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Agenda 09/24/2024 Item #16D6 (To provide additional health care services to the low-income citizens of Collier County)
9/24/2024 Item # 16.D.6. ID#: 2024-1164 Executive Summary Recommendation to authorize an additional $37,145.00 and approve a Low Income Pool Letter of Agreement with the Agency for Health Care Administration, in the amount of $543,345 to participate in the Medicaid Low Income Pool Program, generating $345,455 in federal matching funds that will provide additional health services for the citizens of Collier County and authorize (b) the necessary Budget Amendment and (c) the County Manager or her designee to sign and execute the AHCA LIP Letter of Agreement (Fiscal Impact $ 543,345) OBJECTIVE: To provide additional health care services to the low-income citizens of Collier County and further the County’s strategic plan focus area of supporting access to health, wellness and human services. CONSIDERATIONS: The Agency for Health Care Administration (AHCA) is a State entity that provides Medicaid services in Florida and operates the Medicaid Low Income Pool (LIP) Program. The LIP Program leverages local funds to obtain federal matching dollars. The County's participation in the LIP Program is outlined in the attached LIP Letter of Agreement between Collier County and AHCA. AHCA requested that the County execute the LIP Letter of Agreement using DocuSign; therefore, staff is requesting that the Board of County Commissioners (Board) authorize the County Manager or designee to execute the agreement. Collier Health Services, Inc. (CHSI) desires and is qualified to administer the LIP Program with AHCA using County ad valorem tax dollars. The allocation of County and matching funds is as follows: Collier County LIP IGT Federal Matching Funds Provided to CHSI as Program Administrator Total Funds Benefiting Low-Income Persons $543,345.00 $347,455 $890,800 CHSI will utilize the total funds under the LIP Program to provide additional healthcare services for low-income individuals in Collier County. A companion agreement that outlines the contractual arrangement between Collier County and CHSI will be presented at a future board date. These funds may only be allocated to those Federally Qualified Health Centers (FQHC). CHSI will make payments in an amount not to exceed $250,000 for eligible medical services authorized by County staff. FISCAL IMPACT: A budget amendment is required in the amount of $37,145 to Community & Human Services (CHS) FY25 Community Mental Health & LIP Support Cost Center, 156010 within Fund (0001) adding additional funds needed to contribute a total of $543,345 to the State of Florida Agency for Healthcare Administration. The County funds will generate $347,455 in federal matching funds for the benefit of Collier Health Services to assist in meeting the required LIP IGT local match. GROWTH MANAGEMENT IMPACT: There is no Growth Management impact associated with this action. LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, is approved as to form and legality, and requires majority vote for Board approval. -JAK RECOMMENDATIONS: To authorize an additional $37,145.00 and approve a Low Income Pool Letter of Agreement with the Agency for Health Care Administration, in the amount of $543,345 to participate in the Medicaid Low Income Pool Program, generating $345,455 in federal matching funds that will provide additional health services for the citizens of Collier County and authorize (b) the necessary Budget Amendment and (c) the County Manager or her designee to sign and execute the AHCA LIP Letter of Agreement ( Fiscal Impact $ 543,345) Page 3429 of 4908 PREPARED BY: Carolyn Noble. Grant Coordinator I, Community & Human Services Division ATTACHMENTS: 1. LIP LOA Healthcare Network (CAO) 2. SFY 2024-25 Preliminary LIP Model 3. BA 156010 FQHC LIP Page 3430 of 4908 Page 3431 of 4908 Page 3432 of 4908 Page 3433 of 4908 Page 3434 of 4908 Self-Funded Tiers Model $2,167,718,341 Total $2,167,718,341.00 $0 0.5717 FMAP 0.000000004361522254% 0.09$ 0.4283 SMAP 1 $1,239,284,575 Federal $0 State GR $928,433,766 Local $911,308,790.56 $17,124,974.99 Hospitals provide the supported IGTs as non-federal share to fully fund the LIP up to the approved amount. Tier 1 - FQHCs/RHCs Tier 1 - Central Receiving Systems Tier Payments: Group 1 - Self-Funded Model Tier 1 - paid 66.91% of charity care cost Tier 2 - paid 100% of charity care cost Tier 3 - paid 100% of charity care cost Tier 4 - paid 66.91% 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 21.87% of charity care cost Group 4 Tier 1 - paid 100% of charity care cost Tier 4 - Low UCC Statutory Teaching Hospitals, w/UCC less tha 5% Group 4 - Behavioral Health Providers Group 3 - Federally Qualified Health Centers (FQHCs)/Rural Health Clinics (RHCs) SFY 2024-25 Preliminary LIP Model Summary Model includes the following assumptions: Tier 1 - Medical Schools Group 1 - Hospitals Group 2 - Medical School Physician Practices 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. Tier 2 - All Public Hospitals, All Children's Hospitals, RPICC Hospitals Tier 3 - Statutory Teaching Hospitals with UC ratio greater than 5% Tier 5 -Private Hospitals with UCC ratio less than 4.5% Tier 1 - Private Hospitals with a Uncompensated Care (UC) ratio greater than or equal to 4.5% Hospital charity care costs are calculated using audited 2022 Healthcare Provider Cost Reporting Information System (HCRIS) data from worksheet S-10 (Hospital Uncompensated and Indigent Care). Per the Special Terms and Conditions (STCs), hospitals are required to have at least 1% Medicaid utilization to be eligible for LIP. 1 of 5 Agency for Health Care Administration Bureau of Medicaid Program Finance 9/16/2024 Page 3435 of 4908 100943 010094300 AdventHealth Carrollwood 10,314,251$ 3,448 12.35% 8.32% 1 66.91% 6,901,647$ 3,078,041$ 8,122$ 3,086,163$ 3,815,483$ 36.99% 101877 010187700 AdventHealth DeLand 11,616,003$ 4,735 12.35% 14.48% 1 66.91% 7,772,697$ 3,466,518$ 9,147$ 3,475,665$ 4,297,032$ 36.99% 101826 010182600 AdventHealth Fish Memorial 10,979,080$ 5,943 12.03% 8.09% 1 66.91% 7,346,508$ 3,276,444$ 8,646$ 3,285,089$ 4,061,419$ 36.99% 101028 010102800 AdventHealth Tampa 22,206,995$ 26,801 19.03% 12.19% 1 66.91% 14,859,521$ 6,627,146$ 17,487$ 6,644,633$ 8,214,888$ 36.99% 101494 010149400 AdventHealth Zephyrhills 7,934,542$ 5,441 12.99% 11.87% 1 66.91% 5,309,295$ 2,367,874$ 6,248$ 2,374,122$ 2,935,173$ 36.99% 101869 010186900 Adventhealth Memorial Medical Center//Advent Health Daytona 14,522,606$ 11,886 10.62% 4.63% 1 66.91% 9,717,613$ 4,333,924$ 11,436$ 4,345,360$ 5,372,252$ 36.99% 101834 010183400 Adventhealth New Smyrna 5,629,381$ 2,219 7.98% 7.28% 1 66.91% 3,766,827$ 1,679,954$ 4,433$ 1,684,387$ 2,082,440$ 36.99% 101613 010161300 AdventHealth North Pinellas 7,798,027$ 7,338 19.89% 4.89% 1 66.91% 5,217,948$ 2,327,134$ 6,141$ 2,333,275$ 2,884,673$ 36.99% 101176 010117600 Adventhealth Ocala 16,727,270$ 16,076 19.10% 4.97% 1 66.91% 11,192,835$ 4,991,853$ 13,172$ 5,005,025$ 6,187,809$ 36.99% 100901 010090100 Adventhealth Sebring 9,069,408$ 8,108 14.46% 9.45% 1 66.91% 6,068,676$ 2,706,548$ 7,142$ 2,713,690$ 3,354,987$ 36.99% 101095 010109500 AdventHealth Waterman 16,031,916$ 6,710 9.18% 7.32% 1 66.91% 10,727,548$ 4,784,342$ 12,625$ 4,796,966$ 5,930,582$ 36.99% 109592 010959200 AdventHealth Dade City 4,353,955$ 9,794 34.50% 9.44% 1 66.91% 2,913,392$ 1,299,334$ 3,429$ 1,302,762$ 1,610,630$ 36.99% 100731 010073100 Ascension St Vincent'S Riverside 11,766,508$ 10,204 10.65% 9.05% 1 66.91% 7,873,406$ 3,511,433$ 9,266$ 3,520,698$ 4,352,707$ 36.99% 103730 010373000 Ascension St Vincent'S Southside 9,269,803$ 5,455 13.96% 7.77% 1 66.91% 6,202,768$ 2,766,351$ 7,300$ 2,773,650$ 3,429,117$ 36.99% 97013 009701300 Ascension St. Vincent'S Clay County 4,936,998$ 2,877 8.61% 10.10% 1 66.91% 3,303,528$ 1,473,329$ 3,888$ 1,477,217$ 1,826,311$ 36.99% 100749 010074900 Baptist Hospital Inc 29,230,147$ 17,809 18.13% 12.60% 1 66.91% 19,558,972$ 8,723,038$ 23,018$ 8,746,055$ 10,812,917$ 36.99% 100358 010035800 Baptist Hospital Of Miami 33,039,751$ 20,375 10.45% 4.71% 1 66.91% 22,108,119$ 9,859,923$ 26,018$ 9,885,940$ 12,222,179$ 36.99% 102326 010232600 Baptist Medical Center - Beaches 8,776,259$ 2,031 6.02% 7.88% 1 66.91% 5,872,519$ 2,619,064$ 6,911$ 2,625,975$ 3,246,544$ 36.99% 100641 010064100 Baptist Medical Center Jacksonville 61,367,680$ 24,658 10.44% 8.73% 1 66.91% 41,063,384$ 18,313,715$ 48,325$ 18,362,040$ 22,701,344$ 36.99% 101231 010123100 Baptist Medical Center - Nassau 4,819,246$ 853 7.83% 10.10% 1 66.91% 3,224,736$ 1,438,189$ 3,795$ 1,441,984$ 1,782,752$ 36.99% 120413 012041300 Bartow Regional Medical Center 5,627,443$ 1,650 13.64% 18.67% 1 66.91% 3,765,530$ 1,679,376$ 4,431$ 1,683,807$ 2,081,723$ 36.99% 100064 010006400 Bay Medical Center Sacred Heart Health System 17,800,204$ 5,715 13.34% 51.78% 1 66.91% 11,910,775$ 5,312,045$ 14,017$ 5,326,062$ 6,584,713$ 36.99% 100285 010028500 Bayfront Health Port Charlotte 6,431,583$ 4,034 9.07% 1.38% 1 66.91% 4,303,610$ -$ -$ -$ 4,303,610$ 66.91% 100277 010027700 Bayfront Health Punta Gorda 3,643,078$ 2,868 9.95% 2.83% 1 66.91% 2,437,718$ -$ -$ -$ 2,437,718$ 66.91% 100099 010009900 Cape Canaveral Hospital 8,842,190$ 3,134 11.28% 12.02% 1 66.91% 5,916,636$ 2,638,740$ 6,963$ 2,645,703$ 3,270,933$ 36.99% 101184 010118400 Cleveland Clinic Martin North Hospital 19,537,511$ 10,714 8.03% 18.24% 1 66.91% 13,073,271$ 5,830,502$ 15,385$ 5,845,888$ 7,227,383$ 36.99% 109606 010960600 CORAL GABLES HOSPITAL 6,689,354$ 2,328 9.47%5.02%1 66.91%4,476,094$ 1,996,278$ 5,268$ 2,001,545$ 2,474,549$ 36.99% 103543 010354300 Doctors Hospital 5,079,261$ 1,207 5.18% 5.24% 1 66.91% 3,398,721$ 1,515,784$ 4,000$ 1,519,784$ 1,878,938$ 36.99% 101206 000100024 Fishermen's Hospital 1,124,881$ 11 8.21% 7.21% 1 66.91% 752,699$ 335,694$ 886$ 336,580$ 416,120$ 36.99% 100081 010008100 Holmes Regional Medical Center 29,968,079$ 18,976 13.22% 15.90% 1 66.91% 20,052,750$ 8,943,256$ 23,599$ 8,966,855$ 11,085,895$ 36.99% 101711 010171100 Flagler Hospital 4,829,556$ 7,512 11.35% 9.13% 1 66.91% 3,231,634$ 1,441,265$ 3,803$ 1,445,068$ 1,786,566$ 36.99% 100412 010041200 HIALEAH HOSPITAL 9,832,777$ 6,732 17.16% 13.13% 1 66.91% 6,579,475$ 2,934,357$ 7,743$ 2,942,100$ 3,637,375$ 36.99% 102261 010226100 Homestead Hospital 27,611,471$ 7,114 19.81% 33.45% 1 66.91% 18,475,856$ 8,239,983$ 21,743$ 8,261,726$ 10,214,130$ 36.99% 101044 010104400 Indian River Medical Center 12,147,858$ 5,370 7.17% 24.77% 1 66.91% 8,128,581$ 3,625,237$ 9,566$ 3,634,803$ 4,493,777$ 36.99% 101664 010166400 AdventHealth Lake Wales 4,093,351$ 2,437 12.60% 39.92% 1 66.91% 2,739,013$ 1,221,563$ 3,223$ 1,224,786$ 1,514,227$ 36.99% 102288 010228800 Adventhealth Heart Of Florida Regional Medical Center 8,664,874$ 5,261 13.12% 17.54% 1 66.91% 5,797,988$ 2,585,824$ 6,823$ 2,592,648$ 3,205,340$ 36.99% 101737 010173700 JAY HOSPITAL 869,954$ 181 8.50% 18.56% 1 66.91% 582,118$ 259,617$ 685$ 260,302$ 321,816$ 36.99% 119768 011976800 Lake City Medical Center 8,375,229$ 3,757 11.06% 4.56% 1 66.91% 5,604,175$ 2,499,387$ 6,595$ 2,505,982$ 3,098,194$ 36.99% 101648 010164800 Lakeland Regional Medical Center 51,082,890$ 37,221 16.15% 7.81% 1 66.91% 34,181,450$ 15,244,466$ 40,226$ 15,284,692$ 18,896,759$ 36.99% 108227 010822700 Lake Butler Hospital 789,600$ 797 31.94% 52.97% 1 66.91% 528,351$ -$ -$ -$ 528,351$ 66.91% 101079 010107900 Leesburg Regional Medical Center 3,744,280$ 6,221 9.16% 9.69% 1 66.91% 2,505,436$ 1,117,391$ 2,949$ 1,120,339$ 1,385,097$ 36.99% 101192 010119200 Lower Keys Medical Center 8,157,083$ 2,756 16.94% 3.87% 1 66.91% 5,458,206$ -$ -$ -$ 5,458,206$ 66.91% 101150 010115000 Madison County Memorial Hospital 132,677$ 52 1.52% 7.47% 1 66.91% 88,779$ -$ -$ -$ 88,779$ 66.91% 101214 010121400 Mariners Hospital 3,202,101$ 107 6.20% 13.44% 1 66.91% 2,142,644$ 955,590$ 2,522$ 958,112$ 1,184,532$ 36.99% 120081 012008100 Mease Countryside Hospital 10,225,203$ 6,847 9.02% 8.33% 1 66.91% 6,842,061$ 3,051,467$ 8,052$ 3,059,519$ 3,782,542$ 36.99% 105520 010552000 Medical Center Of Trinity 17,384,418$ 9,918 15.31% 5.22% 1 66.91% 11,632,557$ 5,187,963$ 13,690$ 5,201,653$ 6,430,904$ 36.99% 101931 010193100 Memorial Hospital Jacksonville 25,754,072$ 17,257 16.51% 4.64% 1 66.91% 17,233,002$ 7,685,686$ 20,281$ 7,705,967$ 9,527,035$ 36.99% 101168 010116800 Manatee Memorial Hospital 25,381,293$ 18,488 20.02% 17.93% 1 66.91% 16,983,562$ 7,574,439$ 19,987$ 7,594,426$ 9,389,135$ 36.99% 101541 010154100 Mease Dunedin Hospital 6,439,407$ 5,765 19.15% 19.37% 1 66.91% 4,308,845$ 1,921,687$ 5,071$ 1,926,758$ 2,382,088$ 36.99% 101508 010150800 Morton Plant North Bay Hospital 14,363,031$ 12,588 20.96% 38.73% 1 66.91% 9,610,835$ 4,286,303$ 11,310$ 4,297,613$ 5,313,222$ 36.99% 101583 010158300 Morton Plant Hospital 28,131,431$ 15,286 12.13% 13.28% 1 66.91% 18,823,781$ 8,395,152$ 22,153$ 8,417,305$ 10,406,476$ 36.99% 100315 010031500 Naples Community Hospital 15,262,613$ 14,951 10.01% 16.55% 1 66.91% 10,212,779$ 4,554,761$ 12,019$ 4,566,780$ 5,645,998$ 36.99% 101265 010126500 North Okaloosa Medical Center 4,418,075$ 3,247 13.36% 6.35% 1 66.91% 2,956,297$ 1,318,469$ 3,479$ 1,321,948$ 1,634,350$ 36.99% 100498 010049800 NORTH SHORE MEDICAL CENTER 27,645,030$ 30,023 26.41% 5.93% 1 66.91% 18,498,312$ 8,249,997$ 21,770$ 8,271,767$ 10,226,545$ 36.99% 115193 011519300 Northside Hospital 9,605,457$ 5,109 11.83% 11.36% 1 66.91% 6,427,366$ 2,866,519$ 7,564$ 2,874,083$ 3,553,284$ 36.99% 101354 010135400 Orlando Health - Health Central 21,870,030$ 9,834 14.89% 27.29% 1 66.91% 14,634,046$ 6,526,587$ 17,222$ 6,543,809$ 8,090,237$ 36.99% 32975 003297500 Palm Bay Hospital 9,443,587$ 4,119 11.88% 14.57% 1 66.91% 6,319,053$ 2,818,212$ 7,437$ 2,825,649$ 3,493,404$ 36.99% 103144 010314400 Physicians Regional Medical Center - Pine Ridge 14,114,538$ 2,932 3.77% 1.57% 1 66.91% 9,444,559$ -$ -$ -$ 9,444,559$ 66.91% 20127 002012700 Sacred Heart Hospital on the Gulf 1,613,921$ 274 15.48% 21.20% 1 66.91% 1,079,934$ 481,636$ 1,271$ 482,907$ 597,027$ 36.99% 101745 010174500 Santa Rosa Medical Center 4,892,808$ 1,730 10.83% 2.90% 1 66.91% 3,273,959$ -$ -$ -$ 3,273,959$ 66.91% 100986 010098600 South Florida Baptist Hospital 11,845,652$ 4,654 16.53% 27.71% 1 66.91% 7,926,364$ 3,535,051$ 9,328$ 3,544,379$ 4,381,984$ 36.99% 101087 010108700 South Lake Hospital 13,517,072$ 5,325 8.93% 17.73% 1 66.91% 9,044,773$ 4,033,847$ 10,644$ 4,044,491$ 5,000,282$ 36.99% 120227 012022700 St. Anthony's Hospital 23,957,020$ 12,728 13.36% 17.10% 1 66.91% 16,030,528$ 7,149,399$ 18,865$ 7,168,264$ 8,862,263$ 36.99% 103462 010346200 St Cloud Regional Medical Center 4,863,586$ 2,479 10.62% 27.50% 1 66.91% 3,254,405$ 1,451,421$ 3,830$ 1,455,251$ 1,799,154$ 36.99% 119750 011975000 Raulerson Hospital 4,082,332$ 2,033 12.95% 7.80% 1 66.91% 2,731,639$ 1,218,274$ 3,215$ 1,221,489$ 1,510,150$ 36.99% 103233 010323300 Sacred Heart Hospital on the Emerald Coast 9,013,108$ 3,513 17.66% 13.15% 1 66.91% 6,031,004$ 2,689,746$ 7,098$ 2,696,844$ 3,334,160$ 36.99% 119946 011994600 South Bay Hospital 4,817,199$ 1,256 4.51% 8.33% 1 66.91% 3,223,366$ 1,437,578$ 3,793$ 1,441,371$ 1,781,995$ 36.99% 100978 010097800 St. Joseph's Hospital 62,583,654$ 54,491 20.25% 11.21% 1 66.91% 41,877,037$ 18,676,593$ 49,283$ 18,725,876$ 23,151,161$ 36.99% 120103 012010300 St Petersburg General Hospital 7,903,600$ 3,625 17.85% 7.53% 1 66.91% 5,288,591$ 2,358,640$ 6,224$ 2,364,864$ 2,923,727$ 36.99% 103179 010317900 Uf Health The Villages 1,612,002$ 9,288 13.27% 8.81% 1 66.91% 1,078,650$ 481,063$ 1,269$ 482,333$ 596,317$ 36.99% 31588 003158800 Viera Hospital 3,729,915$ 1,009 4.68% 5.28% 1 66.91% 2,495,824$ 1,113,104$ 2,937$ 1,116,041$ 1,379,783$ 36.99% 32265 003226500 West Kendall Baptist Hospital 8,344,595$ 5,590 15.23% 6.09% 1 66.91% 5,583,677$ 2,490,245$ 6,571$ 2,496,816$ 3,086,861$ 36.99% SFY 2024-25 PROJECTED NET PAYMENTS FOR LIP Signed Attestation Numbers Self-Funded Tiers Model % of Net Payment to Charity Care Cost % Gross Charity Payment Total LIP Payment Total LIP IGTs Provided Net (Total LIP Payment - LIP IGTs) Medicaid ID Provider Charity Care Cost (2022 S10) Ratio of Charity Care Costs to Commercial Costs (FHURS) Medicaid ID Tier Additional LIP IGTs Provided for Tier 5 LIP IGTs Provided to Fund Tier Medicaid Days (FHURS) Medicaid Utilization (FHURS) 2 of 5 Agency for Health Care Administration Medicaid Program Finance 9/16/2024Page 3436 of 4908 SFY 2024-25 PROJECTED NET PAYMENTS FOR LIP Signed Attestation Numbers Self-Funded Tiers Model % of Net Payment to Charity Care Cost % Gross Charity Payment Total LIP Payment Total LIP IGTs Provided Net (Total LIP Payment - LIP IGTs) Medicaid ID Provider Charity Care Cost (2022 S10) Ratio of Charity Care Costs to Commercial Costs (FHURS) Medicaid ID Tier Additional LIP IGTs Provided for Tier 5 LIP IGTs Provided to Fund Tier Medicaid Days (FHURS) Medicaid Utilization (FHURS) 101699 010169900 Winter Haven Hospital 20,803,033$ 16,096 17.24% 23.69% 1 66.91% 13,920,079$ 6,208,167$ 16,382$ 6,224,549$ 7,695,530$ 36.99% Tier 1: High Utilization Private Hospitals 962,284,793$ 609,371 643,900,335$ 275,782,514$ 727,718$ 276,510,231$ 367,390,104$ 39.86% 250,927,961$ (24,854,553)$ 250,927,961$ 101567 010156700 Bayfront Health - St Petersburg 20,337,196$ 15,416 23.22% 23.10% 2 100.00% 20,337,196$ -$ -$ -$ 20,337,196$ 100.00% 120405 012040500 Broward Health Coral Springs 1,120,364$ 11,714 21.43% 1.43% 2 100.00% 1,120,364$ 568,387$ 1,274$ 569,661$ 550,703$ 49.15% 108219 010821900 Broward Health Imperial Point 928,651$ 5,289 16.74% 2.67% 2 100.00% 928,651$ 471,127$ 1,056$ 472,183$ 456,468$ 49.15% 100129 010012900 Broward Health Medical Center 10,830,790$ 54,001 34.98% 5.29% 2 100.00% 10,830,790$ 5,494,715$ 12,317$ 5,507,032$ 5,323,758$ 49.15% 100218 010021800 Broward Health North 3,110,195$ 13,115 16.87% 3.82% 2 100.00% 3,110,195$ 1,577,875$ 3,537$ 1,581,412$ 1,528,783$ 49.15% 119717 011971700 Cape Coral Hospital 12,447,995$ 7,458 8.99% 17.75% 2 100.00% 12,447,995$ 6,315,161$ 14,157$ 6,329,318$ 6,118,677$ 49.15% 101923 010192300 Desoto Memorial Hospital 2,919,531$ 210 9.51% 40.70% 2 100.00% 2,919,531$ -$ -$ -$ 2,919,531$ 100.00% 101036 010103600 Doctors Memorial Hospital 232,587$ 673 23.33% 5.89% 2 100.00% 232,587$ -$ -$ -$ 232,587$ 100.00% 100048 010004800 Ed Fraser Memorial Hospital 1,153,389$ 20 4.52% 26.83% 2 100.00% 1,153,389$ -$ -$ -$ 1,153,389$ 100.00% 100803 010080300 George E. Weems Memorial Hospital 340,470$ 27 7.34% 5.85% 2 100.00% 340,470$ -$ -$ -$ 340,470$ 100.00% 111341 011134100 Gulf Coast Medical Center Lee Memorial Health System 37,000,000$ 13,552 8.13% 16.31% 2 100.00% 37,000,000$ 18,770,971$ 42,079$ 18,813,050$ 18,186,950$ 49.15% 101842 010184200 Halifax Health Medical Center 35,566,350$ 21,484 15.83% 17.33% 2 100.00% 35,566,350$ 18,043,647$ 40,448$ 18,084,095$ 17,482,255$ 49.15% 100862 010086200 Hendry Regional Medical Center 1,032,675$ 277 11.84% 7.28% 2 100.00% 1,032,675$ -$ -$ -$ 1,032,675$ 100.00% 101061 010106100 Jackson Hospital 1,425,154$ 1,675 13.48% 6.85% 2 100.00% 1,425,154$ -$ -$ -$ 1,425,154$ 100.00% 100421 010042100 Jackson Memorial Hospital 118,071,838$ 153,429 31.66% 7.83% 2 100.00% 118,071,838$ 59,900,624$ 134,278$ 60,034,902$ 58,036,936$ 49.15% 101516 010151600 Johns Hopkins All Children's Hospital 994,071$ 38,154 65.28% 0.98% 2 100.00% 994,071$ -$ -$ -$ 994,071$ 100.00% 101443 010144300 Lakeside Medical Center 708,807$ 1,057 28.24% 20.79% 2 100.00% 708,807$ -$ -$ -$ 708,807$ 100.00% 101109 010110900 Lee Memorial Hospital 44,000,000$ 51,321 24.65% 15.59% 2 100.00% 44,000,000$ 22,322,236$ 50,039$ 22,372,276$ 21,627,724$ 49.15% 103454 010345400 Memorial Hospital Miramar 9,077,233$ 6,972 16.93% 3.14% 2 100.00% 9,077,233$ 4,605,094$ 10,323$ 4,615,417$ 4,461,816$ 49.15% 102229 010222900 Memorial Hospital Pembroke 15,625,846$ 4,950 12.61% 10.93% 2 100.00% 15,625,846$ 7,927,360$ 17,771$ 7,945,130$ 7,680,716$ 49.15% 102521 010252100 Memorial Hospital West 22,586,432$ 14,753 11.68% 5.35% 2 100.00% 22,586,432$ 11,458,629$ 25,687$ 11,484,315$ 11,102,117$ 49.15% 100200 010020000 Memorial Regional Hospital 75,311,723$ 67,220 25.81% 8.71% 2 100.00% 75,311,723$ 38,207,411$ 85,649$ 38,293,059$ 37,018,664$ 49.15% 40876 004087600 Nemours Children's Hospital 772,032$ 19,786 72.61% 0.79% 2 100.00% 772,032$ -$ -$ -$ 772,032$ 100.00% 100609 010060900 Nicklaus Children's Hospital 7,462,576$ 37,897 61.97% 0.10% 2 100.00% 7,462,576$ -$ -$ -$ 7,462,576$ 100.00% 100102 010010200 Parrish Medical Center 13,806,870$ 3,513 13.12% 5.88% 2 100.00% 13,806,870$ 7,004,550$ 15,702$ 7,020,252$ 6,786,618$ 49.15% 101761 010176100 Sarasota Memorial Hospital 15,582,236$ 34,516 15.25% 5.02% 2 100.00% 15,582,236$ 7,905,235$ 17,721$ 7,922,956$ 7,659,280$ 49.15% 23960161 023960161 Sarasota Memorial Hospital - Venice 1,229,737$ 1,368 4.51% 1.59% 2 100.00% 1,229,737$ 568,318$ 51,567$ 619,884$ 609,853$ 49.59% 100765 010076500 Sacred Heart Hospital 42,191,719$ 34,403 25.43% 17.62% 2 100.00% 42,191,719$ 21,404,853$ 47,983$ 21,452,836$ 20,738,883$ 49.15% 101486 010148600 St. Mary's Medical Center 20,508,604$ 35,804 39.96% 1.21% 2 100.00% 20,508,604$ -$ -$ -$ 20,508,604$ 100.00% 100994 010099400 Tampa General Hospital 73,918,434$ 76,910 24.18% 15.56% 2 100.00% 73,918,434$ 25,225,259$ -$ 25,225,259$ 48,693,175$ 65.87% 100030 010003000 UF Health Shands Hospital 66,812,352$ 84,985 26.12% 11.50% 2 100.00% 66,812,352$ 33,895,480$ 75,983$ 33,971,462$ 32,840,890$ 49.15% 100676 010067600 UF Health Jacksonville 69,472,380$ 56,204 30.81% 26.81% 2 100.00% 69,472,380$ 22,000,000$ -$ 22,000,000$ 47,472,380$ 68.33% 10064106 023960157 Wolfson Children's Hospital 5,775,092$ 35,842 60.75% 1.18% 2 100.00% 5,775,092$ -$ -$ -$ 5,775,092$ 100.00% 732,353,329$ 903,995 732,353,329$ 313,666,931$ 647,570$ 314,314,501$ 418,038,828$ 70.29% 307,881,340$ -$ 1,540,366$ 101290 010129000 AdventHealth Orlando 204,962,343$ 136,013 16.26% 8.07% 3 100.00% 204,962,343$ 91,970,481$ 233,095$ 92,203,576$ 112,758,767$ 55.01% 120375 012037500 Aventura Hospital and Medical Center 26,912,028$ 11,427 12.87% 6.39% 3 100.00% 26,912,028$ 12,075,936$ 30,606$ 12,106,542$ 14,805,486$ 55.01% 118079 011807900 Brandon Regional Hospital 33,269,452$ 18,211 19.54% 5.16% 3 100.00% 33,269,452$ 14,928,633$ 37,836$ 14,966,468$ 18,302,984$ 55.01% 120324 012032400 H. Lee Moffitt Cancer Center & Research Institute Hospital 27,790,268$ 4,528 6.66% 5.17% 3 100.00% 27,790,268$ 11,902,572$ -$ 11,902,572$ 15,887,696$ 57.17% 100536 010053600 Larkin Community Hospital Palm Springs Campus 1,863,530$ 1,862 9.74% 14.14% 3 100.00% 1,863,530$ 836,201$ 2,119$ 838,320$ 1,025,210$ 55.01% 120057 012005700 Larkin Community Hospital 5,554,173$ 7,220 27.78% 26.44% 3 100.00% 5,554,173$ 2,492,262$ 6,317$ 2,498,579$ 3,055,594$ 55.01% 100463 010046300 Mount Sinai Medical Center 20,466,156$ 14,481 10.85% 11.32% 3 100.00% 20,466,156$ -$ -$ -$ 20,466,156$ 100.00% 111741 011174100 Orange Park Medical Center 29,769,491$ 21,186 20.29% 7.58% 3 100.00% 29,769,491$ 13,358,134$ 33,856$ 13,391,989$ 16,377,502$ 55.01% 101338 010133800 Orlando Health 110,737,560$ 116,569 24.70% 12.57% 3 100.00% 110,737,560$ 49,690,038$ 125,937$ 49,815,975$ 60,921,585$ 55.01% 119881 011988100 Regional Medical Center Bayonet Point 16,222,267$ 9,188 11.73% 8.67% 3 100.00% 16,222,267$ 7,279,238$ 18,449$ 7,297,687$ 8,924,580$ 55.01% 477,547,268$ 340,685 477,547,268$ 204,533,495$ 488,214$ 205,021,709$ 272,525,559$ 59.73% 186,100,170$ 175,071,669$ 205,021,709$ 120138 012013800 Kendall Regional Medical Center 27,594,802$ 23,276 22.24% 0.30% 4 66.91% 18,464,702$ 7,908,432$ 21,730$ 7,930,162$ 10,534,540$ 38.18% 119741 011974100 Largo Medical Center 15,752,644$ 12,799 13.11% 4.36% 4 66.91% 10,540,677$ 4,514,572$ 12,405$ 4,526,976$ 6,013,700$ 38.18% 108626 010862600 North Florida Regional Medical Center 22,728,980$ 25,059 17.64% 3.96% 4 66.91% 15,208,801$ 6,513,929$ 17,898$ 6,531,828$ 8,676,973$ 38.18% 120073 012007300 Oak Hill Hospital 10,813,845$ 12,122 12.11% 2.95% 4 66.91% 7,235,944$ 3,099,155$ 8,516$ 3,107,670$ 4,128,273$ 38.18% 109886 010988600 Ocala Regional Medical Center 29,039,685$ 15,346 10.21% 2.15% 4 66.91% 19,431,527$ 8,322,523$ 22,868$ 8,345,391$ 11,086,136$ 38.18% 101389 010138900 Osceola Regional Medical Center 28,581,311$ 21,503 18.28% 2.55% 4 66.91% 19,124,812$ 8,191,157$ 22,507$ 8,213,664$ 10,911,148$ 38.18% 100471 010047100 University of Miami Hospital and Clinics 6,577,505$ 21,365 15.75% 0.47% 4 66.91% 4,401,252$ 1,885,056$ 5,180$ 1,890,236$ 2,511,016$ 38.18% Tier 4: Low Utilization Statutory Teaching hospitals 141,088,772$ 131,470 94,407,714$ 40,434,824$ 111,103$ 40,545,927$ 53,861,787$ 38.18% 104,943,742$ 74.38% 36,790,686$ 3,755,241$ 44,190,065$ 9496 000949600 Adventhealth Connerton 19,537$ 1,964 7.59% 1.46% 5 1.00% 195$ -$ -$ -$ 195$ 1.00% 101893 010189300 Adventhealth Palm Coast 6,676,602$ 3,403 7.14% 3.83% 5 1.00% 66,766$ -$ -$ -$ 66,766$ 1.00% 54568 005456800 Adventhealth Wesley Chapel 9,048,358$ 4,021 9.59% 3.11% 5 1.00% 90,484$ -$ -$ -$ 90,484$ 1.00% 100871 010087100 Bayfront Health Brooksville 6,810,505$ 4,883 13.16% 2.90% 5 1.00% 68,105$ -$ -$ -$ 68,105$ 1.00% 119989 011998900 Bayfront Health Seven Rivers 3,695,737$ 2,238 8.00% 1.44% 5 1.00% 36,957$ -$ -$ -$ 36,957$ 1.00% 101401 010140100 Bethesda Hospital East 13,365,279$ 18,298 20.09% 2.83% 5 1.00% 133,653$ -$ -$ -$ 133,653$ 1.00% 110213 011021300 Blake Medical Center 18,437,234$ 10,619 12.91% 2.10% 5 1.00% 184,372$ -$ -$ -$ 184,372$ 1.00% 101419 010141900 BOCA RATON REGIONAL HOSPITAL 3,812,500$ 3,670 4.29%0.81%5 1.00%38,125$ -$ -$ -$ 38,125$ 1.00% 119806 011980600 Capital Regional Medical Center 16,340,678$ 12,591 17.40% 0.74% 5 1.00% 163,407$ -$ -$ -$ 163,407$ 1.00% 101788 010178800 Central Florida Regional Hospital 14,354,381$ 6,515 13.07% 1.09% 5 1.00% 143,544$ -$ -$ -$ 143,544$ 1.00% 102199 010219900 Citrus Memorial Hospital 6,239,309$ 4,087 9.27% 1.31% 5 1.00% 62,393$ -$ -$ -$ 62,393$ 1.00% 120090 012009000 Delray Medical Center 13,138,002$ 9,106 8.17% 1.37% 5 1.00% 131,380$ -$ -$ -$ 131,380$ 1.00% 119954 011995400 Doctors Hospital Of Sarasota 4,898,310$ 1,959 5.20% 1.51% 5 1.00% 48,983$ -$ -$ -$ 48,983$ 1.00% Tier 2: All Publics, All Children's, RPICC Hospitals, and Statutory Teaching Hospitals with UC ratio Greater than or equal to 6.5%, Provate Hospitals with US ratio greater than 51.5% Tier 3: High Utilization Statutory Teaching 3 of 5 Agency for Health Care Administration Medicaid Program Finance 9/16/2024Page 3437 of 4908 SFY 2024-25 PROJECTED NET PAYMENTS FOR LIP Signed Attestation Numbers Self-Funded Tiers Model % of Net Payment to Charity Care Cost % Gross Charity Payment Total LIP Payment Total LIP IGTs Provided Net (Total LIP Payment - LIP IGTs) Medicaid ID Provider Charity Care Cost (2022 S10) Ratio of Charity Care Costs to Commercial Costs (FHURS) Medicaid ID Tier Additional LIP IGTs Provided for Tier 5 LIP IGTs Provided to Fund Tier Medicaid Days (FHURS) Medicaid Utilization (FHURS) 101800 010180000 Doctors' Memorial Hospital 139,429$ 299 17.67% 0.99% 5 1.00% 1,394$ -$ -$ -$ 1,394$ 1.00% 102539 010253900 Englewood Community Hospital 1,869,097$ 473 3.44% 1.17% 5 1.00% 18,691$ -$ -$ -$ 18,691$ 1.00% 117463 011746300 Fawcett Memorial Hospital 3,594,757$ 3,715 7.20% 2.51% 5 1.00% 35,948$ -$ -$ -$ 35,948$ 1.00% 111325 011132500 Fort Walton Beach Medical Center 18,450,380$ 10,838 14.14% 0.76% 5 1.00% 184,504$ -$ -$ -$ 184,504$ 1.00% 101524 010152400 Good Samaritan Medical Center 10,967,590$ 6,753 13.95% 2.73% 5 1.00% 109,676$ -$ -$ -$ 109,676$ 1.00% 117617 011761700 Gulf Coast Regional Medical Center 13,052,102$ 15,638 23.42% 0.83% 5 1.00% 130,521$ -$ -$ -$ 130,521$ 1.00% 100897 010089700 Highlands Regional Medical Center 2,677,750$ 1,481 8.64% 1.75% 5 1.00% 26,778$ -$ -$ -$ 26,778$ 1.00% 100188 010018800 Holy Cross Hospital 6,279,293$ 6,957 9.24% 4.23% 5 1.00% 62,793$ -$ -$ -$ 62,793$ 1.00% 101460 010146000 JFK Medical Center 43,585,754$ 31,107 18.50% 2.41% 5 1.00% 435,858$ -$ -$ -$ 435,858$ 1.00% 120294 000100253 Jupiter Medical Center 2,371,465$ 2,331 3.93% 3.71% 5 1.00% 23,715$ -$ -$ -$ 23,715$ 1.00% 103420 010342000 Lakewood Ranch Medical Center 2,780,277$ 1,810 5.52% 3.00% 5 1.00% 27,803$ -$ -$ -$ 27,803$ 1.00% 119695 011969500 Lawnwood Regional Medical Center & Heart Institute 27,581,207$ 29,580 23.97% 0.49% 5 1.00% 275,812$ -$ -$ -$ 275,812$ 1.00% 112798 011279800 Memorial Hospital Of Tampa 10,478,836$ 7,510 17.55% 3.36% 5 1.00% 104,788$ -$ -$ -$ 104,788$ 1.00% 101907 010190700 Northwest Florida Community Hospital 140,020$ 8,994 54.34% 0.62% 5 1.00% 1,400$ -$ -$ -$ 1,400$ 1.00% 104591 010459100 Northwest Medical Center 12,149,070$ 10,703 17.07% 0.18% 5 1.00% 121,491$ -$ -$ -$ 121,491$ 1.00% 210941 021094100 Oviedo Medical Center 6,437,907$ 2,241 12.57% 1.23% 5 1.00% 64,379$ -$ -$ -$ 64,379$ 1.00% 102105 010210500 Palm Beach Gardens Medical Center 5,544,374$ 2,784 5.64% 2.15% 5 1.00% 55,444$ -$ -$ -$ 55,444$ 1.00% 120111 012011100 Palms Of Pasadena Hospital 3,877,592$ 1,488 7.15% 3.05% 5 1.00% 38,776$ -$ -$ -$ 38,776$ 1.00% 120006 012000600 Plantation General Hospital 25,867,646$ 12,962 14.71% 0.42% 5 1.00% 258,676$ -$ -$ -$ 258,676$ 1.00% 120260 012026000 Palms West Hospital 7,818,408$ 14,216 26.56% 1.84% 5 1.00% 78,184$ -$ -$ -$ 78,184$ 1.00% 92683 009268300 Poinciana Medical Center 4,430,464$ 1,906 11.86% 2.93% 5 1.00% 44,305$ -$ -$ -$ 44,305$ 1.00% 113514 011351400 Putnam Community Medical Center 5,172,293$ 2,344 11.64% 4.08% 5 1.00% 51,723$ -$ -$ -$ 51,723$ 1.00% 100587 010058700 South Miami Hospital 10,788,889$ 12,533 16.94% 3.11% 5 1.00% 107,889$ -$ -$ -$ 107,889$ 1.00% 103209 010320900 MELBOURNE REGIONAL MEDICAL CENTER 2,851,454$ 1,655 9.17% 0.20% 5 0.99% 28,155$ -$ -$ -$ 28,155$ 0.99% 120014 012001400 SEBASTIAN RIVER MEDICAL CENTER 2,709,793$ 935 5.04% 0.71% 5 1.00% 27,098$ -$ -$ -$ 27,098$ 1.00% 100111 010011100 ROCKLEDGE REGIONAL MEDICAL CENTER 6,075,708$ 4,314 12.36% 1.39% 5 1.00% 60,757$ -$ -$ -$ 60,757$ 1.00% 104604 010460400 PALMETTO GENERAL HOSPITAL 15,979,422$ 15,015 18.57% 2.27% 5 1.00% 159,794$ -$ -$ -$ 159,794$ 1.00% 119971 011997100 St Lucie Medical Center 9,595,229$ 5,517 10.44% 0.33% 5 1.00% 95,952$ -$ -$ -$ 95,952$ 1.00% 101257 010125700 Twin Cities Hospital 2,575,007$ 467 5.71% 2.86% 5 1.00% 25,750$ -$ -$ -$ 25,750$ 1.00% 101133 010113300 Tallahassee Memorial Hospital 22,093,623$ 34,298 22.34% 4.15% 5 1.00% 220,936$ -$ -$ -$ 220,936$ 1.00% 112801 011280100 HCA Florida Woodmont Hospital 11,354,226$ 8,580 13.98% 2.91% 5 1.00% 113,542$ -$ -$ -$ 113,542$ 1.00% 102130 010213000 Wellington Regional Medical Center 7,386,299$ 12,144 18.13% 1.99% 5 1.00% 73,863$ -$ -$ -$ 73,863$ 1.00% 120243 012024300 West Boca Medical Center 6,521,257$ 6,344 19.06% 0.42% 5 1.00% 65,213$ -$ -$ -$ 65,213$ 1.00% 113212 011321200 West Florida Hospital 19,820,399$ 13,336 14.39% 0.83% 5 1.00% 198,204$ -$ -$ -$ 198,204$ 1.00% 100625 010062500 Westchester General Hospital 581,893$ 2,985 16.22% 0.10% 5 1.00% 5,819$ -$ -$ -$ 5,819$ 1.00% 112305 011230500 Westside Regional Medical Center 10,633,817$ 5,830 9.14% 2.49% 5 1.00% 106,338$ -$ -$ -$ 106,338$ 1.00% 461,069,159$ 383,437 4,610,332$ -$ -$ -$ 4,610,332$ 36.08% -$ -$ 2,774,343,321$ 2,368,958 1,952,818,978$ 834,417,763$ 1,974,605$ 836,392,368$ 1,116,426,610$ 48.83% 1,978,328,725$ 847,318,193.00$ 1,131,010,532$ 005527800 005527800 Florida International University 1,500,000$ 1 100.00% 1,500,000$ 642,450$ -$ 642,450$ 857,550$ 57.17% 276305209 276305209 Florida State University 145,000$ 1 100.00% 145,000$ 62,104$ -$ 62,104$ 82,897$ 57.17% 53386600 053386600 University of Florida Gainesville 24,497,718$ 1 100.00% 24,497,718$ 10,492,373$ -$ 10,492,373$ 14,005,345$ 57.17% 373978300 373978300 University of Florida Jacksonville 28,129,000$ 1 100.00% 28,129,000$ 12,047,651$ -$ 12,047,651$ 16,081,349$ 57.17% 273179700 273179700 University of Miami 43,000,000$ 1 100.00% 43,000,000$ 18,416,900$ -$ 18,416,900$ 24,583,100$ 57.17% 53079400 053079400 University of South Florida 9,000,000$ 1 100.00% 9,000,000$ 3,854,700$ -$ 3,854,700$ 5,145,300$ 57.17% 106,271,718$ 106,271,718$ 45,516,177$ -$ 45,516,177$ 60,755,541$ 57.17% 17234400 017234400 Agape Community Health Center 922,004$ 1 21.87% 201,682$ 123,028$ -$ 123,028$ 78,654$ 8.53% 29543400 029543400 Aza Health 2,394,689$ 1 21.87% 523,822$ -$ -$ -$ 523,822$ 21.87% 13881900 013881900 Banyan Community Health Care 2,678,850$ 1 21.87% 585,981$ 357,453$ -$ 357,453$ 228,527$ 8.53% 60551400 060551400 Bond Community Health Center 1,197,826$ 1 21.87% 262,016$ 159,832$ -$ 159,832$ 102,184$ 8.53% 29554000 029554000 Borinquen Health Care Center 11,563,743$ 1 21.87% 2,529,492$ 1,543,012$ -$ 1,543,012$ 986,480$ 8.53% 688693100 688693100 Brevard Health Alliance 7,815,109$ 1 21.87% 1,709,503$ -$ -$ -$ 1,709,503$ 21.87% 680027100 680027100 Broward Community & Family Health Centers 1,919,957$ 1 21.87% 419,978$ 226,000$ -$ 226,000$ 193,978$ 10.10% 8037100 008037100 C.L. Brumback Primary Care Clinics 11,111,528$ 1 21.87% 2,430,573$ 1,482,671$ -$ 1,482,671$ 947,902$ 8.53% 680002500 680002500 Camillus Health Concern 4,636,489$ 1 21.87% 1,014,201$ -$ -$ -$ 1,014,201$ 21.87% 3407900 003407900 Care Resource Community Health Centers 8,226,934$ 1 21.87% 1,799,587$ 1,097,764$ -$ 1,097,764$ 701,823$ 8.53% 10930500 010930500 Center for Family and Child Enrichment 1,116,851$ 1 21.87% 244,304$ -$ -$ -$ 244,304$ 21.87% 25148200 025148200 CenterPlace Health 4,378,587$ 1 21.87% 957,787$ 584,258$ -$ 584,258$ 373,528$ 8.53% 29549300 029549300 Central Florida Health Care, Inc 8,371,253$ 1 21.87% 1,831,156$ 1,117,021$ -$ 1,117,021$ 714,135$ 8.53% 688571300 688571300 Citrus Health Network 5,445,983$ 1 21.87% 1,191,272$ 726,687$ -$ 726,687$ 464,586$ 8.53% 29565500 029565500 Community Health Centers of Pinellas 6,021,045$ 1 21.87% 1,317,064$ 803,420$ -$ 803,420$ 513,643$ 8.53% 29545100 029545100 Community Health Centers, Inc. 6,839,405$ 1 21.87% 1,496,074$ 912,618$ -$ 912,618$ 583,456$ 8.53% 692990700 692990700 Community Health Northwest Florida 4,971,794$ 1 21.87% 1,087,547$ 617,000$ -$ 617,000$ 470,547$ 9.46% 29572800 029572800 Community Health of South Florida 14,993,067$ 1 21.87% 3,279,634$ -$ -$ -$ 3,279,634$ 21.87% 10739700 112934300 Empower-U 644,740$ 1 21.87% 141,033$ -$ -$ -$ 141,033$ 21.87% 29570100 029570100 Family Health Centers of Southwest Florida 9,382,888$ 1 21.87% 2,052,444$ -$ -$ -$ 2,052,444$ 21.87% 687955100 687955100 Family Health Source 717,090$ 1 21.87% 156,859$ -$ -$ -$ 156,859$ 21.87% 684660200 684660200 Florida Community Health Centers, Inc. 5,521,474$ 1 21.87% 1,207,786$ 736,760$ -$ 736,760$ 471,026$ 8.53% 1182600 001182600 FoundCare 3,876,222$ 1 21.87% 847,898$ 517,225$ -$ 517,225$ 330,673$ 8.53% 6608600 006608600 Genesis Community Health 751,610$ 1 21.87% 164,410$ 100,291$ -$ 100,291$ 64,118$ 8.53% Totals Group 2 - Medical Schools Physician Practices Totals Group 1 - Hospitals Tier 5: Low Utilization Private Hospitals 4 of 5 Agency for Health Care Administration Medicaid Program Finance 9/16/2024Page 3438 of 4908 SFY 2024-25 PROJECTED NET PAYMENTS FOR LIP Signed Attestation Numbers Self-Funded Tiers Model % of Net Payment to Charity Care Cost % Gross Charity Payment Total LIP Payment Total LIP IGTs Provided Net (Total LIP Payment - LIP IGTs) Medicaid ID Provider Charity Care Cost (2022 S10) Ratio of Charity Care Costs to Commercial Costs (FHURS) Medicaid ID Tier Additional LIP IGTs Provided for Tier 5 LIP IGTs Provided to Fund Tier Medicaid Days (FHURS) Medicaid Utilization (FHURS) 60280905 060280905 Gracepoint - Look-Alike 214,131$ 1 21.87% 46,840$ 28,573$ -$ 28,573$ 18,267$ 8.53% 29152800 029152800 Healthcare Network of Southwest Florida 4,652,524$ 1 21.87% 1,017,709$ 620,811$ -$ 620,811$ 396,898$ 8.53% 1718300 001718300 Heart of Florida Health Center 2,878,897$ 1 21.87% 629,740$ 384,147$ -$ 384,147$ 245,593$ 8.53% 29540000 029540000 Jessie Trice Community Health System 7,597,264$ 1 21.87% 1,661,851$ 1,013,743$ -$ 1,013,743$ 648,107$ 8.53% 29547700 029547700 Langley Health Services 2,739,259$ 1 21.87% 599,195$ 365,514$ -$ 365,514$ 233,681$ 8.53% 14789100 014789100 Lee Community Healthcare 1,935,507$ 1 21.87% 423,379$ 258,265$ -$ 258,265$ 165,114$ 8.53% 29561200 029561200 MCR Health 12,435,935$ 1 21.87% 2,720,278$ 1,659,393$ -$ 1,659,393$ 1,060,885$ 8.53% 29570137 29570137 Metro Inclusive Health - Look-Alike 661,442$ 1 21.87% 144,686$ -$ -$ -$ 144,686$ 21.87% 29544200 029544200 Miami Beach Community Health Center 9,939,069$ 1 21.87% 2,174,105$ -$ -$ -$ 2,174,105$ 21.87% 262263700 262263700 Neighborhood Medical Center 1,148,448$ 1 21.87% 251,215$ 153,244$ -$ 153,244$ 97,972$ 8.53% 27973100 027973100 New River Community Health Center 361,996$ 1 21.87% 79,184$ 48,303$ -$ 48,303$ 30,881$ 8.53% 60075002 060075002 North Broward Hospital District 4,969,046$ 1 21.87% 1,086,946$ 731,571$ -$ 731,571$ 355,375$ 7.15% 29568000 029568000 North Florida Medical Centers 1,838,455$ 1 21.87% 402,150$ 10,000$ -$ 10,000$ 392,150$ 21.33% 687429100 687429100 Orange Blossom Family Health 3,078,963$ 1 21.87% 673,503$ -$ -$ -$ 673,503$ 21.87% 20530900 020530900 Osceola Community Health Services 1,137,070$ 1 21.87% 248,727$ 151,725$ -$ 151,725$ 97,001$ 8.53% 29506000 029506000 Palms Medical Group 4,792,203$ 1 21.87% 1,048,263$ 48,000$ -$ 48,000$ 1,000,263$ 20.87% 689693600 689693600 PanCare Health 6,018,232$ 1 21.87% 1,316,448$ -$ -$ -$ 1,316,448$ 21.87% 688412100 688412100 Pinellas Health and Human Services 1,866,104$ 1 21.87% 408,198$ 249,004$ -$ 249,004$ 159,194$ 8.53% 29550700 029550700 Premier Community HealthCare Group 5,234,514$ 1 21.87% 1,145,015$ 300,000$ -$ 300,000$ 845,015$ 16.14% 6558500 006558500 Rural Health Network of Monroe County 354,341$ 1 21.87% 77,510$ 10,000$ -$ 10,000$ 67,510$ 19.05% 117609302 117609302 SMA Healthcare 520,193$ 1 21.87% 113,789$ -$ -$ -$ 113,789$ 21.87% 686032000 686032000 Sulzbacher Center 1,149,854$ 1 21.87% 251,523$ 153,431$ -$ 153,431$ 98,092$ 8.53% 29557400 029557400 Suncoast Community Health Centers 13,771,261$ 1 21.87% 3,012,372$ 1,837,573$ -$ 1,837,573$ 1,174,799$ 8.53% 29548500 029548500 Tampa Family Health Centers 14,712,551$ 1 21.87% 3,218,273$ 1,963,174$ -$ 1,963,174$ 1,255,098$ 8.53% 680005000 680005000 Treasure Coast Community Health 3,309,194$ 1 21.87% 723,864$ 441,563$ -$ 441,563$ 282,301$ 8.53% 29551500 029551500 True Health 4,932,348$ 1 21.87% 1,078,918$ 658,150$ -$ 658,150$ 420,769$ 8.53% 27976500 027976500 Walton Community Health Center 878,533$ 1 21.87% 192,173$ 117,227$ -$ 117,227$ 74,946$ 8.53% 22558502 22558502 Whole Family Health Center 1,205,865$ 1 21.87% 263,775$ 160,905$ -$ 160,905$ 102,870$ 8.53% 239,832,337$ 52,461,727$ 22,469,358$ -$ 22,469,358$ 29,992,369$ 12.72% 016911900 Apalachee Center 853,050$ 1 100.00% 853,050$ 365,361$ -$ 365,361$ 487,689$ 57.17% 011030400 Aspire Health Partners 8,590,638$ 1 100.00% 8,590,638$ 3,679,370$ -$ 3,679,370$ 4,911,268$ 57.17% 060280905 Circles of Care, Inc. 737,514$ 1 100.00% 737,514$ 315,877$ -$ 315,877$ 421,637$ 57.17% 060288404 David Lawrence Behavioral Health 4,014,708$ 1 100.00% 4,014,708$ 1,719,499$ -$ 1,719,499$ 2,295,209$ 57.17% 010294000 Centerstone of Florida 3,914,233$ 1 100.00% 3,914,233$ 1,676,466$ -$ 1,676,466$ 2,237,767$ 57.17% 060338449 Gracepoint 5,007,918$ 1 100.00% 5,007,918$ 2,144,891$ -$ 2,144,891$ 2,863,027$ 57.17% 016556800 Henderson Behavioral Health 5,930,771$ 1 100.00% 5,930,771$ 2,540,149$ -$ 2,540,149$ 3,390,622$ 57.17% 017645900 Lifestream Behavioral Health 908,250$ 1 100.00% 908,250$ 389,003$ -$ 389,003$ 519,247$ 57.17% 060293113 Park Place Behavioral 4,544,112$ 1 100.00% 4,544,112$ 1,946,243$ -$ 1,946,243$ 2,597,869$ 57.17% 060291400 Mental Health Resource Center 6,160,310$ 1 100.00% 6,160,310$ 2,638,461$ -$ 2,638,461$ 3,521,849$ 57.17% 017706400 SMA Behavioral 4,702,381$ 1 100.00% 4,702,381$ 2,014,030$ -$ 2,014,030$ 2,688,351$ 57.17% 060304000 Citrus Behavioral Health 2,448,705$ 1 100.00% 2,448,705$ 1,048,780$ -$ 1,048,780$ 1,399,925$ 57.17% 060650200 Cove - DACCO Behavioral Health 424,429$ 1 100.00% 424,429$ 181,783$ -$ 181,783$ 242,646$ 57.17% 060271000 Lakeview Center 810,797$ 1 100.00% 810,797$ 347,264$ -$ 347,264$ 463,533$ 57.17% 060397000 Tri County Behavioral Health 1,305,322$ 1 100.00% 1,305,322$ 559,069$ -$ 559,069$ 746,253$ 57.17% 105820600 Charlotte Behavioral Health 2,400,355$ 1 100.00% 2,400,355$ 1,028,072$ -$ 1,028,072$ 1,372,283$ 57.17% 060310400 Peace River Behavioral Health 3,412,425$ 1 100.00% 3,412,425$ 1,461,542$ -$ 1,461,542$ 1,950,883$ 57.17% 56,165,918$ 56,165,918$ 24,055,863$ -$ 24,055,863$ 32,110,055$ 57.17% 3,176,613,294$ 2,368,958 2,167,718,341$ 926,459,161$ 1,974,605$ 928,433,766$ 1,239,284,575$ 46.40% Estimated payments may vary based on providers meeting all LIP participation requirements and IGT availability. The proposed payments may be adjusted and disbursed to eligible providers up to 100% of charity care costs. Grand Totals Totals Group 4 - Behavioral Health Providers Totals Group 3 - FQHCs/RHCs 5 of 5 Agency for Health Care Administration Medicaid Program Finance 9/16/2024Page 3439 of 4908