 List of  Hospital Mergers for FY 2017 Final Rule Calculation of Factor 3 of the Uncompensated Care Payment										
Merger information obtained as of August 2016										
"Low Income Insured Days based on hospitals 2011, 2012, and 2013 cost reports (HCRIS, March 2016 update) and FY 2012, FY 2013, and FY 2014 SSI ratios"										
Surviving Provider Number	Provider Name After Acquisition/Merger (Name of Provider in Column A)	Provider Number Prior to Acquisition/Merger	Provider Name prior to Acquisition/Merger (Name of Provider in Column C)	Low Income Insured Days of Acquired Provider			Low Income Insured Days of Surviving Provider			DSH status of surviving provider number
				2011	2012	2013	2011	2012	2013	
010005	MARSHALL MEDICAL CENTER SOUTH	010010	MARSHALL MEDICAL CENTER NORTH	2471	0	0	6262	8605	8724	YES
010029	EAST ALABAMA MEDICAL CENTER	010025	G H LANIER MEMORIAL HOSPITAL	3484	3801	1814	15446	15288	16579	YES
010085	DECATUR MORGAN HOSPITAL-DECATUR CAMPUS	010054	PARKWAY MEDICAL CENTER	1865	2770	532	9495	8535	11920	YES
010092	D C H REGIONAL MEDICAL CENTER	010145	NORTHPORT MEDICAL CENTER	5023	0	0	36027	40770	42170	YES
040014	WHITE COUNTY MEDICAL CENTER	040080	HARRIS HOSPITAL	1848	2236	2179	11475	10866	11171	YES
050060	COMMUNITY REGIONAL MEDICAL CENTER	050732	FRESNO HEART AND SURGICAL HOSPITAL	560	568	2365	93653	97440	135606	YES
050135	SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD	050752	BROTMAN MEDICAL CENTER	11715	11875	0	27334	28390	39297	YES
050549	LOS ROBLES HOSPITAL & MEDICAL CENTER	050749	THOUSAND OAKS SURGICAL HOSPITAL	12	1	0	7677	8181	7591	YES
070022	YALE-NEW HAVEN HOSPITAL	070001	HOSPITAL OF ST RAPHAEL	21289	17780	0	95345	219923	9390	YES
070033	DANBURY HOSPITAL	070015	NEW MILFORD HOSPITAL	1013	928	751	13166	14441	15575	YES
100080	JFK MEDICAL CENTER	100234	COLUMBIA HOSPITAL	6999	7392	7541	26366	27993	25800	YES
100167	PLANTATION GENERAL HOSPITAL	100061	MERCY HOSPITAL INC	3203	0	0	54601	58942	52457	YES
110007	PHOEBE PUTNEY MEMORIAL HOSPITAL	110163	PALMYRA MEDICAL CENTERS	2358	1118	0	39021	42959	39135	YES
110064	MIDTOWN MEDICAL CENTER	110186	DOCTORS HOSPITAL	7136	4774	1676	36993	35810	34567	YES
110115	WELLSTAR ATLANTA MEDICAL CENTER	110219	SOUTH FULTON MEDICAL CENTER	17790	6251	0	33991	34013	42307	YES
110122	SOUTH GEORGIA MEDICAL CENTER	110212	SMITH NORTHVIEW HOSPITAL	1587	0	0	15432	20282	19670	YES
140010	EVANSTON HOSPITAL	140051	SKOKIE HOSPITAL	7090	6249	4495	21786	22018	22462	YES
150074	COMMUNITY HOSPITAL EAST	150129	WESTVIEW  HOSPITAL	498	289	398	20656	22196	21480	YES
150109	FRANCISCAN ST ELIZABETH HEALTH - LAFAYETTE EAST	150003	ST ELIZABETH MEDICAL CENTER	1656	1986	1553	9549	9779	10545	YES
170123	WESLEY MEDICAL CENTER	170202	#N/A	108	334	0	42145	42010	41019	YES
190005	UNIVERSITY MEDICAL CENTER NEW ORLEANS	190122	EARL K LONG MEDICAL CENTER	5665	5372	0	25272	25148	14187	YES
190086	NORTHERN LOUISIANA MEDICAL CENTER	190257	GREEN CLINIC SURGICAL HOSPITAL	127	99	106	9208	8245	8394	YES
190274	OCHSNER MEDICAL CENTER KENNER	190175	RIVER PARISHES HOSPITAL	3081	2013	904	9578	9202	8628	YES
200019	SOUTHERN MAINE HEALTH CARE	200040	HENRIETTA D GOODALL HOSPITAL	1485	1322	371	3672	3499	4420	YES
220063	LOWELL GENERAL HOSPITAL	220082	SAINTS  MEDICAL CENTER INC	5438	5406	4434	18022	19194	19565	YES
220080	HOLY FAMILY HOSPITAL	220174	MERRIMACK VALLEY HOSPITAL	1945	1916	2147	13180	15850	20990	YES
230066	MERCY HEALTH MUSKEGON	230004	"MERCY HEALTH PARTNERS, MERCY CAMPUS"	5219	4870	5035	11465	11386	5945	YES
240010	MAYO CLINIC HOSPITAL ROCHESTER	240061	ROCHESTER METHODIST HOSPITAL	8370	9684	8080	24789	26505	27358	SCH
240043	MAYO CLINIC HEALTH SYSTEM - ALBERT LEA	240117	AUSTIN MEDICAL CENTER	2144	2118	966	1634	1607	2853	SCH
330101	NEW YORK-PRESBYTERIAN HOSPITAL	330064	NEW YORK DOWNTOWN HOSPITAL	24697	23905	10253	228344	223163	237964	YES
330195	LONG ISLAND JEWISH MEDICAL CENTER	330353	FOREST HILLS HOSPITAL	29117	33277	31345	66204	82407	88094	YES
330195	LONG ISLAND JEWISH MEDICAL CENTER	330372	FRANKLIN HOSPITAL	11827	13577	10689	66204	82407	88094	YES
330214	NYU HOSPITALS CENTER	330306	LUTHERAN MEDICAL CENTER	55805	63002	59058	30441	23260	23591	YES
330234	WESTCHESTER MEDICAL CENTER	330067	ST FRANCIS HOSPITAL	15910	17008	13181	62471	65095	67406	YES
330241	UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER	330159	COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE	3631	0	0	41965	46945	51779	YES
330350	UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )	330152	LONG ISLAND COLLEGE HOSPITAL	9153	0	0	67310	74390	55037	YES
340053	NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER	340153	PRESBYTERIAN-ORTHOPAEDIC HOSPITAL	475	459	373	46803	51007	44610	YES
340075	CAROLINAS HEALTHCARE SYSTEM-BLUE RIDGE	340055	VALDESE GENERAL HOSPITAL INC	1067	849	0	8509	9606	10099	YES
360020	SUMMA HEALTH SYSTEM	360019	SUMMA  HEALTH SYSTEM BARBERTON HOSPITAL	1360	8048	8539	32341	27277	24407	YES
390006	GEISINGER MEDICAL CENTER	390189	SHAMOKIN AREA COMMUNITY HOSPITAL	310	0	0	37591	38473	40314	YES
430048	SPEARFISH REGIONAL HOSPITAL	430094	SPEARFISH REGIONAL SURGERY CENTER	5	0	0	1040	969	935	SCH
440068	STARR REGIONAL MEDICAL CENTER ATHENS	440054	WOODS MEMORIAL HOSPITAL	708	656	63	2463	2973	2864	YES
440156	PARKRIDGE MEDICAL CENTER	440064	GRANDVIEW MEDICAL CENTER	1386	977	502	33326	34760	36803	YES
450018	UNIVERSITY OF TEXAS MEDICAL BRANCH	450591	ANGLETON-DANBURY MEDICAL CENTER	4087	3547	3053	55886	48922	52356	YES
450209	NORTHWEST TEXAS HOSPITAL	450796	NORTHWEST TEXAS SURGERY CENTER	3	7	4	30444	30669	28279	YES
450388	METHODIST HOSPITAL	450878	TEXSAN HEART HOSPITAL	116	0	0	116456	121748	122538	YES
450617	CLEAR LAKE REGIONAL MEDICAL CENTER	450530	MAINLAND MEDICAL CENTER	1612	0	0	31890	34849	32945	YES
510022	CHARLESTON AREA MEDICAL CENTER	510085	CAMC TEAYS VALLEY HOSPITAL	2187	1801	1331	57386	55174	53066	YES
530008	SAGEWEST HEALTH CARE	530010	LANDER REGIONAL HOSPITAL	1519	1658	1568	1415	1376	1359	SCH
