Value-Based Purchasing Oct Sept. 2013

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1 Medicare Quality Bonuses And Penalties Year 3 Medicare has three payment incentive programs for hospitals that are part of an effort to make them accountable on quality. One gives bonuses and penalties to hospitals based on how well they performed on 26 quality measures. That program is called Value Based. The second penalizes hospitals that have too many patients readmitted within a month. Both programs are in their third year. A new program reduces payment to hospitals with high rates of infections and other patient injuries, known as hospital- acquired conditions. This chart shows the payment adjustments for each program for each hospital this year, as well as the adjustments for the first two years of the valuebased purchasing program. Certain specialty hospitals with special payment arrangements with Medicare, including all hospitals in Maryland and critical access hospitals in isolated areas, are also exempt. This chart only includes hospitals that are currently registered with the Medicare program. The financial adjustments are applied to payments for every hospital stay of a Medicare patient from October 2014 through September Data source: U.S. Centers for Medicare & Medicaid Services Oct Sept Oct Sept Readmissions Penalty Oct Sept Provider ID Hospital City State Anne Bates Leach Eye Hospital Miami FL N/A N/A N/A 0.00% N Aventura Hospital And Medical Center Aventura FL 0.12% 0.09% 0.46% -1.13% N Baptist Hospital Pensacola FL 0.25% -0.09% 0.08% -0.06% N Baptist Hospital Of Miami Inc Miami FL 0.59% 0.52% 0.06% -0.23% Y Baptist Medical Center Jacksonville FL -0.18% -0.34% -0.27% -0.02% N Baptist Medical Center - Nassau Fernandina Beach FL 0.09% -0.05% -0.10% 0.00% N Baptist Medical Center Beaches Jacksonville Beach FL -0.06% 0.10% 0.04% -0.68% N Bartow Regional Medical Center Bartow FL -0.07% -0.07% -0.30% -0.27% N Bay Medical Center Sacred Heart Health System Panama City FL 0.02% 0.20% -0.01% -0.33% N Bayfront Health - St Petersburg Saint Petersburg FL -0.25% -0.28% -0.53% -1.11% N Bayfront Health Brooksville Brooksville FL 0.15% -0.02% -0.57% -0.51% N Bayfront Health Dade City Dade City FL -0.04% -0.16% -0.43% -0.29% N Bayfront Health Port Charlotte Port Charlotte FL -0.22% -0.42% -0.58% -1.31% N Bayfront Health Punta Gorda Punta Gorda FL 0.02% 0.34% -0.14% -0.59% N Bert Fish Medical Center New Smyrna Beach FL -0.24% 0.17% 0.15% -0.14% N Bethesda Hospital East Boynton Beach FL -0.02% -0.28% -0.47% -0.07% N Blake Medical Center Bradenton FL -0.09% -0.30% -0.58% -0.13% N Boca Raton Regional Hospital Boca Raton FL 0.28% 0.23% -0.18% -0.18% N Brandon Regional Hospital Brandon FL 0.00% -0.01% -0.32% -0.25% N Broward Health Coral Springs Coral Springs FL 0.25% 0.12% -0.10% -1.07% Y Oct Sept Hospital- Acquired Conditions Penalty Oct Sept. 2015

2 Broward Health Imperial Point Fort Lauderdale FL 0.06% 0.27% 0.07% -0.14% Y Broward Health Medical Center Fort Lauderdale FL -0.13% 0.25% -0.22% -0.11% Y Broward Health North Pompano Beach FL 0.07% 0.43% 0.15% -0.30% N Cape Canaveral Hospital Cocoa Beach FL -0.31% 0.17% 0.20% -0.91% N Cape Coral Hospital Cape Coral FL -0.47% -0.32% -0.50% -0.25% Y Capital Regional Medical Center Tallahassee FL 0.22% -0.12% -0.36% -0.75% N Central Florida Regional Hospital Sanford FL 0.13% -0.06% -0.04% -0.71% Y Citrus Memorial Hospital Inverness FL -0.29% -0.44% -0.77% -0.08% Y Cleveland Clinic Hospital Weston FL -0.04% 0.06% 0.54% -0.72% N Coral Gables Hospital Coral Gables FL 0.48% 0.29% -0.10% -0.72% N Delray Medical Center Delray Beach FL 0.08% -0.01% 0.17% 0.00% N Desoto Memorial Hospital Arcadia FL -0.52% -0.90% 0.21% -1.12% N Doctors Hospital Inc Coral Gables FL 0.44% 0.63% 0.50% -0.06% N Doctors Hospital Of Sarasota Sarasota FL 0.37% 0.43% 0.03% -0.05% N Doctor's Memorial Hospital Inc Perry FL -0.06% 0.35% 0.92% -0.03% N Douglas Gardens Hospital Miami FL N/A N/A N/A -0.10% N Ed Fraser Memorial Hospital Macclenny FL N/A N/A N/A 0.00% Y Edward White Hospital Saint Petersburg FL 0.16% 0.03% 0.07% -0.26% N Englewood Community Hospital Englewood FL 0.17% 0.27% 0.57% -0.09% N Fawcett Memorial Hospital Port Charlotte FL 0.32% 0.25% 0.37% -0.34% N Flagler Hospital Saint Augustine FL -0.07% -0.01% 0.07% 0.00% N Florida Hospital Orlando FL -0.04% 0.32% -0.04% -1.06% N Florida Hospital Carrollwood Tampa FL -0.38% -0.49% -0.21% -0.15% Y Florida Hospital Deland Deland FL 0.12% -0.09% 0.04% -0.62% N Florida Hospital Fish Memorial Orange City FL 0.09% 0.21% 0.15% -0.60% N Florida Hospital Flagler Palm Coast FL 0.14% 0.16% -0.39% -0.37% N Florida Hospital Heartland Medical Center Sebring FL 0.10% 0.13% 0.37% -0.60% N Florida Hospital Memorial Medical Center Daytona Beach FL 0.43% 0.31% 0.31% -0.04% N Florida Hospital North Pinellas Tarpon Springs FL 0.00% -0.28% 0.53% -0.88% N Florida Hospital Tampa Tampa FL -0.04% -0.43% -0.52% -0.59% N Florida Hospital Waterman Tavares FL -0.16% -0.03% -0.21% -0.77% Y Florida Hospital Wesley Chapel Wesley Chapel FL N/A N/A 0.52% -0.01% N Florida Hospital Zephyrhills Zephyrhills FL 0.13% -0.54% -0.23% -0.33% N Fort Walton Beach Medical Center Fort Walton Beach FL 0.10% 0.20% 0.20% -0.47% N Good Samaritan Medical Center West Palm Beach FL 0.13% -0.42% -0.35% -0.02% N Gulf Breeze Hospital Gulf Breeze FL 0.20% 0.48% 0.72% -0.05% N Gulf Coast Medical Center Lee Mem Health System Fort Myers FL -0.38% -0.13% -0.55% -0.62% Y Gulf Coast Regional Medical Center Panama City FL 0.23% 0.21% -0.13% -0.47% N Halifax Health Medical Center Daytona Beach FL -0.17% 0.02% -0.24% -0.23% N Health Central Ocoee FL -0.07% -0.04% 0.09% -0.21% N Healthmark Regional Medical Center Defuniak Springs FL -0.53% -0.49% 0.81% -1.14% N Heart Of Florida Regional Medical Center Davenport FL 0.34% 0.04% -0.82% -0.78% Y Hialeah Hospital Hialeah FL -0.01% -0.14% -0.15% -1.22% N

3 Highlands Regional Medical Center Sebring FL 0.09% 0.02% -0.15% -1.08% N Holmes Regional Medical Center Melbourne FL -0.08% 0.12% -0.27% -0.53% N Holy Cross Hospital Inc Fort Lauderdale FL 0.21% 0.34% 0.37% -0.20% N Homestead Hospital Homestead FL 0.33% 0.45% 0.85% -0.39% N Indian River Medical Center Vero Beach FL -0.10% -0.26% -0.69% 0.00% N Jackson Hospital Marianna FL -0.02% 0.18% -0.01% -0.30% N Jackson Memorial Hospital Miami FL -0.33% -0.31% -0.67% -0.53% Y Jay Hospital Jay FL N/A N/A 1.17% 0.00% N Jfk Medical Center Atlantis FL 0.28% 0.38% 0.14% -0.98% N Jupiter Medical Center Jupiter FL 0.17% -0.03% 0.07% 0.00% Y Kendall Regional Medical Center Miami FL 0.24% 0.22% -0.31% -1.71% Y Lake City Medical Center Lake City FL 0.46% 0.19% 0.46% -0.80% N Lake Wales Medical Center Lake Wales FL 0.08% -0.37% 0.16% -1.97% N Lakeland Regional Medical Center Lakeland FL -0.04% -0.54% -0.39% -0.76% N Lakeside Medical Center Belle Glade FL 0.38% -0.03% 0.74% -0.16% N Lakewood Ranch Medical Center Bradenton FL -0.15% -0.15% -0.26% -0.07% N Largo Medical Center Largo FL -0.04% -0.06% -0.34% -0.91% N Larkin Community Hospital South Miami FL N/A N/A 0.20% -0.24% N Lawnwood Regional Medical Center & Heart Institute Fort Pierce FL 0.33% 0.21% 0.04% -0.16% N Lee Memorial Hospital Fort Myers FL -0.54% -0.05% -0.13% -0.85% Y Leesburg Regional Medical Center Leesburg FL -0.39% -0.55% -0.33% -1.87% Y Lehigh Regional Medical Center Lehigh Acres FL -0.09% -0.23% -0.54% -1.00% N Lower Keys Medical Center Key West FL -0.15% -0.07% -0.09% -1.09% N Manatee Memorial Hospital Bradenton FL 0.15% -0.12% -0.36% -0.25% Y Martin Medical Center Stuart FL -0.10% -0.39% -0.63% -0.15% N Mayo Clinic Jacksonville FL 0.04% 0.37% 0.53% -0.21% N Mease Countryside Hospital Safety Harbor FL 0.02% -0.07% 0.15% -0.09% N Mease Dunedin Hospital Dunedin FL -0.04% 0.16% 0.03% 0.00% N Medical Center Of Trinity Trinity FL 0.33% 0.38% -0.01% -1.12% N Memorial Hospital Jacksonville Jacksonville FL 0.21% 0.03% -0.45% -0.81% Y Memorial Hospital Miramar Miramar FL 0.49% 0.42% 0.29% -0.38% N Memorial Hospital Of Tampa Tampa FL -0.17% -0.16% -0.74% -0.23% N Memorial Hospital Pembroke Pembroke Pines FL 0.38% 0.49% 0.44% -0.27% N Memorial Hospital West Pembroke Pines FL 0.09% 0.30% 0.32% -0.76% N Memorial Regional Hospital Hollywood FL 0.32% 0.53% 0.39% -0.50% N Morton Plant Hospital Clearwater FL 0.19% 0.04% -0.05% -0.12% N Morton Plant North Bay Hospital New Port Richey FL -0.39% -0.11% -0.17% -0.02% N Mount Sinai Medical Center Miami Beach FL -0.60% -0.14% 0.17% -0.16% N Munroe Regional Medical Center Ocala FL -0.10% -0.17% -0.50% -0.51% N Naples Community Hospital Naples FL N/A N/A -0.44% 0.00% N North Florida Regional Medical Center Gainesville FL 0.27% 0.36% 0.29% -0.44% N North Okaloosa Medical Center Crestview FL 0.25% 0.27% 0.26% -0.32% N North Shore Medical Center Miami FL -0.49% -0.59% -0.25% -0.44% Y

4 Northside Hospital Saint Petersburg FL 0.20% -0.14% 0.03% -1.53% N Northwest Medical Center Margate FL 0.09% 0.02% -0.21% -1.26% N Oak Hill Hospital Brooksville FL 0.27% 0.15% 0.10% -1.03% N Ocala Regional Medical Center Ocala FL 0.17% 0.02% -0.27% -0.04% N Orange Park Medical Center Orange Park FL 0.41% 0.43% 0.15% -0.10% N Orlando Regional Medical Center Orlando FL -0.20% -0.27% -0.70% -0.64% N Osceola Regional Medical Center Kissimmee FL 0.01% -0.03% -0.24% -1.60% N Palm Bay Hospital Palm Bay FL 0.19% 0.13% 0.11% -0.20% N Palm Beach Gardens Medical Center Palm Beach Gardens FL 0.17% -0.05% 0.16% -0.65% N Palm Springs General Hospital Hialeah FL -0.19% -0.05% -0.13% -1.17% N Palmetto General Hospital Hialeah FL 0.17% 0.05% -0.11% -1.25% Y Palms Of Pasadena Hospital Saint Petersburg FL -0.08% -0.36% -0.08% -0.48% N Palms West Hospital Loxahatchee FL 0.10% 0.19% -0.20% -0.20% N Parrish Medical Center Titusville FL 0.43% 0.07% 0.24% 0.00% N Physicians Regional Medical Center - Pine Ridge Naples FL 0.32% 0.10% -0.09% -0.70% N Plantation General Hospital Plantation FL -0.14% 0.15% 0.25% -0.31% N Poinciana Medical Center Kissimmee FL N/A N/A N/A 0.00% N/A Putnam Community Medical Center Palatka FL -0.01% -0.38% -0.61% -0.30% N Raulerson Hospital Okeechobee FL 0.57% 0.76% 0.92% -0.94% N Regional General Hospital Williston Williston FL N/A N/A N/A N/A N/A Regional Medical Center Bayonet Point Hudson FL 0.23% -0.26% -0.41% -0.92% N Sacred Heart Hospital Pensacola FL -0.02% -0.11% -0.52% 0.00% Y Sacred Heart Hospital On The Emerald CoastMiramar Beach FL 0.17% 0.51% 0.36% 0.00% N Sacred Heart Hospital On The Gulf Port Saint Joe FL N/A N/A 1.29% -0.40% N Santa Rosa Medical Center Milton FL 0.39% 0.08% -0.06% -0.64% N Sarasota Memorial Hospital Sarasota FL 0.10% -0.16% 0.28% 0.00% Y Sebastian River Medical Center Sebastian FL 0.43% 0.52% 0.06% -1.54% N Seven Rivers Regional Medical Center Crystal River FL -0.12% -0.35% -0.49% 0.00% N Shands Lake Shore Regional Medical Center Lake City FL -0.49% -0.47% -0.54% -1.61% N South Bay Hospital Sun City Center FL 0.03% 0.09% -0.24% -1.22% N South Florida Baptist Hospital Plant City FL 0.14% 0.11% -0.07% -0.24% N South Lake Hospital Clermont FL -0.31% -0.69% -0.65% -0.14% Y South Miami Hospital, Inc South Miami FL 0.25% 0.34% 0.70% 0.00% N St Anthonys Hospital Saint Petersburg FL 0.08% -0.08% -0.38% -0.93% Y St Cloud Regional Medical Center Saint Cloud FL -0.06% -0.40% -0.34% -0.47% Y St Joseph's Hospital Tampa FL 0.03% -0.04% -0.08% -1.12% N St Lucie Medical Center Port Saint Lucie FL 0.46% 0.24% -0.03% -2.36% N St Mary's Medical Center West Palm Beach FL -0.30% -0.42% 0.12% -0.27% N St Petersburg General Hospital Saint Petersburg FL 0.12% 0.24% -0.02% -0.27% Y St Vincent's Medical Center Jacksonville FL 0.16% -0.03% 0.01% -0.76% N St Vincents Medical Center - Clay County Inc Middleburg FL N/A N/A N/A N/A N/A St Vincent's Medical Center Southside Jacksonville FL -0.16% 0.22% 1.00% -2.86% N Tallahassee Memorial Hospital Tallahassee FL 0.01% -0.26% -0.28% 0.00% N

5 Tampa Community Hospital Tampa FL -0.01% -0.26% -0.64% 0.00% N Tampa General Hospital Tampa FL -0.43% -0.17% -0.27% -0.04% Y Twin Cities Hospital Niceville FL 0.35% 0.45% 0.86% -0.61% N Uf Health Jacksonville Jacksonville FL -0.14% 0.23% -0.28% -0.48% Y Uf Health Shands Hospital Gainesville FL 0.01% -0.11% -0.12% -0.25% N University Hospital And Medical Center Tamarac FL 0.34% 0.22% 0.18% -0.71% N University Of Miami Hospital Miami FL -0.19% 0.15% -0.28% -0.89% N Venice Regional Medical Center - Bayfront Health Venice FL 0.36% 0.26% -0.30% 0.00% Y Viera Hospital Melbourne FL -0.08% 0.47% 0.67% -0.09% N Villages Regional Hospital, The The Villages FL -0.35% -0.25% -0.32% -0.36% N Wellington Regional Medical Center Wellington FL 0.10% -0.12% 0.03% -0.98% N West Boca Medical Center Boca Raton FL -0.07% -0.20% 0.02% -0.22% N West Florida Hospital Pensacola FL 0.26% 0.27% 0.13% -0.06% N West Kendall Baptist Hospital Miami FL 0.68% 0.59% 0.53% -0.46% N West Palm Hospital West Palm Beach FL 0.38% 0.43% 0.29% -0.03% N Westchester General Hospital Miami FL -0.04% 0.16% N/A -0.58% N Westside Regional Medical Center Plantation FL 0.40% 0.14% -0.03% -0.48% N Winter Haven Hospital Winter Haven FL -0.39% -0.48% -0.54% -0.78% N Wuesthoff Medical Center - Melbourne Melbourne FL -0.66% -0.76% -0.31% -1.01% Y Wuesthoff Medical Center Rockledge Rockledge FL -0.37% -0.67% -0.83% -0.89% N

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