Projected Impact of FY2020 IPPS Rule FY 2020 IPPS Impact File ‐ Proposed Rule (April 2019) Average Provider Name Beds Daily Bills CMIV36 CMIV37 ∆CMI ∆ % ∆ $ Number Census 060107 National Jewish Health 24 0 2 1.5158 1.1036 ‐0.4122 ‐27.2%$ (6,595) 050547 Sonoma Developmental Center 13 4 37 1.0893 0.9338 ‐0.1555 ‐14.3% $ (46,028) 450831 Surgery Specialty Hospitals Of America Se Houston 37 0 31 2.8662 2.4739 ‐0.3923 ‐13.7%$ (97,290) 320038 Rehoboth Mckinley Christian Health Care Services 60 21 861 1.471 1.3177 ‐0.1533 ‐10.4%$ (1,055,930) 150149 Women's Hospital The 74 44 31 1.582 1.4228 ‐0.1592 ‐10.1%$ (39,482) 400022 Hospital Damas Inc 209 139 636 1.781 1.6172 ‐0.1638 ‐9.2%$ (833,414) 240206 Red Lake Hospital A 23 4 8 0.9597 0.875 ‐0.0847 ‐8.8%$ (5,421) 240196 Phillips Eye Institute 8 0 3 1.3739 1.2583 ‐0.1156 ‐8.4%$ (2,774) 260085 St Joseph Medical Center 173 104 2870 1.8602 1.7196 ‐0.1406 ‐7.6%$ (3,228,176) 400122 Professional Hospital Guaynabo Inc 54 13 122 2.1536 2.0007 ‐0.1529 ‐7.1%$ (149,230) 330086 Montefiore Mount Vernon Hospital 63 45 706 1.4516 1.3537 ‐0.0979 ‐6.7%$ (552,939) 050030 Oroville Hospital 133 113 6052 1.5656 1.4648 ‐0.1008 ‐6.4%$ (4,880,333) 460043 Orem Community Hospital 18 6 4 1.7712 1.6588 ‐0.1124 ‐6.3%$ (3,597) 320060 Zuni Comprehensive Community Health Center 27 5 131 1.1353 1.0647 ‐0.0706 ‐6.2%$ (73,989) 250134 Whitfield Medical Surgical Hospital 32 4 87 1.0082 0.9539 ‐0.0543 ‐5.4%$ (37,793) 420068 Trmc Of Orangeburg & Calhoun 251 121 2741 1.6062 1.5207 ‐0.0855 ‐5.3%$ (1,874,844) 280133 Nebraska Spine Hospital, Llc 34 7 251 5.2968 5.0151 ‐0.2817 ‐5.3%$ (565,654) 400021 Hospital De La Concepcion 167 126 661 1.8285 1.7323 ‐0.0962 ‐5.3%$ (508,706) 400125 Hima‐San Pablo Fajardo 180 59 146 1.3175 1.2495 ‐0.068 ‐5.2%$ (79,424) 400044 San Luke's Memorial Hospital Inc 334 257 1172 1.7038 1.6171 ‐0.0867 ‐5.1%$ (812,899) 030013 Yuma Regional Medical Center 406 195 5621 1.9502 1.8513 ‐0.0989 ‐5.1%$ (4,447,335) 310096 Saint Michael's Medical Center 147 100 2147 2.057 1.9528 ‐0.1042 ‐5.1%$ (1,789,739) Baylor Scott & White Emergency Medical Center At 670087 8 0 11 0.8982 0.8532 ‐0.045 ‐5.0%$ (3,960) C 330350 University Hospital Of Brooklyn ( Downstate ) 305 206 1956 1.6788 1.5948 ‐0.084 ‐5.0%$ (1,314,432) 050780 Foothill Regional Medical Center 135 6 615 1.4 1.3302 ‐0.0698 ‐5.0%$ (343,416) 410010 Women & Infants Hospital Of Rhode Island 247 143 166 1.4609 1.3898 ‐0.0711 ‐4.9%$ (94,421) For Education Purposes Only Data Provided by CDIMD Page 1 of 117 Not Guaranteed (855) MY‐CDI‐MD Assumes base rate of $8000 Projected Impact of FY2020 IPPS Rule FY 2020 IPPS Impact File ‐ Proposed Rule (April 2019) Average Provider Name Beds Daily Bills CMIV36 CMIV37 ∆CMI ∆ % ∆ $ Number Census 400016 Auxilio Mutuo Hospital 491 331 2366 1.8364 1.7481 ‐0.0883 ‐4.8%$ (1,671,342) 250136 Merit Health Women's Hospital 60 13 20 1.4186 1.3504 ‐0.0682 ‐4.8%$ (10,912) 400114 Manati Medical Center Dr Otero Lopez 243 200 1025 1.6175 1.5401 ‐0.0774 ‐4.8%$ (634,680) 400118 Doctors' Center Hospital, Inc 250 232 1055 1.3878 1.3214 ‐0.0664 ‐4.8%$ (560,416) 400111 Hospital San Carlos Borromeo 106 60 315 1.4521 1.383 ‐0.0691 ‐4.8%$ (174,132) 400014 Bella Vista Hospital 157 90 333 1.4741 1.4058 ‐0.0683 ‐4.6%$ (181,951) 250082 Delta Regional Medical Center 177 86 2511 1.5214 1.4533 ‐0.0681 ‐4.5%$ (1,367,993) 330397 Interfaith Medical Center 153 110 818 1.6086 1.5368 ‐0.0718 ‐4.5%$ (469,859) 400079 Hosp Comunitario Buen Samaritano 147 98 388 1.3539 1.2947 ‐0.0592 ‐4.4%$ (183,757) 050736 Monterey Park Hospital 101 54 661 1.5195 1.4569 ‐0.0626 ‐4.1%$ (331,029) 390070 Lower Bucks Hospital 126 43 1120 1.6517 1.5838 ‐0.0679 ‐4.1%$ (608,384) 110226 Emory Hillandale Hospital 90 49 894 1.4405 1.3814 ‐0.0591 ‐4.1%$ (422,683) 110078 Emory University Hospital Midtown 459 316 5174 2.3341 2.2391 ‐0.095 ‐4.1%$ (3,932,240) 450379 Dallas Medical Center 119 39 748 2.1532 2.0669 ‐0.0863 ‐4.0%$ (516,419) 450092 Fort Duncan Medical Center 86 42 1344 1.4884 1.4297 ‐0.0587 ‐3.9%$ (631,142) 670112 Cumberland Surgical Hospital 26 1 19 2.1138 2.0317 ‐0.0821 ‐3.9% $ (12,479) 420030 Colleton Medical Center 102 46 1356 1.4344 1.3788 ‐0.0556 ‐3.9%$ (603,149) 230031 Lake Huron Medical Center 154 43 1622 1.7264 1.6602 ‐0.0662 ‐3.8%$ (859,011) 140040 Galesburg Cottage Hospital 96 22 786 1.3876 1.3354 ‐0.0522 ‐3.8% $ (328,234) 450697 Southwest General Hospital 232 106 1187 1.9605 1.8872 ‐0.0733 ‐3.7%$ (696,057) 230104 Harper University Hospital 344 239 4520 1.8377 1.7692 ‐0.0685 ‐3.7%$ (2,476,960) 450082 Christus Spohn Hospital Beeville 51 12 476 1.2156 1.171 ‐0.0446 ‐3.7%$ (169,837) 140095 Saint Anthony Hospital 109 43 631 1.2703 1.2242 ‐0.0461 ‐3.6%$ (232,713) 250057 King's Daughters Medical Center‐Brookhaven 112 23 977 1.5551 1.4992 ‐0.0559 ‐3.6%$ (436,914) 450688 Dallas Regional Medical Center 176 52 1725 1.8991 1.8309 ‐0.0682 ‐3.6%$ (941,160) 340120 Vidant Duplin Hospital 49 18 1039 1.4128 1.3621 ‐0.0507 ‐3.6%$ (421,418) 330006 St Joseph's Medical Center 132 90 1085 1.5332 1.4784 ‐0.0548 ‐3.6%$ (475,664) 330396 Woodhull Medical And Mental Health Center 238 128 736 1.4982 1.445 ‐0.0532 ‐3.6%$ (313,242) 320005 San Juan Regional Medical Center 184 125 3954 1.7854 1.7234 ‐0.062 ‐3.5%$ (1,961,184) 050724 Bakersfield Heart Hospital 47 42 1885 2.1416 2.0674 ‐0.0742 ‐3.5%$ (1,118,936) For Education Purposes Only Data Provided by CDIMD Page 2 of 117 Not Guaranteed (855) MY‐CDI‐MD Assumes base rate of $8000 Projected Impact of FY2020 IPPS Rule FY 2020 IPPS Impact File ‐ Proposed Rule (April 2019) Average Provider Name Beds Daily Bills CMIV36 CMIV37 ∆CMI ∆ % ∆ $ Number Census 250093 Bolivar Medical Center 152 26 1364 1.3336 1.2881 ‐0.0455 ‐3.4%$ (496,496) 310050 Saint Clare's Hospital/ Denville Campus 325 136 5470 1.7347 1.6769 ‐0.0578 ‐3.3%$ (2,529,328) 110165 Southern Regional Medical Center 244 108 2087 1.7965 1.7373 ‐0.0592 ‐3.3%$ (988,403) 050641 East Los Angeles Doctors Hospital 102 43 457 1.4802 1.4317 ‐0.0485 ‐3.3%$ (177,316) 400110 Hospital Metropolitano Dr Tito Mattei 85 51 276 1.2276 1.1877 ‐0.0399 ‐3.3%$ (88,099) 450711 Rio Grande Regional Hospital 320 177 3775 1.6342 1.5821 ‐0.0521 ‐3.2%$ (1,573,420) 330201 Kingsbrook Jewish Medical Center 161 110 1734 1.8273 1.7702 ‐0.0571 ‐3.1%$ (792,091) 190205 Women's And Children's Hospital 182 102 25 1.1347 1.0994 ‐0.0353 ‐3.1%$ (7,060) 520116 Watertown Regional Medical Center 95 15 839 1.382 1.3396 ‐0.0424 ‐3.1%$ (284,589) 100230 Memorial Hospital Pembroke 277 79 1445 1.5343 1.4881 ‐0.0462 ‐3.0%$ (534,072) 050076 Kaiser Foundation Hospital ‐ San Francisco 236 147 323 2.425 2.3522 ‐0.0728 ‐3.0%$ (188,115) 400132 Doctor Center Hospital San Fernando De La Carolina 109 61 297 1.5431 1.4974 ‐0.0457 ‐3.0%$ (108,583) 450028 Valley Baptist Medical Center‐ Brownsville 228 113 2053 1.6488 1.6004 ‐0.0484 ‐2.9%$ (794,922) 450079 Baylor Medical Center At Irving 189 131 3181 1.6029 1.5559 ‐0.047 ‐2.9%$ (1,196,056) 050245 Arrowhead Regional Medical Center 366 259 1746 1.5509 1.5059 ‐0.045 ‐2.9%$ (628,560) 070038 Connecticut Hospice Inc,the 8 6 15 1.0535 1.0234 ‐0.0301 ‐2.9%$ (3,612) 050609 Kaiser Foundation Hospital ‐ Orange County ‐ Anahe 435 278 359 1.887 1.8335 ‐0.0535 ‐2.8%$ (153,652) 050226 Ahmc Anaheim Regional Medical Center 223 132 2334 1.6555 1.6088 ‐0.0467 ‐2.8%$ (871,982) 050779 Martin Luther King, Jr. Community Hospital 133 48 1099 1.4648 1.4235 ‐0.0413 ‐2.8%$ (363,110) 140179 Little Company Of Mary Hospital 224 140 3672 1.6123 1.5669 ‐0.0454 ‐2.8%$ (1,333,670) 450424 Houston Methodist San Jacinto Hospital 191 132 3164 1.8275 1.7762 ‐0.0513 ‐2.8%$ (1,298,506) 140103 St Bernard Hospital 158 65 942 1.2347 1.2001 ‐0.0346 ‐2.8%$ (260,746) 330202 Kings County Hospital Center 406 315 1718 1.5184 1.4759 ‐0.0425 ‐2.8%$ (584,120) 330236 New York‐Presbyterian Brooklyn Methodist Hospital 516 475 7433 1.8219 1.7711 ‐0.0508 ‐2.8%$ (3,020,771) 400006 Doctors' Center Hospital San Juan 152 99 472 1.4132 1.3738 ‐0.0394 ‐2.8%$ (148,774) 110104 Crisp Regional Hospital 65 33 950 1.4465 1.4062 ‐0.0403 ‐2.8%$ (306,280) 050103 White Memorial Medical Center 310 207 2354 1.7439 1.6955 ‐0.0484 ‐2.8%$ (911,469) For Education Purposes Only Data Provided by CDIMD Page 3 of 117 Not Guaranteed (855) MY‐CDI‐MD Assumes base rate of $8000 Projected Impact of FY2020 IPPS Rule FY 2020 IPPS Impact File ‐ Proposed Rule (April 2019) Average Provider Name Beds Daily Bills CMIV36 CMIV37 ∆CMI ∆ % ∆ $ Number Census 050773 San Leandro Hospital 45 35 1139 1.7795 1.7303 ‐0.0492 ‐2.8%$ (448,310) 390142 Albert Einstein Medical Center 407 278 5031 1.7723 1.7233 ‐0.049 ‐2.8%$ (1,972,152) 450128 Knapp Medical Center 182 84 2443 1.594 1.55 ‐0.044 ‐2.8%$ (859,936) 400005 Hima San Pablo Humacao 64 51 199 1.4356 1.3963 ‐0.0393 ‐2.7%$ (62,566) 100107 Lehigh Regional Medical Center 78 28 792 1.7756 1.7271 ‐0.0485 ‐2.7%$ (307,296) 310083 East Orange General Hospital 159 60 1483 1.8034 1.7544 ‐0.049 ‐2.7%$ (581,336) 110046 Piedmont Walton Hospital, Inc 77 26 700 1.5385 1.4967 ‐0.0418 ‐2.7%$ (234,080) 050510 Kaiser Foundation Hospital 116 48 163 1.6386 1.5942 ‐0.0444 ‐2.7%$ (57,898) 310070 Saint Peter's University Hospital 348 221 3924 1.6245 1.5806 ‐0.0439 ‐2.7%$ (1,378,109) 290009 Saint Mary's Regional Medical Center 252 164 4446 2.0768 2.0216 ‐0.0552 ‐2.7%$ (1,963,354) 400019 Hospital Pavia Santurce 197 163 801 1.8042 1.7566 ‐0.0476 ‐2.6%$ (305,021) Mayaguez Medical Center Dr Ramon Emeterio 400103 189 161 916 1.8312 1.7831 ‐0.0481 ‐2.6%$ (352,477) Betances 400104 Hospital Menonita Caguas Inc 200 102 580 1.6086 1.5667 ‐0.0419 ‐2.6%$ (194,416) 250042 Northwest Mississippi Medical Center 181 38