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999.

5(d)(5)(C)

Description of Services to Medi-Cal, County Indigent and Other


Classes of Patients
A description of the medical services provided by OConnor Hospital to Medi-Cal patients, county
indigent patients and other classes of patients is set forth in the Community Health Impact Report,
attached to Section (5) (G) of this application, and is incorporated by reference herein. The data and/or
information provided by OConnor Hospital in response to this section represents its best estimate of the
costs of the medical services provided by OConnor Hospital to its Medi-Cal, Medicare, managed care,
county indigent and other classes of patients. Generally, all types of medically necessary hospitals
services are available to these classes of patients.
Relevant excerpts from the Community Health Impact Report are attached hereto.

Profile and Key Services: OConnor Hospital (OCH), San Jose, CA

OCH was founded in 1889 as the first hospital in Santa Clara County and is currently the only
Catholic hospital in San Jose
The hospitals 358-bed acute care facility offers a full range of care and was awarded The Joint
Commission Gold Seal of Approval as a Primary Stroke Center and is certified as a Center of
Excellence for Hip Replacement and Knee Replacement
In 2013, OCH provided $47 million in community benefit programs to the community in addition
to more than $22 million in care for the elderly
U.S. News and World Report Best Hospital San Jose Metropolitan Area 2010-11 ranked OCH
among the top hospitals in San Jose
The hospitals Wound Care Center was one of the first in the nation certified by The Joint
Commission as a Wound Care Center of Excellence, and the OConnor Family Center is
recognized as a Best Birthing Center by Bay Area Parent magazine
OCH is also home to the only Family Medicine residency program in the local service area,
affiliated with Stanford University

Key services include:


Cardiac Services
Emergency Services
Orthopedics and Joint Replacement
Stroke Program
Vascular Services
Womens and Childrens Services
Wound Care Clinic (20 private rooms), including Hyperbaric Medicine
Cost and Revenue by Payor

OCH relies on government programs for reimbursement of services, with Medicare and
Medi-Cal participants accounting for approximately 47% and 23% of patient days in FY2012,
and approximately 47% and 24% in FY2013, respectively
o Medicare and Medi-Cal participants accounted for more than 70% of all patient days
over the past two years
OCH is a net receiver of supplemental funding under the Provider Fee and Meaningful Use
government programs
o In FY2013, OCH received $9 million, up from $3 million in FY2012
O'Connor Hospital
Cost of Services by Payer Category
FY 2010 - 2014
2010

2011

2012

2013

2014

Operating Expenses
Adjusted Operating Expenses

$297,815,368 $315,029,575 $303,121,738 $317,012,714 $314,014,872


$291,158,743 $293,568,208 $282,548,707 $292,586,795 $300,285,059

Cost of Services by Payer


Medicare
Medi-Cal
Third Party
Other

$141,237,500 $142,159,785 $132,723,540 $136,168,454 $138,163,400


$54,484,825 $62,014,362 $63,607,498 $70,707,732 $70,714,236
$88,274,084 $81,834,110 $74,498,929 $75,201,127 $79,324,700
$7,162,334
$7,559,951 $11,718,740 $10,509,482 $12,082,723
O'Connor Hospital
Net Patient Revenue by Payer
FY 2010 - 2014
2010

Medicare
Medi-Cal
Third Party
Other

2011

2012

2013

2014

$112,074,406 $111,302,760 $109,033,162 $120,414,014 $107,173,352


$25,519,882 $45,705,211 $45,991,916 $60,782,905 $33,430,237
$140,466,111 $123,542,292 $112,384,376 $115,429,475 $116,685,269
$692,578
$693,311
$3,614,126 ($12,189,861) ($8,062,277)
Total

$278,752,977 $281,243,574 $271,023,580 $284,436,533 $249,226,581

Source: OSHPD Disclosure Reports 2010 - 2014

O'Connor Hospital Actual


YTD FY11
Jul-Jun

YTD FY12
Jul-Jun

YTD FY13
Jul-Jun

YTD FY14
Jul-Jun

YTD FY15
Jul-May

PATIENT REVENUE
Inpatient Gross Revenue
Inpatient Medicare
Inpatient Medi-Cal
Inpatient HMO/PPO
Inpatient Self-Pay
Inpatient Capitation
Inpatient Other

$
$
$
$
$
$

411,826,775
194,339,763
318,462,159
21,202,043
4,766,580

$
$
$
$
$
$

390,378,302
186,665,358
282,816,968
29,779,849
2,844,972

$
$
$
$
$
$

385,423,299
209,024,053
284,738,098
39,641,670
4,053,292

$
$
$
$
$
$

349,992,565
201,637,617
281,235,174
34,727,615
3,102,077

$
$
$
$
$
$

284,137,720
212,946,719
283,895,531
10,693,959
3,412,619

$
$
$
$
$
$
$

206,811,770
111,509,770
222,414,580
30,297,758
3,085,962
1,524,717,160

$
$
$
$
$
$
$

191,736,220
113,086,482
203,795,701
31,710,753
3,082,675
1,435,897,278

$
$
$
$
$
$
$

183,068,623
116,196,467
201,465,913
37,118,804
3,699,364
1,464,429,582

$
$
$
$
$
$
$

187,224,745
118,713,835
205,470,026
38,641,051
5,621,645
1,426,366,350

$
$
$
$
$
$
$

159,364,232
140,595,351
193,902,096
18,265,305
4,897,650
1,312,111,182

Outpatient Gross Revenue


Outpatient Medicare
Outpatient Medi-Cal
Outpatient HMO/PPO
Outpatient Self-Pay
Outpatient Capitation
Outpatient Other
TOTAL PATIENT REVENUES
Days
Total Medicare Days
Total Medi-Cal Days
Total HMO/PPO Days
Total Self-Pay Days
Total Capitation Days
Total Other Days
TOTAL DAYS

23,735
11,005
16,138
1,577
154
52,609

20,930
11,385
14,550
1,775
71
48,711

20,260
14,870
14,925
2,023
97
52,175

18,376
14,974
14,407
1,822
84
49,663

14,346
15,580
13,627
588
97
44,238

3,595
4,348
4,315
379
35
12,672

3,581
4,053
3,784
391
19
11,828

4,034
3,883
3,290
519
25
11,751

3,398
2,891
4,301
381
10,971

2,997
2,675
4,221
90
9,983

Discharges
Medicare Discharges
Medi-Cal Discharges
HMO/PPO Discharges
Self-Pay Discharges
Capitation Discharges
Other Discharges
TOTAL DISCHARGES

Patient Origin
The tables below demonstrate that 50 zip codes comprise the service area from which 90% of OConnor
Hospitals inpatient discharges originated in CY 2011. The top eleven zip codes account for 50.7% of
total discharges.

ZIP Code

95128
95112
95125
95111
95127
95122
95050
95126
95116
95035
95121
95117
95051
95148
95123
95132
95136
95124
95008
95133
95110
95129
95131
95118
95120
95054
95014
95020
95134
95138
95070
94087
94086
95032
94539
95119
94538
95030

Community
San Jose
San Jose
San Jose
San Jose
San Jose
San Jose
Santa Clara
San Jose
San Jose
Milpitas
San Jose
San Jose
Santa Clara
San Jose
San Jose
San Jose
San Jose
San Jose
Campbell
San Jose
San Jose
San Jose
San Jose
San Jose
San Jose
Santa Clara
Cupertino
Gilroy
San Jose
San Jose
Saratoga
Sunnyvale
Sunnyvale
Los Gatos
Fremont
San Jose
Fremont
Los Gatos

Service
O'Connor Percent Cumulative Area Total
Discharges of Total
Percent Discharges
673
668
660
646
630
625
624
583
524
421
398
397
385
376
357
338
307
249
221
220
217
215
199
197
146
140
110
100
97
86
85
84
67
65
53
49
38
34

5.3%
5.2%
5.2%
5.1%
5.0%
4.9%
4.9%
4.6%
4.1%
3.3%
3.1%
3.1%
3.0%
3.0%
2.8%
2.7%
2.4%
2.0%
1.7%
1.7%
1.7%
1.7%
1.6%
1.5%
1.1%
1.1%
0.9%
0.8%
0.8%
0.7%
0.7%
0.7%
0.5%
0.5%
0.4%
0.4%
0.3%
0.3%

5.3%
10.5%
15.7%
20.8%
25.8%
30.7%
35.6%
40.1%
44.3%
47.6%
50.7%
53.8%
56.8%
59.8%
62.6%
65.3%
67.7%
69.6%
71.4%
73.1%
74.8%
76.5%
78.1%
79.6%
80.7%
81.8%
82.7%
83.5%
84.3%
84.9%
85.6%
86.3%
86.8%
87.3%
87.7%
88.1%
88.4%
88.7%

3,372
4,253
4,488
4,561
5,185
4,595
2,876
2,650
4,729
3,974
2,681
2,213
3,863
2,825
4,744
2,642
3,166
3,672
3,354
1,749
1,447
2,187
1,803
2,538
2,161
1,523
2,955
4,588
979
1,081
1,882
3,383
3,182
1,875
2,416
693
5,035
997

O'Connor
Market
Share
20.0%
15.7%
14.7%
14.2%
12.2%
13.6%
21.7%
22.0%
11.1%
10.6%
14.8%
17.9%
10.0%
13.3%
7.5%
12.8%
9.7%
6.8%
6.6%
12.6%
15.0%
9.8%
11.0%
7.8%
6.8%
9.2%
3.7%
2.2%
9.9%
8.0%
4.5%
2.5%
2.1%
3.5%
2.2%
7.1%
0.8%
3.4%

ZIP Code

Community

Sunnyvale
Los Altos
Fremont
94536
Mountain View
94043
95002
Alviso
Newark
94560
Mountain View
94040
95033
Los Gatos
94041
Mountain View
Palo Alto
94306
Palo Alto
94303
Los Altos
94024
Subtotal

94085

94022

All Other
Total

Service
O'Connor Percent Cumulative Area Total
Discharges of Total
Percent Discharges
30
29
17
16
16
12
11
10
8
8
7
6
11,454

0.2%
0.2%
0.1%
0.1%
0.1%
0.1%
0.1%
0.1%
0.1%
0.1%
0.1%
0.0%
90.0%

88.9%
89.1%
89.3%
89.4%
89.5%
89.6%
89.7%
89.8%
89.8%
89.9%
90.0%
90.0%

1,272

10.0%

100.0%

12,726

100.0%

Source: OSHPD 2011 Inpatient Database


Note: Excludes normal newborns

1,339
1,338
5,663
2,057
185
3,519
2,073
501
792
1,731
3,863
1,387

O'Connor
Market
Share
2.2%
2.2%
0.3%
0.8%
8.6%
0.3%
0.5%
2.0%
1.0%
0.5%
0.2%
0.4%

OConnor Hospital Service Area Map

Daughters of Charity Health System


OConnor Hospital
St. Louise Regional Hosp.
Primary Service Area
Secondary Service Area

Area Hospitals
1.
2.
3.
4.
5.
6.

Good Samaritan Hospital San Jose


Kaiser Hospital San Jose
Kaiser Hospital Santa Clara
Regional Med. Ctr. of San Jose
Santa Clara Valley Med. Ctr.
Washington Hospital Fremont

Service Area Population and Demographic Profile


The total population in OConnor Hospitals service area is expected to growth at a rate of 1.1% annually
through CY 2019, with the fastest growth occurring in the 65+ age cohort.

Age Cohort
Service Area
0-17
18-44
45-64
65+
Total

California
0-17
18-44
45-64
65+
Total

Estimated 2014
Percent
of Total
Population

Projected 2019
Percent
of Total
Population

CAGR

Cumulativ
e
Change
2014-2019

476,299
751,332
521,982
232,636
1,982,249

24.0%
37.9%
26.3%
11.7%
100.0%

496,177
745,785
573,813
281,849
2,097,624

23.7%
35.6%
27.4%
13.4%
100.0%

0.8%
-0.1%
1.9%
3.9%
1.1%

4.2%
-0.7%
9.9%
21.2%
5.8%

9,313,067
14,639,527
9,786,617
4,810,836
38,550,047

24.2%
38.0%
25.4%
12.5%
100.0%

9,388,558
14,892,503
10,244,346
5,734,627
40,260,034

23.3%
37.0%
25.4%
14.2%
100.0%

0.2%
0.3%
0.9%
3.6%
0.9%

0.8%
1.7%
4.7%
19.2%
4.4%

Source: Claritas 2014 Database

The service area households are more affluent compared to the state of California overall, with a median
household income of $89,509 compared to the state median of $54,015.

Socioeconomic Indicator

Estimated 2014 Projected 2019

CAGR

Cumulative
Change
2014-2019

Service Area
Population

1,982,249

2,097,624

1.1%

5.8%

Households

666,814

707,990

1.2%

6.2%

2.9

2.9

0.0%

-0.2%

Median Household Income

$89,509

$100,321

2.3%

12.1%

Average Household Income

$123,356

$135,914

2.0%

10.2%

13.8%
15.5%
26.7%
44.1%

12.2%
14.3%
25.0%
48.5%

-1.2%
-0.4%
-0.1%
3.2%

-5.8%
-2.0%
-0.6%
16.9%

38,550,047

40,260,034

0.9%

4.4%

13,003,529

13,592,743

0.9%

4.5%

2.9

2.9

0.0%

0.0%

Median Household Income

$54,015

$56,929

1.1%

5.4%

Average Household Income

$81,689

$87,810

1.5%

7.5%

21.9%
22.3%
29.2%
26.6%

20.5%
21.4%
28.6%
29.5%

-0.5%
0.1%
0.5%
3.0%

-2.4%
0.6%
2.4%
15.8%

Average Household Size

Income Distribution
Under $25,000
$25,000-$49,999
$50,000-$99,999
$100,000 +

California
Population
Households
Average Household Size

Income Distribution
Under $25,000
$25,000-$49,999
$50,000-$99,999
$100,000 +