Proof of Claim # |
Name |
(A) Submitted Proof of Claim Amount |
(B) Estimated Percent Allowable |
(C) Estimated Payable Amount (Col A x Col B) |
(D) Two-Thirds of Column C |
(E) Recovery Amount to Date |
(F) Estimated Amount Eligible for Distribution (Col D - E) |
(G) Estimated Distribution at 50% |
(H) 1st Interim Distribution Payment |
(J) Proposed Interim Distribution With Deminimus Ancillary - $500; Hospital - $1,000; Physician - $500 |
APP0009817 |
ATLANTIC CITY MEDICAL CENTER |
$0.00 |
0.00% |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
APP0009839 |
ATLANTIC CITY MEDICAL CENTER |
$235,068.38 |
97.20% |
$228,529.49 |
$152,352.99 |
$0.00 |
$152,352.99 |
$76,176.49 |
$53,323.55 |
$22,852.94 |
APP0010850 |
BARNERT HOSPITAL |
$1,089,618.65 |
60.00% |
$654,622.89 |
$436,415.26 |
$387,359.89 |
$49,055.37 |
$24,527.68 |
$13,507.44 |
$11,020.24 |
APP0009489 |
BAYONNE HOSPITAL |
$214,759.06 |
57.20% |
$122,996.65 |
$81,997.76 |
$14,951.40 |
$67,046.36 |
$33,523.18 |
$22,938.94 |
$10,584.24 |
APP0009809 |
BAYSHORE COMMUNITY HOSPITAL |
$1,788.73 |
40.50% |
$725.00 |
$483.33 |
$942.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
APP0010812 |
BERGEN REGIONAL MEDICAL CENTER & BERGEN PINES COUN |
$21,713.60 |
36.10% |
$7,850.05 |
$5,233.36 |
$745.00 |
$4,488.36 |
$2,244.18 |
$1,546.54 |
$697.64 |
APP0010839 |
BROCKTON HOSPITAL |
$279.01 |
100.00% |
$279.01 |
$186.00 |
$0.00 |
$186.00 |
$93.00 |
$0.00 |
$0.00 |
APP0049315 |
CAPITAL HEALTH SYSTEM |
$15,179.61 |
76.50% |
$11,615.96 |
$7,743.97 |
$45.00 |
$7,698.97 |
$3,849.48 |
$3,268.60 |
$580.88 |
APP0010799 |
CAPITAL HEALTH SYSTEM AT FULD |
$981.00 |
17.80% |
$175.00 |
$116.66 |
$45.00 |
$71.66 |
$35.83 |
$0.00 |
$0.00 |
APP0010808 |
CHILDREN'S HOSPITAL OF PHILADELPHIA |
$324,381.97 |
41.30% |
$134,077.40 |
$89,384.93 |
$0.00 |
$89,384.93 |
$44,692.46 |
$31,284.73 |
$13,407.73 |
APP0010860 |
CHILDREN'S SPECIALIZED HOSPITAL |
$113,976.16 |
50.20% |
$57,318.18 |
$38,212.12 |
$0.00 |
$38,212.12 |
$19,106.06 |
$16,173.54 |
$2,932.52 |
APP0009818 |
CHILTON MEMORIAL HOSPITAL |
$18,379.00 |
31.70% |
$5,832.60 |
$3,888.40 |
$590.80 |
$3,297.60 |
$1,648.80 |
$1,154.16 |
$494.64 |
APP0009486 |
CHRIST HOSPITAL |
$910,560.33 |
53.40% |
$487,132.43 |
$324,754.95 |
$62,424.22 |
$262,330.73 |
$131,165.36 |
$92,761.22 |
$38,404.14 |
APP0010262 |
CLARA MAAS MEDICAL CENTER |
$110,009.23 |
59.70% |
$65,705.01 |
$43,803.34 |
$130.00 |
$43,673.34 |
$21,836.67 |
$15,158.85 |
$6,677.82 |
APP0010835 |
COLUMBIA PRESBYTERIAN MED. CTR. ALLEN PAVILION |
$5,512.00 |
70.60% |
$3,892.90 |
$2,595.26 |
$0.00 |
$2,595.26 |
$1,297.63 |
$0.00 |
$1,297.63 |
APP0001220 |
COLUMBUS HOSPITAL |
$543,970.30 |
27.90% |
$152,132.82 |
$101,421.88 |
$21,272.81 |
$80,149.07 |
$40,074.53 |
$28,404.90 |
$11,669.63 |
APP0049198 |
CT. CHILDREN'S MEDICAL CENTER |
$2,129.00 |
0.00% |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
APP0010775 |
EAST ORANGE GENERAL HOSPITAL |
$52,655.81 |
31.10% |
$16,389.59 |
$10,926.39 |
$3,790.00 |
$7,136.39 |
$3,568.19 |
$2,439.41 |
$1,128.78 |
APP0002662 |
ELIZABETH GENERAL MEDICAL CENTER |
$585,932.85 |
68.00% |
$398,780.15 |
$265,853.43 |
$754.90 |
$265,098.53 |
$132,549.26 |
$88,175.09 |
$44,374.17 |
APP0011052 |
ENGLEWOOD HOSPITAL AND MEDICAL CENTER |
$651,279.10 |
45.60% |
$297,544.36 |
$198,362.90 |
$15,031.13 |
$183,331.77 |
$91,665.88 |
$61,835.07 |
$29,830.81 |
APP0010832 |
EPISCOPAL HOSPITAL |
$4,049.00 |
81.00% |
$3,282.00 |
$2,188.00 |
$0.00 |
$2,188.00 |
$1,094.00 |
$0.00 |
$1,094.00 |
APP0010848 |
GENERAL HOSPITAL CENTER AT PASSAIC |
$531,388.94 |
78.60% |
$417,744.23 |
$278,496.15 |
$18,420.70 |
$260,075.45 |
$130,037.72 |
$90,653.81 |
$39,383.91 |
APP0009484 |
GREENVILLE HOSPITAL |
$450,928.00 |
13.80% |
$62,376.85 |
$41,584.56 |
$3,249.60 |
$38,334.96 |
$19,167.48 |
$11,440.61 |
$7,726.87 |
APP0009816 |
HACKENSACK UNIVERSITY MEDICAL CENTER |
$980,148.29 |
55.80% |
$547,607.23 |
$365,071.48 |
$28,220.88 |
$336,850.60 |
$168,425.30 |
$111,113.87 |
$57,311.43 |
APP0010815 |
HOLY NAME HOSPITAL |
$663,568.16 |
33.20% |
$220,695.14 |
$147,130.09 |
$13,416.31 |
$133,713.78 |
$66,856.89 |
$45,693.01 |
$21,163.88 |
APP0010261 |
HOSPITAL CENTER AT ORANGE |
$238,946.04 |
37.90% |
$90,586.00 |
$60,390.66 |
$10,946.85 |
$49,443.81 |
$24,721.90 |
$17,237.91 |
$7,483.99 |
APP0010263 |
IRVINGTON GENERAL HOSPITAL |
$21,859.80 |
32.20% |
$7,055.52 |
$4,703.68 |
$135.68 |
$4,568.00 |
$2,284.00 |
$1,598.80 |
$685.20 |
APP0010790 |
JACOBI MEDICAL CENTER NYC |
$38,220.00 |
41.30% |
$15,797.60 |
$10,531.73 |
$0.00 |
$10,531.73 |
$5,265.86 |
$3,686.11 |
$1,579.75 |
APP0009483 |
JERSEY CITY MEDICAL CENTER |
$6,628,275.68 |
29.50% |
$1,957,624.68 |
$1,305,083.12 |
$992,419.29 |
$312,663.83 |
$156,331.91 |
$129,969.80 |
$26,362.11 |
APP0009831 |
JERSEY SHORE MEDICAL CENTER |
$7,292.00 |
55.60% |
$4,055.00 |
$2,703.33 |
$0.00 |
$2,703.33 |
$1,351.66 |
$0.00 |
$1,351.66 |
APP0010868 |
JOHN F. KENNEDY MEDICAL CENTER |
$224,607.79 |
70.40% |
$158,253.06 |
$105,502.04 |
$13,581.74 |
$91,920.30 |
$45,960.15 |
$32,778.21 |
$13,181.94 |
APP0009814 |
KIMBALL MEDICAL CENTER |
$2,844.25 |
77.30% |
$2,200.00 |
$1,466.66 |
$0.00 |
$1,466.66 |
$733.33 |
$0.00 |
$0.00 |
APP0049450 |
LINCOLN HOSPITAL |
$5,532.31 |
33.40% |
$1,851.73 |
$1,234.48 |
$0.00 |
$1,234.48 |
$617.24 |
$0.00 |
$0.00 |
APP0009485 |
MEADOWLANDS HOSPITAL |
$102,950.65 |
46.90% |
$48,383.68 |
$32,255.78 |
$101.00 |
$32,154.78 |
$16,077.39 |
$9,974.11 |
$6,103.28 |
APP0010870 |
MEMORIAL MEDICAL CENTER |
$21,932.40 |
55.10% |
$12,101.28 |
$8,067.52 |
$90.00 |
$7,977.52 |
$3,988.76 |
$2,792.13 |
$1,196.63 |
APP0009811 |
MEMORIAL SLOAN-KETTERING HOSPITAL |
$214,822.00 |
1.50% |
$3,302.30 |
$2,201.53 |
$0.00 |
$2,201.53 |
$1,100.76 |
$0.00 |
$1,100.76 |
APP0009813 |
MONMOUTH HOSPITAL/MEDICAL CNTR |
$9,487.70 |
88.40% |
$8,388.95 |
$5,592.63 |
$0.00 |
$5,592.63 |
$2,796.31 |
$1,914.02 |
$882.29 |
APP0009819 |
MORRISTOWN MEMORIAL HOSPITAL |
$423,096.25 |
88.30% |
$373,616.80 |
$249,077.86 |
$3,859.05 |
$245,218.81 |
$122,609.40 |
$85,280.41 |
$37,328.99 |
APP0010777 |
MOUNTAINSIDE HOSPITAL |
$14,236.21 |
85.40% |
$12,167.33 |
$8,111.55 |
$38.40 |
$8,073.15 |
$4,036.57 |
$2,825.60 |
$1,210.97 |
APP0010856 |
MUHLENBERG HOSPITAL |
$767,808.61 |
42.90% |
$329,413.78 |
$219,609.18 |
$87,644.73 |
$131,964.45 |
$65,982.22 |
$44,569.82 |
$21,412.40 |
APP0010260 |
NEWARK BETH ISRAEL MEDICAL CENTER |
$144,689.16 |
62.10% |
$89,857.20 |
$59,904.80 |
$41,134.45 |
$18,770.35 |
$9,385.17 |
$12,151.89 |
$0.00 |
APP0010820 |
NEWTON MEMORIAL HOSPITAL |
$12,926.00 |
88.60% |
$11,452.90 |
$7,635.26 |
$0.00 |
$7,635.26 |
$3,817.63 |
$2,672.34 |
$1,145.29 |
APP0010859 |
OVERLOOK HOSPITAL |
$369,367.65 |
80.60% |
$297,825.60 |
$198,550.40 |
$22,382.01 |
$176,168.39 |
$88,084.19 |
$61,488.42 |
$26,595.77 |
APP0009487 |
PALISADES MEDICAL CENTER |
$367,354.65 |
75.30% |
$276,965.80 |
$184,643.86 |
$36,727.97 |
$147,915.89 |
$73,957.94 |
$51,805.86 |
$22,152.08 |
APP0010813 |
PASCACK VALLEY HOSPITAL |
$100,114.48 |
50.60% |
$50,703.18 |
$33,802.12 |
$268.20 |
$33,533.92 |
$16,766.96 |
$11,687.13 |
$5,079.83 |
APP0010849 |
PASSAIC BETH ISRAEL HOSPITAL |
$506,364.06 |
37.30% |
$189,065.43 |
$126,043.62 |
$11,261.71 |
$114,781.91 |
$57,390.95 |
$34,349.36 |
$23,041.59 |
APP0009894 |
POCONO HOSPITAL |
$130.00 |
0.00% |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
APP0009490 |
PRESBYTERIAN HOSPITAL |
$144,636.42 |
21.90% |
$31,756.00 |
$21,170.66 |
$0.00 |
$21,170.66 |
$10,585.33 |
$2,914.59 |
$7,670.74 |
APP0010857 |
RAHWAY HOSPITAL |
$121,774.46 |
57.00% |
$69,465.85 |
$46,310.56 |
$4,408.46 |
$41,902.10 |
$20,951.05 |
$14,949.88 |
$6,001.17 |
APP0010867 |
RARITAN BAY MEDICAL CENTER |
$3,266,412.74 |
49.00% |
$1,602,146.48 |
$1,068,097.65 |
$192,524.40 |
$875,573.25 |
$437,786.62 |
$303,907.01 |
$133,879.61 |
APP0010866 |
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL |
$1,901,207.79 |
32.00% |
$608,542.45 |
$405,694.96 |
$69,573.44 |
$336,121.52 |
$168,060.76 |
$143,921.87 |
$24,138.89 |
APP0007683 |
RWJUH AT HAMILTON |
$50,347.44 |
29.50% |
$14,862.27 |
$9,908.18 |
$0.00 |
$9,908.18 |
$4,954.09 |
$2,649.25 |
$2,304.84 |
APP0010792 |
SHORE MEMORIAL HOSPITAL |
$21,172.34 |
40.40% |
$8,553.80 |
$5,702.53 |
$0.00 |
$5,702.53 |
$2,851.26 |
$1,995.89 |
$855.37 |
APP0009822 |
SOMERSET MEDICAL CENTER |
$41,884.45 |
65.90% |
$27,606.98 |
$18,404.65 |
$59.04 |
$18,345.61 |
$9,172.80 |
$6,224.51 |
$2,948.29 |
APP0049472 |
SOUTH FULTON MEDICAL CENTER |
$3,770.45 |
100.00% |
$3,770.45 |
$2,513.63 |
$0.00 |
$2,513.63 |
$1,256.81 |
$0.00 |
$1,256.81 |
APP0009837 |
ST. CLARES HOSPITAL |
$42,670.35 |
52.20% |
$22,300.00 |
$14,866.66 |
$0.00 |
$14,866.66 |
$7,433.33 |
$5,203.33 |
$2,230.00 |
APP0010858 |
ST. ELIZABETH HOSPITAL |
$1,347,797.06 |
33.70% |
$454,926.33 |
$303,284.22 |
$32,371.00 |
$270,913.22 |
$135,456.61 |
$92,300.09 |
$43,156.52 |
APP0009482 |
ST. FRANCIS HOSPITAL |
$265,644.99 |
63.90% |
$169,928.46 |
$113,285.64 |
$92,337.63 |
$20,948.01 |
$10,474.00 |
$8,182.54 |
$2,291.46 |
APP0010258 |
ST. JAMES HOSPITAL |
$123,366.85 |
54.90% |
$67,840.64 |
$45,227.09 |
$9,591.30 |
$35,635.79 |
$17,817.89 |
$10,746.62 |
$7,071.27 |
APP0010851 |
ST. JOSEPH'S HOSPITAL & MEDICAL CENTER |
$15,091,000.01 |
30.20% |
$4,561,605.73 |
$3,041,070.48 |
$1,133,555.40 |
$1,907,515.08 |
$953,757.54 |
$678,547.32 |
$275,210.22 |
APP0010788 |
ST. MARY'S HOSPITAL |
$325,253.88 |
78.50% |
$255,570.63 |
$170,380.42 |
$175.00 |
$170,205.42 |
$85,102.71 |
$65,270.27 |
$19,832.44 |
APP0010853 |
ST. MARY'S HOSPITAL (HOSP/CLIN) |
$810,620.63 |
67.80% |
$549,855.26 |
$366,570.17 |
$19,713.22 |
$346,856.95 |
$173,428.47 |
$128,256.28 |
$45,172.19 |
APP0010774 |
ST. MICHAEL'S HOSPITAL |
$528,424.51 |
27.70% |
$146,413.33 |
$97,608.88 |
$13,212.20 |
$84,396.68 |
$42,198.34 |
$29,292.22 |
$12,906.12 |
APP0010869 |
ST. PETER'S MEDICAL CENTER |
$1,485,743.66 |
47.10% |
$701,194.00 |
$467,462.66 |
$89,545.90 |
$377,916.76 |
$188,958.38 |
$131,445.38 |
$57,513.00 |
APP0010823 |
ST. VINCENT MEDICAL CENTER |
$563.00 |
11.00% |
$62.00 |
$41.33 |
$0.00 |
$41.33 |
$20.66 |
$0.00 |
$0.00 |
APP0010784 |
TAMPA GENERAL HOSPITAL |
$554.00 |
22.50% |
$125.00 |
$83.33 |
$0.00 |
$83.33 |
$41.66 |
$0.00 |
$0.00 |
APP0010257 |
UMDNJ/UNIVERSITY HOSPITAL |
$1,033,019.08 |
89.30% |
$922,891.65 |
$615,261.10 |
$90,172.35 |
$525,088.75 |
$262,544.37 |
$182,785.52 |
$79,758.85 |
APP0010264 |
UNION HOSPITAL |
$21,052.71 |
77.00% |
$16,225.26 |
$10,816.84 |
$0.00 |
$10,816.84 |
$5,408.42 |
$3,785.94 |
$1,622.48 |
APP0010816 |
VALLEY HOSPITAL, THE |
$118,214.88 |
78.40% |
$92,784.72 |
$61,856.48 |
$0.00 |
$61,856.48 |
$30,928.24 |
$21,622.00 |
$9,306.24 |
APP0010852 |
WAYNE GENERAL HOSPITAL |
$2,554,638.25 |
42.30% |
$1,082,620.47 |
$721,746.98 |
$81,021.37 |
$640,725.61 |
$320,362.80 |
$219,980.14 |
$100,382.66 |
APP0049364 |
WAYNE GENERAL HOSPITAL |
$34,304.24 |
10.70% |
$3,698.14 |
$2,465.42 |
$0.00 |
$2,465.42 |
$1,232.71 |
$0.00 |
$1,232.71 |
APP0009840 |
WEST HUDSON HOSPITAL |
$9,553.20 |
9.80% |
$940.06 |
$626.70 |
$0.00 |
$626.70 |
$313.35 |
$0.00 |
$0.00 |
|
TOTALS |
$47,094,741.26 |
|
$19,253,658.72 |
$12,835,772.24 |
$3,620,241.43 |
$9,215,989.48 |
$4,607,994.57 |
$3,251,635.91 |
$1,357,270.31 |