Hospital Community Benefit Minimum Spending Floor

Overview

With the passage of HB 3076 in 2019, the Oregon State Legislature created a community benefit minimum spending floor program for Oregon’s 60 acute care hospitals and their affiliated clinics. The bill allows hospitals to choose the grouping the spending floor is applied to, including but not limited to:

Each individual hospital and all the hospital’s nonprofit affiliated clinics
A hospital and a group of the hospital’s nonprofit affiliated clinics
All the hospitals that are under common ownership and control and all of the hospitals’ nonprofit affiliated clinics

Announcements and Assigned Floors

Hospitals with assigned Minimum Spending Floors for FY 2024-2025

Documentation for the following hospitals with assigned Minimum Spending Floors is available on each hospital's individual hospital profile page.

Group 1: FY from April 1 to March 31

Notification of Assigned Community Benefit Minimum Spending Floor Legacy Health System

Group 2: FY from May 1 to April 30

Notification of Assigned Community Benefit Minimum Spending Floor Grande Ronde Hospital

Group 3: FY from July 1 to June 30

Notification of Assigned Community Benefit Minimum Spending Floor Bay Area Hospital District
Notification of Assigned Community Benefit Minimum Spending Floor Blue Mountain Hospital District
Notification of Assigned Community Benefit Minimum Spending Floor Coquille Valley Hosptial District and affiliated clinics
Notification of Assigned Community Benefit Minimum Spending Floor Curry General Hospital and affiliates
Notification of Assigned Community Benefit Minimum Spending Floor Good Shepherd Health Care System
Notification of Assigned Community Benefit Minimum Spending Floor Harney District Hospital
Notification of Assigned Community Benefit Minimum Spending Floor Hillsboro Medical Center and affiliated clinics
Notification of Assigned Community Benefit Minimum Spending Floor Lake District Hospital. Note: Lake District Hospital requested and received a modification to their proposed spending floor. OHA made this modification based on information and conversations with Lake District Hospital indicating that their unreimbursed care trends for FY2020-2022 are not reflective of the trend they expect to see in FY2024-2025. Lake Health District's letter provided more details.
Notification of Assigned Community Benefit Minimum Spending Floor Lower Umpqua Hospital
Notification of Assigned Community Benefit Minimum Spending Floor Mercy Medical Center and Centennial Medical Group
Notification of Assigned Community Benefit Minimum Spending Floor OHSU and affiliated clinics
Notification of Assigned Community Benefit Minimum Spending Floor PeaceHealth System
Notification of Assigned Community Benefit Minimum Spending Floor Pioneer Memorial Hospital - Heppner and affiliated clinics
Notification of Assigned Community Benefit Minimum Spending Floor Saint Alphonsus - Baker City
Notification of Assigned Community Benefit Minimum Spending Floor Saint Alphonsus - Ontario
Notification of Assigned Community Benefit Minimum Spending Floor Salem Health System
Notification of Assigned Community Benefit Minimum Spending Floor Southern Coos Hospital and Health Center
Notification of Assigned Community Benefit Minimum Spending Floor St. Anthony Hospital and affiliated clinics
Notification of Assigned Community Benefit Minimum Spending Floor Wallowa Memorial Hospital and affiliated clinics

Group 4: FY from October 1 to September 30

Notification of Assigned Community Benefit Minimum Spending Floor Asante and affiliated clinics
Notification of Assigned Community Benefit Minimum Spending Floor Sky Lakes Medical Center. Note: Sky Lakes Medical Center requested and received a modification to their proposed spending floor. OHA made this modification based on information and conversations with Sky Lakes Medical Center indicating that their operational profit trends for FY2020-2022 are not reflective of the trend they expect to see in FY2024-2025. Sky Lakes Medical Center's letter provided more details. Group 4: FY from October 1 to September 30

Group 5: FY from January 1 to December 31

Notification of Assigned Community Benefit Minimum Spending Floor Adventist Health Portland. Note: Adventist Health Portland requested and received a modification to their proposed spending floor. OHA made this modification based on information and conversations with Adventist Health Portland regarding analysis of historical values for subsidized services for the past years indicating that there were discrepancies in the cost to charge ratios and that FY2022 was an outlier year. Adventist Health Portland’s letter provided more details.
Notification of Assigned Community Benefit Minimum Spending Floor Adventist Health Tillamook
Notification of Assigned Community Benefit Minimum Spending Floor Columbia Memorial Hospital. Note: Columbia Memorial submitted revised data for their FY2022 after noticing a small error. As a result, OHA recalculated their spending floor to ensure accuracy with the revised data.
Notification of Assigned Community Benefit Minimum Spending Floor Kaiser Sunnyside Medical Center
Notification of Assigned Community Benefit Minimum Spending Floor Kaiser Westside Medical Center
Notification of Assigned Community Benefit Minimum Spending Floor Mid-Columbia Medical Center / Adventist Columbia Gorge. Note: Mid-Columbia Medical Center requested and received a modification to their proposed spending floor. OHA made this modification based on information and conversations with Mid-Columbia Medical Center (DBA Adventist Health Columbia Gorge) indicating that there was an error in the submitted underlying data used in the calculation resulting in unreimbursed care being overstated and that their past trends for unreimbursed costs of care are not reflective of the lower anticipated trend they expect to see in FY2024-2025. Mid-Columbia Medical Center's letter provided more details.
Notification of Assigned Community Benefit Minimum Spending Floor Providence Health System and affiliated clinics
Notification of Assigned Community Benefit Minimum Spending Floor Samaritan Health System and affiliated clinics. Note: Samaritan Health Services requested and received a modification to their proposed spending floor(s). OHA made this modification based on information and conversations with Samaritan Health Services indicating that they wish to report their community benefit activities on a combined basis. Samaritan Health Services' letter provided more details.
Notification of Assigned Community Benefit Minimum Spending Floor Santiam Memorial Hospital
Notification of Assigned Community Benefit Minimum Spending Floor Shriners Hospital for Children Portland
Notification of Assigned Community Benefit Minimum Spending Floor St. Charles Health System Medical Centers and affiliated clinics

The Oregon Health Authority is required to apply the spending floor every two years, and calculates the spending floor for each year, two years at a time. The first spending floors apply to hospitals’ fiscal years 2022 and 2023. For more information how the spending floor is calculated, please see the Spending Floor Announcement.

For 30 days after the Oregon Health Authority notifies a hospital or health system of its proposed community benefit minimum spending floor, members of the public may provide

comments. To see the spending floors open for public comment, see below. The Public Comment Schedule lists the expected comment period for each hospital in Oregon.

For 30 days after the Oregon Health Authority notifies a hospital or health system of its proposed community benefit minimum spending floor, the hospital or health system may formally request a modification to the spending floor. For more information on the process of requesting a minimum spending floor modification, please see the Spending Floor Modification Guidance Document.

The Oregon Health Authority may amend the Minimum Spending Floor formula, if necessary, based on review of community benefit reports and feedback from stakeholders and the general public.

No proposed spending floors are open for comment at this time.

Hospital Community Benefit Minimum Spending Floor

Overview

Announcements and Assigned Floors

Assigned Spending Floors

Spending Floor Announcements

Proposed Spending Floors Open For Public Comment

Statute and Rule