Provider Number
Original, String Version, fyb
Original, String Version, fye
Cost Report Status
Hospital Name
Street Address
PO BOX
ZIP Code
Total IME Payment, Hospital e_a_18_c1_2800
Total IME Payment, Subprovider #1 e_a_18_c101_2900
Total IME Payment, Subprovider #2 e_a_18_c102_2900
Disproportionate Share Adjustment, Hospital e_a_18_c1_3400
Disproportionate Share Adjustment, Subprovider #1 e_a_18_c101_3400
Disproportionate Share Adjustment, Subprovider #2 e_a_18_c102_3400
Disproportionate Share Hospital (DSH) Share Percentage
Graduate Medical Education (GME) Part A
Graduate Medical Education (GME) Part B
Total Hospital Beds
Total Hospital Bed Days Available
Total Hospital Medicare Days
Total Hospital Medicaid Days
Total Hospital Days
Interns and Residents
Total Hospital Employees on Payroll
Total Non-Paid Workers
Total Hospital Medicare Discharges
Total Hospital Medicaid Discharges
Total Hospital Discharges
Medicaid HMO Discharges
Medicaid HMO Inpatient Psychiatric Facility (IPF) Subprovider
Medicaid HMO Inpatient Rehab Facility (IRF) Subprovider
Medicaid Inpatient Psychiatric Facility (IPF) Subprovider
Medicaid Inpatient Rehab Facility (IRF) Subprovider
Total Discharges Subprovider Inpatient Psychiatric Facility (IPF)
Total Discharges Subprovider Inpatient Rehab Facility (IRF)