -19.4%

7,036 5,331 -24.2%

77.1% 58.4% -24.2%

2.7 2.6 -6.0%

42,033 45,040 7.2%

93 90 -3.2%

1.1 1 -9.1%

103.5 120 15.9%









9) 190 Chronic obstructive pulmonary disease w MCC




Note:



Medicare $0.0

Medicaid $0.0


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Good Shepherd Medical Center

4

www.grh.org

900 Sunset Drive, La Grande, OR 97850

Senate District 29

House District 57

20

Text86:

Grande Ronde Hospital


1.9% 2.8% 0.5% -0.8%6.2%

9.6%5.1% 4.3%

0.4% -1.7%4.7%

6.5%3.0%

-4.0%

7.4% 9.2%14.9% 11.5%

5.7%

-9.1%

6.7% 8.9%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



3.6% 3.8%5.6% 6.0% 6.4% 6.4%

8.2% 8.4%

3.8%5.1%

8.6%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2




##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


20

*Includes newborns

25 25 0.0%

1,973 1,822 -7.7%

6,023 6,127 1.7%

66.0% 67.1% 1.7%

3.1 3.4 10.2%

101,711 115,311 13.4%

69 70 1.4%

1 1 0.0%

67.5 87.8 30.1%








8) 792 Prematurity w/o major problems




Note:



Medicare $304.3

Medicaid $301.9


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Grande Ronde Hospital

4

www.harneydh.com/Index.htm

557 W. Washington Street, Burns, OR 97720

Senate District 30

House District 60

21

Text86:

Harney District Hospital


-15.1%

-5.2% -8.5% -9.5%-2.5%

-6.0% -4.9%-11.0%-11.9%

-3.8% -1.3%

-0.3%

8.2% 5.6%-0.2%

6.3%1.1%

6.2%

-7.3% -9.8%

-1.4% -1.0%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



11.2%

2.4%

8.0%

5.5% 6.4% 6.5% 6.1% 6.5%

4.7%6.4% 6.5%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2




##v Not-For-Profit Supported by Harney County Hospital; Publicly

Owned and Operated District Hospital

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


21

*Includes newborns

25 25 0.0%

544 312 -42.6%

1,598 863 -46.0%

17.5% 9.5% -46.0%

2.9 2.8 -5.8%

17,616 18,380 4.3%

23 29 26.1%

1.5 1.7 13.3%

15.3 17.2 12.4%







7) 379 G.I. hemorrhage w/o CC/MCC






Note:

Net Community Benefit Total $222.8


Medicare $0.0

Medicaid $0.0


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Harney District Hospital

4

www.kaiserpermanente.org

10108 SE Sunnyside Road, Clackamas, OR 97015

Senate District 24

House District 48

77

Text86:

Kaiser Sunnyside Medical Center



Hospital Type: DRG Top 10 MS-DRGs by Volume (2011)


Kaiser has an integrated system that makes tracking their financial

information difficult. Therefore, data for Operating Margin,

Uncompensated Care, Payer Mix and others are not available.

##v Health System: Kaiser Permanente Northwest


##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


77

*Includes newborns

228 264 15.8%

19,041 20,471 7.5%

66,449 69,794 5.0%

79.8% 72.4% -9.3%

3.5 3.4 -2.3%

52,260 56,672 8.4%

693 654 -5.6%









9) 491 Back & neck proc exc spinal fusion w/o CC/MCC

10) 872 Septicemia or severe sepsis w/o MV 96+ hours w/o MCC




Note:



Medicare $0.0

Medicaid $8,306.5


Other Benefits



Cash and in-Kind Contribution $3,475.8

Community Benefit Operations $1,095.6


Community Health Improvement $1,180.5

Research $6,266.9



Oregon Health Authority, Office of Health Analytics Kaiser Sunnyside Medical Center

4

www.lake-health.com

700 South J Street, Lakeview, OR 97630

Senate District 28

House District 56

27

Text86:

Lake District Hospital


11.0% 8.7%3.2%

-7.8% -5.3%-1.5% -2.2%

-9.2% -8.8% -7.8% -5.6%

14.3%10.3%

4.3%-1.0% 2.2%

6.7% 5.7%-0.4% -1.0% -1.6% -1.5%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



1.8% 1.9% 2.1%4.3% 3.9% 4.6%

6.6%4.7%

2.4%3.1%

6.0%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2




##v Not-For-Profit Supported by Lake County Health District

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


27

*Includes newborns

15 24 60.0%

485 506 4.3%

1,444 1,626 12.6%

26.4% 18.6% -29.6%

3.0 3.2 7.9%

25,799 29,072 12.7%

24 26 8.3%

1.1 1.1 0.0%

16.4 19 15.9%













Note:



Medicare $361.0

Medicaid $900.9


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Lake District Hospital

4

www.legacyhealth.org

2801 N. Gantenbein, Portland, OR 97227

Senate District 22

House District 43

14

Text86:

Legacy Emanuel Medical Center


4.9% 3.3% 2.1% 2.9% 3.2%-0.3% 1.8% 2.0% -0.4% -1.0% -0.5%

5.3%0.8% -0.3%

3.2% 4.3% 1.1% 3.1% 4.4%

-4.4%2.5% 2.0%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



6.3% 6.0%7.5% 8.0%

9.2% 9.4% 9.3% 9.5%

4.7%

7.9% 9.0%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: DRG



1

1

2

2


##v Health System: Legacy Health System


##v One of Two Level I Trauma Centers In The Region

##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


14

*Includes newborns

406 407 0.2%

19,984 19,323 -3.3%

105,400 96,761 -8.2%

71.1% 65.1% -8.4%

5.3 5.0 -5.1%

208,200 225,498 8.3%

1036 865 -16.5%

3.5 2.8 -20.0%

1035 1161.8 12.3%



3) 885 Psychoses





8) 203 Bronchitis & asthma w/o CC/MCC


10) 918 Poisoning & toxic effects of drugs w/o MCC


Note:



Medicare $16,645.9

Medicaid $36,020.1


Other Benefits







Research $830.0



Oregon Health Authority, Office of Health Analytics Legacy Emanuel Medical Center

4


1015 NW 22nd Avenue, Portland, OR 97210

Senate District 17

House District 33

18

Text86:

Legacy Good Samaritan Medical Center


1.8%5.1% 3.8% 1.5% 4.3% 2.3% 3.5% 0.7% 3.2% 4.2% 1.1%

2.7% 1.6% 1.6% 3.1%6.8% 4.4% 6.6% 3.9%

-2.5%

9.8%5.1%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



2.4% 2.3%4.6%

5.8% 6.5% 6.7% 6.7% 6.7%

2.6%3.8%

7.4%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: DRG



1

1

2

2




##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


18

*Includes newborns

234 249 6.4%

13,593 12,624 -7.1%

61,066 54,070 -11.5%

71.5% 59.5% -16.8%

4.5 4.3 -4.7%

195,678 152,410 -22.1%

463 442 -4.5%

2.1 2.1 0.0%

578.2 610.1 5.5%

1) 885 Psychoses



4) 945 Rehabilitation w CC/MCC




8) 621 O.R. procedures for obesity w/o CC/MCC


10) 708 Major male pelvic procedures w/o CC/MCC



Note:



Medicare $15,980.4

Medicaid $6,270.8


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Legacy Good Samaritan Medical Center

4


19300 SW 65th, Tualatin, OR 97062

Senate District 19

House District 37

36

Text86:

Legacy Meridian Park Medical Center


11.7% 10.4% 12.0% 14.2% 11.3% 9.3%14.4% 12.3% 11.9% 12.6%10.8%

12.7% 10.0% 11.6%16.7% 14.2% 13.5%

20.5% 23.9%

-6.0%

25.9%19.9%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



3.1% 2.7%4.0% 4.6% 5.6% 5.6% 6.1% 6.2%

2.9% 3.7%6.7%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: DRG



1

1

2

2




##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


36

*Includes newborns

129 130 0.8%

9,141 8,258 -9.7%

29,676 27,150 -8.5%

63.0% 57.2% -9.2%

3.2 3.3 1.3%

127,253 100,337 -21.2%

245 242 -1.2%

1.5 1.6 6.7%

309.7 352.2 13.7%













Note:



Medicare $8,402.9

Medicaid $846.0


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Legacy Meridian Park Medical Center

4


24800 SE Stark Street, Gresham, OR 97030

Senate District 25

House District 49

40

Text86:

Legacy Mt. Hood Medical Center


6.0% 3.8% 0.7% 2.7% -0.2% -0.4%4.4% 3.3% 1.4% 3.9% 5.3%

6.2% 5.4%1.3% 3.4%

-0.1% -0.3%5.0% 3.3%

-0.5%6.5% 7.2%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



5.7% 5.7%

10.4% 11.1%12.6% 13.5% 13.7% 13.2%

6.5%8.2%

13.6%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: DRG



1

1

2

2




##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


40

*Includes newborns

80 90 12.5%

6,758 6,238 -7.7%

21,330 19,584 -8.2%

73.0% 59.6% -18.4%

3.2 3.1 -0.5%

90,359 78,509 -13.1%

178 187 5.1%

1.5 1.5 0.0%

199.8 248.2 24.2%













Note:



Medicare $879.7

Medicaid $2,604.5


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Legacy Mt. Hood Medical Center

4

www.lowerumpquahospital.com

600 Ranch Road, Reedsport, OR 97467

Senate District 5

House District 9

29

Text86:

Lower Umpqua Hospital


-8.7%-12.9%-11.3%

-4.9%-10.5%

-3.2%-7.6%

-15.5%-9.1% -8.7% -5.8%

3.4%-0.4% 2.0% 4.1%

-0.9%5.5%

1.8%-3.3% -0.5% 0.6% 3.5%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



3.5% 3.1%4.9% 5.0% 5.5%

6.7% 5.9% 6.3%

2.4%

5.0%7.2%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2




##v Not-For-Profit Supported by Lower Umpqua Hospital District,

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


29

*Includes newborns

25 16 -36.0%

409 357 -12.7%

1,571 1,318 -16.1%

17.2% 22.6% 31.1%

3.8 3.7 -3.9%

19,012 18,766 -1.3%

25 21 -16.0%

1.2 1.5 25.0%

24.6 24.9 1.2%







7) 638 Diabetes w CC






Note:



Medicare $970.0

Medicaid $501.5


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Lower Umpqua Hospital

4

www.mckweb.com

1460 G Street, Springfield, OR 97477

Senate District 6

House District 12

31

Text86:

McKenzie-Willamette Medical Center


0.9% -2.5%-9.3%

4.0%0.0%

8.0%

-1.1%4.8%

10.5%14.1%

18.7%

2.5%-3.1%

-8.9%

4.5%0.0%

6.0%0.9% 0.1% 3.3%

13.0%17.5%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



3.2% 3.9%

8.5% 7.3% 7.3% 7.3% 6.2%4.7%

4.2%6.1%

5.4%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: DRG



1

1

2

2


##v Health System: Community Health Systems, Inc.


##v Level III Trauma Center

##v For Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


31

*Includes newborns

113 113 0.0%

7,176 6,649 -7.3%

22,421 21,858 -2.5%

54.4% 53.0% -2.5%

3.1 3.3 5.2%

55,800 55,410 -0.7%

177 175 -1.1%

1.5 1.5 0.0%

255.6 329.7 29.0%














Note:



Medicare $1,150.2

Medicaid $2,976.8


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics McKenzie-Willamette Medical Center

4

www.mercyrose.org

2700 Stewart Parkway, Roseburg, OR 97470

Senate District 1

House District 2

35

Text86:

Mercy Medical Center


6.1% 6.0% 6.7%0.6% 2.5% 2.2% 1.6%

5.5% 3.5% 6.5% 9.8%

6.1% 6.0% 6.2%1.8% 3.3% 3.0% 3.1% 5.2%

1.1%8.1%

13.8%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



4.3% 3.9%

9.0% 9.7% 9.1% 8.4% 8.2% 8.3%

3.8%

7.3%9.3%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: DRG



1

1

2

2


##v Health System: Catholic Health Initiatives


##v Level III Trauma Center

##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


35

*Includes newborns

141 141 0.0%

8,554 8,526 -0.3%

31,181 31,164 -0.1%

60.6% 60.6% -0.1%

3.6 3.7 0.3%

263,993 287,341 8.8%

251 249 -0.8%

1.5 1.5 0.0%

407 443.8 9.0%







7) 83 Renal failure w CC





Note:



Medicare $4,851.2

Medicaid $8,724.4


Other Benefits





Community Building Activities $1,057.5


Research $0.0



Oregon Health Authority, Office of Health Analytics Mercy Medical Center

4

www.mcmc.net

1700 E. 19th Street, The Dalles, OR 97058

Senate District 30

House District 59

38

Text86:

Mid-Columbia Medical Center


5.0% 5.9% 5.2%1.9%

6.7% 4.3% 1.4%5.6% 4.8% 2.7%

7.4%

5.1% 6.0% 5.4% 2.0%9.0%

4.5% 1.5%5.9% 5.1% 4.5% 7.5%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



3.5% 3.4%5.5% 5.8% 6.2% 6.1%

7.1% 6.3%

5.0%6.2%

8.0%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2




##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


38

*Includes newborns

49 49 0.0%

2,277 2,317 1.8%

7,157 7,255 1.4%

40.0% 40.6% 1.4%

3.1 3.1 -0.4%

129,271 123,746 -4.3%

112 120 7.1%

1.2 1.4 16.7%

160.3 175 9.2%













Note:



Medicare $0.0

Medicaid $4,085.6


Other Benefits







Research $13.7



Oregon Health Authority, Office of Health Analytics Mid-Columbia Medical Center

4

www.ohsu.edu

3181 SW Sam Jackson Park Road, Portland, OR 97239

Senate District 18

House District 36

44

Text86:

OHSU Hospital


6.0% 3.2% 2.6% 5.8% 5.2% 6.0%2.2% 4.3% 5.9% 5.9% 5.8%

7.8% 4.5% 3.6% 5.6% 6.4% 6.7% 3.5% 5.3% 6.1% 7.1% 6.6%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



2.9% 3.7%5.9% 6.0% 5.3% 5.9% 6.1% 5.6%

3.8%4.6% 6.3%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: DRG



1

1

2

2




##v One of Two Level I Trauma Centers in Region

##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


44

*Includes newborns

534 537 0.6%

30,877 30,699 -0.6%

161,189 159,254 -1.2%

82.7% 81.2% -1.8%

5.2 5.2 -0.6%

737,455 772,089 4.7%

1327 1,591 19.9%

2.7 3 11.1%

1716.8 2071.5 20.7%



3) 847 Chemotherapy w/o acute leukemia as secondary diagnosis w CC



6) 885 Psychoses

7) 101 Seizures w/o MCC





Note:



Medicare $50,468.3

Medicaid $25,058.3


Other Benefits







Research $34,479.3



Oregon Health Authority, Office of Health Analytics OHSU Hospital

4

www.peacehealth.org

1515 Village Drive, Cottage Grove, OR 97424

Senate District 4

House District 7

10

Text86:

PeaceHealth Cottage Grove Community Medical

Center


6.5%12.5% 10.8%

15.2%

6.9%12.6%

-0.9%

-9.1%-4.3%

-10.4%

-1.1%

6.5%12.5% 10.8%

15.2%

6.9%12.6%

-0.9%

-9.1%-4.3%

-10.4%

-1.4%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



4.7% 3.8%

9.9% 10.3% 10.6% 11.0%

14.0%

10.6%

5.9%

9.4%

16.2%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2


##v Health System: PeaceHealth


##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


10

*Includes newborns

14 14 0.0%

406 361 -11.1%

1,155 913 -21.0%

22.6% 17.9% -21.0%

2.8 2.5 -11.1%

75,207 38,237 -49.2%

16 44 175.0%

0.6 1.2 100.0%

23 32.7 42.2%


2) 191 Chronic obstructive pulmonary disease w CC











Note:



Medicare $1,152.9

Medicaid $318.2


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics PeaceHealth Cottage Grove Community Medical Center

4

www.peacehealth.org/peace-harbor/

400 9th Street, Florence, OR 97439

Senate District 5

House District 9

78

Text86:

PeaceHealth Peace Harbor Medical Center


0.9% -0.4% -3.6% -2.3%1.9% 1.5% 1.6% 0.9% 2.0% 2.4%

-2.0%

1.5% -0.5% -3.5% -2.3%1.9% 1.9% 2.6% 1.8% 1.5% 3.2%

-0.9%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



3.0% 3.9%

8.6%9.8% 9.5% 8.7%

9.9% 9.6%

4.7%5.8%

10.2%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2




##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


78

*Includes newborns

21 21 0.0%

1,344 1,043 -22.4%

4,651 3,664 -21.2%

60.7% 47.8% -21.2%

3.5 3.5 1.5%

83,147 88,464 6.4%

70 77 10.0%

1.6 2.2 37.5%

77.3 84.5 9.3%


2) 951 Other factors influencing health status











Note:



Medicare $0.0

Medicaid $0.0


Other Benefits




Community Benefit Operations $.8



Research $0.0



Oregon Health Authority, Office of Health Analytics PeaceHealth Peace Harbor Medical Center

4

www.peacehealth.org

3333 Riverbend Drive, Springfield, OR 97477

Senate District 6

House District 12

95

Text86:

PeaceHealth Sacred Heart Medical Center-

Riverbend


-1.1%3.8% 5.3%

0.5%5.0% 5.1%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2009 2010 2011



6.8% 7.4%6.9%

0%2%4%6%8%

10%12%14%16%18%20%

2009 2010 2011





Hospital Type: DRG



1

1

2

2


Community Benefit Totals are combined for the University District and Riverbend facilities.



##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


95

*Includes newborns

334 334 0.0%

26,177 26,525 1.3%

102,922 107,495 4.4%

84.4% 88.2% 4.4%

3.9 4.1 3.1%

159,340 95,426 -40.1%

902 1,131 25.4%

3.1 3.2 3.2%

689.4 1002.5 45.4%













Note:



Medicare $58,627.1

Medicaid $14,642.1


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics PeaceHealth Sacred Heart Medical Center-Riverbend

4

www.peacehealth.org

1255 Hilyard St, Eugene, OR 97401

Senate District 6

House District 11

57

Text86:

PeaceHealth Sacred Heart Medical Center-

University District


9.7% 10.3% 9.6% 9.7%5.2% 8.3% 10.2% 11.8%

-10.6%

-23.8%

-10.7%

11.6% 12.7% 10.7% 11.3%6.6% 9.6%

14.7% 17.7%

-9.0%

-22.4%

-10.9%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



1.7% 2.2%

5.5% 5.9% 6.5% 7.3%9.9%

11.1%

2.7%4.4%

14.0%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: DRG



1

1

2

2


Community Benefit Totals are combined for the University District and Riverbend facilities.



##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


57

*Includes newborns

93 93 0.0%

2,955 2,725 -7.8%

19,289 19,638 1.8%

56.8% 57.9% 1.8%

6.5 7.2 10.4%

34,562 107,639 211.4%

233 280 20.2%

2.2 4.3 95.5%

184.2 148.4 -19.4%

1) 885 Psychoses


3) 881 Depressive neuroses







10) 946 Rehabilitation w/o CC/MCC


Note:



Medicare $58,627.1

Medicaid $14,642.1


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics PeaceHealth Sacred Heart Medical Center-University District

4

www.morrowcountyhealthdistrict.org/PMH.html

564 E.Pioneer Drive, Heppner, OR 97836

Senate District 29

House District 57

49

Text86:

Pioneer Memorial Hospital-Heppner


-0.5%-3.8% -6.4%

-24.3%-19.1%

-10.1%-5.1%

-15.2%-19.3%-15.8%-17.3%

3.1%-2.8%

1.1%-5.1% -3.0%

9.1% 10.7%4.5%

-6.8%

3.3% 2.9%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



3.0%1.8%

4.6% 4.7% 5.6%7.2% 6.3% 5.6%

3.5%

5.9%4.8%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2




##v Not-For-Profit Supported by Morrow County Health District

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


49

*Includes newborns

21 21 0.0%

73 53 -27.4%

202 156 -22.8%

2.6% 2.0% -22.8%

2.8 2.9 6.4%

16,373 16,741 2.2%

10 10 0.0%

1.1 1.2 9.1%

6.4 7 9.4%






6) 948 Signs & symptoms w/o MCC

7) 178 Respiratory infections & inflammations w CC

8) 387 Inflammatory bowel disease w/o CC/MCC

9) 390 G.I. obstruction w/o CC/MCC

10) 684 Renal failure w/o CC/MCC


Note:



Medicare $387.8

Medicaid $281.4


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Pioneer Memorial Hospital-Heppner

4

www.stcharleshealthcare.org

1201 NE Elm Street, Prineville, OR 97754

Senate District 28

House District 55

50

Text86:

Pioneer Memorial Hospital-Prineville


-8.5%-4.3% -2.0%

4.2% 1.3% -1.4%2.2%

-5.6%

4.8% 3.3%-3.6%

-6.4% -3.6% -1.0%5.1% 5.0%

0.5%4.3%

-5.1%

5.7% 4.2%-3.3%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



5.7%4.7%

7.4%5.7%

7.2% 6.4%8.9%

7.4%

6.4% 5.8%8.6%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2


##v Health System: St. Charles Health System, Inc.


##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


50

*Includes newborns

25 25 0.0%

782 705 -9.8%

2,319 2,254 -2.8%

25.4% 24.7% -2.8%

3.0 3.2 7.8%

61,389 66,637 8.5%

44 53 20.5%

1.6 2.1 31.3%

32.9 41.1 24.9%









9) 439 Disorders of pancreas except malignancy w CC




Note:



Medicare $-64.4

Medicaid $2,047.6


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Pioneer Memorial Hospital-Prineville

4

www.providence.org/hoodriver/default.htm

811 13th Street, Hood River, OR 97031

Senate District 26

House District 52

25

Text86:

Providence Hood River Memorial Hospital


-1.9%3.4% 4.9%

17.3% 14.1%10.0% 12.4% 12.6% 10.3%

0.4% 1.3%

-0.9%3.6% 5.3%

17.9% 15.4% 13.5%21.1%

-1.4%

10.2%

0.7% 1.6%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



4.0% 3.2%

6.7% 6.2% 5.9% 6.8%

9.4%

6.4%

5.0% 5.0%

8.5%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2


##v Health System: Providence Health System - Oregon


##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


25

*Includes newborns

25 25 0.0%

2,086 1,926 -7.7%

5,555 4,858 -12.5%

60.9% 53.2% -12.5%

2.7 2.5 -5.3%

141,199 145,296 2.9%

76 85 11.8%

1 1.1 10.0%

101.5 100.3 -1.2%












Note:



Medicare $2,274.0

Medicaid $1,256.0


Other Benefits







Research $116.4



Oregon Health Authority, Office of Health Analytics Providence Hood River Memorial Hospital

4

www.providence.org/Medford/faclilities/Medical_Center/default.htm

1111 Crater Lake Avenue, Medford, OR 97504

Senate District 3

House District 6

52

Text86:

Providence Medford Medical Center


0.1%5.2% 8.0%

4.4% 4.9% 2.7% 4.0% 1.1%7.0% 6.3% 7.6%

3.9% 5.4% 8.5%4.4% 5.3% 6.2% 4.9% 2.6%

6.6% 7.4% 9.5%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



1.9% 2.8%

6.6%8.6%

10.4% 10.8% 10.2%

6.4%

5.2% 5.8%8.3%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: DRG



1

1

2

2




##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


52

*Includes newborns

134 134 0.0%

6,330 6,946 9.7%

24,347 24,922 2.4%

49.8% 51.0% 2.4%

3.8 3.6 -6.7%

318,120 320,499 0.7%

230 282 22.6%

1.8 2.1 16.7%

367.7 411.5 11.9%














Note:



Medicare $12,588.0

Medicaid $4,356.0


Other Benefits







Research $165.1



Oregon Health Authority, Office of Health Analytics Providence Medford Medical Center

4

www.providence.org/Oregon/facilities/hospitals/providence_milwaukie/default.htm

10150 SE 32nd Avenue, Milwaukie, OR 97222

Senate District 21

House District 41

54

Text86:

Providence Milwaukie Hospital


3.2% 0.1% 0.5% 3.3% 0.9%-2.6%

3.6% 4.6% 8.2% 8.8% 8.2%

2.8% -0.2% 0.8% 3.8% 1.2% -1.8%6.1% 4.2% 7.5% 10.6% 11.2%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



3.1%4.5%

8.3% 9.0%10.5% 11.1%

13.5%

8.8%

6.3%6.9%

11.2%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: DRG



1

1

2

2




##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


54

*Includes newborns

66 66 0.0%

3,550 3,753 5.7%

10,571 10,403 -1.6%

43.9% 43.2% -1.6%

3.0 2.8 -6.9%

233,096 212,015 -9.0%

136 142 4.4%

1.2 1.2 0.0%

170 176.8 4.0%












Note:



Medicare $0.0

Medicaid $1,792.8


Other Benefits







Research $119.2



Oregon Health Authority, Office of Health Analytics Providence Milwaukie Hospital

4

www.providence.org/yamhill/default.htm

1001 Providence Dr, Newberg, OR 97132

Senate District 13

House District 25

42

Text86:

Providence Newberg Medical Center


13.5%7.3% 5.3% 7.2% 7.5%

-3.0%

6.7%10.5% 8.2%

4.2% 4.5%

14.2%

5.6% 6.1% 7.9% 7.5%

-3.0%

6.7% 9.8% 8.2%4.4% 4.6%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



2.7%4.5%

6.1% 6.1% 6.6% 7.3%

10.9%

7.2%

5.7% 5.2%

9.0%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2




##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


42

*Includes newborns

40 40 0.0%

2,732 2,966 8.6%

8,127 8,520 4.8%

55.7% 58.4% 4.8%

3.0 2.9 -3.4%

195,385 193,576 -0.9%

111 126 13.5%

1.1 1.2 9.1%

151.1 163.5 8.2%













Note:



Medicare $9,468.0

Medicaid $0.0


Other Benefits







Research $116.6



Oregon Health Authority, Office of Health Analytics Providence Newberg Medical Center

4

www.providence.org/Oregon/facilities/hospitals/providence_portland/default.htm

4805 NE Glisan Street, Portland, OR 97213-2967

Senate District 23

House District 46

53

Text86:

Providence Portland Medical Center


5.0% 7.0% 8.4% 7.1% 5.6% 4.0% 5.3%1.4% 2.3% 4.4% 3.5%

5.5% 6.1% 9.3% 6.9% 6.4% 6.5%11.4%

0.8% 2.3% 4.9% 4.8%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



2.2% 2.6%

5.2%6.5% 7.2% 7.9% 8.8%

6.0%

4.0% 4.2%

7.8%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: DRG



1

1

2

2




##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


53

*Includes newborns

383 383 0.0%

25,638 25,174 -1.8%

115,986 114,900 -0.9%

83.0% 82.2% -0.9%

4.5 4.6 0.9%

######### 1,246,792 9.0%

834 934 12.0%

1.7 2 17.6%

1088.3 1158.3 6.4%



3) 885 Psychoses




7) 895 Alcohol/drug abuse or dependence w rehabilitation therapy






Note:



Medicare $45,694.0

Medicaid $23,686.8


Other Benefits







Research $6,431.1



Oregon Health Authority, Office of Health Analytics Providence Portland Medical Center

4

www.providence.org/northcoast/Seaside_Hospital/default.htm

725 S. Wahanna Road, Seaside, OR 97138

Senate District 16

House District 32

55

Text86:

Providence Seaside Hospital


0.7% 1.2%5.2% 3.2%

7.0%3.2%

-2.0% -0.4% 0.2% 1.7%-2.4%

0.7% 0.6%5.2% 3.2%

7.2% 4.1% 1.1% -2.3% 0.1% 2.0%-2.2%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



3.6% 4.6%

8.8%7.3%

9.6% 10.6%13.1%

8.8%

5.9%6.7%

9.7%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2




##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


55

*Includes newborns

25 25 0.0%

1,050 1,059 0.9%

2,967 2,854 -3.8%

32.5% 31.3% -3.8%

2.8 2.7 -4.6%

112,750 115,760 2.7%

65 67 3.1%

1.2 1.1 -8.3%

71.1 78.4 10.3%









9) 310 Cardiac arrhythmia & conduction disorders w/o CC/MCC




Note:



Medicare $2,144.0

Medicaid $0.0


Other Benefits







Research $69.6



Oregon Health Authority, Office of Health Analytics Providence Seaside Hospital

4

www.providence.org/Oregon/facilities/hospitals/providence_st_vincent/default.htm

9205 SW Barnes Road, Portland, OR 97225

Senate District 17

House District 34

67

Text86:

Providence St. Vincent Medical Center


9.7% 10.1% 7.5% 8.1% 8.2% 7.5% 9.0% 8.9% 8.4% 8.4% 8.8%

10.9% 7.6% 9.1% 10.2% 10.9% 12.5%18.3%

-1.2%

7.6% 11.3% 12.4%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



1.8% 2.3%4.3% 5.0% 5.7% 6.4% 7.4%

5.0%

3.4% 3.5%6.6%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: DRG



1

1

2

2




##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


67

*Includes newborns

538 554 3.0%

35,143 33,427 -4.9%

148,274 138,538 -6.6%

75.5% 68.5% -9.3%

4.2 4.1 -1.8%

805,847 780,276 -3.2%

1104 1,224 10.9%

1.8 2.1 16.7%

1266.8 1334.3 5.3%




4) 885 Psychoses








Note:



Medicare $50,640.0

Medicaid $22,222.6


Other Benefits







Research $4,176.6



Oregon Health Authority, Office of Health Analytics Providence St. Vincent Medical Center

4

www.providence.org

1500 Division Street, Oregon City, OR 97045

Senate District 20

House District 40

74

Text86:

Providence Willamette Falls Medical Center


0.5% 0.1% 0.4% -1.0% -0.5% -1.1% -0.3% 0.7% 1.6%-4.4% -4.9%

0.7% -1.3% 1.1% -0.5% 1.3% 0.1% 1.8% 0.9% 0.4%-3.5% -6.3%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



3.8% 4.4%5.8% 5.5% 6.4%

5.0% 5.5%7.3%

4.0%5.7%

9.9%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: DRG



1

1

2

2




##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


74

*Includes newborns

89 89 0.0%

5,059 5,240 3.6%

14,412 14,045 -2.5%

44.4% 43.2% -2.5%

2.8 2.7 -5.9%

140,040 184,101 31.5%

155 122 -21.3%

1.3 1 -23.1%

192.7 173.3 -10.1%










10) 189 Pulmonary edema & respiratory failure



Note:



Medicare $7,967.0

Medicaid $6,061.0


Other Benefits







Research $82.4



Oregon Health Authority, Office of Health Analytics Providence Willamette Falls Medical Center

4

www.saintalphonsus.org

3325 Pocahontas Road, Baker City, OR 97814

Senate District 30

House District 60

65

Text86:

Saint Alphonsus Medical Center-Baker City


-9.3% -6.5% -6.1%-0.7% 1.4% -1.1%

-5.1%0.7% 1.2% 1.0% 2.2%

-9.0% -6.2% -6.5%0.5% 2.4% -1.1%

-5.3%0.5% 1.0% 0.9% 4.3%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



5.7%3.9%

6.8% 6.1%8.2% 7.3% 7.2% 7.3%

4.5%6.1%

8.3%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2


##v Health System: Trinity Health


##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


65

*Includes newborns

25 25 0.0%

1,063 1,214 14.2%

3,812 3,969 4.1%

41.8% 43.5% 4.1%

3.6 3.3 -8.8%

26,956 27,450 1.8%

40 39 -2.5%

1.1 0.9 -18.2%

42.2 50.7 20.1%





5) 946 Rehabilitation w/o CC/MCC








Note:



Medicare $0.0

Medicaid $305.9


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Saint Alphonsus Medical Center-Baker City

4

www.saintalphonsus.org

351 SW 9th Street, Ontario, OR 97914

Senate District 30

House District 60

24

Text86:

Saint Alphonsus Medical Center-Ontario


2.1%9.7%

-2.9% -2.3% 0.2% 0.3% -1.9% 1.0% 2.8%8.5%

3.4%

4.2%9.7%

-2.9% -2.3% 0.2% 2.9% 1.3% 1.1% 0.7%

10.5% 7.3%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



7.2%

4.1%

7.5%8.5%

6.9%5.2%

7.2% 6.7%8.1% 7.5%6.8%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2


##v Health System: Trinity Health


##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


24

*Includes newborns

49 49 0.0%

3,271 3,092 -5.5%

8,523 8,672 1.7%

47.7% 48.5% 1.7%

2.6 2.8 7.6%

80,909 76,916 -4.9%

77 81 5.2%

0.9 0.9 0.0%

113.8 125.9 10.6%












Note:



Medicare $3,296.0

Medicaid $456.9


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Saint Alphonsus Medical Center-Ontario

4

www.salemhospital.org

890 Oak St. SE, Salem, OR 97301

Senate District 11

House District 21

58

Text86:

Salem Hospital


2.4% 3.9% 4.9% 6.4% 5.1% 4.3% 0.9%4.9% 1.5% 3.0% 3.8%

6.1% 5.7% 4.3% 7.0% 6.1% 8.9%4.5% 6.3%

2.5% 4.9% 4.1%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



4.1%5.7%

9.0%7.8% 7.5% 7.4% 8.4% 7.7%

5.0%6.8% 8.2%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: DRG



1

1

2

2


##v Health System: Salem Health


##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


58

*Includes newborns

424 424 0.0%

24,199 24,963 3.2%

105,993 96,897 -8.6%

68.5% 62.6% -8.6%

4.4 3.9 -11.4%

529,209 485,860 -8.2%

885 979 10.6%

2.6 2.2 -15.4%

858.7 1075.3 25.2%






6) 885 Psychoses






Note:



Medicare $46,063.4

Medicaid $18,209.4


Other Benefits







Research $2,199.8



Oregon Health Authority, Office of Health Analytics Salem Hospital

4

www.samhealth.org/shs_facilities/agh/

1046 Sixth Avenue SW, Albany, OR 97321

Senate District 8

House District 15

1

Text86:

Samaritan Albany General Hospital


4.4% 5.4% 2.8%9.5% 9.8% 9.5% 8.2% 8.9% 5.8% 2.9% 5.0%

4.8% 5.8% 3.4%10.2% 9.8% 9.8% 8.7% 8.6% 6.2% 3.6% 5.3%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



4.4% 3.8%

6.6% 6.2% 6.4% 5.3% 4.8%6.6%

4.5%

7.3%6.5%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: DRG



1

1

2

2


#v Health System: Samaritan Health Services


#v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


1

*Includes newborns

67 70 4.5%

3,917 4,019 2.6%

11,661 11,347 -2.7%

47.7% 44.4% -6.9%

3.0 2.8 -5.2%

92,236 97,334 5.5%

155 167 7.7%

1.5 1.4 -6.7%

184.1 207.4 12.7%













Note:



Medicare $11,180.0

Medicaid $4,484.1


Other Benefits







Research $59.9



Oregon Health Authority, Office of Health Analytics Samaritan Albany General Hospital

4

www.samhealth.org/shs_facilities/lch/

525 N.Santiam Hwy, Lebanon, OR 97355

Senate District 9

House District 17

28

Text86:

Samaritan Lebanon Community Hospital


-6.0% -7.4%-0.9% -3.9%

1.0%7.5%

0.2% 2.0% 3.1% 0.2%4.1%

-5.1% -8.4%

0.6% -0.9% 2.1%7.8%

1.9% 1.3% 3.8% 0.7%4.8%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



4.6% 5.0%6.5% 5.5% 6.3% 6.3%

7.7% 8.7%

6.1%7.5% 8.7%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2




##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


28

*Includes newborns

25 25 0.0%

2,111 2,239 6.1%

6,350 6,361 0.2%

69.6% 69.7% 0.2%

3.0 2.8 -5.6%

74,965 79,641 6.2%

95 92 -3.2%

1.1 1 -9.1%

127.7 150.8 18.1%













Note:



Medicare $1,462.3

Medicaid $785.9


Other Benefits







Research $36.2



Oregon Health Authority, Office of Health Analytics Samaritan Lebanon Community Hospital

4

www.samhealth.org/shs_facilities/snlh/

3043 NE 28th Street, Lincoln City, OR 97367

Senate District 5

House District 10

43

Text86:

Samaritan North Lincoln Hospital


0.9% -0.5% -3.2% -3.4%0.4% -0.9%

3.7% 3.6% 2.4% 2.5%-0.9%

1.6% 0.1% -2.9% -3.2% -0.7% 0.0%3.9% 3.9% 2.7% 2.7%

-0.7%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



5.1% 5.2%

8.1% 7.5% 7.5% 7.0% 7.6% 8.5%

6.7%8.2% 9.2%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2




##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


43

*Includes newborns

25 25 0.0%

1,184 1,135 -4.1%

3,206 2,906 -9.4%

35.1% 31.8% -9.4%

2.7 2.6 -5.4%

58,236 54,140 -7.0%

66 61 -7.6%

1.5 1.3 -13.3%

77.4 75.8 -2.1%













Note:



Medicare $543.3

Medicaid $0.0


Other Benefits







Research $19.8



Oregon Health Authority, Office of Health Analytics Samaritan North Lincoln Hospital

4

www.samhealth.org/shs_facilities/pch/

930 SW Abbey, Newport, OR 97365

Senate District 5

House District 10

45

Text86:

Samaritan Pacific Communities Hospital


-1.0% 1.2% 1.7% 2.2% -0.4% -0.5%4.2% 1.3% -0.2% 3.0%

-1.1%

3.0% 1.2% 1.6% 2.7% 0.3% 1.4% 4.8% 1.7% 0.2% 3.3%8.1%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



3.9% 4.0%

7.3% 6.2% 5.4% 5.9% 6.4% 7.3%

5.9%7.3% 6.8%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2




##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


45

*Includes newborns

25 25 0.0%

1,493 1,567 5.0%

4,142 4,235 2.2%

45.4% 46.4% 2.2%

2.8 2.7 -2.6%

69,254 74,020 6.9%

73 71 -2.7%

1.1 1 -9.1%

102.1 113.7 11.4%













Note:



Medicare $3,228.6

Medicaid $0.0


Other Benefits







Research $28.8



Oregon Health Authority, Office of Health Analytics Samaritan Pacific Communities Hospital

4

www.santiamhospital.com

1401 North Tenth Avenue, Stayton, OR 97383

Senate District 9

House District 17

59

Text86:

Santiam Memorial Hospital


9.6% 9.3% 8.0%

-4.3%

6.4% 3.4%7.2% 6.8% 6.3% 4.7%

12.1%

9.6% 9.3% 8.0%

-4.3%

6.4% 4.3%8.5% 6.7% 6.9% 5.0%

12.2%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



5.9% 5.7%7.9%

9.0% 8.7% 8.7% 8.4% 7.7%7.2%

8.7% 9.2%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2




##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


59

*Includes newborns

40 38 -5.0%

1,157 1,176 1.6%

3,167 3,168 0.0%

21.7% 22.8% 5.3%

2.7 2.7 -1.6%

33,851 33,141 -2.1%

29 28 -3.4%

0.6 0.5 -16.7%

45.9 58.4 27.2%













Note:



Medicare $490.5

Medicaid $1,174.1


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Santiam Memorial Hospital

4

www.silvertonhospital.org

342 Fairview St., Silverton, OR 97381

Senate District 9

House District 18

60

Text86:

Silverton Hospital


8.5% 7.9% 9.1% 5.9% 2.8% 3.4%

-4.5%0.7% 3.3% 3.7% 2.3%

8.4% 7.7% 8.9%5.4% 3.0% 4.4%

-3.7%0.9% 3.5% 3.3% 2.9%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



4.7%5.9%

9.2% 9.7% 10.0% 9.0% 9.2% 8.9%

6.4%8.0%

9.7%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2




##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


60

*Includes newborns

48 48 0.0%

5,600 4,944 -11.7%

13,300 12,045 -9.4%

75.9% 68.8% -9.4%

2.4 2.4 2.6%

131,960 145,942 10.6%

152 157 3.3%

0.9 1 11.1%

166.4 191.5 15.1%









9) 767 Vaginal delivery w sterilization &/or D&C



Note:



Medicare $2,285.0

Medicaid $2,438.1


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Silverton Hospital

4

www.mwmc.org

2865 Daggett Ave, Klamath Falls, OR 97603

Senate District 28

House District 56

37

Text86:

Sky Lakes Medical Center


5.5%1.3% 3.2% 2.1%

7.7% 6.9%

-1.5% -3.0%1.3%

7.7% 7.0%

6.3%1.3%

5.1% 2.8%9.3%

4.8% 3.5%-3.2%

0.7%8.5% 7.5%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



2.5%3.8%

5.6% 6.4% 6.7% 7.1%9.0%

6.4%

3.6%5.2%

8.6%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: DRG



1

1

2

2




##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


37

*Includes newborns

100 100 0.0%

6,804 6,417 -5.7%

22,539 21,647 -4.0%

61.8% 59.3% -4.0%

3.3 3.4 1.8%

208,584 219,990 5.5%

180 210 16.7%

1.4 1.6 14.3%

302.8 365.9 20.8%













Note:



Medicare $14,267.6

Medicaid $1,433.2


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Sky Lakes Medical Center

4

www.southerncoos.com

900 11th Street SE, Bandon, OR 97411

Senate District 1

House District 1

61

Text86:

Southern Coos Hospital and Health Center


-4.1%0.1% -1.1% 0.7% -1.6%

-5.1% -3.9%-11.3%

-4.4% -2.2% -3.2%

-2.9%1.1%

-5.2%0.7% -1.6%

22.0%

1.3%-6.0%

1.6% 1.6% 2.5%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



3.5%1.8% 1.6%

3.7%5.8%

8.6% 8.7% 8.5%

2.1% 2.1%

8.0%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2




##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


61

*Includes newborns

19 19 0.0%

406 289 -28.8%

1,246 947 -24.0%

18.0% 13.7% -24.0%

3.1 3.3 6.8%

12,867 14,271 10.9%

21 18 -14.3%

2.3 1.3 -43.5%

18.8 20.6 9.6%




4) 074 Cranial & peripheral nerve disorders w/o MCC










Note:



Medicare $0.0

Medicaid $0.0


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Southern Coos Hospital and Health Center

4

www.sahpendleton.org

1601 SE Court Avenue, Pendleton, OR 97801

Senate District 29

House District 58

63

Text86:

St. Anthony Hospital


0.1% 0.1% -1.0%

10.0% 10.2% 12.4%16.5%

7.7% 10.3%14.0%14.6%

0.1% 0.8% -1.0%

10.0% 10.2%

19.0%26.5%

6.6%

-4.9%

24.3%

33.3%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



3.9% 3.5% 3.7%6.2% 6.8% 7.6%

8.8% 9.7%

4.1% 4.5%

8.5%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2


##v Health System: Catholic Health Initiatives


##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


63

*Includes newborns

25 25 0.0%

1,992 1,899 -4.7%

5,498 5,382 -2.1%

60.3% 59.0% -2.1%

2.8 2.8 2.7%

59,312 63,345 6.8%

71 77 8.5%

1.4 1.4 0.0%

76.6 92.6 20.9%






6) 419 Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC








Note:



Medicare $411.6

Medicaid $19.8


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics St. Anthony Hospital

4


2500 NE Neff Road, Bend, OR 97701

Senate District 27

House District 54

64

Text86:

St. Charles Medical Center-Bend


6.5%12.1%

2.3% 3.1% 5.3% 8.6%3.6% 3.5%

7.1% 5.7% 4.3%

8.5%12.2% 11.2%

7.1% 6.8%11.2%

5.8% 3.6%7.2% 5.2% 3.8%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



3.4% 4.0%6.0% 5.5%

6.7% 6.7% 7.3%5.8%

4.8%5.7% 6.7%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: DRG



1

1

2

2




##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


64

*Includes newborns

261 261 0.0%

14,799 15,213 2.8%

54,335 54,842 0.9%

57.0% 57.6% 0.9%

3.7 3.6 -1.8%

244,039 294,085 20.5%

455 557 22.4%

1.9 2.4 26.3%

639.8 708.2 10.7%













Note:



Medicare $26,685.4

Medicaid 43,413.5


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics St. Charles Medical Center-Bend

4

www.scmc.org/madras/

470 NE A Street, Madras, OR 97741

Senate District 30

House District 59

39

Text86:(formerly Mountain View Hospital)

St. Charles Medical Center--Madras


3.8% 3.3% 2.3%

-5.8%-2.5%

2.0%-2.2% -1.9% 1.6%

-3.0%2.2%

8.6% 7.6% 5.5%

-3.8% -0.8%3.8% 0.0% 0.6% 1.0% -1.4%

3.4%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



7.9% 8.8%6.3% 6.2%

8.9% 8.6% 8.2% 8.5%

6.1% 5.9%

10.1%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2




##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


39

*Includes newborns

25 25 0.0%

1,110 1,106 -0.4%

2,891 3,130 8.3%

31.7% 34.3% 8.3%

2.6 2.8 8.7%

29,386 25,476 -13.3%

53 50 -5.7%

1.6 1.4 -12.5%

39.3 42.6 8.4%









9) 203 Bronchitis & asthma w/o CC/MCC



Note:



Medicare $0.0

Medicaid $1,271.6


Other Benefits







Research $26.7



Oregon Health Authority, Office of Health Analytics St. Charles Medical Center--Madras

4


1253 N. Canal Boulevard, Redmond, OR 97756

Senate District 27

House District 53

7

Text86:

St. Charles Medical Center-Redmond


-1.7% -2.3%2.4% 2.7%

-5.8% -5.6%

-15.8%

-7.7%

6.9%1.9%

7.7%

-1.6% -2.4%4.2% 3.8%

-4.4% -4.6%

-14.9%-7.2%

7.3%1.1%

7.0%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



6.6%4.2%

5.5%7.9% 8.3%

10.9% 10.5%8.1%

5.3%6.1%

10.2%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2


#v Health System: St. Charles Health System, Inc.


#v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


7

*Includes newborns

48 48 0.0%

2,341 2,622 12.0%

6,734 6,840 1.6%

38.4% 39.0% 1.6%

2.9 2.6 -9.3%

71,551 115,874 61.9%

86 116 34.9%

1.7 2.1 23.5%

86.9 104.6 20.4%










10) 328 Stomach, esophageal & duodenal proc w/o CC/MCC




Note:



Medicare $3,135.6

Medicaid $6,720.1


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics St. Charles Medical Center-Redmond

4

www.tcgh.com

1000 Third Street, Tillamook, OR 97141

Senate District 16

House District 32

68

Text86:

Tillamook County General Hospital


0.7% 0.9%4.5% 5.7%

1.9% 2.4% 3.4% 6.1% 3.3% 4.3% 1.6%

5.7% 6.0% 4.5% 5.7% 5.4% 6.3%0.8%

5.9% 6.5% 5.7% 4.9%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



3.4%4.7%

7.5% 8.4%

11.1%9.8% 10.0%

8.5%

5.4%6.9%

8.8%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2


##v Health System: Adventist Health System


##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


68

*Includes newborns

25 25 0.0%

1,169 1,153 -1.4%

3,405 3,069 -9.9%

37.3% 33.6% -9.9%

2.9 2.7 -8.6%

39,872 44,534 11.7%

68 84 23.5%

1.5 1.6 6.7%

68.5 82.9 21.0%













Note:



Medicare $1,543.1

Medicaid $821.6


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Tillamook County General Hospital

4

www.tuality.com

355 SE 8th Ave, Hillsboro, OR 97123

Senate District 15

House District 29

69

Text86:

Tuality Healthcare


1.2% 0.7% 0.3% 2.0% 2.9% 0.6% 1.1% 0.0% -1.0% 1.1% 1.6%

-1.1% 0.9% 2.9% 3.5% 5.2%1.4% 2.7% 1.8% -0.7% 2.1%

-3.3%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



2.5% 3.4%

6.3% 6.3% 5.7% 6.5% 7.6% 6.7%

5.4% 4.5%

7.9%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: DRG



1

1

2

2


##v Health System: Tuality Healthcare


##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


69

*Includes newborns

149 149 0.0%

6,808 6,227 -8.5%

26,641 24,994 -6.2%

49.0% 46.0% -6.2%

3.9 4.0 2.6%

247,251 263,328 6.5%

248 221 -10.9%

1.4 1.3 -7.1%

347.4 370.6 6.7%



3) 057 Degenerative nervous system disorders w/o MCC





8) 885 Psychoses


10) 884 Organic disturbances & mental retardation



Note:



Medicare $17,094.8

Medicaid $8,829.6


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Tuality Healthcare

4

www.wchcd.org

601 Medical Parkway, Enterprise, OR 97828

Senate District 29

House District 58

73

Text86:

Wallowa Memorial Hospital


-4.3%

15.0%9.0%

0.1% 0.3% 2.0% 1.5%-2.3%

-7.2%

7.3%

-4.7%

-1.8%

15.9%10.3%

5.3%10.9%

14.8% 16.2%

1.4%-2.6%

3.1%-0.9%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



2.7%1.6% 2.5%

4.2% 4.4% 3.8% 2.9%4.1%

3.2% 2.9%4.7%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2




##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


73

*Includes newborns

25 25 0.0%

526 544 3.4%

1,634 1,422 -13.0%

17.9% 15.6% -13.0%

3.1 2.6 -15.9%

16,102 14,872 -7.6%

29 26 -10.3%

1.3 1 -23.1%

17.8 20.1 12.9%













Note:



Medicare $1,308.0

Medicaid $534.6


Other Benefits





Community Building Activities $.3


Research $0.0



Oregon Health Authority, Office of Health Analytics Wallowa Memorial Hospital

4

www.westvalleyhospital.org

525 SE Washington St., Dallas, OR 97338

Senate District 12

House District 23

72

Text86:

West Valley Community Hospital


0.8%

-27.3%

-7.6% -10.3% -7.9%

6.5%

-11.8%-5.6%

4.9% 2.4%6.4%

0.8%

-27.3%

-7.8% -10.1%-6.1%

6.5%

-11.4%-5.4%

5.0% 2.4%6.4%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



4.2%2.9%

12.0%

8.3% 9.3% 9.6%11.7% 12.1%

15.7%

18.6%

11.8%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011








1

1

2

2


##v Health System: Salem Health


##v Not-For-Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


72

*Includes newborns

6 6 0.0%

93 106 14.0%

202 265 31.2%

9.2% 12.1% 31.2%

2.2 2.5 15.1%

73,369 70,925 -3.3%

20 19 -5.0%

0.7 0.4 -42.9%

28.5 36.4 27.7%







7) 583 Mastectomy for malignancy w/o CC/MCC






Note:



Medicare $0.0

Medicaid $895.2


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics West Valley Community Hospital

4

www.wvmcweb.com

2700 SE Stratus Avenue, McMinnville, OR 97128

Senate District 12

House District 24

32

Text86:

Willamette Valley Medical Center


23.4% 23.1%26.7% 26.5% 26.2%

31.6%

11.7%

21.5% 23.9%31.4%29.6%

21.4% 18.6%22.1% 22.2% 22.1% 23.8%

11.7% 10.4% 13.8%20.6%

16.8%

-40%

-30%

-20%

-10%

0%

10%

20%

30%

40%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011



2.6% 3.0%4.4% 5.4% 5.6% 5.0% 5.1%

2.8%2.7%

4.7% 5.5%

0%2%4%6%8%

10%12%14%16%18%20%

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011





Hospital Type: DRG



1

1

2

2


##v Health System: Capella Healthcare


##v For Profit

Staffed Beds



Occupancy Rate



Outpatient Visits


20112009 % Change


32

*Includes newborns

88 88 0.0%

4,729 4,523 -4.4%

16,638 14,307 -14.0%

51.8% 44.5% -14.0%

3.5 3.2 -10.1%

110,291 109,811 -0.4%

150 128 -14.7%

1.3 1.2 -7.7%

261.7 267 2.0%













Note:



Medicare $1,938.5

Medicaid $2,177.1


Other Benefits







Research $0.0



Oregon Health Authority, Office of Health Analytics Willamette Valley Medical Center

oregon’s acute care hospitalsmedia.oregonlive.com/health_impact/other/hospital report.pdf · •...

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