The SAS System 15:09 Friday, January 21, 2005 1 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F78 Hosp. Adults & Pediatrics Beds (See No 6050 80.8585196 F79 ICU Beds 6050 5.3289099 F80 Coronary Care Unit Beds 6050 1.8685885E-8 F81 Burn ICU Beds 6050 1.143244E-13 F82 Surgical ICU Beds 6050 7.384688E-10 F83 Other Special Care Beds 6050 8.098873E-10 F84 Nursery Beds 6050 5.8872872 F85 Total Hosp. Beds 6050 95.7535763 F86 Sub. Prov. I Beds 6050 5.9632213E-7 F87 Sub. Prov. II Beds 6050 3.295983E-12 F88 Skilled Nursing Facility Beds 6050 0.0053944 F89 Nursing Facility Beds 6050 5.270855E-11 F90 Other Long Term Care Beds 6050 1.0904132E-7 F91 Hospice Beds 6050 9.918237E-13 F92 Total Beds Available in Facility 6050 117.1840303 F93 Hosp. Adults & Pediatrics Bed Days Ava 6050 28612.46 F94 Intensive Care Bed Days Available 6050 1819.73 F95 Coronary Care Bed Days Available 6050 2.2930492E-6 F96 Burn Intensive Care Bed Days Available 6050 1.301485E-10 F97 Surgical Intensive Care Bed Days Avail 6050 3.6154931E-7 F98 Other Special Care Bed Days Available 6050 1.5165752E-7 F99 Nursery Bed Days Available 6050 2141.53 F100 Total Hosp. Bed Days Available 6050 33327.38 F101 Sub. Prov. I Bed Days Available 6050 0.000193250 F102 Sub. Prov. II Bed Days Available 6050 7.3765784E-8 F103 Skilled Nursing Facility Bed Days Avai 6050 1.7382857 F104 Nursing Facility Bed Days Available 6050 3.8066771E-7 F105 Other Long Term Care Bed Days Availabl 6050 3.6596787E-8 F106 Hospice Bed Days Available 6050 1.8080447E-8 F107 Medicare Hosp. Adults & Pediatrics Day 6050 5165.93 F108 Medicare Swing Bed SNF Days 6050 0.0081887 F109 Total Medicare Routine Days 6050 5418.21 F110 Medicare ICU Days 6050 367.6801341 F111 Medicare Coronary Care Unit Days 6050 5.8621294E-8 F112 Medicare Burn ICU Days 6050 0 F113 Medicare Surgical ICU Days 6050 6.4521975E-8 F114 Medicare Other Special Care Unit Days 6050 1.413832E-10 F115 Medicare Inpatient Days- Total Hosp. 6050 5975.23 F116 Medicare RPCH Visits 6050 4.9224601E-8 F117 Medicare Sub. Prov. I Days 6050 3.9189762E-6 F118 Medicare Sub. Prov. II Days 6050 2.1280395E-8 F119 Medicare Skilled Nursing Facility Days 6050 0.0506770 F120 Medicare Home Health Agency Visits 6050 4.3651185E-6 F121 Medicare Hospice Days 6050 2.144851E-10 F122 Medicare RHC/FQHC Outpt. Visits 6050 1.2442923E-9 F123 Medicaid Hosp. Adults & Pediatrics Day 6050 959.8392633 F124 Medicaid HMO Days 6050 1.4136196E-8 F125 Medicaid Swing Bed SNF Days 6050 3.3315305E-7 F126 Medicaid Swing Bed NF Days 6050 4.8774401E-8 F127 Total Medicaid Routine Days 6050 1021.23 F128 Medicaid ICU Days 6050 7.7814082 F129 Medicaid Coronary Care Unit Days 6050 1.6120243E-7 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 2 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F130 Medicaid Burn ICU Days 6050 1.3214E-11 F131 Medicaid Surgical ICU Days 6050 1.750002E-10 F132 Medicaid Other Special Care Days 6050 2.8630456E-7 F133 Medicaid Nursery Days 6050 20.4635415 F134 Medicaid Inpatient Days- Total Hosp. 6050 1269.51 F135 Medicaid RPCH Visits 6050 6.660386E-10 F136 Medicaid Sub. Prov. I Days 6050 2.2897898E-7 F137 Medicaid Sub. Prov. II Days 6050 2.35603E-7 F138 Medicaid Skilled Nursing Facility Days 6050 3.3451506E-6 F139 Medicaid Nursing Facility Days 6050 6.8715509E-7 F140 Medicaid Home Health Agency Visits 6050 4.2153632E-8 F141 Medicaid Hospice Days 6050 0 F142 Medicaid RHC/FQHC Outpt. Visits 6050 3.6950953E-9 F143 Total Adults & Pediatrics Days 6050 11847.09 F144 Total Swing Bed SNF Days 6050 0.0084193 F145 Total Swing Bed NF Days 6050 3.3175264E-7 F146 Total Routine Days 6050 12039.83 F147 Total ICU Days 6050 700.8064436 F148 Total Coronary Care Unit Days 6050 8.104973E-8 F149 Total Burn ICU Days 6050 7.597526E-11 F150 Total Surgical ICU Days 6050 6.4697791E-8 F151 Total Other Special Care Unit Days 6050 3.625012E-7 F152 Total Nursery Days 6050 203.5423700 F153 Total Inpatient Days - Hosp. 6050 13794.40 F154 Total RPCH Visits 6050 2.203942E-10 F155 Total Sub. Prov. I Days 6050 0.000046978 F156 Total Sub. Prov. II Days 6050 4.1523297E-6 F157 Total Skilled Nursing Facility Days 6050 1.0941594 F158 Total Nursing Facility Days 6050 4.3556434E-8 F159 Total Other Long Term Days 6050 1.8699229E-7 F160 Total Home Health Agency Visits 6050 5.385581E-6 F161 Total Hospice Days 6050 4.0590751E-8 F162 Total RHC/FQHC Outpt. Visits 6050 2.4696937E-8 F163 Total Observation Bed Days 6050 0.000865159 F164 Interns & Residents - Total Hosp. 6050 0.000014104 F165 Interns & Residents - Total Facility 6050 9.6823213E-6 F166 Net Interns & Residents Replacing Non- 6050 2.280537E-6 F167 Net Interns & Residents Replacing Non- 6050 0.000010169 F168 Full Time Employees - Total Hosp. 6050 27398.00 F169 Full Time Employees - Total Facility 6050 30775.09 F170 Nonpaid Workers - Total Hosp. 6050 1.6547972E-8 F171 Nonpaid Workers - Total Facility 6050 1.6829925E-8 F172 Medicare Discharges - Total Hosp. 6050 886.3396693 F173 Medicare Sub. Prov. I Discharges 6050 0.000022730 F174 Medicare Sub. Prov. II Discharges 6050 3.082795E-11 F175 Medicaid Discharges - Total Hosp. 6050 249.6950154 F176 Medicaid Sub. Prov. I - Discharges 6050 1.3049812E-8 F177 Medicaid Sub. Prov. II - Discharges 6050 6.1044289E-9 F178 Total Discharges - All Patients - Hosp 6050 2173.10 F179 Total Discharges - All Patients - Sub. 6050 9.3560228E-6 F180 Total Discharges - All Patients - Sub. 6050 3.111565E-8 F181 Total Salaries 6050 9024614.41 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 3 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F182 Non-Physician Anesthetist Part A 6050 4.4204281E-6 F183 Non-Physician Anesthetist Part B 6050 0.000986387 F184 Physician - Part A 6050 0.000164499 F185 Physician - Part B 6050 8.9444197 F186 Interns & Residents (Approved Program) 6050 0.000123600 F187 Home Office Personnel 6050 0.000011821 F188 Skilled Nursing Facility 6050 99.5565727 F189 Excluded Areas 6050 656819.15 F190 Contract Labor 6050 42314.23 F191 Contract Labor: Physician - Part A 6050 1.4569018 F192 Home Office Salaries & Wage-Related Co 6050 24.5225474 F193 Home Office: Physician Part A 6050 0 F194 Wage- Related Costs (Core) 6050 1154572.95 F195 Wage- Related Costs (Other) 6050 9.8710051E-6 F196 Excluded Areas 6050 128973.34 F197 Non-Physician Anesthetist - Part A 6050 2.1448507E-7 F198 Non-Physician Anesthetist - Part B 6050 0.000280533 F199 Physician Part A 6050 0.0064271 F200 Physician Part B 6050 0.3471278 F201 Interns & Residents (Approved Program) 6050 0.000241337 F202 Employee Benefits 6050 40376.62 F203 Administrative & General 6050 1105686.68 F204 Maintenance & Repairs 6050 47.7612519 F205 Operation of Plant 6050 96386.38 F206 Laundry & Linen Service 6050 11783.44 F207 Housekeeping 6050 196728.16 F208 Dietary 6050 257495.54 F209 Cafeteria 6050 0.000014822 F210 Maintenance of Personnel 6050 2.2010889E-7 F211 Nursing Administration 6050 257841.18 F212 Central Services & Supply 6050 29360.70 F213 Pharmacy 6050 81575.38 F214 Medical Records & Medical Records Libr 6050 200545.94 F215 Social Service 6050 18580.68 F216 Other General Service 6050 0.0022234 F217 Total Salaries 6050 7479021.14 F218 Non-Physician Anesthetist Part A 6050 0.000038099 F219 Non-Physician Anesthetist Part B 6050 0.0087357 F220 Physician - Part A 6050 0.000067148 F221 Physician - Part B 6050 8.3842469 F222 Interns & Residents (Approved Program) 6050 8.8819452E-6 F223 Home Office Personnel 6050 0.000017519 F224 Skilled Nursing Facility 6050 67.3816634 F225 Excluded Areas 6050 590737.77 F226 Contract Labor 6050 42232.21 F227 Contract Labor: Physician - Part A 6050 5.9946967 F228 Home Office Salaries & Wage-Related Co 6050 21.3471228 F229 Home Office: Physician Part A 6050 0 F230 Wage- Related Costs (Core) 6050 1135840.13 F231 Wage- Related Costs (Other) 6050 0.000040610 F232 Excluded Areas 6050 129008.71 F233 Non-Physician Anesthetist - Part A 6050 1.984539E-7 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 4 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F234 Non-Physician Anesthetist - Part B 6050 0.000288583 F235 Physician Part A 6050 0.0022207 F236 Physician Part B 6050 0.5109975 F237 Interns & Residents (Approved Program) 6050 7.5499447E-8 F238 Employee Benefits 6050 31451.42 F239 Administrative & General 6050 905685.12 F240 Maintenance & Repairs 6050 0.0105971 F241 Operation of Plant 6050 79797.92 F242 Laundry & Linen Service 6050 10290.29 F243 Housekeeping 6050 170743.31 F244 Dietary 6050 180048.43 F245 Cafeteria 6050 4.5408942 F246 Maintenance of Personnel 6050 4.7008604E-7 F247 Nursing Administration 6050 231390.15 F248 Central Services & Supply 6050 24149.75 F249 Pharmacy 6050 50551.73 F250 Medical Records & Medical Records Libr 6050 180831.58 F251 Social Service 6050 7432.77 F252 Other General Service 6050 0.0022401 F253 Paid Hours Related to Adjusted Salarie 6050 54144860.31 F254 Non-Physician Anesthetist Part A 6050 5.8981044E-6 F255 Non-Physician Anesthetist Part B 6050 0.0289409 F256 Physician - Part A 6050 0.4404377 F257 Physician - Part B 6050 31.2687947 F258 Interns & Residents (Approved Program) 6050 5.3209065E-6 F259 Home Office Personnel 6050 5.8643487E-6 F260 Skilled Nursing Facility 6050 192.0070906 F261 Excluded Areas 6050 4039251.71 F262 Contract Labor 6050 107337.20 F263 Contract Labor: Physician - Part A 6050 8.0431203 F264 Home Office Salaries & Wage-Related Co 6050 56.6259707 F265 Home Office: Physician Part A 6050 0 F266 Employee Benefits 6050 174107.35 F267 Administrative & General 6050 6188862.26 F268 Maintenance & Repairs 6050 176.0488710 F269 Operation of Plant 6050 610865.25 F270 Laundry & Linen Service 6050 112948.00 F271 Housekeeping 6050 2254217.15 F272 Dietary 6050 2123594.96 F273 Cafeteria 6050 21.9235328 F274 Maintenance of Personnel 6050 1.9190922E-7 F275 Nursing Administration 6050 1052160.65 F276 Central Services & Supply 6050 232335.79 F277 Pharmacy 6050 231211.99 F278 Medical Records & Medical Records Libr 6050 1597047.90 F279 Social Service 6050 56394.82 F280 Other General Service 6050 0.000509246 F281 Average Hourly Wage Related to Total A 6050 1450.51 F282 Non-Physician Anesthetist Part A 6050 7.7376462E-7 F283 Non-Physician Anesthetist Part B 6050 0.000027361 F284 Physician - Part A 6050 0.000036079 F285 Physician - Part B 6050 0.0208192 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 5 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F286 Interns & Residents (Approved Program) 6050 1.3284049E-6 F287 Home Office Personnel 6050 3.414682E-10 F288 Skilled Nursing Facility 6050 0.1961221 F289 Excluded Areas 6050 1362.87 F290 Contract Labor 6050 2335.83 F291 Contract Labor: Physicians Part A 6050 0.0098682 F292 Home Office Salaries & Wage Related Co 6050 0.1086517 F293 Home Office: Physician Part A 6050 0 F294 Employee Benefits 6050 965.8839918 F295 Administrative & General 6050 1354.41 F296 Maintenance & Repairs 6050 0.0508391 F297 Operation of Plant 6050 1036.76 F298 Laundry & Linen Service 6050 575.7958447 F299 Housekeeping 6050 726.9106594 F300 Dietary 6050 824.4545414 F301 Cafeteria 6050 0.2651213 F302 Maintenance of Personnel 6050 6.47676E-10 F303 Nursing Administration 6050 1991.11 F304 Central Services & Supply 6050 756.0631265 F305 Pharmacy 6050 1222.08 F306 Medical Records & Library 6050 1073.14 F307 Social Services 6050 209.5147948 F308 Other General Service 6050 0.000189723 F309 Net Salaries 6050 8883208.35 F310 Excluded Area Salaries 6050 881488.30 F311 Subtotal Salaries 6050 7621599.36 F312 Subtotal Other Wages & Related Costs 6050 116687.89 F313 Subtotal Wage-Related Costs 6050 1173430.39 F314 Total (Sum of Lines 3-5) 6050 9293847.83 F315 Net Salaries 6050 8585158.51 F316 Excluded Area Salaries 6050 862975.00 F317 Subtotal Salaries (Line 7 minus Line 8 6050 7421717.37 F318 Subtotal - Other Wages & Related Costs 6050 104914.27 F319 Subtotal Wage Related Costs 6050 1116764.47 F320 Total (Sum of Lines 9-11) 6050 9041869.45 F321 Total Overhead Costs 6050 2726327.55 F322 Net Salaries 6050 8879459.47 F323 Excluded Area Salaries 6050 911496.30 F324 Subtotal Salaries 6050 7621121.40 F325 Subtotal Other Wages & Related Costs 6050 118384.56 F326 Subtotal Wage-Related Costs 6050 1174632.62 F327 Total (Sum of Lines 3-5) 6050 9249697.80 F328 Net Salaries 6050 8601467.87 F329 Excluded Area Salaries 6050 881477.12 F330 Subtotal Salaries (Line 7 minus Line 6050 7406749.86 F331 Subtotal - Other Wages & Related Costs 6050 106672.38 F332 Subtotal Wage Related Costs 6050 1118805.91 F333 Total (Sum of Lines 9-11) 6050 9076253.47 F334 Total Overhead Costs 6050 2689324.30 F335 Net Salaries 6050 53875346.32 F336 Excluded Area Salaries 6050 6171547.77 F337 Subtotal Salaries 6050 44951655.97 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 6 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F338 Subtotal Other Wages & Related Costs 6050 280035.09 F339 Subtotal Wage-Related Costs 6050 0.000213052 F340 Total (Sum of Lines 3-5) 6050 45931147.81 F341 Net Salaries 6050 51964808.05 F342 Excluded Area Salaries 6050 5870083.40 F343 Subtotal Salaries (Line 7 minus Line 8 6050 44166336.86 F344 Subtotal - Other Wages & Related Costs 6050 255615.97 F345 Subtotal Wage Related Costs 6050 0 F346 Total (Sum of Lines 9-11) 6050 45242035.45 F347 Total Overhead Costs 6050 17827291.07 F348 Net Salaries 6050 1440.38 F349 Excluded Area Salaries 6050 1328.53 F350 Subtotal Salaries 6050 1444.41 F351 Subtotal Other Wages & Related Costs 6050 2749.99 F352 Subtotal Wage-Related Costs 6050 19.2304278 F353 Total (Sum of Lines 3-5) 6050 1767.01 F354 Net Salaries 6050 1428.84 F355 Excluded Area Salaries 6050 1330.78 F356 Subtotal Salaries (Line 7 minus Line 8 6050 1427.10 F357 Subtotal - Other Wages & Related Costs 6050 2665.19 F358 Subtotal Wage Related Costs 6050 0 F359 Total (Sum of Lines 9-11) 6050 1744.14 F360 Total Overhead Costs 6050 1225.99 F361 Employee Benefits 6050 46530.98 F362 Administrative & General 6050 1162828.09 F363 Maintenance & Repairs 6050 11.6730675 F364 Operation of Plant 6050 102648.75 F365 Laundry & Linen Service 6050 13051.97 F366 Housekeeping 6050 204726.37 F367 Dietary 6050 267750.46 F368 Cafeteria 6050 0.000239111 F369 Maintenance of Personnel 6050 1.5475906E-7 F370 Nursing Administration 6050 269008.19 F371 Central Services & Supply 6050 33950.73 F372 Pharmacy 6050 92909.11 F373 Medical Records & Medical Records Libr 6050 210562.18 F374 Social Service 6050 26379.79 F375 Other General Service 6050 0.0089178 F376 Nonphysician Anesthetists 6050 -0.000012715 F377 Nursing School 6050 0.000021396 F378 Interns & Residents in Approved Progra 6050 0.0011411 F379 Interns & Residents in Approved Prog - 6050 0.000801430 F380 Paramedical Education Program 6050 0.000019045 F381 Adults & Pediatrics - (General Routine 6050 1719828.77 F382 ICU 6050 288936.89 F383 Coronary Care Unit 6050 0.000216925 F384 Burn ICU 6050 2.7962625E-8 F385 Surgical ICU 6050 0.000379414 F386 Other Special Care 6050 0.000532057 F387 Sub. Prov. I 6050 0.0118243 F388 Sub. Prov. II 6050 0.000056114 F389 Nursery 6050 194.9035589 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 7 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F390 Skilled Nursing Facility 6050 1.9270434 F391 Nursing Facility 6050 4.3344375E-6 F392 Other Long Term Care 6050 0.000454334 F393 Operating Room 6050 395521.65 F394 Recovery Room 6050 7.9650033 F395 Delivery Room & Labor Room 6050 510.1079045 F396 Anesthesiology 6050 2.1012840 F397 Radiology - Diagnostic 6050 343617.23 F398 Radiology - Therapeutic 6050 0.000097988 F399 Radioisotope 6050 0.0034340 F400 Laboratory 6050 356842.95 F401 Whole Blood & Packed Red Blood Cells 6050 2.6660224E-6 F402 'Blood Storing, Processing, & Trans.' 6050 6.1561967E-6 F403 Intravenous Therapy 6050 0.000029883 F404 Respiratory Therapy 6050 191738.59 F405 Physical Therapy 6050 123056.14 F406 Occupational Therapy 6050 0.0036719 F407 Speech Pathology 6050 0.000805968 F408 Electrocardiology 6050 18044.14 F409 Electrocephalography 6050 0.000078137 F410 Medical Supplies Charged to Patients 6050 0.4891495 F411 Drugs Charged to Patients 6050 2.2814451 F412 Renal Dialysis 6050 0.000142185 F413 ASC (Non-Distinct Part) 6050 0.000332077 F414 Other Ancillary 6050 0.3234375 F415 Clinic 6050 8839.81 F416 Emergency 6050 413831.82 F417 Other Outpt. Services 6050 0.0130559 F418 Home Program Dialysis 6050 2.9920123E-9 F419 Ambulance Services 6050 0.0060011 F420 Durable Medical Equipment - Rented 6050 7.956189E-11 F421 Durable Medical Equipment - Sold 6050 0 F422 Other Reimbursable 6050 9.3707895E-7 F423 Outpt. Rehabilitation Provider - CORF 6050 9.3156481E-6 F424 Outpt. Rehabilitation Provider -CMHC 6050 0 F425 Outpt. Rehabilitation Provider - OPT 6050 0 F426 Outpt. Rehabilitation Provider - OOT 6050 0 F427 Outpt. Rehabilitation Provider - OSP 6050 0 F428 Interns & Residents (Non Approved Prog 6050 4.0998525E-9 F429 Home Health Agency 6050 1769.22 F430 Lung Acquisition 6050 0 F431 Kidney Acquisition 6050 2.469799E-7 F432 Liver Acquisition 6050 0 F433 Heart Acquisition 6050 0 F434 Other Organ Acquisition 6050 0 F435 Utilization Review - SNF 6050 0 F436 ASC (Distinct Part) 6050 0 F437 Hospice 6050 0.000132125 F438 Other Special Purpose 6050 5.2527987E-8 F439 Non-Reimbursable Cost Centers 6050 43873.63 F440 Total Salaries - Facility 6050 9467891.10 F441 Old Capital-Related Costs - Buildings 6050 145410.57 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 8 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F442 Old Capital-Related Costs - Movable Eq 6050 12.6825735 F443 New Capital-Related Costs - Buildings 6050 36495.25 F444 New Capital-Related Costs - Movable Eq 6050 13108.26 F445 Employee Benefits 6050 945528.82 F446 Administrative & General 6050 2073078.56 F447 Maintenance & Repairs 6050 0.3552315 F448 Operation of Plant 6050 371755.44 F449 Laundry & Linen Service 6050 63863.73 F450 Housekeeping 6050 83033.81 F451 Dietary 6050 291819.31 F452 Cafeteria 6050 0.000208219 F453 Maintenance of Personnel 6050 1.2062006E-7 F454 Nursing Administration 6050 26126.94 F455 Central Services & Supply 6050 56607.32 F456 Pharmacy 6050 212167.13 F457 Medical Records & Medical Records Libr 6050 71934.11 F458 Social Service 6050 1120.47 F459 Other General Service 6050 0.0021834 F460 Nonphysician Anesthetists 6050 0.000021002 F461 Nursing School 6050 -0.000039811 F462 Interns & Residents - Salaries & Fring 6050 -4.872121E-7 F463 Interns & Residents - Other Program Co 6050 0.000136308 F464 Paramedical Education Program 6050 -0.000028163 F465 Adults & Pediatrics - (General Routine 6050 262633.20 F466 ICU 6050 23336.57 F467 Coronary Care Unit 6050 5.7918283E-6 F468 Burn ICU 6050 1.1658069E-8 F469 Surgical ICU 6050 0.000010812 F470 Other Special Care 6050 5.761575E-6 F471 Sub. Prov. I 6050 0.0237340 F472 Sub. Prov. II 6050 0.000069432 F473 Nursery 6050 70.5802076 F474 Skilled Nursing Facility 6050 2.7797021 F475 Nursing Facility 6050 1.1916636E-7 F476 Other Long Term Care 6050 0.000022231 F477 Operating Room 6050 283010.31 F478 Recovery Room 6050 1.0926577 F479 Delivery Room & Labor Room 6050 164.5525414 F480 Anesthesiology 6050 29240.16 F481 Radiology - Diagnostic 6050 462544.62 F482 Radiology - Therapeutic 6050 0.000264402 F483 Radioisotope 6050 0.0140437 F484 Laboratory 6050 517055.48 F485 PBP Clinical Laboratory Service (Progr 6050 0 F486 Whole Blood & Packed Red Blood Cells 6050 0.0025553 F487 'Blood Storing, Processing, & Trans.' 6050 0.000635192 F488 Intravenous Therapy 6050 0.000070730 F489 Respiratory Therapy 6050 83789.66 F490 Physical Therapy 6050 92825.54 F491 Occupational Therapy 6050 20.4377576 F492 Speech Pathology 6050 4.4364946 F493 Electrocardiology 6050 25697.88 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 9 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F494 Electrocephalography 6050 0.0257062 F495 Medical Supplies Charged to Patients 6050 1586.92 F496 Drugs Charged to Patients 6050 10007.01 F497 Renal Dialysis 6050 0.0027222 F498 ASC (Non-Distinct Part) 6050 0.0067931 F499 Other Ancillary 6050 6.8098839 F500 Clinic 6050 2959.05 F501 Emergency 6050 311215.90 F502 Other Outpt. Services 6050 0.0033477 F503 Home Program Dialysis 6050 8.200755E-8 F504 Ambulance Services 6050 0.0104250 F505 Durable Medical Equipment - Rented 6050 9.2817966E-8 F506 Durable Medical Equipment - Sold 6050 0 F507 Other Reimbursable 6050 0.000026923 F508 Outpt. Rehabilitation Provider - CORF 6050 5.2968131E-6 F509 Outpt. Rehabilitation Provider -CMHC 6050 0 F510 Outpt. Rehabilitation Provider - OPT 6050 0 F511 Outpt. Rehabilitation Provider - OOT 6050 0 F512 Outpt. Rehabilitation Provider - OSP 6050 0 F513 Interns & Residents (Non Approved Prog 6050 8.6380957E-9 F514 Home Health Agency 6050 640.9489916 F515 Lung Acquisition 6050 0 F516 Kidney Acquisition 6050 1.0384315E-7 F517 Liver Acquisition 6050 1.682176E-9 F518 Heart Acquisition 6050 3.6411156E-7 F519 Other Organ Acquisition 6050 0.000252573 F520 Interest Expense 6050 61930.18 F521 Utilization Review - SNF 6050 0 F522 Other Capital-Related Costs 6050 21904.29 F523 ASC (Distinct Part) 6050 0 F524 Hospice 6050 0.000362866 F525 Other Special Purpose 6050 0.000048876 F526 Nonreimbursable Cost Centers 6050 47230.28 F527 Total Other Costs - Facility 6050 11374881.52 F528 Old Capital-Related Costs - Buildings 6050 211900.69 F529 Old Capital-Related Costs - Movable Eq 6050 57191.76 F530 New Capital-Related Costs- Buildings 6050 331659.99 F531 New Capital-Related Costs - Movable Eq 6050 446053.26 F532 Employee Benefits 6050 1202092.15 F533 Administrative & General 6050 2886156.68 F534 Maintenance & Repairs 6050 2.3227018 F535 Operation of Plant 6050 503807.71 F536 Laundry & Linen Service 6050 111702.89 F537 Housekeeping 6050 321436.51 F538 Dietary 6050 431488.87 F539 Cafeteria 6050 15.0349955 F540 Maintenance of Personnel 6050 -1.078639E-6 F541 Nursing Administration 6050 302768.91 F542 Central Services & Supply 6050 70111.54 F543 Pharmacy 6050 186865.06 F544 Medical Records & Medical Records Libr 6050 292004.34 F545 Social Service 6050 33438.29 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 10 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F546 Other General Service 6050 0.0040745 F547 Nonphysician Anesthetists 6050 0.000212160 F548 Nursing School 6050 -4.567536E-6 F549 Interns & Residents - Salaries & Fring 6050 0.000660422 F550 Interns & Residents - Other Program Co 6050 0.000279067 F551 Paramedical Education Program 6050 0.000162000 F552 Adults & Pediatrics - (General Routine 6050 1945889.39 F553 ICU 6050 324021.05 F554 Coronary Care Unit 6050 0.000055542 F555 Burn ICU 6050 4.3152777E-8 F556 Surgical ICU 6050 0.000258216 F557 Other Special Care 6050 1.0129515E-7 F558 Sub. Prov. I 6050 0.0143567 F559 Sub. Prov. II 6050 0.000020868 F560 Nursery 6050 13505.56 F561 Skilled Nursing Facility 6050 15.1352003 F562 Nursing Facility 6050 0.000013990 F563 Other Long Term Care 6050 0.000375258 F564 Operating Room 6050 603466.38 F565 Recovery Room 6050 3.9621382 F566 Delivery Room and Labor Room 6050 17371.63 F567 Anesthesiology 6050 11557.54 F568 Radiology - Diagnostic 6050 748588.48 F569 Radiology - Therapeutic 6050 0.000220474 F570 Radioisotope 6050 0.0050207 F571 Laboratory 6050 859439.05 F572 PBP Clinical Lab Services (Program Onl 6050 0 F573 Whole Blood & Packed Red Blood Cells 6050 5.2001068E-7 F574 'Blood Storing, Processing, & Trans.' 6050 1.3841925 F575 Intravenous Therapy 6050 0.0041666 F576 Respiratory Therapy 6050 272060.38 F577 Physical Therapy 6050 291347.23 F578 Occupational Therapy 6050 181.6842877 F579 Speech Pathology 6050 23.6175900 F580 Electrocardiology 6050 44217.85 F581 Electroencephalography 6050 2.3074186 F582 Medical Supplies Charged to Patients 6050 314613.53 F583 Drugs Charged to Patients 6050 385141.41 F584 Renal Dialysis 6050 0.0030084 F585 ASC (Non-Distinct Part) 6050 0.000235427 F586 Other Ancillary 6050 11.6969305 F587 Clinic 6050 12989.79 F588 Emergency 6050 512995.16 F589 Other Outpt. Services 6050 0.0019308 F590 Home Program Dialysis 6050 1.7988964E-6 F591 Ambulance Services 6050 0.0176086 F592 Durable Medical Equipment - Rented 6050 0.000117473 F593 Durable Medical Equipment - Sold 6050 0 F594 Other Reimbursable 6050 1.8794246E-6 F595 Outpt. Rehabilitation Provider - CORF 6050 0.000011869 F596 Outpt. Rehabilitation Provider - CMHC 6050 0 F597 Outpt. Rehabilitation Provider - OPT 6050 0 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 11 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F598 Outpt. Rehabilitation Provider - OOT 6050 0 F599 Outpt. Rehabilitation Provider - OSP 6050 0 F600 Intern & Resident Service (Non-Approve 6050 8.9950856E-8 F601 Home Health Agency 6050 2460.85 F602 Lung Acquisition 6050 0 F603 Kidney Acquisition 6050 2.9868707E-7 F604 Liver Acquisition 6050 1.6320367E-8 F605 Heart Acquisition 6050 6.9169092E-8 F606 Other Organ Acquisition 6050 7.0444523E-9 F607 ASC (Distinct Part) 6050 0 F608 Hospice 6050 0.000213740 F609 Other Special Purpose 6050 0.000080704 F610 Nonreimbursable Cost Centers 6050 203655.18 F611 Total Cost Before Allocation - Facilit 6050 19780955.06 F612 Nonphysician Anesthetists 6050 0.000457714 F613 Nursing School 6050 0.000240048 F614 Interns & Residents - Salary & Fringes 6050 0.000191454 F615 Interns & Residents - Program Costs (A 6050 0.0033290 F616 Paramedical Education 6050 0.000031217 F617 Adults & Pediatrics - (General Routine 6050 4850232.91 F618 ICU 6050 633670.25 F619 Coronary Care Unit 6050 0.000081920 F620 Burn ICU 6050 6.4549528E-8 F621 Surgical ICU 6050 0.000041886 F622 Other Special Care 6050 0.000256725 F623 Sub. Prov. I 6050 0.0064452 F624 Sub. Prov. II 6050 0.000013817 F625 Nursery 6050 41852.50 F626 Skilled Nursing Facility 6050 290.0408371 F627 Nursing Facility 6050 0.000038076 F628 Other Long Term Care 6050 0.000014972 F629 Operating Room 6050 1256412.13 F630 Recovery Room 6050 5.1672629 F631 Delivery Room and Labor Room 6050 52184.64 F632 Anesthesiology 6050 52566.97 F633 Radiology - Diagnostic 6050 1285302.89 F634 Radiology - Therapeutic 6050 0.000543223 F635 Radioisotope 6050 0.0236004 F636 Laboratory 6050 1308139.13 F637 PBP Clinical Lab Services (Program Onl 6050 0 F638 Whole Blood & Packed Red Blood Cells 6050 0.000997403 F639 'Blood Storing, Processing, & Trans.' 6050 1.3650172 F640 Intravenous Therapy 6050 0.000500979 F641 Respiratory Therapy 6050 440097.93 F642 Physical Therapy 6050 496992.83 F643 Occupational Therapy 6050 304.6396509 F644 Speech Pathology 6050 31.6404414 F645 Electrocardiology 6050 77776.70 F646 Electroencephalography 6050 2.0255574 F647 Medical Supplies Charged to Patients 6050 703293.47 F648 Drugs Charged to Patients 6050 1059528.92 F649 Renal Dialysis 6050 0.0082036 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 12 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F650 ASC (Non-Distinct Part) 6050 0.000113449 F651 Other Ancillary 6050 31.0498937 F652 Clinic 6050 29569.45 F653 Emergency 6050 962057.51 F654 Other Outpt. Services 6050 0.0161999 F655 Home Program Dialysis 6050 6.5087017E-6 F656 Ambulance Services 6050 0.0201251 F657 Durable Medical Equipment - Rented 6050 0.000182868 F658 Durable Medical Equipment - Sold 6050 0 F659 Other Reimbursable 6050 9.4905888E-6 F660 Outpt. Rehabilitation Provider - CORF 6050 0.000034798 F661 Outpt. Rehabilitation Provider - CMHC 6050 0 F662 Outpt. Rehabilitation Provider - OPT 6050 0 F663 Outpt. Rehabilitation Provider - OOT 6050 0 F664 Outpt. Rehabilitation Provider - OSP 6050 0 F665 Interns & Residents Service (Non-Appro 6050 1.2982019E-7 F666 Home Health Agency 6050 3528.53 F667 Lung Acquisition 6050 0 F668 Kidney Acquisition 6050 6.4866916E-8 F669 Liver Acquisition 6050 1.8390641E-8 F670 Heart Acquisition 6050 5.5948652E-9 F671 Other Organ Acquisition 6050 2.252682E-8 F672 ASC (Distinct Part) 6050 0 F673 Hospice 6050 0.0013653 F674 Other Special Purpose 6050 0.000101960 F675 Nonreimbursable Cost Centers 6050 462429.73 F676 Cross Foot Adjustments 6050 0 F677 Negative Cost Centers 6050 -1.08546E-7 F678 Total Costs - Facility 6050 19778841.95 F679 Respiratory Therapy Limit Adjustment 6050 2.5346035E-8 F680 Physical Therapy Limit Adjustment 6050 0.000026721 F681 Adults & Pediatrics - (General Routine 6050 2959440.47 F682 ICU 6050 567216.85 F683 Cororonary Care Unit 6050 0.000200776 F684 Burn ICU 6050 0 F685 Surgical ICU 6050 0.000028086 F686 Other Special Care 6050 0.000579936 F687 Sub. Prov. I 6050 0.0742437 F688 Sub. Prov. II 6050 0.000263115 F689 Nursery 6050 40731.42 F690 Skilled Nursing Facility 6050 124.9393321 F691 Nursing Facility 6050 0.000042153 F692 Other Long Term Care 6050 0.000678971 F693 Operating Room 6050 1163170.87 F694 Recovery Room 6050 20.6329243 F695 Delivery Room & Labor Room 6050 50318.83 F696 Anesthesiology 6050 49276.08 F697 Radiology - Diagnostic 6050 1211065.79 F698 Radiology - Therapeutic 6050 0.000055881 F699 Radioisotope 6050 0.0224447 F700 Laboratory 6050 1247099.89 F701 PBP Clinical Lab Services (Program Onl 6050 0 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 13 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F702 Whole Blood & Packed Red Blood Cells 6050 0.000143671 F703 'Blood Storing, Processing, Trans.' 6050 2.4814403 F704 Intravenous Therapy 6050 0.0013187 F705 Respiratory Therapy 6050 367593.02 F706 Physical Therapy 6050 406017.76 F707 Occupational Therapy 6050 13.9541345 F708 Speech Pathology 6050 0.7084245 F709 Electrocardiology 6050 67902.84 F710 Electroencephalography 6050 1.9020828 F711 Medical Supplies Charged to Patients 6050 614644.27 F712 Drugs Charged to Patients 6050 913598.86 F713 Renal Dialysis 6050 0.000408430 F714 ASC (Non-Distinct Part) 6050 0.000801400 F715 Other Ancillary 6050 0.2335823 F716 Clinic 6050 56.6923484 F717 Emergency 6050 959775.17 F718 Observation Beds 6050 75779.81 F719 Other Outpt. Services 6050 0.000123105 F720 Home Program Dialysis 6050 3.9406227E-8 F721 Ambulance Services 6050 0.0185180 F722 Durable Medical Equipment - Rented 6050 0 F723 Durable Medical Equipment - Sold 6050 0 F724 Other Reimbursable Costs 6050 6.5447377E-7 F725 Subtotal 6050 14245276.70 F726 Less: Observation Beds 6050 75779.81 F727 Total Costs - Facility (Line 101 minus 6050 14123281.55 F728 Total Capital Reduction - Facility 6050 65401.20 F729 Total Operating Cost Reduction - Facil 6050 437070.52 F730 Adults & Pediatrics - (General Routine 6050 4806287.39 F731 ICU 6050 539571.01 F732 Cororonary Care Unit 6050 0.000768434 F733 Burn ICU 6050 2.027309E-7 F734 Surgical ICU 6050 1.2708342E-6 F735 Other Special Care 6050 0.000471417 F736 Sub. Prov. I 6050 0.3509900 F737 Sub. Prov. II 6050 2.4392966E-6 F738 Nursery 6050 33700.70 F739 Skilled Nursing Facility 6050 240.1228228 F740 Nursing Facility 6050 0.000101023 F741 Other Long Term Care 6050 0.000524924 F742 Operating Room 6050 894826.61 F743 Recovery Room 6050 27.2259493 F744 Delivery Room & Labor Room 6050 41610.17 F745 Anesthesiology 6050 79605.05 F746 Radiology - Diagnostic 6050 841753.40 F747 Radiology - Therapeutic 6050 0.000011569 F748 Radioisotope 6050 0.000465115 F749 Laboratory 6050 1591095.92 F750 PBP Clinical Lab Services (Program Onl 6050 0 F751 Whole Blood & Packed Red Blood Cells 6050 0.0024141 F752 'Blood Storing, Processing, Trans.' 6050 4.7270628 F753 Intravenous Therapy 6050 0.0067636 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 14 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F754 Respiratory Therapy 6050 1039946.36 F755 Physical Therapy 6050 263322.66 F756 Occupational Therapy 6050 95.2648889 F757 Speech Pathology 6050 10.0507967 F758 Electrocardiology 6050 148655.23 F759 Electroencephalography 6050 6.8853054 F760 Medical Supplies Charged to Patients 6050 1318642.08 F761 Drugs Charged to Patients 6050 2333024.74 F762 Renal Dialysis 6050 8.6766802 F763 ASC (Non-Distinct Part) 6050 0.000040888 F764 Other Ancillary 6050 1.1776392 F765 Clinic 6050 0.000627793 F766 Emergency 6050 178536.86 F767 Observation Beds 6050 1.3917998 F768 Other Outpt. Services 6050 0.000045444 F769 Home Program Dialysis 6050 1.3257353E-9 F770 Ambulance Services 6050 0.0032419 F771 Durable Medical Equipment - Rented 6050 0.000036632 F772 Durable Medical Equipment - Sold 6050 0 F773 Other Reimbursable Costs 6050 6.2557037E-8 F774 Operating Room 6050 783985.96 F775 Recovery Room 6050 8.5436912 F776 Delivery Room & Labor Room 6050 187.7858404 F777 Anesthesiology 6050 62216.09 F778 Radiology - Diagnostic 6050 1677405.78 F779 Radiology - Therapeutic 6050 0.000016404 F780 Radioisotope 6050 0.0010461 F781 Laboratory 6050 1272633.29 F782 PBP Clinical Lab Services (Program Onl 6050 0 F783 Whole Blood & Packed Red Blood Cells 6050 0.000102843 F784 'Blood Storing, Processing, Trans.' 6050 1.9875006 F785 Intravenous Therapy 6050 0.0013331 F786 Respiratory Therapy 6050 117584.47 F787 Physical Therapy 6050 292357.37 F788 Occupational Therapy 6050 0.5299958 F789 Speech Pathology 6050 0.5626043 F790 Electrocardiology 6050 112889.39 F791 Electroencephalography 6050 0.0019794 F792 Medical Supplies Charged to Patients 6050 384931.60 F793 Drugs Charged to Patients 6050 500967.58 F794 Renal Dialysis 6050 0.000129710 F795 ASC (Non-Distinct Part) 6050 0.000249868 F796 Other Ancillary 6050 1.1823515 F797 Clinic 6050 104.5689242 F798 Emergency 6050 608952.05 F799 Observation Beds 6050 29214.94 F800 Other Outpt. Services 6050 0.0013816 F801 Home Program Dialysis 6050 1.6895412E-6 F802 Ambulance Services 6050 0.0299304 F803 Durable Medical Equipment - Rented 6050 0 F804 Durable Medical Equipment - Sold 6050 0 F805 Other Reimbursable Costs 6050 0.000025002 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 15 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F806 Operating Room 6050 493001.10 F807 Recovery Room 6050 125.2212933 F808 Delivery Room & Labor Room 6050 436737.14 F809 Anesthesiology 6050 118746.55 F810 Radiology - Diagnostic 6050 436707.00 F811 Radiology - Therapeutic 6050 0.000533599 F812 Radioisotope 6050 43.4060088 F813 Laboratory 6050 418726.58 F814 PBP Clinical Lab Services 6050 0 F815 Whole Blood & Packed Red Blood Cells 6050 0.0049329 F816 'Blood Storing, Processing, Trans.' 6050 29.6384494 F817 Intravenous Therapy 6050 0.000387603 F818 Respiratory Therapy 6050 269952.93 F819 Physical Therapy 6050 649247.37 F820 Occupational Therapy 6050 1509.09 F821 Speech Pathology 6050 974.1279296 F822 Electrocardiology 6050 218067.83 F823 Electroencephalography 6050 84.0729828 F824 Medical Supplies Charged to Patients 6050 359398.12 F825 Drugs Charged to Patients 6050 354433.86 F826 Renal Dialysis 6050 0.000584725 F827 ASC (Non-Distinct Part) 6050 0.0076881 F828 Other Ancillary 6050 222.4407709 F829 Clinic 6050 281124.23 F830 Emergency 6050 737500.86 F831 Observation Beds 6050 585546.76 F832 Other Outpt. Service 6050 1.1544054 F833 Home Program Dialysis 6050 0.000159877 F834 Durable Medical Equipment - Rented 6050 1.0833636E-8 F835 Durable Medical Equipment - Sold 6050 0 F836 Other Reimbursable Costs 6050 0.0095433 F837 Operating Room 6050 464608.63 F838 Recovery Room 6050 0.2505317 F839 Delivery Room & Labor Room 6050 409909.77 F840 Anesthesiology 6050 114395.55 F841 Radiology - Diagnostic 6050 412361.01 F842 Radiology - Therapeutic 6050 0.0080057 F843 Radioisotope 6050 10.5377093 F844 Laboratory 6050 394717.70 F845 PBP Clinical Lab Services (Program Onl 6050 0 F846 Whole Blood & Packed Red Blood Cells 6050 0.0011412 F847 'Blood Storing, Processing, Trans.' 6050 27.3416885 F848 Intravenous Therapy 6050 0.000129247 F849 Respiratory Therapy 6050 254697.22 F850 Physical Therapy 6050 599355.03 F851 Occupational Therapy 6050 1375.12 F852 Speech Pathology 6050 898.8927390 F853 Electrocardiology 6050 204828.00 F854 Electroencephalography 6050 33.5848920 F855 Medical Supplies Charged to Patients 6050 340523.60 F856 Drugs Charged to Patients 6050 336300.39 F857 Renal Dialysis 6050 0.0061261 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 16 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F858 ASC (Non-Distinct Part) 6050 0.0351820 F859 Other Ancillary 6050 16.5781516 F860 Clinic 6050 244115.75 F861 Emergency 6050 689692.24 F862 Observation Beds 6050 571520.39 F863 Other Outpt. Services 6050 1.9730738 F864 Home Program Dialysis 6050 0.000150445 F865 Durable Medical Equipment - Rented 6050 1.0183275E-8 F866 Durable Medical Equipment - Sold 6050 0 F867 Other Reimbursable Costs 6050 0.000388255 F868 Adults & Pediatrics - (General Routine 6050 1530122.04 F869 ICU 6050 38100.22 F870 Coronary Care Unit 6050 0.000062300 F871 Burn ICU 6050 0 F872 Surgical ICU 6050 9.8052638E-6 F873 Other Special Care Unit 6050 3.1563765E-8 F874 Operating Room 6050 308774.23 F875 Recovery Room 6050 4.2169659 F876 Delivery Room & Labor Room 6050 0.0582593 F877 Anesthesiology 6050 17521.85 F878 Radiology - Diagnostic 6050 410581.37 F879 Radiology - Therapeutic 6050 3.5269398E-6 F880 Radioisotope 6050 7.6326414E-6 F881 Laboratory 6050 828971.85 F882 PBP Clinical Lab Services (Program Onl 6050 0 F883 Whole Blood & Packed Red Blood Cells 6050 0.000390532 F884 'Blood Storing, Processing, Trans.' 6050 0.0068569 F885 Intravenous Therapy 6050 0.0012481 F886 Respiratory Therapy 6050 491001.74 F887 Physical Therapy 6050 86493.83 F888 Occupational Therapy 6050 4.7024769 F889 Speech Pathology 6050 0.3370701 F890 Electrocardiology 6050 88640.68 F891 Electroencephalography 6050 2.6226392 F892 Medical Supplies Charged to Patients 6050 702064.00 F893 Drugs Charged to Patients 6050 1136686.59 F894 Renal Dialysis 6050 0.000418136 F895 ASC (Non-Distinct Part) 6050 0.000114106 F896 Other Ancillary 6050 0.0250824 F897 Clinic 6050 0.0279631 F898 Emergency 6050 84998.09 F899 Observation Beds 6050 210.6186621 F900 Other Outpt. Service 6050 1.3519846E-6 F901 Home Program Dialysis 6050 0 F902 Durable Medical Equipment - Rented 6050 0 F903 Durable Medical Equipment - Sold 6050 0 F904 Other Reimbursable Costs 6050 0 F905 Total Medicare Part A Ancillary Charge 6050 5355478.38 F906 Net Medicare Part A Ancillary Charges 6050 5355478.38 F907 Operating Room 6050 185644.76 F908 Recovery Room 6050 2.3202872 F909 Delivery Room & Labor Room 6050 0.1693128 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 17 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F910 Anesthesiology 6050 5459.08 F911 Radiology - Diagnostic 6050 178823.50 F912 Radiology - Therapeutic 6050 0.000038237 F913 Radioisotope 6050 0.7338147 F914 Laboratory 6050 329615.85 F915 PBP Clinical Lab Services (Program Onl 6050 0 F916 Whole Blood & Packed Red Blood Cells 6050 0.000153729 F917 'Blood Storing, Processing, Trans.' 6050 0.0043918 F918 Intravenous Therapy 6050 0.000158086 F919 Respiratory Therapy 6050 162703.44 F920 Physical Therapy 6050 59865.59 F921 Occupational Therapy 6050 3.7218542 F922 Speech Pathology 6050 0.2350305 F923 Electrocardiology 6050 19426.47 F924 Electroencephalography 6050 0.6634629 F925 Medical Supplies Charged to Patients 6050 244796.40 F926 Drugs Charged to Patients 6050 380905.78 F927 Renal Dialysis 6050 2.4019087E-6 F928 ASC (Non-Distinct Part) 6050 0.000021184 F929 Other Ancillary 6050 0.0020651 F930 Clinic 6050 0.000354442 F931 Emergency 6050 87835.30 F932 Observation Beds 6050 182.9858712 F933 Other Outpt. Service 6050 0.000030210 F934 Home Program Dialysis 6050 0 F935 Durable Medical Equipment - Rented 6050 0 F936 Durable Medical Equipment - Sold 6050 0 F937 Other Reimbursable Costs 6050 0 F938 Total Medicare Part A Costs - Hosp. 6050 2167612.05 F939 Total Swing-Bed Cost 6050 0.9915742 F940 General Inpatient Routine Service 6050 4839839.88 F941 General Inpatient Routine Service Cost 6050 4781078.51 F942 General Inpatient Routine Service 6050 2041530.40 F943 ICU - Medicare Cost 6050 349736.16 F944 Coronary Care Unit - Medicare Cost 6050 0.000135786 F945 Burn ICU - Medicare Cost 6050 0 F946 Surgical ICU - Medicare Cost 6050 0.000104325 F947 Other Special Care Unit - Medicare Cos 6050 6.536132E-8 F948 Medicare Inpatient Ancillary 6050 2148396.87 F949 'Total Medicare Inpatient Operating Co 6050 4593486.20 F950 Pass Through Costs - Program Inpatient 6050 243589.10 F951 Pass Through Costs - Program Inpatient 6050 145532.15 F952 Total Program Excludable Costs 6050 389672.13 F953 Total Program Inpatient Operating Cost 6050 4066681.30 F954 TEFRA Target Amount per Discharge 6050 0.0306758 F955 Target Amount 6050 0.0777753 F956 Difference Between Adjusted Inpatient 6050 0.0132216 F957 Incentive/Penalty Payment 6050 0.0029574 F958 Inpatient Cost Plus Incentive Payment 6050 0.0938758 F959 Operating Room 6050 0.0055981 F960 Recovery Room 6050 1.6923792E-7 F961 Delivery Room & Labor Room 6050 1.489434E-10 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 18 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F962 Anesthesiology 6050 2.0209461E-6 F963 Radiology - Diagnostic 6050 0.000169084 F964 Radiology - Therapeutic 6050 1.7315754E-7 F965 Radioisotope 6050 1.1636421E-7 F966 Laboratory 6050 0.000084240 F967 PBP Clinical Lab Services (Program Onl 6050 0 F968 Whole Blood & Packed Red Blood Cells 6050 2.8608038E-6 F969 'Blood Storing, Processing, Trans.' 6050 1.8794057E-7 F970 Intravenous Therapy 6050 1.763184E-8 F971 Respiratory Therapy 6050 0.000063427 F972 Physical Therapy 6050 0.000452508 F973 Occupational Therapy 6050 5.3649881E-7 F974 Speech Pathology 6050 5.7683731E-6 F975 Electrocardiology 6050 0.000029100 F976 Electroencephalography 6050 4.6402795E-7 F977 Medical Supplies Charged to Patients 6050 0.000097531 F978 Drugs Charged to Patients 6050 0.0014133 F979 Renal Dialysis 6050 1.379882E-6 F980 ASC (Non-Distinct Part) 6050 3.9588437E-7 F981 Other Ancillary 6050 0.000055149 F982 Clinic 6050 9.3413471E-7 F983 Emergency 6050 0.000032860 F984 Observation Beds 6050 0 F985 Other Outpt. Services 6050 7.6886325E-8 F986 Home Program Dialysis 6050 0 F987 Durable Medical Equipment - Rented 6050 0 F988 Durable Medical Equipment - Sold 6050 0 F989 Other Reimbursable Costs 6050 0 F990 Total Medicare Part A Ancillary Costs 6050 0.0102283 F991 General Inpatient Routine Service Cost 6050 0.0070964 F992 General Inpatient Routine Service Cost 6050 0.2262332 F993 Total Program General Inpatient Routin 6050 0.0317575 F994 Medicare Inpatient Ancillary Cost 6050 0.0183827 F995 Total Medicare Inpatient Operating Cos 6050 0.0699846 F996 Pass Through Costs - Program Inpatient 6050 0.000764002 F997 Pass Through Costs - Program Inpatient 6050 0.000129657 F998 Total Program Excludable Costs 6050 0.0037927 F999 Total Program Inpatient Operating Cost 6050 0.0099019 F1000 TEFRA Target Amount Per Discharge 6050 0.0102524 F1001 Target Amount 6050 0.0283880 F1002 Difference Between Adjusted Inpatient 6050 0.000137492 F1003 Incentive/Penalty Amount 6050 0.000137912 F1004 Inpatient Cost Plus Incentive Payment 6050 0.1359796 F1005 Operating Room 6050 6.6783566E-8 F1006 Recovery Room 6050 2.9356683E-8 F1007 Delivery Room & Labor Room 6050 0 F1008 Anesthesiology 6050 3.7691156E-8 F1009 Radiology - Diagnostic 6050 8.1480598E-6 F1010 Radiology - Therapeutic 6050 2.7640623E-8 F1011 Radioisotope 6050 1.3867565E-6 F1012 Laboratory 6050 1.0416078E-7 F1013 PBP Clinical Lab Services (Program Onl 6050 0 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 19 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1014 Whole Blood & Packed Red Blood Cells 6050 6.888073E-12 F1015 'Blood Storing, Processing, Trans.' 6050 4.5939934E-8 F1016 Intravenous Therapy 6050 7.520375E-10 F1017 Respiratory Therapy 6050 5.46401E-6 F1018 Physical Therapy 6050 9.3936352E-6 F1019 Occupational Therapy 6050 1.7288788E-6 F1020 Speech Pathology 6050 2.9218547E-6 F1021 Electrocardiology 6050 4.4479372E-7 F1022 Electroencephalography 6050 1.4637752E-7 F1023 Medical Supplies Charged to Patients 6050 1.5759769E-7 F1024 Drugs Charged to Patients 6050 2.8580977E-7 F1025 Renal Dialysis 6050 5.79482E-10 F1026 ASC (Non-Distinct Part) 6050 0 F1027 Other Ancillary 6050 2.0537943E-8 F1028 Clinic 6050 1.2268297E-9 F1029 Emergency 6050 1.476803E-6 F1030 Observation Beds 6050 0 F1031 Other Outpt. Services 6050 0 F1032 Home Program Dialysis 6050 0 F1033 Durable Medical Equipment - Rented 6050 0 F1034 Durable Medical Equipment - Sold 6050 0 F1035 Other Reimbursable Costs 6050 0 F1036 Total Medicare Part A Ancillary Costs 6050 1.5586608E-6 F1037 General Inpatient Routine Service Cost 6050 0.000050823 F1038 General Inpatient Routine Service Cost 6050 0.000050823 F1039 Total Program General Inpatient Routin 6050 0.000019076 F1040 Medicare Inpatient Ancillary Cost 6050 3.2906837E-6 F1041 Total Medicare Inpatient Operating Cos 6050 0.000398508 F1042 Pass Through Costs - Program Inpatient 6050 0.000043819 F1043 Pass Through Costs - Program Inpatient 6050 1.2792258E-6 F1044 Total Program Excludable Costs 6050 3.2765233E-7 F1045 Total Program Inpatient Operating Cost 6050 0.000012332 F1046 TEFRA Target Amount Per Discharge 6050 0.000039874 F1047 Target Amount 6050 0.000052992 F1048 Difference Between Adjusted Inpatient 6050 0.000227479 F1049 Incentive/Penalty Amount 6050 2.9930349E-7 F1050 Inpatient Cost Plus Incentive Payment 6050 0.000015675 F1051 Operating Room 6050 238068.62 F1052 Recovery Room 6050 1.3514205 F1053 Delivery Room & Labor Room 6050 3.05086E-11 F1054 Anesthesiology 6050 8393.30 F1055 Radiology - Diagnostic 6050 1.9918173E-6 F1056 Radiology - Therapeutic 6050 1.0108571E-6 F1057 Radioisotope 6050 9.4943827E-9 F1058 Laboratory 6050 0.000031228 F1059 PBP Clinical Lab Services (Program Onl 6050 0 F1060 Whole Blood & Packed Red Blood Cells 6050 4.9112784E-7 F1061 'Blood Storing, Processing, Trans.' 6050 4.2122288E-7 F1062 Intravenous Therapy 6050 3.941438E-7 F1063 Respiratory Therapy 6050 4.8237595E-6 F1064 Physical Therapy 6050 7.2686715E-9 F1065 Occupational Therapy 6050 2.417758E-12 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 20 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1066 Speech Pathology 6050 0 F1067 Electrocardiology 6050 9.0480473E-8 F1068 Electroencephalography 6050 1.058547E-10 F1069 Medical Supplies Charged to Patients 6050 80866.67 F1070 Drugs Charged to Patients 6050 51726.79 F1071 Renal Dialysis 6050 0 F1072 ASC (Non-Distinct Part) 6050 0.000017618 F1073 Other Ancillary 6050 5.3160172E-6 F1074 Clinic 6050 0.000041845 F1075 Emergency 6050 1298.83 F1076 Observation Beds 6050 513.8275595 F1077 Other Outpt. Services 6050 1.5578802E-6 F1078 Home Program Dialysis 6050 0 F1079 Ambulance 6050 0 F1080 Durable Medical Equipment - Rented 6050 0 F1081 Durable Medical Equipment - Sold 6050 0 F1082 Other Reimbursable Costs 6050 0 F1083 CRNA Charges 6050 0.000059453 F1084 Total ASC Medicare Part B Charges - Ho 6050 602363.55 F1085 Operating Room 6050 1.2736525E-9 F1086 Recovery Room 6050 0 F1087 Delivery Room & Labor Room 6050 0 F1088 Anesthesiology 6050 2.4724515E-9 F1089 Radiology - Diagnostic 6050 506541.00 F1090 Radiology - Therapeutic 6050 0.000057743 F1091 Radioisotope 6050 0.0037979 F1092 Laboratory 6050 5.6798699E-9 F1093 PBP Clinical Lab Services (Program Onl 6050 0 F1094 Whole Blood & Packed Red Blood Cells 6050 0 F1095 'Blood Storing, Processing, Trans.' 6050 0 F1096 Intravenous Therapy 6050 0 F1097 Respiratory Therapy 6050 3.7088641E-8 F1098 Physical Therapy 6050 0 F1099 Occupational Therapy 6050 0 F1100 Speech Pathology 6050 0 F1101 Electrocardiology 6050 2.5417313E-8 F1102 Electroencephalography 6050 0 F1103 Medical Supplies Charged to Patients 6050 0.000016729 F1104 Drugs Charged to Patients 6050 25.2666103 F1105 Renal Dialysis 6050 0 F1106 ASC (Non-Distinct Part) 6050 4.3770406E-7 F1107 Other Ancillary 6050 3.0795414E-7 F1108 Clinic 6050 1.7792346E-9 F1109 Emergency 6050 2.4248685E-9 F1110 Observation Beds 6050 0 F1111 Other Outpt. Services 6050 0 F1112 Home Program Dialysis 6050 0 F1113 Ambulance 6050 0 F1114 Durable Medical Equipment - Rented 6050 0 F1115 Durable Medical Equipment - Sold 6050 0 F1116 Other Reimbursable Costs 6050 0 F1117 Total Outpt. Radiology Medicare Part B 6050 558491.85 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 21 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1118 Operating Room 6050 0.000026446 F1119 Recovery Room 6050 3.922067E-10 F1120 Delivery Room & Labor Room 6050 5.298067E-10 F1121 Anesthesiology 6050 2.1053826E-7 F1122 Radiology - Diagnostic 6050 46.6320962 F1123 Radiology - Therapeutic 6050 1.1796842E-9 F1124 Radioisotope 6050 1.729046E-10 F1125 Laboratory 6050 0.000029979 F1126 PBP Clinical Lab Services (Program Onl 6050 0 F1127 Whole Blood & Packed Red Blood Cells 6050 0 F1128 'Blood Storing, Processing, Trans.' 6050 1.846296E-10 F1129 Intravenous Therapy 6050 0 F1130 Respiratory Therapy 6050 12583.39 F1131 Physical Therapy 6050 3.1798676E-7 F1132 Occupational Therapy 6050 1.5960132E-8 F1133 Speech Pathology 6050 3.2259E-6 F1134 Electrocardiology 6050 59202.15 F1135 Electroencephalography 6050 0.2360984 F1136 Medical Supplies Charged to Patients 6050 7.4222524E-7 F1137 Drugs Charged to Patients 6050 3.1225617E-6 F1138 Renal Dialysis 6050 0 F1139 ASC (Non-Distinct Part) 6050 1.3737949E-9 F1140 Other Ancillary 6050 9.3066503E-7 F1141 Clinic 6050 2.8495336E-7 F1142 Emergency 6050 6.6174432E-6 F1143 Observation Beds 6050 6.1605964E-6 F1144 Other Outpt. Services 6050 2.6286431E-8 F1145 Home Program Dialysis 6050 0 F1146 Ambulance 6050 0 F1147 Durable Medical Equipment - Rented 6050 0 F1148 Durable Medical Equipment - Sold 6050 0 F1149 Other Reimbursable Costs 6050 0 F1150 Total Other Outpt. Diagnostic Medicare 6050 167191.55 F1151 Operating Room 6050 50633.52 F1152 Recovery Room 6050 1.4053929 F1153 Delivery Room & Labor Room 6050 4.3057151E-6 F1154 Anesthesiology 6050 3043.99 F1155 Radiology - Diagnostic 6050 10799.12 F1156 Radiology - Therapeutic 6050 0.000061358 F1157 Radioisotope 6050 0.000014533 F1158 Laboratory 6050 31940.91 F1159 PBP Clinical Lab Services (Program Onl 6050 0 F1160 Whole Blood & Packed Red Blood Cells 6050 0.000020749 F1161 'Blood Storing, Processing, Trans.' 6050 0.000716137 F1162 Intravenous Therapy 6050 0.000719436 F1163 Respiratory Therapy 6050 11583.03 F1164 Physical Therapy 6050 84273.80 F1165 Occupational Therapy 6050 0.2894183 F1166 Speech Pathology 6050 0.0333613 F1167 Electrocardiology 6050 1209.45 F1168 Electroencephalography 6050 0.000035294 F1169 Medical Supplies Charged to Patients 6050 73187.88 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 22 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1170 Drugs Charged to Patients 6050 109674.82 F1171 Renal Dialysis 6050 5.9769359E-6 F1172 ASC (Non-Distinct Part) 6050 0.000019169 F1173 Other Ancillary 6050 0.000392143 F1174 Clinic 6050 11.8954804 F1175 Emergency 6050 120077.07 F1176 Observation Beds 6050 16856.66 F1177 Other Outpt. Services 6050 0.000133156 F1178 Home Program Dialysis 6050 0 F1179 Ambulance 6050 0.0050760 F1180 Durable Medical Equipment - Rented 6050 0 F1181 Durable Medical Equipment - Sold 6050 0 F1182 Other Reimbursable Costs 6050 1.1192739E-6 F1183 CRNA Charges 6050 0.000059509 F1184 PBP Other Part B Charges 6050 0 F1185 Total Other Medicare Part B Charges - 6050 974394.54 F1186 Operating Room 6050 0 F1187 Recovery Room 6050 0 F1188 Delivery Room & Labor Room 6050 0 F1189 Anesthesiology 6050 0 F1190 Radiology - Diagnostic 6050 4.7637668E-7 F1191 Radiology - Therapeutic 6050 0 F1192 Radioisotope 6050 0 F1193 Laboratory 6050 9.0866341E-7 F1194 PBP Clinical Lab Services (Program Onl 6050 0 F1195 Whole Blood & Packed Red Blood Cells 6050 0 F1196 'Blood Storing, Processing, Trans.' 6050 0 F1197 Intravenous Therapy 6050 0 F1198 Respiratory Therapy 6050 2.978043E-12 F1199 Physical Therapy 6050 1.5495918E-6 F1200 Occupational Therapy 6050 4.3329524E-9 F1201 Speech Pathology 6050 1.881265E-9 F1202 Electrocardiology 6050 5.2096749E-7 F1203 Electroencephalography 6050 1.908728E-11 F1204 Medical Supplies Charged to Patients 6050 1.8866177E-8 F1205 Drugs Charged to Patients 6050 9.992922E-6 F1206 Renal Dialysis 6050 0 F1207 ASC (Non-Distinct Part) 6050 0 F1208 Other Ancillary 6050 2.484302E-9 F1209 Clinic 6050 6.39153E-9 F1210 Emergency 6050 2.2758882E-9 F1211 Observation Beds 6050 0 F1212 Other Outpt. Services 6050 0 F1213 Home Program Dialysis 6050 0 F1214 Ambulance 6050 0 F1215 Durable Medical Equipment - Rented 6050 0 F1216 Durable Medical Equipment - Sold 6050 0 F1217 Other Reimbursable Costs 6050 0 F1218 CRNA Charges 6050 0 F1219 PBP Clinical Lab Charges 6050 0 F1220 Total Other Medicare Part B Charges - 6050 0.000072428 F1221 Operating Room 6050 0 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 23 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1222 Recovery Room 6050 0 F1223 Delivery Room & Labor Room 6050 0 F1224 Anesthesiology 6050 0 F1225 Radiology - Diagnostic 6050 2.304187E-10 F1226 Radiology - Therapeutic 6050 0 F1227 Radioisotope 6050 0 F1228 Laboratory 6050 4.8499835E-9 F1229 PBP Clinical Lab Services (Program Onl 6050 0 F1230 Whole Blood & Packed Red Blood Cells 6050 0 F1231 'Blood Storing, Processing, Trans.' 6050 0 F1232 Intravenous Therapy 6050 0 F1233 Respiratory Therapy 6050 1.585636E-13 F1234 Physical Therapy 6050 2.0396397E-7 F1235 Occupational Therapy 6050 1.845225E-7 F1236 Speech Pathology 6050 9.3706936E-9 F1237 Electrocardiology 6050 7.6446742E-9 F1238 Electroencephalography 6050 0 F1239 Medical Supplies Charged to Patients 6050 0 F1240 Drugs Charged to Patients 6050 0 F1241 Renal Dialysis 6050 0 F1242 ASC (Non-Distinct Part) 6050 0 F1243 Other Ancillary 6050 0 F1244 Clinic 6050 0 F1245 Emergency 6050 0 F1246 Observation Beds 6050 0 F1247 Other Outpt. Services 6050 0 F1248 Home Program Dialysis 6050 0 F1249 Ambulance 6050 0 F1250 Durable Medical Equipment - Rented 6050 0 F1251 Durable Medical Equipment - Sold 6050 0 F1252 Other Reimbursable Costs 6050 0 F1253 CRNA Charges 6050 0 F1254 PBP Clinical Lab Charges 6050 0 F1255 Total Other Medicare Part B Charges 6050 2.8965961E-6 F1256 Operating Room 6050 127851.98 F1257 Recovery Room 6050 1.7512396 F1258 Delivery Room & Labor Room 6050 4.880897E-11 F1259 Anesthesiology 6050 2151.19 F1260 Radiology - Diagnostic 6050 5.0259571E-6 F1261 Radiology - Therapeutic 6050 3.5042226E-8 F1262 Radioisotope 6050 7.5582154E-8 F1263 Laboratory 6050 3.5909845E-7 F1264 PBP Clinical Lab Services (Program Onl 6050 0 F1265 Whole Blood & Packed Red Blood Cells 6050 2.258715E-6 F1266 'Blood Storing, Processing, Trans.' 6050 3.0923226E-8 F1267 Intravenous Therapy 6050 2.0627474E-8 F1268 Respiratory Therapy 6050 3.922239E-7 F1269 Physical Therapy 6050 3.6885366E-9 F1270 Occupational Therapy 6050 1.415025E-12 F1271 Speech Pathology 6050 0 F1272 Electrocardiology 6050 3.5503549E-9 F1273 Electroencephalography 6050 2.767254E-11 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 24 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1274 Medical Supplies Charged to Patients 6050 25390.07 F1275 Drugs Charged to Patients 6050 16271.37 F1276 Renal Dialysis 6050 0 F1277 ASC (Non-Distinct Part) 6050 0.000081723 F1278 Other Ancillary 6050 8.3983954E-6 F1279 Clinic 6050 2.3774898E-6 F1280 Emergency 6050 1050.59 F1281 Observation Beds 6050 411.7458864 F1282 Other Outpt. Services 6050 0.000030652 F1283 Home Program Dialysis 6050 0 F1284 Ambulance 6050 0 F1285 Durable Medical Equipment - Rented 6050 0 F1286 Durable Medical Equipment - Sold 6050 0 F1287 Other Reimbursable Costs 6050 0 F1288 CRNA Costs 6050 -0.000109054 F1289 Total ASC Medicare Part B Costs - Hosp 6050 270896.04 F1290 Operating Room 6050 3.3027918E-8 F1291 Recovery Room 6050 0 F1292 Delivery Room & Labor Room 6050 0 F1293 Anesthesiology 6050 9.926257E-10 F1294 Radiology - Diagnostic 6050 200269.08 F1295 Radiology - Therapeutic 6050 0.000023140 F1296 Radioisotope 6050 0.0012571 F1297 Laboratory 6050 1.395956E-9 F1298 PBP Clinical Lab Services (Program Onl 6050 0 F1299 Whole Blood & Packed Red Blood Cells 6050 0 F1300 'Blood Storing, Processing, Trans.' 6050 0 F1301 Intravenous Therapy 6050 0 F1302 Respiratory Therapy 6050 4.05978E-11 F1303 Physical Therapy 6050 0 F1304 Occupational Therapy 6050 0 F1305 Speech Pathology 6050 0 F1306 Electrocardiology 6050 3.3112665E-9 F1307 Electroencephalography 6050 0 F1308 Medical Supplies Charged to Patients 6050 0.000031353 F1309 Drugs Charged to Patients 6050 6.4535375 F1310 Renal Dialysis 6050 0 F1311 ASC (Non-Distinct Part) 6050 0.000026551 F1312 Other Ancillary 6050 2.1125683E-7 F1313 Clinic 6050 0.0051158 F1314 Emergency 6050 2.4312864E-8 F1315 Observation Beds 6050 0 F1316 Other Outpt. Services 6050 0 F1317 Home Program Dialysis 6050 0 F1318 Ambulance 6050 0 F1319 Durable Medical Equipment - Rented 6050 0 F1320 Durable Medical Equipment - Sold 6050 0 F1321 Other Reimbursable Costs 6050 0 F1322 Total Ouptatient Radiology Medicare Pa 6050 218448.89 F1323 Operating Room 6050 8.6890017E-9 F1324 Recovery Room 6050 1.104305E-10 F1325 Delivery Room & Labor Room 6050 3.96742E-10 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 25 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1326 Anesthesiology 6050 5.7893812E-9 F1327 Radiology - Diagnostic 6050 24.2207096 F1328 Radiology - Therapeutic 6050 3.952941E-10 F1329 Radioisotope 6050 6.093461E-10 F1330 Laboratory 6050 6.2413721E-6 F1331 PBP Clinical Lab Services (Program Onl 6050 0 F1332 Whole Blood & Packed Red Blood Cells 6050 0 F1333 'Blood Storing, Processing, Trans.' 6050 6.611628E-11 F1334 Intravenous Therapy 6050 0 F1335 Respiratory Therapy 6050 3547.75 F1336 Physical Therapy 6050 5.4690001E-7 F1337 Occupational Therapy 6050 1.5981101E-8 F1338 Speech Pathology 6050 5.4776389E-7 F1339 Electrocardiology 6050 12350.52 F1340 Electroencephalography 6050 0.0268185 F1341 Medical Supplies Charged to Patients 6050 1.7388502E-6 F1342 Drugs Charged to Patients 6050 5.6057484E-6 F1343 Renal Dialysis 6050 0 F1344 ASC (Non-Distinct Part) 6050 5.819579E-10 F1345 Other Ancillary 6050 0.000028595 F1346 Clinic 6050 3.5061219E-6 F1347 Emergency 6050 6.1680889E-6 F1348 Observation Beds 6050 9.2131829E-7 F1349 Other Outpt. Services 6050 2.9034183E-9 F1350 Home Program Dialysis 6050 0 F1351 Ambulance 6050 0 F1352 Durable Medical Equipment - Rented 6050 0 F1353 Durable Medical Equipment - Sold 6050 0 F1354 Other Reimbursable Costs 6050 0 F1355 Total Other Outpt. Diagnostic Medicare 6050 48528.53 F1356 Operating Room 6050 27928.93 F1357 Recovery Room 6050 0.3959589 F1358 Delivery Room & Labor Room 6050 2.7324143E-7 F1359 Anesthesiology 6050 673.3449703 F1360 Radiology - Diagnostic 6050 4960.01 F1361 Radiology - Therapeutic 6050 0.000024302 F1362 Radioisotope 6050 4.0836918E-7 F1363 Laboratory 6050 12645.86 F1364 PBP Clinical Lab Services (Program Onl 6050 0 F1365 Whole Blood & Packed Red Blood Cells 6050 0.000011455 F1366 'Blood Storing, Processing, Trans.' 6050 0.000442937 F1367 Intravenous Therapy 6050 3.7081673E-6 F1368 Respiratory Therapy 6050 3621.17 F1369 Physical Therapy 6050 53759.34 F1370 Occupational Therapy 6050 0.1011583 F1371 Speech Pathology 6050 0.000470713 F1372 Electrocardiology 6050 200.9288744 F1373 Electroencephalography 6050 3.5904765E-7 F1374 Medical Supplies Charged to Patients 6050 24971.42 F1375 Drugs Charged to Patients 6050 33725.33 F1376 Renal Dialysis 6050 3.4217067E-6 F1377 ASC (Non-Distinct Part) 6050 0.000016064 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 26 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1378 Other Ancillary 6050 0.000398299 F1379 Clinic 6050 0.0956965 F1380 Emergency 6050 109977.79 F1381 Observation Beds 6050 14676.18 F1382 Other Outpt. Services 6050 0.000014437 F1383 Home Program Dialysis 6050 0 F1384 Ambulance 6050 0.0038347 F1385 Durable Medical Equipment - Rented 6050 0 F1386 Durable Medical Equipment - Sold 6050 0 F1387 Other Reimbursable Costs 6050 2.1297289E-9 F1388 CRNA Costs 6050 0.000035143 F1389 Total Other Medicare Part B Costs - Ho 6050 569967.79 F1390 Operating Room 6050 0 F1391 Recovery Room 6050 0 F1392 Delivery Room & Labor Room 6050 0 F1393 Anesthesiology 6050 0 F1394 Radiology - Diagnostic 6050 6.821349E-8 F1395 Radiology - Therapeutic 6050 0 F1396 Radioisotope 6050 0 F1397 Laboratory 6050 2.8012049E-7 F1398 PBP Clinical Lab Services (Program Onl 6050 0 F1399 Whole Blood & Packed Red Blood Cells 6050 0 F1400 'Blood Storing, Processing, Trans.' 6050 0 F1401 Intravenous Therapy 6050 0 F1402 Respiratory Therapy 6050 1.69044E-12 F1403 Physical Therapy 6050 4.4213775E-8 F1404 Occupational Therapy 6050 1.2848082E-8 F1405 Speech Pathology 6050 2.44055E-10 F1406 Electrocardiology 6050 6.8687857E-8 F1407 Electroencephalography 6050 2.176787E-10 F1408 Medical Supplies Charged to Patients 6050 9.58875E-10 F1409 Drugs Charged to Patients 6050 1.9235019E-6 F1410 Renal Dialysis 6050 0 F1411 ASC (Non-Distinct Part) 6050 0 F1412 Other Ancillary 6050 2.3023482E-9 F1413 Clinic 6050 6.0339432E-9 F1414 Emergency 6050 9.759244E-10 F1415 Observation Beds 6050 0 F1416 Other Outpt. Services 6050 0 F1417 Home Program Dialysis 6050 0 F1418 Ambulance 6050 0 F1419 Durable Medical Equipment - Rented 6050 0 F1420 Durable Medical Equipment - Sold 6050 0 F1421 Other Reimbursable Costs 6050 0 F1422 CRNA Costs 6050 0 F1423 Total Other Medicare Part B Costs - Su 6050 0.000030129 F1424 Operating Room 6050 0 F1425 Recovery Room 6050 0 F1426 Delivery Room & Labor Room 6050 0 F1427 Anesthesiology 6050 0 F1428 Radiology - Diagnostic 6050 5.3175457E-7 F1429 Radiology - Therapeutic 6050 0 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 27 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1430 Radioisotope 6050 0 F1431 Laboratory 6050 1.0016461E-7 F1432 PBP Clinical Lab Services (Program Onl 6050 0 F1433 Whole Blood & Packed Red Blood Cells 6050 0 F1434 'Blood Storing, Processing, Trans.' 6050 0 F1435 Intravenous Therapy 6050 0 F1436 Respiratory Therapy 6050 3.05336E-12 F1437 Physical Therapy 6050 8.3525149E-8 F1438 Occupational Therapy 6050 2.914159E-11 F1439 Speech Pathology 6050 2.0916581E-9 F1440 Electrocardiology 6050 1.7401306E-8 F1441 Electroencephalography 6050 0 F1442 Medical Supplies Charged to Patients 6050 0 F1443 Drugs Charged to Patients 6050 0 F1444 Renal Dialysis 6050 0 F1445 ASC (Non-Distinct Part) 6050 0 F1446 Other Ancillary 6050 0 F1447 Clinic 6050 0 F1448 Emergency 6050 0 F1449 Observation Beds 6050 0 F1450 Other Outpt. Services 6050 0 F1451 Home Program Dialysis 6050 0 F1452 Ambulance 6050 0 F1453 Durable Medical Equipment - Rented 6050 0 F1454 Durable Medical Equipment - Sold 6050 0 F1455 Other Reimbursable Costs 6050 0 F1456 CRNA Costs 6050 0 F1457 Total Other Medicare Part B Costs - Su 6050 1.270509E-7 F1458 Land 6050 37217.74 F1459 Land Improvements 6050 46882.49 F1460 Buildings and Fixtures 6050 2994535.83 F1461 Building Improvements 6050 0.0495669 F1462 Fixed Equipment 6050 38376.13 F1463 Movable Equipment 6050 1790371.87 F1464 Subtotal 6050 7197909.95 F1465 Total Assets - Facility 6050 7166999.44 F1466 Land 6050 0.000083451 F1467 Land Improvements 6050 0 F1468 Buildings and Fixtures 6050 0.000027101 F1469 Building Improvements 6050 7.1902069E-7 F1470 Fixed Equipment 6050 1.3589704E-8 F1471 Movable Equipment 6050 0.000721660 F1472 Subtotal 6050 0.000356657 F1473 Total Purchases - Facility 6050 0.000367344 F1474 Land 6050 0 F1475 Land Improvements 6050 0 F1476 Buildings and Fixtures 6050 0 F1477 Building Improvements 6050 0 F1478 Fixed Equipment 6050 0 F1479 Movable Equipment 6050 0 F1480 Subtotal 6050 0 F1481 Total Donations - Facility 6050 0 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 28 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1482 Land 6050 1.6859101E-8 F1483 Land Improvements 6050 0.000015794 F1484 Buildings and Fixtures 6050 0.000063549 F1485 Building Improvements 6050 5.4104948E-7 F1486 Fixed Equipment 6050 5.7369051E-8 F1487 Movable Equipment 6050 305.7484134 F1488 Subtotal 6050 775.5159335 F1489 Total Disposals & Retirements - Facili 6050 760.5990436 F1490 Land 6050 0 F1491 Land Improvements 6050 0.000806185 F1492 Buildings and Fixtures 6050 0.0102912 F1493 Building Improvements 6050 0.000068402 F1494 Fixed Equipment 6050 0.000533550 F1495 Movable Equipment 6050 0.0300689 F1496 Subtotal 6050 0.0383070 F1497 Total Fully Depreciated Assets - Facil 6050 0.2404223 F1498 Land 6050 1619.12 F1499 Land Improvements 6050 45326.62 F1500 Buildings and Fixtures 6050 2023759.01 F1501 Building Improvements 6050 33.1942389 F1502 Fixed Equipment 6050 113130.50 F1503 Movable Equipment 6050 2910622.98 F1504 Subtotal 6050 7725852.51 F1505 Total Assets - Facility 6050 7505571.68 F1506 Land 6050 0.000272214 F1507 Land Improvements 6050 82.8076764 F1508 Buildings and Fixtures 6050 72776.82 F1509 Building Improvements 6050 0.1638928 F1510 Fixed Equipment 6050 1890.10 F1511 Movable Equipment 6050 465232.55 F1512 Subtotal 6050 1014330.51 F1513 Total Purchases - Facility 6050 968184.98 F1514 Land 6050 0 F1515 Land Improvements 6050 0 F1516 Buildings and Fixtures 6050 0 F1517 Building Improvements 6050 0 F1518 Fixed Equipment 6050 0 F1519 Movable Equipment 6050 1.4494978E-7 F1520 Subtotal 6050 9.7831463E-7 F1521 Total Donations - Facility 6050 2.8950614E-6 F1522 Land 6050 5.5428814E-8 F1523 Land Improvements 6050 0.000011079 F1524 Buildings and Fixtures 6050 0.000145833 F1525 Building Improvements 6050 2.5016078E-6 F1526 Fixed Equipment 6050 9.1951765E-9 F1527 Movable Equipment 6050 238.2138133 F1528 Subtotal 6050 1037.39 F1529 Total Disposals & Retirements Facility 6050 920.8411353 F1530 Land 6050 0 F1531 Land Improvements 6050 4.903919E-6 F1533 Building Improvements 6050 5.2171197E-7 F1534 Fixed Equipment 6050 0.000997900 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 29 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1535 Movable Equipment 6050 0.0121028 F1536 Subtotal 6050 0.1450604 F1537 Total Fully Depreciated Assets - Facil 6050 0.1028191 F1538 Old Capital-Related Cost - Building & 6050 965.4046891 F1539 Old Capital-Related Cost - Movable Equ 6050 133.9652095 F1540 New Capital-Related Cost - Building & 6050 2475.52 F1541 New Capital-Related Cost - Movable Equ 6050 2097.75 F1542 Total Insurance Costs - Facility 6050 13230.21 F1543 Old Capital-Related Cost - Building & 6050 0.000029852 F1544 Old Capital-Related Cost - Movable Equ 6050 0.000030070 F1545 New Capital-Related Cost - Building & 6050 0.000422885 F1546 New Capital-Related Cost - Movable Equ 6050 0.000156476 F1547 Total Taxes - Facility 6050 0.0168143 F1548 Old Capital-Related Cost - Building & 6050 2.8225033E-6 F1549 Old Capital-Related Cost - Movable Equ 6050 9.6796104E-6 F1550 New Capital-Related Cost - Building & 6050 0.000014174 F1551 New Capital-Related Cost - Movable Equ 6050 0.000017713 F1552 Total Other Capital-Related Costs - Fa 6050 0.000043676 F1553 Old Capital-Related Cost - Building & 6050 138103.37 F1554 Old Capital-Related Cost - Movable Equ 6050 40992.98 F1555 New Capital-Related Cost - Building & 6050 219049.00 F1556 New Capital-Related Cost - Movable Equ 6050 331188.81 F1557 Total Depreciation - Facility 6050 1075322.72 F1558 Old Capital-Related Cost - Building & 6050 2.7104238E-8 F1559 Old Capital-Related Cost - Movable Equ 6050 -8.096005E-7 F1560 New Capital-Related Cost - Building & 6050 0.000093514 F1561 New Capital-Related Cost - Movable Equ 6050 2.4076935 F1562 Total Lease Costs - Facility 6050 102.7983198 F1563 Old Capital-Related Cost - Building & 6050 3.6065076 F1564 Old Capital-Related Cost - Movable Equ 6050 0.000220835 F1565 New Capital-Related Cost - Building & 6050 2.4614103 F1566 New Capital-Related Cost - Movable Equ 6050 0.2144616 F1567 Total Interest Costs - Facility 6050 29912.28 F1568 Old Capital-Related Cost - Building & 6050 214323.31 F1569 Old Capital-Related Cost - Movable Equ 6050 57361.21 F1570 New Capital-Related Cost - Building & 6050 331094.82 F1571 New Capital-Related Cost - Movable Equ 6050 443730.97 F1572 Total Capital-Related Costs - Facility 6050 1544297.37 F1573 Total Directly Assigned Old Capital Re 6050 0.8683778 F1574 Adults and Pediatrics (General Routine 6050 86496.68 F1575 ICU 6050 4136.04 F1576 Coronary Care Unit 6050 0.000038766 F1577 Burn ICU 6050 0 F1578 Surgical ICU 6050 2.4266831E-7 F1579 Other Special Care Unit 6050 3.4814285E-6 F1580 Sub. Prov. I 6050 0.0073296 F1581 Sub. Prov. II 6050 4.7604737E-7 F1582 Nursery 6050 321.5441779 F1583 Skilled Nursing Facility 6050 1.6432299 F1584 Nursing Facility 6050 3.2473182E-6 F1585 Other Long Term Care 6050 9.5156111E-6 F1586 Operating Room 6050 27153.68 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 30 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1587 Recovery Room 6050 0.0251353 F1588 Delivery Room and Labor Room 6050 357.7906882 F1589 Anesthesiology 6050 102.5239937 F1590 Radiology - Diagnostic 6050 23050.85 F1591 Radiology - Therapeutic 6050 0.000021651 F1592 Radioisotope 6050 0.1032841 F1593 Laboratory 6050 15108.57 F1594 Whole Blood and Packed Red Blood Cells 6050 4.9793884E-7 F1595 'Blood Storing, Processing, Trans' 6050 0.0083137 F1596 Intravenous Therapy 6050 2.8220671E-7 F1597 Respiratory Therapy 6050 4688.05 F1598 Physical Therapy 6050 7629.68 F1599 Occupational Therapy 6050 0.000434633 F1600 Speech Pathology 6050 0.0044618 F1601 Electrocardiology 6050 496.7742037 F1602 Electroencephalography 6050 0.0615058 F1603 Medical Supplies Charged to Patients 6050 6256.39 F1604 Drugs Charged to Patients 6050 6209.56 F1605 Renal Dialysis 6050 7.6702386E-7 F1606 ASC (Non-Distinct Part) 6050 1.7327093E-6 F1607 Other Ancillary 6050 0.000263779 F1608 Clinic 6050 3.4054950 F1609 Emergency 6050 14872.99 F1610 Other Outpt. Services 6050 0.000056546 F1611 Home Program Dialysis 6050 4.2826217E-9 F1612 Ambulance 6050 8.5153982E-6 F1613 Durable Medical Equipment - Rented 6050 0 F1614 Durable Medical Equipment - Sold 6050 0 F1615 Other Reimbursable Costs 6050 1.6163725E-6 F1616 Outpt. Rehabilitation Providers (Total 6050 5.695166E-6 F1617 Intern - Resident Service (not in appr 6050 0.000015707 F1618 Home Health Agency 6050 9.4744754 F1619 Lung Acquisition 6050 0 F1620 Kidney Acquisition 6050 2.442109E-10 F1621 Liver Acquisition 6050 0 F1622 Heart Acquisition 6050 3.128872E-11 F1623 Other Organ Acquisition 6050 1.2157505E-9 F1624 Ambulatory Surgical Center (Distinct P 6050 0 F1625 Hospice 6050 0.000034816 F1626 Other Special Purpose 6050 0 F1627 Nonreimbursable Costs 6050 4309.28 F1628 Cross Foot Adjustments 6050 0.0022468 F1629 Negative Cost Centers 6050 -2.106915E-6 F1630 Total Old Capital Related Costs - Faci 6050 339935.48 F1631 Total Directly Assigned New Capital Re 6050 1353.82 F1632 Adults & Pediatrics (General Routine C 6050 282878.74 F1633 ICU 6050 22248.84 F1634 Coronary Care Unit 6050 0.000014093 F1635 Burn ICU 6050 6.2555239E-9 F1636 Surgical ICU 6050 2.7548295E-6 F1637 Other Special Care Unit 6050 6.6314607E-7 F1638 Sub. Prov. I 6050 0.0013601 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 31 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1639 Sub. Prov. II 6050 2.4906912E-6 F1640 Nursery 6050 2244.93 F1641 Skilled Nursing Facility 6050 0.0696891 F1642 Nursing Facility 6050 0.000010322 F1643 Other Long Term Care 6050 1.2400448E-6 F1644 Operating Room 6050 80234.48 F1645 Recovery Room 6050 1.5033339 F1646 Delivery Room & Labor Room 6050 3191.63 F1647 Anesthesiology 6050 929.7429492 F1648 Radiology - Diagnostic 6050 80441.26 F1649 Radiology - Therapeutic 6050 9.8279398E-7 F1650 Radioisotope 6050 0.1122088 F1651 Laboratory 6050 40284.87 F1652 Whole Blood & Packed Red Blood Cells 6050 2.960597E-6 F1653 'Blood Storing, Processing, Trans.' 6050 0.0289265 F1654 Intravenous Therapy 6050 0.000019632 F1655 Respiratory Therapy 6050 15320.11 F1656 Physical Therapy 6050 22271.86 F1657 Occupational Therapy 6050 0.8094362 F1658 Speech Pathology 6050 0.0141820 F1659 Electrocardiology 6050 3059.74 F1660 Electroencephalography 6050 0.4262454 F1661 Medical Supplies Charged to Patients 6050 19464.65 F1662 Drugs Charged to Patients 6050 19657.18 F1663 Renal Dialysis 6050 0.000065029 F1664 ASC (Non-Distinct Part) 6050 0.000101845 F1665 Other Ancillary 6050 0.9944549 F1666 Clinic 6050 12.1884702 F1667 Emergency 6050 34216.78 F1668 Other Outpt. Services 6050 0.000733558 F1669 Home Program Dialysis 6050 5.3558122E-8 F1670 Ambulance 6050 0.0012781 F1671 Durable Medical Equipment - Rented 6050 9.6324775E-6 F1672 Durable Medical Equipment - Sold 6050 0 F1673 Other Reimbursable Costs 6050 4.2844813E-7 F1674 Outpt. Rehab Providers (Total) 6050 2.8760619E-8 F1675 Intern - Resident Service (not in appr 6050 2.8120134E-9 F1676 Home Health Agency 6050 69.7827270 F1677 Lung Acquisition 6050 0 F1678 Kidney Acquisition 6050 1.7871845E-9 F1679 Liver Acquisition 6050 2.265288E-10 F1680 Heart Acquisition 6050 1.074121E-10 F1681 Other Organ Acquisition 6050 1.81927E-10 F1682 Ambulatory Surgical Center 6050 0 F1683 Hospice 6050 0.000030451 F1684 Other Special Purpose 6050 5.3867153E-6 F1685 Nonreimbursable Costs 6050 20648.08 F1686 Cross Foot Adjustments 6050 0.0226462 F1687 Negative Cost Centers 6050 3.6801526E-6 F1688 Total New Capital Related Costs - Faci 6050 1075155.36 F1689 Adults & Pediatrics (General Routine C 6050 42697.15 F1690 ICU 6050 2634.35 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 32 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1691 Coronary Care Unit 6050 3.1589875E-6 F1692 Burn ICU 6050 0 F1693 Surgical ICU 6050 6.9377315E-6 F1694 Other Special Care Unit 6050 7.1300481E-9 F1695 Sub. Prov. I 6050 0.0011342 F1696 Sub. Prov. II 6050 1.7815986E-6 F1697 Nursery 6050 0 F1698 Total Medicare Part A Inpatient Routin 6050 52799.39 F1699 Adults & Pediatrics (General Routine C 6050 116121.88 F1700 ICU 6050 11540.57 F1701 Coronary Care Unit 6050 7.7566299E-7 F1702 Burn ICU 6050 0 F1703 Surgical ICU 6050 2.5898972E-7 F1704 Other Special Care Unit 6050 3.9503379E-8 F1705 Sub. Prov. I 6050 0.0025174 F1706 Sub. Prov. II 6050 2.7701756E-7 F1707 Nursery 6050 0 F1708 Total Medicare A Inpatient Routine New 6050 156172.94 F1709 Operating Room 6050 3767.03 F1710 Recovery Room 6050 0.0751874 F1711 Delivery Room & Labor Room 6050 0.0028242 F1712 Anesthesiology 6050 8.9666077 F1713 Radiology - Diagnostic 6050 3068.66 F1714 Radiology - Therapeutic 6050 4.7395305E-8 F1715 Radioisotope 6050 0.0617272 F1716 Laboratory 6050 3636.75 F1717 Whole Blood & Packed Red Blood Cells 6050 2.7630011E-6 F1718 'Blood Storing, Processing, Trans.' 6050 2.1876276E-7 F1719 Intravenous Therapy 6050 1.4180389E-6 F1720 Respiratory Therapy 6050 1722.64 F1721 Physical Therapy 6050 609.2409608 F1722 Occupational Therapy 6050 0.0010030 F1723 Speech Pathology 6050 0.000605757 F1724 Electrocardiology 6050 130.4306979 F1725 Electroencephalography 6050 0.000226135 F1726 Medial Supplies Charged to Patients 6050 2042.80 F1727 Drugs Charged to Patients 6050 2275.93 F1728 Renal Dialysis 6050 3.5459144E-7 F1729 ASC (Non-Distinct Part) 6050 1.8002551E-6 F1730 Other Ancillary 6050 0.000048419 F1731 Clinic 6050 2.2116476E-6 F1732 Emergency 6050 1163.56 F1733 Observation Beds 6050 0.0678455 F1734 Other Outpt. Services 6050 5.8293708E-7 F1735 Home Program Dialysis 6050 0 F1736 Durable Medical Equipment - Rented 6050 0 F1737 Durable Medical Equipment - Sold 6050 0 F1738 Other Reimbursable Costs 6050 0 F1739 Total Medicare Part A Ancillary Old Ca 6050 25837.95 F1740 Operating Room 6050 11616.00 F1741 Recovery Room 6050 0.1665275 F1742 Delivery Room & Labor Room 6050 0.0052180 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 33 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1743 Anesthesiology 6050 66.0890521 F1744 Radiology - Diagnostic 6050 11744.97 F1745 Radiology - Therapeutic 6050 2.1289765E-6 F1746 Radioisotope 6050 0.0327926 F1747 Laboratory 6050 10351.01 F1748 Whole Blood & Packed Red Blood Cells 6050 9.711198E-8 F1749 'Blood Storing, Processing, Trans.' 6050 3.6050961E-6 F1750 Intravenous Therapy 6050 2.362469E-6 F1751 Respiratory Therapy 6050 5220.28 F1752 Physical Therapy 6050 2353.14 F1753 Occupational Therapy 6050 0.0014549 F1754 Speech Pathology 6050 0.0054724 F1755 Electrocardiology 6050 674.1241751 F1756 Electroencephalography 6050 0.0111460 F1757 Medial Supplies Charged to Patients 6050 6201.05 F1758 Drugs Charged to Patients 6050 6815.36 F1759 Renal Dialysis 6050 1.951372E-6 F1760 ASC (Non-Distinct Part) 6050 3.6463535E-6 F1761 Other Ancillary 6050 0.000025587 F1762 Clinic 6050 0.000035963 F1763 Emergency 6050 2916.72 F1764 Observation Beds 6050 2.5662316 F1765 Other Outpt. Services 6050 3.8062932E-7 F1766 Home Program Dialysis 6050 0 F1767 Durable Medical Equipment - Rented 6050 0 F1768 Durable Medical Equipment - Sold 6050 0 F1769 Other Reimbursable Costs 6050 0 F1770 Total Medicare Part A Ancillary New Ca 6050 85990.28 F1771 Total Medicare Part A Ancillary Old C 6050 0.000066378 F1772 Total Medicare Part A Ancillary New C 6050 0.000675832 F1773 Total Medicare Part A Ancillary Old C 6050 1.0429265E-6 F1774 Total Medicare Part A Ancillary New C 6050 3.5058109E-7 F1775 Adults & Pediatrics (General Routine C 6050 9.4452786E-6 F1776 ICU 6050 0.000014182 F1777 Coronary Care Unit 6050 3.924757E-11 F1778 Burn ICU 6050 0 F1779 Surgical ICU 6050 1.7638804E-9 F1780 Other Special Care Unit 6050 0 F1781 Sub. Prov. I 6050 1.7045105E-8 F1782 Sub. Prov. II 6050 3.118965E-10 F1783 Nursery 6050 0 F1784 Total Medicare Part A Inpatient Routin 6050 9.5501918E-6 F1785 Operating Room 6050 1.4941543E-7 F1786 Recovery Room 6050 1.7524571E-9 F1787 Delivery Room & Labor Room 6050 5.545807E-11 F1788 Anesthesiology 6050 0.000304642 F1789 Radiology - Diagnostic 6050 5.3615578E-8 F1790 Radiology - Therapeutic 6050 7.659894E-12 F1791 Radioisotope 6050 4.8657216E-9 F1792 Laboratory 6050 1.61052E-7 F1793 Whole Blood & Packed Red Blood Cells 6050 0 F1794 'Blood Storing, Processing, Trans.' 6050 0 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 34 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1795 Intravenous Therapy 6050 0 F1796 Respiratory Therapy 6050 2.9135543E-9 F1797 Physical Therapy 6050 2.8131853E-7 F1798 Occupational Therapy 6050 0 F1799 Speech Pathology 6050 0 F1800 Electrocardiology 6050 1.125859E-10 F1801 Electroencephalography 6050 1.061107E-11 F1802 Medial Supplies Charged to Patients 6050 2.647848E-10 F1803 Drugs Charged to Patients 6050 3.9769034E-9 F1804 Renal Dialysis 6050 4.859038E-11 F1805 ASC (Non-Distinct Part) 6050 1.1663624E-9 F1806 Other Ancillary 6050 0 F1807 Clinic 6050 3.4137282E-9 F1808 Emergency 6050 1.4465363E-8 F1809 Observation Beds 6050 1.5545601E-8 F1810 Other Outpt. Services 6050 0 F1811 Home Program Dialysis 6050 0 F1812 Durable Medical Equipment - Rented 6050 0 F1813 Durable Medical Equipment - Sold 6050 0 F1814 Other Reimbursable Costs 6050 0 F1815 Total Medicare Part A Ancillary Other 6050 0.0066355 F1816 Total Medicare Part A Ancillary Other 6050 2.2376545E-6 F1817 Total Medicare Part A Ancillary Other 6050 1.0920976E-7 F1818 DRG Payments - Other Than Outliers 6050 3370383.78 F1819 DRG Outlier Payments 6050 49530.06 F1820 Indirect Medical Education Adjustment 6050 0.000370787 F1821 Disproportionate Share Adjustment 6050 2.8833343 F1822 Additional Payment - High Percentage E 6050 0 F1823 Subtotal of Above Lines 6050 3623134.30 F1824 Hosp. Specific Payments (Sole Communit 6050 2.3942064 F1825 Total Payment for Inpatient Operating 6050 3677588.49 F1826 Payment for Inpatient Program Capital 6050 379004.62 F1827 Exceptive Payment for Inpatient Progra 6050 0.000023345 F1828 Direct Graduate Medical Education Paym 6050 0.000010661 F1829 Net Organ Acquisition Cost 6050 2.5799202E-9 F1830 Cost of Teaching Physicians 6050 0 F1831 Medicare Part A Inpatient Routine Serv 6050 0.000028377 F1832 Medicare Part A Ancillary Service Othe 6050 0.0032126 F1833 Total Payments (Lines 8 -15) 6050 4079202.63 F1834 Primary Payer Payments 6050 1842.97 F1835 Total Amount Payable for Program Benef 6050 4076621.77 F1836 Deductibles Billed to Program Benefici 6050 448406.73 F1837 Coinsurance Billed to Program Benefici 6050 5354.86 F1838 Reimbursable Bad Debts 6050 14009.49 F1839 'Subtotal (Line 18 Plus Line 21, Minus 6050 3649289.74 F1840 Recovery of Excess Depreciation 6050 0 F1841 Other Adjustments 6050 -3.69652E-7 F1842 Amounts Applicable to Prior Cost 6050 2.6865244E-6 F1843 Amount Due Provider 6050 3648994.28 F1844 Sequestration Adjustment 6050 0 F1845 Interim Payments 6050 3730327.04 F1846 Balance Due Provider (Program) 6050 996.9584887 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 35 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1847 Protested Amounts 6050 1.7922051E-6 F1848 Medical and Other Services 6050 577134.49 F1849 Interns & Residents 6050 7.1932351E-8 F1850 Organ Acquisition Costs 6050 0 F1851 Cost of Teaching Physicians 6050 0.000015733 F1852 Total Costs 6050 578356.12 F1853 Total Customary Charges 6050 1003808.78 F1854 Lesser of Cost or Charges 6050 575784.13 F1855 Deductibles and Coinsurance 6050 205713.99 F1856 'Sum of Worksheets E, Parts C, D, and 6050 192355.72 F1857 Direct Graduate Medical Education Paym 6050 0.000115554 F1858 ESRD Direct Medical Education Costs 6050 0 F1859 Primary Payer Payments 6050 58.5401257 F1860 Composite Rate ESRD Bad Debts 6050 3.7658954E-8 F1861 All Other Bad Debts 6050 8506.83 F1862 Recovery of Excess Depreciation from P 6050 0 F1863 Other Adjustments 6050 -8.707601E-8 F1864 Amounts Applicable to Prior Reporting 6050 1.2874795E-8 F1865 Sequestration Adjustment 6050 0 F1866 Interim Payments 6050 672350.63 F1867 Balance Due Provider (Program) 6050 -10467.15 F1868 Protested Amounts 6050 1.3029432E-6 F1869 Medical and Other Services 6050 1.2848857E-6 F1870 Interns & Residents 6050 0 F1871 Organ Acquisition Costs 6050 0 F1872 Cost of Teaching Physicians 6050 0 F1873 Total Costs 6050 0.000038298 F1874 Total Customary Charges 6050 5.8452549E-6 F1875 Lesser of Cost or Charges 6050 3.4436584E-7 F1876 Deductibles and Coinsurance 6050 0.000010424 F1877 'Sum of Worksheets E, Parts C, D, and 6050 0 F1878 Direct Graduate Medical Education Paym 6050 0 F1879 ESRD Direct Medical Education Costs 6050 0 F1880 Primary Payer Payments 6050 0 F1881 Composite Rate ESRD Bad Debts 6050 0 F1882 All Other Bad Debts 6050 0 F1883 Recovery of Excess Depreciation from P 6050 0 F1884 Other Adjustments 6050 0 F1885 Amounts Applicable to Prior Reporting 6050 0 F1886 Sequestration Adjustment 6050 0 F1887 Interim Payments 6050 4.7181227E-7 F1888 Balance Due Provider (Program) 6050 0.000038680 F1889 Protested Amounts 6050 0 F1890 Medical and Other Services 6050 1.270509E-7 F1891 Interns & Residents 6050 0 F1892 Organ Acquisition Costs 6050 0 F1893 Cost of Teaching Physicians 6050 0 F1894 Total Costs 6050 3.485177E-6 F1895 Total Customary Charges 6050 3.1705617E-6 F1896 Lesser of Cost or Charges 6050 3.7530716E-6 F1897 Deductibles and Coinsurance 6050 5.0981204E-8 F1898 'Sum of Worksheets E, Parts C, D, and 6050 0 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 36 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1899 Direct Graduate Medical Education Paym 6050 0 F1900 ESRD Direct Medical Education Costs 6050 0 F1901 Primary Payer Payments 6050 0 F1902 Composite Rate ESRD Bad Debts 6050 0 F1903 All Other Bad Debts 6050 0 F1904 Recovery of Excess Depreciation from P 6050 0 F1905 Other Adjustments 6050 0 F1906 Amounts Applicable to Prior Reporting 6050 0 F1907 Sequestration Adjustment 6050 0 F1908 Interim Payments 6050 -1.826963E-7 F1909 Balance Due Provider (Program) 6050 1.2881997E-6 F1910 Protested Amounts 6050 0 F1911 ASC Portion of Blend 6050 82935.17 F1912 Deductibles and Coinsurance 6050 120820.68 F1913 Hosp. Specific Portion of Blend 6050 49172.27 F1914 ASC Blended Amount (Line 5 Plus Line 1 6050 137951.82 F1915 ASC Reimbursement (Lesser of Line 16 o 6050 109226.80 F1916 Blended Charge Proportion 6050 51196.96 F1917 Deductibles and Coinsurance 6050 125653.64 F1918 Cost Proportion 6050 29939.14 F1919 Outpt. Radiology Blended Amount (Line 6050 87681.36 F1920 Outpt. Radiology Reimbursement (Lesser 6050 60772.31 F1921 Blended Charge Proportion 6050 13452.07 F1922 Deductibles and Coinsurance 6050 35682.47 F1923 Cost Proportion 6050 3854.84 F1924 Other Outpt. Diagnostic Blended Amount 6050 18582.24 F1925 Other Outpt. Diagnostic Reimbursement 6050 6766.97 F1926 Inpatient Hosp. Services 6050 0.0728252 F1927 Organ Acquisition 6050 3.955266E-7 F1928 Cost of Teaching Physicians 6050 8.3099134E-7 F1929 Sum of Lines 1-3 6050 0.0774934 F1930 Primary Payer Payments 6050 2.2991529E-6 F1931 Deductibles 6050 0.0059444 F1932 Coinsurance 6050 0.0011871 F1933 Reimbursable Bad Debts (Bad Debts for 6050 -0.000086702 F1934 Direct Graduate Medical Education 6050 0.000017471 F1935 Recovery of Excess Depreciation From P 6050 0 F1936 Other Adjustments 6050 -1.045387E-7 F1937 Amounts Applicable to Prior Reporting 6050 2.0953634E-9 F1938 Total Amount Payable to Provider 6050 0.0682303 F1939 Sequestration Adjustment 6050 0 F1940 Interim Payments 6050 0.0549802 F1941 Balance Due Provider (Program) 6050 0.000216863 F1942 Protested Amounts 6050 8.6836988E-6 F1943 Inpatient Hosp. Services 6050 0.0377626 F1944 Organ Acquisition 6050 0 F1945 Cost of Teaching Physicians 6050 0 F1946 Sum of Lines 1-3 6050 0.0205307 F1947 Primary Payer Payments 6050 2.9934709E-7 F1948 Deductibles 6050 0.000462961 F1949 Coinsurance 6050 4.9024206E-7 F1950 Reimbursable Bad Debts (Bad Debts for 6050 7.8763158E-9 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 37 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1951 Recovery of Excess Depreciation From P 6050 0 F1952 Other Adjustments 6050 0 F1953 Amounts Applicable to Prior Reporting 6050 0 F1954 Total Amount Payable to Provider 6050 0.0216439 F1955 Sequestration Adjustment 6050 0 F1956 Interim Payments 6050 0.0826200 F1957 Balance Due Provider (Program) 6050 -0.000041095 F1958 Protested Amounts 6050 0 F1959 Inpatient Hosp. Services 6050 0.000015645 F1960 Organ Acquisition 6050 0 F1961 Cost of Teaching Physicians 6050 0 F1962 Sum of Lines 1-3 6050 0.000015645 F1963 Primary Payer Payments 6050 4.158215E-8 F1964 Deductibles 6050 5.5165846E-6 F1965 Coinsurance 6050 5.1977673E-6 F1966 Reimbursable Bad Debts (Bad Debts for 6050 8.2400144E-9 F1967 Recovery of Excess Depreciation From P 6050 0 F1968 Other Adjustments 6050 0 F1969 Amounts Applicable to Prior Reporting 6050 0 F1970 Total Amount Payable to Provider 6050 3.4492082E-6 F1971 Sequestration Adjustment 6050 0 F1972 Interim Payments 6050 3.5363159E-7 F1973 Balance Due Provider (Program) 6050 0.000035346 F1974 Protested Amounts 6050 0 F1975 Inpatient Services 6050 0.0013931 F1976 Organ Acquisition 6050 0 F1977 Cost of Teaching Physicians 6050 0 F1978 Sum of Lines 1-3 6050 0.0018041 F1979 Primary Payer Payments 6050 1.883826E-11 F1980 Excess of Customary Charges Over Reaso 6050 0.000879706 F1981 Excess of Reasonable Cost Over Customa 6050 0 F1982 Direct Graduate Medical Education Paym 6050 0 F1983 Cost of Covered Services 6050 0.000197149 F1984 Deductibles 6050 3.7100738E-6 F1985 Coinsurance 6050 0.000010894 F1986 Reimbursable Bad Debts 6050 0.000048486 F1987 Recovery of Excess Depreciation Result 6050 0 F1988 Other Adjustments 6050 0 F1989 Amounts Applicable to Prior Reporting 6050 0 F1990 'Subtotal (Line 26, Plus or Minus Line 6050 0.000032386 F1991 Sequestration Adjustment 6050 0 F1992 Interim Payments 6050 0.000010495 F1993 Balance Due Provider (Program) 6050 -9.947117E-8 F1994 Protested Amounts 6050 0 F1995 Inpatient Services 6050 1.2773044E-9 F1996 Organ Acquisition 6050 0 F1997 Cost of Teaching Physicians 6050 0 F1998 Sum of Lines 1-3 6050 1.2773044E-9 F1999 Primary Payer Payments 6050 2.4446323E-6 F2000 Excess of Customary Charges Over Reaso 6050 1.440422E-9 F2001 Excess of Reasonable Cost Over Customa 6050 0 F2002 Cost of Covered Services 6050 1.2773044E-9 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 38 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F2003 Deductibles 6050 5.667186E-12 F2004 Coinsurance 6050 3.11879E-11 F2005 Reimbursable Bad Debts 6050 0 F2006 Recovery of Excess Depreciation Result 6050 0 F2007 Other Adjustments 6050 0 F2008 Amounts Applicable to Prior Reporting 6050 0 F2009 'Subtotal (Line 26, Plus or Minus Line 6050 1.2631195E-9 F2010 Sequestration Adjustment 6050 0 F2011 Interim Payments 6050 6.183961E-10 F2012 Balance Due Provider (Program) 6050 1.4720407E-7 F2013 Protested Amounts 6050 0 F2014 Inpatient Services 6050 0 F2015 Organ Acquisition 6050 0 F2016 Cost of Teaching Physicians 6050 0 F2017 Sum of Lines 1-3 6050 0 F2018 Primary Payer Payments 6050 0 F2019 Excess of Customary Charges Over Reaso 6050 0 F2020 Excess of Reasonable Cost Over Customa 6050 0 F2021 Cost of Covered Services 6050 0 F2022 Deductibles 6050 0 F2023 Coinsurance 6050 0 F2024 Reimbursable Bad Debts 6050 0 F2025 Recovery of Excess Depreciation Result 6050 0 F2026 Other Adjustments 6050 0 F2027 Amounts Applicable to Prior Reporting 6050 0 F2028 'Subtotal (Line 26, Plus or Minus Line 6050 0 F2029 Sequestration Adjustment 6050 0 F2030 Interim Payments 6050 0 F2031 Balance Due Provider (Program) 6050 0 F2032 Protested Amounts 6050 0 F2033 Number of FTE Residents for OB/GYN and 6050 4.9209682E-7 F2034 Number of FTE Residents for All Other 6050 6.3308763E-8 F2035 Updated Per Resident Amount for OB/GYN 6050 0.1046144 F2036 Updated Per Resident Amount for All Ot 6050 0.000974783 F2037 Aggregate Approved Amount 6050 0.000274975 F2038 Cash on Hand and in Banks 6050 500392.32 F2039 Temporary Investments 6050 10.5751849 F2040 Notes Receivable 6050 0.0036406 F2041 Accounts Receivable 6050 5078469.55 F2042 Other Receivables 6050 55315.94 F2043 Allowance for Uncollectible Notes and 6050 955905.07 F2044 Inventory 6050 315880.95 F2045 Prepared Expenses 6050 86250.08 F2046 Other Current Assets 6050 14.1796667 F2047 Due From Other Funds 6050 0.0063610 F2048 Total Current Assets - Facility 6050 6382652.20 F2049 Land 6050 155464.07 F2050 Accumulated Depreciation 6050 0.0659617 F2051 Land Improvements 6050 139478.59 F2052 Accumulated Depreciation 6050 36162.97 F2053 Buildings 6050 8406524.96 F2054 Accumulated Depreciation 6050 2198526.67 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 39 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F2055 Leasehold Improvements 6050 1.7725866 F2056 Accumulated Depreciation 6050 0.0024694 F2057 Fixed Equipment 6050 560083.14 F2058 Accumulated Depreciation 6050 135307.34 F2059 Automobiles and Trucks 6050 0.0066289 F2060 Accumulated Depreciation 6050 0.0049480 F2061 Major Movable Equipment 6050 4646020.66 F2062 Accumulated Depreciation 6050 2276622.61 F2063 Minor Depreciable Equipment 6050 -0.0026865 F2064 Accumulated Depreciation 6050 0.0035523 F2065 Minor Nondepreciable Equipment 6050 0.000251145 F2066 Total Fixed Assets - Facility 6050 9724020.96 F2067 Investments 6050 41424.50 F2068 Deposits on Leases 6050 0.000012473 F2069 Due From Owners/Officers 6050 0.000025195 F2070 Other Assets 6050 418605.34 F2071 Total Other Assets 6050 1842259.08 F2072 Total Assets - Facility 6050 20270374.21 F2073 Accounts Payable 6050 854861.57 F2074 'Salaries, Wages, and Fees Payable' 6050 489793.55 F2075 Payroll Taxes Payable 6050 0.4954899 F2076 Notes and Loans Payable 6050 40842.79 F2077 Deferred Income 6050 0.000515527 F2078 Accelerated Payments 6050 4.4878218E-8 F2079 Due to Other Funds 6050 -0.0132698 F2080 Other Current Liabilities 6050 450334.58 F2081 Total Current Liabilities - Facility 6050 3180127.04 F2082 Mortgage Payable 6050 0.2438882 F2083 Notes Payable 6050 397.2627212 F2084 Unsecured Loans 6050 0 F2085 Loans From Owners Prior to 7/1/66 6050 0.0017568 F2086 Loans From Owners On or After 7/1/66 6050 0.000601324 F2087 Other Long Term Liabilities 6050 8369.76 F2088 Total Long Term Liabilities 6050 3840150.64 F2089 Total Liabilities - Facility 6050 7983099.92 F2090 General Fund Balance 6050 8746264.90 F2091 Specific Purpose Fund 6050 -0.000758861 F2092 Donor Endowment Fund - Restricted 6050 0.000121186 F2093 Donor Endowment Fund - Unrestricted 6050 0.000013245 F2094 Governing Body Created - Endowment Fun 6050 0 F2095 Plant Fund Balance - Invested in Plant 6050 0.0024511 F2096 'Plant Fund Balance - Reserved for Pla 6050 0.0520518 F2097 Total Fund Balances - Facility 6050 9319039.77 F2098 Total Liabilities and Fund Balances - 6050 20281422.35 F2099 Hosp. 6050 5331938.21 F2100 Sub. Prov. I 6050 0.0071034 F2101 Sub. Prov. II 6050 0.000034418 F2102 Swing Bed SNF 6050 0.0686310 F2103 Swing Bed NF 6050 5.1185613E-6 F2104 Skilled Nursing Facility 6050 226.8089165 F2105 Nursing Facility 6050 0.000064149 F2106 Other Long Term Care 6050 0.0011183 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 40 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F2107 Total General Inpatient Care - Facilit 6050 6849905.60 F2108 ICU 6050 374061.21 F2109 Coronary Care Unit 6050 0.000059035 F2110 Burn ICU 6050 2.1088795E-7 F2111 Surgical ICU 6050 0.000116595 F2112 Other Special Care Unit 6050 0.000369349 F2113 Total Intensive Care Type Inpatient Ho 6050 498773.42 F2114 Total Inpatient Routine Care Services 6050 7850590.81 F2115 Inpatient Ancillary Services 6050 10088681.01 F2116 Outpt. Ancillary Services 6050 2499649.37 F2117 Outpt. Services Rendered in an Inpatie 6050 1.6549633 F2118 Outpt. Services 6050 1541134.24 F2119 Home Health Agency - Outpt. 6050 2544.11 F2120 Ambulance - Inpatient 6050 5.0967014E-6 F2121 Ambulance - Outpt. 6050 0.000176401 F2122 Outpt. Rehabilitation Provider - CORF 6050 6.0344639E-6 F2123 Outpt. Rehabilitation Provider - CMHC 6050 0 F2124 Outpt. Rehabilitation Provider - OPT 6050 0 F2125 Outpt. Rehabilitation Provider - OOT 6050 0 F2126 Outpt. Rehabilitation Provider - OSP 6050 0 F2127 ASC Inpatient 6050 0 F2128 ASC Outpt. 6050 4.3167093E-7 F2129 Hospice Inpatient 6050 7.217538E-10 F2130 Hospice Outpt. 6050 7.1682813E-6 F2131 All Other Inpatient Revenue 6050 0.000109837 F2132 All Other Outpt. Revenue 6050 0.0016145 F2133 Total Patient Revenue - Inpatient - 6050 20323693.27 F2134 Total Patient Revenue - Outpt. - Fac 6050 12368703.84 F2135 Total Patient Revenue 6050 32859190.78 F2136 Less: Contractual Allowances and Disc 6050 11143764.21 F2137 Net Patient Revenues 6050 19805423.19 F2138 Less: Total Operating Expenses 6050 21408861.39 F2139 Net Income From Service to Patients 6050 -96460.97 F2140 'Contributions, Donations, Etc.' 6050 144.1247358 F2141 Income From Investments 6050 37311.22 F2142 Governmental Appropriations 6050 0.4484789 F2143 Total Other Income 6050 820010.86 F2144 Total (Line 5 Plus Line 25) 6050 796835.21 F2145 Total Other Expenses 6050 0.7020739 F2146 Net Income or (Loss) for Period (Line 6050 701443.10 F2147 Capital Hosp. Specific Rate Payments 6050 7683.79 F2148 Capital DRG Other than Outlier 6050 14515.81 F2149 Capital DRG outlier Payments 6050 4.9165661 F2150 Total Inpatient Days Divided by Number 6050 0.0400432 F2151 Number of Interns and Residents 6050 7.1450787E-7 F2152 Indirect Medical Education Percentage 6050 4.518601E-8 F2153 Indirect Medical Education Adjustment 6050 0.000053960 F2154 Percentage of SSI Recipient Patient Da 6050 4.3506442E-6 F2155 Percentage of Medicaid Patient Days to 6050 0.000034446 F2156 Sum of F2154 + F2155 6050 0.000032104 F2157 Allowable Disproportionate Share Perce 6050 0.000014030 F2158 Disproportionate Share Adjustment 6050 0.000039084 -------------------------------------------------------------------------- The SAS System 15:09 Friday, January 21, 2005 41 Fiscal Year 1996 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F2160 New Capital 6050 40.0391212 F2161 Old Capital 6050 12.4080984 F2162 Total Capital 6050 0.0108344 F2163 Ratio of Old Capital to New Capital 6050 0.2624673 F2164 Total Capital Payments under 100% Fede 6050 0.0569919 F2165 Reduction Factor for Hold Harmless Pay 6050 0.000022656 F2166 Reduced Old Capital Amount 6050 0.000542386 F2167 Hold Harmless Payment for New Capital 6050 0.000557439 F2168 Subtotal (F2166 + F2167) 6050 0.000276344 F2169 Payment Under Hold Harmless 6050 0.1504866 F2170 Program Inpatient Routine Capital Cost 6050 0.000032797 F2171 Program Inpatient Ancillary Capital Co 6050 0.000011038 F2172 Total Inpatient Program Capital Cost 6050 5.2621342E-7 F2173 Capital Cost Payment Factor 6050 1.7816408E-9 F2174 Total Inpatient Program Capital Cost 6050 4.5092371E-7 F2176 Program Inpatient Capital Costs for Ex 6050 0 F2177 Net Program Inpatient Capital Costs 6050 289236.65 F2178 Applicable Exception Percentage 6050 70.0004528 F2179 Capital Cost for Comparison to Payment 6050 210616.64 F2180 Percentage Adjustment for Extraordinar 6050 85.0003658 F2181 Adjustment to Capital Minimum Payment 6050 0 F2182 Capital Minimum Payment Level 6050 210616.64 F2183 Current Year Capital Payments 6050 376738.01 F2184 Current Year Comparison of Capital Min 6050 -115344.86 F2185 Carryover of Accumulated Capital Minim 6050 -62958.09 F2186 Net Comparison of Capital Minimum Paym 6050 -271015.13 F2187 Current Year Exception Payment 6050 0.000023345 F2188 Carryover of Accumulated Capital Minim 6050 -272588.90 --------------------------------------------------------------------------