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Oregon Health Authority

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 60 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​. Links to Assigned Minimum Spending Floors for FY26-27 will be updated below as they become available throughout the year.

​Group 1: FY from April 1 to March 31​​

​Group 2: FY from May 1 to April 30

  • ​Notification of Assigned Community Benefit Minimum Spending Floor Grande Ronde Hospital​

​​Group 3: FY from July 1 to June 30

  • Notification of Assigned Community Benefit Minimum Spending Floor Bay Area Hospital District​​

  • Notification of Assigned Community Benefit Minimum Spending Floor Blue Mountain Hospital District​

  • Notification of Assigned Community Benefit Minimum Spending Floo​r Coquille Valley Hosptial District and affiliated clinics ​

  • Notification of Assigned Community Benefit Minimum Spending Floo​r Curry General Hospital and affiliates ​​​

  • Notification of Assigned Community Benefit Minimum Spending Floo​r Good Shepherd Health Care System​

  • Notification of Assigned Community Benefit Minimum Spending Floo​r Harney District Hospital​​

  • Notification of Assigned Community Benefit Minimum Spending Floo​r Hillsboro Medical Center and affiliated clinics​​

  • Notification of Assigned ​Community Benefit Minimum Spending Floo​r Lake District Hospital

  • Notification of Assigned Community Benefit Minimum Spending Floor Lower Umpqua Hospital

  • Notification of Assigned Community Benefit Minimum Spending Floo​r Mercy Medical Center and Centennial Medical Group

  • Notification of Assigned Community Benefit Minimum Spending Floo​r​​​ OHSU and affiliated clinics​ 

  • Notification of Assigned Community Benefit Minimum Spending Floor​​​​ PeaceHealth System 

  • Notification of Assigned Community Benefit Minimum Spending Floo​r​​​ Pioneer Memorial Hospital - Heppner and affiliated clinics 

  • Notification of Assigned Community Benefit Minimum Spending Floo​r​​​ Saint Alphonsus - Baker City 

  • Notification of Assigned Community Benefit Minimum Spending Floo​r​​​ Saint Alphonsus - Ontario 

  • Notification of Assigned Community Benefit Minimum Spending Floo​r​​​ Salem Health System 

  • Notification of Assigned Community Benefit Minimum Spending Floor​​​​ Southern C​oos Hospital and​​ Health Center​ 

  • Notification of Assigned Community Benefit Minimum Spending Floor​​​​ St. Anthony Hospital and affiliated clinics 

  • Notification of Assigned Community Benefit Minimum Spending Floor​​​​ Wallowa Memorial Hospital and affiliated clinics 

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

  • Notification of Assigned Community Benefit Minimum Spending Floor Asante and affiliated clinics  ​

  • ​​Notification of Assigned Community Benefit Minimum Spending Floor Sky Lakes Medical Center

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

  • ​Notification of Assigned Community Benefit Minimum Spending Floor​ Adventist Health Columbia Gorge​

  • Notification of Assigned Community Benefit Minimum Spending Floor​ Adventist Health Portland

  • Notification of Assigned Community Benefit Minimum Spending Floor​ Adventist Health Tillamook

  • Notification of Assigned Community Benefit Minimum Spending Floor​ Columbia Memorial Hospital

  • Notification of Assigned Community Benefit Minimum Spending Floor ​Kaiser Sunnyside Medical Center

  • Notification of Assigned Community Benefit Minimum Spending Floor​ Kaiser Westside Medical Center

  • Notification of Assigned Community Benefit Minimum Spending Floor Providence Health System and affiliated clinics 

  • Notification of Assigned Community Benefit Minimum Spending Floor​ Samaritan Health System and affiliated clinics 

  • Notification of Assigned Comm​unity Benefit Minimum Spending Floor Santiam Memorial Hospital​ 

  • Notification of Assigned Community Benefit Minimum Spending Floor Shriners Hospital for Children Portland​​​ ​ 

  • Notification of Assigned Community Benefit Minimum Spending Floor St. Charles Health System Medical Centers and affiliated clinics​​​

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 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.​


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