Medicaid Hospital Funding Programs Fiscal Year 2017-2018

Medicaid Hospital Funding Programs Fiscal Year 2017-2018

SB 2500 First Engrossed April 12, 2017

THE FLORIDA SENATE

COMMITTEE ON APPROPRIATIONS

Location 201 The Capitol

Mailing Address 404 South Monroe Street Tallahassee, Florida 32399-1100

(850) 487-5140 Senator Jack Latvala, Chair Senator Anitere Flores, Vice Chair

Professional Staff: Mike Hansen, Staff Director

Senate's Website:

MEMORANDUM

To: From: Subject: Date:

Debbie Brown, Secretary Mike Hansen Medicaid Hospital Funding Programs April 12, 2017

For the 2017-2018 fiscal year, we intend to incorporate by reference in Senate Bill 2502, First Engrossed, the document titled "Medicaid Hospital Funding Programs," dated April 12, 2017.

The purpose of the document is to display the calculations used by the Legislature, consistent with the requirements of Florida Statutes, in making appropriations for the Medicaid Hospital Funding Programs.

The document will be made available as a PDF file that can be searched by anyone interested in the calculations and parameters used by the Legislature to make appropriations for the Medicaid Hospital Funding Programs.

A hard copy of the document is attached to this memorandum to formalize the exact document that is incorporated by reference in Senate Bill 2502, First Engrossed.

JOE NEGRON President of the Senate

ANITERE FLORES President Pro Tempore

FMAP SMAP Federal State GR Local

TOTAL

LIP

61.62% 38.38% $374,542,044 $450,000 $232,833,408 $607,825,452

DSH

61.62% 38.38% $219,313,128 $8,515,536 $82,713,189 $310,541,853

RATE ENHANCEMENTS INPATIENT

61.62% 38.38% $287,389,159 $179,000,258

$0 $466,389,417

RATE ENHANCEMENTS OUTPATIENT

Liver Global Fee

61.62% 38.38% $57,101,610 $35,565,722

$0 $92,667,333

61.62% 38.38% $6,059,513 $3,872,487

$0 $9,932,000

? LIP Program consistent with federal CMS standards in 2016-2017 Special Terms and Conditions ? Program pays hospitals based on their charity care costs, using reported charity care write-offs multiplied by the ratio of operating costs to patient charges ? Hospitals are ranked from high to low based on their percentage of charity care to privately insured (Insurance Charge Based, Other Charge Based, Commercial HMO/PPO, and other Commercial Discounted) costs ? Hospitals are then divided into four tiers based on their level of charity care costs to privately insured costs and are paid a prescribed percentage of their charity care:

TIERS: TIER 1 TIER 2 TIER 3 TIER 4

Charity care costs as a % of privately insured costs that are 30% or greater Charity care costs as a % of privately insured costs that are 16% or greater and less than 30% Charity care costs as a % of privately insured costs that are 1.097% or greater and less than 16% Charity care costs as a % of privately insured costs that are less than 1.097%

PAYMENTS: TIER 1 TIER 2 TIER 3 TIER 4

Paid up to 87% of charity care Paid up to 41.34% of charity care Paid up to 29% of charity care Paid up to 3.45548% of charity care

? DSH payment amounts are calculated according to Florida Statutes and are listed in the table "2017-2018 Disproportionate Share Hospital Funding"

DSH

Public $131,675,469

PSN

$7,913,635

Rural

$10,260,193

GME

$59,837,827

Family Practice $9,917,570

Mental Health $72,373,332

Pediatric $17,129,942

TB

$1,433,885

Total

$310,541,853

NOTE: The full LIP and DSH payment distributions by provider are contingent upon the nonfederal share being provided through grants and donations as intergovernmental transfers (IGTs) from state, county or other governmental municipalities. If the full amount of IGTs are not collected to fully fund the LIP and DSH programs the payments shall be proportionally reduced to the level of IGTs received.

1

SENATE 2017-18 LIP Model (2015 FHURS Data)

Hospital Medicaid

ID

ID

Hospital

100001 100063 100241 100125 100175 100022 100134 100153 100132 120007 100046 100152 100067 100035 100140 23960084 100053 100282 100048 100128 100173 100112 100084 100014 100105 23960114 100160 100106 100177 100165 100019 100157 100255 100052 100238 100230 100127 100113 100086 100117 100234 100018 100224 100030 100115 100259 100055 100142 110403 100075 100042 100007 100244 100057 100039 100183 100034 100051 100240 100088 100023 100038 100256 100029 100093 100143 100012 100219 100006 23960064 100109

100676 101508 108227 102261 101923 100421 100048 100803 100986 32975 101494 119938 120227 101168 101231 20127 100412 102601 101737 100994 101028 100269 101079 101834 101044

101214 101800 100099 100625 100081 101648 119849 101699 115193 102229 101583 100030 100218 102326 120308 100315 112801 101354 102342 119946 101613 101061 101524 100978 101915 101290 119717 101095 100129 109606 100463 101087 116483 100641 102199 100200 119881 100498 100749 102300 101109 101711 101338 32265 100901

UF HEALTH JACKSONVILLE MORTON PLANT NORTH BAY HOSPITAL LAKE BUTLER HOSPITAL HOMESTEAD HOSPITAL DESOTO MEMORIAL HOSPITAL JACKSON MEMORIAL HOSPITAL ED FRASER MEMORIAL HOSPITAL GEORGE E WEEMS MEMORIAL HOSPITAL SOUTH FLORIDA BAPTIST HOSPITAL PALM BAY HOSPITAL FLORIDA HOSPITAL ZEPHYRHILLS KINDRED HOSPITAL-SOUTH FLORIDA-CORAL GABLES ST ANTHONYS HOSPITAL MANATEE MEMORIAL HOSPITAL BAPTIST MEDICAL CENTER - NASSAU SACRED HEART HOSPITAL ON THE GULF HIALEAH HOSPITAL FLORIDA HOSPITAL WAUCHULA JAY HOSPITAL TAMPA GENERAL HOSPITAL FLORIDA HOSPITAL TAMPA CALHOUN-LIBERTY HOSPITAL LEESBURG REGIONAL MEDICAL CENTER FLORIDA HOSPITAL NEW SMYRNA INDIAN RIVER MEDICAL CENTER NORTH TAMPA BEHAVIORAL HEALTH MARINERS HOSPITAL DOCTORS' MEMORIAL HOSPITAL CAPE CANAVERAL HOSPITAL WESTCHESTER GENERAL HOSPITAL HOLMES REGIONAL MEDICAL CENTER LAKELAND REGIONAL MEDICAL CENTER TAMPA COMMUNITY HOSPITAL WINTER HAVEN HOSPITAL NORTHSIDE HOSPITAL MEMORIAL HOSPITAL PEMBROKE MORTON PLANT HOSPITAL UF HEALTH SHANDS HOSPITAL BROWARD HEALTH NORTH BAPTIST MEDICAL CENTER - BEACHES JFK MEDICAL CENTER NORTH CAMPUS NAPLES COMMUNITY HOSPITAL UNIVERSITY HOSPITAL AND MEDICAL CENTER HEALTH CENTRAL KINDRED HOSPITAL-BAY AREA-TAMPA SOUTH BAY HOSPITAL FLORIDA HOSPITAL NORTH PINELLAS JACKSON HOSPITAL GOOD SAMARITAN MEDICAL CENTER ST JOSEPHS HOSPITAL KINDRED HOSPITAL-SOUTH FLORIDA-HOLLYWOOD FLORIDA HOSPITAL CAPE CORAL HOSPITAL FLORIDA HOSPITAL WATERMAN BROWARD HEALTH MEDICAL CENTER CORAL GABLES HOSPITAL MOUNT SINAI MEDICAL CENTER SOUTH LAKE HOSPITAL ANNE BATES LEACH EYE HOSPITAL BAPTIST MEDICAL CENTER JACKSONVILLE CITRUS MEMORIAL HOSPITAL MEMORIAL REGIONAL HOSPITAL REGIONAL MEDICAL CENTER BAYONET POINT NORTH SHORE MEDICAL CENTER BAPTIST HOSPITAL KINDRED HOSPITAL-CENTRAL TAMPA LEE MEMORIAL HOSPITAL FLAGLER HOSPITAL ORLANDO HEALTH WEST KENDALL BAPTIST HOSPITAL FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER

607,825,452

232,833,408

450,000

County

Duval PASCO Union MIAMI-DADE DESOTO Miami-Dade BAKER Franklin HILLSBOROUGH BREVARD PASCO DADE PINELLAS MANATEE NASSAU GULF MIAMI-DADE HARDEE Santa Rosa HILLSBOROUGH HILLSBOROUGH Calhouh LAKE Volusia Indian River Pasco Monroe TAYLOR BREVARD MIAMI-DADE BREVARD POLK HILLSBOROUGH POLK PINELLAS Broward PINELLAS ALACHUA Broward DUVAL PALM BEACH Collier BROWARD ORANGE Hillsborough HILLSBOROUGH PINELLAS FL PALM BEACH HILLSBOROUGH Broward Orange LEE LAKE Broward MIAMI-DADE MIAMI-DADE Lake Miami-Dade DUVAL CITRUS Broward PASCO MIAMI-DADE Escambia HILLSBOROUGH LEE St. Johns Orange MIAMI-DADE HIGHLANDS

Total Start Medicaid Date Days as % of

Total Days

Charity Care Deductions

Privately Insured Charges

Cost-toCharge Ratio

Charity Care Costs

Charity Care Privately Insured Costs as a % of Patient Expenses Privately Insured

Patient Expenses

Tier

Payment %

Total LIP Payment

IGTs

Net LIP

7/1/2014 1/1/2015 1/1/2015 10/1/2014 10/1/2014 10/1/2014 10/1/2014 10/1/2014 1/1/2015 10/1/2014 1/1/2015 1/1/2015 1/1/2015 1/1/2015 10/1/2014 7/1/2014 1/1/2015 1/1/2015 10/1/2014 10/1/2014 1/1/2015 1/1/2015 7/1/2014 10/1/2014 10/1/2014 1/1/2015 10/1/2014 6/1/2014 10/1/2014 1/1/2015 10/1/2014 10/1/2014 1/1/2015 1/1/2015 1/1/2015 5/1/2014 1/1/2015 7/1/2014 7/1/2014 10/1/2014 1/1/2015 10/1/2014 1/1/2015 10/1/2014 1/1/2015 1/1/2015 1/1/2015 10/1/2014 1/1/2015 1/1/2015 1/1/2015 1/1/2015 10/1/2014 1/1/2015 7/1/2014 1/1/2015 1/1/2015 10/1/2014 6/1/2014 10/1/2014 1/1/2015 5/1/2014 1/1/2015 1/1/2015 10/1/2014 1/1/2015 10/1/2014 10/1/2014 10/1/2014 10/1/2014 1/1/2015

33.6% $ 21.2% $ 11.0% $ 36.2% $ 13.7% $ 27.4% $ 2.3% $ 9.0% $ 15.6% $ 12.2% $ 14.5% $ 1.7% $ 13.9% $ 21.9% $ 11.7% $ 10.7% $ 26.2% $ 1.4% $ 9.7% $ 25.1% $ 15.7% $ 26.6% $ 10.3% $ 5.3% $ 13.0% $ 17.0% $ 3.3% $ 13.9% $ 12.7% $ 30.3% $ 14.4% $ 15.9% $ 14.4% $ 15.2% $ 12.3% $ 17.1% $ 12.3% $ 26.8% $ 18.1% $ 4.7% $ 28.5% $ 11.9% $ 13.1% $ 16.6% $ 7.0% $ 4.0% $ 11.7% $ 16.4% $ 18.5% $ 28.0% $ 2.0% $ 14.9% $ 11.2% $ 13.8% $ 35.8% $ 14.5% $ 12.7% $ 12.1% $ 4.2% $ 21.8% $ 10.9% $ 24.8% $ 11.1% $ 30.2% $ 16.3% $ 5.5% $ 25.2% $ 14.1% $ 29.4% $ 16.0% $ 12.1% $

307,353,383 $ 48,384,561 $

2,499,591 $ 80,905,642 $

6,379,470 $ 322,019,247 $

6,789,151 $ 1,261,533 $ 47,349,184 $ 36,253,796 $ 35,414,734 $ 3,218,305 $ 85,629,465 $ 70,024,759 $ 19,946,358 $ 2,961,722 $ 41,222,524 $ 3,105,346 $ 2,135,704 $ 388,042,708 $ 147,257,557 $

941,740 $ 27,201,603 $ 11,013,796 $ 21,923,378 $

1,569,618 $ 9,539,960 $ 1,561,789 $ 29,939,451 $ 11,027,715 $ 105,465,867 $ 156,425,365 $ 28,085,611 $ 53,489,478 $ 52,135,822 $ 40,138,949 $ 96,938,305 $ 207,333,748 $ 42,418,885 $ 30,136,720 $ 25,812,015 $ 68,398,452 $ 32,770,755 $ 40,036,878 $ 4,470,850 $ 13,324,387 $ 14,708,541 $ 6,436,348 $ 56,049,537 $ 209,747,822 $ 2,145,656 $ 660,413,085 $ 37,056,556 $ 33,460,947 $ 84,247,207 $ 25,485,421 $ 90,145,722 $ 34,170,110 $ 19,714,105 $ 217,295,893 $ 30,810,082 $ 191,995,790 $ 48,783,145 $ 59,168,372 $ 72,249,937 $ 3,128,507 $ 120,094,205 $ 31,646,572 $ 404,043,406 $ 41,484,953 $ 17,450,035 $

512,327,531 94,767,073 5,614,836

183,512,744 15,971,565

823,861,728 18,808,070 3,708,951

139,295,263 110,223,441 127,080,765

12,114,592 327,456,110 268,569,389

77,577,162 11,833,890 172,386,699 13,051,909 9,650,310 1,755,852,261 684,566,166 4,433,302 130,245,824 52,875,117 105,371,082 7,579,915 46,781,474 7,718,246 153,067,888 56,924,558 556,687,019 827,055,141 149,047,917 284,646,316 279,310,579 228,951,289 554,191,150 1,190,970,297 249,339,580 178,163,398 153,261,473 408,778,430 196,422,180 240,203,535 27,216,721 81,314,485 90,228,357 39,772,606 347,941,931 1,303,117,803 13,622,425 4,199,786,365 239,408,101 219,035,689 556,902,217 169,729,987 600,620,907 230,819,406 133,757,359 1,489,591,077 212,490,467 1,342,639,991 344,619,450 424,752,846 522,678,424 23,080,231 888,429,518 243,318,228 3,116,160,529 319,975,202 136,328,394

22.4% $ 20.0% $ 39.3% $ 24.0% $ 32.2% $ 32.3% $ 30.2% $ 59.5% $ 17.9% $ 17.0% $ 15.3% $ 19.2% $ 18.6% $ 14.7% $ 20.8% $ 48.1% $ 11.8% $ 23.8% $ 23.1% $ 18.3% $ 17.2% $ 34.7% $ 23.6% $ 32.0% $ 35.5% $ 36.5% $ 31.7% $ 38.9% $ 17.2% $ 27.9% $ 18.9% $ 17.2% $ 12.0% $ 18.4% $

9.8% $ 16.6% $ 20.1% $ 28.8% $ 24.1% $ 20.0% $ 12.8% $ 22.0% $ 11.3% $ 16.3% $ 19.6% $ 10.4% $ 19.5% $ 37.2% $ 14.2% $ 21.7% $ 21.6% $ 19.9% $ 18.3% $ 18.4% $ 24.9% $ 11.6% $ 19.1% $ 17.6% $ 27.1% $ 21.8% $

9.4% $ 19.3% $

9.7% $ 12.3% $ 17.3% $ 21.2% $ 19.5% $ 22.5% $ 19.0% $ 21.7% $ 15.9% $

68,807,020 $ 9,660,563 $

982,594 $ 19,448,510 $ 2,052,552 $ 104,092,579 $ 2,051,747 $

750,018 $ 8,458,536 $ 6,180,002 $ 5,411,514 $

618,225 $ 15,930,895 $ 10,301,231 $ 4,141,011 $ 1,425,878 $ 4,868,960 $

738,009 $ 493,101 $ 70,999,343 $ 25,344,819 $ 327,188 $ 6,432,944 $ 3,528,173 $ 7,774,946 $ 572,948 $ 3,026,316 $ 607,602 $ 5,142,690 $ 3,077,817 $ 19,968,719 $ 26,939,024 $ 3,359,921 $ 9,830,816 $ 5,103,829 $ 6,663,433 $ 19,444,687 $ 59,741,834 $ 10,226,321 $ 6,015,233 $ 3,316,426 $ 15,052,073 $ 3,698,322 $ 6,545,188 $ 875,128 $ 1,391,049 $ 2,863,229 $ 2,396,713 $ 7,942,469 $ 45,517,140 $ 464,155 $ 131,607,175 $ 6,791,020 $ 6,158,767 $ 21,008,677 $ 2,944,379 $ 17,201,783 $ 6,000,364 $ 5,341,263 $ 47,466,859 $ 2,904,342 $ 37,098,150 $ 4,717,079 $ 7,279,897 $ 12,519,808 $ 664,527 $ 23,369,750 $ 7,107,442 $ 76,826,908 $ 8,987,624 $ 2,781,971 $

114,694,462 18,921,392 2,207,202 44,113,728 5,138,746 266,312,938 5,683,981 2,205,078 24,883,936 18,789,234 19,418,452 2,327,169 60,921,423 39,508,815 16,105,590 5,697,253 20,361,295 3,101,885 2,228,108 321,264,528 117,822,174 1,540,259 30,802,012 16,938,083 37,368,991 2,766,849 14,840,263 3,002,722 26,292,422 15,887,551 105,402,125 142,432,517 17,830,813 52,315,067 27,343,071 38,008,012 111,164,242 343,170,135 60,110,649 35,561,079 19,691,620 89,957,631 22,167,093 39,268,230 5,327,426 8,489,126 17,564,244 14,810,188 49,304,921 282,788,136 2,946,844 836,933,778 43,874,157 40,315,350 138,874,381 19,609,230 114,611,654 40,532,513 36,239,699 325,391,373 20,030,620 259,429,955 33,322,930 52,260,299 90,572,173 4,902,478 172,884,073 54,646,367 592,522,921 69,321,924 21,734,151

60.0% 1 51.1% 1 44.5% 1 44.1% 1 39.9% 1 39.1% 1 36.1% 1 34.0% 1 34.0% 1 32.9% 1 27.9% 2 26.6% 2 26.1% 2 26.1% 2 25.7% 2 25.0% 2 23.9% 2 23.8% 2 22.1% 2 22.1% 2 21.5% 2 21.2% 2 20.9% 2 20.8% 2 20.8% 2 20.7% 2 20.4% 2 20.2% 2 19.6% 2 19.4% 2 18.9% 2 18.9% 2 18.8% 2 18.8% 2 18.7% 2 17.5% 2 17.5% 2 17.4% 2 17.0% 2 16.9% 2 16.8% 2 16.7% 2 16.7% 2 16.7% 2 16.4% 2 16.4% 2 16.3% 2 16.2% 2 16.1% 2 16.1% 2 15.8% 3 15.7% 3 15.5% 3 15.3% 3 15.1% 3 15.0% 3 15.0% 3 14.8% 3 14.7% 3 14.6% 3 14.5% 3 14.3% 3 14.2% 3 13.9% 3 13.8% 3 13.6% 3 13.5% 3 13.0% 3 13.0% 3 13.0% 3 12.8% 3

87.00% $ 87.00% $ 87.00% $ 87.00% $ 87.00% $ 87.00% $ 87.00% $ 87.00% $ 87.00% $ 87.00% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 41.34% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $

59,862,108 $ 8,404,690 $ 854,856 $

16,920,204 $ 1,785,721 $

90,560,544 $ 1,785,020 $ 652,515 $ 7,358,927 $ 5,376,602 $ 2,237,120 $ 255,574 $ 6,585,832 $ 4,258,529 $ 1,711,894 $ 589,458 $ 2,012,828 $ 305,093 $ 203,848 $

29,351,129 $ 10,477,548 $

135,260 $ 2,659,379 $ 1,458,547 $ 3,214,163 $

236,857 $ 1,251,079 $

251,182 $ 2,125,988 $ 1,272,370 $ 8,255,068 $ 11,136,593 $ 1,388,991 $ 4,064,059 $ 2,109,923 $ 2,754,663 $ 8,038,433 $ 24,697,274 $ 4,227,561 $ 2,486,697 $ 1,371,011 $ 6,222,527 $ 1,528,886 $ 2,705,781 $

361,778 $ 575,060 $ 1,183,659 $ 990,801 $ 3,283,417 $ 18,816,786 $ 134,605 $ 38,166,081 $ 1,969,396 $ 1,786,042 $ 6,092,516 $ 853,870 $ 4,988,517 $ 1,740,106 $ 1,548,966 $ 13,765,389 $ 842,259 $ 10,758,463 $ 1,367,953 $ 2,111,170 $ 3,630,744 $ 192,713 $ 6,777,227 $ 2,061,158 $ 22,279,803 $ 2,606,411 $ 806,772 $

38,644,447 $ - $ - $ - $ - $

66,879,270 $ - $ - $ - $ - $ - $ - $

4,019,746 $ 909,000 $ - $ - $ - $ 166,724 $ - $

21,688,610 $ 1,012,977 $ - $ - $ 1,036,164 $ 2,348,265 $ - $ - $ - $ - $ - $ - $ 7,912,289 $ - $ 2,875,937 $ - $ 1,930,203 $ 5,051,661 $

17,809,887 $ 3,105,446 $ - $ 950,460 $ - $ - $ 1,892,637 $ - $ 408,526 $ - $ - $ 2,242,854 $ - $ - $ 3,865,078 $ - $ - $ 4,312,157 $ - $ - $ - $ - $ - $ - $ 7,962,554 $ - $ - $ - $ - $ 4,931,387 $ - $ 3,376,176 $ - $ - $

21,217,660 8,404,690 854,856

16,920,204 1,785,721

23,681,274 1,785,020 652,515 7,358,927 5,376,602 2,237,120 255,574 2,566,086 3,349,529 1,711,894 589,458 2,012,828 138,369 203,848 7,662,519 9,464,571 135,260 2,659,379 422,383 865,898 236,857 1,251,079 251,182 2,125,988 1,272,370 8,255,068 3,224,304 1,388,991 1,188,122 2,109,923 824,460 2,986,772 6,887,387 1,122,116 2,486,697 420,551 6,222,527 1,528,886 813,143 361,778 166,533 1,183,659 990,801 1,040,563

18,816,786 134,605

34,301,003 1,969,396 1,786,042 1,780,359 853,870 4,988,517 1,740,106 1,548,966

13,765,389 842,259

2,795,910 1,367,953 2,111,170 3,630,744

192,713 1,845,840 2,061,158 18,903,628 2,606,411

806,772

Page 2

SENATE 2017-18 LIP Model (2015 FHURS Data)

Hospital Medicaid

ID

ID

Hospital

100044 100043 100069 100080 100209 100220

23960032 100040 100025 100078 100002 100187

100028 23960011 23960041

100008 100243 110012 100032 100017 100180 100176 100098 110010 100248 100167 100232 100087 100131 100077 100252 100135 23960117 100045 100154 23960103 100102 100181 100189 23960090 100213 100072 23960099 110019 110006 100010 100228 100130 100191 100258 23960088 23960046 111527 23960092 100253 100150 100200 23960112 100246 23960109 100020 100122 100147 110009 100166 100099 100236 100068 100206 100004 100009

101184 101541 100943 101460 120138 111341

103179 100731 100765 101036 101401 104604

100102 102768 103233 100358 118079 25766 101567 101842 120103 102105 100862 102130 119741 120006 113514 101761 120375 100285 119750 101133 97013 101877 100587 63447 100331 120057 104591 16815 110213 101826 54568 120405 120260 101486 112305 101443 105520 120090 103730 103420 102521 31588 120294 101192 108219 95875 119695 83692 103543 101265 101907 120324 119954 101664 117463 101869 112798 101150 100366

MARTIN MEDICAL CENTER MEASE DUNEDIN HOSPITAL FLORIDA HOSPITAL CARROLLWOOD JFK MEDICAL CENTER KENDALL REGIONAL MEDICAL CENTER GULF COAST MEDICAL CENTER LEE MEMORIAL HEALTH SYSTEM

THE VILLAGES REGIONAL HOSPITAL ST VINCENT'S MEDICAL CENTER RIVERSIDE SACRED HEART HOSPITAL DOCTORS MEMORIAL HOSPITAL BETHESDA HOSPITAL EAST PALMETTO GENERAL HOSPITAL

PARRISH MEDICAL CENTER KINDRED HOSPITAL-BAY AREA-ST PETERSBURG SACRED HEART HOSPITAL ON THE EMERALD COAST BAPTIST HOSPITAL OF MIAMI BRANDON REGIONAL HOSPITAL SHRINERS HOSPITALS FOR CHILDREN-TAMPA BAYFRONT HEALTH - ST PETERSBURG HALIFAX HEALTH MEDICAL CENTER ST PETERSBURG GENERAL HOSPITAL PALM BEACH GARDENS MEDICAL CENTER HENDRY REGIONAL MEDICAL CENTER WELLINGTON REGIONAL MEDICAL CENTER LARGO MEDICAL CENTER PLANTATION GENERAL HOSPITAL PUTNAM COMMUNITY MEDICAL CENTER SARASOTA MEMORIAL HOSPITAL AVENTURA HOSPITAL AND MEDICAL CENTER BAYFRONT HEALTH PORT CHARLOTTE RAULERSON HOSPITAL TALLAHASSEE MEMORIAL HOSPITAL ST VINCENT'S MEDICAL CENTER CLAY COUNTY FLORIDA HOSPITAL DELAND SOUTH MIAMI HOSPITAL PARK ROYAL HOSPITAL SHANDS LAKE SHORE REGIONAL MEDICAL CENTER LARKIN COMMUNITY HOSPITAL NORTHWEST MEDICAL CENTER KINDRED HOSPITAL MELBOURNE BLAKE MEDICAL CENTER FLORIDA HOSPITAL FISH MEMORIAL FLORIDA HOSPITAL WESLEY CHAPEL BROWARD HEALTH CORAL SPRINGS PALMS WEST HOSPITAL ST MARY'S MEDICAL CENTER WESTSIDE REGIONAL MEDICAL CENTER LAKESIDE MEDICAL CENTER MEDICAL CENTER OF TRINITY DELRAY MEDICAL CENTER ST VINCENT'S MEDICAL CENTER SOUTHSIDE LAKEWOOD RANCH MEDICAL CENTER MEMORIAL HOSPITAL WEST VIERA HOSPITAL JUPITER MEDICAL CENTER DEPOO HOSPITAL BROWARD HEALTH IMPERIAL POINT HEALTHSOUTH REHABILITATION HOSPITAL AT MARTIN HEALTH LAWNWOOD REGIONAL MEDICAL CENTER & HEART INSTITUTE HEALTHSOUTH REHABILITATION HOSPITAL OF OCALA DOCTORS HOSPITAL NORTH OKALOOSA MEDICAL CENTER NORTHWEST FLORIDA COMMUNITY HOSPITAL H LEE MOFFITT CANCER CENTER & RESEARCH INSTITUTE HOSPITAL DOCTORS HOSPITAL OF SARASOTA LAKE WALES MEDICAL CENTER FAWCETT MEMORIAL HOSPITAL FLORIDA HOSPITAL OCEANSIDE MEMORIAL HOSPITAL OF TAMPA MADISON COUNTY MEMORIAL HOSPITAL UNIVERSITY OF MIAMI HOSPITAL

607,825,452

232,833,408

450,000

County

Martin PINELLAS HILLSBOROUGH PALM BEACH MIAMI-DADE Lee SUMTER Duval Escambia HOLMES Palm Beach MIAMI-DADE BREVARD Pinellas Walton MIAMI-DADE HILLSBOROUGH Hillsborough Pinellas Volusia PINELLAS PALM BEACH Hendry PALM BEACH PINELLAS BROWARD PUTNAM SARASOTA MIAMI-DADE CHARLOTTE OKEECHOBEE LEON Clay VOLUSIA MIAMI-DADE Lee Columbia MIAMI-DADE BROWARD BREVARD MANATEE VOLUSIA PASCO Broward PALM BEACH PALM BEACH BROWARD Palm Beach PASCO PALM BEACH Duval MANATEE Broward BREVARD PALM BEACH MONROE Broward MARTIN SAINT LUCIE MARION MIAMI-DADE OKALOOSA WASHINGTON HILLSBOROUGH SARASOTA POLK CHARLOTTE VOLUSIA HILLSBOROUGH Madison MIAMI-DADE

Total Start Medicaid Date Days as % of

Total Days

Charity Care Deductions

Privately Insured Charges

Cost-toCharge Ratio

Charity Care Costs

Charity Care Privately Insured Costs as a % of Patient Expenses Privately Insured

Patient Expenses

Tier

Payment %

Total LIP Payment

IGTs

Net LIP

10/1/2014 1/1/2015 1/1/2015 1/1/2015 1/1/2015 10/1/2014 7/1/2014 7/1/2014 7/1/2014 10/1/2014 10/1/2014 1/1/2015 10/1/2014 1/1/2015 7/1/2014 10/1/2014 1/1/2015 1/1/2015 1/1/2015 10/1/2014 1/1/2015 1/1/2015 10/1/2014 1/1/2015 1/1/2015 1/1/2015 5/1/2015 10/1/2014 1/1/2015 1/1/2015 1/1/2015 10/1/2014 7/1/2014 1/1/2015 10/1/2014 1/1/2015 1/1/2015 1/1/2015 1/1/2015 1/1/2015 1/1/2015 1/1/2015 1/1/2015 7/1/2014 1/1/2015 1/1/2015 1/1/2015 10/1/2014 1/1/2015 1/1/2015 7/1/2014 1/1/2015 5/1/2014 10/1/2014 10/1/2014 1/1/2015 7/1/2014 1/1/2015 1/1/2015 1/1/2015 10/1/2014 1/1/2015 1/1/2015 7/1/2014 1/1/2015 1/1/2015 1/1/2015 1/1/2015 1/1/2015 10/1/2014 6/1/2014

10.2% $ 13.9% $ 12.5% $ 16.3% $ 26.0% $ 12.6% $

4.0% $ 11.8% $ 31.8% $ 21.6% $ 23.8% $ 25.7% $

13.4% $ 3.1% $ 13.4% $ 17.6% $ 19.5% $ 51.4% $ 20.5% $ 18.2% $ 18.3% $ 8.3% $ 7.7% $ 21.6% $ 9.3% $ 27.2% $ 12.7% $ 15.4% $ 13.8% $ 11.8% $ 13.1% $ 22.6% $ 8.0% $ 13.7% $ 24.8% $ 9.6% $ 23.6% $ 19.0% $ 17.1% $ 1.9% $ 9.7% $ 10.4% $ 10.1% $ 26.6% $ 27.4% $ 42.5% $ 9.6% $ 41.0% $ 13.1% $ 7.8% $ 11.9% $ 5.8% $ 15.6% $ 5.8% $ 6.4% $ 12.5% $ 17.6% $ 1.6% $ 23.6% $ 2.2% $ 7.2% $ 10.0% $ 5.8% $ 9.5% $ 3.5% $ 7.5% $ 6.0% $ 11.3% $ 9.9% $ 5.0% $ 16.5% $

81,025,185 $ 60,431,560 $ 29,511,385 $ 95,793,455 $ 106,938,447 $ 43,122,216 $

10,772,984 $ 70,057,697 $ 68,737,099 $

534,958 $ 45,299,299 $ 42,482,979 $

14,670,822 $ 1,689,319 $

23,224,718 $ 133,404,717 $ 87,679,838 $

822,428 $ 49,039,067 $ 54,002,023 $ 22,501,808 $ 28,041,763 $

2,973,504 $ 35,028,198 $ 45,341,087 $ 61,830,215 $

2,720,020 $ 59,849,592 $ 50,444,060 $ 20,891,514 $

7,313,760 $ 67,442,900 $ 11,219,655 $ 10,138,331 $ 61,241,434 $

956,174 $ 3,814,440 $ 3,256,549 $ 34,623,786 $ 1,031,712 $ 24,020,922 $ 9,255,929 $ 22,078,213 $ 18,192,033 $ 30,129,674 $ 33,562,383 $ 29,566,796 $ 1,266,969 $ 30,431,490 $ 29,317,002 $ 21,917,751 $ 11,701,093 $ 57,238,580 $ 8,885,863 $ 17,383,114 $ 7,002,481 $ 9,203,580 $

287,128 $ 23,804,428 $

181,026 $ 15,312,037 $ 11,931,137 $

1,064,779 $ 45,436,257 $

8,473,081 $ 4,053,055 $ 12,447,797 $ 11,431,684 $ 9,996,121 $

175,916 $ 28,414,091 $

634,774,808 477,986,891 233,446,091 771,029,518 867,542,938 350,449,548

89,130,975 582,285,291 591,831,065

4,766,085 404,109,181 384,077,487

135,056,615 15,891,478

219,521,757 1,296,120,746

857,657,642 8,245,137

495,410,113 549,432,625 229,121,070 285,986,978

30,393,261 367,038,463 482,253,370 658,597,416

29,366,199 666,698,975 570,552,552 237,834,980

84,143,205 794,241,932 133,351,182 121,119,776 771,864,011

12,125,785 48,420,314 41,509,173 446,949,248 13,814,525 322,119,087 125,976,393 301,828,299 253,125,927 419,462,341 467,551,580 429,243,683 18,427,149 450,499,885 439,504,164 328,919,125 189,107,207 952,422,851 151,978,905 298,989,224 121,744,016 162,200,030 5,115,888 427,322,236 3,368,858 298,319,104 236,154,827 21,474,168 925,161,974 173,167,301 83,261,381 265,851,221 245,334,631 225,800,479 4,067,717 692,511,566

15.8% $ 19.2% $ 17.1% $ 10.9% $

9.3% $ 19.8% $

20.8% $ 17.9% $ 22.9% $ 43.7% $ 18.9% $ 14.1% $

24.9% $ 19.2% $ 15.5% $ 22.4% $

9.6% $ 75.0% $ 13.9% $ 27.9% $

9.8% $ 16.2% $ 43.7% $ 13.6% $ 11.4% $ 12.5% $ 19.5% $ 20.4% $ 11.3% $

9.5% $ 12.1% $ 23.4% $ 16.7% $ 19.7% $ 25.3% $ 41.1% $ 19.0% $ 29.6% $ 10.2% $ 26.5% $ 12.9% $ 19.9% $ 16.1% $ 23.1% $ 11.7% $ 17.4% $ 10.7% $ 34.8% $ 10.1% $ 12.5% $ 18.1% $ 13.7% $ 14.9% $ 21.0% $ 21.0% $ 15.6% $ 24.4% $ 61.3% $ 10.5% $ 60.7% $ 27.0% $

7.2% $ 28.3% $ 28.9% $ 13.1% $ 10.7% $

9.2% $ 21.4% $ 12.8% $ 46.9% $ 16.9% $

12,800,312 $ 11,612,317 $ 5,059,409 $ 10,456,252 $ 9,968,812 $ 8,535,599 $

2,241,318 $ 12,574,608 $ 15,769,778 $

233,636 $ 8,575,832 $ 5,996,278 $

3,645,858 $ 323,702 $

3,600,899 $ 29,863,869 $ 8,373,945 $

616,657 $ 6,804,920 $ 15,063,653 $ 2,205,685 $ 4,541,515 $ 1,300,278 $ 4,768,640 $ 5,156,707 $ 7,709,464 $

530,400 $ 12,215,141 $ 5,706,605 $ 1,985,538 $

886,216 $ 15,755,787 $ 1,873,596 $ 1,993,953 $ 15,515,599 $

392,681 $ 724,671 $ 962,956 $ 3,515,729 $ 273,118 $ 3,109,163 $ 1,839,384 $ 3,552,418 $ 4,210,535 $ 3,537,395 $ 5,846,087 $ 3,165,595 $ 441,185 $ 3,067,373 $ 3,668,021 $ 3,976,050 $ 1,608,488 $ 8,526,207 $ 1,863,984 $ 3,652,136 $ 1,090,656 $ 2,242,331 $ 175,977 $ 2,492,859 $ 109,808 $ 4,129,144 $ 857,627 $ 301,576 $ 13,147,475 $ 1,111,440 $ 435,202 $ 1,142,883 $ 2,441,621 $ 1,280,531 $ 82,513 $ 4,810,318 $

100,281,362 91,848,289 40,021,820 84,161,063 80,872,437 69,367,884

18,543,686 104,513,991 135,778,857

2,081,523 76,503,891 54,210,783

33,563,030 3,045,076 34,035,968 290,148,511 81,911,400 6,182,207 68,745,723 153,262,084 22,459,031 46,317,138 13,290,611 49,967,581 54,847,367 82,118,958 5,726,365 136,071,467 64,545,120 22,603,928 10,195,724 185,548,172 22,268,618 23,821,190 195,552,778 4,979,808 9,198,933 12,274,196 45,383,616 3,657,026 41,693,683 25,034,649 48,564,633 58,585,846 49,247,260 81,440,791 45,957,353 6,416,715 45,408,591 54,988,921 59,668,485 25,995,581 141,872,047 31,880,554 62,816,669 18,961,969 39,517,901 3,135,458 44,750,243 2,043,505 80,446,687 16,975,139 6,082,094 267,705,671 22,714,884 8,940,308 24,408,895 52,399,478 28,925,669 1,907,949 117,237,647

12.8% 3 12.6% 3 12.6% 3 12.4% 3 12.3% 3 12.3% 3

12.1% 3 12.0% 3 11.6% 3 11.2% 3 11.2% 3 11.1% 3

10.9% 3 10.6% 3 10.6% 3 10.3% 3 10.2% 3 10.0% 3

9.9% 3 9.8% 3 9.8% 3 9.8% 3 9.8% 3 9.5% 3 9.4% 3 9.4% 3 9.3% 3 9.0% 3 8.8% 3 8.8% 3 8.7% 3 8.5% 3 8.4% 3 8.4% 3 7.9% 3 7.9% 3 7.9% 3 7.8% 3 7.7% 3 7.5% 3 7.5% 3 7.3% 3 7.3% 3 7.2% 3 7.2% 3 7.2% 3 6.9% 3 6.9% 3 6.8% 3 6.7% 3 6.7% 3 6.2% 3 6.0% 3 5.8% 3 5.8% 3 5.8% 3 5.7% 3 5.6% 3 5.6% 3 5.4% 3 5.1% 3 5.1% 3 5.0% 3 4.9% 3 4.9% 3 4.9% 3 4.7% 3 4.7% 3 4.4% 3 4.3% 3 4.1% 3

29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $

29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $

29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $ 29.00% $

3,712,091 $ 3,367,572 $ 1,467,229 $ 3,032,313 $ 2,890,956 $ 2,475,324 $

649,982 $ 3,646,636 $ 4,573,236 $

67,754 $ 2,486,991 $ 1,738,921 $

1,057,299 $ 93,874 $

1,044,261 $ 8,660,522 $ 2,428,444 $

178,830 $ 1,973,427 $ 4,368,459 $

639,649 $ 1,317,039 $

377,081 $ 1,382,906 $ 1,495,445 $ 2,235,744 $

153,816 $ 3,542,391 $ 1,654,915 $

575,806 $ 257,003 $ 4,569,178 $ 543,343 $ 578,246 $ 4,499,524 $ 113,877 $ 210,154 $ 279,257 $ 1,019,562 $

79,204 $ 901,657 $ 533,421 $ 1,030,201 $ 1,221,055 $ 1,025,844 $ 1,695,365 $ 918,023 $ 127,944 $ 889,538 $ 1,063,726 $ 1,153,055 $ 466,462 $ 2,472,600 $ 540,555 $ 1,059,119 $ 316,290 $ 650,276 $

51,033 $ 722,929 $

31,844 $ 1,197,452 $

248,712 $ 87,457 $

3,812,768 $ 322,318 $ 126,209 $ 331,436 $ 708,070 $ 371,354 $ 23,929 $

1,394,992 $

- $ 2,361,814 $

643,142 $ 2,139,975 $

- $ - $

- $ - $ 3,227,441 $ - $ - $ - $

746,161 $ - $ - $ - $

1,713,811 $ - $ - $

3,082,926 $ - $

923,693 $ - $

969,886 $ - $ - $ - $

2,484,422 $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $

856,374 $ 719,466 $ 1,189,027 $

- $ 89,731 $

- $ 746,034 $

- $ - $ 1,734,134 $ - $ 742,803 $ - $ 456,064 $ - $ - $ - $ - $ - $ - $ 2,674,048 $ - $ - $ - $ - $ - $ - $ - $

3,712,091 1,005,758

824,087 892,338 2,890,956 2,475,324

649,982 3,646,636 1,345,794

67,754 2,486,991 1,738,921

311,138 93,874

1,044,261 8,660,522

714,633 178,830 1,973,427 1,285,533 639,649 393,347 377,081 413,019 1,495,445 2,235,744 153,816 1,057,968 1,654,915 575,806 257,003 4,569,178 543,343 578,246 4,499,524 113,877 210,154 279,257 1,019,562

79,204 901,657 533,421 1,030,201 364,681 306,379 506,338 918,023

38,212 889,538 317,692 1,153,055 466,462 738,466 540,555 316,316 316,290 194,212

51,033 722,929

31,844 1,197,452

248,712 87,457

1,138,720 322,318 126,209 331,436 708,070 371,354 23,929

1,394,992

Page 3

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