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 - Col E) |
(G) Estimated Distribution at 60% |
(H) Prior Interim Distribution Payments |
(I) Proposed Interim Distribution With Deminimus Ancillary - $500; Hospital - $1,000; Physician - $500 |
APP0010794 |
ALLEGHENY HOSPITAL RANCOCAS |
$43,772.43 |
26.90% |
$11,785.60 |
$7,857.06 |
$0.00 |
$7,857.06 |
$4,714.23 |
$0.00 |
$4,714.23 |
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 |
$245,166.32 |
94.60% |
$232,118.92 |
$154,745.94 |
$0.00 |
$154,745.94 |
$92,847.56 |
$76,176.49 |
$16,671.07 |
APP0010850 |
BARNERT HOSPITAL |
$1,090,321.15 |
60.50% |
$660,644.57 |
$440,429.71 |
$387,359.89 |
$53,069.82 |
$31,841.89 |
$24,527.68 |
$7,314.21 |
APP0009489 |
BAYONNE HOSPITAL |
$218,835.26 |
55.10% |
$120,764.32 |
$80,509.54 |
$14,951.40 |
$65,558.14 |
$39,334.88 |
$33,523.18 |
$5,811.70 |
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 & BE |
$21,713.60 |
32.90% |
$7,150.05 |
$4,766.70 |
$745.00 |
$4,021.70 |
$2,413.02 |
$2,244.18 |
$168.84 |
APP0010839 |
BROCKTON HOSPITAL |
$279.01 |
100.00% |
$279.01 |
$186.00 |
$0.00 |
$186.00 |
$111.60 |
$0.00 |
$0.00 |
APP0049315 |
CAPITAL HEALTH SYSTEM |
$15,350.06 |
77.10% |
$11,845.60 |
$7,897.06 |
$45.00 |
$7,852.06 |
$4,711.23 |
$3,849.48 |
$861.75 |
APP0010799 |
CAPITAL HEALTH SYSTEM AT FULD |
$1,091.00 |
16.00% |
$175.00 |
$116.66 |
$45.00 |
$71.66 |
$42.99 |
$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 |
$53,630.95 |
$44,692.46 |
$8,938.49 |
APP0010860 |
CHILDREN'S SPECIALIZED HOSPITAL |
$122,451.16 |
46.80% |
$57,318.18 |
$38,212.12 |
$0.00 |
$38,212.12 |
$22,927.27 |
$19,106.06 |
$3,821.21 |
APP0009818 |
CHILTON MEMORIAL HOSPITAL |
$18,379.00 |
31.70% |
$5,832.60 |
$3,888.40 |
$590.80 |
$3,297.60 |
$1,978.56 |
$1,648.80 |
$329.76 |
APP0009486 |
CHRIST HOSPITAL |
$914,121.33 |
53.00% |
$485,201.60 |
$323,467.73 |
$62,424.22 |
$261,043.51 |
$156,626.10 |
$131,165.36 |
$25,460.74 |
APP0010262 |
CLARA MAAS MEDICAL CENTER |
$110,393.23 |
59.80% |
$66,028.81 |
$44,019.20 |
$130.00 |
$43,889.20 |
$26,333.52 |
$21,836.67 |
$4,496.85 |
APP0010835 |
COLUMBIA PRESBYTERIAN MED CTR ALLEN |
$5,512.00 |
70.60% |
$3,892.90 |
$2,595.26 |
$0.00 |
$2,595.26 |
$1,557.15 |
$1,297.63 |
$259.52 |
APP0001220 |
COLUMBUS HOSPITAL |
$624,087.77 |
24.10% |
$150,828.01 |
$100,552.00 |
$21,272.81 |
$79,279.19 |
$47,567.51 |
$40,074.53 |
$7,492.98 |
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 |
$53,164.61 |
30.70% |
$16,344.59 |
$10,896.39 |
$3,790.00 |
$7,106.39 |
$4,263.83 |
$3,568.19 |
$695.64 |
APP0002662 |
ELIZABETH GENERAL HOSPITAL |
$596,151.39 |
67.80% |
$404,549.87 |
$269,699.91 |
$754.90 |
$268,945.01 |
$161,367.00 |
$132,549.26 |
$28,817.74 |
APP0011052 |
ENGLEWOOD HOSPITAL AND MEDICAL CENT |
$659,182.35 |
46.50% |
$306,658.27 |
$204,438.84 |
$15,031.13 |
$189,407.71 |
$113,644.62 |
$91,665.88 |
$21,978.74 |
APP0010832 |
EPISCOPAL HOSPITAL |
$4,049.00 |
81.00% |
$3,282.00 |
$2,188.00 |
$0.00 |
$2,188.00 |
$1,312.80 |
$1,094.00 |
$218.80 |
APP0010848 |
GENERAL HOSPITAL CENTER AT PASSAIC |
$535,070.94 |
78.20% |
$418,842.57 |
$279,228.38 |
$18,420.70 |
$260,807.68 |
$156,484.60 |
$130,037.72 |
$26,446.88 |
APP0009484 |
GREENVILLE HOSPITAL |
$450,928.00 |
13.70% |
$61,887.85 |
$41,258.56 |
$3,249.60 |
$38,008.96 |
$22,805.37 |
$19,167.48 |
$3,637.89 |
APP0009816 |
HACKENSACK UNIVERSITY MEDICAL CTR |
$981,632.19 |
55.10% |
$541,049.36 |
$360,699.57 |
$28,220.88 |
$332,478.69 |
$199,487.21 |
$168,425.30 |
$31,061.91 |
APP0010815 |
HOLY NAME HOSPITAL |
$664,513.53 |
33.10% |
$220,464.33 |
$146,976.22 |
$13,416.31 |
$133,559.91 |
$80,135.94 |
$66,856.89 |
$13,279.05 |
APP0010261 |
HOSPITAL CENTER AT ORANGE |
$238,946.04 |
37.70% |
$90,282.10 |
$60,188.06 |
$10,946.85 |
$49,241.21 |
$29,544.72 |
$24,721.90 |
$4,822.82 |
APP0010263 |
IRVINGTON GENERAL HOSPITAL |
$21,859.80 |
32.20% |
$7,055.52 |
$4,703.68 |
$135.68 |
$4,568.00 |
$2,740.80 |
$2,284.00 |
$456.80 |
APP0010790 |
JACOBI MEDICAL CENTER NYC |
$38,220.00 |
41.30% |
$15,797.60 |
$10,531.73 |
$0.00 |
$10,531.73 |
$6,319.03 |
$5,265.86 |
$1,053.17 |
APP0009483 |
JERSEY CITY MEDICAL CENTER |
$6,628,711.68 |
29.50% |
$1,957,624.68 |
$1,305,083.12 |
$677,557.00 |
$627,526.12 |
$376,515.67 |
$156,331.91 |
$220,183.76 |
APP0009831 |
JERSEY SHORE MEDICAL CENTER |
$7,292.00 |
55.60% |
$4,055.00 |
$2,703.33 |
$0.00 |
$2,703.33 |
$1,621.99 |
$1,351.66 |
$270.33 |
APP0010868 |
JOHN F. KENNEDY MEDICAL CENTER |
$227,893.79 |
69.80% |
$159,240.51 |
$106,160.34 |
$13,581.74 |
$92,578.60 |
$55,547.16 |
$45,960.15 |
$9,587.01 |
APP0049505 |
JOHNS HOPKINS BAYVIEW MED CTR |
$285.15 |
41.30% |
$117.86 |
$78.57 |
$0.00 |
$78.57 |
$47.14 |
$0.00 |
$0.00 |
APP0049504 |
JOHNS HOPKINS HOSPITAL |
$4,406.87 |
11.50% |
$510.77 |
$340.51 |
$0.00 |
$340.51 |
$204.30 |
$0.00 |
$0.00 |
APP0009814 |
KIMBALL MEDICAL CENTER |
$3,046.25 |
73.60% |
$2,245.00 |
$1,496.66 |
$0.00 |
$1,496.66 |
$897.99 |
$0.00 |
$0.00 |
APP0049450 |
LINCOLN HOSPITAL |
$5,532.31 |
33.40% |
$1,851.73 |
$1,234.48 |
$0.00 |
$1,234.48 |
$740.68 |
$0.00 |
$0.00 |
APP0049193 |
MADISON CENTER EMERY NURSING REHAB |
$8,250.00 |
86.00% |
$7,100.00 |
$4,733.33 |
$0.00 |
$4,733.33 |
$2,839.99 |
$2,366.66 |
$473.33 |
APP0009485 |
MEADOWLANDS HOSPITAL |
$107,531.45 |
51.60% |
$55,526.79 |
$37,017.86 |
$101.00 |
$36,916.86 |
$22,150.11 |
$16,077.39 |
$6,072.72 |
APP0010870 |
MEMORIAL MEDICAL CENTER |
$21,932.40 |
55.10% |
$12,101.28 |
$8,067.52 |
$90.00 |
$7,977.52 |
$4,786.51 |
$3,988.76 |
$797.75 |
APP0009811 |
MEMORIAL SLOAN-KETTERING HOSPITAL |
$214,822.00 |
1.50% |
$3,302.30 |
$2,201.53 |
$0.00 |
$2,201.53 |
$1,320.91 |
$1,100.76 |
$220.15 |
APP0009813 |
MONMOUTH HOSPITAL/MEDICAL CNTR |
$9,487.70 |
87.00% |
$8,258.95 |
$5,505.96 |
$0.00 |
$5,505.96 |
$3,303.57 |
$2,796.31 |
$507.26 |
APP0009819 |
MORRISTOWN MEMORIAL HOSPITAL |
$434,065.13 |
86.90% |
$377,351.86 |
$251,567.90 |
$3,859.05 |
$247,708.85 |
$148,625.31 |
$122,609.40 |
$26,015.91 |
APP0010777 |
MOUNTAINSIDE HOSPITAL |
$14,236.21 |
85.40% |
$12,167.33 |
$8,111.55 |
$38.40 |
$8,073.15 |
$4,843.89 |
$4,036.57 |
$807.32 |
APP0010856 |
MUHLENBERG HOSPITAL |
$767,808.61 |
45.60% |
$350,474.29 |
$233,649.52 |
$87,644.73 |
$146,004.79 |
$87,602.87 |
$65,982.22 |
$21,620.65 |
APP0010260 |
NEWARK BETH ISRAEL MEDICAL CENTER |
$144,689.16 |
203.60% |
$294,687.46 |
$196,458.30 |
$41,134.45 |
$155,323.85 |
$93,194.31 |
$12,151.89 |
$81,042.42 |
APP0010820 |
NEWTON MEMORIAL HOSPITAL |
$12,926.00 |
88.60% |
$11,452.90 |
$7,635.26 |
$0.00 |
$7,635.26 |
$4,581.15 |
$3,817.63 |
$763.52 |
APP0010859 |
OVERLOOK HOSPITAL |
$371,340.35 |
80.50% |
$299,153.10 |
$199,435.40 |
$22,382.01 |
$177,053.39 |
$106,232.03 |
$88,084.19 |
$18,147.84 |
APP0009487 |
PALISADES GENERAL HOSPITAL |
$367,354.65 |
75.50% |
$277,522.80 |
$185,015.20 |
$36,727.97 |
$148,287.23 |
$88,972.33 |
$73,957.94 |
$15,014.39 |
APP0010813 |
PASCACK VALLEY HOSPITAL |
$100,114.48 |
51.70% |
$51,813.74 |
$34,542.49 |
$268.20 |
$34,274.29 |
$20,564.57 |
$16,766.96 |
$3,797.61 |
APP0010849 |
PASSAIC BETH ISRAEL HOSPITAL |
$506,364.06 |
37.20% |
$188,600.43 |
$125,733.62 |
$11,261.71 |
$114,471.91 |
$68,683.14 |
$57,390.95 |
$11,292.19 |
APP0009894 |
POCONO HOSPITAL |
$130.00 |
0.00% |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
APP0009490 |
PRESBYTERIAN HOSPITAL |
$139,124.42 |
20.10% |
$27,976.77 |
$18,651.18 |
$0.00 |
$18,651.18 |
$11,190.70 |
$10,585.33 |
$605.37 |
APP0010857 |
RAHWAY HOSPITAL |
$121,774.46 |
56.80% |
$69,206.39 |
$46,137.59 |
$4,408.46 |
$41,729.13 |
$25,037.47 |
$20,951.05 |
$4,086.42 |
APP0010867 |
RARITAN BAY MEDICAL CENTER |
$3,279,736.33 |
50.50% |
$1,658,552.95 |
$1,105,701.96 |
$192,524.40 |
$913,177.56 |
$547,906.53 |
$437,786.62 |
$110,119.91 |
APP0010866 |
ROBERT WOOD JOHNSON UNIVERSITY |
$1,901,021.79 |
31.00% |
$590,604.10 |
$393,736.06 |
$69,573.44 |
$324,162.62 |
$194,497.57 |
$168,060.76 |
$26,436.81 |
APP0007683 |
RWJUH AT HAMILTON |
$50,347.44 |
29.50% |
$14,862.27 |
$9,908.18 |
$0.00 |
$9,908.18 |
$5,944.90 |
$4,954.09 |
$990.81 |
APP0010792 |
SHORE MEMORIAL HOSPITAL |
$21,172.34 |
40.40% |
$8,553.80 |
$5,702.53 |
$0.00 |
$5,702.53 |
$3,421.51 |
$2,851.26 |
$570.25 |
APP0009822 |
SOMERSET MEDICAL CENTER |
$41,884.45 |
65.90% |
$27,606.98 |
$18,404.65 |
$59.04 |
$18,345.61 |
$11,007.36 |
$9,172.80 |
$1,834.56 |
APP0049472 |
SOUTH FULTON MEDICAL CENTER |
$3,770.45 |
100.00% |
$3,770.45 |
$2,513.63 |
$0.00 |
$2,513.63 |
$1,508.17 |
$1,256.81 |
$251.36 |
APP0010851 |
ST JOSEPH'S HOSPITAL & MED. CTR. |
$15,095,457.01 |
29.10% |
$4,398,089.76 |
$2,932,059.84 |
$1,133,555.40 |
$1,798,504.44 |
$1,079,102.66 |
$953,757.54 |
$125,345.12 |
APP0010788 |
ST MARY'S HOSPITAL |
$325,253.88 |
76.00% |
$247,406.87 |
$164,937.91 |
$100,000.00 |
$64,937.91 |
$38,962.74 |
$85,102.71 |
$0.00 |
APP0009837 |
ST. CLARES HOSPITAL |
$57,029.85 |
51.70% |
$29,532.19 |
$19,688.12 |
$0.00 |
$19,688.12 |
$11,812.87 |
$7,433.33 |
$4,379.54 |
APP0010858 |
ST. ELIZABETH HOSPITAL |
$1,349,614.06 |
34.00% |
$459,667.49 |
$306,444.99 |
$32,371.00 |
$274,073.99 |
$164,444.39 |
$135,456.61 |
$28,987.78 |
APP0009482 |
ST. FRANCIS HOSPITAL |
$267,857.74 |
64.50% |
$173,023.43 |
$115,348.95 |
$92,337.63 |
$23,011.32 |
$13,806.79 |
$10,474.00 |
$3,332.79 |
APP0010258 |
ST. JAMES HOSPITAL |
$124,108.15 |
56.70% |
$70,443.64 |
$46,962.42 |
$9,591.30 |
$37,371.12 |
$22,422.67 |
$17,817.89 |
$4,604.78 |
APP0010853 |
ST. MARY'S HOSPITAL(HOSP/CLIN) |
$813,154.63 |
68.00% |
$553,675.37 |
$369,116.91 |
$19,713.22 |
$349,403.69 |
$209,642.21 |
$173,428.47 |
$36,213.74 |
APP0010774 |
ST. MICHAEL'S HOSPITAL |
$530,111.69 |
26.80% |
$142,516.83 |
$95,011.22 |
$13,212.20 |
$81,799.02 |
$49,079.41 |
$42,198.34 |
$6,881.07 |
APP0010869 |
ST. PETER'S MEDICAL CENTER |
$1,487,765.53 |
50.60% |
$753,729.77 |
$502,486.51 |
$89,545.90 |
$412,940.61 |
$247,764.36 |
$188,958.38 |
$58,805.98 |
APP0010823 |
ST. VINCENT MEDICAL CENTER |
$563.00 |
11.00% |
$62.00 |
$41.33 |
$0.00 |
$41.33 |
$24.79 |
$0.00 |
$0.00 |
APP0049576 |
ST. VINCENT'S HOSPITAL |
$675.00 |
0.00% |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
APP0010784 |
TAMPA GENERAL HOSPITAL |
$554.00 |
22.50% |
$125.00 |
$83.33 |
$0.00 |
$83.33 |
$49.99 |
$0.00 |
$0.00 |
APP0010816 |
THE VALLEY HOSPITAL |
$118,214.88 |
78.40% |
$92,748.09 |
$61,832.06 |
$0.00 |
$61,832.06 |
$37,099.23 |
$30,928.24 |
$6,170.99 |
APP0010257 |
UMDNJ/UNIVERSITY HOSPITAL |
$1,035,449.08 |
88.90% |
$920,667.90 |
$613,778.60 |
$90,172.35 |
$523,606.25 |
$314,163.75 |
$262,544.37 |
$51,619.38 |
APP0010264 |
UNION HOSPITAL |
$21,473.11 |
75.90% |
$16,305.26 |
$10,870.17 |
$0.00 |
$10,870.17 |
$6,522.10 |
$5,408.42 |
$1,113.68 |
APP0010852 |
WAYNE GENERAL HOSPITAL |
$2,554,638.25 |
41.90% |
$1,072,435.39 |
$714,956.92 |
$81,021.37 |
$633,935.55 |
$380,361.33 |
$320,362.80 |
$59,998.53 |
APP0049364 |
WAYNE GENERAL HOSPITAL |
$34,304.24 |
10.70% |
$3,698.14 |
$2,465.42 |
$0.00 |
$2,465.42 |
$1,479.25 |
$1,232.71 |
$246.54 |
APP0009840 |
WEST HUDSON HOSPITAL |
$9,708.20 |
10.10% |
$985.06 |
$656.70 |
$0.00 |
$656.70 |
$394.02 |
$0.00 |
$0.00 |
APP0049602 |
WILLS EYE HOSPITAL |
$4,630.00 |
41.30% |
$1,914.00 |
$1,276.00 |
$0.00 |
$1,276.00 |
$765.60 |
$0.00 |
$0.00 |
|
TOTALS |
$47,351,105.10 |
|
$19,448,200.31 |
$12,965,466.61 |
$3,405,204.14 |
$9,560,721.14 |
$5,736,432.37 |
$4,611,272.88 |
$1,168,020.36 |