COMMUNITY BENEFITS REPORT FOR FISCAL YEAR 2011 Community receives more than $72.7 million Health professionals education Unreimbursed cost of Medicaid and other public programs $3.3 million 4.5 percent $13.2 million 18.2 percent Community benefit services $1.7 million 2.4 percent Cash and in-kind contributions $416,000 0.6 percent Charity care at cost Community-building activities $12.6 million 17.3 percent $143,000 0.2 percent Unreimbursed cost of Medicare $41.3 million 56.8 percent L ocally owned and governed BryanLGH demonstrated its continuing commitment to community reinvestment in fiscal year 2011 by supporting education for health care professionals and the community, and by donating to charitable organizations and community-building activities. The quantifiable community benefit from BryanLGH totaled more than $72.7 million; the chart above shows how these dollars were distributed. Charity care at cost is the cost of free or discounted health services provided to patients who cannot afford to pay and who meet all the criteria for financial assistance. Charity care does not include bad debt. Charity care is reported at cost. In prior years, charges have been used as the reporting unit for valuing charity care in this report. Unreimbursed cost of Medicaid and other public programs is the actual unpaid cost (not charges) of providing care to patients receiving Medicaid and other public assistance. It represents the shortfall between the actual cost of providing care and payments received from the government. Unreimbursed cost of Medicare is the actual unpaid cost (not charges) of providing care to Medicare patients. This represents the shortfall between the cost of providing care and payments received from the government. Health professionals education is the cost of providing accredited training and education programs for physicians, nurses and other health professionals through residency education and continuing medical education, plus financial support of the BryanLGH College of Health Sciences. Community benefit services are activities carried out to improve community health and health care services that are subsidized because they meet an identified need in the community. Cash and in-kind contributions are cash and in-kind donations to other nonprofit organizations for charitable purposes. Community-building activities are programs that, while not directly related to health care, provide opportunities to address the root causes of health problems, such as poverty, homelessness and environmental problems. Examples are paid time for co-workers to provide mentoring programs and to serve as board members for nonprofit organizations.