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Georgia Department of Community Health SFY2016 Hospital UPL Georgia Department of Community Health SFY2016 Hospital UPL Outpatient Outpatient Total Total 1st qtr 1st qtr 2nd-4th qtrs 2nd-4th qtrs Outpatient Outpatient Facility Name Outpatient Inpatient payment IGT payments IGT Payment IGT 0.6694 0.6755 state governmental hospitals Roosevelt Warm Springs Rehabilitation 1 & Specialty Hospitals, Inc. 0 402,786 0 - 0 - 0 0 2 Georgia Regents Medical Center 1,835,412 20,232,464 458,853 151,697 1,376,559 446,693 1,835,412 598,390 subtotal 1,835,412 20,635,250 458,853 151,697 1,376,559 446,693 1,835,412 598,390 nonstate governmental hospitals 3 Appling Hospital 37,276 94,099 9,319 3,081 27,957 9,072 37,276 12,153 4 Athens Regional Medical Center 525,339 1,725,985 131,335 43,419 394,004 127,854 525,339 171,273 5 Burke Medical Center 31,832 21,605 7,958 2,631 23,874 7,747 31,832 10,378 6 Children's Healthcare of Atlanta at Hughes Spalding 562,721 0 140,680 46,509 422,041 136,952 562,721 183,461 7 Coffee Regional Medical Center, Inc. 293,881 464,914 73,470 24,289 220,411 71,523 293,881 95,812 8 Colquitt Regional Medical Center 208,417 439,509 52,104 17,226 156,313 50,724 208,417 67,950 9 Columbus Specialty Hospital, Inc. 55,843 71,253 13,961 4,616 41,882 13,591 55,843 18,207 Cook Medical Center-A Campus of 10 Tift Regional Medical Center 37,543 25,947 9,386 3,103 28,157 9,137 37,543 12,240 11 Crisp Regional Hospital, Inc. 212,365 264,946 53,091 17,552 159,274 51,684 212,365 69,236 12 Dekalb Medical at Hillandale 297,130 472,516 74,283 24,558 222,847 72,314 297,130 96,872 13 Dekalb Medical at North Decatur 518,565 2,032,544 129,641 42,859 388,924 126,206 518,565 169,065 14 Dodge County Hospital 65,073 141,742 16,268 5,378 48,805 15,837 65,073 21,215 15 Dorminy Medical Center 128,084 108,529 32,021 10,586 96,063 31,172 128,084 41,758 16 Elbert Memorial Hospital 26,411 34,441 6,603 2,183 19,808 6,428 26,411 8,611 17 Emanuel Medical Center 70,597 97,819 17,649 5,835 52,948 17,182 70,597 23,017 18 Floyd Medical Center 654,646 1,300,888 163,662 54,107 490,984 159,324 654,646 213,431 19 Grady General Hospital 46,201 64,555 11,550 3,818 34,651 11,244 46,201 15,062 20 Grady Health System/Grady Memorial Hospital 1,446,048 12,203,377 361,512 119,516 1,084,536 351,932 1,446,048 471,448 21 Gwinnett Medical Center 422,973 2,767,875 105,743 34,959 317,230 102,941 422,973 137,900 22 Habersham Medical Center 57,495 120,000 14,374 4,752 43,121 13,993 57,495 18,745 23 Houston Medical Center 179,291 953,206 44,823 14,818 134,468 43,635 179,291 58,453 24 Hutcheson Medical Center 262,778 168,143 65,695 21,719 197,083 63,953 262,778 85,672 25 Irwin County Hospital 36,844 92,463 9,211 3,045 27,633 8,967 36,844 12,012 26 Jefferson Hospital 34,028 27,879 8,507 2,812 25,521 8,282 34,028 11,094 27 Mayo Clinic Health System in Waycross 491,757 477,249 122,939 40,644 368,818 119,681 491,757 160,325 28 Meadows Regional Medical Center 78,458 397,567 19,615 6,485 58,843 19,095 78,458 25,580 29 Medical Center, Navicent Health 1,449,600 4,341,910 362,400 119,809 1,087,200 352,796 1,449,600 472,605 30 Memorial Hospital and Manor 48,492 137,392 12,123 4,008 36,369 11,802 48,492 15,810 31 Memorial University Medical Center 809,181 3,295,638 202,295 66,879 606,886 196,935 809,181 263,814 page 1 of 6 Georgia Department of Community Health SFY2016 Hospital UPL Outpatient Outpatient Total Total 1st qtr 1st qtr 2nd-4th qtrs 2nd-4th qtrs Outpatient Outpatient Facility Name Outpatient Inpatient payment IGT payments IGT Payment IGT 0.6694 0.6755 32 Midtown Medical Center 1,682,516 1,634,499 420,629 139,060 1,261,887 409,482 1,682,516 548,542 33 Murray Medical Center 65,644 10,330 16,411 5,425 49,233 15,976 65,644 21,401 34 Northeast Georgia Medical Center-Gainesville 498,570 2,711,704 124,643 41,207 373,927 121,339 498,570 162,546 35 Northside Hospital 271,482 2,392,042 67,871 22,438 203,611 66,072 271,482 88,510 36 Northside Hospital - Cherokee 205,955 386,804 51,489 17,022 154,466 50,124 205,955 67,146 37 Northside Hospital- Forsyth 225,155 779,234 56,289 18,609 168,866 54,797 225,155 73,406 38 Northside Medical Center 1,122 3,702 281 93 841 273 1,122 366 39 Oconee Regional Medical Center, Inc. 121,952 230,968 30,488 10,079 91,464 29,680 121,952 39,759 40 Perry Hospital 21,136 48,420 5,284 1,747 15,852 5,144 21,136 6,891 41 Phoebe Putney Memorial Hospital 1,807,802 2,281,653 451,951 149,415 1,355,851 439,974 1,807,802 589,389 42 Phoebe Sumter Medical Center 288,750 228,390 72,188 23,865 216,562 70,274 288,750 94,139 43 Piedmont Henry Hospital 277,205 763,984 69,301 22,911 207,904 67,465 277,205 90,376 44 Piedmont Newton Medical Center 228,672 262,383 57,168 18,900 171,504 55,653 228,672 74,553 45 South Georgia Medical Center 647,559 1,076,168 161,890 53,521 485,669 157,600 647,559 211,121 46 South Georgia Medical Center Berrien Campus 33,596 8,547 8,399 2,777 25,197 8,176 33,596 10,953 47 Southeast Georgia Health System - Brunswick 326,130 805,107 81,533 26,955 244,597 79,372 326,130 106,327 48 Southeast Georgia Health System - Camden 94,269 90,339 23,567 7,791 70,702 22,943 94,269 30,734 49 Stephens County Hospital 184,950 116,972 46,238 15,286 138,712 45,012 184,950 60,298 50 Tanner Medical Center - Carrollton 684,373 472,974 171,093 56,563 513,280 166,559 684,373 223,122 51 Tanner Medical Center - Villa Rica 229,229 799,571 57,307 18,946 171,922 55,789 229,229 74,735 52 Tift Regional Medical Center 431,530 625,862 107,883 35,666 323,647 105,023 431,530 140,689 53 Union General Hospital, Inc. 43,200 43,123 10,800 3,570 32,400 10,514 43,200 14,084 54 University Hospital 162,598 1,308,268 40,650 13,439 121,948 39,572 162,598 53,011 55 University Hospital McDuffie 52,752 50,667 13,188 4,360 39,564 12,839 52,752 17,199 56 Upson Regional Medical Center 210,497 275,713 52,624 17,397 157,873 51,230 210,497 68,627 57 Washington County Regional Medical Center 134,185 65,822 33,546 11,090 100,639 32,657 134,185 43,747 58 Wayne Memorial Hospital 112,938 158,574 28,235 9,334 84,703 27,486 112,938 36,820 59 WellStar Cobb Hospital 484,322 1,807,422 121,081 40,029 363,241 117,872 484,322 157,901 60 Wellstar Douglas Hospital 213,472 544,648 53,368 17,643 160,104 51,954 213,472 69,597 61 WellStar Kennestone Hospital 445,524 2,418,694 111,381 36,823 334,143 108,429 445,524 145,252 62 WellStar Paulding Hospital 140,112 103,749 35,028 11,580 105,084 34,100 140,112 45,680 63 WellStar Windy Hill Hospital 9,690 97,228 2,423 801 7,267 2,358 9,690 3,159 64 West Georgia Health 172,457 511,824 43,114 14,253 129,343 41,972 172,457 56,225 subtotal - not CAH 19,598,213 55,459,376 4,899,559 1,619,791 14,698,654 4,769,713 19,598,213 6,389,504 65 Bacon County Hospital and Health System 48,744 285,776 12,186 0 36,558 0 48,744 0 66 Bleckley Memorial Hospital 25,795 31,340 6,449 0 19,346 0 25,795 0 67 Brooks County Hospital 21,353 0 5,338 0 16,015 0 21,353 0 page 2 of 6 Georgia Department of Community Health SFY2016 Hospital UPL Outpatient Outpatient Total Total 1st qtr 1st qtr 2nd-4th qtrs 2nd-4th qtrs Outpatient Outpatient Facility Name Outpatient Inpatient payment IGT payments IGT Payment IGT 0.6694 0.6755 68 Candler County Hospital 36,254 4,546 9,064 0 27,190 0 36,254 0 69 Chatuge Regional Hospital, Inc.
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