qwwz/z: noemptyok13 Mar 2007 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num. - hosp.lprov. num. - sub. prov.prov. num. - sub. prov. iiprov. num. - swing bed snfprov. num. - swing bed nfprov. num. - hosp.-based snfprov. num. - hosp.-based nfprov. num. - hosp.-based hhaprov. num. - certified ascaprov. num. - hosp.-based hospiceprov. num. - hosp.-based health clinicprov. num. - outpt. corfhealth clinicprov. num. - outpt. cmhchealth clinicprov. num. - outpt. physical therapy fprov. num. - outpt. occupational theraprov. num. - outpt. speech pathology fsat. num. - renal dialysispathology fhosp. name renal dialysispathology fmanual cost report indicator (m=manualhosp. title xviii payment systemanualsub. prov. i title xviii payment systesub. prov. ii title xviii payment systcost reporting period begin date (ccycost reporting period end date (ccynumber of months in reporting periodytype of control (see table i)periodytype of hosp. (see table ii)periodytype of sub. prov. i (see table ii)ytype of sub. prov. ii (see table ii)yis hosp. (1) urban (2) rural?le ii)yare you eligible for disproportionateis hosp. classified as referral centerdoes hosp. operate transplant center?kidney transplant center (ccyymmdd)heart transplant center (ccyymmddliver transplant center (ccyymmdlung transplant center (ccyymmdd)if this is an organ procurement organiis this a teaching hosp.? (y/n)organi'if a sole community hosp. (sch), 'nibeginning (ccyymmdd). (sch), 'niending (ccyymmdd) (sch), 'nidoes hosp. have an agreement for swing'if yes, enter agreement date (ccydoes facility have hosp.-based snf whi'is this a rural hosp. with a certifie' if yes, enter snf prov. num. 'fiedoes hosp. qualify as a rural primary'if yes, is this the initial 12 month'if a rpch, is the all-inclusive methois hosp. a rural hosp. qualifying foris hosp. an all-inclusive provider? (y'if yes, enter method, a, b, or e' (yis this a new hosp. under 42 cfr 412.3is this a new hosp. under 42 cfr 413.4has a new sub. prov. been established?do you elect fully pps methodology forare you eligible for disproportionatedo you elect hold harmless paymentte'if hold harmless provider, are you ondo you have title xix inpatient servicare title xix nf patients occupying tiare there any related organization orare provider based physician costs incare physical therapy services providedare respiratory therapy services provi'if costs for renal services are on woif participating in the nhcmq demonstrdoes this hospital claim expendituresfile creation date (ccyymmdd) (see nosystem identification (see note 10)nossa state code (see table iii) 10)nomsa/necma code(see table iii) 10)nofiscal intermediary numberii) 10)nocost report status (see table iv))no'medicare utilization indicator (l, n,census division (see table v)r (l, n,hcfa region (see table vi)v)r (l, n,hosp. adults & pediatrics beds (see noicu bedslts & pediatrics beds (see nocoronary care unit bedss beds (see noburn icu bedsunit bedss beds (see nosurgical icu beds bedss beds (see noother special care bedss beds (see nonursery beds care bedss beds (see nototal hosp. bedse bedss beds (see nosub. prov. i beds bedss beds (see nosub. prov. ii bedsbedss beds (see noskilled nursing facility beds (see nonursing facility bedsty beds (see noother long term care bedseds (see nohospice bedsrm care bedseds (see nototal beds available in facilityee nohosp. adults & pediatrics bed days avaintensive care bed days available avacoronary care bed days available avaburn intensive care bed days availablesurgical intensive care bed days availother special care bed days availablenursery bed days available availabletotal hosp. bed days availableilablesub. prov. i bed days availablelablesub. prov. ii bed days availableableskilled nursing facility bed days avainursing facility bed days availableaiother long term care bed days availablhospice bed days availableys availablmedicare hosp. adults & pediatrics daymedicare swing bed snf daysatrics daytotal medicare routine daysatrics daymedicare icu daystine daysatrics daymedicare coronary care unit dayss daymedicare burn icu daysunit dayss daymedicare surgical icu days dayss daymedicare other special care unit daysmedicare inpatient days- total hosp.medicare rpch visitsys- total hosp.medicare sub. prov. i daystal hosp.medicare sub. prov. ii daysal hosp.medicare skilled nursing facility daysmedicare home health agency visitsaysmedicare hospice daysgency visitsaysmedicare rhc/fqhc outpt. visitstsaysmedicaid hosp. adults & pediatrics daymedicaid hmo dayslts & pediatrics daymedicaid swing bed snf daysatrics daymedicaid swing bed nf daysatrics daytotal medicaid routine daysatrics daymedicaid icu daystine daysatrics daymedicaid coronary care unit dayss daymedicaid burn icu daysunit dayss daymedicaid surgical icu days dayss daymedicaid other special care dayss daymedicaid nursery days care dayss daymedicaid inpatient days- total hosp.ymedicaid rpch visitsys- total hosp.ymedicaid sub. prov. i daystal hosp.ymedicaid sub. prov. ii daysal hosp.ymedicaid skilled nursing facility daysmedicaid nursing facility daysty daysmedicaid home health agency visitsaysmedicaid hospice daysgency visitsaysmedicaid rhc/fqhc outpt. visitstsaystotal adults & pediatrics daystsaystotal swing bed snf days daystsaystotal swing bed nf days daystsaystotal routine daysdays daystsaystotal icu daysaysdays daystsaystotal coronary care unit daystsaystotal burn icu daysunit daystsaystotal surgical icu days daystsaystotal other special care unit daysaystotal nursery days care unit daysaystotal inpatient days - hosp. daysaystotal rpch visitsys - hosp. daysaystotal sub. prov. i daysosp. daysaystotal sub. prov. ii dayssp. daysaystotal skilled nursing facility daysystotal nursing facility daysty daysystotal other long term daysty daysystotal home health agency visitsaysystotal hospice daysgency visitsaysystotal rhc/fqhc outpt. visitstsaysystotal observation bed daysstsaysysinterns & residents - total hosp.sysinterns & residents - total facilitysnet interns & residents replacing non-net interns & residents replacing non-full time employees - total hosp.non-full time employees - total facility-nonpaid workers - total hosp.cility-nonpaid workers - total facilityity-medicare discharges - total hosp.ty-medicare sub. prov. i dischargesty-medicare sub. prov. ii dischargesty-medicaid discharges - total hosp.ty-medicaid sub. prov. i - dischargesy-medicaid sub. prov. ii - discharges-total discharges - all patients - hosptotal discharges - all patients - sub.total discharges - all patients - sub.total salariess - 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other wages & related costssubtotal wage related costsated coststotal (sum of lines 9-11)sated coststotal overhead costs-11)sated costsnet salariesd costs-11)sated costsexcluded area salaries1)sated costssubtotal salariesries1)sated costssubtotal other wages & related costsssubtotal wage-related costsed costsstotal (sum of lines 3-5)tsed costssnet salaries lines 3-5)tsed costssexcluded area salaries)tsed costsssubtotal salaries (line 7 minus linesubtotal - other wages & related costssubtotal wage related costsated coststotal (sum of lines 9-11)sated coststotal overhead costs-11)sated costsnet salariesd costs-11)sated costsexcluded area salaries1)sated costssubtotal salariesries1)sated costssubtotal other wages & related costsssubtotal wage-related costsed costsstotal (sum of lines 3-5)tsed costssnet salaries lines 3-5)tsed costssexcluded area salaries)tsed costsssubtotal salaries (line 7 minus line 8subtotal - other wages & related costssubtotal wage related costsated coststotal (sum of lines 9-11)sated coststotal overhead costs-11)sated costsnet salariesd costs-11)sated costsexcluded area salaries1)sated costssubtotal salariesries1)sated costssubtotal other wages & related costsssubtotal wage-related costsed costsstotal (sum of lines 3-5)tsed costssnet salaries lines 3-5)tsed costssexcluded area salaries)tsed costsssubtotal salaries (line 7 minus line 8subtotal - other wages & related costssubtotal wage related costsated coststotal (sum of lines 9-11)sated coststotal overhead costs-11)sated costsemployee benefitsts-11)sated costsadministrative & generalsated costsmaintenance & repairsalsated costsoperation of plantrsalsated costslaundry & linen servicesated costshousekeepingen servicesated costsdietarypingen servicesated costscafeteriangen servicesated costsmaintenance of personnelsated costsnursing administrationlsated costscentral services & supplysated costspharmacyervices & supplysated costsmedical records & medical records librsocial service & medical records librother general servicecal records librnonphysician anesthetistsrecords librnursing schoolesthetistsrecords librinterns & residents in approved prograinterns & residents in approved prog -paramedical education programd prog -adults & pediatrics - (general routineicuts & pediatrics - (general routinecoronary care unit - (general routineburn icucare unit - (general routinesurgical icu unit - (general routineother special care - (general routinesub. prov. i care - (general routinesub. prov. iicare - (general routinenurseryv. iicare - (general routineskilled nursing facilityneral routinenursing facilityacilityneral routineother long term careityneral routineoperating room careityneral routinerecovery room careityneral routinedelivery room & labor roomral routineanesthesiology labor roomral routineradiology - diagnosticoomral routineradiology - therapeuticomral routineradioisotopeherapeuticomral routinelaboratoryeherapeuticomral routinewhole blood & packed red blood cellse'blood storing, processing, & trans.'intravenous therapyessing, & trans.'respiratory therapyessing, & trans.'physical therapypyessing, & trans.'occupational therapyssing, & trans.'speech pathologyapyssing, & trans.'electrocardiologypyssing, & trans.'electrocephalographyssing, & trans.'medical supplies charged to patientsdrugs charged to patientso patientsrenal dialysiso patientso patientsasc (non-distinct part)so patientsother ancillaryt part)so patientsclinicncillaryt part)so patientsemergencyllaryt part)so patientsother outpt. services)so patientshome program dialysis)so patientsambulance servicesis)so patientsdurable medical equipment - rentedsdurable medical equipment - solddsother reimbursableipment - solddsoutpt. rehabilitation provider - corfoutpt. rehabilitation provider -cmhcoutpt. rehabilitation provider - optoutpt. rehabilitation provider - ootoutpt. rehabilitation provider - ospinterns & residents (non approved proghome health agency (non approved proglung acquisitiony (non approved progkidney acquisition (non approved progliver acquisition (non approved progheart acquisition (non approved progother organ acquisition approved progutilization review - snfapproved progasc (distinct part) snfapproved proghospicetinct part) snfapproved progother special purposenfapproved prognon-reimbursable cost centersved progtotal salaries - facilityersved progold capital-related costs - buildingsold capital-related costs - movable eqnew capital-related costs - buildingsnew capital-related costs - movable eqemployee benefitsd costs - movable eqadministrative & general - movable eqmaintenance & repairsal - movable eqoperation of plantrsal - movable eqlaundry & linen service - movable eqhousekeepingen service - movable eqdietarypingen service - movable eqcafeteriangen service - movable eqmaintenance of personnel - movable eqnursing administrationl - movable eqcentral services & supply- movable eqpharmacyervices & supply- movable eqmedical records & medical records librsocial service & medical records librother general servicecal records librnonphysician anesthetistsrecords librnursing schoolesthetistsrecords librinterns & residents - salaries & fringinterns & residents - other program coparamedical education programogram coadults & pediatrics - (general routineicuts & pediatrics - (general routinecoronary care unit - (general routineburn icucare unit - (general routinesurgical icu unit - (general routineother special care - (general routinesub. prov. i care - (general routinesub. prov. iicare - (general routinenurseryv. iicare - (general routineskilled nursing facilityneral routinenursing facilityacilityneral routineother long term careityneral routineoperating room careityneral routinerecovery room careityneral routinedelivery room & labor roomral routineanesthesiology labor roomral routineradiology - diagnosticoomral routineradiology - therapeuticomral routineradioisotopeherapeuticomral routinelaboratoryeherapeuticomral routinepbp clinical laboratory service (progrwhole blood & packed red blood cellsr'blood storing, processing, & trans.'intravenous therapyessing, & trans.'respiratory therapyessing, & trans.'physical therapypyessing, & trans.'occupational therapyssing, & trans.'speech pathologyapyssing, & trans.'electrocardiologypyssing, & trans.'electrocephalographyssing, & trans.'medical supplies charged to patientsdrugs charged to patientso patientsrenal dialysiso patientso patientsasc (non-distinct part)so patientsother ancillaryt part)so patientsclinicncillaryt part)so patientsemergencyllaryt part)so patientsother outpt. services)so patientshome program dialysis)so patientsambulance servicesis)so patientsdurable medical equipment - rentedsdurable medical equipment - solddsother reimbursableipment - solddsoutpt. rehabilitation provider - corfoutpt. rehabilitation provider -cmhcoutpt. rehabilitation provider - optoutpt. rehabilitation provider - ootoutpt. rehabilitation provider - ospinterns & residents (non approved proghome health agency (non approved proglung acquisitiony (non approved progkidney acquisition (non approved progliver acquisition (non approved progheart acquisition (non approved progother organ acquisition approved proginterest expensesition approved progutilization review - snfapproved progother capital-related costsroved progasc (distinct part)d costsroved proghospicetinct part)d costsroved progother special purposecostsroved prognonreimbursable cost centersoved progtotal other costs - facilityoved progold capital-related costs - buildingsold capital-related costs - movable eqnew capital-related costs- buildingsnew capital-related costs - movable eqemployee benefitsd costs - movable eqadministrative & general - movable eqmaintenance & repairsal - movable eqoperation of plantrsal - movable eqlaundry & linen service - movable eqhousekeepingen service - movable eqdietarypingen service - movable eqcafeteriangen service - movable eqmaintenance of personnel - movable eqnursing administrationl - movable eqcentral services & supply- movable eqpharmacyervices & supply- movable eqmedical records & medical records librsocial service & medical records librother general servicecal records librnonphysician anesthetistsrecords librnursing schoolesthetistsrecords librinterns & residents - salaries & fringinterns & residents - other program coparamedical education programogram coadults & pediatrics - (general routineicuts & pediatrics - (general routinecoronary care unit - (general routineburn icucare unit - (general routinesurgical icu unit - (general routineother special care - (general routinesub. prov. i care - (general routinesub. prov. iicare - (general routinenurseryv. iicare - (general routineskilled nursing facilityneral routinenursing facilityacilityneral routineother long term careityneral routineoperating room careityneral routinerecovery room careityneral routinedelivery room and labor rooml routineanesthesiologynd labor rooml routineradiology - diagnostic rooml routineradiology - therapeuticrooml routineradioisotopeherapeuticrooml routinelaboratoryeherapeuticrooml routinepbp clinical lab services (program onlwhole blood & packed red blood cellsl'blood storing, processing, & trans.'intravenous therapyessing, & trans.'respiratory therapyessing, & trans.'physical therapypyessing, & trans.'occupational therapyssing, & trans.'speech pathologyapyssing, & trans.'electrocardiologypyssing, & trans.'electroencephalographying, & trans.'medical supplies charged to patientsdrugs charged to patientso patientsrenal dialysiso patientso patientsasc (non-distinct part)so patientsother ancillaryt part)so patientsclinicncillaryt part)so patientsemergencyllaryt part)so patientsother outpt. services)so patientshome program dialysis)so patientsambulance servicesis)so patientsdurable medical equipment - rentedsdurable medical equipment - solddsother reimbursableipment - solddsoutpt. rehabilitation provider - corfoutpt. rehabilitation provider - cmhcoutpt. rehabilitation provider - optoutpt. rehabilitation provider - ootoutpt. rehabilitation provider - ospintern & resident service (non-approvehome health agencyervice (non-approvelung acquisitionyervice (non-approvekidney acquisitionervice (non-approveliver acquisitionervice (non-approveheart acquisitionervice (non-approveother organ acquisitione (non-approveasc (distinct part)ione (non-approvehospicetinct part)ione (non-approveother special purposene (non-approvenonreimbursable cost centersn-approvetotal cost before allocation - facilitnonphysician anesthetistson - facilitnursing schoolesthetistson - facilitinterns & residents - salary & fringesinterns & residents - program costs (aparamedical educationprogram costs (aadults & pediatrics - (general routineicuts & pediatrics - (general routinecoronary care unit - (general routineburn icucare unit - (general routinesurgical icu unit - (general routineother special care - (general routinesub. prov. i care - (general routinesub. prov. iicare - (general routinenurseryv. iicare - (general routineskilled nursing facilityneral routinenursing facilityacilityneral routineother long term careityneral routineoperating room careityneral routinerecovery room careityneral routinedelivery room and labor rooml routineanesthesiologynd labor rooml routineradiology - diagnostic rooml routineradiology - therapeuticrooml routineradioisotopeherapeuticrooml routinelaboratoryeherapeuticrooml routinepbp clinical lab services (program onlwhole blood & packed red blood cellsl'blood storing, processing, & trans.'intravenous therapyessing, & trans.'respiratory therapyessing, & trans.'physical therapypyessing, & trans.'occupational therapyssing, & trans.'speech pathologyapyssing, & trans.'electrocardiologypyssing, & trans.'electroencephalographying, & trans.'medical supplies charged to patientsdrugs charged to patientso patientsrenal dialysiso patientso patientsasc (non-distinct part)so patientsother ancillaryt part)so patientsclinicncillaryt part)so patientsemergencyllaryt part)so patientsother outpt. services)so patientshome program dialysis)so patientsambulance servicesis)so patientsdurable medical equipment - rentedsdurable medical equipment - solddsother reimbursableipment - solddsoutpt. rehabilitation provider - corfoutpt. rehabilitation provider - cmhcoutpt. rehabilitation provider - optoutpt. rehabilitation provider - ootoutpt. rehabilitation provider - ospinterns & residents service (non-approhome health agency service (non-approlung acquisitiony service (non-approkidney acquisition service (non-approliver acquisition service (non-approheart acquisition service (non-approother organ acquisitionice (non-approasc (distinct part)ionice (non-approhospicetinct part)ionice (non-approother special purposenice (non-apprononreimbursable cost centersnon-approcross foot adjustmentsntersnon-appronegative cost centersntersnon-apprototal costs - facilityntersnon-approrespiratory therapy limit adjustmentophysical therapy limit adjustmentntoadults & pediatrics - (general routineicuts & pediatrics - (general routinecororonary care unit (general routineburn icuy care unit (general routinesurgical icure unit (general routineother special caret (general routinesub. prov. i caret (general routinesub. prov. iicaret (general routinenurseryv. iicaret (general routineskilled nursing facilityneral routinenursing facilityacilityneral routineother long term careityneral routineoperating room careityneral routinerecovery room careityneral routinedelivery room & labor roomral routineanesthesiology labor roomral routineradiology - diagnosticoomral routineradiology - therapeuticomral routineradioisotopeherapeuticomral routinelaboratoryeherapeuticomral routinepbp clinical lab services (program onlwhole blood & packed red blood cellsl'blood storing, processing, trans.'lintravenous therapyessing, trans.'lrespiratory therapyessing, trans.'lphysical therapypyessing, trans.'loccupational therapyssing, trans.'lspeech pathologyapyssing, trans.'lelectrocardiologypyssing, trans.'lelectroencephalographying, trans.'lmedical supplies charged to patientsldrugs charged to patientso patientslrenal dialysiso patientso patientslasc (non-distinct part)so patientslother ancillaryt part)so patientslclinicncillaryt part)so patientslemergencyllaryt part)so patientslobservation beds part)so patientslother outpt. services)so patientslhome program dialysis)so patientslambulance servicesis)so patientsldurable medical equipment - rentedsldurable medical equipment - solddslother reimbursable costs - solddslsubtotalmbursable costs - solddslless: observation beds - solddsltotal costs - facility (line 101 minustotal capital reduction - facilitynustotal operating cost reduction - faciladults & pediatrics - (general routineicuts & pediatrics - (general routinecororonary care unit (general routineburn icuy care unit (general routinesurgical icure unit (general routineother special caret (general routinesub. prov. i caret (general routinesub. prov. iicaret (general routinenurseryv. iicaret (general routineskilled nursing facilityneral routinenursing facilityacilityneral routineother long term careityneral routineoperating room careityneral routinerecovery room careityneral routinedelivery room & labor roomral routineanesthesiology labor roomral routineradiology - diagnosticoomral routineradiology - therapeuticomral routineradioisotopeherapeuticomral routinelaboratoryeherapeuticomral routinepbp clinical lab services (program onlwhole blood & packed red blood cellsl'blood storing, processing, trans.'lintravenous therapyessing, trans.'lrespiratory therapyessing, trans.'lphysical therapypyessing, trans.'loccupational therapyssing, trans.'lspeech pathologyapyssing, trans.'lelectrocardiologypyssing, trans.'lelectroencephalographying, trans.'lmedical supplies charged to patientsldrugs charged to patientso patientslrenal dialysiso patientso patientslasc (non-distinct part)so patientslother ancillaryt part)so patientslclinicncillaryt part)so patientslemergencyllaryt part)so patientslobservation beds part)so patientslother outpt. services)so patientslhome program dialysis)so patientslambulance servicesis)so patientsldurable medical equipment - rentedsldurable medical equipment - solddslother reimbursable costs - solddsloperating roomble costs - solddslrecovery roomble costs - solddsldelivery room & labor room solddslanesthesiology labor room solddslradiology - diagnosticoom solddslradiology - therapeuticom solddslradioisotopeherapeuticom solddsllaboratoryeherapeuticom solddslpbp clinical lab services (program onlwhole blood & packed red blood cellsl'blood storing, processing, trans.'lintravenous therapyessing, trans.'lrespiratory therapyessing, trans.'lphysical therapypyessing, trans.'loccupational therapyssing, trans.'lspeech pathologyapyssing, trans.'lelectrocardiologypyssing, trans.'lelectroencephalographying, trans.'lmedical supplies charged to patientsldrugs charged to patientso patientslrenal dialysiso patientso patientslasc (non-distinct part)so patientslother ancillaryt part)so patientslclinicncillaryt part)so patientslemergencyllaryt part)so patientslobservation beds part)so patientslother outpt. services)so patientslhome program dialysis)so patientslambulance servicesis)so patientsldurable medical equipment - rentedsldurable medical equipment - solddslother reimbursable costs - solddsloperating roomble costs - solddslrecovery roomble costs - solddsldelivery room & labor room solddslanesthesiology labor room solddslradiology - diagnosticoom solddslradiology - therapeuticom solddslradioisotopeherapeuticom solddsllaboratoryeherapeuticom solddslpbp clinical lab services solddslwhole blood & packed red blood cellsl'blood storing, processing, trans.'lintravenous therapyessing, trans.'lrespiratory therapyessing, trans.'lphysical therapypyessing, trans.'loccupational therapyssing, trans.'lspeech pathologyapyssing, trans.'lelectrocardiologypyssing, trans.'lelectroencephalographying, trans.'lmedical supplies charged to patientsldrugs charged to patientso patientslrenal dialysiso patientso patientslasc (non-distinct part)so patientslother ancillaryt part)so patientslclinicncillaryt part)so patientslemergencyllaryt part)so patientslobservation beds part)so patientslother outpt. servicet)so patientslhome program dialysis)so patientsldurable medical equipment - rentedsldurable medical equipment - solddslother reimbursable costs - solddsloperating roomble costs - solddslrecovery roomble costs - solddsldelivery room & labor room solddslanesthesiology labor room solddslradiology - diagnosticoom solddslradiology - therapeuticom solddslradioisotopeherapeuticom solddsllaboratoryeherapeuticom solddslpbp clinical lab services (program onlwhole blood & packed red blood cellsl'blood storing, processing, trans.'lintravenous therapyessing, trans.'lrespiratory therapyessing, trans.'lphysical therapypyessing, trans.'loccupational therapyssing, trans.'lspeech pathologyapyssing, trans.'lelectrocardiologypyssing, trans.'lelectroencephalographying, trans.'lmedical supplies charged to patientsldrugs charged to patientso patientslrenal dialysiso patientso patientslasc (non-distinct part)so patientslother ancillaryt part)so patientslclinicncillaryt part)so patientslemergencyllaryt part)so patientslobservation beds part)so patientslother outpt. services)so patientslhome program dialysis)so patientsldurable medical equipment - rentedsldurable medical equipment - solddslother reimbursable costs - solddsladults & pediatrics - (general routineicuts & pediatrics - (general routinecoronary care unit - (general routineburn icucare unit - (general routinesurgical icu unit - (general routineother special care uniteneral routineoperating roomare uniteneral routinerecovery roomare uniteneral routinedelivery room & labor roomral routineanesthesiology labor roomral routineradiology - diagnosticoomral routineradiology - therapeuticomral routineradioisotopeherapeuticomral routinelaboratoryeherapeuticomral routinepbp clinical lab services (program onlwhole blood & packed red blood cellsl'blood storing, processing, trans.'lintravenous therapyessing, trans.'lrespiratory therapyessing, trans.'lphysical therapypyessing, trans.'loccupational therapyssing, trans.'lspeech pathologyapyssing, trans.'lelectrocardiologypyssing, trans.'lelectroencephalographying, trans.'lmedical supplies charged to patientsldrugs charged to patientso patientslrenal dialysiso patientso patientslasc (non-distinct part)so patientslother ancillaryt part)so patientslclinicncillaryt part)so patientslemergencyllaryt part)so patientslobservation beds part)so patientslother outpt. servicet)so patientslhome program dialysis)so patientsldurable medical equipment - rentedsldurable medical equipment - solddslother reimbursable costs - solddsltotal medicare part a ancillary chargenet medicare part a ancillary chargesoperating roomrt a ancillary chargesrecovery roomrt a ancillary chargesdelivery room & labor roomry chargesanesthesiology labor roomry chargesradiology - diagnosticoomry chargesradiology - therapeuticomry chargesradioisotopeherapeuticomry chargeslaboratoryeherapeuticomry chargespbp clinical lab services (program onlwhole blood & packed red blood cellsl'blood storing, processing, trans.'lintravenous therapyessing, trans.'lrespiratory therapyessing, trans.'lphysical therapypyessing, trans.'loccupational therapyssing, trans.'lspeech pathologyapyssing, trans.'lelectrocardiologypyssing, trans.'lelectroencephalographying, trans.'lmedical supplies charged to patientsldrugs charged to patientso patientslrenal dialysiso patientso patientslasc (non-distinct part)so patientslother ancillaryt part)so patientslclinicncillaryt part)so patientslemergencyllaryt part)so patientslobservation beds part)so patientslother outpt. servicet)so patientslhome program dialysis)so patientsldurable medical equipment - rentedsldurable medical equipment - solddslother reimbursable costs - solddsltotal medicare part a costs - hosp.ltotal swing-bed cost costs - hosp.lgeneral inpatient routine service.lgeneral inpatient routine service costgeneral inpatient routine servicecosticu - medicare costutine servicecostcoronary care unit - medicare costostburn icu - medicare costcare costostsurgical icu - medicare cost costostother special care unit - medicare cosmedicare inpatient ancillaryicare cos'total medicare inpatient operating copass through costs - program inpatientpass through costs - program inpatienttotal program excludable costspatienttotal program inpatient operating costtefra target amount per dischargeosttarget amountmount per dischargeostdifference between adjusted inpatientincentive/penalty paymentd inpatientinpatient cost plus incentive paymentoperating roomplus incentive paymentrecovery roomplus incentive paymentdelivery room & labor roomve paymentanesthesiology labor roomve paymentradiology - diagnosticoomve paymentradiology - therapeuticomve paymentradioisotopeherapeuticomve paymentlaboratoryeherapeuticomve paymentpbp clinical lab services (program onlwhole blood & packed red blood cellsl'blood storing, processing, trans.'lintravenous therapyessing, trans.'lrespiratory therapyessing, trans.'lphysical therapypyessing, trans.'loccupational therapyssing, trans.'lspeech pathologyapyssing, trans.'lelectrocardiologypyssing, trans.'lelectroencephalographying, trans.'lmedical supplies charged to patientsldrugs charged to patientso patientslrenal dialysiso patientso patientslasc (non-distinct part)so patientslother ancillaryt part)so patientslclinicncillaryt part)so patientslemergencyllaryt part)so patientslobservation beds part)so patientslother outpt. services)so patientslhome program dialysis)so patientsldurable medical equipment - rentedsldurable medical equipment - solddslother reimbursable costs - solddsltotal medicare part a ancillary costsgeneral inpatient routine service costgeneral inpatient routine service costtotal program general inpatient routinmedicare inpatient ancillary costutintotal medicare inpatient operating cospass through costs - program inpatientpass through costs - program inpatienttotal program excludable costspatienttotal program inpatient operating costtefra target amount per dischargecosttarget amountmount per dischargecostdifference between adjusted inpatientincentive/penalty amounted inpatientinpatient cost plus incentive paymentoperating roomplus incentive paymentrecovery roomplus incentive paymentdelivery room & labor roomve paymentanesthesiology labor roomve paymentradiology - diagnosticoomve paymentradiology - therapeuticomve paymentradioisotopeherapeuticomve paymentlaboratoryeherapeuticomve paymentpbp clinical lab services (program onlwhole blood & packed red blood cellsl'blood storing, processing, trans.'lintravenous therapyessing, trans.'lrespiratory therapyessing, trans.'lphysical therapypyessing, trans.'loccupational therapyssing, trans.'lspeech pathologyapyssing, trans.'lelectrocardiologypyssing, trans.'lelectroencephalographying, trans.'lmedical supplies charged to patientsldrugs charged to patientso patientslrenal dialysiso patientso patientslasc (non-distinct part)so patientslother ancillaryt part)so patientslclinicncillaryt part)so patientslemergencyllaryt part)so patientslobservation beds part)so patientslother outpt. services)so patientslhome program dialysis)so patientsldurable medical equipment - rentedsldurable medical equipment - solddslother reimbursable costs - solddsltotal medicare part a ancillary costsgeneral inpatient routine service costgeneral inpatient routine service costtotal program general inpatient routinmedicare inpatient ancillary costutintotal medicare inpatient operating cospass through costs - program inpatientpass through costs - program inpatienttotal program excludable costspatienttotal program inpatient operating costtefra target amount per dischargecosttarget amountmount per dischargecostdifference between adjusted inpatientincentive/penalty amounted inpatientinpatient cost plus incentive paymentoperating roomplus incentive paymentrecovery roomplus incentive paymentdelivery room & labor roomve paymentanesthesiology labor roomve paymentradiology - diagnosticoomve paymentradiology - therapeuticomve paymentradioisotopeherapeuticomve paymentlaboratoryeherapeuticomve paymentpbp clinical lab services (program onlwhole blood & packed red blood cellsl'blood storing, processing, trans.'lintravenous therapyessing, trans.'lrespiratory therapyessing, trans.'lphysical therapypyessing, trans.'loccupational therapyssing, trans.'lspeech pathologyapyssing, trans.'lelectrocardiologypyssing, trans.'lelectroencephalographying, trans.'lmedical supplies charged to patientsldrugs charged to patientso patientslrenal dialysiso patientso patientslasc (non-distinct part)so patientslother ancillaryt part)so patientslclinicncillaryt part)so patientslemergencyllaryt part)so patientslobservation beds part)so patientslother outpt. services)so patientslhome program dialysis)so patientslambulanceam dialysis)so patientsldurable medical equipment - rentedsldurable medical equipment - solddslother reimbursable costs - solddslcrna chargessable costs - solddsltotal asc medicare part b charges - hooperating roomare part b charges - horecovery roomare part b charges - hodelivery room & labor roomharges - hoanesthesiology labor roomharges - horadiology - diagnosticoomharges - horadiology - therapeuticomharges - horadioisotopeherapeuticomharges - holaboratoryeherapeuticomharges - hopbp clinical lab services (program onlwhole blood & packed red blood cellsl'blood storing, processing, trans.'lintravenous therapyessing, trans.'lrespiratory therapyessing, trans.'lphysical therapypyessing, trans.'loccupational therapyssing, trans.'lspeech pathologyapyssing, trans.'lelectrocardiologypyssing, trans.'lelectroencephalographying, trans.'lmedical supplies charged to patientsldrugs charged to patientso patientslrenal dialysiso patientso patientslasc (non-distinct part)so patientslother ancillaryt part)so patientslclinicncillaryt part)so patientslemergencyllaryt part)so patientslobservation beds part)so patientslother outpt. services)so patientslhome program dialysis)so patientslambulanceam dialysis)so patientsldurable medical equipment - rentedsldurable medical equipment - solddslother reimbursable costs - solddsltotal outpt. radiology medicare part boperating roomdiology medicare part brecovery roomdiology medicare part bdelivery room & labor roomcare part banesthesiology labor roomcare part bradiology - diagnosticoomcare part bradiology - therapeuticomcare part bradioisotopeherapeuticomcare part blaboratoryeherapeuticomcare part bpbp clinical lab services (program onlwhole blood & packed red blood cellsl'blood storing, processing, trans.'lintravenous therapyessing, trans.'lrespiratory therapyessing, trans.'lphysical therapypyessing, trans.'loccupational therapyssing, trans.'lspeech pathologyapyssing, trans.'lelectrocardiologypyssing, trans.'lelectroencephalographying, trans.'lmedical supplies charged to patientsldrugs charged to patientso patientslrenal dialysiso patientso patientslasc (non-distinct part)so patientslother ancillaryt part)so patientslclinicncillaryt part)so patientslemergencyllaryt part)so patientslobservation beds part)so patientslother outpt. services)so patientslhome program dialysis)so patientslambulanceam dialysis)so patientsldurable medical equipment - rentedsldurable medical equipment - solddslother reimbursable costs - solddsltotal other outpt. diagnostic medicareoperating roompt. diagnostic medicarerecovery roompt. diagnostic medicaredelivery room & labor roomic medicareanesthesiology labor roomic medicareradiology - diagnosticoomic medicareradiology - therapeuticomic medicareradioisotopeherapeuticomic medicarelaboratoryeherapeuticomic medicarepbp clinical lab services (program onlwhole blood & packed red blood cellsl'blood storing, processing, trans.'lintravenous therapyessing, trans.'lrespiratory therapyessing, trans.'lphysical therapypyessing, trans.'loccupational therapyssing, trans.'lspeech pathologyapyssing, trans.'lelectrocardiologypyssing, trans.'lelectroencephalographying, trans.'lmedical supplies charged to patientsldrugs charged to patientso patientslrenal dialysiso patientso patientslasc (non-distinct part)so patientslother ancillaryt part)so patientslclinicncillaryt part)so patientslemergencyllaryt part)so patientslobservation beds part)so patientslother outpt. services)so patientslhome program dialysis)so patientslambulanceam dialysis)so patientsldurable medical equipment - rentedsldurable medical equipment - solddslother reimbursable costs - solddslcrna chargessable costs - solddslpbp other part b charges - solddsltotal other medicare part b charges -operating roomicare part b charges -recovery roomicare part b charges -delivery room & labor room charges -anesthesiology labor room charges -radiology - diagnosticoom charges -radiology - therapeuticom charges -radioisotopeherapeuticom charges -laboratoryeherapeuticom charges -pbp clinical lab services (program onlwhole blood & packed red blood cellsl'blood storing, processing, trans.'lintravenous therapyessing, trans.'lrespiratory therapyessing, trans.'lphysical therapypyessing, trans.'loccupational therapyssing, trans.'lspeech pathologyapyssing, trans.'lelectrocardiologypyssing, trans.'lelectroencephalographying, trans.'lmedical supplies charged to patientsldrugs charged to patientso patientslrenal dialysiso patientso patientslasc (non-distinct part)so patientslother ancillaryt part)so patientslclinicncillaryt part)so patientslemergencyllaryt part)so patientslobservation beds part)so patientslother outpt. services)so patientslhome program dialysis)so patientslambulanceam dialysis)so patientsldurable medical equipment - rentedsldurable medical equipment - solddslother reimbursable costs - solddslcrna chargessable costs - solddslpbp clinical lab charges - solddsltotal other medicare part b charges -operating roomicare part b charges -recovery roomicare part b charges -delivery room & labor room charges -anesthesiology labor room charges -radiology - diagnosticoom charges -radiology - therapeuticom charges -radioisotopeherapeuticom charges -laboratoryeherapeuticom charges -pbp clinical lab services (program onlwhole blood & packed red blood cellsl'blood storing, processing, trans.'lintravenous therapyessing, trans.'lrespiratory therapyessing, trans.'lphysical therapypyessing, trans.'loccupational therapyssing, trans.'lspeech pathologyapyssing, trans.'lelectrocardiologypyssing, trans.'lelectroencephalographying, trans.'lmedical supplies charged to patientsldrugs charged to patientso patientslrenal dialysiso patientso patientslasc (non-distinct part)so patientslother ancillaryt part)so patientslclinicncillaryt part)so patientslemergencyllaryt part)so patientslobservation beds part)so patientslother outpt. services)so patientslhome program dialysis)so patientslambulanceam dialysis)so patientsldurable medical equipment - rentedsldurable medical equipment - solddslother reimbursable costs - solddslcrna chargessable costs - solddslpbp clinical lab charges - solddsltotal other medicare part b chargesloperating roomicare part b chargeslrecovery roomicare part b chargesldelivery room & labor room chargeslanesthesiology labor room chargeslradiology - diagnosticoom chargeslradiology - therapeuticom chargeslradioisotopeherapeuticom chargesllaboratoryeherapeuticom chargeslpbp clinical lab services (program onlwhole blood & packed red blood cellsl'blood storing, processing, trans.'lintravenous therapyessing, trans.'lrespiratory therapyessing, trans.'lphysical therapypyessing, trans.'loccupational therapyssing, trans.'lspeech pathologyapyssing, trans.'lelectrocardiologypyssing, trans.'lelectroencephalographying, trans.'lmedical supplies charged to patientsldrugs charged to patientso patientslrenal dialysiso patientso patientslasc (non-distinct part)so patientslother ancillaryt part)so patientslclinicncillaryt part)so patientslemergencyllaryt part)so patientslobservation beds part)so patientslother outpt. services)so patientslhome program dialysis)so patientslambulanceam dialysis)so patientsldurable medical equipment - rentedsldurable medical equipment - solddslother reimbursable costs - solddslcrna costsursable costs - solddsltotal asc medicare part b costs - hospoperating roomare part b costs - hosprecovery roomare part b costs - hospdelivery room & labor roomosts - hospanesthesiology labor roomosts - hospradiology - diagnosticoomosts - hospradiology - therapeuticomosts - hospradioisotopeherapeuticomosts - hosplaboratoryeherapeuticomosts - hosppbp clinical lab services (program onlwhole blood & packed red blood cellsl'blood storing, processing, trans.'lintravenous therapyessing, trans.'lrespiratory therapyessing, trans.'lphysical therapypyessing, trans.'loccupational therapyssing, trans.'lspeech pathologyapyssing, trans.'lelectrocardiologypyssing, trans.'lelectroencephalographying, trans.'lmedical supplies charged to patientsldrugs charged to patientso patientslrenal dialysiso patientso patientslasc (non-distinct part)so patientslother ancillaryt part)so patientslclinicncillaryt part)so patientslemergencyllaryt part)so patientslobservation beds part)so patientslother outpt. services)so patientslhome program dialysis)so patientslambulanceam dialysis)so patientsldurable medical equipment - rentedsldurable medical equipment - solddslother reimbursable costs - solddsltotal ouptatient radiology medicare paoperating roomt radiology medicare parecovery roomt radiology medicare padelivery room & labor roommedicare paanesthesiology labor roommedicare paradiology - diagnosticoommedicare paradiology - therapeuticommedicare paradioisotopeherapeuticommedicare palaboratoryeherapeuticommedicare papbp clinical lab services (program onlwhole blood & packed red blood cellsl'blood storing, processing, trans.'lintravenous therapyessing, trans.'lrespiratory therapyessing, trans.'lphysical therapypyessing, trans.'loccupational therapyssing, trans.'lspeech pathologyapyssing, trans.'lelectrocardiologypyssing, trans.'lelectroencephalographying, trans.'lmedical supplies charged to patientsldrugs charged to patientso patientslrenal dialysiso patientso patientslasc (non-distinct part)so patientslother ancillaryt part)so patientslclinicncillaryt part)so patientslemergencyllaryt part)so patientslobservation beds part)so patientslother outpt. services)so patientslhome program dialysis)so patientslambulanceam dialysis)so patientsldurable medical equipment - rentedsldurable medical equipment - solddslother reimbursable costs - solddsltotal other outpt. diagnostic medicareoperating roompt. diagnostic medicarerecovery roompt. diagnostic medicaredelivery room & labor roomic medicareanesthesiology labor roomic medicareradiology - diagnosticoomic medicareradiology - therapeuticomic medicareradioisotopeherapeuticomic medicarelaboratoryeherapeuticomic medicarepbp clinical lab services (program onlwhole blood & packed red blood cellsl'blood storing, processing, trans.'lintravenous therapyessing, trans.'lrespiratory therapyessing, trans.'lphysical therapypyessing, trans.'loccupational therapyssing, trans.'lspeech pathologyapyssing, trans.'lelectrocardiologypyssing, trans.'lelectroencephalographying, trans.'lmedical supplies charged to patientsldrugs charged to patientso patientslrenal dialysiso patientso patientslasc (non-distinct part)so patientslother ancillaryt part)so patientslclinicncillaryt part)so patientslemergencyllaryt part)so patientslobservation beds part)so patientslother outpt. services)so patientslhome program dialysis)so patientslambulanceam dialysis)so patientsldurable medical equipment - rentedsldurable medical equipment - solddslother reimbursable costs - solddslcrna costsursable costs - solddsltotal other medicare part b costs - hooperating roomicare part b costs - horecovery roomicare part b costs - hodelivery room & labor room costs - hoanesthesiology labor room costs - horadiology - diagnosticoom costs - horadiology - therapeuticom costs - horadioisotopeherapeuticom costs - holaboratoryeherapeuticom costs - hopbp clinical lab services (program onlwhole blood & packed red blood cellsl'blood storing, processing, trans.'lintravenous therapyessing, trans.'lrespiratory therapyessing, trans.'lphysical therapypyessing, trans.'loccupational therapyssing, trans.'lspeech pathologyapyssing, trans.'lelectrocardiologypyssing, trans.'lelectroencephalographying, trans.'lmedical supplies charged to patientsldrugs charged to patientso patientslrenal dialysiso patientso patientslasc (non-distinct part)so patientslother ancillaryt part)so patientslclinicncillaryt part)so patientslemergencyllaryt part)so patientslobservation beds part)so patientslother outpt. services)so patientslhome program dialysis)so patientslambulanceam dialysis)so patientsldurable medical equipment - rentedsldurable medical equipment - solddslother reimbursable costs - solddslcrna costsursable costs - solddsltotal other medicare part b costs - suoperating roomicare part b costs - surecovery roomicare part b costs - sudelivery room & labor room costs - suanesthesiology labor room costs - suradiology - diagnosticoom costs - suradiology - therapeuticom costs - suradioisotopeherapeuticom costs - sulaboratoryeherapeuticom costs - supbp clinical lab services (program onlwhole blood & packed red blood cellsl'blood storing, processing, trans.'lintravenous therapyessing, trans.'lrespiratory therapyessing, trans.'lphysical therapypyessing, trans.'loccupational therapyssing, trans.'lspeech pathologyapyssing, trans.'lelectrocardiologypyssing, trans.'lelectroencephalographying, trans.'lmedical supplies charged to patientsldrugs charged to patientso patientslrenal dialysiso patientso patientslasc (non-distinct part)so patientslother ancillaryt part)so patientslclinicncillaryt part)so patientslemergencyllaryt part)so patientslobservation beds part)so patientslother outpt. services)so patientslhome program dialysis)so patientslambulanceam dialysis)so patientsldurable medical equipment - rentedsldurable medical equipment - solddslother reimbursable costs - solddslcrna costsursable costs - solddsltotal other medicare part b costs - suland other medicare part b costs - suland improvementsre part b costs - subuildings and fixturesrt b costs - subuilding improvementsrt b costs - sufixed equipmentmentsrt b costs - sumovable equipmentntsrt b costs - susubtotalquipmentntsrt b costs - sutotal assets - facilityt b costs - suland assets - facilityt b costs - suland improvementsilityt b costs - subuildings and fixturest b costs - subuilding improvementst b costs - sufixed equipmentmentst b costs - sumovable equipmentntst b costs - susubtotalquipmentntst b costs - sutotal purchases - facility costs - suland purchases - facility costs - suland improvementsfacility costs - subuildings and fixturesity costs - subuilding improvementsity costs - sufixed equipmentmentsity costs - sumovable equipmentntsity costs - susubtotalquipmentntsity costs - sutotal donations - facility costs - suland donations - facility costs - suland improvementsfacility costs - subuildings and fixturesity costs - subuilding improvementsity costs - sufixed equipmentmentsity costs - sumovable equipmentntsity costs - susubtotalquipmentntsity costs - sutotal disposals & retirements - facililand disposals & retirements - facililand improvementsretirements - facilibuildings and fixturesements - facilibuilding improvementsements - facilifixed equipmentmentsements - facilimovable equipmentntsements - facilisubtotalquipmentntsements - facilitotal fully depreciated assets - facilland fully depreciated assets - facilland improvementsiated assets - facilbuildings and fixtures assets - facilbuilding improvements assets - facilfixed equipmentments assets - facilmovable equipmentnts assets - facilsubtotalquipmentnts assets - faciltotal assets - facilityassets - facilland assets - facilityassets - facilland improvementsilityassets - facilbuildings and fixturesassets - facilbuilding improvementsassets - facilfixed equipmentmentsassets - facilmovable equipmentntsassets - facilsubtotalquipmentntsassets - faciltotal purchases - facilityets - facilland purchases - facilityets - facilland improvementsfacilityets - facilbuildings and fixturesityets - facilbuilding improvementsityets - facilfixed equipmentmentsityets - facilmovable equipmentntsityets - facilsubtotalquipmentntsityets - faciltotal donations - facilityets - facilland donations - facilityets - facilland improvementsfacilityets - facilbuildings and fixturesityets - facilbuilding improvementsityets - facilfixed equipmentmentsityets - facilmovable equipmentntsityets - facilsubtotalquipmentntsityets - faciltotal disposals & retirements facilityland disposals & retirements facilityland improvementsretirements facilitybuilding improvementsrements facilityfixed equipmentmentsrements facilitymovable equipmentntsrements facilitysubtotalquipmentntsrements facilitytotal fully depreciated assets - facilold capital-related cost - building &old capital-related cost - movable equnew capital-related cost - building &new capital-related cost - movable equtotal insurance costs - facilitye equold capital-related cost - building &old capital-related cost - movable equnew capital-related cost - building &new capital-related cost - movable equtotal taxes - facilityt - movable equold capital-related cost - building &old capital-related cost - movable equnew capital-related cost - building &new capital-related cost - movable equtotal other capital-related costs - faold capital-related cost - building &old capital-related cost - movable equnew capital-related cost - building &new capital-related cost - movable equtotal depreciation - facilityable equold capital-related cost - building &old capital-related cost - movable equnew capital-related cost - building &new capital-related cost - movable equtotal lease costs - facilityvable equold capital-related cost - building &old capital-related cost - movable equnew capital-related cost - building &new capital-related cost - movable equtotal interest costs - facilityle equold capital-related cost - building &old capital-related cost - movable equnew capital-related cost - building &new capital-related cost - movable equtotal capital-related costs - facilitytotal directly assigned old capital readults and pediatrics (general routineicuts and pediatrics (general routinecoronary care unitcs (general routineburn icucare unitcs (general routinesurgical icu unitcs (general routineother special care uniteneral routinesub. prov. i care uniteneral routinesub. prov. iicare uniteneral routinenurseryv. iicare uniteneral routineskilled nursing facilityneral routinenursing facilityacilityneral routineother long term careityneral routineoperating room careityneral routinerecovery room careityneral routinedelivery room and labor rooml routineanesthesiologynd labor rooml routineradiology - diagnostic rooml routineradiology - therapeuticrooml routineradioisotopeherapeuticrooml routinelaboratoryeherapeuticrooml routinewhole blood and packed red blood cells'blood storing, processing, trans'llsintravenous therapyessing, trans'llsrespiratory therapyessing, trans'llsphysical therapypyessing, trans'llsoccupational therapyssing, trans'llsspeech pathologyapyssing, trans'llselectrocardiologypyssing, trans'llselectroencephalographying, trans'llsmedical supplies charged to patientssdrugs charged to patientso patientssrenal dialysiso patientso patientssasc (non-distinct part)so patientssother ancillaryt part)so patientssclinicncillaryt part)so patientssemergencyllaryt part)so patientssother outpt. services)so patientsshome program dialysis)so patientssambulanceam dialysis)so patientssdurable medical equipment - rentedssdurable medical equipment - solddssother reimbursable costs - solddssoutpt. rehabilitation providers (totalintern - resident service (not in apprhome health agencyervice (not in apprlung acquisitionyervice (not in apprkidney acquisitionervice (not in apprliver acquisitionervice (not in apprheart acquisitionervice (not in approther organ acquisitione (not in apprambulatory surgical center (distinct phospicery surgical center (distinct pother special purposenter (distinct pnonreimbursable costsnter (distinct pcross foot adjustmentster (distinct pnegative cost centerster (distinct ptotal old capital related costs - facitotal directly assigned new capital readults & pediatrics (general routine cicuts & pediatrics (general routine ccoronary care unit (general routine cburn icucare unit (general routine csurgical icu unit (general routine cother special care uniteral routine csub. prov. i care uniteral routine csub. prov. iicare uniteral routine cnurseryv. iicare uniteral routine cskilled nursing facilityral routine cnursing facilityacilityral routine cother long term careityral routine coperating room careityral routine crecovery room careityral routine cdelivery room & labor rooml routine canesthesiology labor rooml routine cradiology - diagnosticooml routine cradiology - therapeuticoml routine cradioisotopeherapeuticoml routine claboratoryeherapeuticoml routine cwhole blood & packed red blood cellsc'blood storing, processing, trans.'cintravenous therapyessing, trans.'crespiratory therapyessing, trans.'cphysical therapypyessing, trans.'coccupational therapyssing, trans.'cspeech pathologyapyssing, trans.'celectrocardiologypyssing, trans.'celectroencephalographying, trans.'cmedical supplies charged to patientscdrugs charged to patientso patientscrenal dialysiso patientso patientscasc (non-distinct part)so patientscother ancillaryt part)so patientscclinicncillaryt part)so patientscemergencyllaryt part)so patientscother outpt. services)so patientschome program dialysis)so patientscambulanceam dialysis)so patientscdurable medical equipment - rentedscdurable medical equipment - solddscother reimbursable costs - solddscoutpt. rehab providers (total)ddscintern - resident service (not in apprhome health agencyervice (not in apprlung acquisitionyervice (not in apprkidney acquisitionervice (not in apprliver acquisitionervice (not in apprheart acquisitionervice (not in approther organ acquisitione (not in apprambulatory surgical centernot in apprhospicery surgical centernot in approther special purposenternot in apprnonreimbursable costsnternot in apprcross foot adjustmentsternot in apprnegative cost centersternot in apprtotal new capital related costs - faciadults & pediatrics (general routine cicuts & pediatrics (general routine ccoronary care unit (general routine cburn icucare unit (general routine csurgical icu unit (general routine cother special care uniteral routine csub. prov. i care uniteral routine csub. prov. iicare uniteral routine cnurseryv. iicare uniteral routine ctotal medicare part a inpatient routinadults & pediatrics (general routine cicuts & pediatrics (general routine ccoronary care unit (general routine cburn icucare unit (general routine csurgical icu unit (general routine cother special care uniteral routine csub. prov. i care uniteral routine csub. prov. iicare uniteral routine cnurseryv. iicare uniteral routine ctotal medicare a inpatient routine newoperating rooma inpatient routine newrecovery rooma inpatient routine newdelivery room & labor roomroutine newanesthesiology labor roomroutine newradiology - diagnosticoomroutine newradiology - therapeuticomroutine newradioisotopeherapeuticomroutine newlaboratoryeherapeuticomroutine newwhole blood & packed red blood cellsw'blood storing, processing, trans.'wintravenous therapyessing, trans.'wrespiratory therapyessing, trans.'wphysical therapypyessing, trans.'woccupational therapyssing, trans.'wspeech pathologyapyssing, trans.'welectrocardiologypyssing, trans.'welectroencephalographying, trans.'wmedial supplies charged to patientswdrugs charged to patients patientswrenal dialysiso patients patientswasc (non-distinct part)s patientswother ancillaryt part)s patientswclinicncillaryt part)s patientswemergencyllaryt part)s patientswobservation beds part)s patientswother outpt. services)s patientswhome program dialysis)s patientswdurable medical equipment - rentedwdurable medical equipment - solddwother reimbursable costs - solddwtotal medicare part a ancillary old caoperating roompart a ancillary old carecovery roompart a ancillary old cadelivery room & labor roomlary old caanesthesiology labor roomlary old caradiology - diagnosticoomlary old caradiology - therapeuticomlary old caradioisotopeherapeuticomlary old calaboratoryeherapeuticomlary old cawhole blood & packed red blood cellsa'blood storing, processing, trans.'aintravenous therapyessing, trans.'arespiratory therapyessing, trans.'aphysical therapypyessing, trans.'aoccupational therapyssing, trans.'aspeech pathologyapyssing, trans.'aelectrocardiologypyssing, trans.'aelectroencephalographying, trans.'amedial supplies charged to patientsadrugs charged to patients patientsarenal dialysiso patients patientsaasc (non-distinct part)s patientsaother ancillaryt part)s patientsaclinicncillaryt part)s patientsaemergencyllaryt part)s patientsaobservation beds part)s patientsaother outpt. services)s patientsahome program dialysis)s patientsadurable medical equipment - rentedadurable medical equipment - solddaother reimbursable costs - solddatotal medicare part a ancillary new catotal medicare part a ancillary old ctotal medicare part a ancillary new ctotal medicare part a ancillary old ctotal medicare part a ancillary new cadults & pediatrics (general routine cicuts & pediatrics (general routine ccoronary care unit (general routine cburn icucare unit (general routine csurgical icu unit (general routine cother special care uniteral routine csub. prov. i care uniteral routine csub. prov. iicare uniteral routine cnurseryv. iicare uniteral routine ctotal medicare part a inpatient routinoperating roompart a inpatient routinrecovery roompart a inpatient routindelivery room & labor roomient routinanesthesiology labor roomient routinradiology - diagnosticoomient routinradiology - therapeuticomient routinradioisotopeherapeuticomient routinlaboratoryeherapeuticomient routinwhole blood & packed red blood cellsn'blood storing, processing, trans.'nintravenous therapyessing, trans.'nrespiratory therapyessing, trans.'nphysical therapypyessing, trans.'noccupational therapyssing, trans.'nspeech pathologyapyssing, trans.'nelectrocardiologypyssing, trans.'n010001 017016 014506 SOUTHEAST ALABAMA MEDICAL CENTER P199610011997093012 91001YNN 0 0 0 0 N0 0 0N 0NN NNNNNNNNYYNNYNNYNNN0N199811302 000 1218000010JF504t d#]$$e [%>dL>U%8ka Vpn|e]  U%8ja Vpn|e]  AڀIF khj]uNB70  80Ugic @_ @P*R 0*k^a&C0*k^a&C+0*jca'H0*jca'H+A^tk(A(A^tk(A(p=n@H_@@@H_@@Vpn|e]  n)rIV R,.!(^( Hkɫ l}7+#KFU7Lf&u$&\K: X@xQE0Fx) y$6w-,E ҿ c ~ '" J[9%Y<&`F+@5=P_i)b4} y' ;U:B[Lyς S @@  m/+ b /O.BGmzAF'=k#-*S/[J',B ,;sOchHS y ?Z-$0g $0lK4f51,hEpӲ[J',B ,;sOchHS y ?Z-$0g $0lK4f5166 4}y=Cy4h5SJ!"dK%=cѷm#(lp % [NxF_l56qQ-' 6WM#?n/u-3AĈA4A!lA7 A[AΌ5gA!rA8A'>APAA4A1zA#AǔA%hA M@_`A A3-A \A/pA%HtAAA0s`A";#?NNȸc/Ƅe [^E %?R E1\ \ Wo w"%M:\,7p535ho7RrJJEo~DRrAW$u?x~$5Jb0{'7}%Ƿ[$=!OZl&N66 ~ v!pCj;* c/XO nb%}r } B+ΣMmkz's 2T '5# fsfY]{K{v)N u8\& U6K/82:>*j*W+qW9lgg,*R\  ^ ^G bwm}zXT mf H 6IxxZZשּׁz2 /H%Y&Q*XQ(n Ʃ Ʃx ~+@5=P_?r4'O7D j0 \4w1ZHh LwHJ$PS#;nui?LT@6tqWw8<r~|T NɌ8|>lv < z x ǏF[GTUFV!ra[J Y Hs"3->zjG2'g\Lˏ010004 015420 NORTH JACKSON HOSPITAL P199610011997093012 91001NNN 0 0 0 0 N0 0 0N 0NN NNNYYBNNNYNNNYNNYNNN0Y199804212 000 1 00010JF50419PE hQEr ; ; ;UK`\s#oY( L[A5rk 5(  Nr" A5r] 5~  Nr" A}*W"&c 0 T` Y y@@x#@ml`eAQ' 51LEAQ' 51LEA(% 52ZA(% 52ZGA}L}#2Ar3.A}L}#2Ar3.h@@x@@@x@@H(  Nr" .5rY5Lq \A Lu04n:GpZ|<gng}$w2GR\RPP߰!' o F4ES_O'$f wD+r]abHGtN2pIqO1M?Mk-8Aݾ`hX1Mk-8Aݾ`hX."."!r,(X ylv czxd |& 6;& z7]0ظcA`AEEwADAHAq/Af /nA p@vA2A (ADAOpA $ A A[(,)Ai@`A1mx2L|S\S p NGb77iZ7;EG(c(w MMD Rvl`E}BD,55#64]$N<9Bjm_:l==z -04 :dcm= UW.B.BFRFRFR;TKK0!I$$E"\R7E??߰!'YpISRP-Y8ts/Jy/6 M ??@@ 2Z 2Vv4P.010005 MARSHALL MEDICAL CENTER SOUTH P199610011997093012 91001YNN 0 0 0 0 N0 0 0N 0NN NNNNYANNNNYYNYNNYYNN0N199808112 000 1 00010JF504f xxn558]]D TT^zz |DPD8 0;)xT |E)D8 0ԺhM;)RxTAR)'| c !thCq;3x\38 J@` u@VY# |DPGD8 |DPGD8-W |E)jnD8` |E)jnD8`.UpAR)'|<AAR)'|<A@` @#@@` @@;)xT,3:. = c} 3h W 0z<Ϲ |<%0@M[ }}9|hIlmC ]  |`; hQN2C V(V @;~7.A\ R=" /P **"r[= p' Tv#Ԝ Z}irYc;CL 2 @"߽ f&B2 ی7 3!}rYc;CL 2 @"߽ f&B2 ی7# ۄ#ک\c %Xr0Dٻfp5DWe +x{,7|3p0U1VJ{3F /*0u9^f ,A%WA>(@ A X 4AoA's'@@pAAAA%A#ArYrYGU 1>&4zjO ;$B&i /n7Н 0s YBr* ϱ3Ɛ*QPoqp eN.cH/<j!qH-f"* V&(bC}j[o̤VVY#Y#Y#ELpYggmM fA:Qe e %Ugg#S$$$`; ,&2D w .!N2CIT-ZϾj0*31E%z^0o vN LbN0j^-| Z/jfyC&2CWVRT u" JXP $w-3r~o yQ oEOu'q(4b~@)p(010006 015031 ELIZA COFFEE MEMORIAL HOSPITAL P199707011998063012 81001YNN 0 0 0 0 N0 0 0N 0NN NNNNNNNNNYYNYNNYNNY0N199901082 000 1265000010NF504 C &̇ ww U O ٘9w/g+]vpCnEK$ 2%/]I v ?"X<+]vpCDY$ 2$=]I b ?"X<A=ޘ]LDw.C*&<(b|@8@L} @`h W*E$M$ j#*E$M$ j#/*DN*$ k[*DN*$ k[~cA_$=!@DA(A_$=!@DA(;@z@}@@z@}@z2%/]I v ?"X<g25Cn1 -~m_}\ 7>wEK+]v/U.Ji(B#0 MZkGR>p+,2)>AAx;oHQIF*/)MS'sK( z8+y@5DhO$ bQBxn&m^RQ] is?t%?_2 ~LNV }>e's *0$4Vs/z7Za=\7%7:&QAp .J0$4Vs/z7Za=\%7:&QAp 2(5t5Uw'f-C8 _ev>"ϑ~2V+A  A[8DOZ8?&8 I b%MzU- &)AhA&AHA A^VA,!@@@A(A xA)2A,A'7lA0A%V@AA)GA*T]AA VA(rA)GA%Cg,2Q -aQW`L }X1 W CWP\- -[ NG mV9 Τ$"=#ן.b#jk/1|9_ QF{y[;T5#I:68]9^ 2 }a)Dr_$@6x ?B}WI ?1J^+' FDboP$A1if[yQjf b8Emn)Z i1M:smX0liJshq6bv+LC+oo8+ydLǨ-y>B)KYp &ߞ+m-F'>|6\9>H&s ætyii'OQؘA%J:u+k010007 01U007 107134 MIZELL MEMORIAL HOSPITAL P199610011997093012 91002NNN 0 0 0 0 N0 0 0Y19890831NN NNNNNNNNNNYNYNYYNNN0N199804222 000 1 00010JF504U ccy1! 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PT199707011998063012 21401YNN 0 0 0 0 N0 0 0N 0NN NNNNNNNNYYNNYNNYYNY0N199901072 000 1524000010NF504 ,QB^^o9o9}(X V  u GR- V jbjDT&pg7V%2ZncjBoj p*g7A4EtKP[B6A08@ c>@P7 XzeXV j5jbt&V j5jbt&xV%21ZncV%21ZncA4EtPA A4EtPA w@ c@@D@ c@@DjDT&pg7ng  I{\p -'\PVHiyL$%t R ~ ɑ& I]Dt#2-*]W ?O: R]E`z-( ' i ;h*NfNxV6( R*9u hxg+/f[*` c6;O/? ڹ /Dji]l2!}!@!%ui$8[?vZp 1 (B{wr,W:+R!0@!%ui$8[?vZp 1 B{wr,W:+ՀՀUG'wTf> =6'U)4BSCbG2N 7n.L]Qӟ#, }:du162AYA,]@l`A7A(2AAPAIA'rA`A*@Ao8A'f`47A A hAEhA&`$ PzckATb=vl5KF&-i' wS #$ȊT+< J:>aQ){dNL@@Q0L %N /](~ t{ ;$$=RaaxDBMS)uV ?K3Vy4D2OYKڙ -P~> N(r; zBIA )i\l2 +V3 &&o / B]R$ܸ }U'U,|1irN3]ЧЧ>k26}k (ѥ9B9BvXމ?~!b3(7'v ()DD ;{sff[kb)*'T$Jo'v i ;h*Nq)-,6W_jzbJ[M{p}Tu+E<V[|/j`*[*T{5/r wFa = 59k_`xi8Z$1'4jD?YrT!Wa P(w[0j.< %010025 010025 015045 017123 GEORGE H. 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'N010043 01U043 017107 011541 VAUGHAN CHILTON MEDICAL CENTER P199610011997093012 21002NNN 0 0 0 0 N0 0 0Y19941001NN NNNNNNNNNNYNYNYYYNN0N199805012 000 1 00010JF504<<<UU Q Q . 08?7wO:Kuw&U$> N[C::Kuw&U$> N[C:Av ,5_jS0TȜW=5@@-I 7^ :Ku&B,:Ku&B, ;:Ku&B,:Ku&B, ;Av AgܠAv Agܠ_@@|@J@@|@J7U$> N[C:7(K Ŕ?G 9^:Kz g1C6nCe5N# buX`/v+C 7 n f(g< ;@F/A20 c0sUXu&~L * #;##e =mu&~L * #;##e Z5X$Pz)CJx^5YFS BoR L 9Le4YKA3AHAA"AAA*֜A,, A6AsDAA)A!\AAA(A*UXA4 !!9pw9d&o;zjjC6̛U f,W  y[QLxArAA@A}A!A@A3ٮA)zA7AAnAAbXA A@<A2YA( NA6l N  ba*)c*ee<|*; C[;sLQJ7<Q%ƈPV"s|,:O) 4T t*!)KPw9HPK'rHiM,*%a!7D *AJWdc.@6SC(! o  jAHgv3 :))+))+RB a0""/up 4>"9]iJG`"(B Me g.<} L& . &v V7 gN'8Rc(}&/2~"G!$1F\g q_NV =R/5c bIKNh010045 01U045 015154 017088 011540 FAYETTE MEDICAL CENTER P199610011997093012 81002NNN 0 0 0 0 Y0 0 0Y 0NN NNNNNNNNYNNNYNYYNNY0N199812232 000 1 00010JF504%*z4!;dn@E||$ ****^S'5X-1 b p9v~5X-1 b qav~AD&Cكi;VBq =(m. @c@nYA-`TPX-fP-`TPX-fP -`VDX-hC-`VDX-hCAD&atJAE&`AD&atJAE&`8i@@4@@@4@1 b p9v~ 5 :/( Ll}aZ}c!(hu|G&;4rL Bt((g8PoռTń iT{A7si)ZɣP Xczz Y~! cIQ9= 1f!`t O )4d`+ >[* 7͹  O )4d`+ >[* 7͹kk V! 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BD >We &2%8ITGB;S[ķ c,&@ i *``4!<5 <f\qBh^I6  Mh i Q)C\|jSO cDH9E [Dv uׅ 3 { <Ju7r?^I6ߣOqC3Dб;.?Tfƾ1:#!  &A4 r E N,>%cU#_dZF'-<:un߸3Dб;.?Tfƾ1:#!  &A4 r E N,>%cU#_dZF'-<a:ja!~ _4΅m*k(6#g+? cqX'1.dK5[S 9j$MU312/+F o7fl# ]YMAlA0A*k@@`um@3AnA )A @BdA@(A&$AAK0A(v@ӻ@_ @D m~xAAXA@!A A%0.|\_tt 5Cv)*HG$F#⊉y)8y_y_([/rS ôDSL'C"*`Fvбб# !vsV%7 2A8~DkQcg,vCFZdw  ܝVN?~V W\`wLR ;] aFadQ[ PH/ j1E)t,*@ [&I;$:s L6Dj8g%a$ oT8\cpt5%x?ܸܸg'Q=#XE#|''-1N R0B}R;ci `,$$twU i Q)^_Ia [7Y 2y \!^.5[`VPdW/'F9Mpl.M3"p1/t 0 kR:ffJL1XL>-P--S n9@ 8Mkt..(n B1QS$5bP;tH&Uv ;joo Ӷ010047 01U047 017136 013412 GEORGIANA DOCTORS HOSPITAL P1997010119970611 5 41002NNN 0 0 0 0 N0 0 0N 0NN NNNYNNNNYNNNYNYYNNN0N199801232 309 1 00010JF504 %(UF~ =?({LaF~ =?({4{LaAa $H x%xÀh @.@oFY~FY~3SFY~FY~gAa $HwA]Aa $HwA];@.@@@.@@ =?({La FKq F͍hĔf%P!̻%Dy`-,-_Jh % M4{nP?`~"M \59c+ L* _+ L* &%P#dqMK?oo(*H>5Z{# dH>5AA*~A$AtsvA @AA13yA%A6*A XA(A#DTA/pMA1HAA0+A$xvA4rZ2*->4>99 U%ddMa  6 uWf \6H{n3b> :KKMO0G_&+& ;qLJ9#x>hAiOW 1 WD3