Health and Human Services Commission State Fiscal Year 2005 High Volume Payments - Allocated based on Medicaid Inpatient Days

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Health and Human Services Commission State Fiscal Year 2005 High Volume Payments - Allocated based on Medicaid Inpatient Days High Volume Hospital Name City Payment McAllen Medical Heart Hospital McAllen $ 3,459,021.00 Texas Children's Hospital Houston $ 3,378,542.00 Southwest Texas Methodist Hosp San Antonio $ 3,229,388.00 Hermann Hospital Houston $ 2,925,045.00 Memorial Hermann Healthcare Houston $ 2,554,485.00 Baylor University Medical Center Dallas $ 2,140,645.00 Children's Medical Center - Dallas Dallas $ 1,832,725.00 Baptist Medical Center San Antonio $ 2,032,267.00 Northwest Texas Hospital Amarillo $ 1,585,476.00 Valley Baptist Medical Center Harlingen $ 1,550,378.00 Harris Hospital-Ft Worth Fort Worth $ 1,648,697.00 Providence Memorial Hospital El Paso $ 1,407,886.00 Christus Santa Rosa Children's Hosp San Antonio $ 1,434,042.00 Driscoll Children's Hospital Corpus Christi $ 1,141,189.00 Cook Children's Medical Center Fort Worth $ 1,534,148.00 Mercy Regional Medical Center Laredo $ 1,209,551.00 Valley Baptist Medical Center - Brownsville Brownsville $ 550,521.00 Methodist Medical Center-Dallas Dallas $ 1,225,557.00 Christus St. Joseph Hospital - Houston Houston $ 1,319,091.00 Christus Santa Rosa San Antonio $ 1,081,590.00 Columbia Valley Regional Medical Center Brownsville $ 1,117,134.00 St David's Hospital Austin $ 1,168,283.00 Scott And White Memorial Hospital Temple $ 1,009,651.00 Columbia Rio Grande Regional McAllen $ 905,609.00 Doctor's Hospital - Tidwell Houston $ 945,223.00 Knapp Medical Center Weslaco $ 819,587.00 Southwest General Hospital San Antonio $ 946,251.00 Del Sol Medical Center El Paso $ 851,555.00 Twelve Oaks Medical Center Houston $ 808,275.00 Hillcrest Baptist Medical Center Waco $ 841,092.00 Edinburg Regional Medical Center Edinburg $ 779,928.00 Mission Hospital Mission $ 699,003.00 Covenant Health System Lubbock $ 859,960.00 Mother Frances Hospital - Tyler Tyler $ 713,444.00 Hendrick Medical Center Abilene $ 584,991.00 United Regional Healthcare System Wichita Falls $ 604,664.00 East Texas Medical Center - Tyler Tyler $ 621,698.00 Las Palmas Medical Center El Paso $ 528,656.00 Good Shepherd Medical Center Longview $ 553,560.00 Corpus Christi Medical Center Corpus Christi $ 1,009,203.00 Sierra Medical Center El Paso $ 627,913.00 Baptist Hosp Of Southeast Texas Beaumont $ 726,723.00 St Joseph Regional Health Center Bryan $ 533,216.00 Presbyterian Hospital Of Dallas Dallas $ 1,140,697.00 Christus St Elizabeth Hospital Beaumont $ 977,146.00

Medical City Of Dallas Hospital Dallas $ 842,568.00 Bayshore Medical Center Pasadena $ 836,174.00 St Paul Hospital Dallas $ 737,856.00 Houston Northwest Medical Houston $ 697,348.00 Medical Center Of Arlington Arlington $ 672,400.00 Conroe Regional Medical Center Conroe $ 637,034.00 Clear Lake Regional Medical Webster $ 618,211.00 The Methodist Hospital-Houston Houston $ 577,748.00 Seton Medical Center Austin $ 575,021.00 Total $ 63,808,066.00

SFY 2005 SFY 2005 SFY 2005 Inpatient UPL Outpatient UPL Total UPL TPI Name Payments Payments Payments 137265806 Brackenridge Hospital $ 76,134,946 $ 1,052,592 $ 77,187,538 133355104 Harris County Hospital District $ 108,381,228 $ 1,312,353 $ 109,693,581 126675104 John Peter Smith -Tarrant Cnty Hosp Dist $ 67,101,627 $ 1,430,979 $ 68,532,607 135235306 Medical Center Hospital-Odessa $ 20,513,452 $ 784,069 $ 21,297,521 136143806 Midland County Hospital District $ 7,769,961 $ - $ 7,769,961 137245009 Northwest Texas Hospital $ 26,150,160 $ - $ 26,150,160 127295703 Parkland Memorial Dallas Cnty Hosp Dist $ 157,381,887 $ 3,088,194 $ 160,470,081 138951211 RE Thomason - El Paso Cnty Hosp Dist $ 37,219,446 $ 751,233 $ 37,970,679 121775403 Spohn Memorial - Nueces Cnty Hosp $ 84,395,577 $ - $ 84,395,577 136141205 University Hospital-Bexar Cnty Hosp Dist $ 59,305,710 $ 1,130,862 $ 60,436,572 137999206 University Med Center-Lubbock $ 52,427,684 $ - $ 52,427,684 Totals $ 696,781,678 $ 9,550,283 $ 706,331,961 SFY 2006 SFY 2006 SFY 2006 Inpatient UPL Outpatient UPL Total UPL TPI Name Payments Payments Payments 137265806 Brackenridge Hospital $ 38,463,082 $ - #REF! 133355104 Harris County Hospital District $ 133,692,295 $ 1,312,901 #REF! 126675104 John Peter Smith -Tarrant Cnty Hosp Dist $ 74,423,770 $ 1,436,613 #REF! 135235306 Medical Center Hospital-Odessa $ 18,514,332 $ - #REF! 136143806 Midland County Hospital District $ 8,125,689 $ - #REF! 137245009 Northwest Texas Hospital $ 29,498,230 $ - #REF! 127295703 Parkland Memorial Dallas Cnty Hosp Dist $ 188,591,429 $ 3,109,152 #REF! 138951211 RE Thomason - El Paso Cnty Hosp Dist $ 42,814,771 $ 678,788 #REF! 121775403 Spohn Memorial - Nueces Cnty Hosp $ 47,144,011 $ - #REF! 136141205 University Hospital-Bexar Cnty Hosp Dist $ 70,556,786 $ 1,165,983 #REF! 137999206 University Med Center-Lubbock $ 23,551,223 $ - #REF! Totals $ 675,375,616 $ 7,703,437 #REF! * No reconciliation payments have been made yet for SFY 2005 or SFY 2006.

Rural Hospital UPL Data SFY 2002 thru 2004 SFY 2005 UPL TPI Hospital Name County Payments 131030203 Nacogdoches Memorial Hospital Nacogdoch. $ 10,377,274 137907508 Citizens Medical Center Victoria $ 10,125,681 138913209 Titus Regional Medical Center Titus $ 4,733,858 139173209 ETMC-Athens Henderson $ 3,523,491 131038504 Presbyterian Hospital of Greenville Hunt $ 3,147,709 119877204 Val Verde Regional Medical Center Val Verde $ 3,108,805 121782003 Uvalde County Hospital Authority Uvalde $ 2,644,890 138911609 Cuero Community Hospital Dewitt $ 2,370,274 127263503 Hopkins County Memorial Hospital Hopkins $ 2,308,632 137319306 ETMC-Crockett Houston $ 2,127,528 138950412 Palo Pinto General Hospital Palo Pinto $ 2,009,068 094127002 ETMC-Carthage Panola $ 1,877,739 138411709 Guadalupe Valley Hospital Guadalupe $ 1,778,149 130606006 Wise Regional Health System Wise $ 1,651,780 130959304 Matagorda General Hospital Matagorda $ 1,492,443 127263503 Covenant Hospital Plainview Hale $ 2,308,632 136328507 Golden Plains Community Hospital Hutchinson $ 1,133,280 133244705 Rolling Plains Memorial Hospital Nolan $ 1,071,794 017624002 ETMC-Quitman Wood $ 980,331 121777003 Gainesville Memorial Hospital Cooke $ 845,166 132813006 Campbell Health System Parker $ 790,664 136332705 Starr County Memorial Hospital Starr $ 379,056 130862905 ETMC-Clarksville Red River $ 356,308 136330107 D. M. Cogdell Memorial Hospital Scurry $ 321,407 130613604 Graham Regional Medical Center Young $ 317,626 133250406 Childress Regional Medical Center Childress $ 313,163 121785303 Memorial Hospital - Gonzales Gonzales $ 284,331 094115502 Smithville Regional Hospital Bastrop $ 278,326 112688002 Frio Regional Hospital Frio $ 276,784 112690603 Dimmit County Memorial Hospital Dimmitt $ 272,552 121817401 ETMC-Trinity Trinity $ 265,127 138374706 ETMC-Pittsburg Camp $ 235,087 133255305 Atlanta Memorial Hospital Cass $ 234,478 112704502 Ochiltree General Hospital Ochiltree $ 231,792 133258705 Covenant Hospital Levelland Hockley $ 215,766 136142011 Plains Memorial Hospital Castro $ 211,501 112707803 Wilbarger General Hospital Wilbarger $ 201,222 135151206 Wilson Memorial Hospital Wilson $ 189,147 136145310 Martin County Hospital District Martin $ 179,502 020840701 Llano Memorial Healthcare System Llano $ 174,907

Rural Hospital UPL Data SFY 2002 thru 2004 SFY 2005 UPL TPI Hospital Name County Payments 131041905 Medical Arts Hospital Dawson $ 168,408 137909111 Memorial Medical Center Calhoun $ 167,118 136144610 Coleman County Medical Center Coleman $ 164,447 130826407 Coon Memorial Hospital Dallam $ 162,989 130616905 Pecos County Memorial Hospital Pecos $ 160,041 127298103 Permian Regional Medical Center Andrews $ 158,520 110856503 Hamilton Hospital Young $ 151,461 137227806 Yoakum County Hospital Yoakum $ 147,560 131035105 Linden Municipal Hospital Cass $ 145,608 131045004 El Campo Memorial Hospital Wharton $ 136,801 127305405 Bowie Memorial Hospital Montague $ 134,800 127310404 Nocona General Hospital Montague $ 115,624 137074409 Eastland Memorial Hospital Eastland $ 109,359 133544006 Hereford Regional Medical Center Deaf Smith $ 104,117 136140407 ETMC-Mt Vernon Franklin $ 101,390 133260309 Medina Community Hospital Medina $ 96,837 112684902 Reeves County Hospital Reeves $ 93,606 121784603 Comanche Community Hospital Comanche $ 91,402 094190802 ETMC-Fairfield Freestone $ 83,243 136381405 Tyler County Hospital Tyler $ 78,301 121800004 Glen Rose Medical Center Somervell $ 76,645 138353107 Seymour Hospital Baylor $ 61,289 119875604 Stephens Memorial Hospital Stephens $ 58,369 121808302 Jackson Healthcare Center Jackson $ 58,268 126667806 W.J. Mangold Memorial Hospital Floyd $ 55,749 094104901 Anson General Hospital Jones $ 49,700 138715115 Heart Of Texas Memorial Hospital McCulloch $ 49,360 094138702 Clay County Memorial Hospital Clay $ 49,296 020927202 Presbyterian Hospital of Commerce Hunt $ 41,905 134772607 Coryell Memorial Hospital Coryell $ 41,361 136325111 Mitchell County Hospital Mitchell $ 37,019 121792903 Hamilton General Hospital Hamilton $ 34,147 094136102 Lake Whitney Medical Center Hill $ 29,727 126842705 Stamford Memorial Hospital Jones $ 26,644 127313803 Lamb Healthcare Center Lamb $ 25,410 119874904 Faith Community Hospital Jack $ 25,074 120745806 Muenster Memorial Hospital Cooke $ 24,755 135233806 Lavaca Medical Center Lavaca $ 20,619 156552503 Comanche County Hospital District Comanche $ 20,564 094131202 Hamlin Memorial Hospital Jones $ 20,023 094117105 Hansford Hospital Hansford $ 19,371

Rural Hospital UPL Data SFY 2002 thru 2004 SFY 2005 UPL TPI Hospital Name County Payments 130721706 Swisher Memorial Hospital Swisher $ 17,713 094171801 Rice Medical Center Colorado $ 16,869 130877702 Muleshoe Area Medical Center Bailey $ 14,026 083290905 Bellville General Hospital Austin $ 13,696 094180903 Lynn County Hospital District Lynn $ 13,019 130089906 Ballinger Memorial Hospital Runnels $ 12,995 121781205 Lillian M Hudspeth Memorial Hospital Sutton $ 12,280 126840107 Collingsworth General Collingsworth $ 10,235 020993401 Bayside Community Chambers $ 10,012 136412706 Otto Kaiser Memorial Hospital Karnes $ 9,965 112710202 Richards Memorial Hospital Milam $ 8,944 094204701 Winkler County Memorial Hospital Winkler $ 6,728 131042703 Kimble Hospital Kimble $ 5,666 121193005 Shamrock General Hospital Wheeler $ 4,488 112715104 Sabine County Hospital Sabine $ 4,444 091770005 Concho County Hospital Concho $ 3,381 121787905 Parkview Hospital Wheeler $ 3,091 121053602 Knox County Hospital Knox $ 1,919 094121302 Memorial Hospital - Seminole Gaines $ 1,433 020989201 North Runnels Hospital Runnels $ 1,302 154632701 Chillicothe Hospital Hardeman $ 1,145 094152802 Cochran Memorial Hospital Cochran $ 577 094129602 Moore County Hospital District Moore $ 348 020991801 Refugio County Memorial Hospital Refugio $ 210 Totals $ 68,916,680

State Owned Hospitals UPL UPL Pmts. University of Texas Medical Branch - Galveston $ 49,600,852 MD Anderson Cancer Center $ 13,053,152 University of Texas Health Center - Tyler $ 2,610,555 Total State Fiscal Year 2005 $ 65,264,559