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Home > Government Reports > St. Vincent Charity Hospital & St. Luke's Medical Center DSH Review > Appendices
Appendices

Appendix A

Unallowable Charges and Costs Included on Schedule F of Provider’s Cost Report

Category on Schedule F of Cost Report

Insured Charges

Uninsured Charges

Cost/Charge Ratio

Uninsured Costs

         

Inpatient:

       

Disability Assistance – St. Luke’s

$ -

$ -

0.617464

$ -

Disability Assistance – St. Vincent

-

-

0.403411

-

Uncompensated < 100% Poverty Level – St. Luke’s

-

10.00

0.617464

6.17

Uncompensated < 100% Poverty Level – St. Vincent’s

-

58,778.53

0.403411

23,711.90

Uncompensated > 100% Poverty Level – St. Luke’s

137,318.84

85,131.89

0.617464

52,565.88

Uncompensated > 100% Poverty Level – St. Vincent’s

22,242.07

30,816.30

0.403411

12,431.63

Total Inpatient

$159,560.91

$174,736.72

 

$ 88,715.58

 

Outpatient:

       
         

Disability Assistance – St. Luke’s

$ -

$ -

0.534130

$ -

Disability Assistance – St. Vincent

-

-

0.371131

-

Uncompensated < 100% Poverty Level – St. Luke’s

-

-

0.534130

-

Uncompensated < 100% Poverty Level – St. Vincent’s

-

61,150.39

0.371131

22,694.81

Uncompensated > 100% Poverty Level – St. Luke’s

220,584.51

137,161.76

0.534130

73,262.21

Uncompensated > 100% Poverty Level – St. Vincent’s

62,179.74

34,222.89

0.371131

12,701.17

Total Outpatient

$282,764.25

$232,535.04

 

$108,658.19

 

Total Unallowable Costs (Inpatient and Outpatient)

$197,373.77

State Plan Considerations | Main


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