St. Mary’s Medical Center and Children’s Hospital at St. Mary’s

1
St. Marys Medical Center and Childrens
Hospital at St. Marys
Faith, Community and Healthcare for more than 70
years901 45th Street ? West Palm Beach, FL ?
stmarysmc.com
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History

• Founded in 1938 by Franciscan Sisters of
  Allegany
• Intracoastal Affiliation 1994
• Catholic Health East Affiliation 1997
• Tenet HealthCare Affiliation 2001
• Maintains our community mission as a safety
  net hospital
• Maintains a strong Catholic faith-based
  tradition, legacy and identity - member of the
  Florida Catholic Conference.

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Governance

• 15 Member Governing Board comprised of Community
  Leaders
• Chairman - Clinton Glass, Sr VP, Belfour Beatty
  Construction
• Vice Chair - Denise Nieman, Esq, Palm Beach
  County Attorney
• Chief of Staff Robert Borrego, MD, Trauma
  Surgery
• Verdenia Baker, Deputy County Administrator
• Herman Brice, Palm Beach County Fire Chief
  (retired)
• Davide Carbone, CEO St. Marys Medical Center
• Sr Joan Dawson, OSF, Superintendent of Schools,
  Palm Beach Diocese (retired)
• Jorge Dominicis, President, GEO Care Inc.
• Dennis Gallon, PhD, President, Palm Beach State
  College
• Janis Jones, MD, Pediatrics, Immediate Past Chief
  of Staff
• Geraldine Muoio, PhD, Mayor of West Palm Beach
• Walter Phillips, WC Phillips Green Development
  Services
• Marsha Powers, Regional Senior VP, Tenet
  Healthcare
• A. Donny Stosberg, Scripps Research Institute,
  Florida
• Richard Weiner, MD, Orthopedic Surgery

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Regional Service Area Map

• Palm Beach County
• Martin County
• St. Lucie County
• Indian River County
• Okeechobee County

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Major Services - Adult

• 464 Bed Acute Care Medical Center
• Trauma Center
• Level II
• Brain Spinal Cord Injury Center
• Top 10 busiest in Florida
• Emergency Services Critical Care
• Emergency HBO service 24/7
• Neuroscience Center
• Comprehensive Stroke Center
• Neurosurgery
• Memory Disorder Center
• High Risk OB
• Delivers the most babies in our region
• Designated Regional Perinatal Intensive Care
  Center
• 1 of 11 in Florida

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Major Services Adult (continued)

• Acute Rehabilitation Services - 50 beds
• Acute Inpatient Rehabilitation Unit
• Outpatient Therapy Clinic (PT, OT, Speech,
  Audiology)
• Kaplan Cancer Center
• IMRT, High-dose radiation 2 linear accelerators
  
• Chronic Dialysis Services 22 beds
• Hemodialysis and peritoneal dialysis
• Institute for Mental Health/Behavioral Medicine
• 40 bed unit

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Major Services - Pediatric

• Largest Pediatric Hospital Between Ft. Lauderdale
  Orlando
• 82 pediatric beds
• Neonatal Intensive Care Unit
• 45 Beds (Level II III)
• Separate Pediatric Emergency Department 24/7
• Pediatric Trauma Referral Center
• Dedicated 14-bed Intensive Care Unit
• Pediatric Neurosurgery
• Pediatric Cardiovascular Surgery New!

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Major Services Pediatric (continued)

• Pediatric Hematology/Oncology
• Member of Childrens Oncology Group (COG)
• Pediatric Orthopedics/Orthopedic Oncology
• Limb Reconstruction and Lengthening
• Pediatric Rehabilitative Services
• PT, OT, Speech, Audiology
• Support Programs for Patients
• Child Life Specialists
• Quantum House
• Cystic Fibrosis Center
• Sickle Cell Center

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Unique to Palm Beach County

• True safety net hospital
• Largest Medicaid and charity care provider
• In-house 24/7 physician coverage
• Adult pediatric
• Academic medical school and clinical
  affiliations
• Florida Atlantic University College of Medicine
• University of Vermont Medical student rotations

CHARLES E. SCHMIDT COLLEGE OF MEDICINE
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Unique to Palm Beach County (Continued)

• RPICC Center
• Childrens Oncology Group (COG) Member
• Emergency HBO Services 24/7
• Memory Disorder Center
• Cystic Fibrosis Center
• CMS Clinic located on campus

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Caring for the Community 2010

• Total Admissions 17,132
• Psych Admissions 2,205
• Rehab Admissions 307
• NICU Admissions 703
• Babies Delivered 3,464
• Adult Pedi ER Visits 56,319
• Trauma Visits 1,357
• Transfers from area hospitals 3,058
• Average Daily Census 282
• Number of Employees 1,522
• Number of Physicians 531
• Number of Active Volunteers 155

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Financial Impact on the Community

• 2010
• Total Net Revenue 245,823,141
  
• Employee Payroll Benefits 105,300,901
• Total Taxes Fees 13,853,780
• Charity Care 41,726,605
• Capital Expenditures 8,623,609
• Repairs Improvements 6,280,291

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Caring for the Uninsured

• Florida had the third-largest uninsured
  population in the nation in 2007, with more than
  24 percent of its population lacking health
  insurance (US Census Bureau)
• Palm Beach County ranks 3rd in Florida with
  244,232 uninsured people.
• 12th largest provider of Medicaid in Florida

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Caring for the Uninsured (Continued)

• St. Marys charity care provided 41,726,605
• 35 Medicaid 5 Medicaid Managed Care
• 14 Medicare
• 11 Uninsured/charity
• Collaborating with Health Care District, State of
  Florida and Federal Government to address the
  issue of the uninsured
• Medicaid payment to St. Marys reduced
  approximately 30 over past 18 months
• Inter-Governmental Transfers/Low Income Pool

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Health Care District Funding The Money Follows
the Patient

• More than 20 Years of Trauma Service
• Provides limited funding for prequalified
  uninsured
• Provides funding for trauma services
• Trauma Hawk services 2 helicopters and pilots
• On-call physicians 24/7 adult and pediatric
• Limited readiness/uninsured stipend
• Funding for other community services
• Coordinated Care and Vita Health
• Community services school nurses, health
  department funding
• Direct care provider Lakeside Medical Center
  Healy
  Rehabilitation Center
• Inter-Governmental Transfers

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Palm Beach County Healthcare District
Inter-Governmental Transfers (IGT)

• Hospital Medicaid rate cuts
• IGTs provide a funding source to buyback a
  hospitals inpatient and outpatient reimbursement
  cuts. These transferred funds to the state would
  be matched at Federal Medical Assistance
  Percentage (FMAP) with federal Medicaid dollars
  and then returned to hospitals through a higher
  Medicaid payment.
• 2011-2012 hospital Medicaid cuts would have been
  15.5M
• Total 2011-2012 hospital benefit from IGT is
  approximately 6.7M

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Low Income Pool (LIP)

• IGTs provide a funding source to reimbursement
  hospitals for uncompensated medical care for
  uninsured and any Medicaid shortfalls.
• Total 2011-2012 anticipated 0, down from
  previous year of 2.0M

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