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+ Year,State,Category,Hospital Name,Notes,State Estimated Hospital-Specific DSH Limit (100%),State Estimated Hospital-Specific DSH Limit (175%),Medicaid I/P Utilization Rate,Low-Income Utilization Rate,State-Defined Eligibility Statistic MIUR,Regular IP/OP Medicaid FFS Rate Payments,IP/OP Medicaid MCO Payments,Supplemental / Enhanced IP/OP Medicaid Payments,Total Medicaid IP/OP Medicaid Payments,Total Cost of Care - Medicaid IP/OP Services,Total Medicaid Uncompensated Care Costs,Total IP/OP Indigent Care/Self-Pay Revenues,Total Applicable Section 1011 Payments,Total IP/OP Uninsured Cost of Care,Total Uninsured Uncompensated Care Costs,Total Eligible Uncompensated Care Costs,Total Eligible Uncompensated Care Costs (c),Total In-State DSH Payments Received,Total Out-of-State DSH Payments Received,Medicaid Provider Number,Medicare Provider Number,Total Hospital Cost,Location
2
+ 2013,California,DESIGNATED PUBLIC HOSPITALS (DPH),ALAMEDA COUNTY MEDICAL CENTER - HIGHLAND CAMPUS,,312507368,546887894,49.57,96.4,0,171213939,82570018,22784455,276568412,253375467,-23192945,8162682,0,82346447,74183765,50990820,89233935,157944768,0,1396764353,50320,455739782,
3
+ 2013,California,DESIGNATED PUBLIC HOSPITALS (DPH),"LAC, OLIVE VIEW - UCLA MEDICAL CENTER",,293398938,513448142,48.15,100,0,136384149,41020197,15875690,193280036,186219342,-7060694,18115805,0,119735268,101619463,94558769,165477846,121606060,0,1851307243,50040,363327545,
4
+ 2013,California,DESIGNATED PUBLIC HOSPITALS (DPH),SAN FRANCISCO GENERAL HOSPITAL,,342061492,598607611,49.86,64.2,0,121674671,83300827,11370909,216346407,240651624,24305217,8503654,0,94521669,86018015,110323232,193065656,159969550,0,1164609962,50228,603768594,
5
+ 2013,California,NON-DESIGNATED PUBLIC HOSPITALS (NDPH),SIERRA VIEW DISTRICT HOSPITAL ,,22867542,40018199,38.98,37,0,28156100,13315293,4023938,45495331,51210125,5714794,1046923,0,4684460,3637537,9352331,16366579,1902516,0,1073736443,50261,108610645,
6
+ 2013,California,NON-DESIGNATED PUBLIC HOSPITALS (NDPH),BUTTE COUNTY PHF,,1181150,2067013,3.07,100,0,1697445,0,0,1697445,2118005,420560,2136,0,7298,5162,425722,745014,75299,0,1245398676,54603,2125303,
7
+ 2013,California,NON-DESIGNATED PUBLIC HOSPITALS (NDPH),MOUNTAINS COMMUNITY HOSPITAL ,,4915203,8601605,10.72,41.3,0,1327281,142452,837647,2307380,2476631,169251,242038,0,146882,-95156,74095,129666,19611,0,1245380799,51312,10650480,
8
+ 2013,California,NON-DESIGNATED PUBLIC HOSPITALS (NDPH),COALINGA REGIONAL MEDICAL CENTER ,,8568227,14994397,13,56.6,0,571423,2694246,1046854,4312523,3258517,-1054006,328916,0,1422595,1093679,39673,69428,38345,0,1184655052,50397,12070255,
9
+ 2013,California,DESIGNATED PUBLIC HOSPITALS (DPH),UC DAVIS MEDICAL CENTER,,230970882,404199044,35.88,27.5,0,305302903,79642824,24076935,409022662,407355115,-1667547,15711649,0,72597653,56886004,55218457,96632300,119600640,0,1710918545,50599,1159261444,
10
+ 2013,California,DESIGNATED PUBLIC HOSPITALS (DPH),VENTURA COUNTY MEDICAL CENTER,,136593159,239038028,39.56,73.8,0,51789909,30961651,15259699,98011259,109758589,11747330,6763926,0,50076623,43312697,55060027,96355047,73044236,0,1629167457,50159,235143533,
11
+ 2013,California,Institute for Mental Disease,SAN LUIS OBISPO COUNTY PSYCHIATRIC HEALTH FACILITY,,2727140,4772495,2.43,0,0,2156952,0,0,2156952,2145217,-11735,4148,0,127234,123086,111351,194864,37545,0,1861698300,54048,35343103,
12
+ 2013,California,NON-DESIGNATED PUBLIC HOSPITALS (NDPH),EL CENTRO REGIONAL MEDICAL CENTER ,,6564411,11487719,28.67,39.6,0,51562638,340000,7317519,59220157,50377393,-8842764,1772520,0,9596660,7824140,-1018624,-1782592,1348069,0,1861409823,50045,102437381,
13
+ 2013,California,DESIGNATED PUBLIC HOSPITALS (DPH),ARROWHEAD REGIONAL MEDICAL CENTER,,163633336,286358338,47.34,93.8,0,174260797,85637017,66645815,326543629,276538479,-50005150,12843984,0,61500325,48656341,-1348809,-2360416,67466802,43749,1790781169,50245,422271425,
14
+ 2013,California,DESIGNATED PUBLIC HOSPITALS (DPH),"LAC, RANCHO LOS AMIGOS NRC",,178429977,312252460,64.75,100,0,83423360,32274615,3104703,118802678,114666398,-4136280,192784,0,27128096,26935312,22799032,39898306,36418996,0,1275540171,50717,184660592,
15
+ 2013,California,NON-DESIGNATED PUBLIC HOSPITALS (NDPH),EASTERN PLUMAS HOSPITAL-PORTOLA CAMPUS ,,5471942,9575899,4.36,30.1,0,452328,3018,1153494,1608840,1483028,-125812,60074,0,463100,403026,277214,485125,23180,0,1326044140,51300,7652155,
16
+ 2013,California,NON-DESIGNATED PUBLIC HOSPITALS (NDPH),OAK VALLEY DISTRICT HOSPITAL (2-RH),,17703090,30980408,34.31,33.9,0,923050,2852194,1561780,5337024,10183349,4846325,206709,0,2671699,2464990,7311315,12794801,215145,0,1346381415,50067,29964295,
17
+ 2013,California,NON-DESIGNATED PUBLIC HOSPITALS (NDPH),ALAMEDA HOSPITAL*,,12490040,21857570,21.32,41.7,0,12660706,2776527,1121912,16559145,18996817,2437672,718370,0,3109064,2390694,4828366,8449641,269992,0,1700087590,50211,55826927,
18
+ 2013,California,NON-DESIGNATED PUBLIC HOSPITALS (NDPH),KERN VALLEY HEALTHCARE DISTRICT ,,7616972,13329701,14.44,52.6,0,2240132,1071144,571550,3882826,4041226,158400,197612,0,835276,637664,796064,1393112,87688,0,1427049964,51314,9620750,
19
+ 2013,California,DESIGNATED PUBLIC HOSPITALS (DPH),RIVERSIDE COUNTY REGIONAL MEDICAL CENTER,,155595822,272292689,43.73,87.8,0,167698551,67791186,53961720,289451457,278274350,-11177107,1519469,0,57287004,55767535,44590428,78033249,94765178,0,1821159195,50292,432567437,
20
+ 2013,California,DESIGNATED PUBLIC HOSPITALS (DPH),SANTA CLARA VALLEY MEDICAL CENTER,,559967757,979943575,45.68,74.3,0,221851552,120313771,28676224,370841547,382374490,11532943,10627005,0,135182037,124555032,136087975,238153956,269013734,0,1063406551,50038,770100139,
21
+ 2013,California,NON-DESIGNATED PUBLIC HOSPITALS (NDPH),SENECA HEALTHCARE DISTRICT*,,2216370,3878648,7.39,18.7,0,561049,0,772433,1333482,1148964,-184518,42459,0,199810,157351,-27167,-47542,5049,0,1164606190,51327,7616930,
22
+ 2013,California,DESIGNATED PUBLIC HOSPITALS (DPH),CONTRA COSTA REGIONAL MEDICAL CENTER,,218171149,381799511,51.34,93.6,0,84355830,45818819,51312907,181487556,211322028,29834472,8113687,0,59088703,50975016,80809488,141416604,83626440,0,1356413496,50276,385533593,
23
+ 2013,California,NON-DESIGNATED PUBLIC HOSPITALS (NDPH),KAWEAH DELTA MEDICAL CENTER,,42941134,75146985,31.2,37.4,0,64310005,54082752,8319075,126711832,103460405,-23251427,985096,0,21771755,20786659,-2464768,-4313344,5193193,0,1588663769,50057,319459325,
24
+ 2013,California,NON-DESIGNATED PUBLIC HOSPITALS (NDPH),LOMPOC VALLEY MEDICAL CENTER,,8775267,15356717,26.37,38.6,0,5114503,3499483,853288,9467274,13640644,4173370,312190,0,1328696,1016506,5189876,9082283,235223,0,1194711952,50110,48243776,
25
+ 2013,California,DESIGNATED PUBLIC HOSPITALS (DPH),SAN MATEO MEDICAL CENTER,,165424788,289493379,40.07,97.8,0,25088338,23736041,13411232,62235611,47148636,-15086975,1519173,0,26744078,25224905,10137930,17741378,34944154,0,1386713030,50113,113460892,
26
+ 2013,California,DESIGNATED PUBLIC HOSPITALS (DPH),"LAC, USC MEDICAL CENTER",,1007302177,1762778810,48.51,94.1,0,468827126,169181057,60440591,698448774,676819071,-21629703,7018661,0,285485598,278466937,256837234,449465160,375540498,0,1285647933,50373,1072742938,
27
+ 2013,California,NON-DESIGNATED PUBLIC HOSPITALS (NDPH),PIONEERS MEMORIAL HOSPITAL ,,2496231,4368404,40.73,43.4,0,19935403,261432,7017688,27214523,27164892,-49631,645263,0,2666857,2021594,1971963,3450935,1316493,0,1073519443,50342,81695912,
28
+ 2013,California,DESIGNATED PUBLIC HOSPITALS (DPH),KERN MEDICAL CENTER,,169213971,296124449,59.28,90.1,0,78252722,29091447,19114534,126458703,137281367,10822664,6134977,0,32264614,26129637,36952301,64666527,70889168,0,1376623538,50315,231434066,
29
+ 2013,California,NON-DESIGNATED PUBLIC HOSPITALS (NDPH),MAYERS MEMORIAL HOSPITAL ,,3193734,5589035,9.79,32.4,0,1130632,0,1626190,2756822,2436920,-319902,65386,0,297087,231701,-88201,-154352,56472,0,1912125667,51305,10306526,
30
+ 2013,California,Institute for Mental Disease,SEMPERVIRENS P.H.F.*,,748974,1310705,4.24,66.5,0,2750115,0,0,2750115,3003249,253134,0,0,645086,645086,898220,1571885,51570,0,1194763219,54124,5243420,
31
+ 2013,California,Institute for Mental Disease,RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA ,,1283807,2246662,5.89,35.6,0,1174787,3961,7050,1185798,4084852,2899054,247086,0,3101137,2854051,5753105,10067934,233101,0,1952308363,54009,65030038,
32
+ 2013,California,DESIGNATED PUBLIC HOSPITALS (DPH),UC SAN FRANCISCO MEDICAL CENTER,,212933153,372633018,30.26,14.8,0,322245598,101196381,28846712,452288691,479357428,27068737,9381325,0,43024845,33643520,60712257,0,34741866,0,1457450116,50454,1632545543,
33
+ 2013,California,NON-DESIGNATED PUBLIC HOSPITALS (NDPH),ANTELOPE VALLEY HOSPITAL,,43744170,76552298,36.15,39.2,0,53255902,51100237,12587936,116944075,124124126,7180051,282799,0,7891887,7609088,14789139,25880993,5537622,0,1366419517,50056,311466417,
34
+ 2013,California,NON-DESIGNATED PUBLIC HOSPITALS (NDPH),TULARE REGIONAL MEDICAL CENTER,,18760548,32830959,45.04,50.7,0,6221169,15950084,2342924,24514177,23947772,-566405,137839,0,2374364,2236525,1670120,2922710,1270630,0,1306840723,50359,59685095,
35
+ 2013,California,NON-DESIGNATED PUBLIC HOSPITALS (NDPH),CORCORAN DISTRICT HOSPITAL ,"The facility has closed and therefore did not submit any information or data during the DSH examination and survey process. This has limited our ability to report any information, other than the total amount of DSH payments received and the total UCC as was calculated using the State's Cost and Revenue Workbook. ",2584788,4523379,29.59,39.3,0,134341,0,655950,790291,287168,-503123,0,0,0,0,-503123,-880465,52231,0,1255334595,50349,8052947,
36
+ 2013,California,DESIGNATED PUBLIC HOSPITALS (DPH),RONALD REAGAN UCLA MEDICAL CENTER,,95792568,167636994,21.57,12.8,0,188005953,18000108,9653869,215659930,229995061,14335131,7364748,0,17762255,10397507,24732638,0,23525060,0,1902803315,50262,1249348754,
37
+ 2013,California,DESIGNATED PUBLIC HOSPITALS (DPH),UC SAN DIEGO MEDICAL CENTER,,169820172,297185301,27.72,32.6,0,252382812,62848191,21043257,336274260,320510698,-15763562,12637290,0,59814183,47176893,31413331,54973329,136115658,0,1184722779,50025,903685734,
38
+ 2013,California,NON-DESIGNATED PUBLIC HOSPITALS (NDPH),HI-DESERT MEDICAL CENTER ,,13491460,23610055,33.17,46.4,0,14452870,450068,2252455,17155393,16605486,-549907,431506,0,1863124,1431618,881711,1542994,1024095,0,1447239785,50279,37269781,
39
+ 2013,California,DESIGNATED PUBLIC HOSPITALS (DPH),SAN JOAQUIN GENERAL HOSPITAL,,101593460,177788555,56.51,57.7,0,56653580,38209475,13299105,108162160,98797916,-9364244,1475683,0,36966200,35490517,26126273,45720978,79230244,0,1275605180,50167,174848920,
40
+ 2013,California,NON-DESIGNATED PUBLIC HOSPITALS (NDPH),TRINITY HOSPITAL ,,4099396,7173943,11.82,39.3,0,1598559,0,1193337,2791896,2339819,-452077,78895,0,339587,260692,-191385,-334924,35332,0,1750462271,51315,15169653,
41
+ 2013,California,NON-DESIGNATED PUBLIC HOSPITALS (NDPH),SAN GORGONIO MEMORIAL HOSPITAL,,1363942,2386899,25.94,38.4,0,4408348,4053493,2640661,11102502,13721611,2619109,69438,0,3039164,2969726,5588835,9780461,553208,0,1568469997,50054,52955578,
42
+ 2013,California,NON-DESIGNATED PUBLIC HOSPITALS (NDPH),COLORADO RIVER MEDICAL CENTER ,,2610304,4568032,28.14,13.6,0,2203294,180461,1013348,3397103,3579336,182233,247421,0,743215,495794,678027,1186547,93102,0,1457520942,51323,7934426,
43
+ 2013,California,NON-DESIGNATED PUBLIC HOSPITALS (NDPH),BEAR VALLEY COMMUNITY HOSPITAL ,,3467199,6067598,7.19,29,0,444303,0,1326557,1770860,1799519,28659,154,0,231300,231146,259805,454659,15384,0,1073553756,50618,12360845,
44
+ 2013,California,DESIGNATED PUBLIC HOSPITALS (DPH),NATIVIDAD MEDICAL CENTER,,52795804,92392657,55.25,55,0,40783463,38407318,6345714,85536495,79027196,-6509299,1741088,0,18978168,17237080,10727781,18773617,17748378,0,1699979245,50248,147880984,
45
+ 2013,California,NON-DESIGNATED PUBLIC HOSPITALS (NDPH),MODOC MEDICAL CENTER ,,5563873,9736778,7.71,49.9,0,1541704,0,1163375,2705079,2363279,-341800,268563,0,378718,110155,-231645,-405379,11655,0,1487669032,51330,7254774,
46
+ 2013,California,NON-DESIGNATED PUBLIC HOSPITALS (NDPH),HAZEL HAWKINS MEMORIAL HOSPITAL ,,12828969,22450696,26.81,40.9,0,13810038,176832,4858463,18845333,20151888,1306555,554600,0,4723497,4168897,5475452,9582041,381564,0,1275578817,50296,54090397,
47
+ 2013,California,DESIGNATED PUBLIC HOSPITALS (DPH),SANTA MONICA - UCLA MEDICAL CENTER & ORTHOPAEDIC HOSPITAL,,34901862,61078259,13.97,9.8,0,37301941,11295292,1473325,50070558,55207179,5136621,1718295,0,5864120,4145825,9282446,0,10258486,0,1427055839,50112,335632208,
48
+ 2013,California,DESIGNATED PUBLIC HOSPITALS (DPH),"LAC, HARBOR UCLA MEDICAL CENTER",,478668173,837669303,46.56,100,0,203793452,107511587,17253483,328558522,306128391,-22430131,4786746,0,156442460,151655714,129225583,226144770,179215442,0,1497778401,50376,546123029,
49
+ 2013,California,Institute for Mental Disease,SANTA BARBARA P.H.F.,,3510525,6143419,64.71,100,0,3742881,0,0,3742881,4336694,593813,0,0,1651906,1651906,2245719,3930008,46161,0,1831300946,54125,7100414,
50
+ 2013,California,DESIGNATED PUBLIC HOSPITALS (DPH),UC IRVINE MEDICAL CENTER,,154248605,269935059,35.52,38.8,0,176560140,47657852,16100516,240318508,291144510,50826002,13302924,0,33887099,20584175,71410177,124967810,134770436,0,1689608150,50348,783339133,