2. Chief Executive Officer
Uncompensated Care
Jeff Feasel
Chief Executive Officer

3. Adults- Ages 18-64 Uninsured

4. Volusia County Population- 517,887
17.4% are below the Federal Poverty Level
At or Below FPL- 90,112
5/15/2018

5. Percent of Families Under FPL
Halifax District %
Southeast Volusia- 15.4%
West Volusia %
Volusia County %
*Based on primary zip codes
5/15/2018

6. Enrollment by Income
5/15/2018

7. Healthcare Exchange Limitations
Healthcare Exchange subsidies only apply to citizens with incomes between 100% to 400%
Without Medicaid expansion, that leaves over 760,000 in Florida without coverage
Source: The Kaiser Commission on Medicaid and the Uninsured
5/15/2018

8. Sliding Scale

9. Cost Sharing Reduction (CSR)
Incomes between 100% to 250% FPL reduces out of pocket expense, such as deductibles, co-pays, and co-insurance.
If a low income customer buys a 70% AV plan, they get upgraded.
5/15/2018

10. Cost Sharing Impact 5/15/2018 CSR 150% FPL CSR 151% FPL to 200% FPL
Standard Silver Plan
Portion of medical expenses typically paid by the health plan (i.e. actuarial value)
94%
87%
73%
70%
Portion of medical expenses paid for by typical enrollee 6%
13%
27%
30%
Limit on Annual Out-of- Pocket Costs
$2,250 individual / $4,500 family
$2,250 individual / $4,500 family
$5,200 individual / $10,400 family
$6,350 individual / $12,700 family
5/15/2018

11. ACA Enrollment 2017
5/15/2018

12. Uncompensated Care as a % of Gross Revenue
National Southern Halifax
Average States Health (FY16)
Bad Debt 3% 4.4% 4.9%
Charity Care 3.1% 3% 6.3%
Total 6.1% 7.4% 11.2%
Average for profit- <3%
5/15/2018

13. Uncompensated Care as a % of Total Expense
NAPH Data National Average %
Urban Governmental %
NAPH Members %
Halifax Health %
(NAPH- National Association of Public Hospitals and Health Systems)
Finance / FY 2015
5/15/2018

14. Uncompensated Care
Uncompensated Care in FY 2016 was $172.9 million in charges.
FY %
Inpatient $83,571, %
Emergency Room $65,188, %
Observation Patients $14,100, %
Same Day Surgery $4,620, %
Other Outpatient $5,484, %
5/15/2018

15. By Patient Residence
5/15/2018

16. By Patient Residence
5/15/2018

17. Halifax
5/15/2018

18. SE Volusia
5/15/2018

19. West Volusia
5/15/2018

20. Flagler
5/15/2018

21. Outside Volusia/Flagler
5/15/2018

22. Volusia County Hospital Taxing Districts- Tax Revenue
5/15/2018

23. Volusia County Hospital Taxing Districts- Tax Millage
5/15/2018