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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 58 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 2026-2027​

​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​​

Legacy Health System​

​Group 2: FY from May 1 to April 30

Grande Ronde Hospital​​

​​Group 3: FY from July 1 to June 30

Bay Area Hospital​​

Blue Mountain Hospital​

Coquille Valley Hosptial ​

Curry General Hospital ​​​

Good Shepherd Medical Center​

Harney District Hospital​​

Hillsboro Medical Center​​

Lake Health District

Lower Umpqua Hospital

Mercy Medical Center

Oregon Health and Science University (OHSU) Hospital​. 

Note: OHSU’s spending floor was adjusted to account for a data error with FY 24’s unreimbursed care amount. ​Since modifications and any associated documentation is subject to public posting and a 30-day public comment period, public comment is open from 7/17/25 to 8/17/25.

PeaceHealth System 

Pioneer Memorial Hospital - Heppner 

Saint Alphonsus Medical Center - Baker City 

Saint Alphonsus Medical Center - Ontario 

Salem Health System 

Southern C​oos Hospital and​​ Health Center​ 

St. Anthony Hospital 

Wallowa Memorial Hospital​ 

​​​​​Group 4: FY from October 1 to September 30

Notification of Assigned Community Benefit Minimum Spending Floor Asante Health System​​  ​

​​Sky Lakes Medical Center​

​​​​​Group 5: FY from January 1 to December 31

Adventist Health Columbia Gorge​

Adventist Health Portland

Adventist Health Tillamook

Columbia Memorial Hospital

​Kaiser Sunnyside Medical Center

Kaiser Westside Medical Center

Providence Health System and affiliated clinics 

Samaritan Health System and affiliated clinics 

Santiam Memorial Hospital​

Shriners Children's Portland​​​

St. Charles Health System Medical Centers and affiliated clinics

In 2026, the Hospital Reporting Program is working to streamline web content in alignment with web retention and digitial accessibility policies. Historical information (more than three years old) will be removed and archived. To request information about prior programs, initiatives, reports, and committees or workgroups, please reach out to staff at HDD.Admin@ODHSOHA.Oregon.gov. 



Gro​​up 1 

Op​​en for public comment from 2/28/25 to 4/1/25:​

​​Legacy Health System

Group 2

Open for public comment from 2/28/25 to 4/1/25​:

Grande Ronde 

Gro​​​up 3

​​Open for public comment from 4/30/25 to 6/1/25​:

Bay Area Hospital 

​Blue Mountain Hospital

Curry General Hospital

Good Shepherd Medical Center​

Harney District Hospital 

Hillsboro Medical Center

Lower Umpqua Hospital​

Mercy Medical Center

OHSU Hospital

Pioneer Memorial Hospital

Salem Health System 

Saint Alphonsus Medical Center-Baker City

Saint Alphonsus Medical Center-Ontario

Wallowa Memorial Hospital



​​​​​Open for public comment from 5/9/25 to 6/8/25​:

​​Coquille Valley H​ospital ​

Lake District Hospital


​​​​​Open for public comment from 5/23/25 to 6/22/25​:

PeaceHealth Sys​tem 

Note: PeaceHealth’s Proposed MSF was adjusted to account for Sacred Heart Medical Center at University District’s closure which occurred December 2023. ​

St. Anthony Hospital 

Note: St. Anthony Hospital’s Proposed MSF was revised due to data error. ​


​​​​​Open for public comment from 6/11/25 to 7/12/25​:

​​Southern Coos H​ospital and Health Center

Group 4

Open for public comment from 8/1/25 to 9/1/25​:

Asante Health Sy​stem

​Sky Lakes Medical Center​ ​

Gro​​​up 5

Open for public comment from 11/1/25 to 12/1/25​:

Adventist Health Columbia Gorge

Adventist Health Portland​

Adventist Health Tillamook

Columbia Memorial Hospital

Kaiser Sunnyside Medical Center

Kaiser Westside Medical Center

Providence Health System

Samaritan Health System

Santiam Memorial Hospital

Shriners Children's Portland

St. Charles Health System

In 2026, the Hospital Reporting Program is working to streamline web content in alignment with web retention and digital accessibility policies. Historical information (more than three years old) will be removed and archived. To request information about prior programs, initiatives, reports, and committees or workgroups, please reach out to staff at HDD.Admin@ODHSOHA.Oregon.gov.​



​

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. For more information how the spending floor is calculated, please see the Spending Floor Methodology 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.​

In 2026, the Hospital Reporting Program is working to streamline web content in alignment with web retention and digital accessibility policies. Historical information (more than three years old) will be removed and archived. To request information about prior programs, initiatives, reports, and committees or workgroups, please reach out to staff at HDD.Admin@odhsoha.oregon.gov.