List of  Hospital Mergers for Proposed FY 2015  Calculation of Factor 3 of the Uncompensated Care Payment																	
Merger information obtained by the MAC as of January 2015																	
"Low Income Insured Days based on most recently available full year 2012 or 2011 cost report (HCRIS, December 2013 update) and FY 2011 SSI ratios"																	
"If any inaccuracies are identified in the list of mergers, please submit a public comment in response to the FY 2015 IPPS/LTCH PPS Proposed Rule "																	
																	
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)	Proposed Low Income Insured Days of Acquired Provider	Proposed Low Income Insured Days of Surviving Provider	Proposed  Combined Low Income Insured Days for 											
010005	MARSHALL MEDICAL CENTER SOUTH	010010	Marshall Medical Center North	3554	7705	11259											
010092	D C H REGIONAL MEDICAL CENTER	010145	Northport Medical Center 	5703	41200	46903											
050135	HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD	050752	Brotman Medical Center Inc	14013	25842	39855											
070022	YALE-NEW HAVEN HOSPITAL	070001	"Hospital of Saint Raphael
"	22011	96447	118458											
100167	PLANTATION GENERAL HOSPITAL	100061	Mercy Hospital	12081	46651	58732											
110115	ATLANTA MEDICAL CENTER	110219	Tenet South Fulton Inc	17908	31544	49452											
110122	SOUTH GEORGIA MEDICAL CENTER	110212	"Smith of Georgia, LLC"	2207	19023	21230											
140010	EVANSTON HOSPITAL	140051	NorthShore University Health Systems	6994	21909	28903											
190005	CHARITY HOSPITAL & MED CENTER OF LA AT NO	190122	Louisiana State University Health Science Center - Earl K Long Medical Center	3002	25435	28437											
190036	OCHSNER FOUNDATION HOSPITAL	190135	Ochsner Baptist Medical Center LLC	2152	61169	63321											
240010	MAYO CLINIC - SAINT MARYS HOSPITAL	240061	Mayo Clinic Methodist Hospital	7414	14147	21561											
240043	NAEVE HOSPITAL	240117	Mayo Clinic Health System Austin	2152	1555	3707											
260138	ST LUKES HOSPITAL OF KANSAS CITY	260211	St. Lukes Hospital of Kansas City	4	26260	26264											
260210	ST ALEXIUS HOSPITAL	260021	Forest Park Hospital	0	16686	16686											
330013	ALBANY MEDICAL CENTER HOSPITAL	330189	Albany Medical Center	0	57711	57711											
330101	NEW YORK-PRESBYTERIAN HOSPITAL	330064	New York Downtown Hospital	26084	220451	246535											
330241	UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER	330159	Community General Hospital	4682	46436	51118											
330350	UNIVERSITY HOSPITAL OF BROOKLYN ( DOWNSTATE )	330152	Long Island College Hospital	12833	70817	83650											
340075	GRACE HOSPITAL INC	340055	"Valdese General Hospital, Inc."	1178	9323	10501											
390006	GEISINGER MEDICAL CENTER	390189	Shamokin Area Community Hospital	472	37883	38355											
450271	WISE REGIONAL HEALTH SYSTEM	670052	West 380 Family Care Facility	780	2179	2959											
520136	"WHEATON FRANCISCAN, INC- ST JOSEPH"	520170	Elmbrook Memorial Hospital	228	33686	33914											
