Model 9A - FL Agency for Health Care Administration

Model 9A

Total cost

Federal State

LIP 1,000,000,000

0.5594 0.4406

559,400,000 440,600,000

plus 250,000 gr only

DSH 259,962,883

0.5649 0.4351

146,853,033 113,109,850 -

DSH LIP

Buybacks 176,016,545

0.5594 0.4406

Exemptions 579,001,156 0.5594 0.4406

98,463,655 77,552,890

323,893,247 255,107,910

1 1

Liver 9,932,000

0.5594 0.4406

5,555,961 4,376,039

LIP funded at 1 billion

DSH using 1011 policy and distribution

Buybacks - full Specialty Peds, full Rural, partial PSN, partial Trauma

Exemptions updated using 04,05,06 audited DSH, and January 2011 inpatient and outpatient rates-tiered

Amount Funded Children's

77.50%

Statutory Teaching

77.50%

Trauma

69.50%

Specialty and CHEP

54.50%

15% utilization & greater

29.50%

Other

69.50%

11% to 14.99% utilization

19.519%

Model 9A

1 of 35

January 19, 2011 LIP Council Meeting

TABLE 1 - MODEL 9A

State Fiscal Year 2011-2012

Provider Name

(as contained in 1994 Audit Records) AGAPE COMMUNITY HEALTH CENTER - SOUTH AGAPE COMMUNITY HEALTH CENTER - WEST AGAPE COMMUNITY HEALTH CENTER ALL CHILDREN'S HOSPITAL ANN BATES LEACH EYE HOSPITAL AVENTURA MEDICAL CENTER BAPTIST HOSPITAL OF MIAMI BAPTIST HOSPITAL - BEACHES BAPTIST MEDICAL CENTER BAPTIST MEDICAL CENTER - NASSAU BAPTIST HOSPITAL OF PENSACOLA BARTOW MEMORIAL HOSPITAL BAY MEDICAL CENTER BAYFRONT MEDICAL CENTER BERT FISH MEDICAL CENTER BETHESDA MEMORIAL HOSPITAL BOND COMMUNITY HEALTH CENTER BORINQUEN HEALTH CARE CENTER BRANDON REGIONAL MEDICAL CENTER BREVARD HEALTH ALLIANCE BROOKSVILLE REGIONAL HOSPITAL BROWARD COMMUNITY FH BROWARD GENERAL MEDICAL CENTER C. L. BRUMBACK CALHOUN LIBERTY HOSPITAL CAMILLUS HEALTH CONCERN, INC. CAMPBELLTON-GRACEVILLE HOSPITAL CAPE CANAVERAL HOSPITAL CAPE CORAL HOSPITAL CAPITAL REGIONAL MEDICAL CENTER CEDARS MEDICAL CENTER CENTRAL FLORIDA REGIONAL HOSPITAL CENTRAL FLORIDA FAMILY HEALTH CENTER CENTRAL FLORIDA HEALTH CARE (FROSTPROOF) CITRUS HEALTH NETWORK CITRUS MEMORIAL HOSPITAL COLLIER HEALTH SERVICES, INC. COLLIER HEALTH SVCS / HORIZON PC CTR COLUMBIA HOSPITAL COMMUNITY HEALTH CENTERS - PINELLAS PARK COMMUNITY HC - J. R. CLARKE COMMUNITY HEALTH CENTER S. DADE COMMUNITY HEALTH CENTERS COMMUNITY HOSPITAL CORAL GABLES HOSPITAL CORAL SPRINGS MEDICAL CENTER DELRAY MEDICAL CENTER DESOTO MEMORIAL HOSPITAL

Model 9A

County

DUVAL DUVAL DUVAL PINELLAS DADE DADE DADE DUVAL DUVAL NASSAU ESCAMBIA POLK BAY PINELLAS VOLUSIA PALM BEACH LEON DADE HILLSBOROUG BREVARD HERNANDO BROWARD BROWARD PALM BEACH CALHOUN DADE JACKSON BREVARD LEE LEON DADE SEMINOLE ORANGE POLK DADE CITRUS COLLIER COLLIER PALM BEACH PINELLAS PINELLAS DADE ORANGE PASCO DADE BROWARD PALM BEACH DESOTO

Proportional

ADJ

RURAL 0 0 0 0 0 0 0 0 0

135,794 0 0 0 0 0 0 0 0 0 0 0 0 0 0

151,733 0

164,844 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

248,099

Proportional

ADJ

Primary Care 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1,448,133 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

ADJ

Level 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

562,337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 of 35

ADJ

II or Ped 0 0 0

293,492 0 0 0 0 0 0

293,492 0 0

293,492 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

ADJ

II and Ped 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

457,541 0

ADJ

Tot Trauma 0 0 0

293,492 0 0 0 0 0 0

293,492 0 0

293,492 0 0 0 0 0 0 0 0

562,337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

457,541 0

ADJ

Safety-Net 0 0 0

4,593,425 0 0 0 0

250,000 0

299,004 0 0

135,241 0 0 0 0 0 0 0 0

134,594 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

ADJ

Spec Ped 0 0 0

735,193 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

ADJ

Projected Special LIP

0 0 0 5,622,110 0 0 0 0 250,000 135,794 592,496 0 0 428,733 0 0 0 0 0 0 0 0 2,145,065 0 151,733 0 164,844 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 457,541 248,099

January 19, 2011 LIP Council Meeting

TABLE 1 - MODEL 9A

State Fiscal Year 2011-2012

Provider Name

(as contained in 1994 Audit Records)

DOCTORS MEMORIAL HOSPITAL - BONIFAY DOCTORS MEMORIAL HOSPITAL - PERRY FLORIDA HOSPITAL ZEPHYRHILLS ECONOMIC OPPORTUNITY FHC ED FRASER MEMORIAL HOSPITAL EDWARD WHITE HOSPITAL ESCAMBIA COMMUNITY CLINICS, INC. FAMILY HEALTH CENTER OF COLUMBIA COUNTY FAMILY HEALTH CENTER OF SW FLORIDA FISHERMEN'S HOSPITAL FLORIDA HOSPITAL DELAND FLORIDA HOSPITAL FISH MEMORIAL FLAGLER HOSPITAL FLORIDA COMMUNITY HEALTH CENTERS FLORIDA HOSPITAL FLAGLER FLORIDA HOSPITAL HEARTLAND FLORIDA MEDICAL CENTER FLORIDA HOSPITAL FLORIDA HOSPITAL WATERMAN FLORIDA HOSPITAL - WAUCHULA FORT WALTON BEACH MEDICAL CENTER GLADES GENERAL HOSPITAL GOOD SAMARITAN MEDICAL CENTER GULF COAST HOSPITAL - FT. MYERS GULF COAST MEDICAL CENTER - PANAMA CITY HELEN B. BENTLEY FAMILY HEALTH CENTER H. LEE MOFFIT CANCER CENTER HALIFAX MEDICAL CENTER HEALTH CENTRAL HEALTHCARE FOR THE HOMELESS HEALTHMARK REGIONAL MEDICAL CENTER HEART OF FLORIDA REGIONAL MEDICAL CENTER HELEN ELLIS MEMORIAL HOSPITAL HENDRY REGIONAL MEDICAL CENTER HERNANDO COUNTY HEALTH DEPARTMENT HIALEAH HOSPITAL HIGHLANDS REGIONAL MEDICAL CENTER HOLMES REGIONAL MEDICAL CENTER HOMESTEAD HOSPITAL I. M. SOLZBACHER CTR FOR THE HOMELESS IMPERIAL POINT HOSPITAL INDIAN RIVER MEMORIAL HOSPITAL JACKSON HOSPITAL JACKSON MEMORIAL HOSPITAL JAY HOSPITAL JFK MEDICAL CENTER JUPITER MEDICAL CENTER KENDALL REGIONAL MEDICAL CENTER

Model 9A

County

HOLMES TAYLOR PASCO DADE BAKER PINELLAS ESCAMBIA COLUMBIA LEE MONROE VOLUSIA VOLUSIA ST JOHNS ST. LUCIE FLAGLER HIGHLANDS BROWARD ORANGE LAKE HIGHLANDS OKALOOSA PALM BEACH PALM BEACH LEE BAY DADE HILLSBOROUG VOLUSIA ORANGE ORANGE WALTON POLK PINELLAS HENDRY HERNANDO DADE HIGHLANDS BREVARD DADE DUVAL BROWARD INDIAN RIVER JACKSON DADE SANTA ROSA PALM BEACH PALM BEACH DADE

Proportional

ADJ

RURAL

188,032 245,028

0 0 1,105,229 0 0 0 0 163,441 0 0 0 0 132,909 0 0 0 0 149,477 0 248,687 0 0 0 0 0 0 0 0 123,871 0 0 167,313 0 0 0 0 0 0 0 0 168,587 0 157,018 0 0 0

Proportional

ADJ

Primary Care

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 498,339 0 0 1,641,358 0 0 0 0

ADJ

Level 1

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 562,337 0 0 0 0

ADJ

II or Ped

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 293,492 0 0 0 0 0 0 0 0 0 293,492 0 0 0 0 0 0 0 0 0 0

ADJ

II and Ped

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

ADJ

Tot Trauma

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 293,492 0 0 0 0 0 0 0 0 0 293,492 0 0 0 0 0 562,337 0 0 0 0

ADJ

Safety-Net

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38,538 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,219,011 0 0 0 0

ADJ

Spec Ped

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

ADJ

Projected Special LIP

188,032 245,028

0 0 1,105,229 0 0 0 0 163,441 0 0 0 0 132,909 0 0 38,538 0 149,477 0 248,687 0 0 0 0 0 293,492 0 0 123,871 0 0 167,313 0 0 0 293,492 0 0 498,339 0 168,587 4,422,706 157,018 0 0 0

3 of 35

January 19, 2011 LIP Council Meeting

TABLE 1 - MODEL 9A

State Fiscal Year 2011-2012

Provider Name

(as contained in 1994 Audit Records)

LAKE BUTLER HOSPITAL LAKE CITY MEDICAL CENTER LAKE WALES MEDICAL CENTER LAKELAND REGIONAL MEDICAL CENTER LAKEWOOD RANCH MEDICAL CENTER LARGO MEDICAL CENTER HEALTHSOUTH LARKIN HOSPITAL-MIAMI LAWNWOOD REGIONAL MEDICAL CENTER LEE MEMORIAL HOSPITAL LEESBURG REGIONAL MEDICAL CENTER LEHIGH REGIONAL MEDICAL CENTER LOWER KEYS HOSPITAL MADISON COUNTY MEMORIAL HOSPITAL MANATEE COUNTY RURAL HEALTH SERVICES MANATEE MEMORIAL HOSPITAL MANATEE COUNTY RURAL HEALTH SERVICES MANATEE COUNTY RURAL HEALTH SERVICES MARINERS HOSPITAL MARTIN MEMORIAL MEDICAL CENTER MEASE HOSPITAL - DUNEDIN MEMORIAL REGIONAL HOSPITAL MEMORIAL HOSPITAL - SARASOTA MEMORIAL HOSPITAL PEMBROKE MEMORIAL HOSPITAL WEST MEMORIAL HOSPITAL OF JACKSONVILLE MEMORIAL HOSPITAL MIRAMAR MERCY HOSPITAL METROPOLITAN HOSPITAL MIAMI BEACH COMMUNITY HEALTH CENTER MIAMI BEACH COMMUNITY HEALTH CENTER MIAMI CHILDRENS HOSPITAL MORTON F. PLANT HOSPITAL MT. SINAI MEDICAL CENTER MUNROE REGIONAL MEDICAL CENTER NORTH FLORIDA REGIONAL MEDICAL CENTER NORTH FLORIDA MEDICAL CTR - WEWAHITCHKA NAPLES COMMUNITY HOSPITAL NATURE COAST REGIONAL HOSPITAL NORTHEAST FL HEALTH SERVICES NORTH BAY HOSPITAL NORTH BROWARD MEDICAL CENTER NORTH OKALOOSA MEDICAL CENTER NORTH SHORE MEDICAL CENTER NORTHSIDE HOSPITAL & HEART INSTITUTE NORTHWEST FLORIDA COMMUNITY HOSPITAL NORTHWEST REGIONAL HOSPITAL OCALA REGIONAL MEDICAL CENTER ORANGE PARK MEDICAL CENTER

Model 9A

County

UNION COLUMBIA POLK POLK MANATEE PINELLAS DADE ST. LUCIE LEE LAKE LEE MONROE MADISON MANATEE MANATEE MANATEE MANATEE MONROE MARTIN PINELLAS BROWARD SARASOTA BROWARD BROWARD DUVAL BROWARD DADE DADE DADE DADE DADE PINELLAS DADE MARION ALACHUA LEON COLLIER LEVY VOLUSIA PASCO BROWARD OKALOOSA DADE PINELLAS WASHINGTON BROWARD MARION ORANGE

Proportional

ADJ

RURAL

528,580 0 0 0 0 0 0 0 0 0 0 0

106,848 0 0 0 0

143,742 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

158,551 0 0 0 0 0 0

200,693 0 0 0

Proportional

ADJ

Primary Care

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,505,412 0 498,339 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

ADJ

Level 1

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 562,337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

ADJ

II or Ped

0 0 0 293,492 0 0 0 293,492 293,492 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 293,492 0 0 0 0 0 0 0 0 0 293,492 0 0 0 0 0 0 0

ADJ

II and Ped

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

ADJ

Tot Trauma

0 0 0 293,492 0 0 0 293,492 293,492 0 0 0 0 0 0 0 0 0 0 0 562,337 0 0 0 0 0 0 0 0 0 293,492 0 0 0 0 0 0 0 0 0 293,492 0 0 0 0 0 0 0

ADJ

Safety-Net

0 0 0 0 0 0 0 0 823,828 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3,727,686 0 6,348,329 0 0 0 174,942 0 0 0 0 0 0 0 0 0 0 0

ADJ

Spec Ped

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 735,193 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

ADJ

Projected Special LIP

528,580 0 0

293,492 0 0 0

293,492 1,117,320

0 0 0 106,848 0 0 0 0 143,742 0 0 2,067,750 0 498,339 0 0 0 0 0 0 0 4,756,371 0 6,348,329 0 0 0 174,942 158,551 0 0 293,492 0 0 0 200,693 0 0 0

4 of 35

January 19, 2011 LIP Council Meeting

Provider Name

(as contained in 1994 Audit Records)

ORLANDO REGIONAL MEDICAL CENTER OSCEOLA COUNTY HEALTH DEPARTMENT OSCEOLA REGIONAL MEDICAL CENTER PALM BEACH GARDENS MEDICAL CENTER PALM SPRINGS GENERAL HOSPITAL PALMETTO GENERAL HOSPITAL PALMS OF PASADENA HOSPITAL PALMS WEST HOSPITAL PANCARE HEALTH CENTER PARRISH MEDICAL CENTER PASCO REGIONAL MEDICAL CENTER PEACE RIVER REGIONAL MEDICAL CENTER MEDICAL CENTER-PENINSULA PHYSICIANS REGIONAL MEDICAL CENTER PLANTATION GENERAL HOSPITAL PREMIER COMMUNITY HEALTHCARE PUTNAM COMMUNITY MEDICAL CENTER RAULERSON HOSPITAL RURAL HEALTH CARE - FMDC SACRED HOSPITAL ON THE EMERALD COAST SACRED HEART HOSPITAL SANTA ROSA MEDICAL CENTER SEBASTIAN HOSPITAL SEVEN RIVERS COMMUNITY HOSPITAL SHANDS AT JACKSONVILLE SHANDS AT LAKE SHORE SHANDS AT LIVE OAK SHANDS AT STARKE SHANDS TEACHING HOSPITAL & CLINIC SISTER EMMANUEL HOSPITAL SOUTH BAY HOSPITAL SOUTH FLORIDA BAPTIST HOSPITAL SOUTH LAKE MEMORIAL HOSPITAL SOUTH MIAMI HOSPITAL SAINT ANTHONY'S HOSPITAL ST CLOUD REGIONAL MEDICAL CENTER ST. JOSEPH CARE OF FLORIDA ST. JOSEPH'S HOSPITAL ST. LUCIE MEDICAL CENTER ST. MARY'S HOSPITAL ST. PETERSBURG GENERAL HOSPITAL SAINT VINCENT'S HEALTH SYSTEM SUN COAST HOSPITAL SUNCOAST COMMUNITY HCC SOUTHWEST FLORIDA REGIONAL MEDICAL CTR TALLAHASSEE MEMORIAL HEALTHCARE TAMPA COMMUNITY HEALTH CENTER TAMPA GENERAL HOSPITAL

Model 9A

TABLE 1 - MODEL 9A

State Fiscal Year 2011-2012

County

ORANGE OSCEOLA OSCEOLA PALM BEACH DADE DADE PINELLAS PALM BEACH BAY BREVARD PASCO CHARLOTTE VOLUSIA COLLIER BROWARD PASCO PUTNAM OKEECHOBEE PALATKA

ESCAMBIA SANTA ROSA INDIAN RIVER CITRUS DUVAL COLUMBIA SUWANNEE BRADFORD ALACHUA DADE HILLSBOROUG HILLSBOROUG LAKE DADE PINELLAS

GULF HILLSBOROUG ST. LUCIE PALM BEACH PINELLAS DUVAL PINELLAS HILLSBOROUG LEE LEON HILLSBOROUG HILLSBOROUG

Proportional

ADJ

RURAL

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 175,721 0 0 0 0 0 0 0 264,693 324,554 228,258 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Proportional

ADJ

Primary Care

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,411,776 0 0 0 721,188 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,615,181

ADJ

Level 1

562,337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

562,337 0 0 0

562,337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

562,337

ADJ

II or Ped

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 293,492 0 0

ADJ

II and Ped

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 457,541 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 457,541 0 457,541 0 0 0 0 0 0 0 0

ADJ

Tot Trauma

562,337 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

457,541 0 0 0

562,337 0 0 0

562,337 0 0 0 0 0 0 0 0

457,541 0

457,541 0 0 0 0 0

293,492 0

562,337

ADJ

Safety-Net

3,863,866 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

304,527 0 0 0

30,436,256 0 0 0

4,455,605 0 0 0 0 0 0 0 0

14,725 0

181,877 0 0 0 0 0

38,069 0

12,067,115

ADJ

Spec Ped

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

ADJ

Projected Special LIP

4,426,204 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

175,721 0 0

762,068 0 0 0

32,410,369 264,693 324,554 228,258

5,739,130 0 0 0 0 0 0 0 0

472,266 0

639,418 0 0 0 0 0

331,561 0

14,244,633

5 of 35

January 19, 2011 LIP Council Meeting

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