SFY 2021 Preliminary DSH Limit
Georgia Medicaid SFY 2021 DSH Limit Calculation Cost In‐State Uninsured Out‐of‐State Total Total Cost MCD Provider O/P FFS X‐ Uninsured Medicaid and Hospital Name I/P Medicaid O/P Medicaid Tax I/P MCO O/P MCO I/P FFS X‐Over Over I/P OME O/P OME I/P O/P Provider Tax I/P O/P Uninsured 23 4 5 6 7 8 9 10 11 12 13 14 15 16 17 APPLING HOSPITAL 1,225,498 429,453 ‐ 77,821 1,117,584 3,014,125 1,037,641 303,881 525,606 272,154 1,231,238 ‐ ‐ ‐ 9,235,001 AU MEDICAL CENTER 44,635,810 19,433,407 ‐ 36,159,992 24,189,104 34,672,223 20,107,546 5,729,685 2,958,814 36,181,697 22,021,951 ‐ 36,083,315 17,193,972 299,367,516 BACON COUNTY HOSPITAL 919,550 619,906 ‐ 724,901 763,062 1,481,300 1,813,704 6,526 998 517,763 965,078 ‐ ‐ ‐ 7,812,788 BLECKLEY MEMORIAL HOSPITAL 21,352 327,973 ‐ 15,949 557,264 24,495 484,754 2,330 324,720 3,772 861,330 ‐ ‐ ‐ 2,623,939 BROOKS COUNTY HOSPITAL 95,281 439,715 ‐ 16,803 689,827 147,011 481,326 46,586 177,382 63,671 1,007,838 ‐ ‐ 17,346 3,182,786 BURKE MEDICAL CENTER 145,022 358,377 ‐ 30,083 628,264 257,327 424,754 195,055 652,704 165,324 967,325 ‐ ‐ 3,741 3,827,976 CANDLER COUNTY HOSPITAL 359,077 518,789 ‐ 10,562 785,701 342,742 1,174,635 13,535 536,965 198,758 1,024,076 ‐ ‐ ‐ 4,964,840 CANDLER HOSPITAL 5,597,033 4,761,262 ‐ 9,321,814 8,547,941 6,535,284 4,802,788 7,895,000 6,780,238 6,387,992 9,836,675 ‐ 167,733 511,430 71,145,190 CARTERSVILLE MEDICAL CENTER 6,582,987 1,930,174 731,169 4,665,769 4,297,828 5,571,194 2,007,564 3,358,172 1,816,972 5,051,616 6,371,989 376,947 138,997 62,090 42,963,468 CHATUGE REGIONAL HOSPITAL
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