 List of  Hospital Mergers for FY 2016 NPRM 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 2014 update) and FY 2012 SSI ratios"								
								
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)	Low Income Insured Days of Acquired Provider	Low Income Insured Days of Surviving Provider	DSH status of surviving provider number	Combined Low Income Insured Days for Merged/Surviving Provider	
010029	East Alabama Medical Center	010025	Chattahoochee Valley Hospital Society	3945	14725	YES	18670	
010085	Decatur Morgan - Decatur Campus	010054	HH Health System  Morgan Inc.	2915	9495	YES	12410	
050135	Hollywood Community Hospital	050752	Brotman Medical Center Inc	14074	25446	YES	39520	
050549	Los Robles Hospital and Medical Center	050749	Thousand Oaks Surgical Hospital	12	8049	NO	8061	
070022	Yale-New Haven Hospital	070001	Hospital of St. Raphael	21289	123129	YES	144418	
070033	Danbury Hospital	070015	New Milford Hospital	60	14551	YES	14611	
110007	Phoebe Putney Memorial Hospital	110163	Hospital Authority of Albany  Dougherty County Georgia	2350	43392	YES	45742	
110115	Atlanta Medical Center	110219	Tenet South Fulton Inc	17737	32076	YES	49813	
140010	Northshore University Health System	140051	Skokie Hospital	6570	21868	YES	28438	
170123	Wesley Medical Center	170202	Galichia Heart Hospital	442	41185	YES	41627	
190005	Medical Center of Louisiana at New Orleans	190122	Louisiana State University Health Science Center - Earl K Long Medical Center	5665	25272	YES	30937	
190036	Ochsner Clinic Foundation	190135	Ochsner Baptist Medical Center LLC	2870	62240	YES	65110	
200019	Southern Maine Medical Center	200040	Henrietta D Goodhall Hospital	1220	3366	YES	4586	
220080	Steward Holy Family Hospital	220174	Merrimack Valley Hospital	2094	17389	YES	19483	
240010	Mayo Clinic - Saint Mary's Hospital	240061	Mayo Clinic Methodist Hospital	7557	25889	NO	33446	
240043	Mayo Clinic Health System - Albert Lea	240117	Mayo Clinic Health System Austin	2198	1564	SCH	3762	
260138	St. Lukes Hospital of Kansas City	260211	St. Lukes Hospital of Kansas City	23	26268	YES	26291	
330101	New York Presbyterian Hospital	330064	New York Downtown Hospital	25271	217190	YES	242461	
330234	Westchester Medical Center	330067	St. Francis Hospital	17259	64425	YES	81684	
340053	Presbyterian Hospital	340153	Presbyterian Orthopaedic Hospital	458	50824	YES	51282	
340075	Blue Ridge Healthcare Hospitals	340055	"Valdese General Hospital, Inc."	1067	9154	YES	10221	
440068	Athens Regional Medical Center	440054	"Woods Memorial Hospital, LLC."	708	2821	YES	3529	
440156	Parkridge Medical Center	440064	SP Acquisition Corp.	1189	35068	YES	36257	
450271	Decatur Community Hospital	670052	West 380 Family Care Facility	764	2208	YES	2972	
510022	Charleston Area Medical Center Inc.	510085	CAMC Teays Valley	2168	56045	YES	58213	
