 List of  Hospital Mergers for FY 2017 Final Rule Calculation of Factor 3 of the Uncompensated Care Payment											
Merger information obtained as of June 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	#N/A	2471	0	0	6262	8605	8724	YES	
010029	EAST ALABAMA MEDICAL CENTER	010025	GEORGE H. LANIER MEMORIAL HOSPITAL	3484	3801	1814	15446	15288	16579	YES	
010085	DECATUR MORGAN HOSPITAL-DECATUR CAMPUS	010054	DECATUR MORGAN HOSPITAL-PARKWAY CAMPUS	1865	2770	532	9495	7273	11920	YES	
040080	HARRIS HOSPITAL	040014	WHITE COUNTY MEDICAL CENTER	11475	10866	11171	1848	2236	2179	YES	
050060	COMMUNITY REGIONAL MEDICAL CENTER	050732	FRESNO HEART AND SURGICAL HOSPITAL	533	544	590	93653	97440	135606	YES	
050135	SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD	050752	BROTMAN MEDICAL CENTER	11715	11875	0	27334	28390	39297	YES	
070033	DANBURY HOSPITAL	070015	NEW MILFORD HOSPITAL	60	28	22	13166	14441	15575	YES	
100234	WEST PALM HOSPITAL	100080	JFK MEDICAL CENTER	26366	27993	25800	6999	7392	7541	YES	
110007	PHOEBE PUTNEY MEMORIAL HOSPITAL	110163	PHOEBE NORTH	2358	1118	0	39021	42959	39135	YES	
110064	MIDTOWN MEDICAL CENTER	110186	DOCTORS SPECIALTY HOSPITAL	7136	4774	1676	36993	35810	34567	YES	
140010	EVANSTON HOSPITAL	140051	SKOKIE HOSPITAL	7090	6249	4495	21786	22018	22462	YES	
150074	COMMUNITY HOSPITAL EAST	150129	COMMUNITY WESTVIEW HOSPITAL	498	289	398	20656	22196	21480	YES	
190005	CHARITY HOSPITAL & MEDICAL CENTER OF LOUISIANA AT	190122	EARL K. LONG MEDICAL CENTER	5665	5372	0	25272	25148	14187	YES	
190274	OCHSNER MEDICAL CENTER-KENNER LLC	190175	RIVER PARISHES HOSPITAL	3081	2013	904	9578	9202	8628	YES	
190086	NORTHERN LOUISIANA MEDICAL CENTER	190257	GREEN CLINIC SURGICAL HOSPITAL	36	99	106	9208	8245	8394	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	4389	4434	18022	19194	19565	YES	
220080	HOLY FAMILY HOSPITAL	220174	MERRIMACK VALLEY HOSPITAL	1358	1916	938	13180	15850	5893	YES	
230066	MERCY HEALTH MUSKEGON	230004	MERCY HEALTH MUSKEGON	5219	4870	5035	11465	11386	5945	YES	
240010	MAYO CLINIC HOSPITAL ROCHESTER	240061	MAYO CLINIC METHODIST- HOSPITAL	8370	9684	8080	24789	26505	27358	SCH	
240043	MAYO CLINIC HEALTH SYSTEM - ALBERT LEA	240117	MAYO CLINIC HEALTH SYSTEM AUSTIN	2144	2118	966	1634	1607	2853	SCH	
330101	NEW YORK-PRESBYTERIAN HOSPITAL	330064	NEW YORK DOWNTOWN HOSPITAL	24697	23905	10253	228344	223163	237964	YES	
330234	WESTCHESTER MEDICAL CENTER	330067	ST FRANCIS HOSPITAL	15910	17008	13181	62471	65095	67406	YES	
330214	NYU HOSPITALS CENTER	330306	LUTHERAN MEDICAL CENTER	55805	63002	59058	30441	23260	23591	YES	
330195	LONG ISLAND JEWISH MEDICAL CENTER	330353	FOREST HILLS HOSPITAL	29117	33277	31345	66204	82407	88094	YES	
340075	CMC-BLUE RIDGE	340055	VALDESE GENERAL HOSPITAL	1067	849	0	8509	9606	10099	YES	
340053	NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER	340153	NOVANT HEALTH CHARLOTTE ORTHOPEDIC HOSPITAL	233	459	373	46803	51007	44610	YES	
360020	SUMMA HEALTH SYSTEMS HOSPITALS	360019	SUMMA BARBERTON HOSPITAL	1360	8048	8539	32341	27277	24407	YES	
390006	GEISINGER MEDICAL CENTER	390189	#N/A	92	0	0	37591	38473	40314	YES	
430048	SPEARFISH REGIONAL HOSPITAL	430094	SPEARFISH REGIONAL SURGERY CENTER	4	0	0	1040	969	935	SCH	
440068	STARR REGIONAL MEDICAL CENTER ATHENS	440054	STARR REGIONAL MEDICAL CENTER ETOWAH	708	409	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	
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	
