THE FLORIDA SENATE

THE FLORIDA SENATE

COMMITTEE ON APPROPRIATIONS

Location 201 The Capitol

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

(850) 487-5140 Senator Joe Negron, Chair Senator Lizbeth Benacquisto, Vice Chair

Professional Staff: Mike Hansen, Staff Director

Senate's Website:

MEMORANDUM

To: From:

Subject: Date:

Debbie Brown, Secretary Senator Joe Negron Appropriations Committee Medicaid Supplemental Hospital Funding Programs April 10, 2013

For the 2013-2014 fiscal year, we intend to incorporate by reference in Senate Bill 1502, the document titled "Medicaid Supplemental Hospital Funding Programs," dated April 10, 2013.

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 Supplemental Hospital Funding Programs.

The document will be made available as a PDF file that can be searched by anyone interested in the calculations used by the Legislature to make appropriations for the Medicaid Supplemental 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 1502.

DON GAETZ President of the Senate

GARRETT RICHTER President Pro Tempore

Medicaid Supplemental Hospital Funding Programs

Fiscal Year 2013-2014 SB 1500

April 10, 2013

Summary of Policies for LIP, DSH and Rate Adjustments

Low Income Pool

1. Special LIP Payments are supplemental payments awarded to the following types of hospitals:

Rural hospitals; Designated or provisional trauma centers; Specialty pediatric hospitals and other hospitals with high pediatric utilization; Hospitals achieving specific quality standards; Other hospitals designated based specific legislative issues.

2. Contributions of qualified intergovernmental transfers are used to fund the low income pool; an allocation factor specified in the General Appropriations Act is used as a multiplier for these IGTs and awarded to providers in the jurisdiction of the governmental entity transferring funds. The allocation factor for FY 2013-14 is 108.5 percent.

3. Other provider access systems supported by the Low Income Pool include:

Poison Control Programs Federally Qualified Health Clinics (FQHC) County Initiatives sponsored by the Department of Health Hospital Based Primary Care Initiatives Premium Assistance Programs ER Diversion Programs Primary Care Initiatives Programs consistent with Tier One Milestone (STC-61)

Disproportionate Share Hospital (DSH)

The Disproportionate Share Hospital program provides supplemental payments to the following types of hospitals:

Public hospitals; Rural hospitals; GME hospitals including statutory teaching hospitals and family practice hospitals; Children's specialty hospitals; and, Provider service network (PSN) hospitals.

Liver Transplant Global Fee

Funds are provided to make Medicaid payments for multi-visceral transplant and intestine transplants in Florida hospitals.

Rate Adjustments

Funds associated with the Low Income Pool are used to finance rate adjustments for specific types of hospitals and other hospitals qualified based on Medicaid and charity care utilization. Adjustments total specific amounts or proportionate amounts depending on the availability of funds.

Summary IGT, LIP, DSH and Rate Adjustments

FY 2013-14

Medicaid Number

Provider Name

County

102610 AG HOLLEY - CLOSED 2012

PALM BEACH

1 101516 ALL CHILDREN'S HOSPITAL

PINELLAS

2 116483 ANN BATES LEACH EYE HOSPITAL

DADE

3 120375 AVENTURA HOSPITAL & MEDICAL CEN

DADE

4 102326 BAPTIST MEDICAL CENTER - BEACHES

DUVAL

5 100358 BAPTIST HOSPITAL OF MIAMI

DADE

6 100749 BAPTIST HOSPITAL OF PENSACOLA

ESCAMBIA

7 100641 BAPTIST MEDICAL CENTER

DUVAL

8 101231 BAPTIST MEDICAL CENTER - NASSAU

NASSAU

9 120413 BARTOW REGIONAL MEDICAL CENTER

POLK

10 100064 BAY MEDICAL CENTER

BAY

11 101567 BAYFRONT MEDICAL CENTER

PINELLAS

12 101834 BERT FISH MEDICAL CENTER

VOLUSIA

13 101401 BETHESDA HEALTHCARE SYSTEM

PALM BEACH

14 110213 BLAKE MEDICAL CENTER

MANATEE

15 101419 BOCA RATON COMMUNITY HOSPITAL

PALM BEACH

16 118079 BRANDON REGIONAL HOSPITAL

HILLSBOROUGH

17 102652 BROOKS REHABILITATION HOSPITAL

DUVAL

18 100871 BROOKSVILLE REGIONAL HOSPITAL

HERNANDO

19 100129 BROWARD HEALTH - BROWARD GENERAL MEDICAL CENTERBROWARD

20 100269 CALHOUN LIBERTY HOSPITAL

CALHOUN

21 101940 CAMPBELLTON-GRACEVILLE HOSPITAL

JACKSON

22 100099 CAPE CANAVERAL HOSPITAL

BREVARD

23 119717 CAPE CORAL HOSPITAL

LEE

24 100366 UNIVERSITY OF MIAMI HOSPITAL

DADE

25 101788 CENTRAL FLORIDA REGIONAL HOSPITAL

SEMINOLE

26 100277 CHARLOTTE REGIONAL MEDICAL CENTER

CHARLOTTE

27 102199 CITRUS MEMORIAL HEALTH SYSTEM

CITRUS

28 101966 CLEARWATER COMMUNITY HOSPITAL

PINELLAS

29 102202 CLEVELAND CLINIC FLORIDA WESTON

BROW ARD

30 120308 COLUMBIA HOSPITAL

PALM BEACH

31 105520 COMMUNITY HOSPITAL

PASCO

32 109606 CORAL GABLES HOSPITAL

DADE

33 120405 BROWARD HEALTH - CORAL SPRINGS MEDICAL CENTER BROWARD

34 109592 PASCO REGIONAL MEDICAL CENTER

PASCO

35 120049 ATLANTIC MEDICAL CENTER

VOLUSIA

36 110060 JACKSON SOUTH COMMUNITY HOSPITAL

DADE

37 120090 DELRAY MEDICAL CENTER

PALM BEACH

38 101923 DESOTO MEMORIAL HOSPITAL

DESOTO

39 103543 DOCTORS' HOSPITAL - CORAL GABLES

DADE

40 119954 DOCTORS HOSPITAL OF SARASOTA

SARASOTA

41 101036 DOCTORS MEMORIAL HOSPITAL

HOLMES

42 101800 DOCTORS MEMORIAL HOSPITAL

TAYLOR

43 102776 MIAMI JEWISH HOME & HOSPITAL

DADE

44 100048 ED FRASER MEMORIAL HOSPITAL

BAKER

45 102598 EDWARD WHITE HOSPITAL

PINELLAS

46 102750 HEALTHSOUTH EMERALD COAST REHABILITATION HOSPITAL BAY

47 102539 ENGLEWOOD COMMUNITY HOSPITAL

SARASOTA

48 101435 EVERGLADES REGIONAL MEDICAL CENTER

PALM BEACH

49 117463 FAWCETT MEMORIAL HOSPITAL

CHARLOTTE

50 101206 FISHERMEN'S HOSPITAL

MONROE

51 101711 FLAGLER HOSPITAL

ST JOHNS

52 101290 FLORIDA HOSPITAL

ORANGE

53 100901 FLORIDA HOSPITAL HEARTLAND MED. CTR.

HIGHLANDS

54 102601 FLORIDA HOSPITAL - WAUCHULA

HARDEE

55 101893 FLORIDA HOSPITAL FLAGLER

FLAGLER

56 101095 FLORIDA HOSPITAL WATERMAN

LAKE

57 101494 FLORIDA HOSPITAL ZEPHYRHILLS

PASCO

58 102148 FLORIDA MEDICAL CENTER

BROW ARD

59 102032 FLORIDA MEDICAL CENTER SOUTH

BROW ARD

60 260011 FLORIDA STATE HOSPITAL

GADSDEN

61 119784 FLORIDA STATE HOSPITAL - MED SURG.

GADSDEN

62 111325 FORT WALTON BEACH MEDICAL CENTER

OKALOOSA

63 260037 G. PIERCE WOOD HOSPITAL

DESOTO

64 100811 GADSDEN COMMUNITY HOSPITAL

GADSDEN

65 102717 BROOKS HEALTH SYSTEM

DUVAL

Authorized IGTs for LIP, DSH and Rates

5,348,464 182,476 981,938

116,293,766 830,249

7,215,882 91,312

9,976,481 425,878

804,974 106,194

Total LIP Supplemental

Payments

5,501,170

1,220,091 539,124 514,648 268,674

6,087,961 342,222 332,091 194,133 211,138

1,258,633 116,348,357

174,249 157,981

19,635

7,829,232

178,859 41,320

9,642,039

900,568 370,996

240,228 339,905 1,118,902

163,948 262,262 206,842 285,976 115,220

Total DSH Payments

Proposed IGTs and Payments for 2013-14 All Rate Adjustments

Inpatient

Outpatient

396,811

30,017,979 3,880

8,057,694 784,898

244,556

3,930,806 1,209,423

16,127,518 3,215,391

11,668,025 358,242 365,480

2,044,657 5,663,518

3,887,487

1,711,566 987,441 177,729 104,479 330,176 652,237 267,178

204,830

22,880,269 439,125 519,378

1,623,889

3,946,333

1,744,825 26,020,215

35,866 11,103

5,569,912

5,336,523 34,101 33,552

756,314

696,350

2,208,630

1,045,927

810,612 3,712,748

203,300 200,271

349,814

400,797 365,850 3,974,921

93,719 651,689

141,280 173,640

489

17,624 304,035

140,430 248,164

26,195

449,100

1,715,181

378,012 393,252

42,011

43,292,357

33,968 401,308

4,006 812,936

47,680 7,394,280

194,998 273,172 368,300

Total

Total All Payments

(LIP, DSH and Rates)

Net Gain

(Minus IGT Contributions)

38,075,673 788,778

43,973,653 788,778

43,973,653 788,778

17,839,084 4,202,832

11,845,754 462,721 695,656

2,696,894 5,930,697

4,092,317

3,946,333

1,744,825 31,356,738

69,967 44,655

6,326,226

19,059,175 4,741,955

12,360,402 975,951 695,656

12,715,661 7,482,341

4,424,407 194,133

4,157,471

3,003,458 170,585,364

683,341 722,014

1,623,889 6,345,861

19,059,175 4,741,955

12,360,402 975,951 695,656

7,367,197 7,482,341

4,241,931 194,133

4,157,471

2,021,520 54,291,598

683,341 722,014

793,641 6,345,861

8,525,582

1,309,700

1,249,227

810,612 3,913,019

1,428,086

851,932 15,763,689

1,336,774

851,932 5,787,208

111,343 955,724

281,710 421,804

26,684

1,011,911 1,676,534

922,735 1,127,559 5,120,507

586,033 1,676,534

922,735 1,127,559 5,120,507

89,691 50,686,637

228,966 674,480 368,300

702,739

52,664,080

813,820 1,353,708

115,220 368,300

4,006 812,936

702,739

51,859,106

813,820 1,353,708

9,026 368,300

4,006 812,936

Page 1 of 19

Summary IGT, LIP, DSH and Rate Adjustments

FY 2013-14

Medicaid Number

Provider Name

County

66 100803 GEORGE E. WEEMS MEMORIAL HOSPITAL

FRANKLIN

67 101443 LAKESIDE HOSPITAL (fka GLADES GENERAL)

PALM BEACH

68 111368 PARKWAY REGIONAL MEDICAL CENTER WEST

DADE

69 101524 GOOD SAMARITAN MEDICAL CENTER

PALM BEACH

70 117617 GULF COAST MEDICAL CENTER

BAY

71 102253 GULF COAST HOSPITAL - FT. MYERS

LEE

72 100820 GULF PINES HOSPITAL

GULF

73 120324 H. LEE MOFFIT CANCER CENTER

HILLSBOROUGH

74 119750 H.H. RAULERSON

OKEECHOBEE

75 101842 HALIFAX HEALTH

VOLUSIA

76 101354 HEALTH CENTRAL

ORANGE

77 101885 HEALTHMARK REGIONAL MEDICAL CENTER

W ALTON

78 102709 HEALTHSOUTH REHAB HOSPITAL OF MIAMI

DADE

79 120057 LARKIN COMMUNITY HOSPITAL

DADE

80 120332 HEALTHSOUTH REHAB HOSPITAL - TALLAHASSEE

LEON

81 103551 HEALTHSOUTH REHAB OF SPRING HILL

HERNANDO

82 101753 HEALTHSOUTH REHAB. HOSPITAL - LARGO

PINELLAS

83 120421 HEALTHSOUTH SEA PINES REHABILITATION HOSPITAL

BREVARD

84 120278 HEALTHSOUTH SUNRISE REHAB. HOSPITAL

BROW ARD

85 120341 HEALTHSOUTH REHAB. HOSPITAL TREAS COAST

INDIAN RIVER

86 120383 HEALTHSOUTH REHAB. INSTITUTE - SARASOTA

SARASOTA

87 103560 HEALTHSOUTH RIDGELAKE HOSPITAL

SARASOTA

88 102288 HEART OF FLORIDA REGIONAL MEDICAL CENTER

POLK

89 101613 HELEN ELLIS MEMORIAL HOSPITAL

PINELLAS

90 100862 HENDRY REGIONAL MEDICAL CENTER

HENDRY

91 100412 HIALEAH HOSPITAL

DADE

92 100897 HIGHLANDS REGIONAL MEDICAL CENTER

HIGHLANDS

93 111791 MEMORIAL REGIONAL HOSPITAL SOUTH

BROW ARD

94 100081 HOLMES REGIONAL MEDICAL CENTER

BREVARD

95 100188 HOLY CROSS HOSPITAL

BROW ARD

96 102261 HOMESTEAD HOSPITAL

DADE

97 108219 BROWARD HEALTH - IMPERIAL POINT HOSPITAL

BROW ARD

98 101044 INDIAN RIVER MEDICAL CENTER

INDIAN RIVER

99 101061 JACKSON HOSPITAL

JACKSON

100 100421 JACKSON MEMORIAL HOSPITAL

DADE

101 101737 JAY HOSPITAL

SANTA ROSA

102 101460 JFK MEDICAL CENTER

PALM BEACH

103 120294 JUPITER MEDICAL CENTER

PALM BEACH

104 120138 KENDALL REGIONAL MEDICAL CENTER

DADE

105 102300 KINDRED HOSPITAL - CENTRAL TAMPA

HILLSBOROUGH

106 103535 KINDRED HOSPITAL - OCALA

MARION

107 101915 KINDRED HOSPITAL - S FLORIDA - HOLLYWOOD

BROW ARD

108 119938 KINDRED HOSPITAL - S. FLA - CORAL GABLES

DADE

109 100196 KINDRED HOSPITAL - SOUTH FLORIDA

BROW ARD

110 102342 KINDRED HOSPITAL BAY AREA - TAMPA

HILLSBOROUGH

111 108227 LAKE BUTLER HOSPITAL

UNION

112 119768 LAKE CITY MEDICAL CENTER

COLUMBIA

113 101664 LAKE WALES MEDICAL CENTERS

POLK

114 101648 LAKELAND REGIONAL MEDICAL CENTER

POLK

115 103420 LAKEWOOD RANCH MEDICAL CENTER

MANATEE

116 119741 LARGO MEDICAL CENTER

PINELLAS

117 119695 LAWNWOOD REGIONAL MEDICAL CENTER

ST. LUCIE

118 101109 LEE MEMORIAL HOSPITAL

LEE

119 101079 LEESBURG REGIONAL MEDICAL CENTER

LAKE

120 101117 LEHIGH REGIONAL MEDICAL CENTER

LEE

121 101192 LOWER KEYS MEDICAL CENTER

MONROE

122 101150 MADISON COUNTY MEMORIAL HOSPITAL

MADISON

123 101168 MANATEE MEMORIAL HOSPITAL

MANATEE

124 101214 MARINERS HOSPITAL

MONROE

125 101184 MARTIN MEMORIAL HOSPITAL

MARTIN

126 120081 MEASE HOSPITAL - COUNTRYSIDE

PINELLAS

127 101541 MEASE HOSPITAL - DUNEDIN

PINELLAS

128 101851 FLORIDA HOSPITAL OCEANSIDE

VOLUSIA

129 101869 FLORIDA HOSPITAL ORMOND MEMORIAL

VOLUSIA

130 101761 SARASOTA MEMORIAL HOSPITAL

SARASOTA

131 101877 MEMORIAL HOSPITAL - WEST VOLUSIA

VOLUSIA

132 103454 MEMORIAL HOSPITAL MIRAMAR

BROW ARD

133 112798 MEMORIAL HOSPITAL OF TAMPA

HILLSBOROUGH

Authorized IGTs for LIP, DSH and Rates 126,723 555,462 180,030 4,645,451 20,252,816 2,370,438

565,209

24,191,337 8,915,254

366,838,098 724,539 72,188

20,388,311 81,428

2,039,290

19,232,905 5,041,950

Total LIP Supplemental

Payments 199,215 557,793 602,676 165,191

5,040,314 273,483

19,908,312 2,591,660 167,085 3,672

125,119 216,355 251,529 613,252 293,697 417,436 25,361,563 9,673,051 369,416 361,276,930 198,989 1,933,239

78,324 438,884

561,198

368,228 535,676 449,116 18,896,331

88,349 73,506 139,381 2,306,915 219,944

20,867,702 5,393,714

Total DSH Payments

Proposed IGTs and Payments for 2013-14 All Rate Adjustments

Inpatient

Outpatient

523,182 825,243

26,085 771,274

52,919 250,831

352,122

465,278 7,461,254 2,317,784

357,394

1,209,423

3,619,050

1,197,897 835,377

6,211,362 1,049,642

77,166

1,273,515

291,411

6,379,405 313,265

1,239,027 267,075 88,740

334,999

547,361 8,134

5,381 2,659,391

363,374 75,445,811

226,851

2,110,182

91,679 5,550,757

128,871

6,357,478

7,839,020 2,055,722

2,543,723 94,935,380

84,750 4,939,795

4,129,731

164,633

150,661 643,767

53,777

302,973

283,586 343,839

1,268,248 11,683,107

83,922

188,388

1,020,551

1,523,262 7,844,302

308,627 234,163

15,171

42,434 6,719,220

862,837 5,698,775 16,761,266

1,550,372 9,285

4,741,542 52,960

82,022

151,689 1,438,299

146,925 350,343 3,862,746

156,678 31,590

268,439 58,964

2,422,104 138,449

1,952,094

1,688,066

Total

Total All Payments

(LIP, DSH and Rates)

79,004 1,022,105

801,401 2,405,140

Net Gain

(Minus IGT Contributions)

801,401 2,278,417

3,910,461

602,676 4,075,652

352,122

47,214 4,075,652

172,092

7,577,302 1,148,642 7,450,389 1,316,718

165,906

12,617,616 1,887,403

34,819,956 6,226,162 690,385

7,972,165 1,887,403 14,567,140 3,855,724

690,385

1,608,515

2,821,610

2,821,610

2,274,815

242,340 6,194,523

182,648

6,660,451

8,122,606 2,399,561

3,811,971 106,618,487

168,672 4,939,795

4,318,119

2,399,933

1,006,056 6,454,186

795,900

6,954,148

8,545,423 30,420,515

9,673,051 4,544,761 543,341,229

594,512 6,873,035

78,324 4,757,003

2,399,933

1,006,056 6,454,186

230,691

6,954,148

8,545,423 6,229,178

757,797 4,544,761 176,503,131

594,512 6,148,496

6,136 4,757,003

97,193

194,123 8,157,519

1,009,762 6,049,117 20,624,012

1,707,050 40,875

5,009,981 111,924

1,678,942

194,123 8,525,747

3,068,700 6,498,233 47,364,645

88,349

1,780,556 488,883

7,316,896 566,031

1,678,942

194,123 8,525,747

3,068,700 6,498,233 26,976,334

6,921

1,780,556 488,883

5,277,606 566,031

3,640,160

23,289,806 9,172,323

4,056,901 4,130,373

Page 2 of 19

Summary IGT, LIP, DSH and Rate Adjustments

FY 2013-14

Medicaid Number

Provider Name

County

134 102229 MEMORIAL HOSPITAL PEMBROKE

BROW ARD

135 102521 MEMORIAL HOSPITAL WEST

BROW ARD

136 101931 MEMORIAL HOSPITAL JACKSONVILLE

DUVAL

137 100200 MEMORIAL REGIONAL HOSPITAL

BROW ARD

138 100439 MERCY HOSPITAL

DADE

139 100706 METHODIST MEDICAL CENTER

DUVAL

140 100609 MIAMI CHILDRENS HOSPITAL

DADE

141 100447 Mt. SINAI MEDICAL CENTER & MIAMI HEART INSTITUTE

DADE

142 101583 MORTON F. PLANT HOSPITAL

PINELLAS

143 100463 MT. SINAI MEDICAL CENTER

DADE

144 101176 MUNROE REGIONAL MEDICAL CENTER

MARION

145 260029 N.E. FLORIDA STATE HOSPITAL

BAKER

146 100315 NCH DOWNTOWN NAPLES HOSPITAL

COLLIER

147 101141 NATURE COAST REGIONAL HEALTH NETWORK

LEVY

148 101508 MORTON PLANT NORTH BAY HOSPITAL

PASCO

149 100218 BROWARD HEALTH - NORTH BROWARD MEDICAL CENTER BROWARD

150 140442 NORTH DADE HEALTH CENTER (JMH)

DADE

151 108626 NORTH FLORIDA REGIONAL MEDICAL CENTER

ALACHUA

152 101265 NORTH OKALOOSA MEDICAL CENTER

OKALOOSA

153 100498 NORTH SHORE MEDICAL CENTER

DADE

154 102571 NORTH RIDGE MEDICAL CENTER

BROW ARD

155 115193 NORTHSIDE HOSPITAL & HEART INST.

PINELLAS

156 101907 NORTHWEST FLORIDA COMMUNITY HOSPITAL

W ASHINGTON

157 104591 NORTHWEST MEDICAL CENTER

BROW ARD

158 120073 OAK HILL HOSPITAL

HERNANDO

159 109886 OCALA REGIONAL MEDICAL CENTER

MARION

160 111741 ORANGE PARK MEDICAL CENTER

CLAY

161 101338 ORLANDO REGIONAL MEDICAL CENTER

ORANGE

162 101389 OSCEOLA REGIONAL MEDICAL CENTER

OSCEOLA

163 102105 PALM BEACH GARDENS MEDICAL CENTER

PALM BEACH

164 102245 PALM BEACH REGIONAL HOSPITAL

PALM BEACH

165 100536 PALM SPRINGS GENERAL HOSPITAL

DADE

166 104604 PALMETTO GENERAL HOSPITAL

DADE

167 120111 PALMS OF PASADENA HOSPITAL

PINELLAS

168 120260 PALMS WEST HOSPITAL

PALM BEACH

169 100544 PAN AMERICAN HOSPITAL

DADE

170 111414 PARK MEDICAL CENTER

ORANGE

171 102385 PARKWAY REGIONAL (merged JMH)

DADE

172 100102 PARRISH MEDICAL CENTER

BREVARD

173 103144 PHYSICAN'S REGIONAL MEDICAL CENTER

COLLIER

174 120251 PINECREST REHABILITATION HOSPITAL

PALM BEACH

175 120006 PLANTATION GENERAL HOSPITAL

BROW ARD

176 101681 POLK GENERAL HOSPITAL

POLK

177 102237 POMPANO BEACH MEDICAL CENTER

BROW ARD

178 101311 PRINCETON HOSPITAL

ORANGE

179 113514 PUTNAM COMMUNITY MEDICAL CENTER

PUTNAM

180 119881 REGIONAL MEDICAL CENTER AT BAYONET POINT

PASCO

181 100765 SACRED HEART HOSPITAL

ESCAMBIA

182 103233 SACRED HEART OF THE EMERALD COAST

W ALTON

183 20127 SACRED HEART HOSPITAL ON THE GULF

GULF

184 120227 SAINT ANTHONY'S HOSPITAL

PINELLAS

185 100285 PEACE RIVER REGIONAL MEDICAL CENTER

CHARLOTTE

186 100722 SAINT LUKE'S HOSPITAL

DUVAL

187 120103 SAINT PETERSBURG GENERAL HOSPITAL

PINELLAS

188 100731 SAINT VINCENT'S MEDICAL CENTER

DUVAL

189 101745 SANTA ROSA MEDICAL CENTER

SANTA ROSA

190 120014 SEBASTIAN RIVER MEDICAL CENTER

INDIAN RIVER

191 103390 SELECT SPECIALTY HOSPITAL - ORLANDO

ORANGE

192 103373 SELECT SPECIALTY HOSPITAL MIAMI

DADE

Authorized IGTs for LIP, DSH and Rates 5,388,644 11,126,906 96,528,500

2,121,448 15,715,173

904,953 2,073,206

59,717 100,255 1,055,929

417,604

122,483

Total LIP Supplemental

Payments 4,855,896

10,141,996

98,366,820

3,671,423

281,521 3,264,724 1,280,514

311,739 151,950

12,489,722

89,269

103,184 258,132

1,176,007 194,133

4,774,650 180,741 64,793

296,451

340,957

1,145,683

1,158,364

243,866 194,133 3,382,659 149,841 453,100

16,338

6,197 582,350 170,918 132,894

Total DSH Payments

Proposed IGTs and Payments for 2013-14 All Rate Adjustments

Inpatient

Outpatient

2,842,090 3,480,428

1,274,719 1,239,832

1,403,810 365,878

17,890,322

22,368,818

10,279,355

400,441

1,209,423 3,818,455 2,245,352

730,271

256,528

8,967,318

33,762,665 6,280,192 4,813,424

4,160,191 69,520

5,412,761

10,595,859 1,044,100 586,946

23,674 1,177,358

12,251 519,116

7,049,270

1,911,790 777,446

1,513,733

20,986 462,755

4,417,440

1,209,423

1,053,404 11,874

16,871

1,715,181 1,209,423 1,209,423

34,380,136 3,895,082

6,915,523 2,806,078

3,880,975

747,266 13,383,205

532,427 44,315

2,750,650 204,427

1,747,224 2,584,234

4,069,824 505,988

596,869

294,591 1,532,834

225,819 35,823

469,384 46,963 85,140

287,091

Total

Total All Payments

(LIP, DSH and Rates)

2,678,529 1,605,710

10,376,515 15,228,134

Net Gain

(Minus IGT Contributions)

4,987,871 4,101,228

32,648,174

148,905,315

52,376,816

44,358,524 7,324,292 5,400,370

4,160,191 93,194

6,590,119

48,430,387

8,815,235 12,483,549

3,525,865 730,271

4,471,930 501,672

28,047,159

48,430,387

8,815,235 12,483,549

1,404,417 730,271

4,471,930 501,672

12,331,986

8,563,003 1,932,776 1,240,201

38,449,961 4,401,070

6,915,523 3,402,947

8,664,523

2,035,960 2,017,449

1,176,007 194,133

47,642,051 4,581,811 64,793

8,421,397

3,743,904

8,664,523

2,035,960 2,017,449

271,054 194,133 45,568,845 4,581,811

5,076

8,421,397

3,643,649

3,880,975

2,199,087 5,051,213

1,143,158 5,051,213

1,041,857

14,916,039 758,246 80,138

3,220,034

251,389 1,832,365 2,871,325

1,285,723 194,133

18,315,569 908,087 533,238

3,236,372

1,972,768 3,624,138 4,251,667

132,894

1,285,723 194,133

18,315,569 908,087 115,634

3,236,372

1,972,768 3,624,138 4,251,667

10,411

Page 3 of 19

Summary IGT, LIP, DSH and Rate Adjustments

FY 2013-14

Medicaid Number

Provider Name

County

Authorized IGTs for LIP, DSH and Rates

Total LIP Supplemental

Payments

193 103438 SELECT SPECIALTY HOSPITAL PANAMA CITY 194 119989 SEVEN RIVERS COMMUNITY HOSPITAL

BAY CITRUS

195 100676 SHANDS AT JACKSONVILLE

DUVAL

196 100331 SHANDS AT LAKE SHORE

COLUMBIA

197 101796 SHANDS AT LIVE OAK

SUW ANNEE

198 100072 SHANDS AT STARKE 199 100030 SHANDS TEACHING HOSPITAL & CLINIC 200 25766 SHRINER'S HOSPITAL FOR CHILDREN

BRADFORD ALACHUA HILLSBOROUGH

201 103284 SISTER EMMANUEL HOSPITAL

DADE

202 119946 SOUTH BAY HOSPITAL

HILLSBOROUGH

203 100986 SOUTH FLORIDA BAPTIST HOSPITAL 204 260045 SOUTH FLORIDA STATE HOSPITAL 205 101087 SOUTH LAKE HOSPITAL

HILLSBOROUGH BROW ARD LAKE

206 100587 SOUTH MIAMI HOSPITAL

DADE

207 119997 ORLANDO REGIONAL SOUTH SEMINOLE HOSPITAL

SEMINOLE

208 100595 SOUTH BEACH COMMUNITY HOSPITAL

DADE

209 111341 SOUTHWEST FLORIDA REGIONAL MEDICAL CENTE

LEE

210 106470 SELECT SPECIALTY HOSPITAL -MEMORIAL HEALTH JACKSONVDILULVEAL

211 102466 SPRING HILL REGIONAL HOSPITAL

HERNANDO

212 103462 ST CLOUD REGIONAL MEDICAL CENTER

OSCEOLA

213 120022 ST. CATHERINE'S REHABILITATION HOSPITAL

DADE

214 102407 ST. JOHN'S REHABILITATION HOSPITAL 215 100978 ST. JOSEPH'S HOSPITAL 216 119971 ST. LUCIE MEDICAL CENTER

BROW ARD HILLSBOROUGH

ST. LUCIE

217 101486 ST. MARY'S HOSPITAL

PALM BEACH

218 101591 SUN COAST HOSPITAL

PINELLAS

219 119962 SUNLAND - MARIANNA

JACKSON

220 119920 TACACHALE DAHLIA HOSPITAL - closed 221 119806 CAPITAL REGIONAL MEDICAL CENTER

ALACHUA LEON

222 101133 TALLAHASSEE MEMORIAL HOSPITAL

LEON

223 100994 TAMPA GENERAL HOSPITAL

HILLSBOROUGH

224 103179 THE VILLAGES REGIONAL HOSPITAL

SUMTER

225 119849 TOWN & COUNTRY HOSPITAL 226 100838 TRINITY COMMUNITY HOSPITAL - closed 227 101257 TWIN CITIES HOSPITAL

HILLSBOROUGH HAMILTON OKALOSSA

228 100943 UNIVERSITY COMMUNITY HOSP. - CARROLLWOOD

HILLSBOROUGH

229 101028 UNIVERSITY COMMUNITY HOSPITAL - TAMPA

HILLSBOROUGH

230 112801 UNIVERSITY HOSPITAL & MEDICAL C

BROW ARD

231 100471 UNIVERSITY OF MIAMI HOSPITAL & CLINICS 232 102679 KINDRED HOSPITAL - NORTH FLORIDA 233 102768 KINDRED HOSPITAL BAY AREA - ST. PETE

DADE CLAY PINELLAS

234 119733 VENICE REGIONAL MEDICAL CENTER

SARASOTA

235 101826 FLORIDA HOSPITAL FISH MEMORIAL

VOLUSIA

236 102130 WELLINGTON REGIONAL MEDICAL CENTER 237 120243 WEST BOCA MEDICAL CENTER 238 260053 WEST FLORIDA COMMUNITY CARE CENTER

PALM BEACH PALM BEACH SANTA ROSA

239 113212 WEST FLORIDA HOSPITAL

ESCAMBIA

240 101702 WEST GABLES REHABILITATION HOSPITAL

DADE

241 100625 WESTCHESTER GENERAL HOSPITAL

DADE

242 112305 WESTSIDE REGIONAL MEDICAL CENTE 243 101699 WINTER HAVEN HOSPITAL 244 101362 FLORIDA HOSPITAL WINTER PARK

BROW ARD POLK

ORANGE

245 100111 WUESTHOFF MEDICAL CENTER - ROCKLEDGE 247 103209 WUESTHOFF MEDICAL CENTER - MELBOURNE

BREVARD BREVARD

Graduate Medical Education Initiative Consortiums

Specialty Pediatric

GR not matched / DSH Re Allocation

Undetermined LIP Di$tribution

IGT Undetermined -DSH / LIP IGT & LIP PYMNT

GR: FP (DSH), Mt Sinai (SN), CHEP (Ex)

Liver Global Fee (IGTs included above with Exemptions)

Hospital Based Primary Care

DSH (Shands-U General Revenue)

Total Hospital Programs

$

8,882,548 2,571,995

224,283 3,820,670

404,621

985,121

3,322,203

28,683 147,646

790,114 250,000 20,147,250 11,256,000 5,852,899 812,777,894 $

38,428,040 3,456,521 736,860 408,001

11,797,107 17,064

939,213 104,347 2,161,819

386,714 14,785,707

52,229 160,196

1,145,561

20,882,419

880,916,412 $

Total DSH Payments

Proposed IGTs and Payments for 2013-14 All Rate Adjustments

Inpatient

Outpatient

14,017,104 430,047 595,435 338,239

14,031,063

440,200

21,150,643 1,085,634 41,745 134,910

45,077,385 340,761

1,793,829

9,210,865 1,157,017

247,304 211,861 12,412,902 186,590

578,035

791,402

29,384 20,317

1,209,423 9,507,190

20,664,683 2,194,863

11,414,453

1,709,496

7,043,770 40,334,165

2,065,594 39,657

875,826

173,615

699,850 2,422,064

1,884,814

1,222,963

1,414,083 3,276,582

3,361,070

381,783

28,606 576,395

245,762,198 $

9,932,000 677,138,726 $

131,731,317 $

Total

Total All Payments

(LIP, DSH and Rates)

Net Gain

(Minus IGT Contributions)

30,361,507 2,242,651 289,049 346,771

57,490,286 527,351

2,371,864

82,806,652 6,129,219 1,621,344 1,093,011

83,318,456 527,351

2,388,928 440,200

73,924,104 3,557,224 1,397,061 1,093,011

79,497,786 527,351

2,388,928 440,200

791,402

386,781

22,730,277 2,234,520

12,290,280

1,883,111

7,743,620 42,756,230

23,698,874 2,338,867

14,472,416

9,339,757 67,049,126

23,698,874 2,338,867

13,487,295

9,339,757 63,726,923

3,361,070

3,361,070

3,361,070

1,604,746

1,656,974 160,196

1,628,291 12,550

1,442,689 3,852,977

1,442,689 4,998,538

1,442,689 4,998,538

1,884,814

1,884,814

20,882,419 9,932,000

20,882,419 9,932,000

831,637,275 $

1,933,665,541 $

1,126,484,677

Page 4 of 19

Medicaid Number

Provider Name

Other Provider Access Systems Poison Control (GR) FQHC-DOH Match (GR) FQHC-DOH Match (Local Governments) FQHC County Initiatives - DOH Hospital Based Primary Care Initiatives Miami Dade Premium Assistance Palm Beach Premium Assistance Manatee ER Diversion (GR) New LIP STC requirement Primary Care Grant

Total LIP - Other Provider Access Systems Grand Total All Provider Access Systems

Summary IGT, LIP, DSH and Rate Adjustments

FY 2013-14

County

Authorized IGTs for LIP, DSH and Rates

Total LIP Supplemental

Payments

Total DSH Payments

Proposed IGTs and Payments for 2013-14 All Rate Adjustments

Inpatient

Outpatient

1,311,320 1,503,638 1,503,638 4,546,300 1,874,203 1,239,900

103,325 13,367,014

495,960 14,465,500 14,065,750

3,172,805 3,638,128 3,638,128 11,000,000 8,534,727 3,000,000

250,000 15,867,014

1,200,000 35,000,000 34,032,786

$

54,476,549 $

119,333,588

$

867,254,443 $

1,000,250,000

Total

Total All Payments

(LIP, DSH and Rates)

Net Gain

(Minus IGT Contributions)

3,172,805 3,638,128 3,638,128 11,000,000 8,534,727

3,000,000 250,000

15,867,014 1,200,000

35,000,000 34,032,786

$

119,333,588

$

2,052,999,129

Page 5 of 19

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