Estimated Hospital Net Gain/Loss - SFY 2015	

Version 1 - Baseline	Version 2 - Excluding High Medicare Utilization
Hospitals
(Banner Boswell, Banner Baywood, Banner Del E Webb, Yuma Regional Medical Center, and Mayo)	

Version 3 - Medicare Discharges Excluded from
Assessment	

Hospital System	
Assessment
Amount	Total Projected Coverage Payments	
Estimated Net
Gain/Loss	
Assessment
Amount	Total Projected Coverage Payments	
Estimated Net
Gain/Loss	
Assessment
Amount	Total Projected Coverage Payments	
Estimated Net
Gain/Loss	
Abrazo Health Care	18,436,680	48,153,268	29,716,588	22,295,520	48,153,268	25,857,748	25,298,329	48,153,268	22,854,939	
Arizona Spine and Joint Hospital	-	16,264	16,264	-	16,264	16,264	-	16,264	16,264	
Aurora Behavioral Health System	374,810	3,464,496	3,089,686	453,258	3,464,496	3,011,238	545,113	3,464,496	2,919,383	
Banner Health	69,703,382	134,803,751	65,100,369	47,807,032	134,803,751	86,996,718	58,924,740	134,803,751	75,879,010	
Benson Hospital	121,518	614,154	492,636	146,952	614,154	467,202	103,113	614,154	511,041	
Cancer Treatment Centers of America - Western Regional Medical	-	-	-	-	-	-	-	-	-	
Carondelet Health Network	13,000,588	31,833,349	18,832,761	15,721,641	31,833,349	16,111,708	11,507,505	31,833,349	20,325,844	
CHS	12,415,347	27,879,010	15,463,663	15,013,908	27,879,010	12,865,102	13,283,755	27,879,010	14,595,255	
Cobre Valley Regional Medical Center	662,931	2,399,296	1,736,365	801,684	2,399,296	1,597,612	640,956	2,399,296	1,758,340	
Community Counseling Centers, Inc at PineView Hospital	-	416,158	416,158	-	416,158	416,158	-	416,158	416,158	
Copper Queen Community Hospital	158,670	1,402,282	1,243,612	191,880	1,402,282	1,210,402	154,670	1,402,282	1,247,612	
Cornerstone Healthcare Group	22,930	169,897	146,968	27,729	169,897	142,168	12,422	169,897	157,476	
Dignity	23,971,141	65,599,044	41,627,904	26,038,981	65,599,044	39,560,064	26,594,441	65,599,044	39,004,603	
Ernest Health, Inc.	-	525,448	525,448	-	525,448	525,448	-	525,448	525,448	
FLORENCE HOSPITAL AT ANTHEM	261,225	425,078	163,853	315,900	425,078	109,178	429,638	425,078	(4,560)	
FREEDOM PAIN HOSPITAL	-	-	-	-	-	-	-	-	-	
Gilbert Hospital	739,944	2,493,933	1,753,989	894,816	2,493,933	1,599,117	957,933	2,493,933	1,536,001	
Hacienda Healthcare	-	7,813	7,813	-	7,813	7,813	-	7,813	7,813	
HAVEN SENIOR HORIZONS	-	5,098	5,098	-	5,098	5,098	-	5,098	5,098	
Healthsouth Rehab. Corp.	-	2,164,607	2,164,607	-	2,164,607	2,164,607	-	2,164,607	2,164,607	
Iasis Healthcare Corporation	7,897,122	34,946,869	27,049,747	9,550,008	34,946,869	25,396,861	10,096,317	34,946,869	24,850,552	
John C. Lincoln Health Network	11,042,271	31,042,142	19,999,871	13,353,444	31,042,142	17,688,698	10,410,594	31,042,142	20,631,548	
Kindred Healthcare, Inc.	107,393	1,281,259	1,173,866	129,870	1,281,259	1,151,389	58,923	1,281,259	1,222,336	

	
Estimated Hospital Net Gain/Loss - SFY 2015	

Version 1 - Baseline	Version 2 - Excluding High Medicare Utilization
Hospitals
(Banner Boswell, Banner Baywood, Banner Del E Webb, Yuma Regional Medical Center, and Mayo)	

Version 3 - Medicare Discharges Excluded from
Assessment	

Hospital System	
Assessment
Amount	Total Projected Coverage Payments	
Estimated Net
Gain/Loss	
Assessment
Amount	Total Projected Coverage Payments	
Estimated Net
Gain/Loss	
Assessment
Amount	Total Projected Coverage Payments	
Estimated Net
Gain/Loss	
Kingman Regional Medical Center	3,044,916	10,616,148	7,571,232	3,682,224	10,616,148	6,933,924	3,084,479	10,616,148	7,531,669	
La Paz Regional Hospital	326,241	1,095,036	768,795	394,524	1,095,036	700,512	225,321	1,095,036	869,715	
LifePoint Hospitals, Inc.	3,317,364	10,598,265	7,280,901	4,011,696	10,598,265	6,586,569	2,670,118	10,598,265	7,928,147	
Mayo	-	2,601,196	2,601,196	-	2,601,196	2,601,196	-	2,601,196	2,601,196	
MIHS	6,629,200	44,075,468	37,446,268	8,018,703	44,075,468	36,056,766	9,210,238	44,075,468	34,865,231	
Mt. Graham Regional Medical Center	810,765	3,007,842	2,197,077	980,460	3,007,842	2,027,382	1,010,762	3,007,842	1,997,080	
N. AZ	7,311,398	24,854,715	17,543,318	8,841,690	24,854,715	16,013,025	7,786,689	24,854,715	17,068,027	
Northern Cochise Community Hospital	191,952	738,469	546,517	232,128	738,469	506,341	184,585	738,469	553,884	
O.A.S.I.S. hospital, Partners are CHW and United Surgical Partner	-	-	-	-	-	-	-	-	-	
Orthopedic & Surgical Specialty Company	-	921,024	921,024	-	921,024	921,024	-	921,024	921,024	
Phoenix Children's Hospital	-	1,261,156	1,261,156	-	1,261,156	1,261,156	-	1,261,156	1,261,156	
Promise Healthcare	20,511	834,365	813,854	24,804	834,365	809,561	19,906	834,365	814,459	
Regional Care Services Corporation	3,474,680	8,806,152	5,331,473	4,201,938	8,806,152	4,604,214	3,449,371	8,806,152	5,356,781	
Remuda Ranch Center for Anorexia and bulimia	-	-	-	-	-	-	-	-	-	
Restora	64,242	557,440	493,198	77,688	557,440	479,752	42,042	557,440	515,398	
Scottsdale Healthcare	15,159,462	23,482,657	8,323,195	18,334,735	23,482,657	5,147,922	14,864,612	23,482,657	8,618,046	
Select Specialty Hospital, Arizona, Inc.	99,169	2,906,603	2,807,434	119,925	2,906,603	2,786,678	98,098	2,906,603	2,808,505	
Sierra Vista Regional Health Center	2,188,872	3,564,930	1,376,058	2,647,008	3,564,930	917,922	2,084,538	3,564,930	1,480,393	
SONORA BEHAVIORAL HEALTH	256,291	1,790,197	1,533,907	309,933	1,790,197	1,480,264	336,973	1,790,197	1,453,224	
Southeast Arizona Medical Center	116,100	1,019,029	902,929	140,400	1,019,029	878,629	133,029	1,019,029	886,000	
State of Arizona	-	520,267	520,267	-	520,267	520,267	-	520,267	520,267	
Summit Healthcare	1,436,544	5,475,007	4,038,463	1,737,216	5,475,007	3,737,791	1,661,902	5,475,007	3,813,105	
Surgical Specialty Hospital of Arizona	-	137,530	137,530	-	137,530	137,530	-	137,530	137,530	

	
Estimated Hospital Net Gain/Loss - SFY 2015	

Version 1 - Baseline	Version 2 - Excluding High Medicare Utilization
Hospitals
(Banner Boswell, Banner Baywood, Banner Del E Webb, Yuma Regional Medical Center, and Mayo)	

Version 3 - Medicare Discharges Excluded from
Assessment	

Hospital System	
Assessment
Amount	Total Projected Coverage Payments	
Estimated Net
Gain/Loss	
Assessment
Amount	Total Projected Coverage Payments	
Estimated Net
Gain/Loss	
Assessment
Amount	Total Projected Coverage Payments	
Estimated Net
Gain/Loss	
The Guidance Center, Inc.	-	454,168	454,168	-	454,168	454,168	-	454,168	454,168	
TMC Healthcare	10,314,125	18,317,245	8,003,120	9,854,528	18,317,245	8,462,717	9,087,615	18,317,245	9,229,631	
UA Healthcare	10,374,660	43,771,916	33,397,257	11,144,551	43,771,916	32,627,366	10,473,805	43,771,916	33,298,112	
VALLEY HOSPITAL	-	69,190	69,190	-	69,190	69,190	-	69,190	69,190	
White Mountain Regional Medical Center	141,642	594,273	452,631	171,288	594,273	422,985	141,303	594,273	452,970	
Wickenburg Community Hospital	166,023	391,788	225,765	200,772	391,788	191,016	124,754	391,788	267,034	
WINDHAVEN PSYCHIATRIC HOS	-	960,150	960,150	-	960,150	960,150	-	960,150	960,150	
Yavapai Regional Medical Center West Campus	4,212,666	8,838,794	4,626,128	5,094,864	8,838,794	3,743,930	3,854,461	8,838,794	4,984,334	
Yuma Regional Medical Center	4,520,633	13,101,926	8,581,292	-	13,101,926	13,101,926	3,446,237	13,101,926	9,655,689	

Total Border Providers	-	14,574,841	14,574,841	-	14,574,841	14,574,841	-	14,574,841	14,574,841	
Total Out of State Providers	-	1,318,351	1,318,351	-	1,318,351	1,318,351	-	1,318,351	1,318,351	

New Hospital Adjustment		
(425,078.00)	
(425,078.00)		
(425,078.00)	
(425,078.00)		
(425,078.00)	
(425,078.00)	
Total	233,093,405	640,474,275	407,380,871	232,963,697	640,474,275	407,510,578	233,009,279	640,474,275	407,464,996	

State Share of Coverage Payments			
232,962,600			
232,962,600			
232,962,600	
Assessment Net of State Share:			130,805			1,097			46,679