Current Financial Status and Funding Sources of Major Urban Public Safety-Net Hospitals: Establishing a Baseline

Award Amount: $97,630
Approval Date: April 12, 2011
Start Date: May 1, 2011
End Date: April 30, 2012
President and Fellows of Harvard College
17 Quincy Street
Massachusetts Hall
Cambridge, Massachusetts 02138
Principal Investigator: Nancy Morgan Kane, D.B.A., M.B.A.

Public hospitals form a critical component of the country's health care safety net. Funded by a combination of patient care revenue, local and state taxes, and supplemental payments from disproportionate-share payment programs, these institutions contend with wide fluctuations in their funding streams and near-constant financial uncertainty. This project will collect audited financial statements from up to 158 large, urban public hospitals to analyze their funding streams and financial sustainability, with the goal of setting a baseline for monitoring their viability over the next decade as reforms in the Affordable Care Act take hold.