Analysis of the Joint Distribution of Disproportionate Share Hospital Payments. Appendix D. Simulation Results from Three State Analysis

09/01/2002

 

Table D.1A
California 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 204 1,880,769,299 100% 0.78 104 6.7%
By Geographic Area            
Urban 176 1,847,252,818 98% 0.79 107 6.7%
Large Urban 128 1,564,749,624 83% 0.81 118 6.9%
Other Urban 48 282,503,194 15% 0.66 73 5.9%
Rural 28 33,516,481 2% 0.48 37 7.3%
Urban By Bedsize            
0-49 beds 11 15,078,245 1% 0.95 41 7.8%
50-99 beds 22 43,405,547 2% 0.39 44 6.7%
100-199 beds 55 266,523,501 14% 0.63 82 3.4%
200-299 beds 36 339,716,788 18% 0.81 99 4.8%
300-499 beds 35 561,402,713 30% 0.90 97 8.6%
500 or more beds 17 621,126,025 33% 0.82 182 7.3%
Rural By Bedsize            
0-49 beds 14 10,188,910 1% 0.41 26 6.8%
50-99 beds 11 15,419,380 1% 0.51 55 7.1%
100-149 beds 3 7,908,191 0% 0.52 35 8.2%
150 or more beds            
Type of Ownership
State government 2 73,685,230 4% 1.42 302 14.6%
County or local government 24 931,648,833 50% 1.16 418 14.7%
Gov. - hosp. dist. 35 82,333,881 4% 0.49 39 4.7%
Not-for-profit 100 614,447,732 33% 0.52 56 4.2%
For-profit 43 178,653,623 9% 0.79 70 8.4%
Teaching Status
Non- teaching 149 541,979,783 29% 0.54 47 5.2%
Fewer than 10 residents 19 153,104,556 8% 0.93 100 6.7%
Residents >10 and <100 24 437,571,870 23% 0.79 169 4.7%
Residents => 100 and < 250 6 311,449,927 17% 1.24 282 7.9%
Residents => 250 6 436,663,164 23% 0.97 319 13.6%
Low-Income Patient Gross Days as % of Total Days
More than 60% 39 1,211,818,333 64% 1.25 395 14.4%
50-60 % 16 122,722,215 7% 1.42 202 9.0%
40-50 % 24 211,266,806 11% 1.19 143 4.2%
30-40 % 41 166,492,927 9% 0.66 79 4.7%
20-30 % 70 161,164,585 9% 0.28 34 3.4%
10-20 % 14 7,304,434 0% 0.03 2 2.3%
10 % and less 0 0 0% 0.00 0 10.3%
Low-Income Patient Gross Revenues as % of Total Patient Revenues
More than 60% 21 903,669,835 48% 1.18 449 15.4%
50-60 % 10 112,971,280 6% 1.54 196 14.1%
40-50 % 23 237,396,523 13% 1.36 199 7.6%
30-40 % 27 199,262,419 11% 0.96 130 8.1%
20-30 % 62 284,263,242 15% 0.70 74 4.2%
10-20 % 55 134,926,526 7% 0.23 25 3.0%
10 % and less 6 8,279,475 0% 0.04 2 6.0%
Financial Risk
More than 25 % 19 441,924,754 23% 0.81 367 5.0%
20-25 % 14 313,981,418 17% 1.10 352 16.9%
15-20 % 18 256,857,318 14% 1.33 259 15.0%
10-15 % 60 384,735,409 20% 0.64 104 4.7%
5-10 % 64 296,955,865 16% 0.49 52 4.6%
0-5 % 23 149,274,304 8% 0.71 30 6.3%
None 6 37,040,231 2% -1.98 70 17.3%
Safety Net Hospitals: Margin Net of DSH
Less than -25% 23 289,976,723 15% 0.92 276 -11.3%
-15 to -25% 19 174,513,026 9% 0.86 195 -1.6%
-5% to -15% 45 449,934,183 24% 0.97 147 3.1%
-5% to 5% 60 514,819,510 27% 0.77 116 7.7%
5% to 15% 37 410,566,958 22% 1.05 182 16.6%
From 15% to25% 4 29,142,775 2% 0.92 97 22.5%
25% and higher 2 4,511,690 0% -1.12 190 35.5%
All Safety Net Hospitals 190 1,873,464,865 100% 0.91 156 7.5%

 

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%

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