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Contents
Letter 1
Enclosure I: Characteristics of 340B and Non-340B Hospitals, 2016 9
Hospital Size (based on Number of Inpatient Beds) 9
Teaching Status 10
Location 11
Ownership Type 12
Charity Care, Uncompensated Care, and Total Unreimbursed and Uncompensated Care 13
Medicare DSH Adjustment Percentage, DSH Adjustment Payments, and Uncompensated Care Payments 17
Medicaid Revenue 19
Total Facility Margin 19
Enclosure II: Changes in Characteristics of 340B and Non-340B Hospitals in Medicaid Expansion and Non-expansion States from 2012 to 2016 21
Medicare Disproportionate Share Hospital (DSH) Adjustment Percentage and 340B Program Participation 21
Charity Care, Uncompensated Care, and Total Unreimbursed and Uncompensated Care 23
Relationship of Changes in Medicare DSH Adjustment Percentage and Changes in Charity Care, Uncompensated Care, and Total Unreimbursed and Uncompensated Care 26
Medicaid Revenue 28
Total Facility Margin 29
Related GAO Products 30
Table 1. Summary of 340B Hospital Types, 2016 2
Table 2. Number of 340B and Non-340B Hospitals Included in Our Hospital Characteristics Analysis, by Hospital Type, 2016 5
Table 3. Number of 340B and Non-340B Hospitals Included in Our Medicaid Expansion Analysis, by Hospital Type, 2012 and 2016 6
Table 4. Median Number of Inpatient Beds of 340B and Non-340B Hospitals, by Hospital Type, 2016 9
Table 5. Teaching Status of 340B and Non-340B Hospitals, by Hospital Type, 2016 10
Table 6. Percentage of All 340B and Non-340B Hospitals in Analysis That Provided High and Low Amounts of Charity Care, Uncompensated Care, and Total Unreimbursed and Uncompensated Care... 15
Table 7. Percentage of 340B and Non-340B Critical Access Hospitals That Provided High and Low Amounts of Charity Care, Uncompensated Care, and Total Unreimbursed and Uncompensated Care... 16
Table 8. Percentage of 340B and Non-340B Sole Community Hospitals That Provided High and Low Amounts of Charity Care, Uncompensated Care, and Total Unreimbursed and Uncompensated Care... 16
Table 9. Percentage of 340B and Non-340B General Acute Care Hospitals That Provided High and Low Amounts of Charity Care, Uncompensated Care, and Total Unreimbursed and Uncompensated Care... 17
Table 10. Median Medicare Disproportionate Share Hospital (DSH) Adjustment Percentages of 340B and Non-340B Hospitals That Reported a Positive DSH Adjustment Percentage, by Hospital Type, 2016 18
Table 11. Median Medicare Disproportionate Share Hospital (DSH) Adjustment and Uncompensated Care Payments, as a Percentage of Total Facility Revenue, Received by 340B and Non-340B Hospitals, by Hospital Type, 2016 18
Table 12. Median Amount of Medicaid Revenue, as a Percentage of Total Facility Revenue, Received by 340B and Non-340B Hospitals, by Hospital Type, 2016 19
Table 13. Median Total Facility Margins for 340B and Non-340B Hospitals, by Hospital Type, 2016 19
Table 14. Change in Median Medicare Disproportionate Share Hospital (DSH) Adjustment Percentage from 2012 to 2016, by Hospital Type, 340B Participation, and Medicaid Expansion Status 21
Table 15. Change in Percentage of Hospitals in Medicaid Expansion and Non-Expansion States That Participated in the 340B Program from 2012 to 2016, by Hospital Type 22
Table 16. Change in 340B Hospitals' Median Amounts of Charity Care, Uncompensated Care, and Total Unreimbursed and Uncompensated Care Provided, as a Percentage of Total Facility Revenue, from... 24
Table 17. Change in Non-340B Hospitals' Median Amounts of Charity Care, Uncompensated Care, and Total Unreimbursed and Uncompensated Care Provided, as a Percentage of Total Facility Revenue, from... 25
Table 18. Change in Median Amount of Medicaid Revenue Received as a Percentage of Total Facility Revenue, from 2012 to 2016, by Hospital Type, 340B Participation, and Medicaid Expansion Status 28
Table 19. Change in Median Total Facility Margin from 2012 to 2016, by Hospital Type, 340B Participation, and Medicaid Expansion Status 29
Figure 1. Location of 340B and Non-340B Hospitals, by Hospital Type, 2016 11
Figure 2. Ownership Type of 340B and Non-340B Hospitals, by Hospital Type, 2016 12
Figure 3. Median Amounts of Charity Care, Uncompensated Care, and Total Unreimbursed and Uncompensated Care Provided, as a Percentage of Total Facility Revenue, by Hospital Type, 2016 14
Figure 4. Change in Hospitals' Median Medicare DSH Adjustment Percentages and Median Amounts of Charity Care, Uncompensated Care, and Total Unreimbursed and Uncompensated Care Provided, as a... 27
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