oregon acute care hospitals financial and …...q3 '14 q3 '15 oregon hospital trends, q3...

Presented February 29th 2016

Oregon Acute Care HospitalsFinancial and Utilization Trends

3rd Quarter 2015

Oregon Health AuthorityOffice of Health Analytics

ABOUT THIS REPORT

Hospitals play an important role in the health care system, as institutions that provide medical, surgical, and nursing care around the clock, and also as employers, research institutions, and centers to train the health care workforce. According to Centers for Medicare and Medicaid Services reporting, hospital care accounts for over 30% of all health care spending every year. As Oregon continues its large scale health care transformation efforts, tracking costs and utilization of hospitals is an important part of monitoring the impact of these efforts.

This report monitors and compares financial and utilization information for Oregon's acute care inpatient hospitals. Data are presented quarterly for the previous nine quarters, and the report compares the most recent quarterly data with like quarters from previous years. For example, quarter three 2015 results will be compared to quarter three 2014 and quarter three 2013 results. As hospital trends are affected by seasonal variations, more attention should be placed on longer term trends rather than quarter to quarter variation.

The data source for this report is Databank. Databank is a database of self-reported financial and utilization information. Hospitals submit Databank data to the Oregon Health Authority on a quarterly basis. As Databank data are self-reported, they are not audited and this report is not intended as a substitute for audited financial statements.

Kaiser hospitals do not report financial data to Databank, but they do submit utilization data. They are included in utilization reports. Kaiser Westside opened for business in August of 2013, and Shriner's Children Hospital moved to DRG status in the beginning of 2013. These facilities may not have past year data available for comparison. There have not been any hospital closures in recent years.

Please direct questions or comments about this report to: Stacy Delong , MPHOregon Health AuthorityOffice of Health [email protected]

Access datasets and find information about Databank at: www.oregon.gov/oha/OHPR/RSCH/Pages/databank.aspx

Find information about OHA's hospital reporting program at:www.oregon.gov/oha/OHPR/RSCH/pages/hospital_reporting.aspx

Types of Hospitals

In this report, hospital data is presented by four categories: All hospitals, DRG hospitals, Type A hospitals and Type B hospitals.

There are 60 acute care inpatient hospitals in Oregon. These are general care facilities and exclude federal hospitals, long term care and rehabilitation facilities.

There are 28 DRG hospitals in Oregon. These are typically large, urban hospitals that receive payments based on the prospective Diagnostic Related Group (DRG) system.

There are 12 Type A hospitals in Oregon. These hospitals are small - fewer than 50 beds - and are located more than 30 miles from another hospital.

There 20 Type B hospitals in Oregon. These hospitals are small - fewer than 50 beds -and are located within 30 miles of another hospital.

A complete list of all hospitals and their individual performances can be found in the Appendix.

Hospital Icons by Freepik at www.flaticon.com

State of Oregon Icon by Alec Dhuse at www.thenounproject.com

HIGHLIGHTS FROM Q3 2015

In quarter three of 2015, we pass the midpoint of the second year of major health policy reforms enacted under the Affordable Care Act (ACA). The Oregon Health Authority is committed to tracking and reporting on the impacts key policy reforms, such as the creation of the health insurance exchange and expansion of Medicaid eligibility to people with incomes up to 138% of the povertylevel. This report includes financial and utilization data through quarter three 2015.

Medicaid expansion has increased the number of individuals with health care coverage, shifting the payer mix for hospitals and reducing uncompensated care. Continuing trends from 2014, these changes have resulted in positive financial outcomes for Oregon's hospitals. Quarter three poised unique challenges for many hospitals as widespread stock market turmoil took a large bite out of total margins and non-operating revenue sources.

5.2%

2.7%

Q3 2014 Q3 2015

Median Total Marginfell 48%

Charity Care fell

-21%to $207million in Q3 2015

84465

86074

Q3 2014 Q3 2015

Inpatient dischargesincreased 1.9%

Emergency RoomVisitsincreased

+2%to 1.07million total visits YTD in Q3 2015

In Q3 2015 median total margin fell 48.1% when compared to Q3 2014. This is likely due to investment losses from poor stock market performance in 2015.

Charity care continued to fall across the state. Compared to Q3 2014, charity care fell by more than $90 million statewide.

More people visited the emergency room in Q3 2015 than in Q3 2014. Rates of newly insured people using the emergency room remain lower than rates of use for people with pre-expansion insurance.

1 2

Oregon inpatient hospital discharges rose 1.9% when compared Q3 of 2014. Increases in utilization are likely related to recent population growth as well as Medicaid expansion.

3 4

Financial Trends

NET PATIENT REVENUE

Median net patient revenue is up 3.75% in quarter three of 2015 when compared to quarter three of 2014. DRG hospitals continue to post the most consistent growth in net patient revenue, gaining 7.3% year to year in quarter three. Type A and Type B hospitals have posted modest growth when compared to their previous quarter three results. Type B hospitals have now posted four straight quarters of net patient revenue gains, growing by a 15% since taking a hit in the fourth quarter of 2014. Net patient revenueremained strong in the face of across the board drops in admissions. Patient utilization will be discussed later in this report.

$18.4

$21.3

ACA Start

$22.1

$12

$14

$16

$18

$20

$22

$24

Q3'13

Q3'14

Q3'15

All

$39.5

$46.1

$49.5

$38

$40

$42

$44

$46

$48

$50

$52

Q3 '13 Q3 '14 Q3 '15

$11.5

$13.6 $13.7

$9

$10

$11

$12

$13

$14

$15

Q3 '13 Q3 '14 Q3 '15

$6.1

$7.9 $8.2

$4

$5

$6

$7

$8

$9

$10

Q3'13

Q3'14

Q3'15

0.7%

5.2%

0.9%

Q3 2013 Q3 2014 Q3 2015

Net patient revenue had modest growth in 2015.Year to date median percent growth

Statewide median net patient revenue increased year to year in Q3 2015.Median net patient revenue in millions

Net Patient Revenue is the amount a hospital expects to receive for services after accounting for contractual allowances to third party payers and for uncompensated care. This includes payments made for providing health care, such as surgeries, emergency services, lab tests, imaging, etc.

Net patient revenue is calculated by taking the total amount of money billed for patient care (gross patient revenue) and subtracting uncompensated care and contractual amounts.

Oregon Hospital Trends, Q3 2015 - 1 - Oregon Health Authority

Financial Trends

OPERATING MARGIN

Statewide operating margins were down 26% in quarter three of 2015 when compared to quarter three of 2014. DRG and Type A hospitals took the biggest hits, dropping 40.6% and 114.6% respectively . Operating margins are down as a result of operatingexpenses increasing 1.18% from last quarter and operating revenue falling 2.78% from last quarter. Since net patient revenue is up slightly, the losses in revenue come from hospital operations not directly related to patient care. These sources, Databank's "other operating revenue" category, include things such as cafeteria sales, revenue from classes or events, conference room rentals andother sources of income the hospital directly controls. Statewide, hospitals other operating incomes were down 28.4% in quarter 3 when compared to quarter 2 of 2015.

3.5%

6.4%3.8%

-10%

-5%

0%

5%

10%

Q3'13

Q3'14

Q3'15

-3.1%

5.1%3.5%

-10%

-5%

0%

5%

10%

Q3'13

Q3'14

Q3'15

-7.6%

0.8%-0.7%

-10%

-5%

0%

5%

10%

Q3'13

Q3'14

Q3'15

Statewide Median operating margins take a hit in Q3 2015 .Median operating margin as a percent

-177.4%

50.6% 0.1%

Q3 2013 Q3 2014 Q3 2015

Operating margins show little growth year to date 2015.

Operating Margin is calculated as a ratio of operating revenue minus operating expenses divided by operating revenue. Operating revenue includes net patient revenue as well as revenue from other non-patient hospital services, such as cafeteria sales. Operating expenses are the expenses associated with running a hospital, such as supplies, salaries, rentals, professional fees, and insurance.

A positive operating margin means that the hospital is making a profit, while a negative margin means the hospital is operating at a loss.

-0.5%

4.5%3.3%

-10%

-5%

0%

5%

10%

Q3'13

Q3'14

Q3'15


Financial Trends

TOTAL MARGIN

Statewide median total margin fell 48.1% in quarter three of 2015 when compared to quarter three of 2014. This drop in total margin, and posting of total margins that are lower than operation margins is due to non-operating revenue losses in quarter three. Non-operating revenue primarily consists of investment income, donations and gifts. In quarter 3 of 2015 there was significant stock market downturn, with all major indexes posting sharp losses in August. This resulted in more than half of Oregon's hospitals reporting non-operating revenue losses. DRG hospitals are more affected by stock market volatility because they generally are the hospitals that have the size and budget to be able to make extensive investments.

-13.0%

10.8%

-19.7%

Q3 2013 Q3 2014 Q3 2015

Total Margins are down for year to date 2015.Year to date median percent growth

Statewide total margins dropped in Q3 2015. Median total margin as a percent

Total Margin compares revenue and expenses from all sources, including investments, tax subsidies, and operations. It is calculated by dividing all sources of income by all expenses.

7.0%

5.1% 1.9%

-2%

0%

2%

4%

6%

8%

10%

12%

Q3'13

Q3'14

Q3'15

0.1%

5.4%3.9%

-2%

0%

2%

4%

6%

8%

10%

Q3'13

Q3'14

Q3'15

2.2%

4.9%

1.3%

-2%

0%

2%

4%

6%

8%

10%

Q3'13

Q3'14

Q3'15

1.8%

5.2%

2.7%

-2%

0%

2%

4%

6%

8%

10%

12%

Q3'13

Q3'14

Q3'15


Financial Trends

PAYER MIX

Statewide payer mix is holding consistent after redistribution as a result of the Affordable Care Act. Medicaid and self-pay payments remain steady state in quarter three of 2015 when compared to quarter three of 2014. Commercial payments remain lower than pre-ACA levels, but are showing signs of slowly gaining ground. Commercial payments have increased 2.9% from the beginning of 2015 through quarter three.

7.2%

2.1%

1.9%

15.1%

22.3%

23.3%

42.3%

42.1%

42.4%

35.4%

33.4%

32.4%

Q32013

Q32014

Q32015

Self Pay Medicaid Medicare Commercial

Commercial payments still lag 2013 levels.Percent of total patient payments

Medicaid

MedicareCommercial

Self Pay0%

10%

20%

30%

40%

50%

Q3'13

Q3'14

Q3'15

Medicaid

Medicare

Commercial

Self Pay0%

10%

20%

30%

40%

50%

Q3'13

Q3'14

Q3'15

Medicaid

Medicare

Commercial

Self Pay0%

10%

20%

30%

40%

50%

Q3'13

Q3'14

Q3'15

Medicaid

Medicare

Commercial

Self Pay0%

10%

20%

30%

40%

50%

Q3'13

Q3'14

Q3'15

Statewide payer mixes have remained consistent throughout 2015.Percent of total patient payments

Payer mix shows the share of hospital revenue from different payer sources. It is calculated by dividing a payer's total charges by the total charges for all payers. A payer is an entity that assumes the majority of the financial responsibility for the hospital bill.

This report includes four broad payers: Medicare, Medicaid, commercial and self-pay. Since each payer reimburses hospitals at different rates, the payer mix can provide insight to the hospitals larger financial performance.


Financial Trends

CHARITY CARE

Statewide median charity care continued to decrease in quarter three of 2015. Median charity care fell15.3% when compared to quarter three of 2014. Total charity care is down $92.6 million compared to the same time period of 2014.

This dramatic fall in charity care can be directly attributed to the expansion of Medicaid under the provisions of the Affordable Care Act. Medicaid expansion resulted in significant drops in uninsured hospitalizations and as a result, reduced the need for charity care to be offered by hospitals.

3.6%

1.3% 1.1%

0%

1%

2%

3%

4%

5%

6%

Q3'13

Q3'14

Q3'15

3.8%

1.4%1.0%

0%

1%

2%

3%

4%

5%

6%

Q3 '13 Q3 '14 Q3 '15

3.9%

1.4% 1.2%

0%

1%

2%

3%

4%

5%

6%

Q3'13

Q3'14

Q3'15

3.0%

1.1% 1.1%

0%

1%

2%

3%

4%

5%

6%

Q3'13

Q3'14

Q3'15

$627.2

$299.7

$207.1

Q3 2013 Q3 2014 Q3 2015

Hospitals charged $92M less on charity care in Q3 2015.Total charges for all hospitals through the third quarter in millions

Median charity care remains at historically low levels in Q3 2015.Percent of gross patient revenue

Charity Care includes services that are provided for free or at a reduced cost to eligible patients. Each hospital or health system determines its own criteria for providing charity care based on factors such as income, employment status, or alternative sources of funds. The value of charity care is based on a hospital's full established charges and may be equal to the full charge or any portion of it the hospital elects to provide for free.

The total dollar amount a hospital waives may be expressed as a percent of its gross patient revenue for comparison purposes.


Financial Trends

BAD DEBT

Statewide median bad debt has increased throughout 2015, but still remains lower than quarter three of 2014. Type B hospitalshave had their bad debt percentage steadily increase for the past four quarters and are close to approaching pre-ACA levels. While all hospitals saw an uptick in bad debt in quarter three, it is not immediately apparent why type B hospitals have been more affected, and for a longer period of time. Despite this uptick, hospitals have still combined to have $51.7 million less in bad debt year to date in 2015 than in the same time period of 2014.

2.6%

1.4% 1.3%

0%

1%

2%

3%

4%

5%

Q3 '13 Q3 '14 Q3 '15

1.9%

0.9% 0.8%

0%

1%

2%

3%

4%

5%

Q3 '13 Q3 '14 Q3 '15

2.6%

1.5%1.9%

0%

1%

2%

3%

4%

5%

Q3 '13 Q3 '14 Q3 '15

2.9%2.2%

1.3%

0%

1%

2%

3%

4%

5%

6%

Q3 '13 Q3 '14 Q3 '15

$320.1

$178.5

$126.8

Q3 2013 Q3 2014 Q3 2015

Hospitals had $51M less in bad debt in Q3 2015.Total charges for all hospitals in millions through the third quarter

Statewide median bad debt climbed for all hospital types in Q3 2015.Percent of gross patient revenue

Bad Debt occurs when patients do not pay all or part of their bill for services. It is an unpaid bill for care, based on a hospital's full established charges, for which a hospital expects payment but is unable to collect. Bad debt can include unpaid components of the total bill such as co-payments and co-insurance. Like charity care, bad debt is expressed as a percent of gross patient revenue.


Financial Trends

UNCOMPENSATED CARE

Statewide median uncompensated is down 20.6% in quarter three of 2015 when compared to quarter three of 2014. While down year to year, all hospital types show small increases in uncompensated care, driven by increases in bad debt all hospital types saw. Though the first three quarters of 2015, hospitals have combined to have $144.4 Million less in uncompensated care when compared to the same time period of 2014. Total Statewide uncompensated care levels remain at the lowest they have been in the last ten years.

6.4%

2.9% 2.3%

0%

2%

4%

6%

8%

10%

Q3'13

Q3'14

Q3'15

5.8%

2.3% 1.8%

0%

2%

4%

6%

8%

10%

Q3'13

Q3'14

Q3'15

7.0%

3.1% 3.2%

0%

2%

4%

6%

8%

10%

Q3'13

Q3'14

Q3'15

6.1%

3.6%2.7%

0%

2%

4%

6%

8%

10%

Q3'13

Q3'14

Q3'15

Median uncompensated care remained flat and historically low in Q3 2015.Percent of gross patient revenue

$947.3

$478.2

$333.8

Q3 2013 Q3 2014 Q3 2015

Uncompensated care fell $144M in Q3 2015.Total charges for all hospitals in millions through the third quarter

Uncompensated Care is the total of charity care and bad debt charges. It measures the total value of care, based on established charges, that a hospital provides without receiving payment. Because it represents care provided without reimbursement, uncompensated care can directly affect revenue and margin numbers.


Utilization Trends

INPATIENT DISCHARGESInpatient discharges dropped in quarter three of 2015, but still remain 1.9% higher than a year ago. Overall year to year increases in inpatient discharges can likely be attributed to several years of sustained population growth in Oregon, and the Portland metropolitan area in particular. Population data references are provided in the appendix. Quarter to quarter decrease experienced in quarter three is likely explained by seasonal factors. Inpatient discharges typically decrease in the summer months, when common hospitalization causes such as pneumonia and influenza are less common.

84,641 84,46586,074

80,000

82,000

84,000

86,000

88,000

90,000

Q3'13

Q3'14

Q3'15

75,729

75,425

76,958

72,000

74,000

76,000

78,000

80,000

Q3'13

Q3'14

Q3'15

6,2016,287 6,284

5,600

5,900

6,200

6,500

6,800

Q3'13

Q3'14

Q3'15

2,711 2,7532,832

2,400

2,600

2,800

3,000

3,200

Q3'13

Q3'14

Q3'15

253,881 253,856261,558

Q3 2013 Q3 2014 Q3 2015

Hospitals saw 7,700 more patients in 2015.Total discharges for all hospitals through the third quarter

Statewide inpatient discharges grew 1.9% year to year in Q3 2015.Count of quarterly hospital discharges

Inpatient discharge occurs when a patient is formally released from the hospital after being admitted and lodged for at least 24 hours. This report represents Inpatient Discharge is a count of hospitalizations. It is not a count of unique individuals, however, as a single person can be admitted to the hospital multiple times a year.

Inpatient discharges are acute care only and do not count rehabilitation, long term care or specialized psychiatric care.


Utilization Trends

EMERGENCY DEPARTMENT VISITS

Similar to inpatient trends, statewide emergency department visits are up year to year, but down quarter to quarter. Emergency visits have increased 1.9% compared to quarter three of 2014, but have decreased 2.2% from quarter two 2015. The drop from quarter two is likely explained by seasonal differences in hospital admissions. Like inpatient discharges, overall year to year growth is likely due to overall population growth in Oregon as well as the affects of Medicaid expansion.

Emergency department visits dropped 2.2% quarter to quarter in Q3 2015.Count of total quarterly emergency visits

319,797

348,045354,674

280,000

300,000

320,000

340,000

360,000

380,000

Q3'13

Q3'14

Q3'15

239,228

258,290265,258

200,000

220,000

240,000

260,000

280,000

300,000

Q3'13

Q3'14

Q3'15

56,831

64,717 65,122

50,000

54,000

58,000

62,000

66,000

70,000

Q3'13

Q3'14

Q3'15

23,738

25,03824,294

19,000

21,000

23,000

25,000

27,000

Q3'13

Q3'14

Q3'15

949,495 1,011,626

1,071,252

Q3 2013 Q3 2014 Q3 2015

Hospitals have seen 60,000 more ED visits in 2015.Total emergency room visits through the third quarterEmergency Department Visits are reported as the

number of visits to a hospital emergency department that do not result in a hospital admission. A person that visits the emergency department and is then admitted is counted as an inpatient discharge.

This report focuses on the count of ED visits, but cannot provide information about the rate of ED use - i.e. how frequently individuals in a given population visit the ED.


Utilization Trends

OUTPATIENT SURGERIES

Statewide outpatient surgeries have continued to show fluctuations. After increasing 8.3% in quarter two, statewide surgeries fell again by 4.5%. Year to year, outpatient surgeries are down 6.7% compared to quarter three of 2014. The elective and non-emergency nature of most outpatient surgeries can help explain why there is such variability in surgery numbers. Free Standing Ambulatory Surgical Centers (ASCs) are likely also playing a role, as they expand their market presence and take business away from hospitals. This is not necessarily a negative, as many health systems form business partnerships with ASCs, or even outright own ASC facilities.

45,138

52,776

49,228

40,000

45,000

50,000

55,000

60,000

Q3'13

Q3'14

Q3'15

35,597

42,501

39,314

30,000

35,000

40,000

45,000

50,000

Q3'13

Q3'14

Q3'15

6,9137,250

6,831

5,000

6,000

7,000

8,000

9,000

Q3'13

Q3'14

Q3'15

2,628

3,025 3,083

2,000

2,500

3,000

3,500

4,000

Q3'13

Q3'14

Q3'15

148,420

157,061

148,289

Q3 2013 Q3 2014 Q3 2015

Hospitals lag behind 2014 surgery visits.Total count of outpatient surgeries though the third quarter

Hospital outpatient surgeries continue to show quarter to quarter volatility in Q3 2015.Total count of quarterly outpatient surgeries

Outpatient Surgeries include surgeries performed at the hospital that do not require an overnight stay. These discharges consist primarily of non-emergency, planned services in which the patient is treated and released in the same day. Outpatient surgery numbers do not include standard lab work, clinic visits or most diagnostic imaging work.


APPENDIX

The following appendix pages contain individual hospital results for the measures included in this report. Data are provided as year to date results through the second quarter for the past five years, from 2011 to 2015.

Kaiser hospitals are not included in financial measures, as Kaiser does not submit financial data for individual hospitals. Someinformation is not available for Kaiser Westside, as it recently opened, and for Shriner's Children's Hospital, as it recently became a DRG hospital.

As previously described, hospitals in Oregon are divided into three categories based on size and distance to other hospitals. Inaddition to these categories, there are two other key designations a hospital might have that can impact its financial and utilization outcomes. Those are health district and critical access hospitals.

A health district hospital is a one that is under the control of a formal health district. In most cases the controlling entity is the local county government. Being a part of a health district allows the hospitals access to additional funds from tax sources to contribute to operations. This access to tax funding allows many hospitals to continue to operate in rural areas when they otherwise could not afford to. Health districts may also provide funding to other types of clinics and providers.

A critical access hospital is designated by the Centers for Medicare & Medicaid Services (CMS). This designation impacts the reimbursement the hospital receives from Medicare. There are a number of specific criteria a hospital must meet to be considered a critical access hospital, but in general a hospital must be located in a rural area with limited access to otherhospitals. In exchange for providing additional services that the hospital might not otherwise provide due to the cost, Medicarewill reimburse the hospital at a higher rate than other hospitals receive for the same service. These services mostly relate toexpanded emergency services such as a 24 hour emergency room and ambulance transportation.

In the following pages health district hospitals are indicated with an asterisk (*) and critical access hospitals are designated with a Greek letter (ᶲ).

Population data references:

1. U.S. Census Bureau State and County QuickFacts available at: http://quickfacts.census.gov/qfd/states/41/4159000.html.revised 03-Sep-2015.

2. Portland State University Population Research Center (PRC), Annual Population Estimates 2014, available at: http://www.pdx.edu/prc/population-reports-estimates. revised 22-Apr-2015.


Net Patient Revenue-Total Dollar Amounts, by YearHospital Name Q1-3 2011 Q1-3 2012 Q1-3 2013 Q1-3 2014 Q1-3 2015

OHSU Hospital $781,473,976 $855,103,883 $913,403,818 $994,783,513 $1,119,626,919Providence St Vincent Med Ctr $548,450,000 $569,225,000 $581,346,000 $585,486,221 $586,221,015Providence Portland Med Center $440,071,000 $442,850,000 $443,302,000 $445,736,411 $484,577,876Legacy Emanuel Med Center $348,532,200 $370,814,091 $387,457,393 $444,359,511 $450,003,809Salem Hospital $391,806,457 $372,198,599 $405,216,188 $443,777,965 $475,220,426PeaceHealth Sacred Heart Riverbend $384,576,257 $389,534,261 $394,143,773 $436,791,989 $456,178,279St Charles - Bend $263,207,138 $283,879,488 $296,797,447 $331,190,509 $357,843,541Asante Rogue Med Center $258,215,819 $287,066,068 $286,986,514 $308,752,590 $341,721,112Good Samaritan Regional Med Ctr $233,105,000 $233,276,844 $228,427,547 $236,897,098 $268,560,498Adventist Med Center $180,538,258 $194,304,077 $206,540,716 $215,881,878 $216,497,773Legacy Good Samaritan Med Ctr $200,350,015 $207,427,188 $206,073,487 $214,485,442 $237,375,385Legacy Meridian Park Med Center $117,597,540 $125,687,962 $135,682,338 $145,457,348 $160,323,351Sky Lakes Med Center $112,625,285 $121,597,691 $124,908,468 $141,144,468 $152,979,993Mercy Med Center $119,509,868 $132,983,071 $130,179,776 $139,712,633 $155,548,572Providence Medford Med Center $120,294,000 $118,112,000 $117,346,000 $132,992,000 $123,892,197Tuality Healthcare $117,788,604 $115,071,168 $111,327,402 $120,887,770 $117,129,834Samaritan Albany Hospital $80,946,221 $85,393,598 $106,036,888 $113,205,437 $125,557,093Bay Area Hospital $91,934,061 $92,200,894 $97,608,350 $108,180,412 $117,343,716McKenzie-Willamette Med Ctr $84,356,755 $92,254,568 $99,181,329 $106,802,537 $132,926,647Asante Three Rivers Med Center $100,566,505 $94,830,955 $90,419,995 $100,214,636 $108,304,508Legacy Mt Hood Med Center $75,803,954 $73,405,534 $84,242,429 $94,628,135 $103,189,874Providence Willamette Falls $62,802,153 $66,415,148 $67,363,295 $84,215,203 $87,817,552PeaceHealth Sacred Heart University $63,991,017 $68,167,014 $65,394,616 $71,844,124 $79,141,244Willamette Valley Med Ctr $65,926,222 $64,212,462 $63,705,664 $69,140,494 $69,705,090Providence Milwaukie Hospital $66,502,000 $63,087,000 $62,788,000 $67,168,878 $69,091,078Shriners NA NA NA $10,500,343 $9,427,094Kaiser Westside Med Ctr NA NA NA NA NAKaiser Sunnyside Med Center NA NA NA NA NAGood Shepherd Med Centerᶲ $53,268,699 $53,576,162 $55,578,560 $59,750,869 $65,266,322Grande Ronde Hospitalᶲ $43,943,584 $49,116,273 $50,198,236 $52,761,194 $56,872,825St Anthony Hospitalᶲ $37,245,432 $39,858,224 $37,035,930 $47,151,071 $45,584,960Tillamook County Gen Hospitalᶲ $38,168,403 $39,241,217 $39,601,122 $45,885,262 $54,563,747St Alphonsus Med Ctr-Ontario $41,809,571 $42,025,841 $41,682,285 $43,537,261 $48,166,779St Alphonsus Med Ctr-Baker Cityᶲ $19,806,483 $22,821,597 $22,628,269 $23,987,541 $21,734,782Curry General Hospital*ᶲ $15,269,313 $19,527,669 $17,970,558 $22,172,813 $25,025,426Lake District Hospital*ᶲ $10,580,552 $12,192,607 $13,127,249 $15,015,561 $16,567,960Harney District Hospital*ᶲ $10,461,245 $12,453,593 $11,616,866 $14,639,799 $16,188,958Blue Mountain Hospital*ᶲ $12,001,730 $11,845,307 $10,957,585 $12,392,367 $14,270,528Wallowa Memorial Hospital*ᶲ $10,995,544 $13,465,087 $12,218,321 $12,126,334 $13,567,381Pioneer Memorial Heppner*ᶲ $4,513,988 $4,977,818 $5,514,398 $5,370,696 $6,251,147Mid-Columbia Med Center $57,896,384 $55,637,919 $73,124,855 $79,414,740 $67,648,578Silverton Hospital $69,685,457 $67,479,454 $67,311,873 $71,927,742 $76,909,772Providence Newberg Med Center $64,826,000 $61,638,000 $61,651,000 $70,896,198 $78,008,401Samaritan Lebanon Hospitalᶲ $58,811,344 $57,959,892 $58,102,014 $67,037,609 $74,223,202St Charles - Redmond $54,170,308 $51,470,580 $49,960,121 $57,768,477 $61,213,960Columbia Memorial Hospitalᶲ $46,303,488 $47,684,042 $50,854,197 $55,645,627 $66,530,870Providence Hood River Hospitalᶲ $46,793,000 $50,561,000 $51,762,000 $54,231,401 $56,973,838PeaceHealth Peace Harborᶲ $40,967,442 $45,843,528 $41,678,326 $53,988,215 $52,591,001Samaritan Pacific Comm Hospital*ᶲ $45,730,844 $46,361,956 $47,991,196 $53,553,926 $60,212,301Providence Seaside Hospital*ᶲ $32,411,000 $33,904,000 $36,717,000 $39,161,572 $40,253,071Samaritan North Lincoln Hospital*ᶲ $30,838,028 $31,037,335 $31,149,394 $33,793,832 $38,295,907Ashland Comm Hospital $36,791,388 $34,201,182 $32,410,142 $33,029,430 $37,178,791Santiam Memorial Hospital $22,421,115 $22,707,360 $26,236,344 $27,794,488 $31,082,890Pioneer Memorial Prinevilleᶲ $18,747,885 $18,516,789 $19,698,161 $21,810,236 $22,025,278PeaceHealth Cottage Groveᶲ $20,831,763 $20,605,048 $18,769,290 $21,620,639 $21,075,556St Charles - Madras*ᶲ $17,785,424 $18,535,320 $16,925,745 $17,503,572 $20,360,255West Valley Hospitalᶲ $15,685,709 $14,588,519 $15,203,855 $17,471,878 $19,599,521Coquille Valley Hospital*ᶲ $11,270,046 $13,173,112 $17,304,809 $16,078,813 $14,975,242Lower Umpqua Hospital*ᶲ $11,909,643 $11,564,139 $11,870,231 $13,515,733 $14,987,522Southern Coos Hospital*ᶲ $11,471,634 $9,898,097 $9,620,479 $10,354,328 $11,956,426

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Operating Margin- Percent of Gross Patient RevenueHospital Name Q1-3 2011 Q1-3 2012 Q1-3 2013 Q1-3 2014 Q1-3 2015

McKenzie-Willamette Med Ctr 9.7% 8.6% 7.6% 11.9% 25.0%PeaceHealth Sacred Heart Riverbend 5.0% 4.7% 6.1% 16.6% 17.6%Willamette Valley Med Ctr 18.4% 13.9% 12.1% 17.2% 15.4%Asante Rogue Med Center 5.2% 9.4% 6.3% 10.2% 15.0%Mercy Med Center 9.9% 10.5% 7.7% 9.4% 13.8%Legacy Meridian Park Med Center 11.1% 10.0% 10.9% 7.8% 12.4%Sky Lakes Med Center 9.2% 9.8% 6.2% 9.2% 11.9%Legacy Mt Hood Med Center 8.4% 2.0% 6.8% 9.5% 10.1%Providence St Vincent Med Ctr 8.9% 6.9% 8.1% 9.1% 9.6%OHSU Hospital 5.7% 8.0% 6.3% 6.4% 8.2%Asante Three Rivers Med Center 8.5% 0.6% -0.2% 7.0% 7.6%Legacy Good Samaritan Med Ctr 0.9% 5.2% 3.9% 5.0% 7.2%St Charles - Bend 1.2% 4.6% 1.8% 7.1% 6.9%Salem Hospital 4.0% 1.9% 4.6% 4.7% 6.9%Legacy Emanuel Med Center 6.9% 4.2% 2.7% 6.9% 6.4%Bay Area Hospital 1.4% 3.1% 2.7% 3.3% 5.3%Providence Willamette Falls -5.6% -1.5% -4.2% 9.2% 4.7%Samaritan Albany Hospital 4.8% 0.8% -3.5% 1.6% 3.8%Adventist Med Center 1.8% 0.8% -0.3% -2.3% 2.4%Good Samaritan Regional Med Ctr -0.3% -1.8% -4.8% -2.1% 2.1%Providence Milwaukie Hospital 7.9% 3.1% 1.4% 7.1% 2.1%Providence Portland Med Center 3.1% 0.5% -0.3% 1.7% 1.2%PeaceHealth Sacred Heart University -8.0% -0.4% 0.0% -1.5% 0.1%Tuality Healthcare 2.2% -0.2% -1.7% 0.3% -3.7%Providence Medford Med Center 9.0% 3.2% -4.3% 1.2% -12.7%Shriners NA NA NA -150.2% -169.0%Kaiser Sunnyside Med Center NA NA NA NA NAKaiser Westside Med Ctr NA NA NA NA NAGood Shepherd Med Centerᶲ 16.1% 12.9% 14.1% 12.7% 16.7%St Alphonsus Med Ctr-Ontario 3.0% -1.0% -6.8% 3.2% 8.3%Grande Ronde Hospitalᶲ 4.9% 3.9% 4.1% 6.3% 7.0%St Anthony Hospitalᶲ 13.6% 16.2% -12.8% 9.1% 5.3%Tillamook County Gen Hospitalᶲ 2.0% -1.1% -0.6% 1.1% 3.7%Wallowa Memorial Hospital*ᶲ -11.7% 2.9% -9.1% -5.9% 1.0%Curry General Hospital*ᶲ -6.1% 5.4% 3.1% 0.4% -1.8%Lake District Hospital*ᶲ 0.5% -5.0% -6.0% -2.0% -4.2%St Alphonsus Med Ctr-Baker Cityᶲ -0.7% 3.9% -4.2% -2.2% -4.5%Blue Mountain Hospital*ᶲ -6.6% -12.8% -19.4% -9.4% -4.7%Harney District Hospital*ᶲ -6.7% -1.3% -15.3% -1.5% -6.3%Pioneer Memorial Heppner*ᶲ -19.6% -12.5% -9.1% -18.9% -12.7%Pioneer Memorial Prinevilleᶲ -2.6% -5.1% -6.3% 2.7% 18.1%West Valley Hospitalᶲ 7.8% 6.6% 3.7% 10.5% 16.9%Providence Newberg Med Center 11.1% 11.7% 4.5% 11.9% 11.4%St Charles - Redmond 7.1% 3.3% 3.5% 9.2% 9.3%Columbia Memorial Hospitalᶲ 7.9% 7.7% 5.8% 5.4% 6.8%Ashland Comm Hospital -0.7% -11.4% -6.8% -16.2% 6.4%St Charles - Madras*ᶲ -0.6% 0.4% -19.7% -5.3% 6.0%PeaceHealth Peace Harborᶲ -3.2% 13.0% -3.6% 8.2% 4.9%Mid-Columbia Med Center 5.1% 3.2% -1.4% 1.1% 4.5%Samaritan Lebanon Hospitalᶲ 3.7% 0.3% -2.2% 2.2% 3.4%Samaritan Pacific Comm Hospital*ᶲ -2.8% -0.1% 1.0% 1.6% 3.2%Santiam Memorial Hospital 11.3% 4.5% -8.3% -8.9% 1.7%Silverton Hospital 1.3% -4.6% -1.8% -1.2% -1.3%Samaritan North Lincoln Hospital*ᶲ -3.0% -3.7% -3.8% -1.3% -1.5%Southern Coos Hospital*ᶲ -3.0% -6.5% -6.3% -13.2% -2.0%PeaceHealth Cottage Groveᶲ 2.4% -5.1% -4.4% 7.9% -3.1%Providence Seaside Hospital*ᶲ 2.7% 2.7% -1.8% 6.1% -4.2%Providence Hood River Hospitalᶲ 4.9% 6.2% 1.3% 3.9% -6.5%Lower Umpqua Hospital*ᶲ -5.0% -8.6% -13.3% -2.8% -10.4%Coquille Valley Hospital*ᶲ 4.9% 4.6% 3.9% 1.0% -32.7%

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Total Margin- Percent of Gross Patient RevenueHospital Name Q1-3 2011 Q1-3 2012 Q1-3 2013 Q1-3 2014 Q1-3 2015

McKenzie-Willamette Med Ctr 9.7% 8.6% 7.6% 11.9% 25.0%PeaceHealth Sacred Heart Riverbend 5.1% 5.1% 6.3% 16.9% 17.7%Asante Rogue Med Center -1.7% 18.8% 14.7% 11.7% 17.5%Willamette Valley Med Ctr 18.4% 13.9% 12.1% 17.2% 15.4%Sky Lakes Med Center 9.4% 10.9% 7.2% 10.1% 13.4%Mercy Med Center 8.1% 14.3% 10.5% 11.2% 12.9%Legacy Meridian Park Med Center 8.6% 19.0% 17.4% 12.3% 12.1%Asante Three Rivers Med Center 1.8% 11.3% 10.8% 9.3% 11.4%Legacy Mt Hood Med Center 7.7% 4.5% 8.1% 10.4% 9.9%Providence St Vincent Med Ctr 11.8% 6.8% 8.1% 9.1% 9.6%OHSU Hospital 6.3% 10.4% 6.8% 7.5% 8.4%Legacy Good Samaritan Med Ctr -0.2% 9.5% 7.3% 7.2% 7.0%Legacy Emanuel Med Center 6.0% 7.1% 4.3% 7.7% 6.1%Bay Area Hospital 5.5% 5.1% 1.0% 4.9% 6.0%Salem Hospital 1.8% 6.5% 11.4% 7.2% 5.3%Providence Willamette Falls -5.0% -1.5% -4.2% 9.2% 4.7%Samaritan Albany Hospital 5.0% 1.0% -3.2% 1.8% 4.1%Good Samaritan Regional Med Ctr -0.2% -1.6% -4.4% -1.6% 2.6%Adventist Med Center 1.8% 0.8% -0.3% -2.3% 2.4%Providence Milwaukie Hospital 11.0% 3.2% 1.4% 7.1% 2.1%Providence Portland Med Center 4.4% 0.5% -0.6% 1.8% 1.2%PeaceHealth Sacred Heart University -7.9% 0.0% 0.3% -1.2% 0.2%St Charles - Bend -2.8% 12.0% 13.8% 11.5% -1.6%Tuality Healthcare 2.9% 2.4% -0.5% 1.8% -3.4%Providence Medford Med Center 11.1% 3.2% -4.3% 1.2% -12.7%Shriners NA NA NA -150.2% -169.0%Kaiser Westside Med Ctr NA NA NA NA NAKaiser Sunnyside Med Center NA NA NA NA NAGood Shepherd Med Centerᶲ 17.8% 13.4% 21.1% 14.8% 21.2%Wallowa Memorial Hospital*ᶲ -3.7% 7.5% 1.8% 0.4% 7.8%Grande Ronde Hospitalᶲ 3.5% 8.4% 8.8% 7.7% 7.6%St Alphonsus Med Ctr-Ontario 4.3% 2.0% -4.8% 4.4% 7.1%Pioneer Memorial Heppner*ᶲ 3.2% 7.7% 9.8% 3.8% 6.5%Tillamook County Gen Hospitalᶲ 5.0% 1.9% 1.9% 3.0% 5.5%Lake District Hospital*ᶲ 6.2% -0.1% -1.5% 1.8% 5.0%St Anthony Hospitalᶲ 7.3% 28.3% -2.1% 10.6% 4.5%Blue Mountain Hospital*ᶲ 5.3% -3.9% -7.2% 0.9% 3.9%Curry General Hospital*ᶲ -3.4% 10.1% 5.8% 2.9% 0.8%St Alphonsus Med Ctr-Baker Cityᶲ -1.0% 5.0% -3.8% -1.4% -5.1%Harney District Hospital*ᶲ 2.5% 6.0% -5.6% 5.6% -14.7%Pioneer Memorial Prinevilleᶲ -2.2% -4.9% -6.1% 2.9% 18.2%West Valley Hospitalᶲ 7.8% 6.6% 3.7% 10.5% 16.9%Providence Newberg Med Center 11.2% 11.7% 4.5% 11.9% 11.4%St Charles - Redmond 6.2% 3.2% 3.5% 9.3% 9.3%St Charles - Madras*ᶲ 0.9% -11.5% -19.7% -5.2% 6.7%Ashland Comm Hospital -2.6% -10.8% -6.6% -16.2% 6.4%Columbia Memorial Hospitalᶲ 6.8% 8.9% 7.1% 5.8% 5.9%Mid-Columbia Med Center 5.2% 3.2% -0.7% 1.2% 5.3%PeaceHealth Peace Harborᶲ -3.3% 13.1% -2.9% 8.5% 4.9%Samaritan Pacific Comm Hospital*ᶲ 9.5% 1.5% 2.6% 3.0% 4.5%Samaritan Lebanon Hospitalᶲ 4.2% 0.9% -1.1% 2.9% 4.3%Southern Coos Hospital*ᶲ 2.2% -2.1% 5.3% 11.9% 3.8%Santiam Memorial Hospital 11.1% 4.8% -8.1% -8.8% 1.5%Samaritan North Lincoln Hospital*ᶲ -0.4% -1.1% -1.2% 1.1% 0.8%Silverton Hospital 1.5% -4.3% -2.8% -2.2% -1.0%Lower Umpqua Hospital*ᶲ 4.6% 5.3% -2.5% 5.5% -2.3%PeaceHealth Cottage Groveᶲ 2.5% -4.5% -4.0% 8.4% -2.8%Providence Seaside Hospital*ᶲ 2.8% 2.7% -1.8% 6.1% -4.2%Providence Hood River Hospitalᶲ 5.1% 6.2% 1.4% 3.9% -6.5%Coquille Valley Hospital*ᶲ 9.5% 9.0% 7.6% 5.0% -28.4%

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Payer Mix- Medicaid Percentage of Total PaymentsHospital Name Q1-3 2011 Q1-3 2012 Q1-3 2013 Q1-3 2014 Q1-3 2015

Shriners NA NA NA 46.5% 49.1%Legacy Emanuel Med Center 31.5% 28.7% 28.4% 39.2% 41.5%Legacy Mt Hood Med Center 21.2% 21.6% 18.6% 30.4% 31.3%PeaceHealth Sacred Heart University 17.2% 16.5% 14.2% 23.6% 28.4%Tuality Healthcare 14.9% 15.1% 15.8% 22.6% 28.2%OHSU Hospital 20.3% 20.7% 19.8% 24.8% 26.6%Willamette Valley Med Ctr 15.7% 16.2% 14.6% 24.2% 26.2%Providence Milwaukie Hospital 16.3% 17.5% 15.0% 22.9% 25.5%Mercy Med Center 15.6% 14.6% 14.5% 21.3% 24.1%Providence Willamette Falls 12.7% 13.3% 14.9% 23.0% 24.1%Sky Lakes Med Center 15.9% 15.6% 16.1% 21.1% 23.5%Asante Three Rivers Med Center 15.5% 16.7% 17.0% 20.8% 23.4%Samaritan Albany Hospital 14.9% 14.3% 16.3% 21.6% 22.8%PeaceHealth Sacred Heart Riverbend 15.7% 15.3% 15.6% 22.1% 22.5%McKenzie-Willamette Med Ctr 13.1% 14.2% 13.3% 19.5% 22.3%Providence Medford Med Center 15.3% 15.3% 14.6% 21.2% 22.0%Asante Rogue Med Center 14.5% 14.2% 16.2% 18.8% 21.4%Salem Hospital 14.1% 14.2% 13.5% 20.4% 21.1%Providence Portland Med Center 12.6% 13.5% 12.2% 19.0% 20.4%Adventist Med Center 13.8% 13.6% 13.0% 17.8% 20.3%Bay Area Hospital 14.2% 14.3% 12.9% 18.3% 19.7%Legacy Good Samaritan Med Ctr 9.9% 10.9% 8.8% 17.0% 18.8%St Charles - Bend 12.7% 11.3% 11.4% 17.2% 18.7%Good Samaritan Regional Med Ctr 11.0% 10.2% 12.0% 16.1% 17.4%Providence St Vincent Med Ctr 10.0% 9.5% 10.6% 14.5% 15.5%Legacy Meridian Park Med Center 4.9% 5.9% 4.9% 10.9% 11.9%Kaiser Westside Med Ctr NA NA NA NA NAKaiser Sunnyside Med Center NA NA NA NA NAGood Shepherd Med Centerᶲ 18.7% 19.0% 18.6% 25.8% 29.2%Harney District Hospital*ᶲ 17.2% 15.8% 17.1% 26.3% 28.4%St Alphonsus Med Ctr-Ontario 17.2% 16.3% 17.8% 24.0% 24.7%St Alphonsus Med Ctr-Baker Cityᶲ 9.5% 16.8% 21.1% 23.0% 24.2%Grande Ronde Hospitalᶲ 16.1% 15.9% 17.3% 21.0% 23.8%St Anthony Hospitalᶲ 14.9% 14.6% 15.6% 21.6% 23.7%Curry General Hospital*ᶲ 13.6% 13.1% 16.2% 18.4% 21.4%Blue Mountain Hospital*ᶲ 21.1% 17.1% 17.1% 19.3% 21.2%Tillamook County Gen Hospitalᶲ 12.2% 13.4% 13.6% 17.9% 17.8%Pioneer Memorial Heppner*ᶲ 12.3% 14.0% 14.2% 16.7% 17.8%Wallowa Memorial Hospital*ᶲ 13.7% 13.7% 13.6% 14.9% 16.3%Lake District Hospital*ᶲ 14.0% 20.1% 13.1% 11.4% 14.4%St Charles - Madras*ᶲ 30.2% 28.5% 30.5% 37.7% 43.2%Silverton Hospital 21.8% 20.5% 22.0% 27.5% 30.0%Pioneer Memorial Prinevilleᶲ 14.8% 17.6% 17.0% 26.1% 27.9%Samaritan Lebanon Hospitalᶲ 19.5% 19.9% 20.3% 27.0% 27.7%PeaceHealth Cottage Groveᶲ 17.3% 18.0% 18.9% 26.5% 27.5%St Charles - Redmond 17.6% 18.3% 19.0% 26.7% 26.5%West Valley Hospitalᶲ 19.5% 18.2% 18.0% 23.6% 26.1%Samaritan Pacific Comm Hospital*ᶲ 16.6% 16.8% 16.1% 23.2% 24.3%Samaritan North Lincoln Hospital*ᶲ 15.9% 15.7% 16.2% 25.4% 23.7%Lower Umpqua Hospital*ᶲ 12.4% 10.8% 13.5% 20.2% 23.7%Providence Seaside Hospital*ᶲ 17.4% 15.4% 14.7% 24.4% 22.9%Santiam Memorial Hospital 18.4% 17.3% 15.5% 20.4% 22.7%Mid-Columbia Med Center 12.6% 13.4% 13.1% 17.9% 20.0%Providence Newberg Med Center 13.1% 13.5% 13.7% 19.8% 19.9%Providence Hood River Hospitalᶲ 14.1% 15.0% 14.5% 19.0% 19.9%Columbia Memorial Hospitalᶲ 14.2% 13.4% 13.7% 18.1% 19.5%Ashland Comm Hospital 8.1% 9.1% 8.4% 13.8% 19.0%PeaceHealth Peace Harborᶲ 9.0% 8.8% 9.2% 17.1% 18.8%Coquille Valley Hospital*ᶲ 12.0% 10.4% 9.2% 12.4% 17.1%Southern Coos Hospital*ᶲ 11.9% 10.7% 10.3% 15.1% 13.9%

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Charity Care- Total ExpenseHospital Name Q1-3 2011 Q1-3 2012 Q1-3 2013 Q1-3 2014 Q1-3 2015

OHSU Hospital $53,856,558 $61,731,876 $69,450,256 $37,001,097 $21,920,737Legacy Emanuel Med Center $47,334,383 $59,787,284 $49,894,013 $22,737,983 $21,920,620Salem Hospital $37,118,967 $34,239,443 $41,855,987 $16,999,997 $15,253,230Providence St Vincent Med Ctr $40,833,000 $50,090,000 $46,764,000 $23,401,451 $14,918,167Providence Portland Med Center $43,624,000 $47,578,000 $46,657,000 $18,202,503 $13,236,192Legacy Mt Hood Med Center $16,639,133 $22,872,327 $18,904,371 $6,971,650 $9,251,982Legacy Good Samaritan Med Ctr $23,319,928 $26,029,807 $24,655,188 $8,225,983 $8,508,608Asante Rogue Med Center $29,818,299 $29,925,054 $29,402,533 $12,448,132 $7,076,144St Charles - Bend $16,191,949 $20,989,207 $20,879,228 $11,183,099 $6,786,982Adventist Med Center $14,732,592 $15,764,688 $13,268,247 $15,673,358 $6,407,728Providence Medford Med Center $14,658,000 $19,481,000 $21,243,000 $13,454,000 $6,209,027PeaceHealth Sacred Heart Riverbend $43,227,233 $32,409,976 $33,231,993 $15,719,073 $5,524,202Legacy Meridian Park Med Center $11,500,963 $14,416,828 $12,436,275 $5,097,384 $5,160,780Asante Three Rivers Med Center $17,420,238 $15,573,648 $16,899,550 $5,656,692 $5,096,695Sky Lakes Med Center $9,269,492 $10,706,590 $12,241,650 $8,410,907 $4,828,411Good Samaritan Regional Med Ctr $15,853,918 $15,475,659 $19,053,533 $5,712,889 $4,710,423Tuality Healthcare $7,724,477 $7,854,435 $7,752,244 $5,704,216 $3,701,040Providence Milwaukie Hospital $8,589,000 $9,604,000 $9,642,000 $4,214,669 $3,124,836Samaritan Albany Hospital $5,679,046 $6,231,100 $7,354,487 $3,467,528 $2,723,083Providence Willamette Falls $6,769,699 $5,393,822 $9,120,536 $2,947,025 $2,598,327Bay Area Hospital $5,548,637 $8,221,346 $4,657,386 $1,790,266 $1,219,777PeaceHealth Sacred Heart University $8,775,734 $7,240,106 $7,781,158 $3,523,703 $896,213Willamette Valley Med Ctr $604,956 $621,674 $1,933,894 $928,658 $545,330Mercy Med Center $9,802,872 $9,501,588 $11,622,734 $2,930,119 $367,079Shriners NA NA NA $944,610 $145,224McKenzie-Willamette Med Ctr $2,547,038 $1,828,472 $4,142,928 $544,948 $16,807Kaiser Westside Med Ctr NA NA NA NA NAKaiser Sunnyside Med Center NA NA NA NA NATillamook County Gen Hospitalᶲ $4,309,432 $5,008,773 $5,069,499 $2,470,956 $2,833,366Good Shepherd Med Centerᶲ $6,901,362 $5,801,937 $7,836,200 $2,631,250 $2,183,701St Alphonsus Med Ctr-Ontario $3,776,856 $4,115,371 $3,942,152 $3,788,370 $1,796,147Grande Ronde Hospitalᶲ $3,223,247 $2,785,451 $3,006,864 $1,386,907 $1,261,770St Anthony Hospitalᶲ $3,407,674 $1,863,254 $1,862,204 $1,213,531 $669,593St Alphonsus Med Ctr-Baker Cityᶲ $1,188,781 $1,268,076 $1,188,775 $464,513 $528,362Curry General Hospital*ᶲ $384,857 $398,042 $989,106 $254,412 $243,503Harney District Hospital*ᶲ $179,687 $129,336 $387,438 $284,909 $171,202Lake District Hospital*ᶲ $366,148 $590,995 $340,569 $182,850 $158,346Wallowa Memorial Hospital*ᶲ $209,849 $280,303 $256,323 $92,408 $115,200Blue Mountain Hospital*ᶲ $264,795 $430,343 $673,972 $127,783 $90,455Pioneer Memorial Heppner*ᶲ $149,864 $113,426 $53,139 $80,512 $76,477Mid-Columbia Med Center $4,434,177 $4,668,314 $4,668,596 $3,608,157 $4,205,403Providence Newberg Med Center $6,680,000 $7,424,000 $8,073,000 $3,785,168 $3,335,562Samaritan Lebanon Hospitalᶲ $4,424,469 $4,524,528 $4,150,499 $2,595,869 $2,384,545Silverton Hospital $9,227,802 $7,723,794 $8,446,973 $5,317,849 $1,973,588Providence Hood River Hospitalᶲ $3,851,000 $4,267,000 $4,772,000 $3,048,076 $1,899,229St Charles - Redmond $3,437,858 $4,275,501 $4,820,870 $2,200,961 $1,754,644Providence Seaside Hospital*ᶲ $4,161,000 $4,282,000 $4,483,000 $1,271,369 $1,601,974Columbia Memorial Hospitalᶲ $1,535,320 $2,077,843 $2,453,817 $1,595,575 $1,274,675Samaritan Pacific Comm Hospital*ᶲ $2,508,579 $3,106,393 $3,513,667 $1,685,843 $1,216,189Samaritan North Lincoln Hospital*ᶲ $1,995,230 $2,054,943 $2,195,260 $1,598,025 $974,553PeaceHealth Peace Harborᶲ $4,305,536 $3,484,760 $3,438,434 $1,245,087 $750,249Pioneer Memorial Prinevilleᶲ $843,752 $1,463,542 $1,605,086 $761,219 $693,674West Valley Hospitalᶲ $1,478,851 $1,547,498 $1,733,538 $653,871 $661,193Ashland Comm Hospital $1,300,814 $863,480 $1,255,833 $770,751 $623,395St Charles - Madras*ᶲ $380,785 $362,049 $1,343,261 $678,046 $513,576PeaceHealth Cottage Groveᶲ $1,508,014 $1,153,965 $1,292,544 $522,568 $331,505Santiam Memorial Hospital $839,507 $886,241 $1,028,013 $667,377 $283,421Lower Umpqua Hospital*ᶲ $145,832 $249,181 $549,025 $538,313 $107,382Southern Coos Hospital*ᶲ $370,063 $143,487 $187,549 $67,115 $105,906Coquille Valley Hospital*ᶲ $204,302 $169,628 $194,618 $200,137 $85,531

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Bad Debt- Total ExpenseHospital Name Q1-3 2011 Q1-3 2012 Q1-3 2013 Q1-3 2014 Q1-3 2015

Salem Hospital $24,357,536 $28,460,069 $28,454,230 $15,145,715 $18,484,993OHSU Hospital $25,408,693 $31,431,337 $40,146,652 $25,606,140 $12,129,551Sky Lakes Med Center $7,426,067 $10,463,453 $10,281,717 $12,037,108 $8,905,827PeaceHealth Sacred Heart Riverbend $10,259,995 $20,331,414 $20,127,646 $3,187,941 $8,353,484Tuality Healthcare $11,550,534 $11,487,936 $13,019,054 $6,631,735 $6,506,035Adventist Med Center $15,311,887 $19,220,721 $15,598,211 $2,703,415 $4,347,219McKenzie-Willamette Med Ctr $8,246,975 $8,863,372 $8,927,617 $6,782,629 $4,121,481Good Samaritan Regional Med Ctr $7,980,212 $7,990,533 $4,948,612 $5,716,034 $3,971,969Mercy Med Center $17,699,879 $10,080,726 $6,496,082 $5,422,986 $3,943,281Samaritan Albany Hospital $4,482,698 $4,243,959 $3,987,936 $2,140,048 $3,516,808PeaceHealth Sacred Heart University $2,967,259 $6,042,250 $4,949,008 $1,222,009 $2,481,384Willamette Valley Med Ctr $4,436,612 $5,400,706 $5,615,724 $3,466,773 $2,414,389St Charles - Bend $14,510,700 $13,918,341 $14,725,146 $4,349,453 $2,384,692Legacy Mt Hood Med Center $7,586,073 $3,420,154 $10,360,140 $5,412,081 $2,334,786Legacy Meridian Park Med Center $5,764,502 $5,117,799 $6,511,039 $3,443,275 $2,138,798Asante Rogue Med Center $3,514,242 $1,891,815 $5,296,767 $1,320,272 $2,126,043Asante Three Rivers Med Center $579,409 $2,403,650 $3,419,933 $1,786,406 $1,480,977Providence Portland Med Center $10,628,000 $8,756,000 $6,949,000 $6,827,830 $1,458,939Providence Medford Med Center $3,423,000 $4,590,000 $2,650,000 -$2,599,000 $1,334,822Providence Willamette Falls $3,414,257 $4,127,366 $3,257,414 $2,189,689 $1,099,835Providence Milwaukie Hospital $3,486,000 $3,005,000 $1,777,000 $1,666,786 $703,804Providence St Vincent Med Ctr $9,141,000 $9,391,000 $9,575,000 $5,491,902 $594,680Kaiser Westside Med Ctr $0 $0 $0 $0 $0Kaiser Sunnyside Med Center $0 $0 $0 $0 $0Shriners $0 $0 $0 $0 $0Bay Area Hospital $7,700,140 $5,490,817 $9,178,749 $5,361,417 -$197,925Legacy Good Samaritan Med Ctr $7,668,712 $4,887,413 $6,956,596 $3,387,141 -$566,720Legacy Emanuel Med Center $19,407,406 $14,956,362 $22,913,109 $11,685,250 -$2,003,404Good Shepherd Med Centerᶲ $4,340,945 $4,709,222 $4,060,217 $3,470,650 $2,544,812St Alphonsus Med Ctr-Ontario $2,233,627 $2,355,517 $2,771,609 $2,414,618 $1,482,817Harney District Hospital*ᶲ $644,817 $889,354 $1,186,732 $842,889 $980,716Grande Ronde Hospitalᶲ $2,030,183 $2,704,038 $1,768,368 $1,867,896 $816,444Curry General Hospital*ᶲ $924,209 $1,131,215 $229,048 $14,938 $753,215Tillamook County Gen Hospitalᶲ $913,604 $883,348 $894,471 $804,785 $691,670St Anthony Hospitalᶲ $3,737,485 $3,791,482 $2,056,104 $2,116,769 $534,763Lake District Hospital*ᶲ $460,960 $718,977 $887,311 $489,471 $503,487Blue Mountain Hospital*ᶲ $346,470 $550,296 $576,689 $472,335 $407,456St Alphonsus Med Ctr-Baker Cityᶲ $1,351,288 $1,351,901 $1,010,887 $780,267 $316,191Wallowa Memorial Hospital*ᶲ $186,916 $219,929 $280,662 $446,010 $130,573Pioneer Memorial Heppner*ᶲ $139,529 $95,994 $213,365 $84,617 $55,000Columbia Memorial Hospitalᶲ $3,211,966 $3,104,445 $3,569,713 $3,504,397 $3,220,332Samaritan Lebanon Hospitalᶲ $5,611,727 $5,123,273 $3,168,061 $1,584,873 $2,722,166Samaritan Pacific Comm Hospital*ᶲ $3,904,490 $3,325,870 $2,890,147 $1,816,000 $2,510,305Coquille Valley Hospital*ᶲ $1,595,529 $1,812,470 $1,142,302 $1,444,254 $2,483,142Silverton Hospital $3,674,865 $4,718,862 $3,050,680 -$358,355 $2,389,064Samaritan North Lincoln Hospital*ᶲ $3,341,322 $2,675,842 $1,923,789 $1,451,846 $1,799,309Mid-Columbia Med Center $3,933,451 $4,144,038 $3,774,145 $1,559,471 $1,460,455West Valley Hospitalᶲ $1,804,792 $1,714,558 $1,979,426 $1,158,564 $1,453,982PeaceHealth Peace Harborᶲ $1,239,997 $2,266,944 $1,439,830 $812,278 $1,202,803St Charles - Redmond $3,139,163 $3,549,492 $3,651,433 $1,314,145 $1,190,949Santiam Memorial Hospital $2,792,555 $2,584,728 $2,641,851 $1,767,519 $1,106,588Providence Newberg Med Center $2,376,000 $1,784,000 $1,101,000 $1,200,863 $769,883St Charles - Madras*ᶲ $2,089,798 $1,963,811 $1,460,728 $1,092,138 $725,377PeaceHealth Cottage Groveᶲ $941,004 $1,324,487 $1,552,148 $877,014 $636,070Lower Umpqua Hospital*ᶲ $728,914 $791,765 $534,225 $80,696 $474,796Providence Seaside Hospital*ᶲ $1,275,000 $1,328,000 $690,000 $1,175,377 $471,416Southern Coos Hospital*ᶲ $921,429 $975,644 $685,573 $637,946 $439,777Providence Hood River Hospitalᶲ $847,000 $874,000 $411,000 $687,727 $329,647Pioneer Memorial Prinevilleᶲ $1,272,073 $1,719,160 $1,138,712 $585,801 $169,224Ashland Comm Hospital $961,504 $1,275,259 $1,195,153 $1,909,709 -$40,917

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Uncompensated Care-Total ExpenseHospital Name Q1-3 2011 Q1-3 2012 Q1-3 2013 Q1-3 2014 Q1-3 2015

OHSU Hospital $79,265,251 $93,163,213 $109,596,908 $62,607,237 $34,050,288Legacy Emanuel Med Center $66,741,789 $74,743,646 $72,807,122 $34,423,233 $19,917,216Salem Hospital $61,476,503 $62,699,512 $70,310,217 $32,145,712 $33,738,223Providence St Vincent Med Ctr $49,974,000 $59,481,000 $56,339,000 $28,893,353 $15,512,847Providence Portland Med Center $54,252,000 $56,334,000 $53,606,000 $25,030,333 $14,695,131Sky Lakes Med Center $16,695,559 $21,170,043 $22,523,367 $20,448,015 $13,734,238PeaceHealth Sacred Heart Riverbend $53,487,228 $52,741,390 $53,359,639 $18,907,014 $13,877,686Adventist Med Center $30,044,479 $34,985,409 $28,866,458 $18,376,773 $10,754,947St Charles - Bend $30,702,649 $34,907,548 $35,604,374 $15,532,552 $9,171,674Asante Rogue Med Center $33,332,541 $31,816,869 $34,699,300 $13,768,404 $9,202,187Legacy Mt Hood Med Center $24,225,206 $26,292,481 $29,264,511 $12,383,731 $11,586,768Tuality Healthcare $19,275,011 $19,342,371 $20,771,298 $12,335,951 $10,207,075Legacy Good Samaritan Med Ctr $30,988,640 $30,917,220 $31,611,784 $11,613,124 $7,941,888Good Samaritan Regional Med Ctr $23,834,130 $23,466,192 $24,002,145 $11,428,923 $8,682,392Providence Medford Med Center $18,081,000 $24,071,000 $23,893,000 $10,855,000 $7,543,849Legacy Meridian Park Med Center $17,265,465 $19,534,627 $18,947,314 $8,540,659 $7,299,578Mercy Med Center $27,502,751 $19,582,314 $18,118,816 $8,353,105 $4,310,360Asante Three Rivers Med Center $17,999,647 $17,977,298 $20,319,483 $7,443,098 $6,577,672McKenzie-Willamette Med Ctr $10,794,013 $10,691,844 $13,070,545 $7,327,577 $4,138,288Bay Area Hospital $13,248,777 $13,712,163 $13,836,135 $7,151,683 $1,021,852Providence Milwaukie Hospital $12,075,000 $12,609,000 $11,419,000 $5,881,455 $3,828,640Samaritan Albany Hospital $10,161,744 $10,475,059 $11,342,423 $5,607,576 $6,239,891Providence Willamette Falls $10,183,956 $9,521,188 $12,377,950 $5,136,714 $3,698,162PeaceHealth Sacred Heart University $11,742,993 $13,282,356 $12,730,166 $4,745,712 $3,377,597Willamette Valley Med Ctr $5,041,568 $6,022,380 $7,549,618 $4,395,431 $2,959,719Shriners NA NA NA $944,610 $145,224Kaiser Sunnyside Med Center NA NA NA NA NAKaiser Westside Med Ctr NA NA NA NA NASt Alphonsus Med Ctr-Ontario $6,010,483 $6,470,888 $6,713,761 $6,202,988 $3,278,964Good Shepherd Med Centerᶲ $11,242,307 $10,511,159 $11,896,417 $6,101,900 $4,728,513St Anthony Hospitalᶲ $7,145,159 $5,654,736 $3,918,308 $3,330,300 $1,204,356Tillamook County Gen Hospitalᶲ $5,223,036 $5,892,121 $5,963,970 $3,275,741 $3,525,036Grande Ronde Hospitalᶲ $5,253,430 $5,489,489 $4,775,232 $3,254,803 $2,078,214St Alphonsus Med Ctr-Baker Cityᶲ $2,540,069 $2,619,977 $2,199,662 $1,244,780 $844,553Harney District Hospital*ᶲ $824,504 $1,018,690 $1,574,170 $1,127,798 $1,151,918Lake District Hospital*ᶲ $827,108 $1,309,972 $1,227,880 $672,321 $661,833Blue Mountain Hospital*ᶲ $611,265 $980,639 $1,250,661 $600,118 $497,911Wallowa Memorial Hospital*ᶲ $396,765 $500,232 $536,985 $538,418 $245,773Curry General Hospital*ᶲ $1,309,066 $1,529,257 $1,218,154 $269,350 $996,718Pioneer Memorial Heppner*ᶲ $289,393 $209,420 $266,504 $165,129 $131,477Mid-Columbia Med Center $8,367,628 $8,812,352 $8,442,741 $5,167,628 $5,665,858Columbia Memorial Hospitalᶲ $4,747,286 $5,182,288 $6,023,530 $5,099,972 $4,495,007Providence Newberg Med Center $9,056,000 $9,208,000 $9,174,000 $4,986,031 $4,105,445Silverton Hospital $12,902,667 $12,442,656 $11,497,653 $4,959,494 $4,362,652Samaritan Lebanon Hospitalᶲ $10,036,196 $9,647,801 $7,318,560 $4,180,742 $5,106,711Providence Hood River Hospitalᶲ $4,698,000 $5,141,000 $5,183,000 $3,735,803 $2,228,876St Charles - Redmond $6,577,021 $7,824,993 $8,472,303 $3,515,106 $2,945,593Samaritan Pacific Comm Hospital*ᶲ $6,413,069 $6,432,263 $6,403,814 $3,501,843 $3,726,494Samaritan North Lincoln Hospital*ᶲ $5,336,552 $4,730,785 $4,119,049 $3,049,871 $2,773,862Ashland Comm Hospital $2,262,318 $2,138,739 $2,450,986 $2,680,460 $582,478Providence Seaside Hospital*ᶲ $5,436,000 $5,610,000 $5,173,000 $2,446,746 $2,073,390Santiam Memorial Hospital $3,632,062 $3,470,969 $3,669,864 $2,434,896 $1,390,009PeaceHealth Peace Harborᶲ $5,545,533 $5,751,704 $4,878,264 $2,057,365 $1,953,052West Valley Hospitalᶲ $3,283,643 $3,262,056 $3,712,964 $1,812,435 $2,115,175St Charles - Madras*ᶲ $2,470,583 $2,325,860 $2,803,989 $1,770,184 $1,238,953Coquille Valley Hospital*ᶲ $1,799,831 $1,982,098 $1,336,920 $1,644,391 $2,568,673PeaceHealth Cottage Groveᶲ $2,449,018 $2,478,452 $2,844,692 $1,399,582 $967,575Pioneer Memorial Prinevilleᶲ $2,115,825 $3,182,702 $2,743,798 $1,347,020 $862,898Southern Coos Hospital*ᶲ $1,291,492 $1,119,131 $873,122 $705,061 $545,683Lower Umpqua Hospital*ᶲ $874,746 $1,040,946 $1,083,250 $619,009 $582,178

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Inpatient Discharges- Count of Total DischargesHospital Name Q1-3 2011 Q1-3 2012 Q1-3 2013 Q1-3 2014 Q1-3 2015

OHSU Hospital 22,008 22,642 22,027 21,021 22,271Providence St Vincent Med Ctr 20,986 21,347 20,646 19,294 19,251PeaceHealth Sacred Heart Riverbend 18,164 17,684 17,411 17,962 17,450Salem Hospital 17,201 15,481 16,272 17,294 18,410Providence Portland Med Center 17,169 16,878 17,028 16,079 17,384Legacy Emanuel Med Center 14,087 14,239 13,869 13,001 14,143Asante Rogue Med Center 10,699 10,898 11,483 12,480 13,379Kaiser Sunnyside Med Center 15,080 14,896 15,230 12,102 12,459St Charles - Bend 11,229 11,282 11,232 11,445 11,728Adventist Med Center 8,676 8,908 9,113 8,633 7,858Legacy Good Samaritan Med Ctr 8,804 8,496 7,780 7,598 7,995Good Samaritan Regional Med Ctr 7,209 7,016 7,585 7,348 8,010Legacy Meridian Park Med Center 5,642 6,001 6,130 6,432 6,707Kaiser Westside Med Ctr 0 0 1,093 5,938 6,057Asante Three Rivers Med Center 5,012 5,103 5,211 5,734 5,253Mercy Med Center 5,707 5,495 5,450 5,177 5,421McKenzie-Willamette Med Ctr 4,738 4,730 4,903 4,877 5,662Providence Medford Med Center 4,748 4,809 4,853 4,780 4,883Bay Area Hospital 4,510 4,475 4,486 4,526 4,439Legacy Mt Hood Med Center 4,097 3,998 4,409 4,259 4,848Sky Lakes Med Center 4,208 4,179 3,767 3,939 3,816Providence Willamette Falls 3,129 3,212 3,384 3,751 3,809Tuality Healthcare 3,889 3,598 3,413 3,388 3,085Samaritan Albany Hospital 2,581 2,528 2,676 2,726 2,739Willamette Valley Med Ctr 3,078 3,077 2,817 2,568 2,513Providence Milwaukie Hospital 2,487 2,339 2,165 2,148 2,187PeaceHealth Sacred Heart University 2,086 1,891 1,796 2,039 1,944Shriners 0 0 416 328 259St Alphonsus Med Ctr-Ontario 2,111 1,972 1,918 1,848 1,888Good Shepherd Med Centerᶲ 1,584 1,303 1,443 1,351 1,337Grande Ronde Hospitalᶲ 1,233 1,114 1,094 1,072 1,125St Anthony Hospitalᶲ 1,250 1,111 1,131 1,050 1,072Tillamook County Gen Hospitalᶲ 797 753 678 675 1,016St Alphonsus Med Ctr-Baker Cityᶲ 720 719 614 544 517Wallowa Memorial Hospital*ᶲ 384 351 373 361 348Curry General Hospital*ᶲ 504 505 288 352 357Lake District Hospital*ᶲ 376 329 334 305 308Harney District Hospital*ᶲ 259 290 282 246 206Blue Mountain Hospital*ᶲ 293 244 226 177 232Pioneer Memorial Heppner*ᶲ 43 22 39 30 40Silverton Hospital 2,544 2,490 2,383 2,343 2,208Providence Newberg Med Center 1,821 1,930 1,767 1,982 2,079Mid-Columbia Med Center 1,729 1,818 1,850 1,816 1,778St Charles - Redmond 1,942 1,890 1,662 1,757 1,960Columbia Memorial Hospitalᶲ 1,276 1,132 1,182 1,455 1,365Samaritan Lebanon Hospitalᶲ 1,419 1,371 1,252 1,234 1,314Providence Hood River Hospitalᶲ 1,173 1,242 1,205 1,169 1,173Ashland Comm Hospital 1,206 1,081 1,074 989 1,002Samaritan Pacific Comm Hospital*ᶲ 1,066 1,011 1,087 969 985PeaceHealth Peace Harborᶲ 664 693 681 806 752Samaritan North Lincoln Hospital*ᶲ 797 914 827 769 785Santiam Memorial Hospital 788 690 742 755 822Providence Seaside Hospital*ᶲ 720 650 655 634 709St Charles - Madras*ᶲ 867 540 665 478 478Pioneer Memorial Prinevilleᶲ 519 490 465 450 439Coquille Valley Hospital*ᶲ 381 450 524 449 464PeaceHealth Cottage Groveᶲ 262 230 270 342 284Southern Coos Hospital*ᶲ 224 229 145 245 188Lower Umpqua Hospital*ᶲ 447 390 247 219 234West Valley Hospitalᶲ 104 132 133 117 133

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Emergency Room Visits- Count of Total VisitsHospital Name Q1-3 2011 Q1-3 2012 Q1-3 2013 Q1-3 2014 Q1-3 2015

Salem Hospital 63,665 70,864 70,580 73,073 79,340Providence St Vincent Med Ctr 54,644 55,661 50,262 45,220 45,638Adventist Med Center 36,948 37,633 37,670 39,579 41,415Providence Portland Med Center 41,807 40,514 37,817 38,948 41,330Legacy Emanuel Med Center 36,099 36,933 36,402 38,484 41,463PeaceHealth Sacred Heart Riverbend 32,747 33,407 35,028 37,133 38,133Kaiser Sunnyside Med Center 31,532 35,692 35,069 35,605 38,394Legacy Mt Hood Med Center 32,516 31,930 31,515 33,623 34,657Mercy Med Center 31,778 30,819 31,548 29,598 31,765Tuality Healthcare 29,805 29,421 29,172 28,892 29,577OHSU Hospital 28,342 27,783 27,598 27,865 29,301McKenzie-Willamette Med Ctr 19,481 21,864 22,968 26,476 33,618Asante Rogue Med Center 23,326 22,995 24,359 26,394 26,974St Charles - Bend 23,080 21,450 21,232 25,860 26,059Asante Three Rivers Med Center 25,449 24,486 24,619 24,365 24,643Providence Milwaukie Hospital 25,274 23,476 21,230 23,358 24,335Legacy Meridian Park Med Center 21,774 21,560 21,106 22,273 23,607Providence Medford Med Center 19,016 21,206 20,873 21,385 22,278Providence Willamette Falls 20,261 21,317 19,421 20,106 21,276PeaceHealth Sacred Heart University 17,803 18,140 18,372 19,794 21,860Willamette Valley Med Ctr 16,351 17,148 16,992 18,878 20,218Samaritan Albany Hospital 17,420 16,795 16,259 17,935 20,330Legacy Good Samaritan Med Ctr 18,756 18,291 16,321 17,780 17,100Bay Area Hospital 16,376 16,648 16,387 16,849 16,427Sky Lakes Med Center 15,004 14,847 14,669 16,537 18,036Kaiser Westside Med Ctr 0 0 2,521 16,400 19,513Good Samaritan Regional Med Ctr 13,999 14,065 13,216 15,087 16,696Shriners 0 0 0 0 0Good Shepherd Med Centerᶲ 13,668 14,452 14,145 13,534 15,058St Alphonsus Med Ctr-Ontario 14,878 15,595 14,334 13,109 10,369St Anthony Hospitalᶲ 8,797 8,802 8,590 9,684 9,829Grande Ronde Hospitalᶲ 8,939 9,583 8,757 8,925 9,279Tillamook County Gen Hospitalᶲ 7,551 7,542 7,017 7,163 7,623St Alphonsus Med Ctr-Baker Cityᶲ 5,513 5,304 5,238 5,540 5,665Curry General Hospital*ᶲ 2,585 2,675 2,980 3,318 3,798Lake District Hospital*ᶲ 2,552 2,694 2,603 2,645 2,578Harney District Hospital*ᶲ 2,054 2,349 2,202 2,497 2,544Blue Mountain Hospital*ᶲ 2,234 2,018 2,094 2,233 2,681Wallowa Memorial Hospital*ᶲ 1,725 1,678 1,667 1,747 1,890Pioneer Memorial Heppner*ᶲ 632 600 575 566 693Silverton Hospital 18,775 17,585 18,194 20,173 21,396St Charles - Redmond 12,775 13,280 13,098 14,750 15,823Providence Newberg Med Center 13,739 13,256 12,865 14,205 15,809Samaritan Lebanon Hospitalᶲ 10,257 12,196 10,794 12,871 13,710Mid-Columbia Med Center 12,594 12,170 11,541 12,014 12,732Samaritan Pacific Comm Hospital*ᶲ 8,776 9,055 9,316 11,219 12,143Columbia Memorial Hospitalᶲ 9,622 9,905 9,992 9,997 9,688West Valley Hospitalᶲ 9,690 9,485 9,268 9,545 10,600St Charles - Madras*ᶲ 8,084 8,242 8,410 9,163 9,982PeaceHealth Cottage Groveᶲ 8,453 8,258 8,024 8,822 8,775Santiam Memorial Hospital 8,546 7,847 7,926 8,797 9,656Pioneer Memorial Prinevilleᶲ 6,590 6,893 7,067 8,212 8,753Providence Seaside Hospital*ᶲ 6,768 6,642 6,403 7,030 7,370Samaritan North Lincoln Hospital*ᶲ 7,129 7,178 6,837 6,967 7,451Providence Hood River Hospitalᶲ 6,328 6,364 6,056 6,813 7,823Ashland Comm Hospital 6,368 6,035 5,410 6,430 6,317PeaceHealth Peace Harborᶲ 5,253 6,222 5,639 6,298 6,539Coquille Valley Hospital*ᶲ 3,280 3,630 3,951 4,435 4,572Southern Coos Hospital*ᶲ 3,151 2,919 2,661 2,877 3,443Lower Umpqua Hospital*ᶲ 2,699 2,670 2,635 2,550 2,680

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Outpatient Surgeries- Count of Total Outpatient SurgeriesHospital Name Q1-3 2011 Q1-3 2012 Q1-3 2013 Q1-3 2014 Q1-3 2015

Providence St Vincent Med Ctr 17,923 14,965 13,938 14,216 9,394OHSU Hospital 10,994 12,456 12,747 13,282 14,087Providence Portland Med Center 17,618 17,423 12,288 10,888 7,217Asante Rogue Med Center 4,681 5,498 4,979 5,879 6,131Adventist Med Center 5,381 5,380 5,553 5,746 5,977Legacy Emanuel Med Center 7,003 7,146 5,678 5,711 6,103St Charles - Bend 5,213 5,297 5,123 5,535 5,504Legacy Good Samaritan Med Ctr 6,542 7,249 5,156 5,297 5,703Providence Medford Med Center 6,204 5,566 5,499 5,218 2,627Salem Hospital 4,320 4,313 4,801 4,894 4,749PeaceHealth Sacred Heart Riverbend 4,568 4,109 4,486 4,828 4,996Good Samaritan Regional Med Ctr 4,761 5,003 4,094 4,144 4,488Samaritan Albany Hospital 4,635 4,235 4,146 4,014 3,866McKenzie-Willamette Med Ctr 3,331 3,464 3,269 3,717 3,097Sky Lakes Med Center 2,815 2,667 3,068 3,713 4,020Kaiser Sunnyside Med Center 1,073 1,124 1,530 3,474 3,761Providence Milwaukie Hospital 3,594 3,813 3,560 3,462 1,531Kaiser Westside Med Ctr 0 0 360 3,298 4,178Asante Three Rivers Med Center 2,611 2,433 2,424 2,941 3,296Mercy Med Center 2,891 2,633 2,749 2,909 2,755Tuality Healthcare 2,691 2,807 2,529 2,638 2,789Legacy Meridian Park Med Center 4,465 4,442 2,542 2,510 2,749Providence Willamette Falls 2,587 2,413 2,230 2,064 2,088Bay Area Hospital 2,597 2,357 1,998 2,061 3,074Willamette Valley Med Ctr 1,490 1,659 1,689 1,601 1,669Legacy Mt Hood Med Center 2,363 1,749 1,438 1,456 1,579Shriners 0 0 515 508 573PeaceHealth Sacred Heart University 0 0 0 0 0Good Shepherd Med Centerᶲ 1,758 1,822 1,852 2,090 2,003St Anthony Hospitalᶲ 1,397 1,463 1,328 1,615 1,464St Alphonsus Med Ctr-Ontario 2,894 2,869 1,568 1,512 1,475Grande Ronde Hospitalᶲ 1,091 1,198 1,351 1,252 1,181Tillamook County Gen Hospitalᶲ 762 874 892 988 1,192St Alphonsus Med Ctr-Baker Cityᶲ 783 804 719 767 923Lake District Hospital*ᶲ 241 261 298 301 280Curry General Hospital*ᶲ 473 452 236 205 263Wallowa Memorial Hospital*ᶲ 223 147 167 148 127Blue Mountain Hospital*ᶲ 232 263 127 107 437Harney District Hospital*ᶲ 74 79 94 76 170Pioneer Memorial Heppner*ᶲ 0 0 0 0 0Silverton Hospital 2,649 2,515 2,567 2,914 3,093Providence Newberg Med Center 2,596 2,521 2,585 2,722 1,843Samaritan Lebanon Hospitalᶲ 1,969 1,884 1,724 1,905 1,647St Charles - Redmond 1,646 1,449 1,669 1,788 1,849Providence Hood River Hospitalᶲ 1,707 1,792 1,709 1,689 1,033Mid-Columbia Med Center 1,437 1,407 1,539 1,515 1,444Samaritan Pacific Comm Hospital*ᶲ 1,295 1,453 1,391 1,454 1,694Columbia Memorial Hospitalᶲ 1,579 1,589 1,608 1,372 1,493Ashland Comm Hospital 1,634 1,505 1,265 1,299 1,228PeaceHealth Peace Harborᶲ 850 828 745 985 1,088Santiam Memorial Hospital 1,001 914 845 841 890Samaritan North Lincoln Hospital*ᶲ 762 741 731 761 872Pioneer Memorial Prinevilleᶲ 523 548 505 633 619Providence Seaside Hospital*ᶲ 667 702 679 602 286West Valley Hospitalᶲ 180 209 287 368 415Lower Umpqua Hospital*ᶲ 391 381 382 355 382Coquille Valley Hospital*ᶲ 447 556 719 318 358St Charles - Madras*ᶲ 347 397 309 306 331Southern Coos Hospital*ᶲ 181 136 140 169 208PeaceHealth Cottage Groveᶲ 0 0 0 0 0

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oregon acute care hospitals financial and …...q3 '14 q3 '15 oregon hospital trends, q3...

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