Group Rural HospitalsAK Y 12AL N 41AR Y 47AZ Y 15CA Y 58CO Y 40CT Y 3DC Y 0DE Y 2FL N 22GA N 66HI Y 12IA Y 93ID N 28IL Y 72IN Y 54KS N 107KY Y 59LA N 50MA Y 5MD Y 5ME N 23MI Y 62MN Y 92MO N 60MS N 53MT Y 51NC N 51ND N 36NE N 71NH Y 15NJ Y 0NM Y 16NV Y 14NY Y 51

Medicare Expansion Y/N

OH Y 55OK N 76OR Y 30PA Y 45RI Y 0SC N 24SD N 44TN N 50TX N 150UT N 18VA N 25VT Y 12WA Y 45WI N 72WV Y 25WY Y 21Medicaid Non-Expansion 1067Medicaid Expansion 1011

Notes: Vulnerability and Sequestration impact analyses examine all rural hospitals in the United States. Swing Bed and Bad Debt reimbursement analyses examine only Critical Access Hospitals

Rural Health Policy Impact SuperTable

Vulnerability

Vulnerable Hospitals4 33% 22,381.00

14 34% 223,158.00 19 40% 221,316.00

5 33% 101,451.00 35 60% 1,019,691.00

8 20% 82,169.00 0 0% - 0 0% - 0 0% - 9 41% 209,149.00

35 53% 601,886.00 7 58% 34,034.00

13 14% 172,731.00 6 21% 89,020.00

17 24% 338,302.00 6 11% 175,614.00

31 29% 235,654.00 20 34% 556,661.00 29 58% 442,155.00

1 20% 19,696.00 0 0% - 0 0% - 8 13% 182,123.00

21 23% 461,121.00 29 48% 620,024.00 42 79% 695,150.00 12 24% 50,972.00 16 31% 351,449.00 12 33% 65,408.00 15 21% 196,981.00

1 7% 43,469.00 0 0% - 4 25% 74,789.00 7 50% 59,899.00

12 24% 591,022.00

Percent of Rurals Vulnerability

Total Patient Encounters (Estimated)

12 22% 392,528.00 42 55% 570,906.00

3 10% 122,785.00 8 18% 237,411.00 0 0% -

12 50% 279,043.00 16 36% 122,599.00 22 44% 280,048.00 75 50% 1,112,554.00

0 0% - 4 16% 52,355.00 0 0% -

14 31% 141,999.00 12 17% 207,457.00 12 48% 231,217.00

3 14% 38,179.00 421 35% 229,406.00 252 20% 82,169.00

Notes: Vulnerability and Sequestration impact analyses examine all rural hospitals in the United States. Swing Bed and Bad Debt reimbursement analyses examine only Critical Access Hospitals

Rural Health Policy Impact SuperTable

Vulnerability Critical Access Swing Bed Policy Impact

$ 404,819,285.20 344 $ 95,946,670.00 $ 2,038,649,982.60 1,734 $ 27,452,020.00 $ 2,205,498,632.70 1,876 $ 202,266,530.00 $ 1,060,904,902.20 902 $ 52,708,580.00 $ 7,845,084,105.10 6,673 $ 169,503,990.00 $ 1,362,932,346.60 1,159 $ 283,401,140.00 $ - - $ - - $ - - $ 1,698,063,842.20 1,444 $ 116,122,820.00 $ 6,406,515,584.70 5,450 $ 326,912,810.00 $ 851,571,152.30 724 $ 37,500,400.00 $ 1,741,724,512.00 1,482 $ 1,109,456,230.00 $ 764,073,477.20 650 $ 144,393,970.00 $ 4,414,559,242.50 3,755 $ 485,318,900.00 $ 1,558,100,478.00 1,325 $ 228,271,400.00 $ 3,469,812,412.00 2,952 $ 1,017,500,930.00 $ 4,003,509,436.30 3,406 $ 281,247,130.00 $ 4,939,133,843.60 4,201 $ 285,893,010.00 $ 178,815,952.70 152 $ 89,856,780.00 $ - - $ - - $ 224,515,640.00 $ 1,681,112,122.80 1,430 $ 148,584,525.71 $ 4,038,341,575.40 3,435 $ 750,198,056.67 $ 4,911,566,727.10 4,178 $ 427,485,751.43 $ 8,711,408,660.90 7,410 $ 772,658,200.00 $ 941,807,905.50 801 $ 322,212,430.00 $ 4,038,917,604.70 3,436 $ 127,115,604.67 $ 935,506,850.30 796 $ 304,131,940.00 $ 2,402,688,744.50 2,044 $ 730,112,106.67 $ 390,406,797.00 332 $ 265,188,526.67 $ - - $ 957,595,810.60 815 $ 23,280,360.00 $ 669,875,053.10 570 $ 25,285,070.00 $ 5,546,539,106.90 4,718 $ 195,526,050.00

Potential GDP Impact of Closure (10 Year)

Vulnerable Hospital Employees

Revenue Lost (10 Years)

$ 3,281,239,228.30 2,791 $ 287,993,730.00 $ 5,231,603,903.90 4,450 $ 351,289,155.00 $ 742,360,699.30 631 $ 170,039,920.00 $ 2,534,834,568.20 2,156 $ 106,587,440.00 $ - - $ 2,793,330,655.50 2,376 $ 35,463,980.00 $ 1,248,690,454.00 1,062 $ 333,684,463.33 $ 2,426,435,258.50 2,064 $ 74,342,700.00 $ 10,697,875,091.20 9,100 $ 725,720,112.86 $ - - $ 90,153,616.67 $ 647,021,972.30 550 $ 91,180,030.00 $ - - $ 135,591,520.00 $ 1,822,098,232.90 1,550 $ 504,974,810.00 $ 1,638,627,023.00 1,394 $ 578,951,230.00 $ 2,704,469,319.20 2,301 $ 149,983,850.00 $ 453,440,860.40 386 $ 124,962,250.00 $ 2,414,562,001.50 2,054 $ 295,012,475.00 $ 957,595,810.60 815 $ 170,039,920.00

Notes: Vulnerability and Sequestration impact analyses examine all rural hospitals in the United States. Swing Bed and Bad Debt reimbursement analyses examine only Critical Access Hospitals

Rural Health Policy Impact SuperTable

Critical Access Swing Bed Policy Impact

Potential Jobs Lost 336 $ 395,455,917.54 171 $ 201,457,658.58 1,164 $ 1,368,210,057.02 240 $ 282,355,483.96 662 $ 778,781,777.21 1,216 $ 1,429,013,815.81

659 $ 775,259,621.01 1,875 $ 2,203,859,536.80 138 $ 162,642,564.39 5,262 $ 6,185,694,193.26 669 $ 786,914,486.72 2,379 $ 2,796,750,491.07 975 $ 1,146,728,161.99 5,189 $ 6,099,854,643.21 1,486 $ 1,747,116,848.06 1,419 $ 1,668,658,471.80 277 $ 325,130,490.98

850 $ 999,566,981.15 668 $ 784,779,330.13 3,302 $ 3,881,508,056.31 2,042 $ 2,400,180,700.61 4,033 $ 4,740,754,318.70 1,502 $ 1,765,179,445.44 723 $ 850,020,180.84 1,508 $ 1,772,332,098.81 3,306 $ 3,886,410,194.52 1,049 $ 1,232,883,710.44

106 $ 124,630,637.55 115 $ 135,148,163.22 939 $ 1,103,380,135.99

Potential GDP Impact (10 Years)

1,329 $ 1,562,795,693.29 1,694 $ 1,991,620,643.01 593 $ 697,438,268.40 543 $ 637,772,118.15

166 $ 194,706,871.70 1,649 $ 1,938,109,192.03 371 $ 435,798,350.93 3,915 $ 4,602,279,984.32 414 $ 486,939,836.17 500 $ 588,071,034.42 472 $ 554,818,412.94 1,912 $ 2,247,265,610.87 2,459 $ 2,890,593,182.76 769 $ 904,595,465.78 528 $ 620,417,845.09 1,464 $ 1,720,495,285.31 769 $ 904,595,465.78

Sequestration

Revenue Lost (10 Year) Potential Job Loss $ 1,614,755.06 41 $ 47,629,009.02 $ 9,620,432.51 241 $ 283,765,431.75 $ 10,327,437.70 259 $ 304,619,341.69 $ 2,258,234.38 57 $ 66,609,152.26 $ 9,226,877.86 232 $ 272,157,096.58 $ 6,083,293.40 153 $ 179,433,552.12 $ 2,474,789.18 62 $ 72,996,678.63 $ - - $ - $ 3,973,325.78 100 $ 117,197,694.01 $ 9,221,247.26 231 $ 271,991,015.73 $ 13,133,346.12 330 $ 387,382,753.16 $ 2,089,448.02 52 $ 61,630,609.53 $ 15,276,485.49 383 $ 450,597,049.29 $ 3,655,793.98 92 $ 107,831,737.93 $ 18,041,300.65 453 $ 532,148,368.99 $ 10,115,624.70 254 $ 298,371,680.03 $ 13,287,637.96 333 $ 391,933,763.88 $ 19,882,784.80 499 $ 586,465,006.34 $ 9,341,615.86 234 $ 275,541,422.40 $ 321,416.34 8 $ 9,480,534.93 $ 4,043,809.14 101 $ 119,276,679.65 $ 7,240,399.38 182 $ 213,563,688.96 $ 19,758,254.73 496 $ 582,791,852.41 $ 13,214,962.01 332 $ 389,790,105.30 $ 13,728,564.10 344 $ 404,939,374.12 $ 20,749,916.63 521 $ 612,042,030.77 $ 5,972,335.68 150 $ 176,160,729.90 $ 26,280,750.12 659 $ 775,180,159.18 $ 3,666,240.08 92 $ 108,139,857.35 $ 11,466,563.46 288 $ 338,219,131.80 $ 10,328,496.11 259 $ 304,650,560.58 $ - - $ - $ 4,365,109.29 110 $ 128,753,787.35 $ 1,147,334.68 29 $ 33,841,921.40 $ 12,987,720.18 326 $ 383,087,352.96

Potential GDP Impact (10 Year)

$ 15,733,686.56 395 $ 464,082,706.82 $ 11,975,340.79 300 $ 353,226,088.88 $ 7,950,442.96 199 $ 234,507,219.60 $ 18,944,609.00 475 $ 558,792,460.42 $ - - $ - $ 9,524,755.17 239 $ 280,943,321.42 $ 4,780,654.36 120 $ 141,010,754.68 $ 12,059,453.46 303 $ 355,707,086.25 $ 20,386,276.12 512 $ 601,316,046.67 $ 1,317,002.72 33 $ 38,846,470.27 $ 8,555,129.54 215 $ 252,343,127.53 $ 4,757,648.62 119 $ 140,332,174.61 $ 7,192,847.60 180 $ 212,161,095.95 $ 12,378,541.97 311 $ 365,118,959.37 $ 7,880,652.78 198 $ 232,448,680.08 $ 3,168,011.86 79 $ 93,444,057.98 $ 10,543,497.98 265 $ 310,992,281.78 $ 6,083,293.40 153 $ 179,433,552.12

Medicare Bad Debt Reduction

Revenue Lost (10 Year) Potential Job Loss $ 1,250,739.00 4 $ 4,451,561.67 $ 1,369,886.00 9 $ 10,220,609.46 $ 9,034,137.00 51 $ 60,519,344.58 $ 2,357,537.00 10 $ 11,541,869.92 $ 43,320,508.00 149 $ 175,026,170.13 $ 11,068,407.00 44 $ 51,236,463.63

$ 14,598,405.50 89 $ 104,171,503.53 $ 32,108,174.00 172 $ 202,585,134.61 $ 33,393.50 0 $ 156,389.13 $ 2,580,105.50 12 $ 13,565,116.01 $ 1,951,722.50 8 $ 9,910,875.98 $ 68,197,398.50 324 $ 380,360,676.10 $ 42,494,889.50 181 $ 212,408,211.78 $ 19,282,392.50 94 $ 111,007,419.41 $ 23,296,808.50 117 $ 137,922,547.85 $ 11,194,841.00 58 $ 68,345,817.00 $ 2,640,319.50 9 $ 10,333,239.68

$ 16,601,116.00 63 $ 74,332,963.97 $ 48,806,695.00 226 $ 266,143,358.99 $ 3,966,046.00 19 $ 22,659,334.93 $ 16,630,540.50 78 $ 91,151,976.57 $ 11,674,757.50 62 $ 73,301,901.40 $ 4,477,039.00 19 $ 21,845,907.45 $ 21,948,325.00 132 $ 155,425,887.96 $ 1,831,063.50 9 $ 10,124,786.19 $ 2,239,793.50 10 $ 11,416,146.78 $ 7,833,122.50 29 $ 34,218,358.67

$ 2,399,421.50 9 $ 11,038,458.06 $ 9,212,035.00 42 $ 49,038,951.55 $ 4,269,639.50 20 $ 23,992,291.84

Potential GDP Impact (10 Year)

$ 36,156,141.00 174 $ 205,036,202.76 $ 12,300,792.00 56 $ 66,277,043.04 $ 9,440,805.50 30 $ 35,071,068.57 $ 14,094,328.50 66 $ 77,082,739.09

$ 1,958,215.00 9 $ 10,953,479.67 $ 1,284,955.00 6 $ 7,060,558.61 $ 19,278,458.50 96 $ 112,658,634.25 $ 36,588,569.50 180 $ 211,915,872.31 $ 1,764,637.00 8 $ 9,071,730.16 $ 5,224,600.50 26 $ 30,620,301.94 $ 5,682,701.50 19 $ 22,134,773.43 $ 16,224,726.00 67 $ 78,880,033.59 $ 34,613,687.50 147 $ 172,339,663.33 $ 5,937,879.50 30 $ 35,390,516.04 $ 1,261,270.50 5 $ 5,799,547.60 $ 11,987,774.75 60 $ 70,823,859.20 $ 7,833,122.50 30 $ 35,071,068.57

Sheet1