Appendix D.
Simulation Results from Three State Analysis

Table D.1B
California Hospitals DSH Payments Based on Percent Low-income Revenues

	N Receiving DSH	DSH Funds $	% of DSH Funds	DSH to Fin Risk	DSH Per Adjusted Day ($)	Margin w/ DSH
All Hospitals	199	1,880,769,299	100%	0.78	104	6.7%
By Geographic Area
Urban	163	1,804,632,340	96%	0.77	105	6.5%
Large Urban	113	1,480,819,153	79%	0.77	111	6.5%
Other Urban	50	323,813,187	17%	0.75	84	6.6%
Rural	36	76,136,959	4%	1.08	85	11.6%
Urban By Bedsize
0-49 beds	17	58,268,341	3%	3.67	159	21.7%
50-99 beds	20	75,631,172	4%	0.67	77	9.0%
100-199 beds	54	274,858,478	15%	0.65	85	3.6%
200-299 beds	27	298,129,617	16%	0.71	87	3.9%
300-499 beds	30	479,095,696	25%	0.77	83	7.7%
500 or more beds	15	618,649,036	33%	0.82	181	7.2%
Rural By Bedsize
0-49 beds	22	48,891,109	3%	1.97	124	17.8%
50-99 beds	11	19,773,636	1%	0.65	71	8.3%
100-149 beds	3	7,472,214	0%	0.50	33	8.1%
150 or more beds
Type of Ownership
State government	2	48,283,967	3%	0.93	198	10.5%
County or local government	27	987,312,918	52%	1.23	443	15.8%
Gov. - hosp. dist.	43	133,130,826	7%	0.79	63	6.9%
Not-for-profit	84	519,152,473	28%	0.44	48	3.6%
For-profit	43	192,889,115	10%	0.85	75	8.8%
Teaching Status
Non- teaching	151	568,877,200	30%	0.57	50	5.4%
Fewer than 10 residents	15	146,821,582	8%	0.89	96	6.4%
Residents >10 and <100	21	440,056,345	23%	0.80	170	4.8%
Residents => 100 and < 250	6	334,588,026	18%	1.33	303	8.8%
Residents => 250	6	390,426,147	21%	0.87	285	12.5%
Low-Income Patient Gross Days as % of Total Days
More than 60%	39	1,202,795,032	64%	1.24	392	14.3%
50-60 %	15	92,842,619	5%	1.08	153	5.8%
40-50 %	24	145,103,314	8%	0.82	98	0.9%
30-40 %	37	133,617,566	7%	0.53	63	3.6%
20-30 %	52	178,875,040	10%	0.31	38	3.7%
10-20 %	24	103,352,701	5%	0.36	24	4.0%
10 % and less	8	24,183,028	1%	0.35	13	11.1%
Low-Income Patient Gross Revenues as % of Total Patient Revenues
More than 60%	24	980,221,632	52%	1.28	487	17.0%
50-60 %	13	163,466,901	9%	2.23	283	20.1%
40-50 %	27	248,079,032	13%	1.42	208	8.3%
30-40 %	31	197,005,282	10%	0.95	129	8.0%
20-30 %	71	255,237,147	14%	0.63	67	3.6%
10-20 %	33	36,759,306	2%	0.06	7	1.8%
10 % and less	0			0.00	0	5.9%
Financial Risk
More than 25 %	20	509,899,638	27%	0.94	424	8.0%
20-25 %	16	328,966,091	17%	1.16	369	17.7%
15-20 %	20	235,533,153	13%	1.22	238	13.8%
10-15 %	60	318,403,827	17%	0.53	86	3.5%
5-10 %	51	244,677,509	13%	0.40	42	4.0%
0-5 %	22	184,313,984	10%	0.87	37	6.7%
None	10	58,975,096	3%	-3.15	111	19.7%
Safety Net Hospitals: Margin Net of DSH
Less than -25%	22	334,724,098	18%	1.07	318	-7.5%
-15 to -25%	17	154,638,937	8%	0.76	173	-3.4%
-5% to -15%	42	373,648,499	20%	0.80	122	1.3%
-5% to 5%	51	499,176,672	27%	0.75	112	7.5%
5% to 15%	30	350,680,113	19%	0.90	155	15.5%
From 15% to25%	4	35,362,993	2%	1.11	118	23.5%
25% and higher	1	5,002,258	0%	-1.25	211	36.0%
All Safety Net Hospitals	167	1,753,233,570	93%	0.85	146	6.9%

Table D.1C
California Hospitals DSH Payments Based on Financial Risk as % Operating Cost

	N Receiving DSH	DSH Funds $	% of DSH Funds	DSH to Fin Risk	DSH Per Adjusted Day ($)	Margin w/ DSH
All Hospitals	221	1,880,769,299	100%	0.78	104	6.7%
By Geographic Area
Urban	188	1,822,939,093	97%	0.77	106	6.6%
Large Urban	131	1,453,674,718	77%	0.76	109	6.4%
Other Urban	57	369,264,375	20%	0.86	95	7.4%
Rural	33	57,830,207	3%	0.82	64	9.8%
Urban By Bedsize
0-49 beds	13	31,579,303	2%	1.99	86	13.7%
50-99 beds	30	98,754,944	5%	0.88	101	10.5%
100-199 beds	57	419,777,706	22%	0.99	129	7.0%
200-299 beds	31	352,389,005	19%	0.84	103	5.0%
300-499 beds	40	390,384,776	21%	0.62	68	6.8%
500 or more beds	17	530,053,358	28%	0.70	155	6.0%
Rural By Bedsize
0-49 beds	19	25,942,870	1%	1.04	66	11.6%
50-99 beds	11	24,269,131	1%	0.80	87	9.5%
100-149 beds	3	7,618,205	0%	0.51	34	8.1%
150 or more beds
Type of Ownership
State government	2	27,052,042	1%	0.52	111	6.8%
County or local government	27	774,144,256	41%	0.96	348	11.5%
Gov. - hosp. dist.	38	154,106,674	8%	0.92	72	7.8%
Not-for-profit	109	707,175,043	38%	0.60	65	4.7%
For-profit	45	218,291,284	12%	0.96	85	9.5%
Teaching Status
Non- teaching	164	792,773,178	42%	0.79	69	6.8%
Fewer than 10 residents	19	115,486,497	6%	0.70	75	5.1%
Residents >10 and <100	27	482,953,399	26%	0.88	186	5.8%
Residents => 100 and < 250	5	224,820,357	12%	0.90	204	4.3%
Residents => 250	6	264,735,868	14%	0.59	194	9.6%
Low-Income Patient Gross Days as % of Total Days
More than 60%	35	910,083,780	48%	0.94	297	9.9%
50-60 %	14	75,570,672	4%	0.88	124	3.8%
40-50 %	22	144,709,079	8%	0.81	98	0.9%
30-40 %	36	234,164,879	12%	0.93	110	7.0%
20-30 %	65	387,763,999	21%	0.67	81	6.5%
10-20 %	42	113,006,088	6%	0.39	27	4.1%
10 % and less	7	15,470,802	1%	0.22	9	10.8%
Low-Income Patient Gross Revenues as % of Total Patient Revenues
More than 60%	21	749,628,494	40%	0.98	372	12.0%
50-60 %	12	104,562,272	6%	1.43	181	13.1%
40-50 %	23	166,653,435	9%	0.95	140	3.0%
30-40 %	23	138,057,719	7%	0.67	90	5.7%
20-30 %	59	385,781,937	21%	0.95	101	6.3%
10-20 %	67	312,988,957	17%	0.52	58	5.1%
10 % and less	16	23,096,484	1%	0.11	7	6.2%
Financial Risk
More than 25 %	20	604,832,852	32%	1.11	503	12.0%
20-25 %	16	290,821,854	15%	1.02	326	15.6%
15-20 %	20	230,025,256	12%	1.19	232	13.4%
10-15 %	68	493,671,344	26%	0.82	133	6.6%
5-10 %	97	261,417,993	14%	0.43	45	4.2%
0-5 %	0	-	-	-	-	4.3%
None	0	-	-	-	-	12.7%
Safety Net Hospitals: Margin Net of DSH
Less than -25%	23	379,612,621	20%	1.21	361	-4.0%
-15 to -25%	18	207,164,833	11%	1.02	232	1.2%
-5% to -15%	43	422,158,833	22%	0.91	138	2.5%
-5% to 5%	57	453,490,349	24%	0.68	102	6.9%
5% to 15%	28	263,719,930	14%	0.68	117	13.9%
From 15% to25%	3	26,145,843	1%	0.82	87	22.0%
25% and higher	0	-	0%	0.00	0	30.0%
All Safety Net Hospitals	172	1,752,292,409	93%	0.85	146	6.9%

TableD.1D
California Hospitals
Sliding Scale DSH Payments Based on Financial Risk

	N Receiving DSH	DSH Funds $	% of DSH Funds	DSH to Fin Risk	DSH Per Adjusted Day ($)	Margin w/ DSH
All Hospitals	221	1,880,769,299	100%	0.78	104	6.7%
By Geographic Area
Urban	188	1,838,660,346	98%	0.78	107	6.6%
Large Urban	131	1,448,347,145	77%	0.75	109	6.3%
Other Urban	57	390,313,201	21%	0.91	101	7.8%
Rural	33	42,108,953	2%	0.60	47	8.2%
Urban By Bedsize
0-49 beds	13	30,788,348	2%	1.94	84	13.4%
50-99 beds	30	94,462,579	5%	0.84	97	10.3%
100-199 beds	57	454,666,710	24%	1.08	140	7.7%
200-299 beds	31	379,745,485	20%	0.91	111	5.6%
300-499 beds	40	317,950,971	17%	0.51	55	6.0%
500 or more beds	17	561,046,251	30%	0.74	164	6.4%
Rural By Bedsize
0-49 beds	19	17,391,562	1%	0.70	44	9.1%
50-99 beds	11	19,888,011	1%	0.65	71	8.3%
100-149 beds	3	4,829,380	0%	0.32	22	7.1%
150 or more beds
Type of Ownership
State government	2	17,482,651	1%	0.34	72	5.0%
County or local government	27	974,538,115	52%	1.21	438	15.5%
Gov. - hosp. dist.	38	138,470,379	7%	0.83	65	7.1%
Not-for-profit	109	552,514,992	29%	0.47	51	3.8%
For-profit	45	197,763,163	11%	0.87	77	8.9%
Teaching Status
Non- teaching	164	674,128,236	36%	0.67	59	6.1%
Fewer than 10 residents	19	113,080,929	6%	0.69	74	5.0%
Residents >10 and <100	27	514,374,171	27%	0.93	199	6.5%
Residents => 100 and < 250	5	283,384,527	15%	1.13	257	6.7%
Residents => 250	6	295,801,436	16%	0.66	216	10.3%
Low-Income Patient Gross Days as % of Total Days
More than 60%	35	1,108,924,246	59%	1.14	361	12.9%
50-60 %	14	64,804,974	3%	0.75	107	2.6%
40-50 %	22	116,167,048	6%	0.65	79	-0.6%
30-40 %	36	194,346,428	10%	0.78	92	5.7%
20-30 %	65	295,506,794	16%	0.51	62	5.3%
10-20 %	42	90,513,618	5%	0.31	21	3.7%
10 % and less	7	10,506,192	1%	0.15	6	10.6%
Low-Income Patient Gross Revenues as % of Total Patient Revenues
More than 60%	21	960,980,171	51%	1.26	477	16.6%
50-60 %	12	121,176,845	6%	1.65	210	15.2%
40-50 %	23	152,532,170	8%	0.87	128	2.0%
30-40 %	23	104,537,633	6%	0.51	68	4.3%
20-30 %	59	318,224,376	17%	0.79	83	4.9%
10-20 %	67	209,320,617	11%	0.35	39	3.9%
10 % and less	16	13,997,489	1%	0.07	4	6.1%
Financial Risk
More than 25 %	20	819,189,624	44%	1.50	681	19.9%
20-25 %	16	373,537,123	20%	1.31	419	20.0%
15-20 %	20	191,906,250	10%	0.99	194	11.1%
10-15 %	68	339,199,428	18%	0.56	92	3.9%
5-10 %	97	156,936,874	8%	0.26	27	3.0%
0-5 %	0	-	-	-	-	4.3%
None	0	-	-	-	-	12.7%
Safety Net Hospitals: Margin Net of DSH
Less than -25%	23	484,023,454	26%	1.54	460	3.3%
-15 to -25%	18	225,626,736	12%	1.11	253	2.8%
-5% to -15%	43	404,079,345	21%	0.87	132	2.0%
-5% to 5%	57	388,358,074	21%	0.58	87	6.0%
5% to 15%	28	258,961,454	14%	0.66	115	13.8%
From 15% to25%	3	18,700,426	1%	0.59	62	20.7%
25% and higher	0	0	0%	0.00	0	30.0%
All Safety Net Hospitals	172	1,779,749,489	95%	0.86	148	7.1%

Table D.2A
New York Hospitals
DSH Payments Based on Percent Low-income Utilization

	N Receiving DSH	DSH Funds $	% of DSH Funds	DSH to Fin Risk	DSH Per Adjusted Day ($)	Margin w/ DSH
All Hospitals	100	830,200,447	100%	0.46	37	-7.8%
By Geographic Area
Urban	79	806,647,385	97%	0.46	40	-8.4%
Large Urban	60	770,336,074	93%	0.48	48	-9.3%
Other Urban	19	36,311,311	4%	0.28	9	-3.4%
Rural	21	23,553,062	3%	0.42	10	1.2%
Urban By Bedsize
0-49 beds	3	490,590	0%	0.27	2	-7.8%
50-99 beds	2	4,272,521	0%	0.27	2	-7.3%
100-199 beds	16	76,422,657	1%	0.43	8	-5.2%
200-299 beds	18	72,260,688	9%	0.85	32	-5.5%
300-499 beds	18	146,532,270	9%	0.46	19	-9.6%
500 or more beds	22	506,668,660	18%	0.41	29	-9.2%
Rural By Bedsize
0-49 beds	5	4,376,182	1%	0.56	12	-1.5%
50-99 beds	6	6,596,429	1%	0.83	9	-0.9%
100-149 beds	3	1,686,480	0%	0.05	5	1.7%
150 or more beds	7	10,893,971	1%	6.09	12	2.5%
Type of Ownership
State government	3	26,769,580	3%	0.26	59	-36.5%
County or local government	7	95,443,292	11%	1.02	62	-3.8%
Gov. - hosp. dist.	0	-	-	-	-	-
Not-for-profit	87	695,744,108	84%	0.44	35	-7.1%
For-profit	3	12,243,466	1%	0.75	16	-8.5%
Teaching Status
Non- teaching	45	93,689,659	11%	0.45	12	-3.7%
Fewer than 10 residents	9	18,642,156	2%	0.36	11	-2.0%
Residents >10 and <100	16	83,116,200	10%	0.42	22	-8.6%
Residents => 100 and < 250	18	338,964,606	41%	0.60	73	-9.2%
Residents => 250	12	295,787,826	36%	0.38	64	-10.4%
Low-Income Patient Gross Days as % of Total Days
More than 60%	5	113,298,297	14%	3.35	202	6.0%
50-60 %	9	162,884,405	20%	0.53	138	-22.6%
40-50 %	11	248,427,182	30%	0.70	94	-9.8%
30-40 %	22	204,527,958	25%	0.45	58	-10.2%
20-30 %	42	98,045,394	12%	0.28	19	-7.8%
10-20 %	11	3,017,210	0%	0.02	0	-2.4%
10 % and less	0	0	0%	0.00	0	-7.7%
Low-Income Patient Gross Revenues as % of Total Patient Revenues
More than 60%	1	45,634,579	5%	1.42	248	4.1%
50-60 %	5	83,462,839	10%	0.93	149	-5.0%
40-50 %	15	311,578,022	38%	0.62	97	-12.0%
30-40 %	18	247,822,381	30%	0.45	60	-12.4%
20-30 %	28	85,040,737	10%	0.45	20	-5.9%
10-20 %	32	56,534,849	7%	0.16	8	-5.8%
10 % and less	1	127,041	0%	0.00	0	-3.9%
Financial Risk
More than 25 %	1	15,947,743	2%	0.29	81	-38.4%
20-25 %	8	146,890,863	18%	0.42	113	-20.2%
15-20 %	5	155,706,021	19%	0.66	105	-6.4%
10-15 %	12	216,684,603	26%	0.62	81	-13.9%
5-10 %	44	199,133,297	24%	0.30	23	-7.1%
0-5 %	23	42,469,722	5%	0.24	6	-3.8%
None	7	53,368,198	6%	-1.96	37	-0.3%
Safety Net Hospitals:Margin Net of DSH
Less than -25%	21	374,233,546	45%	0.53	95	-24.0%
-15 to -25%	14	163,123,554	20%	0.67	77	-11.0%
-5% to -15%	32	211,097,758	25%	0.54	44	-4.3%
-5% to 5%	22	78,728,378	9%	0.54	33	2.7%
5% to 15%		-	-	-	-	-
From 15% to25%		-	-	-	-	-
25% and higher		-	-	-	-	-
All Safety Net Hospitals	89	827,183,237	100%	0.55	63	-9.8%

TableD.2B
New York Hospitals
DSH Payments Based on Percent Low-income Revenues

	N Receiving DSH	DSH Funds $	% of DSH Funds	DSH to Fin Risk	DSH Per Adjusted Day ($)	Margin w/ DSH
All Hospitals	106	830,200,447	100%	0.46	37	-7.8%
By Geographic Area
Urban	79	791,090,467	95%	0.45	39	-8.5%
Large Urban	63	765,821,307	92%	0.47	48	-9.3%
Other Urban	16	25,269,160	3%	0.19	6	-3.8%
Rural	27	39,109,980	5%	0.70	16	2.5%
Urban By Bedsize
0-49 beds	3	5,997,362	1%	3.35	30	-0.9%
50-99 beds	4	5,886,145	1%	0.59	12	-6.6%
100-199 beds	16	64,529,695	8%	0.72	27	-6.0%
200-299 beds	19	90,043,076	11%	0.58	23	-4.9%
300-499 beds	16	148,184,649	18%	0.41	30	-9.6%
500 or more beds	21	476,449,540	57%	0.42	58	-9.6%
Rural By Bedsize
0-49 beds	8	6,873,409	1%	0.88	19	0.3%
50-99 beds	10	19,903,949	2%	2.51	28	4.8%
100-149 beds	3	4,127,901	0%	0.13	11	2.9%
150 or more beds	6	8,204,721	1%	4.59	9	2.0%
Type of Ownership
State government	3	15,176,932	2%	0.15	34	-39.4%
County or local government	9	90,705,455	11%	0.96	59	-4.6%
Gov. - hosp. dist.	0	-	-	-	-	-
Not-for-profit	90	714,286,894	86%	0.45	36	-7.0%
For-profit	4	10,031,165	1%	0.61	13	-9.0%
Teaching Status
Non- teaching	53	109,052,793	13%	0.52	14	-3.3%
Fewer than 10 residents	8	14,470,474	2%	0.28	8	-2.3%
Residents >10 and <100	15	102,172,368	12%	0.52	27	-8.0%
Residents => 100 and < 250	18	326,825,661	39%	0.58	70	-9.5%
Residents => 250	12	277,679,151	33%	0.35	60	-10.7%
Low-Income Patient Gross Days as % of Total Days
More than 60%	5	81,200,732	10%	2.40	145	0.4%
50-60 %	9	129,319,867	16%	0.42	110	-26.0%
40-50 %	11	240,197,914	29%	0.68	90	-10.2%
30-40 %	21	204,296,193	25%	0.45	58	-10.2%
20-30 %	32	119,278,339	14%	0.35	23	-7.3%
10-20 %	27	55,174,433	7%	0.28	8	-1.3%
10 % and less	1	732,969	0%	0.01	0	-7.7%
Low-Income Patient Gross Revenues as % of Total Patient Revenues
More than 60%	1	34,369,958	4%	1.07	187	-2.2%
50-60 %	5	77,412,846	9%	0.86	138	-6.1%
40-50 %	15	322,756,368	39%	0.64	101	-11.5%
30-40 %	20	273,163,031	33%	0.50	67	-11.8%
20-30 %	38	104,575,369	13%	0.55	24	-5.3%
10-20 %	27	17,922,875	2%	0.05	2	-6.5%
10 % and less	0	-	-	-	-	-3.9%
Financial Risk
More than 25 %	1	21,398,241	3%	0.39	108	-33.3%
20-25 %	8	134,352,525	16%	0.39	104	-21.4%
15-20 %	5	153,387,370	18%	0.65	103	-6.5%
10-15 %	13	206,259,824	25%	0.59	77	-14.4%
5-10 %	42	192,186,070	23%	0.29	22	-7.2%
0-5 %	28	79,032,272	10%	0.45	11	-3.1%
None	9	43,584,144	5%	-1.60	30	-1.4%
Safety Net Hospitals:Margin Net of DSH
Less than -25%	19	357,474,269	43%	0.50	91	-24.6%
-15 to -25%	12	120,826,112	15%	0.50	57	-13.3%
-5% to -15%	31	232,717,221	28%	0.59	48	-3.9%
-5% to 5%	16	63,275,443	8%	0.44	27	2.0%
5% to 15%		-	-	-	-	-
From 15% to25%		-	-	-	-	-
25% and higher		-	-	-	-	-
All Safety Net Hospitals	78	774,293,044	93%	0.52	59	-10.2%

Table D.2C
New York Hospitals
DSH Payments Based on Financial Risk as % Operating Cost

	N Receiving DSH	DSH Funds $	% of DSH Funds	DSH to Fin Risk	DSH Per Adjusted Day ($)	Margin w/ DSH
All Hospitals	102	830,200,447	100%	0.46	37	-7.8%
By Geographic Area
Urban	84	807,707,326	97%	0.46	40	-8.4%
Large Urban	66	784,235,150	94%	0.48	49	-9.2%
Other Urban	18	23,472,176	3%	0.18	6	-3.8%
Rural	18	22,493,120	3%	0.40	9	1.1%
Urban By Bedsize
0-49 beds	1	19,922	0%	0.01	0	-8.4%
50-99 beds	7	2,631,671	0%	0.27	5	-8.0%
100-199 beds	19	32,094,128	4%	0.36	13	-8.3%
200-299 beds	14	58,839,631	7%	0.38	15	-6.0%
300-499 beds	21	166,814,595	20%	0.46	34	-9.1%
500 or more beds	22	547,307,379	66%	0.48	67	-8.8%
Rural By Bedsize
0-49 beds
50-99 beds
100-149 beds	6	5,351,540	1%	0.69	15	-0.8%
150 or more beds	4	5,203,052	1%	2.91	6	-1.5%
Type of Ownership
State government	3	39,345,039	5%	0.38	87	-33.5%
County or local government	7	112,376,421	14%	1.20	74	-1.2%
Gov. - hosp. dist.	0	-	-	-	-	-
Not-for-profit	89	674,123,720	81%	0.42	34	-7.2%
For-profit	3	4,355,267	1%	0.27	6	-10.3%
Teaching Status
Non- teaching	0	-	-	-	-	-
Fewer than 10 residents	50	58,133,939	7%	0.28	8	-4.6%
Residents >10 and <100	6	18,596,540	2%	0.36	11	-2.0%
Residents => 100 and < 250	17	75,558,051	9%	0.38	20	-8.9%
Residents => 250	16	338,111,334	41%	0.60	73	-9.2%
Low-Income Patient Gross Days as % of Total Days
More than 60%	4	38,250,746	5%	1.13	68	-8.1%
50-60 %	8	183,617,459	22%	0.60	156	-20.5%
40-50 %	10	269,807,707	32%	0.76	102	-8.8%
30-40 %	16	143,264,817	17%	0.32	40	-11.7%
20-30 %	27	122,811,630	15%	0.36	23	-7.2%
10-20 %	26	45,430,725	5%	0.23	7	-1.5%
10 % and less	11	27,017,363	3%	0.22	11	-6.6%
Low-Income Patient Gross Revenues as % of Total Patient Revenues
More than 60%	1	26,567,283	3%	0.83	144	-7.0%
50-60 %	5	56,165,123	7%	0.63	100	-10.3%
40-50 %	12	368,494,554	44%	0.73	115	-9.7%
30-40 %	15	238,126,558	29%	0.43	58	-12.7%
20-30 %	19	46,043,492	6%	0.24	11	-7.2%
10-20 %	42	89,092,876	11%	0.26	12	-5.2%
10 % and less	8	5,710,561	1%	0.06	2	-3.7%
Financial Risk
More than 25 %	1	48,487,196	6%	0.88	246	-12.9%
20-25 %	8	229,503,146	28%	0.66	177	-13.1%
15-20 %	5	180,564,053	22%	0.76	121	-4.3%
10-15 %	13	196,200,318	24%	0.56	73	-14.9%
5-10 %	75	175,445,734	21%	0.26	21	-7.4%
0-5 %	0	-	0%	0.00	0	-4.6%
None	0	-	0%	0.00	0	-6.6%
Safety Net Hospitals:Margin Net of DSH
Less than -25%	20	450,185,725	54%	0.63	115	-21.5%
-15 to -25%	13	120,205,726	14%	0.49	57	-13.3%
-5% to -15%	19	138,341,804	17%	0.35	29	-5.8%
-5% to 5%	13	49,019,103	6%	0.34	21	1.4%
5% to 15%		-	-	-	-	-
From 15% to25%		-	-	-	-	-
25% and higher		-	-	-	-	-
All Safety Net Hospitals	65	757,752,359	91%	0.51	57	-10.4%

Table D.2D
New York Hospitals
Sliding Scale DSH Payments Based on Financial Risk

	N Receiving DSH	DSH Funds $	% of DSH Funds	DSH to Fin Risk	Adjusted Day ($)	Margin w/ DSH
All Hospitals	102	830,200,447	100%	0.46	37	-7.8%
By Geographic Area
Urban	84	813,785,241	98%	0.46	40	-8.3%
Large Urban	66	797,704,343	96%	0.49	50	-9.1%
Other Urban	18	16,080,898	2%	0.12	4	-4.1%
Rural	18	16,415,206	2%	0.29	7	0.6%
Urban By Bedsize
0-49 beds	1	13,275	0%	0.01	0	-8.4%
50-99 beds	7	1,753,609	0%	0.18	3	-8.4%
100-199 beds	19	25,181,223	3%	0.28	10	-8.8%
200-299 beds	14	52,203,597	6%	0.15	14	-6.2%
300-499 beds	21	182,717,779	22%	0.16	37	-8.7%
500 or more beds	22	551,915,758	66%	0.49	67	-8.7%
Rural By Bedsize
0-49 beds						0.6%
50-99 beds					0	-7.8%
100-149 beds	6	3,884,666	0%	0.50	10	-1.9%
150 or more beds	4	4,575,324	1%	2.56	5	-1.8%
Type of Ownership
State government	3	41,674,833	5%	0.41	92	-32.9%
County or local government	7	130,589,383	16%	1.39	85	1.6%
Gov. - hosp. dist.	0	-	-	-		-
Not-for-profit	89	654,956,661	79%	0.41	33	-7.3%
For-profit	3	2,979,570	0%	0.18	4	-10.7%
Teaching Status
Non- teaching	0	-	-	-	-	-
Fewer than 10 residents	50	40,682,103	5%	0.20	24	-5.0%
Residents >10 and <100	6	15,663,200	2%	0.30	4	-2.2%
Residents => 100 and < 250	17	61,592,795	7%	0.31	13	-9.4%
Residents => 250	16	355,706,165	43%	0.63	76	-8.8%
Low-Income Patient Gross Days as % of Total Days
More than 60%	4	36,962,270	4%	1.09	66	-8.4%
50-60 %	8	250,883,191	30%	0.82	213	-14.4%
40-50 %	10	260,183,065	31%	0.73	98	-9.3%
30-40 %	16	117,185,150	14%	0.26	33	-12.4%
20-30 %	27	116,392,446	14%	0.34	22	-7.4%
10-20 %	26	30,591,356	4%	0.16	5	-1.8%
10 % and less	11	18,002,969	2%	0.15	7	-6.9%
Low-Income Patient Gross Revenues as % of Total Patient Revenues
More than 60%	1	25,459,103	3%	0.79	138	-7.8%
50-60 %	5	58,755,720	7%	0.66	105	-9.8%
40-50 %	12	438,534,103	53%	0.87	137	-7.0%
30-40 %	20	4,097,775.00	18%	548,956,584	15	211,149,290
20-30 %	38	4,358,125.00	19%	190,041,988	19	30,999,673
10-20 %	73	7,228,675.00	32%	348,071,669	42	61,497,337
10 % and less	36	2,903,713.00	13%	95,621,757	8	3,805,221
Financial Risk
More than 25 %	1	197,289.00	1%	55,413,272	1	71,890,843
20-25 %	8	1,297,053.00	6%	347,381,295	8	325,150,036
15-20 %	5	1,486,924.00	7%	236,278,852	5	167,913,905
10-15 %	13	2,684,243.00	12%	351,032,344	13	148,337,726
5-10 %	75	8,545,262.00	38%	670,811,230	75	116,907,937
0-5 %	72	6,885,625.00	31%	174,630,253	0	0
None	14	1,436,744.00	6%	-27,201,393	0	0
Safety Net Hospitals:Margin Net of DSH
Less than -25%	21	3,927,171.00	17%	709,022,141	20	513,005,145
-15 to -25%	15	2,122,513.00	9%	243,472,749	13	96,754,035
-5% to -15%	32	4,817,718.00	21%	392,877,367	19	129,944,493
-5% to 5%	22	2,357,507.00	10%	145,436,925	13	41,902,449
5% to 15%	0	-	-	-		-
From 15% to25%	0	-	-	-		-
25% and higher	0	-	-	-		-
All Safety Net Hospitals	90	13,224,909.00	59%	1,490,809,181	65	781,606,121

Table D.3A
Wisconsin Hospitals
DSH Payments Based on Percent Low-income Utilization

	N Receiving DSH	DSH Funds $	% of DSH Funds	DSH to Fin Risk	DSH Per Adjusted Day ($)	Margin w/ DSH
All Hospitals	13	36,983,376	100%	0.09	7	6.4%
By Geographic Area
Urban	7	27,104,556	73%	0.08	9	6.1%
Large Urban	4	23,009,488	62%	0.15	18	4.6%
Other Urban	3	4,095,068	11%	0.02	2	7.1%
Rural	6	9,878,819	27%	0.13	5	7.6%
Urban By Bedsize
0-49 beds	0	-	-	-	-	6.2%
50-99 beds	0	-	-	-	-	7.1%
100-199 beds	2	4,404,863	12%	0.23	14	9.4%
200-299 beds	1	3,234,284	9%	0.05	6	5.2%
300-499 beds	2	2,950,770	8%	0.03	3	6.6%
500 or more beds	2	16,514,640	45%	0.13	23	4.5%
Rural By Bedsize
0-49 beds	4	6,038,653	16%	0.31	6	5.2%
50-99 beds	1	3,420,859	9%	0.12	6	7.3%
100-149 beds	1	419,307	1%	0.04	2	8.8%
150 or more beds
Type of Ownership
State government	0	-	-	-	-	3.8%
County or local government	0	-	-	-	-	9.5%
Gov. - hosp. dist.	0	-	-	-	-	-
Not-for-profit	13	36,983,376	100%	0.10	8	6.5%
For-profit	0	-	-	-	-	-
Teaching Status
Non- teaching	7	11,023,118	30%	0.08	4	6.6%
Fewer than 10 residents	3	6,211,334	17%	0.13	12	10.5%
Residents >10 and <100	1	3,234,284	9%	0.03	3	5.9%
Residents => 100 and < 250	2	16,514,640	45%	0.19	60	3.1%
Residents => 250	0	-	-	-	-	3.8%
Low-Income Patient Gross Days as % of Total Days
More than 60%	1	3,260,565	9%	1.24	187	18.3%
50-60 %	0	0	0%	-	-	-
40-50 %	1	3,420,859	9%	2.28	97	13.0%
30-40 %	6	24,782,789	67%	0.25	51	3.8%
20-30 %	5	5,519,163	15%	0.17	13	2.0%
10-20 %	0	-	-	-	-	6.3%
10 % and less	0	-	-	-	-	8.0%
Low-Income Patient Gross Revenues as % of Total Patient Revenues
More than 60%	0	-	-	-	-	-
50-60 %	0	-	-	-	-	-
40-50 %	2	9,056,474	24%	0.16	80	-3.2%
30-40 %	1	2,316,574	6%	0.33	32	-0.5%
20-30 %	1	10,718,731	29%	0.32	42	7.2%
10-20 %	9	14,891,598	40%	0.16	11	3.2%
10 % and less	0	-	-	-	-	7.8%
Financial Risk
More than 25 %	0	-	-	-	-	-
20-25 %	0	-	-	-	-	-
15-20 %	1	5,795,909	16%	0.11	61	-5.3%
10-15 %	3	5,601,177	15%	0.53	37	3.9%
5-10 %	8	22,165,431	60%	0.13	12	6.2%
0-5 %	1	3,420,859	9%	0.02	1	7.2%
None	0	-	-	-	-	-
Safety Net Hospitals:Margin Net of DSH
Less than -25%	0	-	-	-	-	-
-15 to -25%	0	-	-	-	-	-
-5% to -15%	2	8,112,483	22%	0.13	49	-4.4%
-5% to 5%	9	27,244,248	74%	0.41	43	5.5%
5% to 15%	2	1,626,645	4%	0.21	9	10.6%
From 15% to25%	0	-	-	-	-	-
25% and higher	0	-	-	-	-	-
All Safety Net Hospitals	13	36,983,376	100%	0.27	38	3.7%

Table D.3B
Wisconsin Hospitals
DSH Payments Based on Percent Low-income Revenues

	N Receiving DSH	DSH Funds $	% of DSH Funds	DSH to Fin Risk	DSH Per Adjusted Day ($)	Margin w/ DSH
All Hospitals	14	36,983,199	100%	0.09	7	6.4%
By Geographic Area
Urban	7	32,450,940	88%	0.10	11	6.2%
Large Urban	4	25,294,087	68%	0.16	20	4.7%
Other Urban	3	7,156,854	19%	0.04	4	7.3%
Rural	7	4,532,258	12%	0.06	2	7.2%
Urban By Bedsize
0-49 beds	0	0	0%	0.00	0	6.2%
50-99 beds	0	0	0%	0.00	0	7.1%
100-199 beds	2	3,524,409	10%	0.18	12	9.2%
200-299 beds	0	0	0%	0.00	0	4.8%
300-499 beds	3	6,619,973	18%	0.07	6	6.9%
500 or more beds	2	22,306,558	60%	0.18	31	5.0%
Rural By Bedsize
0-49 beds	6	4,528,472	12%	0.23	4	4.7%
50-99 beds	0	0	0%	0.00	0	6.5%
100-149 beds	1	3,786	0%	0.00	0	8.5%
150 or more beds
Type of Ownership
State government	0	-	-	-	-	3.8%
County or local government	0	-	-	-	-	9.5%
Gov. - hosp. dist.	0	-	-	-	-	-
Not-for-profit	14	36,983,199	100%	0.10	8	6.5%
For-profit	0	0	-	-	-	-
Teaching Status
Non- teaching	8	5,286,765	14%	0.04	2	6.4%
Fewer than 10 residents	3	9,172,248	25%	0.19	17	10.9%
Residents >10 and <100	1	217,626	1%	0.00	0	5.7%
Residents => 100 and < 250	2	22,306,558	60%	0.26	81	4.2%
Residents => 250	0	-	-	-	-	3.8%
Low-Income Patient Gross Days as % of Total Days
More than 60%	1	2,769,902	7%	1.05	159	15.8%
50-60 %	0	0	-	-	-	-
40-50 %	0	0	0%	0.00	0	1.0%
30-40 %	6	30,773,653	83%	0.32	63	4.8%
20-30 %	5	1,978,447	5%	0.06	5	0.9%
10-20 %	2	1,461,197	4%	0.01	1	6.4%
10 % and less	0	-	-	-	-	8.0%
Low-Income Patient Gross Revenues as % of Total Patient Revenues
More than 60%	0	-	-	-	-	-
50-60 %	0	-	-	-	-	-
40-50 %	2	15,837,168	43%	0.28	141	0.3%
30-40 %	1	6,282,418	17%	0.89	88	7.9%
20-30 %	3	11,360,609	31%	0.34	45	7.4%
10-20 %	8	3,503,003	9%	0.04	3	2.3%
10 % and less	0	-	-	-	-	7.8%
Financial Risk
More than 25 %	0	0	-	-	-	-
20-25 %	0	0	-	-	-	-
15-20 %	1	13,067,266	35%	0.25	137	-1.1%
10-15 %	3	9,816,878	27%	0.93	66	9.5%
5-10 %	8	12,637,857	34%	0.07	7	5.8%
0-5 %	2	1,461,197	4%	0.01	0	7.1%
None	0	-	-	-	-	-
Safety Net Hospitals:Margin Net of DSH
Less than -25%	0	-	-	-	-	-
-15 to -25%	0	-	-	-	-	-
-5% to -15%	2	19,349,685	52%	0.32	116	0.8%
-5% to 5%	8	15,956,103	43%	0.24	25	3.9%
5% to 15%	2	216,215	1%	0.03	1	9.1%
From 15% to25%	0	-	-	-	-	-
25% and higher	0	-	-	-	-	-
All Safety Net Hospitals	12	35,522,002	96%	0.26	37	3.6%

Table D.3C
Wisconsin Hospitals
DSH Payments Based on Financial Risk as % Operating Cost

	N Receiving DSH	DSH Funds $	% of DSH Funds	DSH to Fin Risk	DSH Per Adjusted Day ($)	Margin w/ DSH
All Hospitals	46	36,983,199	100%	0.09	7	6.4%
By Geographic Area
Urban	19	27,394,826	74%	0.08	9	6.1%
Large Urban	8	16,667,393	45%	0.11	13	4.3%
Other Urban	11	10,727,434	29%	0.06	6	7.4%
Rural	27	9,588,372	26%	0.12	4	7.5%
Urban By Bedsize
0-49 beds	2	468,415	1%	0.14	3	7.0%
50-99 beds	2	25,538	0%	0.00	0	7.1%
100-199 beds	2	1,823,764	5%	0.10	6	8.8%
200-299 beds	4	5,163,204	14%	0.08	9	5.4%
300-499 beds	5	5,867,949	16%	0.06	5	6.8%
500 or more beds	4	14,045,956	38%	0.11	20	4.3%
Rural By Bedsize
0-49 beds	16	7,359,904	20%	0.37	7	5.7%
50-99 beds	8	1,596,116	4%	0.06	3	6.8%
100-149 beds	2	595,705	2%	0.06	3	8.9%
150 or more beds
Type of Ownership
State government	0	-	-	-	-	3.8%
County or local government	1	19,220	-	-	-	9.5%
Gov. - hosp. dist.	0	-	-	-	-	-
Not-for-profit	45	36,963,979	100%	0.10	8	6.5%
For-profit	0	-	-	-	-	-
Teaching Status
Non- teaching	34	12,119,230	33%	0.09	4	6.6%
Fewer than 10 residents	5	6,789,195	18%	0.14	13	10.6%
Residents >10 and <100	5	4,910,662	13%	0.05	5	6.0%
Residents => 100 and < 250	2	13,164,111	36%	0.15	48	2.4%
Residents => 250	0	-	0%	0.00	0	3.8%
Low-Income Patient Gross Days as % of Total Days
More than 60%	1	1,083,196	3%	0.41	62	6.2%
50-60 %	0	-	-	-	-	-
40-50 %	0	-	0%	0.00	0	1.0%
30-40 %	6	17,937,949	49%	0.18	37	2.7%
20-30 %	9	8,310,985	22%	0.25	19	2.8%
10-20 %	27	9,601,824	26%	0.05	3	6.6%
10 % and less	3	49,246	-	-	-	8.0%
Low-Income Patient Gross Revenues as % of Total Patient Revenues
More than 60%	0	-	-	-	-	-
50-60 %	0	-	-	-	-	-
40-50 %	2	11,843,642	32%	0.21	105	-1.8%
30-40 %	1	3,657,925	10%	0.52	51	2.5%
20-30 %	2	2,778,255	8%	0.08	11	4.9%
10-20 %	24	14,750,042	40%	0.16	11	3.2%
10 % and less	17	3,953,335	11%	0.02	1	7.9%
Financial Risk
More than 25 %	0	-	-	-	-	-
20-25 %	0	-	-	-	-	-
15-20 %	1	10,760,446	29%	0.20	113	-2.4%
10-15 %	3	7,817,236	21%	0.74	52	6.9%
5-10 %	42	18,405,516	50%	0.11	10	6.1%
0-5 %	0	-	-	-	-	7.1%
None	0	-	-	-	-	-
Safety Net Hospitals:Margin Net of DSH
Less than -25%	0	-	-	-	-	-
-15 to -25%	0	-	-	-	-	-
-5% to -15%	2	14,418,371	39%	0.24	86	-1.4%
-5% to 5%	9	11,006,044	30%	0.16	18	3.1%
5% to 15%	5	1,907,714	5%	0.25	11	10.9%
From 15% to25%	0	-	-	-	-	-
25% and higher	0	-	-	-	-	-
All Safety Net Hospitals	16	27,332,129	74%	0.20	28	2.8%

TableD.3D
Wisconsin Hospitals
Sliding Scale DSH Payments Based on Financial Risk

	N Receiving DSH	DSH Funds $	% of DSH Funds	DSH to Fin Risk	DSH Per Adjusted Day ($)	Margin w/ DSH
All Hospitals	46	36,983,199	100%	0.09	7	6.4%
By Geographic Area
Urban	19	28,229,325	76%	0.09	9	6.1%
Large Urban	8	18,460,779	50%	0.12	14	4.4%
Other Urban	11	9,768,546	26%	0.06	6	7.4%
Rural	27	8,753,874	24%	0.11	4	7.5%
Urban By Bedsize
0-49 beds	2	418,333	1%	0.12	3	6.9%
50-99 beds	2	22,808	0%	0.00	0	7.1%
100-199 beds	2	1,738,454	5%	0.09	6	8.8%
200-299 beds	4	4,611,165	12%	0.07	8	5.3%
300-499 beds	5	5,428,627	15%	0.05	5	6.8%
500 or more beds	4	16,009,938	43%	0.13	22	4.5%
Rural By Bedsize
0-49 beds	16	6,763,668	18%	0.34	7	5.5%
50-99 beds	8	1,425,463	4%	0.05	2	6.8%
100-149 beds	2	532,014	1%	0.05	2	8.9%
150 or more beds
Type of Ownership
State government	0	0	0%	0.00	0	3.8%
County or local government	1	17,165	0%	0.00	0	9.5%
Gov. - hosp. dist.	0	0	-	-	-	-
Not-for-profit	45	36,966,034	100%	0.10	8	6.5%
For-profit	0	0	-	-	-	-
Teaching Status
Non- teaching	34	11,014,138	30%	0.08	4	6.6%
Fewer than 10 residents	5	6,361,059	17%	0.13	12	10.5%
Residents >10 and <100	5	4,385,624	12%	0.04	4	5.9%
Residents => 100 and < 250	2	15,222,378	41%	0.18	55	2.8%
Residents => 250	0	-	-	-	-	3.8%
Low-Income Patient Gross Days as % of Total Days
More than 60%	1	1,077,066	3%	0.41	62	6.1%
50-60 %	0	0	-	-	-	-
40-50 %	0	0	0%	0.00	0	1.0%
30-40 %	6	19,673,874	53%	0.20	41	3.0%
20-30 %	9	7,613,062	21%	0.23	18	2.6%
10-20 %	27	8,575,216	23%	0.04	3	6.6%
10 % and less	3	43,980	0%	0.00	0	8.0%
Low-Income Patient Gross Revenues as % of Total Patient Revenues
More than 60%	0	-	-	-	-	-
50-60 %	0	-	-	-	-	-
40-50 %	2	14,152,775	38%	0.25	126	-0.5%
30-40 %	1	3,454,894	9%	0.49	48	2.1%
20-30 %	2	2,481,210	7%	0.07	10	4.8%
10-20 %	24	13,363,668	36%	0.14	10	3.1%
10 % and less	17	3,530,652	10%	0.02	1	7.9%
Financial Risk
More than 25 %	0	-	-	-	-	-
20-25 %	0	-	-	-	-	-
15-20 %	1	13,075,709	35%	0.25	137	-1.1%
10-15 %	3	7,469,854	20%	0.71	50	6.5%
5-10 %	42	16,437,636	44%	0.09	9	6.0%
0-5 %	0	-	-	-	-	7.1%
None	0	-	-	-	-	-
Safety Net Hospitals:Margin Net of DSH
Less than -25%		-	-	-	-	-
-15 to -25%	0	-	-	-	-	-
-5% to -15%	2	16,530,603	45%	0.27	99	-0.5%
-5% to 5%	9	10,129,654	27%	0.15	16	3.0%
5% to 15%	5	1,703,745	5%	0.22	10	10.6%
From 15% to25%	0	-	-	-	-	-
25% and higher	0	-	-	-	-	-
All Safety Net Hospitals	16	28,364,002	77%	0.21	29	2.9%