attachment 2 - fl agency for health care administration › medicaid › finance › ...health care...

Hospital funding programs outside of inpatient and emergency room

Amount of funds

budgeted to

program

Number of individuals

served (optional) Name Provider ID

Primary Care Baptist Hospital supports several Primary Care practices in the community who deal with indigent

population.

900,000.00$ BAPTIST HOSPITAL 100749

All Children's Hospital provides primary care, pediatric subspecialty care, and diagnostic care at its main

campus and through a network of 10 outreach centers spanning from Lee County in the south to Citrus

county in the North. Primary care services include diagnostic services, laboratory services and pre and

post operative surgical follow-up examinations. Expanded diagnostic services include MRI with pediatric

sedation (if necessary), pediatric metabolic stress testing, stress echocardiogram, contrast

echocardiogram, fetal echocardiogram and audiology services. All Children's Hospital has added two

new outreach centers, expanded a third and has plans for a fourth center in Tampa (focusing on autism

spectrum disorders), all over a five-year period. In addition to the services noted above, these centers

provide a full array of therapy services, pediatric subspecialty clinics and other outreach activities such as

screenings and health education events.

$3,982,000 13,802 All Children's Hospital 010151600

In order to provide ambulatory, primary and preventive care services in non-inpatient settings,

Aventura Hospital and Medical Center has established physician practices through an affiliated

corporation that is part of the consolidated hospital budget. These practices may include primary care

services, multi-disciplinary practices, and multi-disciplinary surgical practices. These services are

available to the entire patient population of the community. 1,076,372.00$ Aventura Hospital and Medical Center 120375

Broward Health provides primary care clinics throughout the northern Broward County region. The sites

provide adult care, well and sick child care, prenatal care, urgent care, dental care, physical

examinations, immunizations, HIV/AIDS services, behavioral health services and pharmacy services.,

including services to the homeless. About 14% of the funding for this program is from federal grants.34,011,404.00$ 139,391 Broward Health 100129, 120405, 108219 and 100218

Primary Care physician practice services are available through an affiliated corporation that is part of the

consolidated hospital budget. These services are available to the entire patient community.700,591$ Capital Regional Medical Center 119806

This primary care center owned and operated by CMHF provides primary

care, laboratory, rehabilitation, and diagnostic imaging services. It also

operates as a walk-in clinic. The clinic opened in September 14, 2009. The

capital budget was $6,097,223, and the annual operating budget is

$1,674,504 for a 2009 total of $7,771,727. $7,771,727

Primary Care Visits = 6780

Diagnostic imaging = 4820

Lab = 10,720

Rehab patients = 350

Walk-in visits = 1200 Citrus Memorial Health Foundation (CMHF) 102199

Delray Medical Center, through an affiliated organization has worked to attract new physicians to meet

the needs of our community. The following includes physician employment arrangements: 1 Primary

Care,1 Cardiologist and 2 specialty surgeons. In addition, the facility has relocated 8 physicians to the

community including 5 internal medicine, 1 Colorectal Surgeon, 1 ENT and 1 OB GYN. 4,220,485$ Tenet Delray Medical Center, Inc. 012009000

LIP funding has enabled DeSoto Memorial Hospital to provide physician specialties in OB/Gyn, Pediatrics,

and General Surgery. We have allocated approximately $20/visit to enable our physician clinics to

provide services outside the hospital setting. We are projecting the service demands for non-inpatient

services at DeSoto Memorial will increase by at least 10% in FY11 (highly dependent upon local economic

environment, immigration regulations, and changes in Federal regulations regarding health insurance

plans).

These physicians have been able to provide newer methodologies to the Community’s ambulatory care

resources. These physicians are able to service patients referred from the hospital’s Emergency Services.

The ability to maintain patient health records through electronic access streamlines follow up activity

and reduces duplication of services. Medicaid and Charity Care represent over 25% of the non-inpatient

services provided through DeSoto Memorial. The physicians Medicaid and Charity Care patients

represent over 35% of their services provided.

100,000.00$

Estimated Medicaid and Charity

Care visits for the most recent 12

months are: OB/Gyn—1,896;

Pediatrics—2,778; General Surgery--

512 DeSoto Memorial Hospital 10-923

Attachment 2

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Loch Haven Ob/Gyn Group (Department 7780) Loch Haven OB/GYN, serving Central Florida since 1989,

offers complete women’s health care through a team of experienced physicians, all of whom are Board

Certified by the American Board of Obstetrics and Gynecology. As leaders in both routine and advanced

obstetric and gynecological services, the physicians at Loch Haven offer the most comprehensive

women’s care available.

The Loch Haven physicians specialize in normal and high-risk pregnancies and are skilled in handling

complications during pregnancy or delivery. In case an emergency arises, at least one Loch Haven

physician is on duty in Florida Hospital Orlando 24-hours a day, every day.

In addition, the physicians at Loch Haven are highly trained in advanced gynecological procedures and

minimally invasive surgeries. They specialize in treatment for a variety of gynecological conditions,

including abnormal uterine bleeding, pelvic and vaginal pain, ovarian cysts, uterine fibroids, urinary

incontinence and more.

5,931,156.00$ Florida Hospital Medicare 10-0007, Medicaid 0101290

Assistance provided to establish physician services in the community for Pediatrics, OB/GYN, Geriatrics,

and ENT$805,544

Florida Hospital Waterman, INC 101095

Good Samaritan Medical Center, through an affiliated organization, has worked to attract new

physicians to our community to meet the following community Needs by the employment of primary

care physicians and specialists including : 5 Primary Care, one OB, and 7 specialty surgeons. In addition,

the facility has recruited three physicians to the community including one Orthopedic Surgeon, one

Neurologist and one Breast Surgeon.1,143,733$ Tenet Good Samaritan, Inc. 010152400

We operate two outpatient clinics. One clinic is for adults and provides a range of family practice style

services. The 2nd clinic is for patients under the age of 18 and provides a full range of pediatric care.

These clinics are available to everyone and reduced fees or patient assistance services are available to

eligible patients. These clinics are located in low income areas.1,300,000$ Halifax Health 10-0017

During the State Fiscal Year 2009-2010, Healthmark of Walton, Inc. used Low Income Pool funding to pay

Physician Salaries and Physician Assistant Salaries in the operation of Healthmark of Walton Rural Health

Clinic. These services are available to the public through funding made possible by the Low Income Pool

program. 129,766.00$ 3036 Healthmark of Walton, Inc. 10188500

The expansion of the uninsured discount program from 60% to 62% during 2009, reduces the amount

that underinsured or uninsured outpatients would have to pay for vital health care services. With the

self insured discount program allowing testing and other healthcare services to be more affordable,

these patients will seek care sooner, resulting in more successful outcomes in a less expensive setting.2,113,000.00$

All uninsured patients in the

surrounding communities Heart of Florida Regional Medical Center 102288

The expansion of uninsured discount program from 60% to 62% during 2009, reduces the amount that

underinsured or uninsured outpatients would have to pay for vital health care services. With the self

insured discount program allowing testing and other healthcare services to be more affordable, these

patients will seek care sooner, resulting in more successful results in a less expensive setting.260,000.00$ Highlands Regional Medical Center Medicaid #100897

Jackson Health System has a network of four primary health care centers: Jefferson Reaves Senior Health

Center, Rosie Lee Wesley Health Center, North Dade Health Center, and Rafael A. Penalver Clinic; and

one HIV/AIDS specialty clinic: Prevention Education & Treatment (PET) Center.

$20,300,000 Jackson Health System

1) Heart Failure Education- started 6/09. Heart Failure education classes are held on a monthly basis for

discharged patients and Community awareness. Started in conjunction with the Heart Failure

Accreditation process based on evidenced based practice.

2) Diabetes Program-Accredited for ADA programs in 07. In 2009 expanded DSME program to additional

site at Manatee Memorial Hospital. Also provide Gestational Diabetes classes, individual DSME

counseling and support group follow up. 107,129.00$ Lakewood Ranch Medical Center 0103420-00

Indigent write-offs by providing free care to poverty stricken people in the community. Private pay

discounts and unfunded services are more then 35 million. These are given to all uninsured patients in

the community. 509,623 Lower Keys Medical Center 101192

Wound Care (started 8/09)– Practice of advanced wound care by physicians using evidence based

medicine and utilization of advanced modalities. HBO (started 8/09)– Hyperbaric oxygen therapy used

in treatment of non-healing wounds in conjunction with other advanced wound care modalities. Partial

Hospitalization Program; started 9/09; PHP is a comprehensive, short-term outpatient program that

provides support and treatment for adults facing emotional or mental difficulties, and who may have

substance abuse problems. It features coordinated, intensive treatment that is more concentrated than

traditional outpatient care. The structured format provides medical monitoring, plus therapeutic groups

and activities.

966,642.00$ 4,926 Manatee Memorial Hospital 0101168-00

Outpatient physician practices: 22 employed physicians under the name Health Care Partners with

support staff and full cost expenses 24,991,120.00$ Medical Center - Peninsula 101851

In order to provide ambulatory, primary and preventive care services in a non-inpatient settings,

Memorial Hospital Jacksonville has established physician practices through an affiliated corporation that

is part of the consolidated hospital budget. These practices may include primary care services, multi-

disciplinary practices, and multi-disciplinary surgical practices. These services are available to the entire

patient population of the community.

1,000,000$ Memorial Hospital Jacksonville 101931

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Three primary care centers, located throughout the community, including adult, pediatric, high-risk

obstetric and low-risk obstetric services. Amounts represent growth since 2006.

9,950,000.00$

51,000 new encounters + 6,300

new patients assigned to

mainstream primary care

physicians Memorial Regional Hospital 0100200-00

Morton Plant Mease Primary Care, Inc. is a part of Morton Plant's commitment to meet the total health

care needs of our community. Currently we have physicians at several locations serving Pinellas and

Pasco Counties, each of which provide comprehensive medical care, from health screening to complex

diagnostic evaluations. The services that our primary physicians provide allow patients to receive the

health care needed at the appropriate care level and setting thus reducing ER visits for non-emergent

care. 3,506,752.00$ Morton Plant Hospital Association, Inc. 101583

Morton Plant Mease Primary Care, Inc. is a part of Morton Plant NorthBay’s commitment to meet the

total health care needs of our community. Currently we have physicians at several locations serving

Pinellas and Pasco Counties, each of which provide comprehensive medical care, from health screening

to complex diagnostic evaluations. The services that our primary physicians provide allow patients to

receive the health care needed at the appropriate care level and setting thus reducing ER visits for non-

emergent care. 2,311,040.00$ Morton Plant North Bay Hospital 101508

North Shore Medical Center, through an affiliated organization, has worked to attract new physicians to

our community to meet the following community Needs by the employment and relocation of primary

care physicians and specialists including : 7 Primary Care, 2 OB, and 3 specialty surgeons, 1 Cardiologist

and 1 GI. 2,271,369.00$ North Shore Medical Center 100498

In order to provide ambulatory, primary and preventive care services in a non-inpatient settings, Orange

Park Medical Center has established physician practices through an affiliated corporation that is part of

the consolidated hospital budget. These practices may include primary care services, multi-disciplinary

practices, and multi-disciplinary surgical practices. These services are available to the entire patient

population of the community.

517,623$ Orange Park Medical Center 111741

Orlando Health (current corporate name of Orlando Regional Medical Center) operates primary care

clinics in the specialties of Internal Medicine, Obstetrics and Gynecology, and General Pediatrics.14,426,702.00$ Orlando Regional Medical Center 101338

Palmetto General Hospital, through an affiliated organization, has worked to attract new physicians to

our community to meet the following community needs by the employment of primary care physicians

and specialists including : 4 Primary Care and 2 specialty surgeons. 2,022,000.00$ Palmetto General Hospital 010460400

The community medical clinic for the last 13 years has been serving the indigent community. In the last

five years the clinic was expanded, almost tripling its capacity. This enables PMC to provide greater

access to quality healthcare to the community’s medically underserved and uninsured. Projections are

for the clinic to provide more than 15,000 visits serving over 5,000 people annually. Families who use

the clinic for care are assisted with prescription medications, dental care, applying for food stamps, and

other federal aid programs that meet basic needs. The Community Medical Clinic has 12 full-time staff.

Over the last five years we have added three physicians ( 2- family practice and 1- OB/GYN) as well as a

second ARNP. Additionally, nearly 70 PMC medical staff and physicians volunteer their time and

expertise to the health and well-being of Community Medical Clinic patients. 1,600,000.00$ Parrish Medical Center/ North Brevard County Hospital District 100102

Support Women's Center for education to uninsured

and underinsured females who are planning or expecting children. This includes a Pregnancy Hotline and

other counseling services. 35,000.00$ Peace River Regional Medical Center 10028500

UF and Shands Jacksonville Primary Care network operates 27 centers around the Jacksonville area.

Since 2006 the network has seen an 18% growth in primary care services and has added five new centers

of which 27% represent uninsured and underinsured patients. Continuation of LIP funding continues to

allow the Medical Center to support its primary care initiatives. 15,706,387$ 322,544 Shands Jacksonville Medical Center 100676

Shands Lake Shore, a statutory rural hospital, opened 2 primary care clinics in FY 2008-09 for citizens of

Columbia and the surrounding counties in addition to its ER. The primary care clinic has been successful

in diverting unnecessary ER care as seen in the service data provided. $1,003,348.00 7,817 visits Shands Lake Shore 100331

Shands Live Oak, a critical-access and statutory rural hospital, provides a primary care clinic for the

citizens ( including pediatrics)of Suwannee and the surrounding counties in addition to its ER. The

primary care clinic has been successful in diverting unnecessary ER care as seen in the service data

provided. $458,773.00 10,741 visits Shands Live Oak 101796

Shands Starke, a critical-access and statutory rural hospital, provides a primary care clinic for the citizens

( including Pediatrics) of Bradford and the surrounding counties in addition to its ER. The primary care

clinic has been successful in diverting unnecessary ER care as seen in the service data provided. $354,332.00 43,444 visits Shands at Starke 100072

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Shands UF operates or supports 3 primary care clinics in Gainesville, FL: Magnolia Park, East Side

Community Practice and the 4th Avenue Clinics. These clinics serve children and adults with physical

check-ups and immunizations; health screenings; dental exams and treatment; healthcare advice and

education; psychological check-ups and therapy; and links with community resources.

$2,796,534.00 49,582 visits Shands Teaching Hospital & Clinics, Inc. 100030

Primary care clinic for indigent residents of south Lake County and recruitment of primary care

physicians to community (OB Gyns and internal medicine) 591,687.00$ 657 clinic patients South Lake Hospital 101087

St. Anthony's Primary Care is a part of St. Anthony's commitment to meet the total health care needs of

our community. Currently we have physicians at nine locations serving central and south Pinellas

County, each of which provide comprehensive medical care, from health screening to complex diagnostic

evaluations. The services that our primary physicians provide allow patients to receive the health care

needed at the appropriate care level and setting thus reducing ER visits for non-emergent care. 2,050,000$ St. Anthony's Hospital 120227

HealthPoint Primary Care and Specialty Care is a part of St. Joseph’s Hospital’s commitment to meet the

total health care needs of our community. Currently we have physicians at several locations serving

Hillsborough County, each of which provide comprehensive medical care, from health screening to

complex diagnostic evaluations. The services that our primary physicians provide allow patients to


emergent care. 14,121,000$ St. Joseph's Hospital, Inc. 100978

Tenet St. Mary's, Inc., through an affiliated organization, has worked to attract new physicians to our

community to meet the following community Needs by the employment of primary care physicians and

specialists including : 3 Primary Care, and 11 specialist. In addition, the facility has recruited two

physicians to the community including one Maternal Fetal Medicine and one Neurologist.5,825,262$ Tenet St. Mary's, Inc. 101486

Family Medical Center services for: St. Vincent's Medical Center 100731

Self Pay 5,283$ 3,057

Medicaid 23,041$ 13,329

Medicaid HMO 211$ 121

Total 28,536$ 28,758

Our FMC clinic is designed to help provide medical care to the under-served portion of our population.

The payers listed above, along with Medicare, account for 76% of the patients served. Our services

include prenatal and OB services to young women including those without any health insurance when

they come to see us. Actual services provided for FY09-10 total $6,734,421; of which $3,865,606 is for

Self Pay and Medicaid/Mcd HMO patients.

The Rural Health Care Network is active in four counties involving primary care medicine. Physicians and

nurse practitioners work at four offices providing primary care in these rural, under-served counties.

Support services of these offices are maintained through the Department of Practice Management and

this support allows and ensures continued services in the mentioned communities. 260,000$ 80,542 Tallahassee Memorial HealthCare 0010-0135

Total Cost of providing care to under and uninsured patients at all of Tampa General's outpatient clinics.

A total of 82,779 visits were performed in FY 2009 for a cost of $ 14,487,210.14,487,210$ 82,779 Tampa General Hospital 0100994-00 and 0100994-01

Morton Plant Mease Primary Care, Inc. is a part of Morton Plant Mease's commitment to meet the total

health care needs of our community. Currently we have physicians at several locations serving Pinellas

and Pasco Counties, each of which provide comprehensive medical care, from health screening to

complex diagnostic evaluations. The services that our primary physicians provide allow patients to


emergent care. 948,198 Trustees of Mease Hospital, Inc. 120081 and 101541

West Boca Medical Center has expanded Primary Care Services to fulfill Community need and expanded

capacity to provide services through recruitment of 4 Specialty Care Physicians with an affiliated

organization. Those physician s include 1 specialist in Endocrinology and 1 specialist in Pediatric

Orthopedics. In addition the facility has relocated an OB/GYN to the area with plans to expand services

based on service area needs.664,537.00$ West Boca Medical Center Inc 12024300

Winter Haven Hospital currently contracts with the Polk Healthcare Plan (est. 1999) to provide hospital

services to the uninsured and under insured in Polk County. As part of this contract the Hospital accepts

a reimbursement rate less than the actual cost of providing services. The lower rate accepted by the

Hospital allows the Polk Healthcare Plan to redirect more funding to primary care services for the

uninsured and under insured in Polk County, thus allowing the Hospital to indirectly subsidize primary

care services.501,759$ Winter Haven Hospital 101699

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Funding provided to Brevard Health Alliance (BHA), which is a Federally Qualified Health center opened

to uninsured and underinsured residents of the community, regardless of their ability to pay. BHA

provides primary health care service offices providing on-site primary care and mobile health unit.

Wuesthoff also contributes Diagnostic Testing and Prescription Drug assistance to BHA. ALSO,

Wuesthoff has similar relationship with the Brevard County Health Department and their P.A.T.H Clinic

program.533,600$ Wuesthoff Hospital - Rockledge Medicaid # 100111 HCCCB # 100092

Total Primary Care 209,291,941$

Out reach

Screenings for torticollis and other developmental issues at a clinic in North Pinellas County

$4,160 48 All Children's Hospital 010151600

Screenings for late effects clinic for cancer survivors

$5,000 150

Collaborated with local YMCA on a wellness and exercise program for cancer survivors and children

suffering from other chronic health conditions. $6,240 208

Therapy screenings (physical, occupational, speech) for children with autism spectrum disorders

$8,000 156

Pediatric wellness program on Main Campus including individual attention and small groups.

$25,000 1,000

Therapy screenings for post-neonatal intensive care infants

$30,000 1,100

Quarterly health screenings with the Early Childhood Coalition

$100,000 58,415

Safe Kids Program - Through its membership in the Florida Suncoast Safe kids Coalition, All Children's

provides education and support to prevent the unintentional injury of children, the leading cause of

death in children in the United States.$145,500 2,000

Fit4Allkids Program - The Fit4Allkids program is a weight management and fitness program for families

that encourages children to do their personal best and reach their own goals for weight loss/weigh

management and physical activity. The program encompasses both intervention and prevention and

serves children and their families in a 17-county area.

$148,500 3,300

Through out the year, the hospital reaches out to the community by offering free screenings, health

fairs, educational programs, physician lectures on various health topics. These educational events are

available to public with no expense to those attending.107,348.00$ Aventura Hospital and Medical Center 120375

Baptist Hospital has provided "Free" health screenings to over 4,000 community residents. This includes

Heart and Stroke analysis, Body composition, speech and hearing, breast cancer risk, osteoporosis heel

scan, blood glucose testing and sleep disorder analysis.

60,000.00$ Adj to cost BAPTIST HOSPITAL 100749

Baptist Hospital has provided over 200 "Free" seminars to the community for disease risk awareness,

medication support training, Fitness, mental health, pool and beach safety and general health wellness.

10,500.00$ Adj to cost

Baptist Hospital has over 12 unique support groups to help patients with challenges faces with their

health care situation. 3,500.00$ Adj to cost

Bay Medical Center has many off-site locations that provide outpatient services regardless of ability to

pay. The amount here represents the charity portion of services provided at these locations.11,565,037.00$ BAY MEDICAL CENTER 10-006400

School based clinics provide physicals, prenatal services and immunizations for students, their families

and neighborhood residents. 4,291,228.00$ 17,587 Broward Health 100129, 120405, 108219 and 100218

Beginning in July 2009, CMHFpartners with the State of Florida Department of Children and Families,

ACCESS Florida and Trinity Health to provide an on campus assistance center for the residents of Citrus

County, Florida. The center is equipped to provide for assistance in Medicaid Eligibility, food stamps, the

Hospital Sponsored Care Program and other programs that might be available. There is staff on site to

assist in the above mentioned programs.

$40,000 1,000 Citrus Memorial Health Foundation (CMHF) 102199

Diabetes Education Program - This program provides education to community members who have

recently been diagnosed with diabetes or pre-diabetes. The program offers small group classes and

support groups directed and staffed by certified diabetes educators and a multidisciplinary team to meet

the needs of the diagnosed person. The program meets the National Standards for Diabetes Self-

Management Education endorsed by the American Diabetes Association. 58,043$ Tenet Delray Medical Center, Inc. 012009000

Outreach - Community Health Fairs and Outreach Programs

5 of 18

The facility provides various health fairs and outreach programs to our community throughout the year.

The health fairs and outreach programs include the following: Educational programs to the community

on Stroke Awareness, Trauma Prevention, Fall Prevention, Pediatric Trauma Safety, Brain and Spinal

Cord support groups and Sport injury lectures. Additionally the health screenings include: Glucose

Testing, Blood Pressure, Body Mass Index, Cholesterol, CBC's, sed rates, basic and comprehensive

metabolic profiles, hepatic function profiles, thyroid profiles and PSA.166,235$ Tenet Delray Medical Center, Inc. 012009000

AED Program (Over 30 locations in the Marathon service area. Hospital personnel maintain units and

train staff at all locations.), Lunch and Learn Program (Monthly community health education with

multiple guest speakers covering a variety of health topics. Presented at the hospital with lunch

provided.), Summer/Winter Meltdown (Competitive community team weight loss program which

includes education on nutrition, physical activity, diet, and stress relief. Ongoing monitoring of weight,

BMI, lipids, and glucose.), Smoking Cessation, Healthfairs, Harry Norris Cancer Fund, Diabetes and

Nutritional Programs and Counseling, Kair (Keys Area Interdenominational Resources which provides a

food pantry and emergency services for those in need in the Florida Keys.). These services are available

to all patients in our service area.

60,000.00$ Marathon HMA, LLC, d/b/a Fishermen's Hospital 10120600

Comprehensive Aging Assessment Center - Apopka (Department 6442) The Geriatric Assessment Clinic

provides a thorough evaluation of an older adults' health needs. As we age, our medical problems often

grow more complex. Social challenges, such as not having a ride to the doctor, may interfere with good

health. The Senior Resource Alliance, through a grant from the Community Health Improvement Council,

provides the licensed clinical social worker that is part of the geriatric assessment team. The Geriatric

Assessment Clinic is part of the Florida Hospital Family Health Center.

321.00$ Florida Hospital Medicare 10-0007, Medicaid 0101290

Parkinson Outreach Center (Department 0833) More than 1.5 million Americans live with Parkinson’s

disease. The Florida Hospital Neuroscience Institute has designed the Parkinson’s Outreach Center to

help community members battling this debilitating disease. Florida Hospital’s Parkinson’s Outreach

Center is the only center in Central Florida dedicated to improving the quality of life of people with

Parkinson’s disease and their loved ones. The center offers a variety of services including support group

meetings, an online support group, exercise and dance classes, music therapy sessions, educational

materials and clinical referrals. The Parkinson’s Outreach Center has three convenient support group

meeting locations to best serve the Central Florida community including Florida Hospital Orlando, Florida

Hospital Altamonte and the Renaissance Senior Center in East Orlando.

57,974.00$

Parent Education (Department 7920) Parent Education includes: childbirth education (including baby

care, anesthesia, breastfeeding, etc.), CPR classes, Safe Sitter, and other classes offered to the

community at Florida Hospital. All taught by certified instructors.

235,669.00$

Cuidate (Department 4671) Cuídate is a community organization focused on the unique health issues in

the East Orlando area. East Orlando has a large population of Hispanics with very high rates of chronic

illness, especially heart disease and diabetes. A large number of people in East Orlando do not have

health insurance. The East Orlando hospital emergency department is the fullest in the area, creating

extremely long waits and sometimes people are leaving without seeing a doctor.

The Cuídate staff is bilingual and available to assist with the following: 1) If you have heart disease or

diabetes, lung disease or arthritis, we will provide you with free training on how to manage your chronic

disease so you may improve your health and feel better. 2) We will help you enroll in Medicaid or Kid

Care or other forms of financial assistance for health care. Enrollment Specialists are available at various

locations throughout the East Orlando community. 3) We will help you find medical clinics and low cost

prescription medication available in the East Orlando area. Our primary goal is to promote good health

practices and link the Hispanic residents of East Orlando with valuable community resources.

223,676.00$

Cost of providing subsidized radiology and lab tests for Bunnell Free Clinic patients on voucher program;

used budget for July 2009 - June 2010 58,000.00$ Florida Hospital Flagler 101893

The Community Clinic is a service provided to uninsured patients and provides primary care and some

specialty services. Patients meeting the criteria do not pay for the services received.$229,117


The facility has started a Heart Failure Support Group in May 2010. This is a multi-disciplinary team

which will encompass nutritional and physical well-being. Good Samaritan Medical Center is also

planning to develop a weekly Diabetes Education Program commencing June 2010. On a quarterly

basis, the facility provides educational programming to the community on Living a Healthy Life, (i.e.

Triple A Screenings, Blood Sugar, Blood Pressure, Body Mass index, Cholesterol, Detection, prevention

and treatment of breast disease). In addition, the facility periodically offers on site EKG Screenings,

Body Mass index screenings, Cholesterol Screenings. The facility is also working towards Accreditation

from the NAPBC as a breast center of excellence.

153,909$ Tenet Good Samaritan, Inc. 010152400

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We have a program called Health Communities which through it's own efforts and in conjunction with

other entities serves children and families in our area. We do this by facilitating the provision of

preventative care, enhancing access to healthcare, and providing educational activities relating to

general health and welfare. 250,000$ Halifax Health 10-0017

Out reach - community education

We conducted a variety of education classes, seminars, and support groups for the community. These

education topics include cancer, stroke awareness, weight loss, diet, bariatric, urology, and parenting.

We operate a diabetes education program in which certified diabetes educators and dietitians help

people learn how to manage and live with diabetes. Education is provided through one-on-one

appointments as well as group classes. 270,000$ Halifax Health 10-0017

We support local health care centers that provide health care services to patients that are unable to

afford health care services. We perform diagnostic and other services at no charge for the Haley Center,

Park View Outreach Community Center, and the WeeCare program.185,000.00$

Uninsured and underinsured

patients in the surrounding

communities Heart of Florida Regional Medical Center 102288

Samaritan's Touch - Outpatient services for uninsured patients. Outpatient IV infusion and

antibiotics to provide continuum of care without admitting.

Health fairs including basic health screenings. 100,000.00$ Highlands Regional Medical Center Medicaid #100897

In 2009, LRMC sponsored community healthcare programs, provided services for support groups, and

community sponsorships. These services and sponsorships focused on providing quality programs that

encompass well care programs, patient and community education, and screening and referral services.

Examples of such programs include - Cholesterol/Glucose Screenings; Diabetes Classes / Support Groups;

Cancer Screenings.167,000.00$ Lakeland Regional Medical Center (LRMC) 101648

Worked with Health Department on: Breast care/mammograms, smoking/tobacco cessation classes,

facility became tobacco free campus, making strides against breast cancer, man to man prostate cancer

support group, heart walk, stroke program recognition, stroke awareness education, and participation in

various community and organization events.40,414.00$ Lakewood Ranch Medical Center 0103420-00

Represents and outreach program, where we have partnered with First Baptist Church of Leesburg to

form a not-for-profit medical clinic. The medical clinic offers primary care for uninsured adults and

children (ages 3 and up) with incomes below the federal poverty level. Due to the economic pressures,

rising charity care, decreasing Medicare/Medicaid payment rates, LIP allowed for funding of this clinic to

continue.

190,000$ 1,287

Leesburg Regional Medical Center 10-0084

Worked with Health Department on: Osteoporosis screenings, Immunizations/school-age children, teen

pregnancy. Breast care/mammograms, smoking/tobacco cessation classes, facility became tobacco free

campus, making strides against breast cancer, man to man prostate cancer support group, heart walk,

stroke program recognition, stroke awareness education, and participation in various community and

organization events.445,151.00$ Manatee Memorial Hospital 0101168-00

Martin Memorial Medical Center partners with the Volunteers in Medicine Clinic to provide

comprehensive medical care at no charge to eligible working uninsured residents of Martin county. This

clinic is staffed by over 90 volunteers including physicians, nurse practitioners, physician assistants,

nurses, medical assistants as well as administrative personnel. Martin Memorial provides lab, diagnostic,

and ancillary services at no charge to these VIM patients. Martin Memorial also covers some operating

costs and provides administrative assistance.

685,000$ Martin Memorial Medical Center Medicaid # 101184 HCCCB # 100044

Martin Memorial Medical Center also has an Obstetric home care program which provides for a nurse

free of charge to visit the home of patients who've recently given birth. The nurse will answer any

questions regarding care of both mother and baby, including bathing, feeding, sterilization techniques

and postnatal changes. 505,000$

Memorial Hospital Jacksonville participates and/or sponsors the community based health screenings and

education programs such as Take It To Heart, Baby Shower, Southern Women's Show. These programs

are offered as a community benefit to uncompensated and underinsured patients for early identification

of health care needs and education on preventive care all of which help aid in the avoidance of

emergency room care. LIP dollars received contribute to fund the cost of these programs. 148,994$ Memorial Hospital Jacksonville 101931

Community Youth Services, including prevention, early intervention, and substance abuse outpatient

services. Amount of funds represents growth in services since 2006. 582,000.00$ Memorial Regional Hospital 0100200-00

We offer many different programs to the communities between our two campuses. Including free

prostate screenings once a month, associations with the YMCA, and early detection project screening

with the county to provide digital mammography's and sonograms for uninsured residents. We also

hold periodic community health fairs offering glucose screening, cholesterol, blood pressure to gain

greater awareness. 20,000.00$ North Shore Medical Center 100498

Orange Park Medical Center participates and/or sponsors the community based health screenings and

education programs such as We Care and The Way Free Clinic, Take It To Heart These programs are

offered as a community benefit to uncompensated and underinsured patients for early identification of

health care needs and education on preventive care all of which help aid in the avoidance of emergency

room care. LIP dollars received contribute to fund the cost of these programs. 139,953$ Orange Park Medical Center 111741

7 of 18

Community Outreach, health clinics, health fairs, participation in center for abused spouses,

participation in women's pregnancy support services, monthly Diabetes support group, host of care

givers support group with hospice, stroke awareness programs, and general health education for the

community including a community newsletter. All these programs are provided at no cost to the

community and are offered to everyone in the community.85,200.00$ Pasco Regional Medical Center Medicaid Provider Number #010959200

Funding and supporting the Virginia B Andes Community Clinic providing

care for the uninsured in Port Charlotte. Includes monthly funding, the donation of two surgeries per

month and other diagnostic testing. This serves the uninsured and underinsured of the community.350,000.00$ Peace River Regional Medical Center 10028500

Sarasota Memorial provides funding to the Community AIDS Network, which offers HIV disease

management, support, case management, therapy and education to local patients. The hospital also

provides a subsidy to the Sarasota County School Nurse Program. In addition, Sarasota Memorial offers

free educational programs and support groups on topics including diabetes, heart disease and cancer, in

addition to free screenings such as blood pressure, depression and other conditions. Sarasota Memorial Hospital 101761

Shands Jacksonville Medical Center has responded to community needs by providing community based

programs and services to improve outcomes and reduce health disparities in Jacksonville’s urban core.

Through community responsive medical services and programs that are designed to meet the at risk

populations of uninsured and underinsured, Shands Jacksonville has developed outreach programs that

are directed toward, including but not limited to: Breast Health; Infant mortality; HIV/AIDs; Sickle cell;

Medication literacy; Hepatitis C; Diabetes; COPD, Hyperlipidemia and childhood obesity. Programs and

Services to address these initiatives are provided in various settings including, dedicated sites, health

fairs, churches and brown bag luncheons. LIP funding has allowed Shands Jacksonville to continue to

address these community needs.1,935,481$ 19,744 Shands Jacksonville Medical Center 100676

Examples of outreach programs and services include the Women's Advantage Program which offers

information and seminars on all aspects of women's health including exercise, nutrition, disease

management and family and work topics; the trauma prevention program where Shands hosted more

than 100 educational outreach programs to raise awareness about trauma prevention; and the award-

winning Partners in Adolescent Lifestyle Support program (PALS) which provides peer support and

therapeutic intervention for at-risk high school students while enhancing leadership skills for teens.

Outreach also includes donations to the University of Florida and Santa Fe Community College for

Physician and other professional training and support in medical services considered to be primary care

focused.

$1,370,205.00 26,912 individuals Shands Teaching Hospital & Clinics, Inc. 100030

Community health improvement activities by providing health education and lectures, including child

advocacy programs, parish nursing programs and other support and education programs to the

community. 707,000$ St. Joseph's Hospital, Inc. 100978

Mobile Health Unit

The 3 Mobile Health Units are rolling primary care offices with an exam room, small lab, pharmacy and

reception area. The MHU concentrates on at-risk twenty-four high/middle schools in Duval County, the

adult program and migrant/rural worker program. It also provides school physicals and immunizations

for children in the five county area. All of these services are provided free of charge. Actual

expenditures for FY09-10 total $2,100,835.15,508$ 15,196 St. Vincent's Medical Center 100731

Seton Center for Women

This is a service open to families throughout the community, not just those who have given birth at St.

Vincent's; however, there is a large amount that comes from our Family Medical Center. It provides

educational and healthcare resources during pregnancy and after birth to help new parents become

more comfortable in caring for their newborn. Actual expenditures for FY09-10 total $634,186.4,682$ 5,392 St. Vincent's Medical Center 100731

Costs incurred to benefit the un-insured and under-insured through outreach activities including the

Ronald McDonald Van, assistance to FQHC's, Back to School Programs, Healthy and Fit, local AOA,

prevention and education in the schools, and various other screenings and health fairs. 749,088$ 0 Tampa General Hospital 0100994-00 and 0100994-01

Includes free lectures by physicians and other health care professionals, multiple Women's health

programs, corporate and community health fairs and screenings, free flu shots, prostate cancer

screenings and skin cancer screenings. 57,511.00$ University Community Hospital-Carrollwood 10-0069

Wuesthoff provides Free Prescription Drug services to uninsured and underinsured residents through

'Free Drug Service' program with Walgreens and Wal-Mart Pharmacy's in the community

2,800$ Wuesthoff Hospital - Rockledge Medicaid # 100111 HCCCB # 100092

Total Outreach 26,798,944$

Dialysis

The Dialysis department provides life-sustaining hemodialysis and peritoneal treatments to patients with

End Stage Renal Disease. The department also provides a 24-hour per day nursing call coverage to triage

patients issues and avoid unnecessary hospitalizations.$477,000 1,331 All Children's Hospital 010151600

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We provide outpatient dialysis services to patients that are denied services by local companies. We are

not reimbursed for these services. 27,504.00$ BAY MEDICAL CENTER 10-006400

This is dialysis provided for indigent patients in our community in need of assistance. 342,368$ Florida Hospital DeLand 101877

Outpatient dialysis for patients that Outpatient Dialysis centers turn away. 98,634$ Indian River Memorial Hospital 010104400

Adult dialysis services for patients unable to access community dialysis centers. 1,408,123.00$ Memorial Regional Hospital 0100200-00

Shands Jacksonville currently operates a 40 chair Outpatient Dialysis Center and supports peritoneal

dialysis in the home setting. Cost of these services have increased by 23% since 2006 and LIP funding has

allowed the Medical Center to continue to provide these services largely to the uninsured and

underinsured. 3,621,524$ 359 Shands Jacksonville Medical Center 100676

Shands operates a 24 chair Outpatient Dialysis Center and supports peritoneal dialysis in the home

setting. These services have been successful in managing to avoid more severe acute or chronic dialysis

as seen in the service data provided. $2,632,963.00 150 individuals Shands Teaching Hospital & Clinics, Inc. 100030

Provide dialysis services for discharged inpatients unable to receive care through outpatient centers

without payment 95,000.00$ South Lake Hospital 101087

Tenet St. Mary's, inc has been providing Dialysis Services to the community of Palm Beach County and

beyond for over 30 years. We provide Outpatient Dialysis to Adults beginning at age 18. Range of

services includes (1) Hemodialysis treatments at our Outpatient Clinic six days a week Monday through

Saturday, and (2) Home Peritoneal Dialysis training and support for in-home patient treatments. The

location of the facility and range of services pre-dispose the Medical Center to attract patients of a lower

social-economic status, disproportionate share of uninsured, and under-insured patients

3,138,765$ Tenet St. Mary's, Inc. 101486

Our commitment to furnishing patient care regardless of ability to pay is in evidence by the above

related non-emergent services provided to patients. Actual services provided for FY09-10 for Self Pay,

Medicaid/Mcd HMO total $10,205. 6,349,487$ 359 St. Vincent's Medical Center 100731

Patients that are underinsured or uninsured and have entire stays at Tampa General for Dialysis are

summarized in this category for FY 2009. Tampa General does not have an outpatient dialysis program

so all patients who receive dialysis are considered inpatient. Thus, these services while usually

ambulatory are classified as inpatient. 7,307,122$ 2,114 Tampa General Hospital 0100994-00 and 0100994-01

Wuesthoff often provides Free Dialysis services to uninsured and underinsured residents within the

community in arrangement with local Care Centers 1,500$ Wuesthoff Hospital - Rockledge Medicaid # 100111 HCCCB # 100092

Total Dialysis 25,499,990$

ER diversion programs

Provide support for the Escambia Community Clinic to provide care to area residents who would utilize

the Hospital Emergency Room. 525,000.00$ Actual Support BAPTIST HOSPITAL 100749

Express Emergency Care was developed to meet the growing need of underinsured, charity, and

uninsured patients who are unable to access primary care for low level acute emergency and urgent care

and to reduce the burden on main Emergency Rooms.1,540,000$ Brandon Regional 118079

During the State Fiscal Year 2009-2010, Healthmark of Walton, Inc.used Low Income Pool funding to pay

Registered Nurse Salaries and Medical Supplies used to provide Outpatient Nursing Services such as IV

Therapy, Wound Treatment and Whirlpool Bath treatments. These services are available to the public

through funding made possible by the Low Income Pool program.

39,290.00$ 132 Healthmark of Walton, Inc. 10188500

We have established an urgent care center to provide convenient access and a much more affordable

option to hospital emergency room treatment for our community. Through the urgent care center, we

provide low cost physical examinations to community high school students and participate in wellness

events in which we provide free health screenings and low cost testing. We have also expanded our fast

track program adjacent to the hospital emergency department to efficiently treat minor injuries and

illnesses in a much more affordable and convenient setting. These services are available to all patients

that we serve in the community.

840,000.00$ All patients in the community Heart of Florida Regional Medical Center 102288

Opened two urgent care clinics in 2010 to help divert patients from ED. 2,452,608$ Indian River Memorial Hospital 010104400

Provide support for the Santa Rosa Community Clinic to provide care to area residents who would utilize

the Hospital Emergency Room. 50,000$ JAY HOSPITAL 101737

In addition to adult and pediatric emergency care, LRMC provides a walk-in center for those patients in

need of primary care under non-emergent conditions. Providing this service is less costly that utilizing

the main Emergency Department. Services are provided 15 hours per day 365 days per year. Begun

prior to June 2007. 882,639.00$ Lakeland Regional Medical Center (LRMC) 101648

Martin Memorial Medical Center has established an Emergency department fast track process that

allows for quicker treatment of patients with urgent conditions and allows for improved flow of patients

through the emergency department. This process can reduce the length of the patient's stay and

increase patient satisfaction. 344,000$ Martin Memorial Medical Center Medicaid # 101184 HCCCB # 100044



and to reduce the burden on main Emergency Rooms. 405,442$ Memorial Hospital Jacksonville 101931

HITS program (Health Intervention with Targeted Services). Teams canvas targeted neighborhoods to

identify individuals eligible for either Medicaid or our Primary Care Centers. Targets are selected

considering Emergency Room demographics. 382,000.00$ Memorial Regional Hospital 0100200-00

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Morton Plant Mease Immediate Care Center Walsingham established to serve patients without regard to

the ability to pay with the intent to reduce ER visits for non-emergent care. 223,000.00$ Morton Plant Hospital Association, Inc. 101583

Emergency Room Medical Assistance Program is a program that assist non- insured ER patients in

establishishing medical coverage. With coverage identified, the previously uninsured patient could

establish a medical home and obtain future health screenings and preventative care. 314,025$

Turley Family Health Center, which is the home of the Morton Plant Mease Family Medicine Residency

Program, offer preventative medicine, well care, health screenings, diagnostic, and lab services. 1,956,860.00$

Emergency Room Medical Assistance Program is a program that assists non- insured ER patients in

establishing coverage. With coverage identified, the previously uninsured patient could establish a

medical home and obtain future health screenings and preventative care.50,649$ Morton Plant North Bay Hospital 101508



and to reduce the burden on main Emergency Rooms. 514,540$ Orange Park Medical Center 111741

Palmetto General Hospital maintains a Right Care Right Place program in our Emergency Department

where patients are evaluated to ensure they meet ER criteria. If not, patients are referred to the

appropriate physicians or public health clinics. PGH also provides the community with materials that

include community resources available in the area.200,000.00$ Palmetto General Hospital 010460400

Sarasota Memorial has opened a network of Walk-in Medical Centers to help keep patients with urgent

health conditions out of the Emergency Room. The hospital also offers a variety of outpatient

preventive/disease management programs, providing patients with chronic health conditions --

particularly the uninsured and Medicaid enrollees -- a cost-effective, high-quality alternative to the

hospital and ER. These programs include a Heart Failure Treatment Center, Cardiac Disease Assessment

Center, Day Treatment Center, Outpatient Wound Care Clinic and a full array of outpatient behavioral

health services.Sarasota Memorial Hospital 101761

Emergency Room Medical Assistance Program is a program that assists non- insured ER patients in


medical home and obtain future health screenings and preventative care.81,039$ South Florida Baptist Hospital, Inc. 100986



establish a medical home and obtain future health screenings and preventative care. 136,000$ St. Anthony's Hospital 120227

SCRMC has opened up an urgent care on the east side of St. Cloud during the current LIP year. This clinic

will be available to the entire population and will be a means of providing care in a more cost efficient

setting than the ER. This will allow all individuals to seek healthcare more timely in a less expensive

setting. 142,451 St. Cloud Regional Medical Center 103462

1. Clinic open to serve patients without regard to the ability to pay with the intent to reduce ER visits

for non-emergent care. Two primary care sites that provide increased access to primary care and

specialty services to patients who could not otherwise afford health care.

5,350,000$ St. Joseph's Hospital, Inc. 100978

2. Emergency Room Medical Assistance Program is a program that assists non- insured ER patients in


medical home and obtain future health screenings and preventative care.344,414$

Urgent Care Center open on January 18, 2008 with expanded hours of 11am to 11pm Monday through

Friday. A call-ahead service is provided so patients can speak to someone, explain their symptoms and

be informed of an approximate wait time for the Urgent Care Center. This call-ahead service will allow

most patients to be diagnosed, treated and back home in less than 90 minutes. If the patient calls and

the Urgent Care Center representatives believe the callers’ symptoms are more serious, they will be

directed to the Emergency Center. 198,000$ 26,536 Tallahassee Memorial HealthCare 0010-0135

Many ER Cases that are handled at the lower levels of intensity for the underinsured or uninsured are

for basic primary care and are summarized at estimated cost here for FY 2009. This summary excludes

HCHCP which is detailed below. 5,802,633$ 27,388 Tampa General Hospital 0100994-00 and 0100994-01



establish a medical home and obtain future health screenings and preventative care. 253,246$ Trustees of Mease Hospital, Inc. 120081 and 101541

Winter Haven Hospital has partnered with several local services including Haley Center and We Care to

provide free preventive care to the community. In partnership with Haley center (established in 2005),

the hospital provides free lab, x-ray and pulmonary function testing for the patients and with our

partnership with We Care (established in 1998) ; the hospital provides specialty medical care for low

income, uninsured residents.

399,731$ Winter Haven Hospital 101699

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Wuesthoff often provides Free transportation services for uninsured and underinsured patients

associated with PATH Clinic, BHA, and other outreach programs. 221,000$ Wuesthoff Hospital - Rockledge Medicaid # 100111 HCCCB # 100092

Total ER Diversion 23648567

Other

Program D/Newborn Hearing Screening

The Newborn Hearing Screening and follow-up program provides for Auditory Brainstem Response

testing with sedation if clinically indicated. This testing is done on an outpatient basis and is in

furtherance of the State of Florida goal to identify hearing loss in infants by 3 months of age.$174,000 607 All Children's Hospital 010151600

Program E/Telephone Triage Program

All Children's Hospital maintains an after-hours pediatric telephone triage program. Trained pediatric

nurses respond to over 30,000 telephone calls annually, answering questions and advising parents of

appropriate treatment options. $756,000 35,938 All Children's Hospital 010151600

Plantation Clinic - specializes in providing services for eye diseases and disorders including glaucoma,

cataracts and diabetic retinopathy. This is a specialty clinic and provides these services to all patients

including indigent. $1,886,380 12,064 Anne Bates Leach Eye Hospital 116483

High School Sport Physical Exams

During 2009-10, Baptist has provided 2,130 sport physicals in the community at no charge to the

students or family. The visits were spread in Gulf Breeze 902, Navarre 376 and Pensacola 861. In

addition incoming Freshman in Pensacola approx 800 physicals. Approximately 900 Heart Echo's were

completed at no charge to patient or family.

65,000.00$ BAPTIST HOSPITAL 100749

BMP- URGENT CARE CENTER

Satellite offsite Facility for top-quality urgent care—closer to where you live and work. At every Satellite,

you’ll find highly skilled, compassionate doctors, nurses and technologists. The urgent care center

provides treatment for minor ailments with expertise and efficiency.2,126,358.00$ 12,357.00 BAPTIST HOSPITAL OF MIAMI 100358

BMP- WESTCHESTER URGENT CARE CENTER




BMP WEST KENDALL-URGENT CARE CENTER




COUNTRY WALK URGENT CARE CENTER




WEST TAMIAMI URGENT CARE CTR




DIABETES CARE CENTER

Baptist Hospital's Diabetes Care Center provides free blood sugar screenings by appointment. The center

also offers dietary and nursing education, support counseling, exercise specialists and experts in external

insulin pump therapy. 1,133,333.00$ 32,344.00 BAPTIST HOSPITAL OF MIAMI 100358

Program A

Bay Medical Center provides a wide variety of community health service that receive no reimbursement:

Health education prevention and programs, community involvement, support groups, pharmacy

indigent programs, support of other not-for-profit agencies, health screenings, and clinical and

nutritional education. 1,398,592.00$ BAY MEDICAL CENTER 10-006400

Program B

Bay Medical Center has employed physicians that provide approx 25% of their care to Medicaid and Self

Pay patients. 1,214,049.00$ BAY MEDICAL CENTER 10-006400

Non IP programs / Services

11 of 18

The Hospital provides the following non-inpatient ambulatory and preventive care services to

uncompensated and underinsured patients. Access to these programs helps serve as alternatives to

emergency room and inpatient treatment. LIP dollars received contribute to fund the cost of these

programs and services. Services include Cardiac

Rehab, Cyberknife, Dialysis, Endoscopy, Imaging, Lab, Monitoring, Non-Urgent Care, Observation, OP

Cardiology(Diagnostic and Monitoring), OP Surgery, Orthopedics, Respiratory Therapy, and Women's

Services. 4,427,000$ Brandon Regional 118079

Other Community Programs

The Hospital offers the following community based health screenings and education programs. These

programs are offered as a community benefit to uncompensated and underinsured patients for early

identification of health care needs and education on preventive care all of which help aid in the

avoidance of emergency room care. LIP dollars received contribute to fund the cost of these programs. 89,000$ Brandon Regional 118079

Care Coordination

Facility staff is available to provide information and education to the underinsured, charity, and

uninsured patient population on available community resources, appropriate site of care, and social

needs. Assistance is also provided to these patients in qualifying and enrolling in various local, state and

federal medical assistance programs.692,000$ Brandon Regional 118079

Physician Services

Broward Health provides physician services throughout the northern Broward County region. The sites

provide primary care services as well as specialist to the community. These services include but are not

limited to primary care, cardiology, orthopedics, behavioral health, pediatrics, neurosurgery,

endocrinology and oncology.

42,830,016.00$ 223,073 Broward Health 100129, 120405, 108219 and 100218

Wound Care Services

To provide wound care services to outpatients to help heal open wounds. 2,015,390.00$ 7,763 Broward Health 100129, 120405, 108219 and 100218

Community Programs




avoidance of emergency room care. LIP dollars received contribute to fund the cost of these programs. 25,000$ Central Florida Regional 101788

Care Coordination




federal medical assistance programs.410,000$ Central Florida Regional 101788

OP Wound Care & Hyperbaric Center

This is out-patient clinic that specializes in treating slow- and non-healing

wounds. Care is provided by a team of board-certified physicians,

certified wound ostomy nurses and certified hyperbaric technologist that

work closely with the patient and their personal physician. The type of

wounds treated are surgical wounds, pressure ulcers, skin tears, grafts,

or flaps, radiation damage, lower leg or foot wounds, and ostomies. $1,100,000 11,000 Citrus Memorial Health Foundation (CMHF) 102199

Primary Care Physician Recruitment & Support

During the period December 2009 - May 2010, CMHF recruited 3 primary care physicians to the

community at a cost of $100,000 per physician. In addition two orthopedic surgeons and one general

surgeon and three ARNP’s were brought into the community.

$300,000 36,000 Citrus Memorial Health Foundation (CMHF) 102199

Outpatient Diagnostic and Therapeutic Services

Outpatient Diagnostic and Therapeutic Services are provided to uninsured, charity and underinsured

patients in order to meet their healthcare needs. These services are provided by various hospital

ancillary departments. 1,169,617.00$ Columbia Hospital 120308

Care Coordination


uninsured patient population on available community resources, appropriate site care, and social needs.

Assistance is also provided to these pateints in qualifying and enrolling in various local, state and federal

medical assistance programs.505,959.00$ Columbia Hospital 120308


12 of 18




programs and services. Services include Company

Care, Drug Therapy, Imaging, Lab, Mammography, Non-Urgent care, Observation, Oncology, OP

Cardiology(Diagnostic and Monitoring), OP Rehab, OP Surgery, Pain Management, Psych Isolation,

Respiratory Therapy, Vascular, and Women's Services.903,413$ Community 105520





programs and services. Services include Company

Care, Drug Therapy, Endoscopy, Imaging, Lab, Mammography, Non-Urgent Care, Observation, OP Rehab,

OP Surgery, Respiratory Therapy, Sleep Studies, and Wound Care.270,221$ Ed White 102598

Program A

Outpatient Subsidized Care. We have expanded our uninsured discount program in 2009 increasing the

discount from 60% to 62% reducing the amount that the uninsured and/or underinsured outpatients

have to pay for their health care services. Offering discounted outpatient health care services

encourages these patients to seek necessary health care sooner and in a less expensive setting. These

services are available to all patients in our service area. 200,000.00$ Marathon HMA, LLC, d/b/a Fishermen's Hospital 10120600

Kid's House (Department 1754) - Kid's House of Seminole, Inc. Kids House takes a team approach in

dealing with child abuse. This allows for all involved agencies and victims to come together at one single

facility, working together on a complete investigation including case history, sharing information and

ideas, carrying through to assist with prosecution and then determining the best course to provide

mental health treatment and medical follow-up for the child and family.

Kids House is privileged to be staffed with the best and brightest individuals. Thier compassion and

dedication is apparent in everything they do. Through a partnership with Florida Hospital, Kids House

provides a Physician Assistant and an Advanced Registered Nurse Practitioner that conducts forensic

medical exams. Kids House is also the home of the Seminole County Child Protection Team, staffed with

Case Coordinators who are specially trained in interviewing children about their abuse. Additionally, on

staff is the Executive Director, Operations Coordinator, Child Advocate Crisis Intervention Specialists,

Mental Health Therapists, Child Advocate Training Coordinator, Development/ Volunteer Coordinator,

Accountant/Grant Coordinator, student interns, and community volunteers.

-$ Florida Hospital 101290

Heart Failure Clinic (Department 7264) The Heart Failure Clinic (HFC) was established in March 2006 by

the Florida Hospital Cardiovascular Institute to provide underserved patients with access to specialty

care for chronic heart failure management. Serving metropolitan Orlando’s 1.8 million residents, the HFC

provides free office visits, medications, diagnostic testing and social services until patients are connected

with community resources. The HFC has provided 2,097 patient visits since opening.

According to Workforce Central Florida, 7.7 percent of the area’s population is unemployed. That

translates into many people without insurance, and that number is growing. The trend is being felt at

the Heart Failure Clinic where in just the last year, the number of patients they serve has grown by more

than 250 percent. Clinic nurse practitioners say it is vital to have regular medical checkups for those who

have cardiovascular disease.

“We treat patients at the Heart Failure Clinic so they don’t go back into the hospital and can actually

improve their health and quality of life,” said Cindi Hayes, Cardiology Nurse Practitioner.

The Heart Failure Clinic serves patients with cardiovascular disease who have no insurance or are a non-

HMO Medicaid recipient. The clinic is open Monday through Friday from 8 a.m. to 4 p.m.

3,700.00$ Florida Hospital 101290

Community Indigent Care Services

From time to time there are patients who receive additional care whose costs are provided by the

hospital due to their inability to pay for critical services. Many times this could mean plancement in

assisted llving facilities, home care services, outpatient medications, dialysis, transportation, and/or

medical supplies. 53,895.00$ Florida Hospital Fish Memorial 101826

Out reach - Community Clinic

The Community Clinic is a service provided to uninsured patients and provides primary care and some

specialty services. Patients meeting the criteria do not pay for the services received.$229,117


Program: Patient Transport

Services are provided to assist in transport of patients needing medical services. $205,967 Florida Hospital Waterman, INC 101095

13 of 18

Program: Medical Equipment and Supply

Provides access to patients and the community for needed medical equipment and supplies. $716,345 Florida Hospital Waterman, INC 101095

Clinics

Diagnostic services are provided to indigent patients seen at local and county health clinics. LIP dollars

received contribute to the funding of these services. 54,000.00$ Fort Walton Beach Medical Center 111325

Care Coordination




federal medical assistance programs.442,000.00$ Fort Walton Beach Medical Center 111325

Program A - outpatient pharmacy

We operate an outpatient pharmacy clinic which provides prescription drugs to low income patients.1,800,000.00$ Halifax Health 10-0017

Program E - infusion therapy

We have a program to treat patients who are in need of IV antibiotics. These patients only need IV

antibiotics. They don't have home health benefits and rather than admitting these patients, they are

treated at our hospital on an outpatient basis. 696,000.00$ Halifax Health 10-0017

Program F - radiology charity

We have a program that pays the radiology professional fees for low income patients who meet the

eligibility requirements. 50,000.00$ Halifax Health 10-0017

School Nurse

To improve the health of our younger residents, we provide registered nurses (RN) to area primary,

middle and high schools in our district. The presence of a RN provides expanded health capability within

the schools increasing school attendance by keeping students in school and allowing low income

students an opportunity for some healthcare. The RN in the school is the only healthcare professional

available to many students as they are unable to afford traditional healthcare. The RN provides valuable

education and other services highly valued by the students and school district. While this program has

been in existence for several years, it has been cut in recent years due to decreased funding. For

instance, in 2007 when our LIP was double the current allocation, we served 33 schools versus the 17

now in the program. 750,000.00$ Health Central 100030

Indigent Clinic - Diagnostic Support

In support of a local chain of indigent health clinics, the hospital provides lab and radiology services to

clinic patients to support the diagnostic and treatment plans of the volunteer physicians. Our support of

the program started at a modest level in 2000. The forgone charges with this program in 2010 are nearly

$400,000 a year. 100,000.00$ Health Central 100030

Community Health Center - Mammography Screening

The hospital partnered with the local Community Health Centers, Inc. , a local Federally Qualified Health

Center, to provide screening and diagnostic mammography services along with non- ob-gyn ultrasounds

to an indigent patient population previously unable to access these services. The program started in

2009 and projects to serve 500 patients annually. The forgone charges associated with this program are

$200,000. 50,000.00$ Health Central 100030

Community Navigator

In 2007, we joined with Orange County to support a community patient navigator located within our

facility whose purpose is to assist indigent patients and families with accessing community support and

outpatient healthcare clinics. This program connects these individuals with community resources

improving their health outcomes by quickly connecting their needs with solutions. 28,200.00$ Health Central 100030

Program B

Wound Healing Institute-treatment of wounds utilizing oxyegen therapy as well as debridement,

nutrition assessment and counseling, education about wound prevention, wound and culture biopsies,

antibiotic management and compression therapy.

355,856.00$ Helen Ellis Memorial Hospital 10-0055

URGENT CARE CENTER

14 of 18



provides treatment for minor ailments with expertise and efficiency.1,060,845.00$ 2,927.00 HOMESTEAD HOSPITAL 102261




ancillary departments. 842,713.00$ Kendall Regional Medical Center 120138

Care Coordination




medical assistance programs.441,405.77$ Kendall Regional Medical Center 120138

Post Discharge Care

To facilitate the safe discharge of uninsured, charity and underinsured patients, the costs are incurrred

for follow-up medical services. These services include a variety of services such as home health visits,

dialysis, infusion serices, drugs, etc.. 15,849.00$ Kendall Regional Medical Center 120138

Program B - Outpatient Pharmacy

In 2009 , LRMC opened an outpatient pharmacy to dispense take-home medications to patients being

discharged from the hospital. The pharmacy dispenses medications to indigent patients to assure that

the most vulnerable populations have medications needed to continue their treatment and avoid

readmission. 1,532,984.00$ Lakeland Regional Medical Center (LRMC) 101648

Program C - Outpatient Rehabilitation

In 2009, LRMC opened an off-campus outpatient rehabilitation facility to provide patients, regardless of

their ability to pay, with rehabilitative services targeted to improving their disease state. Previously,

such services were not readily available to the uninsured patients in the community.854,568.00$ Lakeland Regional Medical Center (LRMC) 101648

Wellness Center

The Wellness Center offers a variety of fitness, wellness and therapeutic programs. Programs include

exercise and fitness training, nutrition, personal training, group exercise classes, aquatics, massage

therapy, and a workplace wellness program. Due to the economic pressures, rising charity care,

decreasing Medicare/Medicaid payment rates, LIP allowed for funding of this clinic to continue.80,000.00$ 1,293.00 Leesburg Regional Medical Center 10-0084


Orange Park Medical Center provides the following non-inpatient ambulatory and preventive care

services to uncompensated and underinsured patients. Access to these programs helps serve as

alternatives to emergency room and inpatient treatment. LIP dollars received contribute to fund the

cost of these programs and services. Services include

Cardiac Rehab, Dialysis, Endoscopy, Imaging, Lab, Monitoring, Non-Urgent Care, Observation, OP

Cardiology(Diagnostic and Monitoring), OP Surgery, Orthopedics, Respiratory Therapy, and Women's

Services.

2,208,150.31$ Orange Park Medical Center 111741

Care Coordination




federal medical assistance programs.35,291.00$ Orange Park Medical Center 111741

Program A

Orlando Health fund 50% of the costs of the primary care clinics operated by Orange County, Florida

pursuant to a Comprehensive Medical Services Agreement. The Clinics provide primary care services to

eligible low income patients and also pays for necessary diagnostic and therapeutic procedures and

specialist physician care. 5,012,000.00$ Orlando Regional Medical Center 101338

Diabetic Services

Diabetic Services - Palmetto's Diabetes Education Center is designed to help persons with

diabetes learn about their condition, live as healthfully as possible and prevent complications.

32,500.00$ 131.00 Palmetto General Hospital 010460400

Community Support -Homeless Coalition and St. Vincent

Provide free health Care and monetary support for various other community

activities aimed at providing screening and health care to underinsured. 150,000.00$ Peace River Regional Medical Center 10028500

Pediatric Dental Program

A program run with Dr. Lauren Governale and the University of Florida to provide high quality dental

care and surgery to underpriviledged children of Collier County. 200,000.00$ Physicians Regional Healthcare System 10314400

PLAN - Physician Led Access Network

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PLAN is a community-based referral program to provide access to quality healthcare for all low-income

and unisured adult residents of Collier County. PLAN coordinates the delivery of medical care including

consultations, procedures, surgeries, and lab servcies.120,000.00$ Physicians Regional Healthcare System 10314400

Collier Health Services

Primary care outpatient facility to provide medical and dental services to meet the needs of the

underserved children and adults in Collier County. 104,000.00$ Physicians Regional Healthcare System 10314400

Post Discharge Infusion Follow-Up

Following an inpatient stay we provide low income and uninsured patients with continued infusion

services done in an outpatient setting. 20,000.00$ Physicians Regional Healthcare System 10314400





ancillary departments. 165,259 Raulerson Hospital 119750

Prescriptions for the Poor

Free prescriptions are provided to patients of Escambia Community clinics 81,000.00$ Sacred Heart Hospital of Pensacola 10-0025 / 010076500

Sarasota Community Medical Clinic

Sarasota Memorial operates a Community Medical Clinic, which offers a wide range of free disease

management and specialty services to uninsured/underinsured residents "beyond the hospital's walls."

The clinic is an integral part of SMH's coordinated care for the uninsured, complementing additional

outpatient services provided throughout the health system to low-income individuals and families.

Sarasota Memorial Hospital 101761

Clinic net funding 407,650$

Outpatient charity services provided to Clinic patients at no cost 8,597,331$

Other free outpatient services provided to patients

As the safety-net provider for the region, Sarasota Memorial delivers comprehensive outpatient services

to non-clinic charity patients, regardless of their ability to pay. Sarasota Memorial Hospital 101761

Other outpatient services provided to patients at no cost 3,578,284$

*Amount of funds budgeted

reflect SMH fiscal year 2009

unless otherwise indicated

(Free inpatient services provided to patients)

In addition to services above, SMH also provides substantial inpatient charity care. Sarasota Memorial Hospital 101761

Inpatient services provided to Community Clinic patients at no cost 3,722,863.00$

Other charity inpatient services provided to patients at no cost 2,716,178.00$

Research Support for Primary Care Initiatives

Amounts reflected in this section represent contributions to the University of Florida for research in

programs with a primary care focus. As a private, not-for-profit organization adhering to state statutes,

Shands is responsible for providing support to the UF Health Science Center and other universities and

community colleges for educational and research activities that benefit residents throughout the state.

Many physicians and researchers at the UF Health Science Center are regarded as national pioneers in

researching new treatments and therapies in a variety of medical disciplines. Support for disciplines and

clincial trials with a primary care focus included in this section include: Epidemiology, Aging, Diabetes and

Pediatrics.

$1,886,632.00 not applicable Shands Teaching Hospital & Clinics, Inc. 100030

Other Community Programs




avoidance of emergency room care. LIP dollars received contribute to fund the cost of these programs. 30,000$ South Bay 119946

Community Based Clinical Services

Clinical services providing preventative screenings and flu shots to the Community 50,000$ South Florida Baptist Hospital, Inc. 100986

Subsidized Health Services

Subsidized Health Care Services and medications provided post hospital stay to underinsured and

uninsured patients 35,600$ South Florida Baptist Hospital, Inc. 100986

URGENT CARE CENTERS



provides treatment for minor ailments with expertise and efficiency.1,603,585.00$ 1,108.00 SOUTH MIAMI HOSPITAL 100154 Medicaid #: 100587

Care Coordination

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federal medical assistance programs.273,000$ St Petersburg General 120103

Subsidized Health Services

Subsidized Health Care Services and medications provided post hospital stay to underinsured and

uninsured patients 1,867,000$ St. Joseph's Hospital, Inc. 100978

Free Clinic Services

A Community based free clinic the Hospital and other area health care providers support. The health

system provides diagnostic and lab related services 370,000$ St. Joseph's Hospital, Inc. 100978

Trauma Outpatient Clinic Follow-Up

The Facility operates a fully staff Trauma Outpatient Clinic to provide continuation-of-care to post-

discharged patients that are primarily uninsured, and/or underinsured. This clinic dirvert patient flow

from our emergency room services and avoid patient overflows. 836,191$ Tenet St. Mary's, Inc. 101486

GME Costs

Total GME costs are accumulated per the cost report for FY 2009 and include direct education costs and

overhead costs. These costs primarily assure staffing in the ER and primary care clinics that in turn

makes it possible for the uninsured and under-insured to receive primary care-like services in the ER.10,486,412$ - Tampa General Hospital

Transplant and Dialysis (SWAT)s

TGH pays for medications needed by patients that are uninsured or under-insured and are transplant or

dialysis patients under the SWAT program that stands for "Safe ways for alternative treatment."338,458$ 440 Tampa General Hospital

Community Based Clinical Services

Mease Hospitals support a variety of community based health programs including health screenings and

resource centers. 251,000$ Trustees of Mease Hospital, Inc. 120081 and 101541

Clinics


received contribute to the funding of these services. 34,000$ Twin Cities Hospital 101257




ancillary departments. 364,774$ University Hospital and Medical Center 112801

Care Coordination




medical assistance programs.129,246$ University Hospital and Medical Center 112801

Sports Medicine

The Sports Medicine Clinic provides outpatient services to patients that suffer from orthopedic injuries.

The clinic serves both insured patients as well as Medicaid and uninsured patients.1,273,132$ 4,954 University of Miami Hospital 100366

Program A

Deerfield Beach Clinic - provides cancer related services including consulatations, chemotherapy

infusion, laboratory and pharmacy and access to clinical trials. These services are provided to all patients

including indigent 73,689 24,896 University of Miami Hospital & Clinics 100471

Program B

Kendall Clinic - provides cancer related services including consulatations, chemotherapy infusion,

laboratory and pharmacy and access to clinical trials. These services are provided to all patients

including indigent 3,472,179$ 8,772 University of Miami Hospital & Clinics 100471

Clinics


received contribute to the funding of these services. 30,000$ West Florida Hospital 113212

Program C: Free Screenings

Early detection is the key to preventing illnesses from becoming fatal. Wuesthoff offers many free

screening opportunities to area residents through health care events, such as the Men’s Health Summit,

a Women’s Night Out, and Mother’s Day Tea, which educate women on health issues. 7,000$ Wuesthoff Hospital - Rockledge Medicaid # 100111 HCCCB # 100092

School Connect

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In response to the lack of available care, The Children’s Trust, Miami-Dade Public Schools, Miami-Dade

County Health Department and ten partners (PHT + other providers) established HealthConnect in Our

Schools. The program was launched in 2006 and is now in 132 schools; 16 school based health clinics are

managed by JHS. The health teams comprised of a .5 nurse, .5 social worker and a PCAs at each school,

which provides services to meet children’s immediate school health needs and help connect them to a

medical home for ongoing medical care and community services.

Benefits of HealthConnect In Our Schools:

A coordinated level of school-based healthcare

Expanded health screenings and assessments with access to follow-up care

Emergency first aid/CPR

Chronic disease management

Mental and behavioral health services to identify and solve students' health and educational issues

Nutrition and health counseling

$1,300,000 2,070 visits Jackson Health System

Homeless Shelter

Both the South Dade and Miami Hope Homeless Assistance Centers have Jackson operated clinics within

the homelss center, which is operated by the Community partnership for the Homeless. We provide

primary care only to the clients that are staying in the shelter complex. Each clinic is staffed by a family

practice ARNP that treats both adults and children. Miami Hope is grant funded; South Dade Homeless

Center is currently funded by Jackson Memorial Hospital. We see approximately 550 clients monthly

and refer to JMH Ambulatory Care Clinics for specialty care. $200,000 5,569 visits Jackson Health System

Total Other 138,404,880$

Grand Total 423,644,322.00$

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