Community Benefit Provided by Minnesota’s Hospitals in 2007 Minnesota Department of Health April, 2009 Health Economics Program Division of Health Policy PO Box 64882 St Paul, MN 55164-0882 (651) 201-3550 www.health.state.mn.us/healtheconomics Community Benefit Provided by Minnesota’s Hospitals in 2007 Minnesota Department of Health April, 2009 Health Economics Program Division of Health Policy PO Box 64882 St Paul, MN 55164-0882 (651) 201-3550 www.health.state.mn.us/healtheconomics ________________________________________________________________________________1 Background The Minnesota Department of Health is required to issue an annual report on community benefit provided by Minnesota hospitals.1 This report describes community benefit provided in 2007 and includes the following information from each hospital: Cost of charity care (also referred to as “community care”); Underpayment for services provided under state health care programs (the difference between payments for services provided to public program clients and the cost of providing these services); Cost of conducting research; Cost of providing medical education; Community health services cost (examples include community health education, communitybased clinical services such as free clinics and screenings, health support services, and self-help programs); Financial and in-kind contributions; Costs of community building activities (examples include economic development activities, community support system enhancements, environmental improvements, and leadership development training for community members); Costs of community benefit operations (the cost associated with dedicated staff, and other costs associated with community benefit strategy and operations); and Costs of operating subsidized services (services that operated at a financial loss, such as trauma services, burn units, and neonatal intensive care units). For purposes of this report, community benefit does not include the cost of bad debt or underpayment for Medicare services. In addition, community benefits reported are net of any offsetting revenues that hospitals received for these activities. Findings In 2007, Minnesota hospitals reported approximately $636.7 million in community benefit, which accounted for about 6.0 percent of total hospital operating expenses (see Table 1). As the single largest category, state public program underpayments accounted for about 44 percent of total community benefit, or $278 million (see Figure 1). Charity care and the cost of operating subsidized services each represented about 16 percent of total community benefit, or about $100 million, respectively. The cost of providing medical education amounted to about 14 percent of hospital community benefit, or $86.5 million. The cost of operating community benefit programs, community building activities and health services accounted for almost 8 percent of total community benefit in 2007, or $48.5 million. 1 Minnesota Statutes, Section 144.699, subdivision 5. ___________________________________________________________________________________ Community Benefit Provided by Minnesota’s Hospitals in 2007 ________________________________________________________________________________2 Table 1 Minnesota Hospital Community Benefit by Category, 2007 Community Benefit Percent of Operating Expenses Charity Care State Health Care Program Underpayments Operating Subsidized Services Education Research Community Health Services Financial and In-Kind Contributions Community Building Activities Community Benefit Operation $101,156,116 $277,664,461 $100,709,968 $86,461,661 $6,895,732 $36,437,137 $15,288,966 $3,705,123 $8,335,231 0.9% 2.5% 0.9% 0.8% 0.1% 0.3% 0.1% 0.0% 0.1% Total $636,654,395 5.7% Source: MDH, Health Care Cost Information System Figure 1 Distribution of Hospital Community Benefit, 2007 Financial and In-Kind Contributions 2.4% Community Health Services 5.7% Community Building Activities 0.6% Community Benefit Operation 1.3% Charity Care 15.9% Research 1.1% Education 13.6% Operating Subsidized Services 15.8% State Health Care Programs Underpayments 43.6% Source: MDH, Health Care Cost Information System _______________________________________________________________________ Community Benefit Provided by Minnesota’s Hospitals in 2007 ________________________________________________________________________________3 Community benefit varies by hospital characteristics, as shown in Table 2. For example, community benefit at Minnesota hospitals as a percentage of operating expenses ranged from 3.4 percent in the South Central Minnesota to 7.2 percent in the Northeast. On average, community benefit at rural hospitals in 2007 accounted for 5.3 percent of operating expenses, compared with 5.8 percent at urban hospitals. In 2007, community benefit provided by government-owned hospitals accounted, on average, for 8.9 percent of operating expenses, compared with 5.3 percent at Minnesota’s private nonprofit hospitals. The two small hospitals in Minnesota that operate as for-profit facilities provided community benefit equal to one-half of one percent of operating expenses in 2007. Table 3 shows community benefit by hospital. It is important to note that direct comparisons across hospitals should be done with some caution. For example, not all hospitals were able to fully report offsetting revenues for community benefit, and some hospital systems had difficulty allocating their community benefit across individual hospitals. Table 2 2007 Hospital Community Benefit by Hospital Size, Region, and Ownership Total Community Benefits Percent of Operating Expenses All Hospitals $636,654,395 5.7% Number of Beds Less than 25 25-49 50-99 100-199 200 or more $20,349,756 $72,108,777 $82,842,415 $84,592,068 $376,761,379 6.0% 5.7% 6.2% 5.6% 5.6% Region Central Twin Cities Metropolitan Northeast Northwest South Central Southeast Southwest West Central $51,152,191 $408,152,695 $62,993,388 $17,303,652 $16,477,126 $53,828,130 $18,027,153 $8,720,060 4.5% 6.4% 7.2% 7.0% 3.4% 3.6% 5.8% 4.5% $110,383,076 $526,271,319 5.3% 5.8% $120,755,853 $515,766,447 $132,095 8.9% 5.3% 0.5% Rural Urban2 Ownership Government Private Nonprofit Private For-profit Number of beds refers to available beds, which are acute care beds that are immediately available for use or could be brought online within a short period of time. Source: MDH, Health Care Cost Information System 2 Includes the following counties that are part of metropolitan statistical areas in Minnesota: Anoka, Benton, Carlton, Carver, Chisago, Clay, Dakota, Dodge, Hennepin, Houston, Isanti, Olmsted, Polk, Ramsey, St. Louis, Scott, Sherburne, Stearns, Wabasha, Washington, and Wright. ___________________________________________________________________________________ Community Benefit Provided by Minnesota’s Hospitals in 2007 Cannon Falls Minneapolis St. Paul Montevideo Bagley Cloquet Cambridge Medical Center Cannon Falls Community Hospital Children's Hospitals and Clinics, Minneapolis Children's Hospitals and Clinics, St. Paul Chippewa County-Montevideo Hospital Clearwater Health Services Cloquet Community Memorial Hospital & C&NC Hibbing International Falls Fosston St. Paul Fairview University Medical Center - Mesabi Gillette Children's Specialty Healthcare Hutchinson Hutchinson Area Health Care Granite Falls Municipal Hospital & Manor Hendricks Granite Falls Grand Itasca Clinic and Hospital & C&NC Minneapolis Grand Rapids Graceville Health Center Hennepin County Medical Center Graceville Glencoe Regional Health Services Hendricks Community Hospital Association Glenwood Glencoe Glacial Ridge Health System First Care Medical Services Falls Memorial Hospital Edina Fairview Southdale Hospital Fairview Northland Regional Hospital Red Wing Princeton Fairview Lakes Regional Medical Center Burnsville Wyoming Fairmont Medical Center - Mayo Health System Fairview Ridges Hospital Fairmont Ely-Bloomenson Comm. Hosp. & Nursing Home Fairview Red Wing Medical Center Elbow Lake Ely ELEAH Medical Center Faribault Alexandria Douglas County Hospital Deer River HealthCare Center District One Hospital Crosby Deer River Cuyuna Regional Medical Center Grand Marais Cambridge Buffalo Hospital Cook Buffalo Bridges Medical Services Cook Hospital & C&NC Ada Bigfork Valley Hospital Cook County North Shore Hospital St. Paul Bigfork Bethesda Rehabilitation Hospital Austin Marshall Avera Marshall Regional Medical Center Appleton Municipal Hospital and Nursing Home Austin Medical Center - Mayo Health System Albert Lea Appleton Albert Lea Medical Center - Mayo Health System Minneapolis Albany Albany Area Hospital and Medical Center City Abbott Northwestern Hospital Hospital Name Mcleod Hennepin Itasca Yellow Medicine Lincoln Big Stone Mcleod Pope Ramsey Polk Koochiching St. Louis Hennepin Dakota Goodhue Sherburne Chisago Martin St. Louis Grant Douglas Rice Itasca Crow Wing St. Louis Cook Carlton Clearwater Chippewa Ramsey Hennepin Goodhue Isanti Wright Norman Itasca Ramsey Lyon Mower Swift Freeborn Stearns Hennepin County 79,138 14,239,000 5,062 6,516 48,991 23,343 188,452 22,784 180,774 55,448 64,269 518,539 3,095,953 1,157,870 1,393,901 662,372 1,158,759 168,360 3,856 33,036 192,688 133,047 22,061 73,348 4,279 47,695 64,227 7,523 41,400 654,140 1,043,806 41,515 1,338,961 624,561 4,817 33,449 141,727 45,551 335,270 2,962 1,356,986 14,438 4,526,108 Charity Care1 237,419 41,727,000 62,023 93,952 3,546,430 91,337 1,625,095 0 7,937,448 129,235 184,481 486,593 6,498,644 3,734,543 1,880,994 2,803,697 3,545,651 657,287 366,631 17,652 795,049 979,197 874,640 634,182 275,547 167,520 686,272 0 507,455 12,564,525 8,979,509 124,927 0 824,538 86,265 270,572 11,787,745 801,209 645,601 15,879 2,296,605 132,049 15,018,638 State Health Care Program Underpayment2 4 0 328,800 15,600 76,714 0 0 19,961 495,605 9,928,369 0 1,228,929 0 1,284,774 1,819,362 1,075,948 282,037 702,948 0 0 0 850,493 5,612 0 0 0 22,437 1,765,997 465,416 0 2,524,218 3,636,903 201,961 0 0 2,500 471,257 0 139,506 1,558,460 255,367 3,198,268 0 0 Operating Subsidized Services 143,985 17,457,000 3,000 0 7,000 0 0 0 1,476,815 0 3,551 542,330 111,992 152,747 0 0 83,094 0 57,100 0 0 0 0 0 21,975 0 206,900 0 6,600 206,956 337,665 0 0 31,023 1,000 58,662 248,604 60,515 0 2,757 451,826 2,992 7,237,033 Education 39,817 0 0 0 0 0 0 0 695,388 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 577,782 655,717 0 0 0 0 0 0 747 0 0 0 0 938,106 Research 187,367 2,301,100 864 6,866 0 12,606 108,036 0 2,851,990 0 10,385 114,981 3,014,772 1,574,857 837,276 219,020 1,392,144 229,994 19,600 17,666 0 0 0 0 12,757 0 29,600 0 12,299 681,453 1,573,334 13,793 0 241,428 4,500 0 6,144 58,957 189,108 1,318 196,983 10,736 1,277,515 Community Health Services Table 3 Community Benefit Provided by Minnesota Hospitals, 2007 42,304 -20 4,400 0 26,500 0 11,550 0 5,301 0 8,542 117,505 18,081 28,092 58,799 504 74,264 0 25,050 5,892 0 5,214 0 0 0 0 24,400 0 2,533 274,962 438,465 0 0 41,124 0 49,285 32,689 792,216 25,358 0 167,151 0 229,396 Financial and In-Kind Contributions 46,603 85,900 22,200 260 0 0 201 0 0 80,285 13,619 47,299 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26,800 0 3,660 485,262 791,742 0 0 19,059 1,200 0 0 26,647 0 0 3,707 0 113,862 Community Building Activities 6,625 0 4,775 5,801 40,425 0 0 0 0 28,000 2,604 46,006 0 0 123,934 0 0 0 24,990 38,153 0 39,541 0 0 0 0 1,500 1,700 0 0 0 0 0 36,426 0 0 132,263 0 0 0 0 0 182,584 Community Benefit Operation 783,258 76,138,780 117,924 190,109 3,669,346 127,286 1,953,295 518,389 23,076,085 292,968 1,516,380 1,873,253 14,024,216 8,467,471 5,370,852 3,967,630 6,956,860 1,055,641 497,227 112,399 1,838,230 1,162,611 896,701 707,530 314,558 237,652 2,805,696 474,639 573,947 17,969,298 17,457,141 382,196 1,338,961 1,818,159 100,282 883,225 12,349,172 1,925,348 2,753,797 278,283 7,671,526 160,215 29,523,242 Total Community Benefit 1.5% 13.6% 2.4% 2.0% 5.6% 3.1% 5.3% 4.9% 21.3% 3.6% 10.5% 2.4% 4.1% 5.5% 6.6% 5.1% 5.2% 1.6% 3.7% 2.0% 2.9% 3.0% 7.6% 1.9% 4.2% 3.5% 9.4% 5.9% 2.5% 9.2% 6.2% 3.7% 2.1% 3.9% 2.1% 7.9% 17.8% 6.8% 3.4% 5.0% 7.4% 1.9% 4.2% Percent of Operating Expenses Madelia Madison Mahnomen Litchfield Melrose Coon Rapids Moose Lake Madelia Community Hospital Madison Hospital Mahnomen Health Center Meeker County Memorial Hospital Melrose Area Hospital - CentraCare Mercy Hospital Mercy Hospital & Health Care Center Thief River Falls Rochester Ortonville Northfield Hospital & Long Term Care Center Northwest Medical Center Olmsted Medical Center Ortonville Area Health Services Perham Minneapolis Sandstone Pipestone New Prague Redwood Falls Golden Valley Perham Memorial Hospital and Home Phillips Eye Institute Pine Medical Center Pipestone County Medical Center Queen of Peace Hospital Redwood Area Hospital Regency Hospital of Minneapolis Paynesville Northfield North Valley Health Center Paynesville Area Health Care System Warren North Memorial Medical Center Owatonna Robbinsdale North Country Health Services St. Louis Park Bemidji New Ulm Medical Center Park Nicollet Methodist Hospital New Ulm Murray County Memorial Hospital Owatonna Hospital Monticello Slayton Monticello-Big Lake Hospital Le Sueur Long Prairie Long Prairie Memorial Hospital & Home Minnesota Valley Health Center Staples Lakewood Health System Onamia Baudette LakeWood Health Center Duluth Stillwater Lakeview Memorial Hospital Miller-Dwan Medical Center Pine City Lakeside Medical Center, Inc. - Hospital Mille Lacs Health System Two Harbors Lake View Memorial Hospital & Home Hallock Kittson Memorial Healthcare Center Lake City Mora Kanabec Hospital Fergus Falls Dawson Johnson Memorial Health Services Lake Region Healthcare Corporation Jackson Lake City Medical Center - Mayo Health System Mankato Jackson Medical Center City Immanuel St. Joseph's - Mayo Health System Hospital Name Hennepin Redwood Scott Pipestone Pine Hennepin Otter Tail Stearns Hennepin Steele Big Stone Olmsted Pennington Dakota Marshall Hennepin Beltrami Brown Murray Wright Le Sueur St. Louis Mille Lacs Carlton Anoka Stearns Meeker Mahnomen Lac Qui Parle Watonwan Todd Wadena Washington Lake Of The Woods Pine Lake Otter Tail Goodhue Kittson Kanabec Lac Qui Parle Jackson Blue Earth County 59,446 9,096 234,714 8,469 7,149 101,335 12,992 87,692 3,000,726 152,482 28,808 867,166 23,808 38,243 6,165 4,102,263 258,748 703,033 65,323 265,422 6,392 408,270 138,715 57,413 3,146,164 93,255 27,340 10,656 1,578 33,936 126,677 454,042 160,315 211,730 15,169 4,130 150,402 31,527 14,658 990,032 3,608 36,142 462,264 Charity Care1 0 279,267 0 349,169 353,141 192,685 0 0 4,957,574 0 169,271 5,223,216 216,829 822,860 47,948 9,201,153 4,057,424 117,922 261,229 1,430,064 13,648 102,871 255,925 244,827 2,104,259 66,015 401,570 161,564 0 0 0 0 262,730 1,125,457 31,560 84,944 192,348 504,768 198,818 740,923 134,509 72,603 State Health Care Program Underpayment2 4,172,736 5 0 0 2,497,047 0 26,485 2,930 1,838,447 1,555,001 0 17,263 164,619 0 124,170 1,939,975 560,956 1,706,536 552,606 0 1,207,366 0 838,735 0 637,538 657,838 746,126 658 0 488,046 384,067 0 0 4,715,557 34,807 2,756,515 20,000 1,327,000 0 101,198 602,035 124,488 428,040 90,546 0 Operating Subsidized Services 0 0 0 0 0 13,973 55,448 35,997 2,145,645 185,745 22,369 0 0 0 0 497,721 0 81,609 17,691 0 0 849,894 0 0 50,647 0 145,639 7,265 0 20,450 0 0 0 0 2,000 57,500 0 1,000 0 51,156 2,000 0 0 Education 0 0 0 0 0 0 0 0 84,817 0 0 0 0 0 0 74,212 0 0 0 0 0 0 0 0 714 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Research 0 72,189 348,413 0 35,300 65,771 50,680 14,400 722,168 226,668 33,677 0 8,448 263,688 0 1,625,868 205,082 139,464 29,671 9,576 15 254,761 0 458,156 396,986 0 107,639 13,353 0 104,019 0 2,500 97,183 283,726 0 0 150,000 0 15,185 82,057 15,000 7,750 181,000 Community Health Services Table 3 Community Benefit Provided by Minnesota Hospitals, 2007 0 5,572 0 0 0 31,573 495,115 0 41,435 176,237 0 75,016 0 483,702 0 611,743 90,000 17,934 3,125 4,590 0 45,234 0 0 67,956 9,126 0 5,343 1,500 0 417 0 51,569 161,772 0 0 0 60,960 0 167,300 5,000 0 109,000 Financial and In-Kind Contributions 0 0 134,594 0 0 19,215 0 0 0 52,446 0 0 0 0 0 7,728 0 36,845 21,817 1,513 0 0 0 0 1,475 14,578 0 69,541 35,399 0 6,992 0 23,381 0 0 0 0 2,316 0 6,100 0 0 0 Community Building Activities 3,920 208,155 0 0 0 0 0 0 246,925 6,060 20,881 0 0 341,881 0 425,035 0 1,592 0 0 0 0 0 0 127,851 0 0 1,945 11,520 0 0 3,000 0 0 0 0 0 59,546 0 4,205 10,000 0 0 Community Benefit Operation 63,366 574,279 3,214,768 357,638 422,075 427,482 2,452,682 1,693,090 11,199,290 816,901 439,625 6,165,398 373,255 3,890,349 615,069 18,252,259 5,163,860 1,098,399 1,606,222 1,711,165 858,790 1,661,030 1,032,178 1,418,234 6,642,178 183,632 682,188 757,713 434,064 158,405 134,086 5,175,099 629,985 4,539,200 68,729 1,473,574 492,750 761,315 830,696 2,166,261 598,157 207,041 4,925,000 Total Community Benefit 0.2% 4.0% 11.3% 2.4% 5.0% 1.5% 23.0% 7.9% 2.8% 2.4% 4.8% 5.5% 1.5% 10.4% 16.5% 4.3% 6.8% 1.9% 13.2% 4.2% 18.5% 2.3% 4.2% 6.1% 2.3% 2.0% 3.6% 23.3% 7.2% 2.5% 1.1% 10.9% 7.3% 6.1% 4.3% 19.7% 1.0% 3.8% 19.3% 7.6% 9.6% 3.2% 3.2% Percent of Operating Expenses Canby Luverne Arlington Sanford Canby Medical Center Sanford Hospital Luverne Sibley Medical Center Anoka Hennepin St. Louis Blue Earth Fridley Minneapolis Virginia Waseca Westbrook Wheaton Aurora Waseca Medical Center - Mayo Health System Westbrook Health Center Wheaton Community Hospital White Community Hospital & C&NC St. Louis Traverse Cottonwood Waseca Faribault Ramsey Lincoln Wadena Unity Hospital University of Minnesota Medical Center Fairview Virginia Regional Medical Center Wadena Tri-County Hospital Lyon United Hospital District Tracy Tracy Area Medical Services Swift Tyler Benson Swift County-Benson Hospital Stevens St. Paul Morris Stevens Community Medical Center Nicollet Stearns United Hospital St. Peter St. Peter Community Hospital Becker St. Louis St. Louis Crow Wing Ramsey Hubbard Ramsey Watonwan Morrison Scott Wilkin Stearns Brown Brown Sibley Rock Olmsted Yellow Medicine Wabasha Roseau Olmsted Aitkin Polk Carver Kandiyohi Renville Ramsey Dakota County Tyler Healthcare Center, Inc. Sauk Centre St. Michael's Hospital & Nursing Home St. Joseph's Medical Center Detroit Lakes Brainerd St. Joseph's Hospital St. Mary's Regional Health Center St. Paul St. Joseph's Area Health Services, Inc. Duluth Park Rapids St. John's Hospital Duluth Maplewood St. James Health Services St. Mary's Medical Center St. James St. Gabriel's Hospital St. Luke's Hospital Shakopee Little Falls St. Francis Regional Medical Center Breckenridge Rochester Saint Marys Hospital St. Cloud Wabasha Saint Elizabeth's Medical Center St. Francis Medical Center Roseau Roseau Area Hospital & Homes, Inc. St. Cloud Hospital Rochester Rochester Methodist Hospital Sleepy Eye Aitkin Riverwood HealthCare Center Springfield Crookston Riverview Healthcare Association Springfield Medical Center - Mayo Health System Waconia Ridgeview Medical Center Sleepy Eye Medical Center Olivia Willmar Rice Memorial Hospital St. Paul Renville County Hospital Hastings Regions Hospital City Regina Medical Center Hospital Name 11,651 8,021 16,859 35,227 33,942 5,417,605 1,927,845 432,721 4,232,399 128,028 146,214 57,433 36,104 352,753 115,099 21,978 118,509 1,667,102 641,136 1,169,228 2,069,867 61,051 1,599,839 93,551 201,686 881,955 211,362 3,079,763 17,211 2,147 6,472 94,765 56,423 5,738,722 47,855 57,699 2,942,125 64,718 56,783 205,777 211,766 1,086 15,063,158 102,344 Charity Care1 70,151 121,703 57,327 285,716 2,034,108 26,656,145 3,478,346 362,750 11,431,600 73,139 103,825 133,882 0 439,065 379,805 274,030 1,199,248 8,831,206 1,584,881 3,290,639 10,990,248 816,647 2,634,432 328,280 294,797 1,441,798 327,020 0 88,744 70,295 142,426 254,390 49,797 13,756,095 445,469 0 1,561,357 0 162,997 713,252 4,137,485 0 0 State Health Care Program Under2 payment 76,907 6 611,600 130,000 401,302 0 127,241 4,012,840 941,374 472,832 1,259,806 234,925 5,029,668 557,354 29,519 200,288 835,769 732,379 0 296,418 16,695,753 0 0 419,168 0 0 0 444,816 289,581 2,530,215 0 0 458,354 395,301 0 0 567,710 0 0 330,000 2,618,947 0 0 93,941 0 130,297 Operating Subsidized Services 15,710 0 0 0 0 19,285,340 41,181 0 4,396,236 0 21,254 0 0 3,039 0 22,632 83,184 6,049,766 4,099,592 1,097,753 2,430,063 0 1,994,474 0 21,593 80,810 75,191 793,345 7,624 0 8,735 0 0 0 45,961 22,965 0 0 106,442 484,154 400,727 0 11,296,703 0 Education 0 0 0 0 0 2,303,679 1,829 0 936,863 0 0 0 0 0 0 0 0 355,672 0 0 0 0 0 0 0 57,125 0 116,275 0 0 0 0 0 0 0 0 0 0 0 55,493 0 0 1,496 0 Research 0 2,500 7,250 0 3,000 3,840,306 586,529 1,585 3,116,641 0 195,620 6,600 0 153,757 114,344 4,840 82,902 742,331 216,161 70,029 44,454 231,633 25,436 21,995 333,779 257,700 319,878 657,076 15,906 5,885 37,852 0 34,463 0 125,786 107,154 0 201,008 77,706 288,013 1,068,149 0 0 58,083 Community Health Services Table 3 Community Benefit Provided by Minnesota Hospitals, 2007 32,000 100,000 0 9,550 0 148,783 158,410 3,609 2,183,902 0 25,195 0 0 22,437 0 0 1,195,965 528,271 360,226 100,574 196,282 15,699 63,376 0 0 124,698 160,438 3,241,852 3,550 0 0 3,145 5,310 0 22,890 84,160 0 0 38,494 187,623 0 0 912,758 31,098 Financial and In-Kind Contributions 0 25,127 0 0 0 0 1,951 0 467,887 0 219 0 0 39,575 52,918 0 199,671 0 39,338 24,463 10,475 1,616 12,322 2,726 0 8,981 964 13,493 10,965 0 0 0 148 0 0 0 0 0 306,545 37,349 0 0 0 800 Community Building Activities 0 0 0 16,000 0 0 132,069 76,107 0 0 0 0 0 377 437,096 0 0 0 103,530 2,107 202,518 0 166,639 0 0 7,461 322,534 0 0 8,304 0 2,875 948 0 0 0 0 0 0 10,121 0 160,246 4,162,125 0 Community Benefit Operation 741,112 387,351 482,738 346,493 2,198,291 61,664,698 7,269,534 1,349,604 28,025,334 436,092 5,521,995 755,269 65,623 1,211,291 1,935,031 1,055,859 2,879,479 18,470,766 23,740,617 5,754,793 15,943,907 1,545,814 6,496,518 446,552 851,855 3,305,344 1,706,968 10,432,019 144,000 86,631 653,839 750,476 147,089 19,494,817 1,255,671 271,978 4,503,482 595,726 3,367,914 1,981,782 5,818,127 255,273 31,436,240 399,529 Total Community Benefit 14.6% 6.1% 11.5% 2.1% 5.5% 6.9% 4.3% 8.8% 6.7% 8.0% 18.9% 8.6% 0.8% 4.1% 15.2% 10.6% 8.7% 6.5% 13.2% 6.4% 7.8% 5.5% 3.2% 3.8% 3.2% 3.5% 10.9% 2.5% 1.3% 1.3% 6.9% 5.8% 1.4% 3.2% 11.1% 1.6% 1.4% 1.9% 12.4% 2.2% 7.9% 2.4% 7.0% 0.9% Percent of Operating Expenses Woodbury Worthington Woodwinds Health Campus Worthington Regional Hospital Nobles Washington Winona Cottonwood County 101,156,116 126,972 731,911 359,270 25,507 Charity Care1 277,664,461 1,397,078 3,152,395 1,310,213 State Health Care Program Under2 payment 58,910 100,709,968 78,438 0 1,280,095 0 Operating Subsidized Services 86,461,661 0 207,458 137,728 75,130 Education 6,895,732 0 0 0 0 Research 36,437,137 0 866 74,653 75,425 Community Health Services 15,288,966 0 8,497 84,003 5,395 Financial and In-Kind Contributions Source: MDH, Health Care Cost Information System 7 /1 Charity care charges adjusted to reflect cost of providing care /2 Calculated as the difference between payments for services provided to public program clients and the cost of providing these services. Where there were no calculated underpayments, this category is zero. Note: Community benefit costs are net of offsetting revenues received for these activities. Total Community Benefits Windom Winona Winona Community Memorial Hospital City Windom Area Hospital Hospital Name Table 3 Community Benefit Provided by Minnesota Hospitals, 2007 3,705,123 0 946 238,048 6,350 Community Building Activities 8,335,231 36,488 293,439 5,554 850 Community Benefit Operation 636,654,395 1,638,976 4,395,512 3,489,564 247,567 Total Community Benefit 5.7% 7.0% 4.9% 6.3% 2.2% Percent of Operating Expenses
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