 List of  Hospital Mergers for CN FY 2015  Calculation of Factor 3 of the Uncompensated Care Payment								
Merger information obtained by the MAC as of September 2014								
"Low Income Insured Days based on most recently available full year 2012 or 2011 cost report (HCRIS, March 2014 update) and FY 2012 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)	Final Rule Low Income Insured Days of Acquired Provider	Final RuleLow Income Insured Days of Surviving Provider	CN DSH status of surviving provider number	CN Combined Low Income Insured Days for Merged/Surviving Provider	New for CN
010005	MARSHALL MEDICAL CENTER SOUTH	010010	MARSHALL MEDICAL CENTER NORTH	0	8512	YES	8512	
010092	D C H REGIONAL MEDICAL CENTER	010145	NORTHPORT MEDICAL CENTER	0	40627	YES	40627	
050549	LOS ROBLES HOSPITAL AND MEDICAL CENTER 	050749	THOUSAND OAKS SURGICAL HOSPITAL 	12	8049	NO	8061	*
100167	PLANTATION GENERAL HOSPITAL	100061	MERCY HOSPITAL INC	0	58697	YES	58697	
110007	PHOEBE PUTNEY MEMORIAL HOSPITAL	110163	PHOEBE NORTH	0	43392	YES	45742	
110122	SOUTH GEORGIA MEDICAL CENTER	110212	ATLANTA MEDICAL CENTER-SOUTH CAMPUS	0	19949	YES	19949	
170123	WESLEY MEDICAL CENTER	170202	GALICHIA HEART HOSPITAL	442	41185	YES	41627	*
330241	UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER	330159	LONG ISLAND COLLEGE HOSPITAL	0	47516	YES	47516	
330350	UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )	330152	COMMUNITY-GENERAL HOSPITAL OF GREATER SYRACUSE	0	74633	YES	74633	
440156	PARKRIDGE MEDICAL CENTER	440064	GRANDVIEW MEDICAL CENTER	1189	35068	YES	36257	*
