SFY 2019-20 LIP Model Summary

SFY 2019-20 LIP Model Summary

Self-Funded Tiers Model $1,069,548,867 Total 0.6147 FMAP 0.3853 SMAP $657,451,689 Federal $0 State GR $412,097,178 Local

Model includes the following assumptions: Updated for SFY 2019-20 FMAP LIP Program pays providers based on their charity care cost. Hospitals are ranked from high to low based on their percentage of charity care costs to commercial costs as well as statutory designations and ownership status. Providers are divided into tiers based on the level of charity care cost to commercial costs and are paid a prescribed percentage of their charity care cost. Hospital charity care costs are calculated using 2017 Florida Hospital Uniform Reporting System (FHURS) data. Per the Special Terms and Conditions (STCs), hospitals are required to have at least 1% Medicaid utilization to be eligible for LIP.

Group 1 - Hospitals Tier 1 - Private Hospitals with a Uncompensated Care (UC) ratio greater than or equal to 17%. Tier 2 - All Public Hospitals, All Children's Hospitals, and Statutory Teaching Hospitals with UC ratio greater than or equal to 17%. Tier 3 - Statutory Teaching Hospitals with UC ratio less than 17%. Tier 4 - Regional Perinatal Intensive Care Centers (non-Public and non-Statutory Teaching). Tier 5 - Private Hospitals with a UC ratio less than 17%. Group 2 - Medical School Physician Practices Tier 1 - Medical Schools Group 3 - Federally Qualified Health Centers (FQHCs)/Rural Health Clinics (RHCs) Tier 1 - FQHCs/RHCs Group 4 - Behavioral Health Providers Tier 1 - Central Receiving Systems

Tier Payments:

Group 1 - Self-Funded Model Tier 1 - paid 16.87% of charity care cost Tier 2 - paid 100% of charity care cost Tier 3 - paid 100% of charity care cost Tier 4 - paid 100% of charity care cost Tier 5 - paid 1% of charity care cost

Group 2 Tier 1 - paid 100% of charity care cost

Group 3 Tier 1 - paid 17.67% of charity care cost

Group 4 Tier 1 - paid 100% of charity care cost

1 of 6

AHCA - MPF May 31, 2019

Medicaid ID

Provider

010094300 AdventHealth Carrollwood 010161300 AdventHealth North Pinellas 010102800 AdventHealth Tampa 010109500 AdventHealth Waterman 010260100 AdventHealth Wauchula 010149400 AdventHealth Zephyrhills 010123100 Baptist Medical Center - Nassau 012041300 Bartow Regional Medical Center 010009900 Cape Canaveral Hospital 010171100 Flagler Hospital 012034100 HealthSouth Treasure Coast Rehabilitation Hospital 010041200 Hialeah Hospital 010008100 Holmes Regional Medical Center 010226100 Homestead Hospital 010104400 Indian River Medical Center 010173700 Jay Hospital 010191500 Kindred Hospital- South Florida- Hollywood 010276800 Kindred Hospital-Bay Area-St Petersburg 010822700 Lake Butler Hospital 010164800 Lakeland Regional Medical Center 010107900 Leesburg Regional Medical Center 010116800 Manatee Memorial Hospital 010121400 Mariners Hospital 010154100 Mease Dunedin Hospital 010158300 Morton Plant Hospital 010150800 Morton Plant North Bay Hospital 010031500 Naples Community Hospital 010693100 North Tampa Behavioral Health 011519300 Northside Hospital 003297500 Palm Bay Hospital 011988100 Regional Medical Center Bayonet Point 010323300 Sacred Heart Hospital on the Emerald Coast 002012700 Sacred Heart Hospital on the Gulf 010098600 South Florida Baptist Hospital 012022700 St. Anthony's Hospital 011984900 Tampa Community Hospital 010062500 Westchester General Hospital 010169900 Winter Haven Hospital Tier 1: High Utilization Private Hospitals

012040500 010821900 010012900 010021800 011971700 010192300 010103600 010004800 010080300 011134100 010184200 010106100 010042100 010151600 010144300 012005700 010110900

Broward Health Coral Springs Broward Health Imperial Point Broward Health Medical Center Broward Health North Cape Coral Hospital Desoto Memorial Hospital Doctors Memorial Hospital Ed Fraser Memorial Hospital George E. Weems Memorial Hospital Gulf Coast Medical Center Lee Memorial Health System Halifax Health Medical Center Jackson Hospital Jackson Memorial Hospital Johns Hopkins All Children's Hospital Lakeside Medical Center Larkin Community Hospital Lee Memorial Hospital

SFY 2019-20 PROJECTED NET PAYMENTS FOR LIP

Self-Funded Tiers Model

Charity Care Cost

Ratio of Charity Care Costs to Commercial

Costs

Tier

% Gross Charity Payment

Total LIP Payment

Additional LIP LIP IGTs Provided IGTs Provided

to Fund Tier for 1% Minimum and Tier 1

Total LIP IGTs Provided

Net (Total LIP Payment - LIP

IGTs)

% of Net Payment to Charity Care

Cost

$

7,203,951

$

5,000,490

$ 30,275,903

$

8,250,313

$

557,507

$

5,385,230

$

3,845,596

$

3,815,785

$

6,122,103

$ 10,071,470

$

552,239

$

5,151,270

$ 25,632,918

$ 23,823,229

$

7,210,905

$

834,341

$

1,065,232

$

448,458

$

921,179

$ 26,790,187

$

5,780,566

$ 13,144,111

$

3,009,834

$

5,558,409

$ 23,988,237

$ 12,049,076

$ 19,042,816

$

919,091

$

5,932,758

$

8,122,015

$

6,275,423

$

6,336,116

$

2,273,453

$ 10,634,184

$ 19,471,058

$

2,746,267

$

1,621,368

$ 15,422,061

$ 335,285,149

$

2,666,857

$

2,718,368

$ 21,097,153

$

8,625,320

$ 10,278,747

$

1,982,706

$

276,494

$

1,723,159

$

529,168

$ 13,197,836

$ 18,953,009

$

2,046,348

$ 108,763,020

$

2,329,429

$

748,348

$

2,483,130

$ 35,197,433

20.75%

1

23.04%

1

24.77%

1

19.83%

1

21.46%

1

24.64%

1

23.07%

1

27.23%

1

19.64%

1

17.89%

1

31.88%

1

25.82%

1

21.07%

1

51.79%

1

18.42%

1

29.11%

1

35.21%

1

28.52%

1

69.17%

1

17.37%

1

17.10%

1

29.95%

1

20.00%

1

30.86%

1

19.00%

1

51.34%

1

18.86%

1

36.69%

1

18.12%

1

35.80%

1

17.29%

1

18.02%

1

36.05%

1

36.87%

1

26.16%

1

18.71%

1

17.28%

1

26.90%

1

4.36%

2

6.46%

2

14.79%

2

12.32%

2

21.34%

2

32.25%

2

12.17%

2

25.64%

2

23.28%

2

16.31%

2

10.97%

2

14.35%

2

32.86%

2

1.82%

2

9.98%

2

19.25%

2

17.24%

2

2 of 6

16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87% 16.87%

100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

$ 1,215,406 $

$

843,651 $

$ 5,107,961 $

$ 1,391,941 $

$

94,059 $

$

908,562 $

$

648,805 $

$

643,775 $

$ 1,032,883 $

$ 1,699,195 $

$

93,170 $

$

869,090 $

$ 4,324,626 $

$ 4,019,306 $

$ 1,216,579 $

$

140,765 $

$

179,719 $

$

75,661 $

$

155,416 $

$ 4,519,873 $

$

975,261 $

$ 2,217,592 $

$

507,800 $

$

937,780 $

$ 4,047,145 $

$ 2,032,845 $

$ 3,212,785 $

$

155,063 $

$ 1,000,938 $

$ 1,370,296 $

$ 1,058,750 $

$ 1,068,990 $

$

383,563 $

$ 1,794,133 $

$ 3,285,035 $

$

463,333 $

$

273,547 $

$ 2,601,914 $

$ 56,567,213 $

$ 2,666,857 $

$ 2,718,368 $

$ 21,097,153 $

$ 8,625,320 $

$ 10,278,747 $

$ 1,982,706 $

$

276,494 $

$ 1,723,159 $

$

529,168 $

$ 13,197,836 $

$ 18,953,009 $

$ 2,046,348 $

$ 108,763,020 $

$ 2,329,429 $

$

748,348 $

$ 2,483,130 $

$ 35,197,433 $

-$ -$ 2,605,060 $ 709,890 $ -$ -$ -$ -$ 526,770 $ -$ -$ -$ -$ -$ 620,455 $ -$ 91,657 $ -$ -$ -$ 497,383 $ 1,130,972 $ -$ -$ -$ -$ 1,638,520 $ -$ 510,478 $ 698,851 $ -$ -$ 195,617 $ -$ -$ -$ -$ -$ 9,225,653 $

$ 1,161,498 $ 1,183,934 $ 9,188,468 $ 3,756,596 $ 4,476,715 $

-$ -$ -$ -$ 5,748,069 $ 8,254,627 $ -$ 47,369,688 $ -$ -$ -$ 15,329,580 $

-$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ (9,225,653) $ 36,187 $ 36,885 $ 286,263 $ 117,035 $ 139,470 $ 890,433 $ 124,173 $ 773,871 $ 237,649 $ 179,079 $ 257,169 $ -$ 1,475,784 $ -$ 336,083 $ -$ 477,587 $

-$ -$ 2,605,060 $ 709,890 $ -$ -$ -$ -$ 526,770 $ -$ -$ -$ -$ -$ 620,455 $ -$ 91,657 $ -$ -$ -$ 497,383 $ 1,130,972 $ -$ -$ -$ -$ 1,638,520 $ -$ 510,478 $ 698,851 $ -$ -$ 195,617 $ -$ -$ -$ -$ -$ 9,225,653 $ 1,197,685 $ 1,220,819 $ 9,474,731 $ 3,873,631 $ 4,616,185 $ 890,433 $ 124,173 $ 773,871 $ 237,649 $ 5,927,148 $ 8,511,796 $ -$ 48,845,472 $ -$ 336,083 $ -$ 15,807,167 $

1,215,406 843,651

2,502,901 682,051 94,059 908,562 648,805 643,775 506,113

1,699,195 93,170

869,090 4,324,626 4,019,306

596,124 140,765

88,062 75,661 155,416 4,519,873 477,878 1,086,620 507,800 937,780 4,047,145 2,032,845 1,574,265 155,063 490,460 671,445 1,058,750 1,068,990 187,946 1,794,133 3,285,035 463,333 273,547 2,601,914 47,341,560

16.87% 16.87%

8.27% 8.27% 16.87% 16.87% 16.87% 16.87% 8.27% 16.87% 16.87% 16.87% 16.87% 16.87% 8.27% 16.87% 8.27% 16.87% 16.87% 16.87% 8.27% 8.27% 16.87% 16.87% 16.87% 16.87% 8.27% 16.87% 8.27% 8.27% 16.87% 16.87% 8.27% 16.87% 16.87% 16.87% 16.87% 16.87%

1,469,172 1,497,549 11,622,422 4,751,689 5,662,562 1,092,273

152,321 949,288 291,519 7,270,688 10,441,213 2,046,348 59,917,548 2,329,429 412,265 2,483,130 19,390,266

55.09% 55.09% 55.09% 55.09% 55.09% 55.09% 55.09% 55.09% 55.09% 55.09% 55.09% 100.00% 55.09% 100.00% 55.09% 100.00% 55.09%

AHCA - MPF May 31, 2019

Medicaid ID

Provider

010345400 Memorial Hospital Miramar 010222900 Memorial Hospital Pembroke 010252100 Memorial Hospital West 010020000 Memorial Regional Hospital 004087600 Nemours Children's Hospital 010060900 Nicklaus Children's Hospital 010010200 Parrish Medical Center 010176100 Sarasota Memorial Hospital 002576600 Shriners Hospital for Children-Tampa 010099400 Tampa General Hospital 010067600 UF Health Jacksonville Tier 2: All Publics, All Children's, and High Utilization Teaching Hospitals

010129000 AdventHealth Orlando 012037500 Aventura Hospital and Medical Center 010220200 Cleveland Clinic Hospital 012032400 H. Lee Moffitt Cancer Center & Research Institute Hospital 011974100 Largo Medical Center 010072200 Mayo Clinic 010046300 Mount Sinai Medical Center 010862600 North Florida Regional Medical Center 010133800 Orlando Health 010138900 Osceola Regional Medical Center 010003000 UF Health Shands Hospital 010047100 University of Miami Hospital and Clinics Tier 3: Low Utilization Statutory Teaching

010156700 Bayfront Health - St Petersburg 010076500 Sacred Heart Hospital 010148600 St. Mary's Medical Center Tier 4: Regional Perinatal Intensive Care Centers (non-Public and non-Statutory Teaching)

000949600 010186900 010187700 010182600 010183400 010189300 010090100 005456800 010074900 010035800 010232600 010064100 010006400 010372100 010087100 010959200 010028500 010027700 010140100 011021300 010141900 011807900 010026900 011980600 010178800

AdventHealth Connerton AdventHealth Daytona Beach AdventHealth DeLand AdventHealth Fish Memorial AdventHealth New Smyrna Beach AdventHealth Palm Coast AdventHealth Sebring AdventHealth Wesley Chapel Baptist Hospital Inc. Baptist Hospital of Miami Baptist Medical Center - Beaches Baptist Medical Center Jacksonville Bay Medical Center Sacred Heart Health System BayCare Alliance Hospital Bayfront Health Brooksville Bayfront Health Dade City Bayfront Health Port Charlotte Bayfront Health Punta Gorda Bethesda Hospital East Blake Medical Center Boca Raton Regional Hospital Brandon Regional Hospital Calhoun Liberty Hospital Capital Regional Medical Center Central Florida Regional Hospital

SFY 2019-20 PROJECTED NET PAYMENTS FOR LIP

Self-Funded Tiers Model

Charity Care Cost

Ratio of Charity Care Costs to Commercial

Costs

Tier

% Gross Charity Payment

Total LIP Payment

Additional LIP LIP IGTs Provided IGTs Provided

to Fund Tier for 1% Minimum and Tier 1

Total LIP IGTs Provided

Net (Total LIP Payment - LIP

IGTs)

% of Net Payment to Charity Care

Cost

$

2,316,025

$

5,565,784

$

7,726,709

$ 33,008,211

$

811,618

$

212,692

$

2,416,810

$ 14,159,968

$

1,272,325

$ 75,082,497

$ 89,617,251

$ 465,806,415

$ 137,329,764

$

8,700,376

$

1,863,607

$ 20,646,073

$

6,742,349

$

4,667,889

$ 12,703,114

$

2,363,019

$ 94,896,404

$

1,896,212

$ 50,021,582

$

1,825,001

$ 206,325,626

$ 10,074,864

$ 24,512,644

$

5,059,527

$ 39,647,035

$

77,365

$

3,220,623

$

3,509,737

$

3,440,776

$

1,489,992

$

1,323,848

$

2,837,699

$

3,729,559

$ 12,320,050

$ 29,847,169

$

5,206,688

$ 56,477,869

$

1,024,388

$

66,985

$

339,144

$

108,126

$

2,380,989

$

178,049

$ 10,986,731

$

4,114,906

$

2,180,087

$

8,386,103

$

161,314

$

1,426,823

$

2,546,586

3.12%

2

12.16%

2

4.89%

2

10.85%

2

1.39%

2

0.13%

2

8.09%

2

8.64%

2

17.59%

2

20.72%

2

59.89%

2

15.20%

3

12.09%

3

1.55%

3

6.72%

3

11.41%

3

2.05%

3

9.93%

3

2.39%

3

13.88%

3

2.56%

3

13.51%

3

0.61%

3

13.41%

4

17.04%

4

6.02%

4

2.01%

5

5.05%

5

13.62%

5

12.82%

5

7.42%

5

4.48%

5

12.50%

5

6.61%

5

11.92%

5

8.41%

5

14.67%

5

15.21%

5

2.01%

5

1.50%

5

1.42%

5

1.36%

5

9.73%

5

1.68%

5

12.64%

5

8.70%

5

1.83%

5

9.70%

5

4.22%

5

3.00%

5

5.71%

5

3 of 6

100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

100.00% 100.00% 100.00%

1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00%

$ 2,316,025 $

1,008,701 $

31,426 $ 1,040,127 $ 1,275,898

$ 5,565,784 $

2,424,073 $

75,521 $ 2,499,594 $ 3,066,190

$ 7,726,709 $

3,365,223 $

104,842 $ 3,470,065 $ 4,256,644

$ 33,008,211 $

14,376,106 $

447,882 $ 14,823,988 $ 18,184,223

$

811,618 $

-$

364,498 $

364,498 $

447,120

$

212,692 $

-$

95,520 $

95,520 $

117,172

$ 2,416,810 $

1,052,596 $

32,793 $ 1,085,389 $ 1,331,421

$ 14,159,968 $

6,167,108 $

192,134 $ 6,359,242 $ 7,800,726

$ 1,272,325 $

-$

-$

- $ 1,272,325

$ 75,082,497 $

32,700,770 $ 1,018,779 $ 33,719,549 $ 41,362,948

$ 89,617,251 $ $ 465,806,415 $

21,911,460 $ 179,475,212 $

- $ 21,911,460 $ 67,705,791 7,731,063 $ 187,206,275 $ 278,600,140

$ 179,475,211.70

$ 187,206,275

$ 137,329,764 $

59,227,701 $ 2,447,096 $ 61,674,797 $ 75,654,967

$ 8,700,376 $

-$

-$

- $ 8,700,376

$ 1,863,607 $

803,738 $

33,208 $

836,946 $ 1,026,661

$ 20,646,073 $

7,078,367 $

- $ 7,078,367 $ 13,567,706

$ 6,742,349 $

-$

-$

- $ 6,742,349

$ 4,667,889 $

2,013,171 $

83,178 $ 2,096,349 $ 2,571,540

$ 12,703,114 $

-$

-$

- $ 12,703,114

$ 2,363,019 $

-$

-$

- $ 2,363,019

$ 94,896,404 $

40,927,004 $ 1,690,971 $ 42,617,975 $ 52,278,429

$ 1,896,212 $

-$

-$

- $ 1,896,212

$ 50,021,582 $

21,573,352 $

891,340 $ 22,464,692 $ 27,556,890

$ 1,825,001 $

787,088 $

32,520 $

819,608 $ 1,005,393

$ 343,655,390 $ 132,410,421 $ 5,178,313 $ 137,588,734 $ 206,066,656

$ 132,410,422 $ 125,332,055 $ 137,588,734

$ 10,074,864 $

-$

-$

- $ 10,074,864

$ 24,512,644 $

12,662,419 $

- $ 12,662,419 $ 11,850,225

$ 5,059,527 $ $ 39,647,035 $

2,613,584 $ 15,276,003 $

- $ 2,613,584 $ 2,445,943 - $ 15,276,003 $ 24,371,032

$

15,276,003 $

(0) $ 15,276,003

$

774 $

-$

-$

-$

774

$

32,206 $

-$

-$

-$

32,206

$

35,097 $

28,736 $

-$

28,736 $

6,361

$

34,408 $

-$

-$

-$

34,408

$

14,900 $

12,199 $

-$

12,199 $

2,701

$

13,238 $

-$

-$

-$

13,238

$

28,377 $

23,234 $

-$

23,234 $

5,143

$

37,296 $

-$

-$

-$

37,296

$

123,201 $

-$

-$

-$

123,201

$

298,472 $

244,375 $

-$

244,375 $

54,097

$

52,067 $

-$

-$

-$

52,067

$

564,779 $

-$

-$

-$

564,779

$

10,244 $

-$

-$

-$

10,244

$

670 $

-$

-$

-$

670

$

3,391 $

-$

-$

-$

3,391

$

1,081 $

-$

-$

-$

1,081

$

23,810 $

-$

-$

-$

23,810

$

1,780 $

-$

-$

-$

1,780

$

109,867 $

89,954 $

-$

89,954 $

19,913

$

41,149 $

-$

-$

-$

41,149

$

21,801 $

17,850 $

-$

17,850 $

3,951

$

83,861 $

-$

-$

-$

83,861

$

1,613 $

-$

-$

-$

1,613

$

14,268 $

-$

-$

-$

14,268

$

25,466 $

-$

-$

-$

25,466

AHCA - MPF May 31, 2019

55.09% 55.09% 55.09% 55.09% 55.09% 55.09% 55.09% 55.09% 100.00% 55.09% 75.55%

55.09% 100.00%

55.09% 65.72% 100.00% 55.09% 100.00% 100.00% 55.09% 100.00% 55.09% 55.09%

100.00% 48.34% 48.34%

1.00% 1.00% 0.18% 1.00% 0.18% 1.00% 0.18% 1.00% 1.00% 0.18% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 0.18% 1.00% 0.18% 1.00% 1.00% 1.00% 1.00%

Medicaid ID

Provider

010219900 010960600 012009000 010354300 011995400 010180000 010253900 011746300 011132500 010152400 011761700 010135400 010188500 010275000 009587500 014235500 010270900 008369200 012038300 012033200 012027800 010228800 010089700 010018800 010146000 012029400 012013800 011993800 001681500 010267900 010019600 000417000 010234200 010230000 011976800 010166400 010342000 010053600 011969500 010111700 010119200 010118400 012008100 010552000 010193100 011279800 010117600 010126500 010049800 010190700 010459100 012007300 010988600 011174100 010210500 010460400 012011100

Citrus Memorial Hospital Coral Gables Hospital Delray Medical Center Doctors Hospital Doctors Hospital of Sarasota Doctors' Memorial Hospital Englewood Community Hospital Fawcett Memorial Hospital Fort Walton Beach Medical Center Good Samaritan Medical Center Gulf Coast Regional Medical Center Health Central Healthmark Regional Medical Center HealthSouth Emerald Coast Rehabilitation Hospital HealthSouth Rehabilitation Hospital at Martin Health HealthSouth Rehabilitation Hospital of Altamonte Springs HealthSouth Rehabilitation Hospital of Miami HealthSouth Rehabilitation Hospital of Ocala HealthSouth Rehabilitation Hospital of Sarasota HealthSouth Rehabilitation Hospital of Tallahassee HealthSouth Sunrise Rehabilitation Hospital Heart of Florida Regional Medical Center Highlands Regional Medical Center Holy Cross Hospital JFK Medical Center Jupiter Medical Center Kendall Regional Medical Center Kindred Hospital - South Florida - Coral Gables Kindred Hospital Melbourne Kindred Hospital- North Florida Kindred Hospital- South Florida- Ft Lauderdale Kindred Hospital The Palm Beaches Kindred Hospital-Bay Area-Tampa Kindred Hospital-Central Tampa Lake City Medical Center Lake Wales Medical Center Lakewood Ranch Medical Center Larkin Community Hospital Palm Springs Campus Lawnwood Regional Medical Center & Heart Institute LeHigh Regional Medical Center Lower Keys Medical Center Martin Medical Center Mease Countryside Hospital Medical Center of Trinity Memorial Hospital Jacksonville Memorial Hospital of Tampa Munroe Regional Medical Center North Okaloosa Medical Center North Shore Medical Center Northwest Florida Community Hospital Northwest Medical Center Oak Hill Hospital Ocala Regional Medical Center Orange Park Medical Center Palm Beach Gardens Medical Center Palmetto General Hospital Palms of Pasadena Hospital

SFY 2019-20 PROJECTED NET PAYMENTS FOR LIP

Self-Funded Tiers Model

Charity Care Cost

Ratio of Charity Care Costs to Commercial

Costs

Tier

% Gross Charity Payment

Total LIP Payment

Additional LIP LIP IGTs Provided IGTs Provided

to Fund Tier for 1% Minimum and Tier 1

Total LIP IGTs Provided

Net (Total LIP Payment - LIP

IGTs)

% of Net Payment to Charity Care

Cost

$

1,829,747

$

1,799,787

$

2,151,116

$

3,700,173

$

1,298,919

$

548,492

$

332,184

$

1,520,160

$

868,843

$

4,566,680

$

903,832

$

6,446,136

$

115,307

$

291,491

$

326,376

$

159,946

$

130,546

$

302,864

$

6,017

$

80,607

$

391,716

$

703,340

$

236,721

$

6,316,595

$ 10,944,778

$

3,134,978

$

7,718,425

$

488,697

$

547,152

$

176,386

$

200,762

$

356,329

$

393,069

$

284,387

$

270,584

$

363,006

$

2,373,571

$

582,387

$

2,269,898

$

77,410

$

832,575

$ 16,002,685

$

7,724,879

$

4,932,100

$

1,273,629

$

1,417,659

$

1,694,190

$

737,637

$

4,647,879

$

446,675

$

2,990,887

$

2,597,347

$

1,900,671

$

1,436,436

$

3,745,803

$

4,363,446

$

1,138,683

9.16%

5

9.36%

5

3.55%

5

4.87%

5

5.35%

5

10.65%

5

3.62%

5

5.60%

5

1.63%

5

9.14%

5

1.84%

5

14.54%

5

6.31%

5

7.84%

5

14.76%

5

5.32%

5

3.56%

5

13.01%

5

0.24%

5

3.30%

5

4.17%

5

2.29%

5

2.93%

5

5.55%

5

9.18%

5

4.20%

5

8.30%

5

15.34%

5

12.72%

5

3.31%

5

5.89%

5

9.08%

5

8.61%

5

7.95%

5

1.60%

5

4.14%

5

8.38%

5

8.46%

5

4.58%

5

0.99%

5

3.97%

5

14.42%

5

9.45%

5

9.34%

5

1.67%

5

4.12%

5

2.77%

5

4.80%

5

8.20%

5

5.35%

5

5.69%

5

8.45%

5

2.74%

5

2.11%

5

7.64%

5

7.18%

5

4.35%

5

4 of 6

1.00%

$

18,297 $

1.00%

$

17,998 $

1.00%

$

21,511 $

1.00%

$

37,002 $

1.00%

$

12,989 $

1.00%

$

5,485 $

1.00%

$

3,322 $

1.00%

$

15,202 $

1.00%

$

8,688 $

1.00%

$

45,667 $

1.00%

$

9,038 $

1.00%

$

64,461 $

1.00%

$

1,153 $

1.00%

$

2,915 $

1.00%

$

3,264 $

1.00%

$

1,599 $

1.00%

$

1,305 $

1.00%

$

3,029 $

1.00%

$

60 $

1.00%

$

806 $

1.00%

$

3,917 $

1.00%

$

7,033 $

1.00%

$

2,367 $

1.00%

$

63,166 $

1.00%

$

109,448 $

1.00%

$

31,350 $

1.00%

$

77,184 $

1.00%

$

4,887 $

1.00%

$

5,472 $

1.00%

$

1,764 $

1.00%

$

2,008 $

1.00%

$

3,563 $

1.00%

$

3,931 $

1.00%

$

2,844 $

1.00%

$

2,706 $

1.00%

$

3,630 $

1.00%

$

23,736 $

1.00%

$

5,824 $

1.00%

$

22,699 $

1.00%

$

774 $

1.00%

$

8,326 $

1.00%

$

160,027 $

1.00%

$

77,249 $

1.00%

$

49,321 $

1.00%

$

12,736 $

1.00%

$

14,177 $

1.00%

$

16,942 $

1.00%

$

7,376 $

1.00%

$

46,479 $

1.00%

$

4,467 $

1.00%

$

29,909 $

1.00%

$

25,973 $

1.00%

$

19,007 $

1.00%

$

14,364 $

1.00%

$

37,458 $

1.00%

$

43,634 $

1.00%

$

11,387 $

14,981 $ -$

17,612 $ -$ -$ -$ -$ -$ -$

37,390 $ -$ -$ -$ -$ -$

1,309 $ -$ -$ -$ -$ -$ -$ -$ -$

89,611 $ 25,668 $

-$ -$ 4,480 $ -$ 1,644 $ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ 40,382 $ 10,428 $ -$ -$ -$ -$ -$ -$ -$ -$ -$ 30,669 $ -$ -$

-$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$

14,981 $ -$

17,612 $ -$ -$ -$ -$ -$ -$

37,390 $ -$ -$ -$ -$ -$

1,309 $ -$ -$ -$ -$ -$ -$ -$ -$

89,611 $ 25,668 $

-$ -$ 4,480 $ -$ 1,644 $ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ 40,382 $ 10,428 $ -$ -$ -$ -$ -$ -$ -$ -$ -$ 30,669 $ -$ -$

3,316 17,998

3,899 37,002 12,989

5,485 3,322 15,202 8,688 8,277 9,038 64,461 1,153 2,915 3,264

290 1,305 3,029

60 806 3,917 7,033 2,367 63,166 19,837 5,682 77,184 4,887 992 1,764 364 3,563 3,931 2,844 2,706 3,630 23,736 5,824 22,699 774 8,326 160,027 77,249 8,939 2,308 14,177 16,942 7,376 46,479 4,467 29,909 25,973 19,007 14,364 6,789 43,634 11,387

AHCA - MPF May 31, 2019

0.18% 1.00% 0.18% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 0.18% 1.00% 1.00% 1.00% 1.00% 1.00% 0.18% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 0.18% 0.18% 1.00% 1.00% 0.18% 1.00% 0.18% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 0.18% 0.18% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 0.18% 1.00% 1.00%

Medicaid ID

Provider

012026000 Palms West Hospital 006344700 Park Royal Hospital 010314400 Physicians Regional Medical Center - Pine Ridge 012000600 Plantation General Hospital 009268300 Poinciana Medical Center 011351400 Putnam Community Medical Center 011975000 Raulerson Hospital 010174500 Santa Rosa Medical Center 012001400 Sebastian Rivers Regional Medical Center 011998900 Seven Rivers Regional Medical Center 010033100 Shands Lake Shore Regional Medical Center 010179600 Shands Live Oak Regional Medical Center 010007200 Shands Starke Regional Medical Center 010328400 Sister Emmanuel Hospital 011994600 South Bay Hospital 010108700 South Lake Hospital 010058700 South Miami Hospital 010346200 St. Cloud Regional Medical Center 010097800 St. Joseph's Hospital 011997100 St. Lucie Medical Center 012010300 St. Petersburg General Hospital 009701300 St. Vincent's Medical Center Clay County 010073100 St. Vincent's Medical Center Riverside 010373000 St. Vincent's Medical Center Southside 010113300 Tallahassee Memorial Hospital 010317900 The Villages Regional Hospital 010125700 Twin Cities Hospital 011280100 University Hospital and Medical Center 011973300 Venice Regional Bayfront Health 003158800 Viera Hospital 010213000 Wellington Regional Medical Center 012024300 West Boca Medical Center 011321200 West Florida Hospital 003226500 West Kendall Baptist Hospital 011230500 Westside Regional Medical Center 010320900 Wuesthoff Medical Center-Melbourne 010011100 Wuesthoff Medical Center-Rockledge Tier 5: Low Utilization Private Hospitals

Totals Group 1 - Hospitals

005527800 010110900 053386600 373978300 273179700 053079400

Florida International University Florida State University University of Florida Gainesville University of Florida Jacksonville University of Miami University of South Florida

Totals Group 2 - Medical Schools Physician Practices

017234400 029543400 013881900 060551400 029554000 688693100 680027100 008037100

Agape Community Health Center Azalea Health Banyan Community Health Clinic Bond Community Health Clinic Borinquen Health Care Center Brevard Health Alliance Broward Community & Family Health C.L. Brumback Palm Beach

SFY 2019-20 PROJECTED NET PAYMENTS FOR LIP

Self-Funded Tiers Model

Charity Care Cost

Ratio of Charity Care Costs to Commercial

Costs

Tier

% Gross Charity Payment

Total LIP Payment

Additional LIP LIP IGTs Provided IGTs Provided

to Fund Tier for 1% Minimum and Tier 1

Total LIP IGTs Provided

Net (Total LIP Payment - LIP

IGTs)

% of Net Payment to Charity Care

Cost

$

2,693,236

$

424,191

$

432,774

$

9,605,645

$

130,749

$

577,716

$

896,012

$

147,331

$

10,032

$

192,798

$

872,504

$

87,619

$

36,626

$

20,042

$

1,152,252

$

5,364,381

$ 12,967,526

$

57,757

$ 56,421,234

$

1,156,337

$

1,827,689

$

3,148,886

$ 13,208,398

$

4,601,639

$ 17,484,471

$

2,709,250

$

315,334

$

3,329,679

$

162,022

$

1,934,889

$

4,592,123

$

667,612

$

1,051,957

$ 10,071,122

$

2,326,307

$

51,656

$

198,744

$ 441,402,741

$ 1,488,466,966

$

2,146,348

$

77,000

$ 23,557,923

$ 34,343,003

$ 37,062,543

$

4,192,428

$ 101,379,245

$

1,028,590

$

6,092,750

$

2,092,912

$

1,665,943

$ 12,010,403

$

9,382,565

$

1,971,220

$ 14,685,288

5.14%

5

8.18%

5

0.99%

5

11.16%

5

1.08%

5

5.71%

5

8.31%

5

1.22%

5

0.15%

5

1.53%

5

9.90%

5

2.76%

5

0.79%

5

1.25%

5

12.43%

5

9.72%

5

6.17%

5

0.50%

5

16.96%

5

3.29%

5

8.17%

5

10.79%

5

11.36%

5

7.39%

5

8.61%

5

13.58%

5

2.66%

5

14.53%

5

0.59%

5

5.64%

5

9.38%

5

1.16%

5

1.97%

5

13.37%

5

4.63%

5

1.05%

5

2.61%

5

1 1 1 1 1 1

1 1 1 1 1 1 1 1

5 of 6

1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00%

100.00% 100.00% 100.00% 100.00% 100.00% 100.00%

17.67% 17.67% 17.67% 17.67% 17.67% 17.67% 17.67% 17.67%

$

26,932 $

$

4,242 $

$

4,328 $

$

96,056 $

$

1,307 $

$

5,777 $

$

8,960 $

$

1,473 $

$

100 $

$

1,928 $

$

8,725 $

$

876 $

$

366 $

$

200 $

$

11,523 $

$

53,644 $

$

129,675 $

$

578 $

$

564,212 $

$

11,563 $

$

18,277 $

$

31,489 $

$

132,084 $

$

46,016 $

$

174,845 $

$

27,092 $

$

3,153 $

$

33,297 $

$

1,620 $

$

19,349 $

$

45,921 $

$

6,676 $

$

10,520 $

$

100,711 $

$

23,263 $

$

517 $

$

1,987 $

$ 4,414,024 $

$

$ 910,090,077 $

$

$ 2,146,348 $

$

77,000 $

$ 23,557,923 $

$ 34,343,003 $

$ 37,062,543 $

$ 4,192,428 $

$ 101,379,245 $

$

$

181,717 $

$ 1,076,380 $

$

369,746 $

$

294,315 $

$ 2,121,826 $

$ 1,657,577 $

$

348,247 $

$ 2,594,386 $

22,051 $ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ -$ 300 $ -$ -$ -$ -$ -$

461,950 $ -$ -$ -$ -$ -$

143,155 $ -$ -$ -$ -$ -$

37,598 $ 5,466 $ -$ -$ -$ -$ -$

1,361,042 $ 1,700,723 $ 337,748,331 $ 350,657,707 $

826,988 $ 29,668 $

9,076,868 $ 13,232,359 $ 14,280,197 $

1,615,343 $ 39,061,423 $ 39,061,423

87,513 $ -$ -$

141,738 $ 1,021,845 $

798,268 $ -$

1,249,424 $

-$

22,051 $

4,881

-$

-$

4,242

-$

-$

4,328

-$

-$

96,056

-$

-$

1,307

-$

-$

5,777

-$

-$

8,960

-$

-$

1,473

-$

-$

100

-$

-$

1,928

-$

-$

8,725

-$

-$

876

-$

300 $

66

-$

-$

200

-$

-$

11,523

-$

-$

53,644

-$

-$

129,675

-$

-$

578

-$

461,950 $

102,262

-$

-$

11,563

-$

-$

18,277

-$

-$

31,489

-$

-$

132,084

-$

-$

46,016

-$

143,155 $

31,690

-$

-$

27,092

-$

-$

3,153

-$

-$

33,297

-$

-$

1,620

-$

-$

19,349

-$

37,598 $

8,323

-$

5,466 $

1,210

-$

-$

10,520

-$

-$

100,711

-$

-$

23,263

-$

-$

517

-$

-$

1,987

- $ 1,361,042 $ 3,052,982

339,681 $ 1,700,723

12,909,376 $ 350,657,707 $ 559,432,370

(8,885,972) $ 350,657,707

-$

826,988 $ 1,319,360

-$

29,668 $

47,332

- $ 9,076,868 $ 14,481,055

- $ 13,232,359 $ 21,110,644

- $ 14,280,197 $ 22,782,346

- $ 1,615,343 $ 2,577,085

- $ 39,061,423 $ 62,317,822

-$ -$ -$ -$ -$ -$ -$ -$

87,513 $ -$ -$

141,738 $ 1,021,845 $

798,268 $ -$

1,249,424 $

94,204 1,076,380

369,746 152,577 1,099,981 859,309 348,247 1,344,962

AHCA - MPF May 31, 2019

0.18% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 1.00% 0.18% 1.00% 1.00% 1.00% 1.00% 1.00% 0.18% 1.00% 1.00% 1.00% 1.00% 1.00% 0.18% 1.00% 1.00% 1.00% 1.00% 1.00% 0.18% 0.18% 1.00% 1.00% 1.00% 1.00% 1.00%

61.47% 61.47% 61.47% 61.47% 61.47% 61.47%

9.16% 17.67% 17.67%

9.16% 9.16% 9.16% 17.67% 9.16%

 ................
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