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In fiscal year 2013, Cincinnati Children’s Hospital Medical Center provided a total community benefit of $547.9 million. The numbers at a glance:
Free or discounted services for those unable to pay. The benefit amount includes the loss from providing charity care and the shortfall from Medicaid reimbursement, after accounting for support from the Hamilton County Health and Hospitalization Levy and the Hospital Care Assurance Program.
Laboratory science and applied research costs that are internally supported, including facilities, equipment and research not covered by grants and industry support.
Cost of providing education to prospective physicians, less federal support of our graduate medical education program.
Clinical services provided despite a financial loss to the organization. Mental health, dental and primary care services are among these hospital-subsidized services. We calculate financial loss after subtracting bad debt, charity care, Medicaid and losses from other assistance programs.
Programs that provide services or support directly to the community or to nonprofit organizations with similar missions of service, including health education, injury prevention and wellness initiatives.
Community benefit is defined as programs or activities that provide treatment, or promote health and healing, in response to identified community needs. Providing community benefit is part of our DNA. While Cincinnati Children’s has become a national and international leader in pediatrics, we are deeply rooted in the community that has been our home since 1883. We demonstrate our commitment to children and families in Hamilton County and Greater Cincinnati by investing significant resources in programs and services that meet these community benefit objectives:
At least one objective and its criteria must be met to report an activity as community benefit.
1. Improve access to health services
2. Enhance the health of the community
3. Advance medical or healthcare knowledge
4. Lessen the burden on government or other community efforts
As our region’s pediatric safety net hospital, Cincinnati Children’s has a longstanding commitment to serve every child in our primary service area, regardless of ability to pay. To meet the needs of low-income families, we provide many essential services including primary care and dental care in addition to hospital and emergency care. Currently 43 percent of our patient encounters are covered by Medicaid. In fiscal 2012, there was a 15 percent gap between the cost of providing care to these children and the amount we were reimbursed. In addition, Cincinnati Children’s is committed to providing much-needed mental health services, despite poor reimbursement from both commercial and public insurance. In 2011, Cincinnati Children’s launched a collaboration with the Lindner Center of HOPE to expand access to mental health care for families in our community.
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