The SAS System 14:59 Friday, January 21, 2005 42 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F78 Hosp. Adults & Pediatrics Beds (See No 6021 79.1892349 F79 ICU Beds 6021 5.2163512 F80 Coronary Care Unit Beds 6021 5.5412793E-9 F81 Burn ICU Beds 6021 0 F82 Surgical ICU Beds 6021 1.075047E-12 F83 Other Special Care Beds 6021 1.8808577E-9 F84 Nursery Beds 6021 5.8292616 F85 Total Hosp. Beds 6021 93.6081857 F86 Sub. Prov. I Beds 6021 1.0955661E-6 F87 Sub. Prov. II Beds 6021 8.183591E-10 F88 Skilled Nursing Facility Beds 6021 0.0011984 F89 Nursing Facility Beds 6021 1.0334736E-9 F90 Other Long Term Care Beds 6021 6.976893E-10 F91 Hospice Beds 6021 4.313178E-12 F92 Total Beds Available in Facility 6021 116.4008795 F93 Hosp. Adults & Pediatrics Bed Days Ava 6021 27043.47 F94 Intensive Care Bed Days Available 6021 1722.02 F95 Coronary Care Bed Days Available 6021 0.000036122 F96 Burn Intensive Care Bed Days Available 6021 0 F97 Surgical Intensive Care Bed Days Avail 6021 2.598545E-10 F98 Other Special Care Bed Days Available 6021 4.3350505E-7 F99 Nursery Bed Days Available 6021 2055.94 F100 Total Hosp. Bed Days Available 6021 31569.51 F101 Sub. Prov. I Bed Days Available 6021 0.000551291 F102 Sub. Prov. II Bed Days Available 6021 4.6769904E-7 F103 Skilled Nursing Facility Bed Days Avai 6021 1.6462692 F104 Nursing Facility Bed Days Available 6021 2.590565E-7 F105 Other Long Term Care Bed Days Availabl 6021 5.0368704E-8 F106 Hospice Bed Days Available 6021 9.180071E-10 F107 Medicare Hosp. Adults & Pediatrics Day 6021 4730.47 F108 Medicare Swing Bed SNF Days 6021 0.0058463 F109 Total Medicare Routine Days 6021 5051.38 F110 Medicare ICU Days 6021 347.6563216 F111 Medicare Coronary Care Unit Days 6021 1.3258919E-8 F112 Medicare Burn ICU Days 6021 0 F113 Medicare Surgical ICU Days 6021 1.028988E-10 F114 Medicare Other Special Care Unit Days 6021 4.143092E-10 F115 Medicare Inpatient Days- Total Hosp. 6021 5541.26 F116 Medicare RPCH Visits 6021 8.0286187E-8 F117 Medicare Sub. Prov. I Days 6021 0.000069466 F118 Medicare Sub. Prov. II Days 6021 2.2413703E-7 F119 Medicare Skilled Nursing Facility Days 6021 0.2995592 F120 Medicare Home Health Agency Visits 6021 1.4451072E-6 F121 Medicare Hospice Days 6021 8.270363E-10 F122 Medicare RHC/FQHC Outpt. Visits 6021 3.3905016E-9 F123 Medicaid Hosp. Adults & Pediatrics Day 6021 803.0943460 F124 Medicaid HMO Days 6021 3.7452704E-7 F125 Medicaid Swing Bed SNF Days 6021 6.908115E-10 F126 Medicaid Swing Bed NF Days 6021 1.4213888E-7 F127 Total Medicaid Routine Days 6021 867.3549503 F128 Medicaid ICU Days 6021 4.7143907 F129 Medicaid Coronary Care Unit Days 6021 5.9006988E-8 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 43 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F130 Medicaid Burn ICU Days 6021 0 F131 Medicaid Surgical ICU Days 6021 2.8563348E-8 F132 Medicaid Other Special Care Days 6021 1.127646E-7 F133 Medicaid Nursery Days 6021 11.7363411 F134 Medicaid Inpatient Days- Total Hosp. 6021 1088.71 F135 Medicaid RPCH Visits 6021 1.0350712E-9 F136 Medicaid Sub. Prov. I Days 6021 9.0112186E-8 F137 Medicaid Sub. Prov. II Days 6021 1.7226034E-8 F138 Medicaid Skilled Nursing Facility Days 6021 5.6076095E-7 F139 Medicaid Nursing Facility Days 6021 2.0865738E-8 F140 Medicaid Home Health Agency Visits 6021 2.3546559E-6 F141 Medicaid Hospice Days 6021 0 F142 Medicaid RHC/FQHC Outpt. Visits 6021 9.0339519E-9 F143 Total Adults & Pediatrics Days 6021 10936.68 F144 Total Swing Bed SNF Days 6021 0.0065160 F145 Total Swing Bed NF Days 6021 1.1955922E-6 F146 Total Routine Days 6021 11215.61 F147 Total ICU Days 6021 646.8601697 F148 Total Coronary Care Unit Days 6021 1.4198649E-6 F149 Total Burn ICU Days 6021 0 F150 Total Surgical ICU Days 6021 2.3304916E-7 F151 Total Other Special Care Unit Days 6021 1.2552003E-7 F152 Total Nursery Days 6021 185.4591866 F153 Total Inpatient Days - Hosp. 6021 12917.46 F154 Total RPCH Visits 6021 1.1294168E-7 F155 Total Sub. Prov. I Days 6021 0.000467390 F156 Total Sub. Prov. II Days 6021 4.5692387E-7 F157 Total Skilled Nursing Facility Days 6021 0.9480972 F158 Total Nursing Facility Days 6021 5.8076039E-8 F159 Total Other Long Term Days 6021 8.4501455E-6 F160 Total Home Health Agency Visits 6021 6.3665879E-6 F161 Total Hospice Days 6021 4.1196637E-9 F162 Total RHC/FQHC Outpt. Visits 6021 7.2945499E-9 F163 Total Observation Bed Days 6021 6.8001076E-8 F164 Interns & Residents - Total Hosp. 6021 1.1744201E-7 F165 Interns & Residents - Total Facility 6021 1.0807122E-6 F166 Net Interns & Residents Replacing Non- 6021 0.000015370 F167 Net Interns & Residents Replacing Non- 6021 1.6435189E-6 F168 Full Time Employees - Total Hosp. 6021 27587.12 F169 Full Time Employees - Total Facility 6021 30767.13 F170 Nonpaid Workers - Total Hosp. 6021 1.604105E-9 F171 Nonpaid Workers - Total Facility 6021 1.6057107E-9 F172 Medicare Discharges - Total Hosp. 6021 865.8233027 F173 Medicare Sub. Prov. I Discharges 6021 5.7835989E-7 F174 Medicare Sub. Prov. II Discharges 6021 1.851252E-10 F175 Medicaid Discharges - Total Hosp. 6021 220.4212643 F176 Medicaid Sub. Prov. I - Discharges 6021 2.654698E-8 F177 Medicaid Sub. Prov. II - Discharges 6021 1.41361E-10 F178 Total Discharges - All Patients - Hosp 6021 2127.52 F179 Total Discharges - All Patients - Sub. 6021 9.9868805E-6 F180 Total Discharges - All Patients - Sub. 6021 4.9336772E-8 F181 Total Salaries 6021 9191241.91 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 44 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F182 Non-Physician Anesthetist Part A 6021 0.000222112 F183 Non-Physician Anesthetist Part B 6021 0.0012547 F184 Physician - Part A 6021 0.0025010 F185 Physician - Part B 6021 0.0087940 F186 Interns & Residents (Approved Program) 6021 0.000478711 F187 Home Office Personnel 6021 3.3574632E-7 F188 Skilled Nursing Facility 6021 26.5435055 F189 Excluded Areas 6021 711276.92 F190 Contract Labor 6021 31548.07 F191 Contract Labor: Physician - Part A 6021 5.9422723 F192 Home Office Salaries & Wage-Related Co 6021 0.0065294 F193 Home Office: Physician Part A 6021 0 F194 Wage- Related Costs (Core) 6021 1091327.12 F195 Wage- Related Costs (Other) 6021 0.000126858 F196 Excluded Areas 6021 118858.99 F197 Non-Physician Anesthetist - Part A 6021 3.6708229E-8 F198 Non-Physician Anesthetist - Part B 6021 0.000403478 F199 Physician Part A 6021 0.000018789 F200 Physician Part B 6021 0.0021840 F201 Interns & Residents (Approved Program) 6021 1.4422939E-6 F202 Employee Benefits 6021 37613.81 F203 Administrative & General 6021 1108889.92 F204 Maintenance & Repairs 6021 12.8930363 F205 Operation of Plant 6021 97811.92 F206 Laundry & Linen Service 6021 9994.13 F207 Housekeeping 6021 197754.84 F208 Dietary 6021 251525.10 F209 Cafeteria 6021 0.000034515 F210 Maintenance of Personnel 6021 6.3907563E-8 F211 Nursing Administration 6021 249850.16 F212 Central Services & Supply 6021 29164.85 F213 Pharmacy 6021 77275.02 F214 Medical Records & Medical Records Libr 6021 203806.16 F215 Social Service 6021 13518.22 F216 Other General Service 6021 0.000835566 F217 Total Salaries 6021 7686090.34 F218 Non-Physician Anesthetist Part A 6021 0.000051981 F219 Non-Physician Anesthetist Part B 6021 0.0090232 F220 Physician - Part A 6021 0.000044707 F221 Physician - Part B 6021 0.0057852 F222 Interns & Residents (Approved Program) 6021 0.000602833 F223 Home Office Personnel 6021 2.2644631E-6 F224 Skilled Nursing Facility 6021 22.5672710 F225 Excluded Areas 6021 623416.73 F226 Contract Labor 6021 29962.67 F227 Contract Labor: Physician - Part A 6021 3.3125929 F228 Home Office Salaries & Wage-Related Co 6021 0.0071755 F229 Home Office: Physician Part A 6021 0 F230 Wage- Related Costs (Core) 6021 1067267.70 F231 Wage- Related Costs (Other) 6021 0.000187185 F232 Excluded Areas 6021 117936.23 F233 Non-Physician Anesthetist - Part A 6021 5.8164327E-8 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 45 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F234 Non-Physician Anesthetist - Part B 6021 0.000036905 F235 Physician Part A 6021 0.000064186 F236 Physician Part B 6021 0.000596267 F237 Interns & Residents (Approved Program) 6021 0.000066689 F238 Employee Benefits 6021 28939.65 F239 Administrative & General 6021 900295.97 F240 Maintenance & Repairs 6021 5.6095939 F241 Operation of Plant 6021 81972.69 F242 Laundry & Linen Service 6021 8601.74 F243 Housekeeping 6021 170739.22 F244 Dietary 6021 176204.39 F245 Cafeteria 6021 15.0217077 F246 Maintenance of Personnel 6021 3.7404978E-9 F247 Nursing Administration 6021 223140.12 F248 Central Services & Supply 6021 24783.23 F249 Pharmacy 6021 49185.30 F250 Medical Records & Medical Records Libr 6021 182636.20 F251 Social Service 6021 4444.80 F252 Other General Service 6021 0.0010094 F253 Paid Hours Related to Adjusted Salarie 6021 53717848.51 F254 Non-Physician Anesthetist Part A 6021 0.000975937 F255 Non-Physician Anesthetist Part B 6021 0.0174746 F256 Physician - Part A 6021 0.000018388 F257 Physician - Part B 6021 0.0106331 F258 Interns & Residents (Approved Program) 6021 0.000016213 F259 Home Office Personnel 6021 9.1206032E-6 F260 Skilled Nursing Facility 6021 426.0966506 F261 Excluded Areas 6021 4169417.99 F262 Contract Labor 6021 71811.88 F263 Contract Labor: Physician - Part A 6021 15.3135552 F264 Home Office Salaries & Wage-Related Co 6021 123.8344899 F265 Home Office: Physician Part A 6021 0 F266 Employee Benefits 6021 170698.93 F267 Administrative & General 6021 6099087.39 F268 Maintenance & Repairs 6021 126.8963955 F269 Operation of Plant 6021 607176.90 F270 Laundry & Linen Service 6021 84721.17 F271 Housekeeping 6021 2193149.20 F272 Dietary 6021 2023395.65 F273 Cafeteria 6021 143.3665617 F274 Maintenance of Personnel 6021 9.3639132E-9 F275 Nursing Administration 6021 1021303.91 F276 Central Services & Supply 6021 233988.95 F277 Pharmacy 6021 230371.10 F278 Medical Records & Medical Records Libr 6021 1583609.41 F279 Social Service 6021 24527.97 F280 Other General Service 6021 0.0069236 F281 Average Hourly Wage Related to Total A 6021 1480.70 F282 Non-Physician Anesthetist Part A 6021 2.8371443E-6 F283 Non-Physician Anesthetist Part B 6021 0.000106709 F284 Physician - Part A 6021 0.000172962 F285 Physician - Part B 6021 0.000020985 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 46 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F286 Interns & Residents (Approved Program) 6021 0.000014399 F287 Home Office Personnel 6021 4.9525073E-8 F288 Skilled Nursing Facility 6021 0.1642358 F289 Excluded Areas 6021 1400.71 F290 Contract Labor 6021 2210.26 F291 Contract Labor: Physicians Part A 6021 0.2827691 F292 Home Office Salaries & Wage Related Co 6021 0.3106675 F293 Home Office: Physician Part A 6021 0 F294 Employee Benefits 6021 977.2835166 F295 Administrative & General 6021 1407.76 F296 Maintenance & Repairs 6021 0.1391948 F297 Operation of Plant 6021 1066.29 F298 Laundry & Linen Service 6021 573.3265434 F299 Housekeeping 6021 759.9280463 F300 Dietary 6021 849.2379355 F301 Cafeteria 6021 0.2717379 F302 Maintenance of Personnel 6021 2.340887E-10 F303 Nursing Administration 6021 2030.69 F304 Central Services & Supply 6021 786.8557230 F305 Pharmacy 6021 1284.87 F306 Medical Records & Library 6021 1109.15 F307 Social Services 6021 123.0456957 F308 Other General Service 6021 0.000061216 F309 Net Salaries 6021 9009100.85 F310 Excluded Area Salaries 6021 967794.43 F311 Subtotal Salaries 6021 7736646.67 F312 Subtotal Other Wages & Related Costs 6021 129650.56 F313 Subtotal Wage-Related Costs 6021 1120708.74 F314 Total (Sum of Lines 3-5) 6021 9505983.99 F315 Net Salaries 6021 4814794.77 F316 Excluded Area Salaries 6021 491765.64 F317 Subtotal Salaries (Line 7 minus Line 8 6021 4058073.39 F318 Subtotal - Other Wages & Related Costs 6021 4753.62 F319 Subtotal Wage Related Costs 6021 431591.67 F320 Total (Sum of Lines 9-11) 6021 4936461.98 F321 Total Overhead Costs 6021 2751666.91 F322 Net Salaries 6021 8998155.39 F323 Excluded Area Salaries 6021 988701.70 F324 Subtotal Salaries 6021 7719685.41 F325 Subtotal Other Wages & Related Costs 6021 131116.85 F326 Subtotal Wage-Related Costs 6021 1125890.94 F327 Total (Sum of Lines 3-5) 6021 9509789.63 F328 Net Salaries 6021 4814418.69 F329 Excluded Area Salaries 6021 512027.40 F330 Subtotal Salaries (Line 7 minus Line 6021 4054656.49 F331 Subtotal - Other Wages & Related Costs 6021 4946.02 F332 Subtotal Wage Related Costs 6021 436634.34 F333 Total (Sum of Lines 9-11) 6021 4925493.70 F334 Total Overhead Costs 6021 2740277.51 F335 Net Salaries 6021 53342247.21 F336 Excluded Area Salaries 6021 6312989.39 F337 Subtotal Salaries 6021 45042976.93 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 47 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F338 Subtotal Other Wages & Related Costs 6021 314842.26 F339 Subtotal Wage-Related Costs 6021 1.8144131E-6 F340 Total (Sum of Lines 3-5) 6021 46368872.45 F341 Net Salaries 6021 27963797.82 F342 Excluded Area Salaries 6021 2500907.08 F343 Subtotal Salaries (Line 7 minus Line 8 6021 22224893.99 F344 Subtotal - Other Wages & Related Costs 6021 13076.45 F345 Subtotal Wage Related Costs 6021 0 F346 Total (Sum of Lines 9-11) 6021 22902125.60 F347 Total Overhead Costs 6021 17680703.73 F348 Net Salaries 6021 1476.99 F349 Excluded Area Salaries 6021 1408.82 F350 Subtotal Salaries 6021 1473.16 F351 Subtotal Other Wages & Related Costs 6021 2842.36 F352 Subtotal Wage-Related Costs 6021 18.9948594 F353 Total (Sum of Lines 3-5) 6021 1807.66 F354 Net Salaries 6021 1292.73 F355 Excluded Area Salaries 6021 1140.23 F356 Subtotal Salaries (Line 7 minus Line 8 6021 1298.58 F357 Subtotal - Other Wages & Related Costs 6021 560.8395077 F358 Subtotal Wage Related Costs 6021 0 F359 Total (Sum of Lines 9-11) 6021 1572.99 F360 Total Overhead Costs 6021 1267.69 F361 Employee Benefits 6021 43017.27 F362 Administrative & General 6021 1165908.47 F363 Maintenance & Repairs 6021 9.5110500 F364 Operation of Plant 6021 104157.24 F365 Laundry & Linen Service 6021 11089.60 F366 Housekeeping 6021 204914.12 F367 Dietary 6021 261296.50 F368 Cafeteria 6021 0.000054211 F369 Maintenance of Personnel 6021 1.131817E-13 F370 Nursing Administration 6021 262468.63 F371 Central Services & Supply 6021 33780.66 F372 Pharmacy 6021 90043.76 F373 Medical Records & Medical Records Libr 6021 210279.99 F374 Social Service 6021 21064.64 F375 Other General Service 6021 0.0213790 F376 Nonphysician Anesthetists 6021 0.000018133 F377 Nursing School 6021 0.000022892 F378 Interns & Residents in Approved Progra 6021 0.000142077 F379 Interns & Residents in Approved Prog - 6021 0.000061052 F380 Paramedical Education Program 6021 5.4044699E-6 F381 Adults & Pediatrics - (General Routine 6021 1640442.56 F382 ICU 6021 271254.26 F383 Coronary Care Unit 6021 0.000104704 F384 Burn ICU 6021 0 F385 Surgical ICU 6021 5.1044016E-6 F386 Other Special Care 6021 0.000059015 F387 Sub. Prov. I 6021 0.0010587 F388 Sub. Prov. II 6021 0.000017998 F389 Nursery 6021 129.2379575 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 48 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F390 Skilled Nursing Facility 6021 0.3927275 F391 Nursing Facility 6021 0.000112520 F392 Other Long Term Care 6021 0.0014071 F393 Operating Room 6021 401844.67 F394 Recovery Room 6021 9.2398423 F395 Delivery Room & Labor Room 6021 303.8750597 F396 Anesthesiology 6021 3.9551002 F397 Radiology - Diagnostic 6021 350984.40 F398 Radiology - Therapeutic 6021 0.000012224 F399 Radioisotope 6021 0.000513983 F400 Laboratory 6021 350745.95 F401 Whole Blood & Packed Red Blood Cells 6021 7.4211662E-6 F402 'Blood Storing, Processing, & Trans.' 6021 0.000014972 F403 Intravenous Therapy 6021 0.000047209 F404 Respiratory Therapy 6021 191336.97 F405 Physical Therapy 6021 132345.42 F406 Occupational Therapy 6021 1.8076106 F407 Speech Pathology 6021 0.0092346 F408 Electrocardiology 6021 17625.11 F409 Electrocephalography 6021 0.000088778 F410 Medical Supplies Charged to Patients 6021 1.1962400 F411 Drugs Charged to Patients 6021 0.0011143 F412 Renal Dialysis 6021 -0.000066898 F413 ASC (Non-Distinct Part) 6021 0.000103461 F414 Other Ancillary 6021 15.0687660 F415 Clinic 6021 16145.99 F416 Emergency 6021 421165.23 F417 Other Outpt. Services 6021 0.000704894 F418 Home Program Dialysis 6021 8.0975272E-9 F419 Ambulance Services 6021 0.0013921 F420 Durable Medical Equipment - Rented 6021 6.3603001E-8 F421 Durable Medical Equipment - Sold 6021 0 F422 Other Reimbursable 6021 0.000016376 F423 Outpt. Rehabilitation Provider - CORF 6021 9.247494E-6 F424 Outpt. Rehabilitation Provider -CMHC 6021 0 F425 Outpt. Rehabilitation Provider - OPT 6021 0 F426 Outpt. Rehabilitation Provider - OOT 6021 0 F427 Outpt. Rehabilitation Provider - OSP 6021 0 F428 Interns & Residents (Non Approved Prog 6021 3.81447E-10 F429 Home Health Agency 6021 1600.92 F430 Lung Acquisition 6021 0 F431 Kidney Acquisition 6021 5.0130937E-7 F432 Liver Acquisition 6021 0 F433 Heart Acquisition 6021 0 F434 Other Organ Acquisition 6021 0 F435 Utilization Review - SNF 6021 0 F436 ASC (Distinct Part) 6021 0 F437 Hospice 6021 0.000502948 F438 Other Special Purpose 6021 3.6901022E-6 F439 Non-Reimbursable Cost Centers 6021 53576.95 F440 Total Salaries - Facility 6021 9545097.70 F441 Old Capital-Related Costs - Buildings 6021 106158.50 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 49 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F442 Old Capital-Related Costs - Movable Eq 6021 5.0391859 F443 New Capital-Related Costs - Buildings 6021 40242.17 F444 New Capital-Related Costs - Movable Eq 6021 9481.01 F445 Employee Benefits 6021 955394.80 F446 Administrative & General 6021 1998309.05 F447 Maintenance & Repairs 6021 3.1948053 F448 Operation of Plant 6021 363118.74 F449 Laundry & Linen Service 6021 61967.55 F450 Housekeeping 6021 81892.31 F451 Dietary 6021 288520.58 F452 Cafeteria 6021 3.1849276E-6 F453 Maintenance of Personnel 6021 2.1242848E-8 F454 Nursing Administration 6021 24651.19 F455 Central Services & Supply 6021 56982.13 F456 Pharmacy 6021 217241.35 F457 Medical Records & Medical Records Libr 6021 72648.54 F458 Social Service 6021 744.7535616 F459 Other General Service 6021 0.0062958 F460 Nonphysician Anesthetists 6021 3.6568885E-6 F461 Nursing School 6021 0.000035017 F462 Interns & Residents - Salaries & Fring 6021 0.000023548 F463 Interns & Residents - Other Program Co 6021 0.000392573 F464 Paramedical Education Program 6021 -5.128026E-6 F465 Adults & Pediatrics - (General Routine 6021 255937.17 F466 ICU 6021 21673.61 F467 Coronary Care Unit 6021 -0.000090266 F468 Burn ICU 6021 0 F469 Surgical ICU 6021 0.000014632 F470 Other Special Care 6021 0.000450649 F471 Sub. Prov. I 6021 0.0143348 F472 Sub. Prov. II 6021 0.000010681 F473 Nursery 6021 37.9946781 F474 Skilled Nursing Facility 6021 23.0906555 F475 Nursing Facility 6021 3.0980934E-6 F476 Other Long Term Care 6021 8.191349E-6 F477 Operating Room 6021 291904.11 F478 Recovery Room 6021 0.5698161 F479 Delivery Room & Labor Room 6021 58.9389147 F480 Anesthesiology 6021 25991.99 F481 Radiology - Diagnostic 6021 456724.42 F482 Radiology - Therapeutic 6021 0.000712780 F483 Radioisotope 6021 0.0051146 F484 Laboratory 6021 514336.81 F485 PBP Clinical Laboratory Service (Progr 6021 0 F486 Whole Blood & Packed Red Blood Cells 6021 1.1388278 F487 'Blood Storing, Processing, & Trans.' 6021 0.000276418 F488 Intravenous Therapy 6021 0.000230704 F489 Respiratory Therapy 6021 84924.90 F490 Physical Therapy 6021 95836.66 F491 Occupational Therapy 6021 31.0106941 F492 Speech Pathology 6021 5.1134265 F493 Electrocardiology 6021 23448.59 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 50 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F494 Electrocephalography 6021 1.6192199 F495 Medical Supplies Charged to Patients 6021 1017.48 F496 Drugs Charged to Patients 6021 9399.00 F497 Renal Dialysis 6021 0.0068837 F498 ASC (Non-Distinct Part) 6021 0.5386871 F499 Other Ancillary 6021 16.1472409 F500 Clinic 6021 8498.74 F501 Emergency 6021 313831.22 F502 Other Outpt. Services 6021 0.0031124 F503 Home Program Dialysis 6021 1.9250261E-6 F504 Ambulance Services 6021 0.0122016 F505 Durable Medical Equipment - Rented 6021 9.7472668E-8 F506 Durable Medical Equipment - Sold 6021 0.000098047 F507 Other Reimbursable 6021 -1.675E-6 F508 Outpt. Rehabilitation Provider - CORF 6021 0.000020806 F509 Outpt. Rehabilitation Provider -CMHC 6021 0 F510 Outpt. Rehabilitation Provider - OPT 6021 0 F511 Outpt. Rehabilitation Provider - OOT 6021 0 F512 Outpt. Rehabilitation Provider - OSP 6021 0 F513 Interns & Residents (Non Approved Prog 6021 2.0788877E-9 F514 Home Health Agency 6021 592.6430634 F515 Lung Acquisition 6021 0 F516 Kidney Acquisition 6021 1.7457505E-7 F517 Liver Acquisition 6021 7.4324223E-9 F518 Heart Acquisition 6021 0 F519 Other Organ Acquisition 6021 1.4111075E-9 F520 Interest Expense 6021 51681.36 F521 Utilization Review - SNF 6021 0 F522 Other Capital-Related Costs 6021 16304.36 F523 ASC (Distinct Part) 6021 0 F524 Hospice 6021 0.000412979 F525 Other Special Purpose 6021 0.000051389 F526 Nonreimbursable Cost Centers 6021 56659.54 F527 Total Other Costs - Facility 6021 11543270.05 F528 Old Capital-Related Costs - Buildings 6021 152936.62 F529 Old Capital-Related Costs - Movable Eq 6021 29551.49 F530 New Capital-Related Costs- Buildings 6021 377566.28 F531 New Capital-Related Costs - Movable Eq 6021 480791.83 F532 Employee Benefits 6021 1200957.51 F533 Administrative & General 6021 2890177.11 F534 Maintenance & Repairs 6021 2.6502915 F535 Operation of Plant 6021 504290.90 F536 Laundry & Linen Service 6021 108797.91 F537 Housekeeping 6021 318923.66 F538 Dietary 6021 420609.27 F539 Cafeteria 6021 7.3103231 F540 Maintenance of Personnel 6021 3.2867349E-9 F541 Nursing Administration 6021 299962.07 F542 Central Services & Supply 6021 68370.75 F543 Pharmacy 6021 180908.53 F544 Medical Records & Medical Records Libr 6021 292264.80 F545 Social Service 6021 29912.79 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 51 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F546 Other General Service 6021 0.0035931 F547 Nonphysician Anesthetists 6021 0.000024024 F548 Nursing School 6021 0.000013131 F549 Interns & Residents - Salaries & Fring 6021 -0.0126522 F550 Interns & Residents - Other Program Co 6021 0.0015792 F551 Paramedical Education Program 6021 0.000140889 F552 Adults & Pediatrics - (General Routine 6021 1840384.85 F553 ICU 6021 306068.72 F554 Coronary Care Unit 6021 -0.000342799 F555 Burn ICU 6021 0 F556 Surgical ICU 6021 0.000014195 F557 Other Special Care 6021 0.000636426 F558 Sub. Prov. I 6021 0.1469722 F559 Sub. Prov. II 6021 2.925663E-6 F560 Nursery 6021 11337.36 F561 Skilled Nursing Facility 6021 46.4674122 F562 Nursing Facility 6021 6.8688025E-6 F563 Other Long Term Care 6021 0.000260724 F564 Operating Room 6021 630383.80 F565 Recovery Room 6021 2.3852311 F566 Delivery Room and Labor Room 6021 15835.86 F567 Anesthesiology 6021 9341.33 F568 Radiology - Diagnostic 6021 769322.37 F569 Radiology - Therapeutic 6021 0.000233350 F570 Radioisotope 6021 0.0176490 F571 Laboratory 6021 865045.08 F572 PBP Clinical Lab Services (Program Onl 6021 0 F573 Whole Blood & Packed Red Blood Cells 6021 0.000015392 F574 'Blood Storing, Processing, & Trans.' 6021 0.0287393 F575 Intravenous Therapy 6021 -0.000383365 F576 Respiratory Therapy 6021 271872.41 F577 Physical Therapy 6021 314646.02 F578 Occupational Therapy 6021 264.8208923 F579 Speech Pathology 6021 54.1291822 F580 Electrocardiology 6021 43449.02 F581 Electroencephalography 6021 2.3874112 F582 Medical Supplies Charged to Patients 6021 318557.97 F583 Drugs Charged to Patients 6021 414759.39 F584 Renal Dialysis 6021 2.3165291 F585 ASC (Non-Distinct Part) 6021 0.000693899 F586 Other Ancillary 6021 64.8116575 F587 Clinic 6021 28027.16 F588 Emergency 6021 530893.28 F589 Other Outpt. Services 6021 0.0037367 F590 Home Program Dialysis 6021 2.5780489E-7 F591 Ambulance Services 6021 0.0166156 F592 Durable Medical Equipment - Rented 6021 1.589451E-7 F593 Durable Medical Equipment - Sold 6021 0.000138096 F594 Other Reimbursable 6021 -0.000057184 F595 Outpt. Rehabilitation Provider - CORF 6021 0.000014629 F596 Outpt. Rehabilitation Provider - CMHC 6021 0 F597 Outpt. Rehabilitation Provider - OPT 6021 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 52 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F598 Outpt. Rehabilitation Provider - OOT 6021 0 F599 Outpt. Rehabilitation Provider - OSP 6021 0 F600 Intern & Resident Service (Non-Approve 6021 1.8873139E-6 F601 Home Health Agency 6021 2285.19 F602 Lung Acquisition 6021 0 F603 Kidney Acquisition 6021 7.875534E-9 F604 Liver Acquisition 6021 1.0744697E-9 F605 Heart Acquisition 6021 1.91346E-9 F606 Other Organ Acquisition 6021 3.1476011E-8 F607 ASC (Distinct Part) 6021 0 F608 Hospice 6021 0.000792974 F609 Other Special Purpose 6021 9.7532047E-6 F610 Nonreimbursable Cost Centers 6021 203415.44 F611 Total Cost Before Allocation - Facilit 6021 20026044.11 F612 Nonphysician Anesthetists 6021 0.0013590 F613 Nursing School 6021 -0.000114426 F614 Interns & Residents - Salary & Fringes 6021 0.000692108 F615 Interns & Residents - Program Costs (A 6021 -0.000998499 F616 Paramedical Education 6021 0.000010979 F617 Adults & Pediatrics - (General Routine 6021 4562882.59 F618 ICU 6021 601354.91 F619 Coronary Care Unit 6021 0.000100938 F620 Burn ICU 6021 0 F621 Surgical ICU 6021 8.5695059E-7 F622 Other Special Care 6021 3.578874E-6 F623 Sub. Prov. I 6021 0.1819272 F624 Sub. Prov. II 6021 0.000305311 F625 Nursery 6021 35946.77 F626 Skilled Nursing Facility 6021 353.0170620 F627 Nursing Facility 6021 0.000022004 F628 Other Long Term Care 6021 0.000048432 F629 Operating Room 6021 1269165.50 F630 Recovery Room 6021 32.0535094 F631 Delivery Room and Labor Room 6021 50701.01 F632 Anesthesiology 6021 51026.07 F633 Radiology - Diagnostic 6021 1315890.64 F634 Radiology - Therapeutic 6021 0.000175408 F635 Radioisotope 6021 0.0200004 F636 Laboratory 6021 1305169.47 F637 PBP Clinical Lab Services (Program Onl 6021 0 F638 Whole Blood & Packed Red Blood Cells 6021 0.0012160 F639 'Blood Storing, Processing, & Trans.' 6021 0.1898178 F640 Intravenous Therapy 6021 -0.000271948 F641 Respiratory Therapy 6021 443646.14 F642 Physical Therapy 6021 524572.52 F643 Occupational Therapy 6021 442.3902078 F644 Speech Pathology 6021 81.5630072 F645 Electrocardiology 6021 77177.90 F646 Electroencephalography 6021 1.4807704 F647 Medical Supplies Charged to Patients 6021 688579.22 F648 Drugs Charged to Patients 6021 1079715.85 F649 Renal Dialysis 6021 0.0051318 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 53 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F650 ASC (Non-Distinct Part) 6021 0.0011539 F651 Other Ancillary 6021 75.9152129 F652 Clinic 6021 67915.68 F653 Emergency 6021 986673.93 F654 Other Outpt. Services 6021 0.0058784 F655 Home Program Dialysis 6021 8.9342529E-7 F656 Ambulance Services 6021 0.0265678 F657 Durable Medical Equipment - Rented 6021 1.4498807E-7 F658 Durable Medical Equipment - Sold 6021 1.8763182E-7 F659 Other Reimbursable 6021 0.000027689 F660 Outpt. Rehabilitation Provider - CORF 6021 0.000021547 F661 Outpt. Rehabilitation Provider - CMHC 6021 0 F662 Outpt. Rehabilitation Provider - OPT 6021 0 F663 Outpt. Rehabilitation Provider - OOT 6021 0 F664 Outpt. Rehabilitation Provider - OSP 6021 0 F665 Interns & Residents Service (Non-Appro 6021 3.045984E-7 F666 Home Health Agency 6021 3459.83 F667 Lung Acquisition 6021 0 F668 Kidney Acquisition 6021 9.6232808E-7 F669 Liver Acquisition 6021 1.4021968E-9 F670 Heart Acquisition 6021 2.3985377E-9 F671 Other Organ Acquisition 6021 2.9414403E-8 F672 ASC (Distinct Part) 6021 0 F673 Hospice 6021 0.000579941 F674 Other Special Purpose 6021 9.4456873E-6 F675 Nonreimbursable Cost Centers 6021 473193.62 F676 Cross Foot Adjustments 6021 0 F677 Negative Cost Centers 6021 -1.727258E-6 F678 Total Costs - Facility 6021 20115055.16 F679 Respiratory Therapy Limit Adjustment 6021 0 F680 Physical Therapy Limit Adjustment 6021 0.000069203 F681 Adults & Pediatrics - (General Routine 6021 2889847.04 F682 ICU 6021 545967.55 F683 Cororonary Care Unit 6021 0.000501100 F684 Burn ICU 6021 0 F685 Surgical ICU 6021 8.7074619E-8 F686 Other Special Care 6021 3.5697142E-6 F687 Sub. Prov. I 6021 0.0499390 F688 Sub. Prov. II 6021 0.000045295 F689 Nursery 6021 34822.52 F690 Skilled Nursing Facility 6021 202.5527449 F691 Nursing Facility 6021 1.1234063E-6 F692 Other Long Term Care 6021 0.000500204 F693 Operating Room 6021 1197079.34 F694 Recovery Room 6021 32.4572393 F695 Delivery Room & Labor Room 6021 49292.10 F696 Anesthesiology 6021 47052.84 F697 Radiology - Diagnostic 6021 1256595.45 F698 Radiology - Therapeutic 6021 0.000745839 F699 Radioisotope 6021 0.0014040 F700 Laboratory 6021 1234718.85 F701 PBP Clinical Lab Services (Program Onl 6021 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 54 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F702 Whole Blood & Packed Red Blood Cells 6021 0.000938282 F703 'Blood Storing, Processing, Trans.' 6021 0.3751640 F704 Intravenous Therapy 6021 0.000562025 F705 Respiratory Therapy 6021 374277.71 F706 Physical Therapy 6021 433812.83 F707 Occupational Therapy 6021 0.9077512 F708 Speech Pathology 6021 1.1015522 F709 Electrocardiology 6021 67161.08 F710 Electroencephalography 6021 4.0824308 F711 Medical Supplies Charged to Patients 6021 627356.01 F712 Drugs Charged to Patients 6021 946363.98 F713 Renal Dialysis 6021 0.0099073 F714 ASC (Non-Distinct Part) 6021 0.000930128 F715 Other Ancillary 6021 9.4922746 F716 Clinic 6021 67.7938217 F717 Emergency 6021 978989.82 F718 Observation Beds 6021 82908.62 F719 Other Outpt. Services 6021 0.0010771 F720 Home Program Dialysis 6021 5.4797694E-7 F721 Ambulance Services 6021 0.0268105 F722 Durable Medical Equipment - Rented 6021 3.8729323E-7 F723 Durable Medical Equipment - Sold 6021 1.5662703E-7 F724 Other Reimbursable Costs 6021 0.000013564 F725 Subtotal 6021 14512246.67 F726 Less: Observation Beds 6021 82908.62 F727 Total Costs - Facility (Line 101 minus 6021 14424900.38 F728 Total Capital Reduction - Facility 6021 67857.93 F729 Total Operating Cost Reduction - Facil 6021 447993.13 F730 Adults & Pediatrics - (General Routine 6021 4517101.95 F731 ICU 6021 513980.46 F732 Cororonary Care Unit 6021 0.000111662 F733 Burn ICU 6021 0 F734 Surgical ICU 6021 7.0788735E-7 F735 Other Special Care 6021 0.0041496 F736 Sub. Prov. I 6021 0.2482061 F737 Sub. Prov. II 6021 6.9914103E-6 F738 Nursery 6021 34491.10 F739 Skilled Nursing Facility 6021 355.5953303 F740 Nursing Facility 6021 0.000031523 F741 Other Long Term Care 6021 0.000756417 F742 Operating Room 6021 884950.69 F743 Recovery Room 6021 38.1546919 F744 Delivery Room & Labor Room 6021 38629.85 F745 Anesthesiology 6021 67812.36 F746 Radiology - Diagnostic 6021 835331.90 F747 Radiology - Therapeutic 6021 0.0010105 F748 Radioisotope 6021 0.0098830 F749 Laboratory 6021 1536968.83 F750 PBP Clinical Lab Services (Program Onl 6021 0 F751 Whole Blood & Packed Red Blood Cells 6021 0.000024630 F752 'Blood Storing, Processing, Trans.' 6021 4.2155973 F753 Intravenous Therapy 6021 0.0062630 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 55 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F754 Respiratory Therapy 6021 1087740.85 F755 Physical Therapy 6021 272684.45 F756 Occupational Therapy 6021 131.2551939 F757 Speech Pathology 6021 20.6812450 F758 Electrocardiology 6021 131394.84 F759 Electroencephalography 6021 0.7302784 F760 Medical Supplies Charged to Patients 6021 1247870.05 F761 Drugs Charged to Patients 6021 2354618.13 F762 Renal Dialysis 6021 6.3058151 F763 ASC (Non-Distinct Part) 6021 0.000286452 F764 Other Ancillary 6021 0.4493349 F765 Clinic 6021 0.0027954 F766 Emergency 6021 177353.96 F767 Observation Beds 6021 0.0692498 F768 Other Outpt. Services 6021 0.000059942 F769 Home Program Dialysis 6021 1.205262E-10 F770 Ambulance Services 6021 0.0022053 F771 Durable Medical Equipment - Rented 6021 0 F772 Durable Medical Equipment - Sold 6021 0 F773 Other Reimbursable Costs 6021 5.5790401E-8 F774 Operating Room 6021 914961.34 F775 Recovery Room 6021 1.4572697 F776 Delivery Room & Labor Room 6021 271.6817467 F777 Anesthesiology 6021 66683.48 F778 Radiology - Diagnostic 6021 1894780.55 F779 Radiology - Therapeutic 6021 0.000178581 F780 Radioisotope 6021 0.0148548 F781 Laboratory 6021 1413182.95 F782 PBP Clinical Lab Services (Program Onl 6021 0 F783 Whole Blood & Packed Red Blood Cells 6021 0.000010858 F784 'Blood Storing, Processing, Trans.' 6021 0.2989723 F785 Intravenous Therapy 6021 0.000017160 F786 Respiratory Therapy 6021 133100.75 F787 Physical Therapy 6021 330878.09 F788 Occupational Therapy 6021 0.4814472 F789 Speech Pathology 6021 1.8252980 F790 Electrocardiology 6021 127739.68 F791 Electroencephalography 6021 0.0034861 F792 Medical Supplies Charged to Patients 6021 422418.32 F793 Drugs Charged to Patients 6021 589446.12 F794 Renal Dialysis 6021 0.000309097 F795 ASC (Non-Distinct Part) 6021 0.000326931 F796 Other Ancillary 6021 0.9590121 F797 Clinic 6021 50.7274415 F798 Emergency 6021 681082.88 F799 Observation Beds 6021 42403.98 F800 Other Outpt. Services 6021 0.0107529 F801 Home Program Dialysis 6021 0.000103851 F802 Ambulance Services 6021 0.0341568 F803 Durable Medical Equipment - Rented 6021 0.000282449 F804 Durable Medical Equipment - Sold 6021 5.2538783E-8 F805 Other Reimbursable Costs 6021 6.9762086E-6 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 56 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F806 Operating Room 6021 480661.54 F807 Recovery Room 6021 24.0603688 F808 Delivery Room & Labor Room 6021 402988.70 F809 Anesthesiology 6021 116019.52 F810 Radiology - Diagnostic 6021 412954.65 F811 Radiology - Therapeutic 6021 0.000430037 F812 Radioisotope 6021 0.8782033 F813 Laboratory 6021 414655.66 F814 PBP Clinical Lab Services 6021 0 F815 Whole Blood & Packed Red Blood Cells 6021 0.000450844 F816 'Blood Storing, Processing, Trans.' 6021 35.0597062 F817 Intravenous Therapy 6021 0.0032930 F818 Respiratory Therapy 6021 266274.16 F819 Physical Therapy 6021 637683.81 F820 Occupational Therapy 6021 1773.46 F821 Speech Pathology 6021 1827.01 F822 Electrocardiology 6021 205622.37 F823 Electroencephalography 6021 5.9744419 F824 Medical Supplies Charged to Patients 6021 359688.39 F825 Drugs Charged to Patients 6021 354114.20 F826 Renal Dialysis 6021 44.2216453 F827 ASC (Non-Distinct Part) 6021 0.8268745 F828 Other Ancillary 6021 382.9336787 F829 Clinic 6021 372025.90 F830 Emergency 6021 718294.75 F831 Observation Beds 6021 602891.26 F832 Other Outpt. Service 6021 0.0965411 F833 Home Program Dialysis 6021 3.0478464E-8 F834 Durable Medical Equipment - Rented 6021 3.1463406E-6 F835 Durable Medical Equipment - Sold 6021 0.0012951 F836 Other Reimbursable Costs 6021 0.000121728 F837 Operating Room 6021 454164.58 F838 Recovery Room 6021 118.3188789 F839 Delivery Room & Labor Room 6021 378771.95 F840 Anesthesiology 6021 107952.57 F841 Radiology - Diagnostic 6021 389522.63 F842 Radiology - Therapeutic 6021 0.000629314 F843 Radioisotope 6021 11.0792343 F844 Laboratory 6021 391979.80 F845 PBP Clinical Lab Services (Program Onl 6021 0 F846 Whole Blood & Packed Red Blood Cells 6021 0.0015896 F847 'Blood Storing, Processing, Trans.' 6021 9.2708921 F848 Intravenous Therapy 6021 0.0011053 F849 Respiratory Therapy 6021 251434.84 F850 Physical Therapy 6021 590857.32 F851 Occupational Therapy 6021 1624.42 F852 Speech Pathology 6021 1600.72 F853 Electrocardiology 6021 194400.29 F854 Electroencephalography 6021 3.9770249 F855 Medical Supplies Charged to Patients 6021 341872.34 F856 Drugs Charged to Patients 6021 335870.33 F857 Renal Dialysis 6021 1.5347923 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 57 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F858 ASC (Non-Distinct Part) 6021 0.8460586 F859 Other Ancillary 6021 385.9907623 F860 Clinic 6021 356070.87 F861 Emergency 6021 670191.81 F862 Observation Beds 6021 593804.52 F863 Other Outpt. Services 6021 0.0083197 F864 Home Program Dialysis 6021 6.2282078E-7 F865 Durable Medical Equipment - Rented 6021 2.7485896E-6 F866 Durable Medical Equipment - Sold 6021 0.0012951 F867 Other Reimbursable Costs 6021 0.000114580 F868 Adults & Pediatrics - (General Routine 6021 1307577.18 F869 ICU 6021 57.0411708 F870 Coronary Care Unit 6021 0.000023886 F871 Burn ICU 6021 0 F872 Surgical ICU 6021 6.5677804E-8 F873 Other Special Care Unit 6021 2.5312238E-8 F874 Operating Room 6021 305861.31 F875 Recovery Room 6021 3.4376712 F876 Delivery Room & Labor Room 6021 0.1704297 F877 Anesthesiology 6021 14303.43 F878 Radiology - Diagnostic 6021 416783.23 F879 Radiology - Therapeutic 6021 0.000201874 F880 Radioisotope 6021 0.000607603 F881 Laboratory 6021 823155.95 F882 PBP Clinical Lab Services (Program Onl 6021 0 F883 Whole Blood & Packed Red Blood Cells 6021 0.000119370 F884 'Blood Storing, Processing, Trans.' 6021 0.0184856 F885 Intravenous Therapy 6021 0.0039696 F886 Respiratory Therapy 6021 508455.30 F887 Physical Therapy 6021 94142.37 F888 Occupational Therapy 6021 1.3048892 F889 Speech Pathology 6021 0.7631180 F890 Electrocardiology 6021 83285.45 F891 Electroencephalography 6021 0.6829551 F892 Medical Supplies Charged to Patients 6021 685649.16 F893 Drugs Charged to Patients 6021 1159691.58 F894 Renal Dialysis 6021 0.0056454 F895 ASC (Non-Distinct Part) 6021 7.5487172E-6 F896 Other Ancillary 6021 0.0071543 F897 Clinic 6021 0.000065190 F898 Emergency 6021 90079.63 F899 Observation Beds 6021 181.2109828 F900 Other Outpt. Service 6021 1.0250482E-6 F901 Home Program Dialysis 6021 0 F902 Durable Medical Equipment - Rented 6021 0 F903 Durable Medical Equipment - Sold 6021 0 F904 Other Reimbursable Costs 6021 1.6097518E-7 F905 Total Medicare Part A Ancillary Charge 6021 5514524.62 F906 Net Medicare Part A Ancillary Charges 6021 5514524.62 F907 Operating Room 6021 182972.55 F908 Recovery Room 6021 0.7757040 F909 Delivery Room & Labor Room 6021 0.2022781 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 58 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F910 Anesthesiology 6021 4420.09 F911 Radiology - Diagnostic 6021 173598.34 F912 Radiology - Therapeutic 6021 1.9647172E-6 F913 Radioisotope 6021 0.000405425 F914 Laboratory 6021 323883.11 F915 PBP Clinical Lab Services (Program Onl 6021 0 F916 Whole Blood & Packed Red Blood Cells 6021 0.000098713 F917 'Blood Storing, Processing, Trans.' 6021 0.000452464 F918 Intravenous Therapy 6021 0.000016490 F919 Respiratory Therapy 6021 164338.06 F920 Physical Therapy 6021 63061.13 F921 Occupational Therapy 6021 2.2229244 F922 Speech Pathology 6021 0.1772746 F923 Electrocardiology 6021 18336.47 F924 Electroencephalography 6021 1.1811357 F925 Medical Supplies Charged to Patients 6021 237003.33 F926 Drugs Charged to Patients 6021 392429.75 F927 Renal Dialysis 6021 0.0051899 F928 ASC (Non-Distinct Part) 6021 0.000011987 F929 Other Ancillary 6021 0.0016760 F930 Clinic 6021 0.0012687 F931 Emergency 6021 93369.24 F932 Observation Beds 6021 162.4122973 F933 Other Outpt. Service 6021 3.2124148E-7 F934 Home Program Dialysis 6021 0 F935 Durable Medical Equipment - Rented 6021 0 F936 Durable Medical Equipment - Sold 6021 0 F937 Other Reimbursable Costs 6021 3.4543738E-9 F938 Total Medicare Part A Costs - Hosp. 6021 2109002.85 F939 Total Swing-Bed Cost 6021 0.5901493 F940 General Inpatient Routine Service 6021 4554059.78 F941 General Inpatient Routine Service Cost 6021 4511241.51 F942 General Inpatient Routine Service 6021 1956336.44 F943 ICU - Medicare Cost 6021 337663.54 F944 Coronary Care Unit - Medicare Cost 6021 0.000236120 F945 Burn ICU - Medicare Cost 6021 0 F946 Surgical ICU - Medicare Cost 6021 0.000024833 F947 Other Special Care Unit - Medicare Cos 6021 1.6335402E-7 F948 Medicare Inpatient Ancillary 6021 2096093.82 F949 'Total Medicare Inpatient Operating Co 6021 4528387.50 F950 Pass Through Costs - Program Inpatient 6021 234693.06 F951 Pass Through Costs - Program Inpatient 6021 148185.55 F952 Total Program Excludable Costs 6021 379741.27 F953 Total Program Inpatient Operating Cost 6021 3966625.21 F954 TEFRA Target Amount per Discharge 6021 0.2538875 F955 Target Amount 6021 0.3834862 F956 Difference Between Adjusted Inpatient 6021 0.0019924 F957 Incentive/Penalty Payment 6021 0.0241467 F958 Inpatient Cost Plus Incentive Payment 6021 0.2536671 F959 Operating Room 6021 0.000105027 F960 Recovery Room 6021 1.31332E-9 F961 Delivery Room & Labor Room 6021 1.248449E-11 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 59 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F962 Anesthesiology 6021 4.1630802E-7 F963 Radiology - Diagnostic 6021 0.000161012 F964 Radiology - Therapeutic 6021 2.2300246E-6 F965 Radioisotope 6021 5.2821636E-7 F966 Laboratory 6021 0.0017185 F967 PBP Clinical Lab Services (Program Onl 6021 0 F968 Whole Blood & Packed Red Blood Cells 6021 6.7245271E-8 F969 'Blood Storing, Processing, Trans.' 6021 7.0716559E-8 F970 Intravenous Therapy 6021 6.7540412E-8 F971 Respiratory Therapy 6021 0.000106472 F972 Physical Therapy 6021 0.000028404 F973 Occupational Therapy 6021 0.000034036 F974 Speech Pathology 6021 1.2615414E-6 F975 Electrocardiology 6021 0.000013323 F976 Electroencephalography 6021 1.0229247E-6 F977 Medical Supplies Charged to Patients 6021 0.000010970 F978 Drugs Charged to Patients 6021 0.0013342 F979 Renal Dialysis 6021 6.8708051E-6 F980 ASC (Non-Distinct Part) 6021 6.9194031E-8 F981 Other Ancillary 6021 0.000067162 F982 Clinic 6021 5.0469475E-8 F983 Emergency 6021 9.7053053E-6 F984 Observation Beds 6021 0 F985 Other Outpt. Services 6021 1.5632791E-7 F986 Home Program Dialysis 6021 0 F987 Durable Medical Equipment - Rented 6021 0 F988 Durable Medical Equipment - Sold 6021 0 F989 Other Reimbursable Costs 6021 0 F990 Total Medicare Part A Ancillary Costs 6021 0.0029910 F991 General Inpatient Routine Service Cost 6021 0.0819261 F992 General Inpatient Routine Service Cost 6021 0.1115389 F993 Total Program General Inpatient Routin 6021 0.0101431 F994 Medicare Inpatient Ancillary Cost 6021 0.0125825 F995 Total Medicare Inpatient Operating Cos 6021 0.000186993 F996 Pass Through Costs - Program Inpatient 6021 0.0012927 F997 Pass Through Costs - Program Inpatient 6021 0.000197205 F998 Total Program Excludable Costs 6021 0.0090424 F999 Total Program Inpatient Operating Cost 6021 0.0175037 F1000 TEFRA Target Amount Per Discharge 6021 0.0252638 F1001 Target Amount 6021 0.0064780 F1002 Difference Between Adjusted Inpatient 6021 -0.0037424 F1003 Incentive/Penalty Amount 6021 0.000198420 F1004 Inpatient Cost Plus Incentive Payment 6021 0.1258074 F1005 Operating Room 6021 2.5317536E-6 F1006 Recovery Room 6021 3.3622204E-7 F1007 Delivery Room & Labor Room 6021 0 F1008 Anesthesiology 6021 2.3853292E-8 F1009 Radiology - Diagnostic 6021 1.2894768E-6 F1010 Radiology - Therapeutic 6021 2.4266073E-9 F1011 Radioisotope 6021 9.0750217E-7 F1012 Laboratory 6021 4.7144571E-6 F1013 PBP Clinical Lab Services (Program Onl 6021 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 60 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1014 Whole Blood & Packed Red Blood Cells 6021 8.954394E-12 F1015 'Blood Storing, Processing, Trans.' 6021 1.0576362E-8 F1016 Intravenous Therapy 6021 2.5624725E-9 F1017 Respiratory Therapy 6021 5.4338202E-7 F1018 Physical Therapy 6021 0.000012270 F1019 Occupational Therapy 6021 5.6291432E-6 F1020 Speech Pathology 6021 3.1934591E-6 F1021 Electrocardiology 6021 2.2129527E-6 F1022 Electroencephalography 6021 9.8371849E-8 F1023 Medical Supplies Charged to Patients 6021 2.8899966E-6 F1024 Drugs Charged to Patients 6021 2.1223046E-7 F1025 Renal Dialysis 6021 5.585454E-10 F1026 ASC (Non-Distinct Part) 6021 0 F1027 Other Ancillary 6021 1.6614618E-8 F1028 Clinic 6021 7.3354529E-7 F1029 Emergency 6021 7.9832957E-9 F1030 Observation Beds 6021 0 F1031 Other Outpt. Services 6021 0 F1032 Home Program Dialysis 6021 0 F1033 Durable Medical Equipment - Rented 6021 0 F1034 Durable Medical Equipment - Sold 6021 0 F1035 Other Reimbursable Costs 6021 0 F1036 Total Medicare Part A Ancillary Costs 6021 0.000026691 F1037 General Inpatient Routine Service Cost 6021 0.000053463 F1038 General Inpatient Routine Service Cost 6021 0.000053463 F1039 Total Program General Inpatient Routin 6021 0.000046130 F1040 Medicare Inpatient Ancillary Cost 6021 0.000017626 F1041 Total Medicare Inpatient Operating Cos 6021 0.000026594 F1042 Pass Through Costs - Program Inpatient 6021 3.6155538E-8 F1043 Pass Through Costs - Program Inpatient 6021 3.1859236E-7 F1044 Total Program Excludable Costs 6021 4.2151233E-6 F1045 Total Program Inpatient Operating Cost 6021 0.000204920 F1046 TEFRA Target Amount Per Discharge 6021 0.000069942 F1047 Target Amount 6021 0.000030446 F1048 Difference Between Adjusted Inpatient 6021 0.000216381 F1049 Incentive/Penalty Amount 6021 6.6742944E-6 F1050 Inpatient Cost Plus Incentive Payment 6021 0.000074902 F1051 Operating Room 6021 227854.93 F1052 Recovery Room 6021 0.9287450 F1053 Delivery Room & Labor Room 6021 3.071365E-10 F1054 Anesthesiology 6021 6928.51 F1055 Radiology - Diagnostic 6021 0.000016684 F1056 Radiology - Therapeutic 6021 0 F1057 Radioisotope 6021 0 F1058 Laboratory 6021 0.000160365 F1059 PBP Clinical Lab Services (Program Onl 6021 0 F1060 Whole Blood & Packed Red Blood Cells 6021 1.3499711E-6 F1061 'Blood Storing, Processing, Trans.' 6021 5.1330376E-7 F1062 Intravenous Therapy 6021 8.3084151E-6 F1063 Respiratory Therapy 6021 1.3102379E-6 F1064 Physical Therapy 6021 1.4236705E-8 F1065 Occupational Therapy 6021 7.159728E-11 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 61 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1066 Speech Pathology 6021 0 F1067 Electrocardiology 6021 3.5573665E-7 F1068 Electroencephalography 6021 0 F1069 Medical Supplies Charged to Patients 6021 74940.93 F1070 Drugs Charged to Patients 6021 49867.81 F1071 Renal Dialysis 6021 0 F1072 ASC (Non-Distinct Part) 6021 1.7690834E-6 F1073 Other Ancillary 6021 0.000076014 F1074 Clinic 6021 0.000023430 F1075 Emergency 6021 1221.32 F1076 Observation Beds 6021 300.5821703 F1077 Other Outpt. Services 6021 4.5860841E-7 F1078 Home Program Dialysis 6021 0 F1079 Ambulance 6021 0 F1080 Durable Medical Equipment - Rented 6021 0 F1081 Durable Medical Equipment - Sold 6021 0 F1082 Other Reimbursable Costs 6021 0 F1083 CRNA Charges 6021 0.000054782 F1084 Total ASC Medicare Part B Charges - Ho 6021 570945.46 F1085 Operating Room 6021 8.9693265E-8 F1086 Recovery Room 6021 0 F1087 Delivery Room & Labor Room 6021 0 F1088 Anesthesiology 6021 0.000032366 F1089 Radiology - Diagnostic 6021 507239.60 F1090 Radiology - Therapeutic 6021 6.6622334E-6 F1091 Radioisotope 6021 0.0011928 F1092 Laboratory 6021 1.0502021E-8 F1093 PBP Clinical Lab Services (Program Onl 6021 0 F1094 Whole Blood & Packed Red Blood Cells 6021 0 F1095 'Blood Storing, Processing, Trans.' 6021 0 F1096 Intravenous Therapy 6021 0 F1097 Respiratory Therapy 6021 3.8091905E-6 F1098 Physical Therapy 6021 1.5203816E-8 F1099 Occupational Therapy 6021 0 F1100 Speech Pathology 6021 0 F1101 Electrocardiology 6021 1.6667197E-6 F1102 Electroencephalography 6021 0 F1103 Medical Supplies Charged to Patients 6021 0.000015509 F1104 Drugs Charged to Patients 6021 16.6314668 F1105 Renal Dialysis 6021 0 F1106 ASC (Non-Distinct Part) 6021 0 F1107 Other Ancillary 6021 7.6596236E-9 F1108 Clinic 6021 8.2889538E-8 F1109 Emergency 6021 1.177221E-11 F1110 Observation Beds 6021 0 F1111 Other Outpt. Services 6021 0 F1112 Home Program Dialysis 6021 0 F1113 Ambulance 6021 0 F1114 Durable Medical Equipment - Rented 6021 0 F1115 Durable Medical Equipment - Sold 6021 0 F1116 Other Reimbursable Costs 6021 0 F1117 Total Outpt. Radiology Medicare Part B 6021 553544.32 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 62 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1118 Operating Room 6021 0.000059604 F1119 Recovery Room 6021 1.101076E-10 F1120 Delivery Room & Labor Room 6021 1.118937E-10 F1121 Anesthesiology 6021 4.7862456E-9 F1122 Radiology - Diagnostic 6021 74.1621223 F1123 Radiology - Therapeutic 6021 4.7798045E-7 F1124 Radioisotope 6021 4.471392E-10 F1125 Laboratory 6021 0.000037735 F1126 PBP Clinical Lab Services (Program Onl 6021 0 F1127 Whole Blood & Packed Red Blood Cells 6021 0 F1128 'Blood Storing, Processing, Trans.' 6021 0 F1129 Intravenous Therapy 6021 0 F1130 Respiratory Therapy 6021 11350.69 F1131 Physical Therapy 6021 5.1311703E-6 F1132 Occupational Therapy 6021 1.5991762E-6 F1133 Speech Pathology 6021 4.6761943E-7 F1134 Electrocardiology 6021 50880.77 F1135 Electroencephalography 6021 0.1207589 F1136 Medical Supplies Charged to Patients 6021 0.000011978 F1137 Drugs Charged to Patients 6021 0.000030095 F1138 Renal Dialysis 6021 0 F1139 ASC (Non-Distinct Part) 6021 2.0978231E-8 F1140 Other Ancillary 6021 0.000050861 F1141 Clinic 6021 0.000047327 F1142 Emergency 6021 3.8260305E-6 F1143 Observation Beds 6021 1.3894774E-6 F1144 Other Outpt. Services 6021 7.160095E-10 F1145 Home Program Dialysis 6021 0 F1146 Ambulance 6021 3.290974E-11 F1147 Durable Medical Equipment - Rented 6021 0 F1148 Durable Medical Equipment - Sold 6021 0 F1149 Other Reimbursable Costs 6021 0 F1150 Total Other Outpt. Diagnostic Medicare 6021 165157.08 F1151 Operating Room 6021 49965.52 F1152 Recovery Room 6021 0.7588495 F1153 Delivery Room & Labor Room 6021 9.6348103E-7 F1154 Anesthesiology 6021 2771.10 F1155 Radiology - Diagnostic 6021 8910.54 F1156 Radiology - Therapeutic 6021 0.000054126 F1157 Radioisotope 6021 1.1484718E-6 F1158 Laboratory 6021 30290.27 F1159 PBP Clinical Lab Services (Program Onl 6021 0 F1160 Whole Blood & Packed Red Blood Cells 6021 0.000032249 F1161 'Blood Storing, Processing, Trans.' 6021 0.0022651 F1162 Intravenous Therapy 6021 0.000358768 F1163 Respiratory Therapy 6021 11534.30 F1164 Physical Therapy 6021 87117.65 F1165 Occupational Therapy 6021 0.1206044 F1166 Speech Pathology 6021 0.0476530 F1167 Electrocardiology 6021 569.6790807 F1168 Electroencephalography 6021 0.000015850 F1169 Medical Supplies Charged to Patients 6021 70989.86 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 63 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1170 Drugs Charged to Patients 6021 117572.42 F1171 Renal Dialysis 6021 2.2075876E-6 F1172 ASC (Non-Distinct Part) 6021 4.4143818E-6 F1173 Other Ancillary 6021 0.1896066 F1174 Clinic 6021 13.2428260 F1175 Emergency 6021 126872.32 F1176 Observation Beds 6021 17209.30 F1177 Other Outpt. Services 6021 0.000590760 F1178 Home Program Dialysis 6021 0 F1179 Ambulance 6021 0.0089473 F1180 Durable Medical Equipment - Rented 6021 0 F1181 Durable Medical Equipment - Sold 6021 0 F1182 Other Reimbursable Costs 6021 0.000069340 F1183 CRNA Charges 6021 0.000012276 F1184 PBP Other Part B Charges 6021 0 F1185 Total Other Medicare Part B Charges - 6021 1020252.37 F1186 Operating Room 6021 0 F1187 Recovery Room 6021 0 F1188 Delivery Room & Labor Room 6021 0 F1189 Anesthesiology 6021 0 F1190 Radiology - Diagnostic 6021 6.624593E-9 F1191 Radiology - Therapeutic 6021 0 F1192 Radioisotope 6021 0 F1193 Laboratory 6021 2.6168057E-7 F1194 PBP Clinical Lab Services (Program Onl 6021 0 F1195 Whole Blood & Packed Red Blood Cells 6021 0 F1196 'Blood Storing, Processing, Trans.' 6021 0 F1197 Intravenous Therapy 6021 0 F1198 Respiratory Therapy 6021 5.2961748E-9 F1199 Physical Therapy 6021 2.457489E-9 F1200 Occupational Therapy 6021 2.1513965E-9 F1201 Speech Pathology 6021 1.540836E-10 F1202 Electrocardiology 6021 7.1762835E-8 F1203 Electroencephalography 6021 3.6705778E-7 F1204 Medical Supplies Charged to Patients 6021 8.166338E-12 F1205 Drugs Charged to Patients 6021 0 F1206 Renal Dialysis 6021 0 F1207 ASC (Non-Distinct Part) 6021 0 F1208 Other Ancillary 6021 0 F1209 Clinic 6021 0 F1210 Emergency 6021 0 F1211 Observation Beds 6021 0 F1212 Other Outpt. Services 6021 0 F1213 Home Program Dialysis 6021 0 F1214 Ambulance 6021 0 F1215 Durable Medical Equipment - Rented 6021 0 F1216 Durable Medical Equipment - Sold 6021 0 F1217 Other Reimbursable Costs 6021 0 F1218 CRNA Charges 6021 0 F1219 PBP Clinical Lab Charges 6021 0 F1220 Total Other Medicare Part B Charges - 6021 1.8442812E-8 F1221 Operating Room 6021 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 64 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1222 Recovery Room 6021 0 F1223 Delivery Room & Labor Room 6021 0 F1224 Anesthesiology 6021 0 F1225 Radiology - Diagnostic 6021 1.3686563E-8 F1226 Radiology - Therapeutic 6021 0 F1227 Radioisotope 6021 0 F1228 Laboratory 6021 1.9704623E-8 F1229 PBP Clinical Lab Services (Program Onl 6021 0 F1230 Whole Blood & Packed Red Blood Cells 6021 0 F1231 'Blood Storing, Processing, Trans.' 6021 0 F1232 Intravenous Therapy 6021 0 F1233 Respiratory Therapy 6021 3.976671E-10 F1234 Physical Therapy 6021 2.5385276E-8 F1235 Occupational Therapy 6021 9.1001532E-8 F1236 Speech Pathology 6021 1.884199E-8 F1237 Electrocardiology 6021 1.8428253E-9 F1238 Electroencephalography 6021 0 F1239 Medical Supplies Charged to Patients 6021 0 F1240 Drugs Charged to Patients 6021 0 F1241 Renal Dialysis 6021 0 F1242 ASC (Non-Distinct Part) 6021 0 F1243 Other Ancillary 6021 0 F1244 Clinic 6021 0 F1245 Emergency 6021 0 F1246 Observation Beds 6021 0 F1247 Other Outpt. Services 6021 0 F1248 Home Program Dialysis 6021 0 F1249 Ambulance 6021 0 F1250 Durable Medical Equipment - Rented 6021 0 F1251 Durable Medical Equipment - Sold 6021 0 F1252 Other Reimbursable Costs 6021 0 F1253 CRNA Charges 6021 0 F1254 PBP Clinical Lab Charges 6021 0 F1255 Total Other Medicare Part B Charges 6021 3.2611259E-7 F1256 Operating Room 6021 123618.13 F1257 Recovery Room 6021 0.6624060 F1258 Delivery Room & Labor Room 6021 1.393253E-10 F1259 Anesthesiology 6021 1740.43 F1260 Radiology - Diagnostic 6021 0.000016390 F1261 Radiology - Therapeutic 6021 0 F1262 Radioisotope 6021 0 F1263 Laboratory 6021 0.000038192 F1264 PBP Clinical Lab Services (Program Onl 6021 0 F1265 Whole Blood & Packed Red Blood Cells 6021 1.0062528E-6 F1266 'Blood Storing, Processing, Trans.' 6021 5.4823404E-6 F1267 Intravenous Therapy 6021 1.4414365E-6 F1268 Respiratory Therapy 6021 2.0422186E-7 F1269 Physical Therapy 6021 7.9215941E-9 F1270 Occupational Therapy 6021 1.851795E-11 F1271 Speech Pathology 6021 0 F1272 Electrocardiology 6021 3.9282162E-7 F1273 Electroencephalography 6021 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 65 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1274 Medical Supplies Charged to Patients 6021 23418.38 F1275 Drugs Charged to Patients 6021 15323.24 F1276 Renal Dialysis 6021 0 F1277 ASC (Non-Distinct Part) 6021 0.000113997 F1278 Other Ancillary 6021 2.8255136E-7 F1279 Clinic 6021 1.7887167E-6 F1280 Emergency 6021 1039.19 F1281 Observation Beds 6021 258.0856287 F1282 Other Outpt. Services 6021 3.5807357E-7 F1283 Home Program Dialysis 6021 0 F1284 Ambulance 6021 0 F1285 Durable Medical Equipment - Rented 6021 0 F1286 Durable Medical Equipment - Sold 6021 0 F1287 Other Reimbursable Costs 6021 0 F1288 CRNA Costs 6021 0.000077345 F1289 Total ASC Medicare Part B Costs - Hosp 6021 253885.89 F1290 Operating Room 6021 1.4933275E-8 F1291 Recovery Room 6021 0 F1292 Delivery Room & Labor Room 6021 0 F1293 Anesthesiology 6021 3.9836308E-6 F1294 Radiology - Diagnostic 6021 190410.05 F1295 Radiology - Therapeutic 6021 0.000470057 F1296 Radioisotope 6021 0.0011854 F1297 Laboratory 6021 1.5447791E-9 F1298 PBP Clinical Lab Services (Program Onl 6021 0 F1299 Whole Blood & Packed Red Blood Cells 6021 0 F1300 'Blood Storing, Processing, Trans.' 6021 0 F1301 Intravenous Therapy 6021 0 F1302 Respiratory Therapy 6021 8.0872732E-7 F1303 Physical Therapy 6021 1.3227061E-8 F1304 Occupational Therapy 6021 0 F1305 Speech Pathology 6021 0 F1306 Electrocardiology 6021 2.0075742E-7 F1307 Electroencephalography 6021 0 F1308 Medical Supplies Charged to Patients 6021 9.1601694E-6 F1309 Drugs Charged to Patients 6021 4.4894174 F1310 Renal Dialysis 6021 0 F1311 ASC (Non-Distinct Part) 6021 0 F1312 Other Ancillary 6021 0.000114577 F1313 Clinic 6021 5.0437225E-8 F1314 Emergency 6021 7.514178E-10 F1315 Observation Beds 6021 0 F1316 Other Outpt. Services 6021 0 F1317 Home Program Dialysis 6021 0 F1318 Ambulance 6021 0 F1319 Durable Medical Equipment - Rented 6021 0 F1320 Durable Medical Equipment - Sold 6021 0 F1321 Other Reimbursable Costs 6021 0 F1322 Total Ouptatient Radiology Medicare Pa 6021 210150.74 F1323 Operating Room 6021 0.000012532 F1324 Recovery Room 6021 7.361978E-11 F1325 Delivery Room & Labor Room 6021 6.677541E-11 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 66 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1326 Anesthesiology 6021 6.2049641E-9 F1327 Radiology - Diagnostic 6021 34.6660227 F1328 Radiology - Therapeutic 6021 9.5078758E-9 F1329 Radioisotope 6021 1.717478E-10 F1330 Laboratory 6021 0.000028052 F1331 PBP Clinical Lab Services (Program Onl 6021 0 F1332 Whole Blood & Packed Red Blood Cells 6021 0 F1333 'Blood Storing, Processing, Trans.' 6021 0 F1334 Intravenous Therapy 6021 0 F1335 Respiratory Therapy 6021 3310.37 F1336 Physical Therapy 6021 7.1936206E-8 F1337 Occupational Therapy 6021 4.1286641E-9 F1338 Speech Pathology 6021 9.8743999E-6 F1339 Electrocardiology 6021 10560.04 F1340 Electroencephalography 6021 0.000428331 F1341 Medical Supplies Charged to Patients 6021 7.0851275E-8 F1342 Drugs Charged to Patients 6021 0.000019659 F1343 Renal Dialysis 6021 0 F1344 ASC (Non-Distinct Part) 6021 2.5997742E-8 F1345 Other Ancillary 6021 0.000010130 F1346 Clinic 6021 4.4123226E-6 F1347 Emergency 6021 9.6544279E-6 F1348 Observation Beds 6021 7.4255489E-6 F1349 Other Outpt. Services 6021 1.5346736E-8 F1350 Home Program Dialysis 6021 0 F1351 Ambulance 6021 3.640593E-11 F1352 Durable Medical Equipment - Rented 6021 0 F1353 Durable Medical Equipment - Sold 6021 0 F1354 Other Reimbursable Costs 6021 0 F1355 Total Other Outpt. Diagnostic Medicare 6021 47217.41 F1356 Operating Room 6021 27540.96 F1357 Recovery Room 6021 0.3254477 F1358 Delivery Room & Labor Room 6021 2.1546402E-6 F1359 Anesthesiology 6021 564.9332760 F1360 Radiology - Diagnostic 6021 4029.13 F1361 Radiology - Therapeutic 6021 2.2711619E-7 F1362 Radioisotope 6021 7.5715605E-7 F1363 Laboratory 6021 12795.16 F1364 PBP Clinical Lab Services (Program Onl 6021 0 F1365 Whole Blood & Packed Red Blood Cells 6021 0.000018553 F1366 'Blood Storing, Processing, Trans.' 6021 0.000708663 F1367 Intravenous Therapy 6021 7.8543608E-6 F1368 Respiratory Therapy 6021 3388.72 F1369 Physical Therapy 6021 54855.20 F1370 Occupational Therapy 6021 0.3538125 F1371 Speech Pathology 6021 0.0738021 F1372 Electrocardiology 6021 76.7138588 F1373 Electroencephalography 6021 3.6323557E-6 F1374 Medical Supplies Charged to Patients 6021 24180.83 F1375 Drugs Charged to Patients 6021 36149.32 F1376 Renal Dialysis 6021 3.0225755E-7 F1377 ASC (Non-Distinct Part) 6021 0.000135127 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 67 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1378 Other Ancillary 6021 0.0127784 F1379 Clinic 6021 29.1428702 F1380 Emergency 6021 112804.90 F1381 Observation Beds 6021 15494.98 F1382 Other Outpt. Services 6021 0.0022788 F1383 Home Program Dialysis 6021 0 F1384 Ambulance 6021 0.000258774 F1385 Durable Medical Equipment - Rented 6021 0 F1386 Durable Medical Equipment - Sold 6021 0 F1387 Other Reimbursable Costs 6021 5.0850619E-6 F1388 CRNA Costs 6021 0.000033973 F1389 Total Other Medicare Part B Costs - Ho 6021 591405.60 F1390 Operating Room 6021 0 F1391 Recovery Room 6021 0 F1392 Delivery Room & Labor Room 6021 0 F1393 Anesthesiology 6021 0 F1394 Radiology - Diagnostic 6021 1.7547256E-8 F1395 Radiology - Therapeutic 6021 0 F1396 Radioisotope 6021 0 F1397 Laboratory 6021 1.741465E-6 F1398 PBP Clinical Lab Services (Program Onl 6021 0 F1399 Whole Blood & Packed Red Blood Cells 6021 0 F1400 'Blood Storing, Processing, Trans.' 6021 0 F1401 Intravenous Therapy 6021 0 F1402 Respiratory Therapy 6021 5.6142307E-9 F1403 Physical Therapy 6021 1.8937771E-7 F1404 Occupational Therapy 6021 6.35223E-10 F1405 Speech Pathology 6021 9.289715E-11 F1406 Electrocardiology 6021 2.8847288E-8 F1407 Electroencephalography 6021 2.8274352E-7 F1408 Medical Supplies Charged to Patients 6021 2.6827623E-9 F1409 Drugs Charged to Patients 6021 0 F1410 Renal Dialysis 6021 0 F1411 ASC (Non-Distinct Part) 6021 0 F1412 Other Ancillary 6021 0 F1413 Clinic 6021 0 F1414 Emergency 6021 0 F1415 Observation Beds 6021 0 F1416 Other Outpt. Services 6021 0 F1417 Home Program Dialysis 6021 0 F1418 Ambulance 6021 0 F1419 Durable Medical Equipment - Rented 6021 0 F1420 Durable Medical Equipment - Sold 6021 0 F1421 Other Reimbursable Costs 6021 0 F1422 CRNA Costs 6021 0 F1423 Total Other Medicare Part B Costs - Su 6021 3.6993587E-8 F1424 Operating Room 6021 0 F1425 Recovery Room 6021 0 F1426 Delivery Room & Labor Room 6021 0 F1427 Anesthesiology 6021 0 F1428 Radiology - Diagnostic 6021 3.0875825E-9 F1429 Radiology - Therapeutic 6021 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 68 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1430 Radioisotope 6021 0 F1431 Laboratory 6021 3.7448964E-8 F1432 PBP Clinical Lab Services (Program Onl 6021 0 F1433 Whole Blood & Packed Red Blood Cells 6021 0 F1434 'Blood Storing, Processing, Trans.' 6021 0 F1435 Intravenous Therapy 6021 0 F1436 Respiratory Therapy 6021 2.237566E-10 F1437 Physical Therapy 6021 1.2352007E-9 F1438 Occupational Therapy 6021 4.2973767E-8 F1439 Speech Pathology 6021 5.2093848E-9 F1440 Electrocardiology 6021 1.2466184E-9 F1441 Electroencephalography 6021 0 F1442 Medical Supplies Charged to Patients 6021 0 F1443 Drugs Charged to Patients 6021 0 F1444 Renal Dialysis 6021 0 F1445 ASC (Non-Distinct Part) 6021 0 F1446 Other Ancillary 6021 0 F1447 Clinic 6021 0 F1448 Emergency 6021 0 F1449 Observation Beds 6021 0 F1450 Other Outpt. Services 6021 0 F1451 Home Program Dialysis 6021 0 F1452 Ambulance 6021 0 F1453 Durable Medical Equipment - Rented 6021 0 F1454 Durable Medical Equipment - Sold 6021 0 F1455 Other Reimbursable Costs 6021 0 F1456 CRNA Costs 6021 0 F1457 Total Other Medicare Part B Costs - Su 6021 1.1299979E-7 F1458 Land 6021 26333.03 F1459 Land Improvements 6021 24728.60 F1460 Buildings and Fixtures 6021 2180915.18 F1461 Building Improvements 6021 0.000022368 F1462 Fixed Equipment 6021 489.7403338 F1463 Movable Equipment 6021 1300465.50 F1464 Subtotal 6021 5628281.71 F1465 Total Assets - Facility 6021 5628260.94 F1466 Land 6021 0 F1467 Land Improvements 6021 5.1598125E-9 F1468 Buildings and Fixtures 6021 0.000016760 F1469 Building Improvements 6021 0.0017725 F1470 Fixed Equipment 6021 5.68481E-8 F1471 Movable Equipment 6021 0.000010532 F1472 Subtotal 6021 4.633179E-6 F1473 Total Purchases - Facility 6021 2.4282855E-6 F1474 Land 6021 0 F1475 Land Improvements 6021 0 F1476 Buildings and Fixtures 6021 0 F1477 Building Improvements 6021 0 F1478 Fixed Equipment 6021 0 F1479 Movable Equipment 6021 0 F1480 Subtotal 6021 0 F1481 Total Donations - Facility 6021 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 69 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1482 Land 6021 3.8903113E-7 F1483 Land Improvements 6021 5.9593361E-8 F1484 Buildings and Fixtures 6021 0.000203642 F1485 Building Improvements 6021 2.9013345E-7 F1486 Fixed Equipment 6021 0.000025140 F1487 Movable Equipment 6021 2.8487684 F1488 Subtotal 6021 29.7693916 F1489 Total Disposals & Retirements - Facili 6021 38.3366109 F1490 Land 6021 0 F1491 Land Improvements 6021 0.000288337 F1492 Buildings and Fixtures 6021 8.9518395E-6 F1493 Building Improvements 6021 0.000566019 F1494 Fixed Equipment 6021 0.000683402 F1495 Movable Equipment 6021 0.0232691 F1496 Subtotal 6021 0.0491735 F1497 Total Fully Depreciated Assets - Facil 6021 0.0219563 F1498 Land 6021 9096.54 F1499 Land Improvements 6021 61747.05 F1500 Buildings and Fixtures 6021 2646436.39 F1501 Building Improvements 6021 47.0844098 F1502 Fixed Equipment 6021 147873.94 F1503 Movable Equipment 6021 3492597.60 F1504 Subtotal 6021 9103138.25 F1505 Total Assets - Facility 6021 8945592.01 F1506 Land 6021 -0.000487949 F1507 Land Improvements 6021 77.3325357 F1508 Buildings and Fixtures 6021 62340.23 F1509 Building Improvements 6021 0.4245273 F1510 Fixed Equipment 6021 1002.49 F1511 Movable Equipment 6021 468843.76 F1512 Subtotal 6021 1055755.34 F1513 Total Purchases - Facility 6021 1016575.89 F1514 Land 6021 0 F1515 Land Improvements 6021 0 F1516 Buildings and Fixtures 6021 0 F1517 Building Improvements 6021 0 F1518 Fixed Equipment 6021 0 F1519 Movable Equipment 6021 1.1674488E-7 F1520 Subtotal 6021 0.000018177 F1521 Total Donations - Facility 6021 0.000024885 F1522 Land 6021 1.5964568E-6 F1523 Land Improvements 6021 1.8515366E-6 F1524 Buildings and Fixtures 6021 0.000114221 F1525 Building Improvements 6021 0.000165837 F1526 Fixed Equipment 6021 -0.000516990 F1527 Movable Equipment 6021 567.6749716 F1528 Subtotal 6021 1770.28 F1529 Total Disposals & Retirements Facility 6021 1586.32 F1530 Land 6021 0 F1531 Land Improvements 6021 2.2618558E-6 F1533 Building Improvements 6021 0.0029558 F1534 Fixed Equipment 6021 0.000337431 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 70 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1535 Movable Equipment 6021 0.0480373 F1536 Subtotal 6021 0.0128294 F1537 Total Fully Depreciated Assets - Facil 6021 0.0229892 F1538 Old Capital-Related Cost - Building & 6021 110.9417018 F1539 Old Capital-Related Cost - Movable Equ 6021 0.6709229 F1540 New Capital-Related Cost - Building & 6021 2690.98 F1541 New Capital-Related Cost - Movable Equ 6021 2126.42 F1542 Total Insurance Costs - Facility 6021 11847.48 F1543 Old Capital-Related Cost - Building & 6021 -0.000062376 F1544 Old Capital-Related Cost - Movable Equ 6021 -1.052462E-6 F1545 New Capital-Related Cost - Building & 6021 0.1860549 F1546 New Capital-Related Cost - Movable Equ 6021 0.000017462 F1547 Total Taxes - Facility 6021 2.2345770 F1548 Old Capital-Related Cost - Building & 6021 0.000034543 F1549 Old Capital-Related Cost - Movable Equ 6021 1.2089568E-6 F1550 New Capital-Related Cost - Building & 6021 0.000042437 F1551 New Capital-Related Cost - Movable Equ 6021 1.764895E-6 F1552 Total Other Capital-Related Costs - Fa 6021 1.9062181E-6 F1553 Old Capital-Related Cost - Building & 6021 99950.80 F1554 Old Capital-Related Cost - Movable Equ 6021 20860.57 F1555 New Capital-Related Cost - Building & 6021 252330.49 F1556 New Capital-Related Cost - Movable Equ 6021 371001.12 F1557 Total Depreciation - Facility 6021 1114016.32 F1558 Old Capital-Related Cost - Building & 6021 -4.544071E-6 F1559 Old Capital-Related Cost - Movable Equ 6021 -0.000047061 F1560 New Capital-Related Cost - Building & 6021 -0.0012783 F1561 New Capital-Related Cost - Movable Equ 6021 0.7535297 F1562 Total Lease Costs - Facility 6021 43.7793147 F1563 Old Capital-Related Cost - Building & 6021 0.0406077 F1564 Old Capital-Related Cost - Movable Equ 6021 -0.000232232 F1565 New Capital-Related Cost - Building & 6021 3.8499790 F1566 New Capital-Related Cost - Movable Equ 6021 0.0970402 F1567 Total Interest Costs - Facility 6021 28092.38 F1568 Old Capital-Related Cost - Building & 6021 152800.10 F1569 Old Capital-Related Cost - Movable Equ 6021 29500.22 F1570 New Capital-Related Cost - Building & 6021 377444.75 F1571 New Capital-Related Cost - Movable Equ 6021 481198.41 F1572 Total Capital-Related Costs - Facility 6021 1564578.52 F1573 Total Directly Assigned Old Capital Re 6021 0.8389447 F1574 Adults and Pediatrics (General Routine 6021 59539.67 F1575 ICU 6021 1200.46 F1576 Coronary Care Unit 6021 1.6008089E-6 F1577 Burn ICU 6021 0 F1578 Surgical ICU 6021 1.6060196E-6 F1579 Other Special Care Unit 6021 0.000014322 F1580 Sub. Prov. I 6021 0.000158761 F1581 Sub. Prov. II 6021 8.6115995E-6 F1582 Nursery 6021 6.9063173 F1583 Skilled Nursing Facility 6021 0.8370904 F1584 Nursing Facility 6021 7.6301149E-7 F1585 Other Long Term Care 6021 3.077534E-7 F1586 Operating Room 6021 17511.37 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 71 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1587 Recovery Room 6021 0.2941164 F1588 Delivery Room and Labor Room 6021 6.5168497 F1589 Anesthesiology 6021 16.4845040 F1590 Radiology - Diagnostic 6021 15039.71 F1591 Radiology - Therapeutic 6021 0.000019062 F1592 Radioisotope 6021 0.000591538 F1593 Laboratory 6021 10123.14 F1594 Whole Blood and Packed Red Blood Cells 6021 1.1130654E-6 F1595 'Blood Storing, Processing, Trans' 6021 4.2018556E-6 F1596 Intravenous Therapy 6021 0.000012665 F1597 Respiratory Therapy 6021 3135.68 F1598 Physical Therapy 6021 5228.74 F1599 Occupational Therapy 6021 0.0010490 F1600 Speech Pathology 6021 0.000073932 F1601 Electrocardiology 6021 203.5258338 F1602 Electroencephalography 6021 0.000183823 F1603 Medical Supplies Charged to Patients 6021 4341.67 F1604 Drugs Charged to Patients 6021 4325.65 F1605 Renal Dialysis 6021 0.000018938 F1606 ASC (Non-Distinct Part) 6021 0.000058316 F1607 Other Ancillary 6021 0.000195818 F1608 Clinic 6021 1.9783821 F1609 Emergency 6021 9997.81 F1610 Other Outpt. Services 6021 0.000113842 F1611 Home Program Dialysis 6021 2.8955249E-9 F1612 Ambulance 6021 4.8195916E-7 F1613 Durable Medical Equipment - Rented 6021 2.0604577E-9 F1614 Durable Medical Equipment - Sold 6021 1.0502417E-9 F1615 Other Reimbursable Costs 6021 0.000011330 F1616 Outpt. Rehabilitation Providers (Total 6021 3.4214596E-6 F1617 Intern - Resident Service (not in appr 6021 1.2119858E-9 F1618 Home Health Agency 6021 0.0027261 F1619 Lung Acquisition 6021 0 F1620 Kidney Acquisition 6021 8.00198E-9 F1621 Liver Acquisition 6021 0 F1622 Heart Acquisition 6021 2.162495E-11 F1623 Other Organ Acquisition 6021 7.4815995E-8 F1624 Ambulatory Surgical Center (Distinct P 6021 0 F1625 Hospice 6021 4.5937399E-7 F1626 Other Special Purpose 6021 8.053857E-10 F1627 Nonreimbursable Costs 6021 3025.61 F1628 Cross Foot Adjustments 6021 0.000043307 F1629 Negative Cost Centers 6021 3.492055E-6 F1630 Total Old Capital Related Costs - Faci 6021 242534.42 F1631 Total Directly Assigned New Capital Re 6021 1382.81 F1632 Adults & Pediatrics (General Routine C 6021 299231.91 F1633 ICU 6021 23627.43 F1634 Coronary Care Unit 6021 0.000014336 F1635 Burn ICU 6021 0 F1636 Surgical ICU 6021 1.907649E-7 F1637 Other Special Care Unit 6021 0.000284166 F1638 Sub. Prov. I 6021 0.0014933 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 72 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1639 Sub. Prov. II 6021 7.0743429E-6 F1640 Nursery 6021 2266.88 F1641 Skilled Nursing Facility 6021 8.1616987 F1642 Nursing Facility 6021 2.4426859E-6 F1643 Other Long Term Care 6021 0.000011290 F1644 Operating Room 6021 93154.86 F1645 Recovery Room 6021 1.5409917 F1646 Delivery Room & Labor Room 6021 3480.65 F1647 Anesthesiology 6021 955.3377888 F1648 Radiology - Diagnostic 6021 93086.64 F1649 Radiology - Therapeutic 6021 0.000097311 F1650 Radioisotope 6021 0.1123933 F1651 Laboratory 6021 46478.67 F1652 Whole Blood & Packed Red Blood Cells 6021 1.0246391E-7 F1653 'Blood Storing, Processing, Trans.' 6021 0.0480509 F1654 Intravenous Therapy 6021 8.1153641E-7 F1655 Respiratory Therapy 6021 17489.21 F1656 Physical Therapy 6021 26066.41 F1657 Occupational Therapy 6021 8.7670244 F1658 Speech Pathology 6021 1.0885226 F1659 Electrocardiology 6021 3381.12 F1660 Electroencephalography 6021 0.0011140 F1661 Medical Supplies Charged to Patients 6021 21390.59 F1662 Drugs Charged to Patients 6021 23045.11 F1663 Renal Dialysis 6021 0.000097633 F1664 ASC (Non-Distinct Part) 6021 0.000104464 F1665 Other Ancillary 6021 1.9066060 F1666 Clinic 6021 586.2878618 F1667 Emergency 6021 39045.94 F1668 Other Outpt. Services 6021 0.000959085 F1669 Home Program Dialysis 6021 3.4516987E-7 F1670 Ambulance 6021 0.0026308 F1671 Durable Medical Equipment - Rented 6021 1.0082524E-8 F1672 Durable Medical Equipment - Sold 6021 1.3143788E-8 F1673 Other Reimbursable Costs 6021 6.8500012E-7 F1674 Outpt. Rehab Providers (Total) 6021 3.3893491E-6 F1675 Intern - Resident Service (not in appr 6021 7.377492E-9 F1676 Home Health Agency 6021 73.6961028 F1677 Lung Acquisition 6021 0 F1678 Kidney Acquisition 6021 8.3286153E-9 F1679 Liver Acquisition 6021 5.241133E-11 F1680 Heart Acquisition 6021 9.404144E-11 F1681 Other Organ Acquisition 6021 5.383589E-11 F1682 Ambulatory Surgical Center 6021 0 F1683 Hospice 6021 0.000051658 F1684 Other Special Purpose 6021 3.1406968E-6 F1685 Nonreimbursable Costs 6021 24262.64 F1686 Cross Foot Adjustments 6021 0.0371388 F1687 Negative Cost Centers 6021 0.000028470 F1688 Total New Capital Related Costs - Faci 6021 1180616.82 F1689 Adults & Pediatrics (General Routine C 6021 30658.44 F1690 ICU 6021 465.6254806 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 73 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1691 Coronary Care Unit 6021 6.4502479E-7 F1692 Burn ICU 6021 0 F1693 Surgical ICU 6021 4.745256E-10 F1694 Other Special Care Unit 6021 1.8282378E-9 F1695 Sub. Prov. I 6021 0.000180502 F1696 Sub. Prov. II 6021 0.000037141 F1697 Nursery 6021 0 F1698 Total Medicare Part A Inpatient Routin 6021 37378.62 F1699 Adults & Pediatrics (General Routine C 6021 121242.84 F1700 ICU 6021 12364.59 F1701 Coronary Care Unit 6021 3.6631744E-6 F1702 Burn ICU 6021 0 F1703 Surgical ICU 6021 4.0768795E-7 F1704 Other Special Care Unit 6021 1.5879039E-9 F1705 Sub. Prov. I 6021 0.0011577 F1706 Sub. Prov. II 6021 2.6096928E-6 F1707 Nursery 6021 0 F1708 Total Medicare A Inpatient Routine New 6021 158261.12 F1709 Operating Room 6021 2301.29 F1710 Recovery Room 6021 0.000064988 F1711 Delivery Room & Labor Room 6021 1.7447621E-6 F1712 Anesthesiology 6021 0.7259252 F1713 Radiology - Diagnostic 6021 1814.03 F1714 Radiology - Therapeutic 6021 2.8899162E-6 F1715 Radioisotope 6021 0.000100932 F1716 Laboratory 6021 2271.55 F1717 Whole Blood & Packed Red Blood Cells 6021 3.0225145E-6 F1718 'Blood Storing, Processing, Trans.' 6021 9.1543329E-6 F1719 Intravenous Therapy 6021 3.4330455E-6 F1720 Respiratory Therapy 6021 1096.01 F1721 Physical Therapy 6021 333.6760510 F1722 Occupational Therapy 6021 0.000079903 F1723 Speech Pathology 6021 0.000018316 F1724 Electrocardiology 6021 41.4246160 F1725 Electroencephalography 6021 0.0065385 F1726 Medial Supplies Charged to Patients 6021 1322.42 F1727 Drugs Charged to Patients 6021 1506.06 F1728 Renal Dialysis 6021 5.4560475E-8 F1729 ASC (Non-Distinct Part) 6021 3.0106038E-6 F1730 Other Ancillary 6021 1.1446381E-7 F1731 Clinic 6021 6.3703734E-6 F1732 Emergency 6021 778.4119181 F1733 Observation Beds 6021 0.0754055 F1734 Other Outpt. Services 6021 3.008173E-8 F1735 Home Program Dialysis 6021 0 F1736 Durable Medical Equipment - Rented 6021 0 F1737 Durable Medical Equipment - Sold 6021 0 F1738 Other Reimbursable Costs 6021 0 F1739 Total Medicare Part A Ancillary Old Ca 6021 17157.90 F1740 Operating Room 6021 12458.36 F1741 Recovery Room 6021 0.1202567 F1742 Delivery Room & Labor Room 6021 0.0021321 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 74 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1743 Anesthesiology 6021 49.4641441 F1744 Radiology - Diagnostic 6021 13163.93 F1745 Radiology - Therapeutic 6021 2.3407753E-6 F1746 Radioisotope 6021 0.000033554 F1747 Laboratory 6021 11208.54 F1748 Whole Blood & Packed Red Blood Cells 6021 1.5361679E-6 F1749 'Blood Storing, Processing, Trans.' 6021 0.000047852 F1750 Intravenous Therapy 6021 1.3414265E-6 F1751 Respiratory Therapy 6021 5825.11 F1752 Physical Therapy 6021 2701.43 F1753 Occupational Therapy 6021 0.0065284 F1754 Speech Pathology 6021 0.0081100 F1755 Electrocardiology 6021 659.2685717 F1756 Electroencephalography 6021 0.0089262 F1757 Medial Supplies Charged to Patients 6021 6859.84 F1758 Drugs Charged to Patients 6021 7559.27 F1759 Renal Dialysis 6021 0.000055400 F1760 ASC (Non-Distinct Part) 6021 2.6218618E-7 F1761 Other Ancillary 6021 0.000229713 F1762 Clinic 6021 6.4265815E-7 F1763 Emergency 6021 3385.87 F1764 Observation Beds 6021 2.0613536 F1765 Other Outpt. Services 6021 4.4246503E-6 F1766 Home Program Dialysis 6021 0 F1767 Durable Medical Equipment - Rented 6021 0 F1768 Durable Medical Equipment - Sold 6021 0 F1769 Other Reimbursable Costs 6021 2.4119443E-9 F1770 Total Medicare Part A Ancillary New Ca 6021 95256.15 F1771 Total Medicare Part A Ancillary Old C 6021 0.000037556 F1772 Total Medicare Part A Ancillary New C 6021 0.0014609 F1773 Total Medicare Part A Ancillary Old C 6021 7.0048431E-6 F1774 Total Medicare Part A Ancillary New C 6021 5.2810293E-7 F1775 Adults & Pediatrics (General Routine C 6021 9.5571477E-6 F1776 ICU 6021 5.9252398E-6 F1777 Coronary Care Unit 6021 4.0424616E-8 F1778 Burn ICU 6021 0 F1779 Surgical ICU 6021 6.5145036E-9 F1780 Other Special Care Unit 6021 0 F1781 Sub. Prov. I 6021 1.1328555E-7 F1782 Sub. Prov. II 6021 7.442956E-10 F1783 Nursery 6021 0 F1784 Total Medicare Part A Inpatient Routin 6021 4.5158857E-6 F1785 Operating Room 6021 2.1088465E-7 F1786 Recovery Room 6021 2.3454342E-9 F1787 Delivery Room & Labor Room 6021 5.842269E-13 F1788 Anesthesiology 6021 0.000356415 F1789 Radiology - Diagnostic 6021 2.6637502E-7 F1790 Radiology - Therapeutic 6021 3.2776259E-7 F1791 Radioisotope 6021 4.82526E-11 F1792 Laboratory 6021 7.7348597E-9 F1793 Whole Blood & Packed Red Blood Cells 6021 0 F1794 'Blood Storing, Processing, Trans.' 6021 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 75 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1795 Intravenous Therapy 6021 0 F1796 Respiratory Therapy 6021 1.2707612E-8 F1797 Physical Therapy 6021 3.1257156E-7 F1798 Occupational Therapy 6021 0 F1799 Speech Pathology 6021 0 F1800 Electrocardiology 6021 1.476103E-9 F1801 Electroencephalography 6021 0 F1802 Medial Supplies Charged to Patients 6021 0 F1803 Drugs Charged to Patients 6021 0.000010804 F1804 Renal Dialysis 6021 1.418705E-11 F1805 ASC (Non-Distinct Part) 6021 3.778096E-12 F1806 Other Ancillary 6021 2.58809E-11 F1807 Clinic 6021 1.31967E-10 F1808 Emergency 6021 1.6393595E-7 F1809 Observation Beds 6021 2.158232E-8 F1810 Other Outpt. Services 6021 0 F1811 Home Program Dialysis 6021 0 F1812 Durable Medical Equipment - Rented 6021 0 F1813 Durable Medical Equipment - Sold 6021 0 F1814 Other Reimbursable Costs 6021 0 F1815 Total Medicare Part A Ancillary Other 6021 0.0038205 F1816 Total Medicare Part A Ancillary Other 6021 8.458092E-9 F1817 Total Medicare Part A Ancillary Other 6021 3.2188897E-8 F1818 DRG Payments - Other Than Outliers 6021 3313797.99 F1819 DRG Outlier Payments 6021 56999.59 F1820 Indirect Medical Education Adjustment 6021 0.000016976 F1821 Disproportionate Share Adjustment 6021 0.1432222 F1822 Additional Payment - High Percentage E 6021 0 F1823 Subtotal of Above Lines 6021 3523660.13 F1824 Hosp. Specific Payments (Sole Communit 6021 2.0178648 F1825 Total Payment for Inpatient Operating 6021 3573983.38 F1826 Payment for Inpatient Program Capital 6021 343617.64 F1827 Exceptive Payment for Inpatient Progra 6021 7.8759872E-7 F1828 Direct Graduate Medical Education Paym 6021 0.0012016 F1829 Net Organ Acquisition Cost 6021 3.0094146E-7 F1830 Cost of Teaching Physicians 6021 0 F1831 Medicare Part A Inpatient Routine Serv 6021 0.000015064 F1832 Medicare Part A Ancillary Service Othe 6021 0.000645607 F1833 Total Payments (Lines 8 -15) 6021 3958833.19 F1834 Primary Payer Payments 6021 110.9460213 F1835 Total Amount Payable for Program Benef 6021 3960579.82 F1836 Deductibles Billed to Program Benefici 6021 441615.70 F1837 Coinsurance Billed to Program Benefici 6021 4112.52 F1838 Reimbursable Bad Debts 6021 17894.18 F1839 'Subtotal (Line 18 Plus Line 21, Minus 6021 3559899.12 F1840 Recovery of Excess Depreciation 6021 0 F1841 Other Adjustments 6021 -0.000432128 F1842 Amounts Applicable to Prior Cost 6021 -0.000592165 F1843 Amount Due Provider 6021 3577871.25 F1844 Sequestration Adjustment 6021 0 F1845 Interim Payments 6021 3679808.17 F1846 Balance Due Provider (Program) 6021 762.5658456 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 76 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1847 Protested Amounts 6021 0.000595657 F1848 Medical and Other Services 6021 594577.90 F1849 Interns & Residents 6021 1.3722604E-7 F1850 Organ Acquisition Costs 6021 0 F1851 Cost of Teaching Physicians 6021 0.000015421 F1852 Total Costs 6021 597027.57 F1853 Total Customary Charges 6021 1046062.80 F1854 Lesser of Cost or Charges 6021 591289.89 F1855 Deductibles and Coinsurance 6021 206481.74 F1856 'Sum of Worksheets E, Parts C, D, and 6021 175322.64 F1857 Direct Graduate Medical Education Paym 6021 0.000185504 F1858 ESRD Direct Medical Education Costs 6021 0 F1859 Primary Payer Payments 6021 0.0486410 F1860 Composite Rate ESRD Bad Debts 6021 1.202591E-10 F1861 All Other Bad Debts 6021 9389.49 F1862 Recovery of Excess Depreciation from P 6021 0 F1863 Other Adjustments 6021 -0.0022842 F1864 Amounts Applicable to Prior Reporting 6021 -0.000022790 F1865 Sequestration Adjustment 6021 0 F1866 Interim Payments 6021 661624.61 F1867 Balance Due Provider (Program) 6021 -6966.59 F1868 Protested Amounts 6021 -0.000066427 F1869 Medical and Other Services 6021 3.6993587E-8 F1870 Interns & Residents 6021 0 F1871 Organ Acquisition Costs 6021 0 F1872 Cost of Teaching Physicians 6021 0 F1873 Total Costs 6021 1.226751E-6 F1874 Total Customary Charges 6021 0.000024478 F1875 Lesser of Cost or Charges 6021 7.6893202E-6 F1876 Deductibles and Coinsurance 6021 4.090759E-8 F1877 'Sum of Worksheets E, Parts C, D, and 6021 0 F1878 Direct Graduate Medical Education Paym 6021 0 F1879 ESRD Direct Medical Education Costs 6021 0 F1880 Primary Payer Payments 6021 0 F1881 Composite Rate ESRD Bad Debts 6021 0 F1882 All Other Bad Debts 6021 0 F1883 Recovery of Excess Depreciation from P 6021 0 F1884 Other Adjustments 6021 0 F1885 Amounts Applicable to Prior Reporting 6021 0 F1886 Sequestration Adjustment 6021 0 F1887 Interim Payments 6021 -1.251292E-7 F1888 Balance Due Provider (Program) 6021 -1.487045E-6 F1889 Protested Amounts 6021 0 F1890 Medical and Other Services 6021 1.1299979E-7 F1891 Interns & Residents 6021 0 F1892 Organ Acquisition Costs 6021 0 F1893 Cost of Teaching Physicians 6021 0 F1894 Total Costs 6021 1.1418956E-7 F1895 Total Customary Charges 6021 3.9059338E-7 F1896 Lesser of Cost or Charges 6021 1.1299979E-7 F1897 Deductibles and Coinsurance 6021 1.1089699E-8 F1898 'Sum of Worksheets E, Parts C, D, and 6021 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 77 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1899 Direct Graduate Medical Education Paym 6021 0 F1900 ESRD Direct Medical Education Costs 6021 0 F1901 Primary Payer Payments 6021 0 F1902 Composite Rate ESRD Bad Debts 6021 0 F1903 All Other Bad Debts 6021 0 F1904 Recovery of Excess Depreciation from P 6021 0 F1905 Other Adjustments 6021 0 F1906 Amounts Applicable to Prior Reporting 6021 0 F1907 Sequestration Adjustment 6021 0 F1908 Interim Payments 6021 3.7649056E-8 F1909 Balance Due Provider (Program) 6021 2.9665195E-7 F1910 Protested Amounts 6021 0 F1911 ASC Portion of Blend 6021 73901.83 F1912 Deductibles and Coinsurance 6021 113227.94 F1913 Hosp. Specific Portion of Blend 6021 45100.96 F1914 ASC Blended Amount (Line 5 Plus Line 1 6021 123165.11 F1915 ASC Reimbursement (Lesser of Line 16 o 6021 97747.00 F1916 Blended Charge Proportion 6021 47375.12 F1917 Deductibles and Coinsurance 6021 121032.30 F1918 Cost Proportion 6021 26675.72 F1919 Outpt. Radiology Blended Amount (Line 6021 81220.83 F1920 Outpt. Radiology Reimbursement (Lesser 6021 52909.50 F1921 Blended Charge Proportion 6021 12031.94 F1922 Deductibles and Coinsurance 6021 34610.89 F1923 Cost Proportion 6021 3597.89 F1924 Other Outpt. Diagnostic Blended Amount 6021 16912.63 F1925 Other Outpt. Diagnostic Reimbursement 6021 6468.39 F1926 Inpatient Hosp. Services 6021 0.1373429 F1927 Organ Acquisition 6021 2.4976758E-7 F1928 Cost of Teaching Physicians 6021 5.5129443E-7 F1929 Sum of Lines 1-3 6021 0.2374332 F1930 Primary Payer Payments 6021 0.000089594 F1931 Deductibles 6021 0.0033054 F1932 Coinsurance 6021 0.000288275 F1933 Reimbursable Bad Debts (Bad Debts for 6021 3.8017088E-6 F1934 Direct Graduate Medical Education 6021 0.000019469 F1935 Recovery of Excess Depreciation From P 6021 0 F1936 Other Adjustments 6021 6.414297E-7 F1937 Amounts Applicable to Prior Reporting 6021 -0.000059634 F1938 Total Amount Payable to Provider 6021 0.3185749 F1939 Sequestration Adjustment 6021 0 F1940 Interim Payments 6021 0.3299373 F1941 Balance Due Provider (Program) 6021 -0.0046552 F1942 Protested Amounts 6021 3.358438E-6 F1943 Inpatient Hosp. Services 6021 0.0442287 F1944 Organ Acquisition 6021 0 F1945 Cost of Teaching Physicians 6021 0 F1946 Sum of Lines 1-3 6021 0.0545855 F1947 Primary Payer Payments 6021 2.1317757E-8 F1948 Deductibles 6021 0.0031649 F1949 Coinsurance 6021 0.000079403 F1950 Reimbursable Bad Debts (Bad Debts for 6021 4.0084923E-6 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 78 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1951 Recovery of Excess Depreciation From P 6021 0 F1952 Other Adjustments 6021 0 F1953 Amounts Applicable to Prior Reporting 6021 1.3439145E-7 F1954 Total Amount Payable to Provider 6021 0.1812060 F1955 Sequestration Adjustment 6021 0 F1956 Interim Payments 6021 0.0232116 F1957 Balance Due Provider (Program) 6021 0.0027503 F1958 Protested Amounts 6021 6.4239162E-9 F1959 Inpatient Hosp. Services 6021 0.000077296 F1960 Organ Acquisition 6021 0 F1961 Cost of Teaching Physicians 6021 0 F1962 Sum of Lines 1-3 6021 0.000083109 F1963 Primary Payer Payments 6021 1.692911E-10 F1964 Deductibles 6021 1.7489001E-7 F1965 Coinsurance 6021 0.000014004 F1966 Reimbursable Bad Debts (Bad Debts for 6021 2.9357691E-8 F1967 Recovery of Excess Depreciation From P 6021 0 F1968 Other Adjustments 6021 0 F1969 Amounts Applicable to Prior Reporting 6021 8.392999E-10 F1970 Total Amount Payable to Provider 6021 0.000069147 F1971 Sequestration Adjustment 6021 0 F1972 Interim Payments 6021 0.000124401 F1973 Balance Due Provider (Program) 6021 -1.463929E-6 F1974 Protested Amounts 6021 0 F1975 Inpatient Services 6021 0.000119372 F1976 Organ Acquisition 6021 0 F1977 Cost of Teaching Physicians 6021 0 F1978 Sum of Lines 1-3 6021 0.000119372 F1979 Primary Payer Payments 6021 0 F1980 Excess of Customary Charges Over Reaso 6021 0.000069520 F1981 Excess of Reasonable Cost Over Customa 6021 0 F1982 Direct Graduate Medical Education Paym 6021 0 F1983 Cost of Covered Services 6021 0.000119372 F1984 Deductibles 6021 3.3158493E-6 F1985 Coinsurance 6021 3.9249908E-6 F1986 Reimbursable Bad Debts 6021 7.5824283E-8 F1987 Recovery of Excess Depreciation Result 6021 0 F1988 Other Adjustments 6021 0.000031587 F1989 Amounts Applicable to Prior Reporting 6021 0 F1990 'Subtotal (Line 26, Plus or Minus Line 6021 0.000134388 F1991 Sequestration Adjustment 6021 0 F1992 Interim Payments 6021 0.000022275 F1993 Balance Due Provider (Program) 6021 -0.000062969 F1994 Protested Amounts 6021 0 F1995 Inpatient Services 6021 4.046678E-10 F1996 Organ Acquisition 6021 0 F1997 Cost of Teaching Physicians 6021 0 F1998 Sum of Lines 1-3 6021 4.046678E-10 F1999 Primary Payer Payments 6021 0 F2000 Excess of Customary Charges Over Reaso 6021 0.000201670 F2001 Excess of Reasonable Cost Over Customa 6021 0 F2002 Cost of Covered Services 6021 4.046678E-10 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 79 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F2003 Deductibles 6021 7.921486E-11 F2004 Coinsurance 6021 0 F2005 Reimbursable Bad Debts 6021 0 F2006 Recovery of Excess Depreciation Result 6021 0 F2007 Other Adjustments 6021 0 F2008 Amounts Applicable to Prior Reporting 6021 0 F2009 'Subtotal (Line 26, Plus or Minus Line 6021 3.218056E-10 F2010 Sequestration Adjustment 6021 0 F2011 Interim Payments 6021 4.4847687E-7 F2012 Balance Due Provider (Program) 6021 1.2563999E-9 F2013 Protested Amounts 6021 0 F2014 Inpatient Services 6021 0 F2015 Organ Acquisition 6021 0 F2016 Cost of Teaching Physicians 6021 0 F2017 Sum of Lines 1-3 6021 0 F2018 Primary Payer Payments 6021 0 F2019 Excess of Customary Charges Over Reaso 6021 0 F2020 Excess of Reasonable Cost Over Customa 6021 0 F2021 Cost of Covered Services 6021 0 F2022 Deductibles 6021 0 F2023 Coinsurance 6021 0 F2024 Reimbursable Bad Debts 6021 0 F2025 Recovery of Excess Depreciation Result 6021 0 F2026 Other Adjustments 6021 0 F2027 Amounts Applicable to Prior Reporting 6021 0 F2028 'Subtotal (Line 26, Plus or Minus Line 6021 0 F2029 Sequestration Adjustment 6021 0 F2030 Interim Payments 6021 0 F2031 Balance Due Provider (Program) 6021 0 F2032 Protested Amounts 6021 0 F2033 Number of FTE Residents for OB/GYN and 6021 0.000150923 F2034 Number of FTE Residents for All Other 6021 8.9001113E-7 F2035 Updated Per Resident Amount for OB/GYN 6021 0.1812928 F2036 Updated Per Resident Amount for All Ot 6021 0.000017445 F2037 Aggregate Approved Amount 6021 0.0011868 F2038 Cash on Hand and in Banks 6021 574061.00 F2039 Temporary Investments 6021 0.6639686 F2040 Notes Receivable 6021 0.0077059 F2041 Accounts Receivable 6021 5305567.38 F2042 Other Receivables 6021 62644.95 F2043 Allowance for Uncollectible Notes and 6021 461209.40 F2044 Inventory 6021 338018.39 F2045 Prepared Expenses 6021 110277.71 F2046 Other Current Assets 6021 14616.34 F2047 Due From Other Funds 6021 0.0024160 F2048 Total Current Assets - Facility 6021 6567093.92 F2049 Land 6021 156896.13 F2050 Accumulated Depreciation 6021 5.2541364E-6 F2051 Land Improvements 6021 140704.93 F2052 Accumulated Depreciation 6021 2706.62 F2053 Buildings 6021 8683827.49 F2054 Accumulated Depreciation 6021 1105232.31 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 80 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F2055 Leasehold Improvements 6021 0.0210718 F2056 Accumulated Depreciation 6021 0.0017211 F2057 Fixed Equipment 6021 549925.87 F2058 Accumulated Depreciation 6021 7934.63 F2059 Automobiles and Trucks 6021 1.4501847E-6 F2060 Accumulated Depreciation 6021 0.0033393 F2061 Major Movable Equipment 6021 4550309.80 F2062 Accumulated Depreciation 6021 1046343.27 F2063 Minor Depreciable Equipment 6021 0.0010529 F2064 Accumulated Depreciation 6021 -0.0114403 F2065 Minor Nondepreciable Equipment 6021 0.000079897 F2066 Total Fixed Assets - Facility 6021 9871394.63 F2067 Investments 6021 37656.15 F2068 Deposits on Leases 6021 -0.000059077 F2069 Due From Owners/Officers 6021 0.000250297 F2070 Other Assets 6021 444804.61 F2071 Total Other Assets 6021 2001359.61 F2072 Total Assets - Facility 6021 20925746.07 F2073 Accounts Payable 6021 879113.74 F2074 'Salaries, Wages, and Fees Payable' 6021 513482.72 F2075 Payroll Taxes Payable 6021 15.6905485 F2076 Notes and Loans Payable 6021 33309.50 F2077 Deferred Income 6021 -0.000137845 F2078 Accelerated Payments 6021 0.000662657 F2079 Due to Other Funds 6021 -0.0055168 F2080 Other Current Liabilities 6021 446262.73 F2081 Total Current Liabilities - Facility 6021 3238328.63 F2082 Mortgage Payable 6021 0.3933716 F2083 Notes Payable 6021 325.8812453 F2084 Unsecured Loans 6021 3.9124921E-6 F2085 Loans From Owners Prior to 7/1/66 6021 0 F2086 Loans From Owners On or After 7/1/66 6021 0.0032073 F2087 Other Long Term Liabilities 6021 184.5858758 F2088 Total Long Term Liabilities 6021 3939829.77 F2089 Total Liabilities - Facility 6021 8226208.36 F2090 General Fund Balance 6021 9079421.83 F2091 Specific Purpose Fund 6021 0.000662047 F2092 Donor Endowment Fund - Restricted 6021 0.000041887 F2093 Donor Endowment Fund - Unrestricted 6021 4.1172595E-8 F2094 Governing Body Created - Endowment Fun 6021 0 F2095 Plant Fund Balance - Invested in Plant 6021 -0.000487999 F2096 'Plant Fund Balance - Reserved for Pla 6021 -0.000165571 F2097 Total Fund Balances - Facility 6021 9742221.62 F2098 Total Liabilities and Fund Balances - 6021 20947664.03 F2099 Hosp. 6021 5066330.71 F2100 Sub. Prov. I 6021 0.0647717 F2101 Sub. Prov. II 6021 0.000599051 F2102 Swing Bed SNF 6021 0.0223367 F2103 Swing Bed NF 6021 6.9002105E-6 F2104 Skilled Nursing Facility 6021 324.4835720 F2105 Nursing Facility 6021 0.000672864 F2106 Other Long Term Care 6021 0.000320009 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 81 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F2107 Total General Inpatient Care - Facilit 6021 6525964.61 F2108 ICU 6021 303679.51 F2109 Coronary Care Unit 6021 0.0013921 F2110 Burn ICU 6021 0 F2111 Surgical ICU 6021 0.000319106 F2112 Other Special Care Unit 6021 0.0020415 F2113 Total Intensive Care Type Inpatient Ho 6021 439863.81 F2114 Total Inpatient Routine Care Services 6021 7480270.18 F2115 Inpatient Ancillary Services 6021 9988161.03 F2116 Outpt. Ancillary Services 6021 2806865.25 F2117 Outpt. Services Rendered in an Inpatie 6021 6.4960036 F2118 Outpt. Services 6021 1324217.84 F2119 Home Health Agency - Outpt. 6021 2132.84 F2120 Ambulance - Inpatient 6021 0.000014018 F2121 Ambulance - Outpt. 6021 0.000285937 F2122 Outpt. Rehabilitation Provider - CORF 6021 0.000015602 F2123 Outpt. Rehabilitation Provider - CMHC 6021 0 F2124 Outpt. Rehabilitation Provider - OPT 6021 0 F2125 Outpt. Rehabilitation Provider - OOT 6021 0 F2126 Outpt. Rehabilitation Provider - OSP 6021 0 F2127 ASC Inpatient 6021 0 F2128 ASC Outpt. 6021 0 F2129 Hospice Inpatient 6021 1.3512428E-9 F2130 Hospice Outpt. 6021 6.0870356E-6 F2131 All Other Inpatient Revenue 6021 -0.000291357 F2132 All Other Outpt. Revenue 6021 0.0017283 F2133 Total Patient Revenue - Inpatient - 6021 20065422.79 F2134 Total Patient Revenue - Outpt. - Fac 6021 13249181.79 F2135 Total Patient Revenue 6021 33047256.77 F2136 Less: Contractual Allowances and Disc 6021 11400550.61 F2137 Net Patient Revenues 6021 19936461.49 F2138 Less: Total Operating Expenses 6021 21786519.69 F2139 Net Income From Service to Patients 6021 -187059.14 F2140 'Contributions, Donations, Etc.' 6021 95.8306187 F2141 Income From Investments 6021 35820.11 F2142 Governmental Appropriations 6021 0.0238171 F2143 Total Other Income 6021 895019.96 F2144 Total (Line 5 Plus Line 25) 6021 744178.74 F2145 Total Other Expenses 6021 0.2524701 F2146 Net Income or (Loss) for Period (Line 6021 576890.57 F2147 Capital Hosp. Specific Rate Payments 6021 2659.58 F2148 Capital DRG Other than Outlier 6021 1751.03 F2149 Capital DRG outlier Payments 6021 0.0015476 F2150 Total Inpatient Days Divided by Number 6021 0.000029676 F2151 Number of Interns and Residents 6021 8.7006799E-7 F2152 Indirect Medical Education Percentage 6021 7.5481832E-6 F2153 Indirect Medical Education Adjustment 6021 2.3386207E-6 F2154 Percentage of SSI Recipient Patient Da 6021 9.634231E-6 F2155 Percentage of Medicaid Patient Days to 6021 0.000013419 F2156 Sum of F2154 + F2155 6021 0.000013171 F2157 Allowable Disproportionate Share Perce 6021 5.5448584E-6 F2158 Disproportionate Share Adjustment 6021 5.1124543E-6 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 82 Fiscal Year 1997 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F2160 New Capital 6021 10.2929307 F2161 Old Capital 6021 3.2662903 F2162 Total Capital 6021 541.4424199 F2163 Ratio of Old Capital to New Capital 6021 0.7335102 F2164 Total Capital Payments under 100% Fede 6021 0.0663549 F2165 Reduction Factor for Hold Harmless Pay 6021 0.000010236 F2166 Reduced Old Capital Amount 6021 22.4328518 F2167 Hold Harmless Payment for New Capital 6021 0.000247034 F2168 Subtotal (F2166 + F2167) 6021 0.000330175 F2169 Payment Under Hold Harmless 6021 0.0949071 F2170 Program Inpatient Routine Capital Cost 6021 7.9192754E-6 F2171 Program Inpatient Ancillary Capital Co 6021 7.4771548E-6 F2172 Total Inpatient Program Capital Cost 6021 1.6212092E-7 F2173 Capital Cost Payment Factor 6021 6.199543E-13 F2174 Total Inpatient Program Capital Cost 6021 1.4806319E-7 F2176 Program Inpatient Capital Costs for Ex 6021 0 F2177 Net Program Inpatient Capital Costs 6021 292006.99 F2178 Applicable Exception Percentage 6021 70.0009984 F2179 Capital Cost for Comparison to Payment 6021 208561.73 F2180 Percentage Adjustment for Extraordinar 6021 85.0003396 F2181 Adjustment to Capital Minimum Payment 6021 0 F2182 Capital Minimum Payment Level 6021 208562.05 F2183 Current Year Capital Payments 6021 341451.83 F2184 Current Year Comparison of Capital Min 6021 -81278.32 F2185 Carryover of Accumulated Capital Minim 6021 -139.8366163 F2186 Net Comparison of Capital Minimum Paym 6021 -203971.69 F2187 Current Year Exception Payment 6021 7.8125169E-7 F2188 Carryover of Accumulated Capital Minim 6021 -204417.12 --------------------------------------------------------------------------