HSCRC 2012 Findings and 2013 Reporting Guidelines & Narrative Reporting Requirements

1. HSCRC 2012 Findings and 2013 Reporting Guidelines & Narrative Reporting Requirements Steve Ports, Principal Deputy Director Amanda Vaughan, Chief, Community Benefits Program

2. Findings from FY 2012 Summary Report • Reported Gross Community Benefits • FY 11 - $1.2 billion • FY 12 - $1.3 billion • CBR Dollars as a Percentage of Hospital Operating Expenses • FY 11 – 9.23% • FY 12 – 10.19% • Ranging from 3.21% to 26.31% • Staff Hours Dedicated to CB • FY 11 – Average 1245 hours • FY 12 – Average 1491 hours

3. Offsetting Charity Care, DME, and NSPI • 2012 Charity Care DME and NSPI Rate Funding: • Charity Care - $442 million (up from $374 million in 2011) • DME - $272 million • NSPI - $12.2 million • Total Net Community Benefit Expenditures • 2011 - $580 million (4.45% of expenses) • 2012 - $651 million (4.82% of expenses) • Hospitals provided $45 million more in charity care than was provided in rates

4. 2012 Narrative Reporting Evaluation Results • FY 2012 is 4th year of collecting narrative information • Scoring • Total Possible 144 • Average Score 137 or 95.05% • Again 4 hospitals with perfect score

5. FY13 Narrative Report • Changes for FY13 Evaluation Criteria were reviewed and made available last year. • Important areas to highlight: • I. General Hospital Demographics and Characteristics • 1. Primary service area information • Complete the table • Please don’t rewrite the report – use last year’s data where applicable and make additions/changes where necessary. • 2. CBSA • Describe the CBSA • This may be copied directly from the federal CHNA section that refers to the description of the Hospital’s Community Benefit Community. • Table II – Demographic characteristics and social determinants relative to identified needs within the CBSA • This information should be found in your CHNA – Use last year’s data if applicable and make additions where additional data is available through your CHNA process

6. FY13 Narrative Report – CHNA, Administration, Programs and Initiatives • II. Community Health Needs Assessment and Implementation Strategy NEW!! • Answer questions regarding completion of each, and provide corresponding link to each document. • III. Community Benefit Administration – No Changes • IV. Hospital Community Benefit Program and Initiatives • 1. Table III • Please don’t rewrite this section each year. Provide updates to the evaluations, outcomes and costs from last year. • List any new initiatives as a result of the CHNA process and implementation strategy. • 2. Primary Health Needs Not Addressed • This information must be answered in the CHNA – Please copy and paste the information directly from the CHNA section that refers to community health needs identified by unmet.

7. FY13 Narrative Report – Physicians and Appendices FY13 Inventory Spreadsheet • V. Physicians – No Change • VI. Appendices – No Change • Inventory Spreadsheet – No Change • Reminders: • Community Benefit Operations - should reflect the costs of performing your CHNA and developing the Implementation Strategy • Charity Care – This number should come from Schedule H – Worksheet 1 – Financial Assistance at Cost, line 1. This will tie to your RE schedule. It is the amount of gross patient charges written off under financial assistance policies. Charity care results from a provider’s policy to provide health care services free of charge, or on a discounted fee schedule, to individuals who meet certain financial criteria. Generally a bill must be generated and the patient should meet the organization’s criteria for charity care, and demonstrate an inability to pay.