Disproportionate Share Hospital (DSH) Supplemental Payment Program SFY 2019 Distribution Table of Contents TABLE OF CONTENTS ....................................................................................................................................................................................................1 SFY 2019 DSH DISTRIBUTION .......................................................................................................................................................................................2 JULY 2018 .....................................................................................................................................................................................................................3 AUGUST 2018 ...............................................................................................................................................................................................................4 SEPTEMBER 2018 .........................................................................................................................................................................................................5 OCTOBER 2018 .............................................................................................................................................................................................................6 NOVEMBER 2018 ..........................................................................................................................................................................................................7 DECEMBER 2018 ...........................................................................................................................................................................................................8 JANUARY 2019 ..............................................................................................................................................................................................................9 FEBRUARY 2019 ......................................................................................................................................................................................................... 10 MARCH 2019 ............................................................................................................................................................................................................. 11 APRIL 2019................................................................................................................................................................................................................. 12 MAY 2019 .................................................................................................................................................................................................................. 13 JUNE 2019 ................................................................................................................................................................................................................. 14 SFY 2019 DSH Distribution1, 2 ( FFY18 Revised Preliminary Allotment / FFY19 Preliminary Allotment) Uncompensated SFY 2019 Projected Hospital Net Projected Hospital Pool Care Cost Hospital DSH DSH Limit Revenue SFY 2019 DSH Percentage Percentage University Medical Center A $ 72,441,051 $ 625,307,954 11.58% $ 71,529,082 87.97% Boulder City Hospital B $ 2,443,021 $ 25,030,357 9.76% $ 84,139 0.10% Centennial Hills Medical Center B $ 16,343,587 $ 252,145,257 6.48% $ 104,711 0.13% Henderson Hospital B $ 11,130,025 $ 149,865,610 7.43% $ 94,776 0.12% Mountainview Hospital B $ 20,483,750 $ 376,657,224 5.44% $ 110,315 0.14% North Vista Hospital B $ 1,481,660 $ 97,556,519 1.52% $ 16,747 0.02% Southern Hills Hospital B $ 12,092,770 $ 174,024,334 6.95% $ 94,248 0.12% Spring Valley Medical Center B $ 17,957,368 $ 332,327,201 5.40% $ 101,664 0.13% St Rose Dominican Hospital - De Lima B $ 17,693,701 $ 96,523,432 18.33% $ 201,497 0.25% St Rose Dominican Hospital - San Martin B $ 15,018,960 $ 160,438,533 9.36% $ 122,747 0.15% St Rose Dominican Hospital - Siena B $ 22,777,785 $ 440,232,554 5.17% $ 115,867 0.14% Summerlin Hospital Medical Center B $ 14,109,802 $ 414,571,801 3.40% $ 73,320 0.09% Sunrise Hospital & Medical Center B $ 55,588,654 $ 621,121,498 8.95% $ 254,121 0.31% Valley Hospital Medical Center B $ (10,074,594) $ 290,191,628 -3.47% $ - 0.00% B SUBTOTAL $ 197,046,489 $ 3,430,685,948 $ 1,374,152 1.69% Renown Regional Medical Center C $ 34,268,096 $ 714,741,253 4.79% $ 4,764,811 5.86% Humboldt General Hospital D $ - $ 29,516,924 0.00% $ - 0.00% Mt Grant General Hospital D $ - $ 7,742,238 0.00% $ - 0.00% South Lyon Health Center D $ 318,459 $ 5,418,849 5.88% $ 318,459 0.39% William Bee Ririe D $ 137,844 $ 24,577,171 0.56% $ 137,844 0.17% D SUBTOTAL $ 456,303 $ 67,255,182 $ 456,303 0.56% Banner Churchill Community Hospital E $ 6,792,882 $ 39,124,818 17.36% $ 1,206,022 1.48% Carson Tahoe Regional Medical Center E $ 11,565,447 $ 267,419,651 4.32% $ 924,824 1.14% Desert View Regional Medical Center E $ 3,853,108 $ 36,570,852 10.54% $ 714,845 0.88% Northeastern Nevada Regional Hospital E $ 2,980,945 $ 87,582,780 3.40% $ 340,728 0.42% E SUBTOTAL $ 25,192,382 $ 430,698,101 $ 3,186,419 3.92% Totals $ 329,404,321 $ 5,268,688,438 $ 81,310,767 100% 1 Preliminary estimates only. Payment amounts may vary upon notification by CMS of FFY18 & FFY19 allotment updates. DISPROPORTIONATE SHARE HOSPITAL DISBURSEMENTS July 2018 July 2018 DSH DSH DISPROPORTIONATE FEDERAL STATE HOSPITAL SHARE PAYMENT PORTION PORTION University Medical Center $ 5,796,043.00 $ 3,748,301.01 $ 2,047,741.99 Boulder City Hospital $ 6,818.00 $ 4,409.20 $ 2,408.80 Centennial Hills Medical Center $ 8,485.00 $ 5,487.25 $ 2,997.75 Henderson Hospital $ 7,680.00 $ 4,966.66 $ 2,713.34 Mountainview Hospital $ 8,939.00 $ 5,780.85 $ 3,158.15 North Vista Hospital $ 1,357.00 $ 877.57 $ 479.43 Southern Hills Hospital $ 7,637.00 $ 4,938.85 $ 2,698.15 Spring Valley Medical Center $ 8,238.00 $ 5,327.51 $ 2,910.49 St Rose Dominican Hospital - De Lima $ 16,327.00 $ 10,558.67 $ 5,768.33 St Rose Dominican Hospital - San Martin $ 9,946.00 $ 6,432.08 $ 3,513.92 St Rose Dominican Hospital - Siena $ 9,389.00 $ 6,071.87 $ 3,317.13 Summerlin Hospital Medical Center $ 5,941.00 $ 3,842.04 $ 2,098.96 Sunrise Hospital & Medical Center $ 20,592.00 $ 13,316.85 $ 7,275.15 Valley Hosptial Medical Center $ - $ - $ - Renown Regional Medical Center $ 386,095.00 $ 249,687.64 $ 136,407.36 Humboldt General Hospital $ - $ - $ - Mt Grant General Hospital $ - $ - $ - South Lyon Health Center $ 28,605.00 $ 18,498.85 $ 10,106.15 William Bee Ririe $ 6,912.00 $ 4,469.99 $ 2,442.01 Banner Churchill Community Hospital $ 98,277.00 $ 63,555.74 $ 34,721.26 Carson Tahoe Regional Medical Center $ 75,362.00 $ 48,736.61 $ 26,625.39 Desert View Regional Medical Center $ 58,252.00 $ 37,671.57 $ 20,580.43 Northeastern Nevada Regional Hospital $ 27,765.00 $ 17,955.63 $ 9,809.37 TOTAL : $ 6,588,660.00 $ 4,260,886.44 $ 2,327,773.56 DISPROPORTIONATE SHARE HOSPITAL DISBURSEMENTS August 2018 August 2018 DSH DSH DISPROPORTIONATE FEDERAL STATE HOSPITAL SHARE PAYMENT PORTION PORTION University Medical Center $ 5,796,043.00 $ 3,748,301.01 $ 2,047,741.99 Boulder City Hospital $ 6,818.00 $ 4,409.20 $ 2,408.80 Centennial Hills Medical Center $ 8,485.00 $ 5,487.25 $ 2,997.75 Henderson Hospital $ 7,680.00 $ 4,966.66 $ 2,713.34 Mountainview Hospital $ 8,939.00 $ 5,780.85 $ 3,158.15 North Vista Hospital $ 1,357.00 $ 877.57 $ 479.43 Southern Hills Hospital $ 7,637.00 $ 4,938.85 $ 2,698.15 Spring Valley Medical Center $ 8,238.00 $ 5,327.51 $ 2,910.49 St Rose Dominican Hospital - De Lima $ 16,327.00 $ 10,558.67 $ 5,768.33 St Rose Dominican Hospital - San Martin $ 9,946.00 $ 6,432.08 $ 3,513.92 St Rose Dominican Hospital - Siena $ 9,389.00 $ 6,071.87 $ 3,317.13 Summerlin Hospital Medical Center $ 5,941.00 $ 3,842.04 $ 2,098.96 Sunrise Hospital & Medical Center $ 20,592.00 $ 13,316.85 $ 7,275.15 Valley Hosptial Medical Center $ - $ - $ - Renown Regional Medical Center $ 386,095.00 $ 249,687.64 $ 136,407.36 Humboldt General Hospital $ - $ - $ - Mt Grant General Hospital $ - $ - $ - South Lyon Health Center $ 28,605.00 $ 18,498.85 $ 10,106.15 William Bee Ririe $ 6,912.00 $ 4,469.99 $ 2,442.01 Banner Churchill Community Hospital $ 98,277.00 $ 63,555.74 $ 34,721.26 Carson Tahoe Regional Medical Center $ 75,362.00 $ 48,736.61 $ 26,625.39 Desert View Regional Medical Center $ 58,252.00 $ 37,671.57 $ 20,580.43 Northeastern Nevada Regional Hospital $ 27,765.00 $ 17,955.63 $ 9,809.37 TOTAL : $ 6,588,660.00 $ 4,260,886.44 $ 2,327,773.56 DISPROPORTIONATE SHARE HOSPITAL DISBURSEMENTS September 2018 September 2018 DSH DSH DISPROPORTIONATE FEDERAL STATE HOSPITAL SHARE PAYMENT PORTION PORTION University Medical Center $ 5,796,042.00 $ 3,748,300.36 $ 2,047,741.64 Boulder City Hospital $ 6,817.00 $ 4,408.55 $ 2,408.45 Centennial Hills Medical Center $ 8,484.00 $ 5,486.60 $ 2,997.40 Henderson Hospital $ 7,679.00 $ 4,966.01 $ 2,712.99 Mountainview Hospital $ 8,939.00 $ 5,780.85 $ 3,158.15 North Vista Hospital $ 1,357.00 $ 877.57 $ 479.43 Southern Hills Hospital $ 7,637.00 $ 4,938.85 $ 2,698.15 Spring Valley Medical Center $ 8,238.00 $ 5,327.51 $ 2,910.49 St Rose Dominican Hospital - De Lima $ 16,328.00 $ 10,559.32 $ 5,768.68 St Rose Dominican Hospital - San Martin $ 9,947.00 $ 6,432.72 $ 3,514.28 St Rose Dominican Hospital - Siena $ 9,388.00 $ 6,071.22