An analysis by business publication Modern Healthcare of free or discounted care in fiscal 2016 for the 20 largest U.S. health systems includes two Dallas-based hospital systems, one of which spent more on charity care in 2016, while the other spent less.
According to the analysis, not-for-profit Baylor Scott & White Health dedicated 3.23 percent of its operating revenue to charity care in ’16, up from 2.97 percent in fiscal 2015. Meantime, for-profit Tenet Healthcare Corp. spent 0.9 percent, down from 1.2 percent the year before. (The Tenet figure excludes its Conifer and USPI units.)
Baylor Scott & White ranked third on the Top 20 list, behind New York City Health & Hospitals Corp., a public system that spent 6.2 percent of its revenue for charity care, and not-for-profit Florida-based Adventist Health System, which spent 3.27 percent. Tenet ranked 14th on the list.
Baylor Scott & White told the publication that Texas’ lack of Medicaid expansion was one reason for its relatively high level of charity care. The system provided about $242 million in uncompensated care of its $8 billion in revenue.
Reported Modern Healthcare: “Julie Smith, a spokeswoman for the system, wrote in an email that Texas … has some of the largest uninsured populations in the country. ‘We remain committed to meeting the needs of the communities we serve including providing access to care for both financially and medically indigent patients,’ she said.”
Modern Healthcare said the 20 largest health systems spent an average of 1.4 percent of their collective operating revenue in 2016 on uncompensated care, about the same as the year before. The publication said its review included the country’s 20 biggest for-profit, not-for-profit, and public systems by operating revenue.