The SAS System 14:59 Friday, January 21, 2005 128 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F68F Malpractice Premiums 5721 767.6099505 F68G Malpractice Paid Losses 5721 4.6267834E-6 F68H Malpractice Self Insurance 5721 0 F68L 'If you are claiming ambulance costs, 5721 0.0034950 F68M 'If you are claiming ambulance costs, 5721 0.000536455 F78 Hosp. Adults & Pediatrics Beds (See No 5721 76.4772268 F79 ICU Beds 5721 5.1915259 F80 Coronary Care Unit Beds 5721 1.0472243E-9 F81 Burn ICU Beds 5721 1.783234E-12 F82 Surgical ICU Beds 5721 3.288192E-10 F83 Other Special Care Beds 5721 7.410184E-11 F84 Nursery Beds 5721 5.8841150 F85 Total Hosp. Beds 5721 90.2058132 F86 Sub. Prov. I Beds 5721 0.000138941 F87 Sub. Prov. II Beds 5721 1.225163E-10 F88 Skilled Nursing Facility Beds 5721 0.0018077 F89 Nursing Facility Beds 5721 4.109869E-10 F89A Intermediate Care Facility/Mental Reta 5721 0 F90 Other Long Term Care Beds 5721 1.3284105E-9 F91 Hospice Beds 5721 3.887215E-10 F92 Total Beds Available in Facility 5721 114.4117954 F93 Hosp. Adults & Pediatrics Bed Days Ava 5721 26355.86 F94 Intensive Care Bed Days Available 5721 1731.70 F95 Coronary Care Bed Days Available 5721 2.8723234E-6 F96 Burn Intensive Care Bed Days Available 5721 6.526638E-10 F97 Surgical Intensive Care Bed Days Avail 5721 7.1981347E-9 F98 Other Special Care Bed Days Available 5721 4.103199E-7 F99 Nursery Bed Days Available 5721 2129.99 F100 Total Hosp. Bed Days Available 5721 30640.97 F101 Sub. Prov. I Bed Days Available 5721 0.0341840 F102 Sub. Prov. II Bed Days Available 5721 9.5687968E-8 F103 Skilled Nursing Facility Bed Days Avai 5721 1.6502197 F104 Nursing Facility Bed Days Available 5721 1.5892033E-7 F104A Intermediate Care Facility/Mental Reta 5721 0 F105 Other Long Term Care Bed Days Availabl 5721 3.0387308E-7 F106 Hospice Bed Days Available 5721 5.5350183E-8 F107 Medicare Hosp. Adults & Pediatrics Day 5721 4666.49 F107A Title XVIII Inpatient Days (HMO) 5721 1.3472162E-8 F108 Medicare Swing Bed SNF Days 5721 0.0093489 F109 Total Medicare Routine Days 5721 4985.72 F110 Medicare ICU Days 5721 325.2604507 F111 Medicare Coronary Care Unit Days 5721 1.125753E-7 F112 Medicare Burn ICU Days 5721 2.356793E-10 F113 Medicare Surgical ICU Days 5721 2.7136369E-9 F114 Medicare Other Special Care Unit Days 5721 3.183532E-10 F115 Medicare Inpatient Days- Total Hosp. 5721 5493.36 F116 Medicare RPCH Visits 5721 0 F117 Medicare Sub. Prov. I Days 5721 0.000172540 F118 Medicare Sub. Prov. II Days 5721 3.596757E-7 F119 Medicare Skilled Nursing Facility Days 5721 0.000176877 F120 Medicare Home Health Agency Visits 5721 3.3945362 F121 Medicare Hospice Days 5721 7.23921E-11 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 129 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F122 Medicare RHC/FQHC Outpt. Visits 5721 1.6064862E-6 F122A Ambulance Trips 5721 4.678596E-6 F123 Medicaid Hosp. Adults & Pediatrics Day 5721 771.1351223 F124 Medicaid HMO Days 5721 0.000058697 F125 Medicaid Swing Bed SNF Days 5721 8.874464E-12 F126 Medicaid Swing Bed NF Days 5721 1.3543648E-8 F127 Total Medicaid Routine Days 5721 795.2585272 F128 Medicaid ICU Days 5721 2.5509293 F129 Medicaid Coronary Care Unit Days 5721 1.229895E-8 F130 Medicaid Burn ICU Days 5721 2.477588E-11 F131 Medicaid Surgical ICU Days 5721 6.209727E-11 F132 Medicaid Other Special Care Days 5721 9.6183042E-9 F133 Medicaid Nursery Days 5721 11.8823484 F134 Medicaid Inpatient Days- Total Hosp. 5721 995.5732917 F135 Medicaid RPCH Visits 5721 0 F136 Medicaid Sub. Prov. I Days 5721 0.000869485 F137 Medicaid Sub. Prov. II Days 5721 2.6065953E-8 F138 Medicaid Skilled Nursing Facility Days 5721 6.9605606E-6 F139 Medicaid Nursing Facility Days 5721 4.2087862E-9 F139A Intermediate Care Facility/Mental Reta 5721 0 F140 Medicaid Home Health Agency Visits 5721 1.3604506E-6 F141 Medicaid Hospice Days 5721 0 F142 Medicaid RHC/FQHC Outpt. Visits 5721 1.4047433E-7 F143 Total Adults & Pediatrics Days 5721 11198.40 F144 Total Swing Bed SNF Days 5721 0.0125316 F145 Total Swing Bed NF Days 5721 0.000011801 F146 Total Routine Days 5721 11347.88 F147 Total ICU Days 5721 635.4596471 F148 Total Coronary Care Unit Days 5721 1.9543482E-7 F149 Total Burn ICU Days 5721 1.1696403E-9 F150 Total Surgical ICU Days 5721 2.4603602E-7 F151 Total Other Special Care Unit Days 5721 1.140796E-7 F152 Total Nursery Days 5721 226.9094133 F153 Total Inpatient Days - Hosp. 5721 12991.89 F154 Total RPCH Visits 5721 0 F155 Total Sub. Prov. I Days 5721 0.0571230 F156 Total Sub. Prov. II Days 5721 1.0696813E-7 F157 Total Skilled Nursing Facility Days 5721 1.1002478 F158 Total Nursing Facility Days 5721 7.882241E-9 F158A Total Intermediate Care Facility/Menta 5721 0 F159 Total Other Long Term Days 5721 1.0354397E-6 F160 Total Home Health Agency Visits 5721 6.5411036 F161 Total Hospice Days 5721 6.4994938E-8 F162 Total RHC/FQHC Outpt. Visits 5721 5.7822264E-7 F163 Total Observation Bed Days 5721 193.8808518 F163A Total Observation Bed Days (Off Site S 5721 0 F163B Employee Discount Days 5721 2.125817E-10 F164 Interns & Residents - Total Hosp. 5721 8.7402002E-6 F165 Interns & Residents - Total Facility 5721 0.000022536 F166 Net Interns & Residents Replacing Non- 5721 0.000010224 F167 Net Interns & Residents Replacing Non- 5721 0.000023623 F168 Full Time Employees - Total Hosp. 5721 28296.66 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 130 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F169 Full Time Employees - Total Facility 5721 31329.41 F170 Nonpaid Workers - Total Hosp. 5721 7.944833E-10 F171 Nonpaid Workers - Total Facility 5721 1.6223817E-9 F172 Medicare Discharges - Total Hosp. 5721 886.9347329 F173 Medicare Sub. Prov. I Discharges 5721 0.000013862 F174 Medicare Sub. Prov. II Discharges 5721 2.787483E-10 F175 Medicaid Discharges - Total Hosp. 5721 211.9531551 F176 Medicaid Sub. Prov. I - Discharges 5721 4.3074912E-8 F177 Medicaid Sub. Prov. II - Discharges 5721 1.6113292E-8 F178 Total Discharges - All Patients - Hosp 5721 2159.24 F179 Total Discharges - All Patients - Sub. 5721 0.0012862 F180 Total Discharges - All Patients - Sub. 5721 4.5783527E-9 F181 Total Salaries 5721 10031877.20 F182 Non-Physician Anesthetist Part A 5721 4.1322047E-6 F183 Non-Physician Anesthetist Part B 5721 0.0029097 F184 Physician - Part A 5721 0.8303485 F184A Teaching Physician 5721 0.000747574 F185 Physician - Part B 5721 20.0444091 F186 Interns & Residents (Approved Program) 5721 0.000143800 F187 Home Office Personnel 5721 0.000019998 F188 Skilled Nursing Facility 5721 81.6320273 F189 Excluded Areas 5721 697773.51 F190 Contract Labor 5721 65303.08 F190A Pharmacy Services Under Contract 5721 0.000064573 F190B Laboratory Services Under Contract 5721 0.000083792 F191 Contract Labor: Physician - Part A 5721 1.9420816 F191A Teaching Physician Under Contract 5721 0.000235578 F192 Home Office Salaries & Wage-Related Co 5721 44.6044803 F193 Home Office: Physician Part A 5721 5.2568792E-9 F193A Salaries and Wage Related Costs for Te 5721 0 F194 Wage- Related Costs (Core) 5721 1384450.85 F195 Wage- Related Costs (Other) 5721 0.000631153 F196 Excluded Areas 5721 155629.83 F197 Non-Physician Anesthetist - Part A 5721 7.4755886E-7 F198 Non-Physician Anesthetist - Part B 5721 0.0010874 F199 Physician Part A 5721 0.0015877 F199A Part A Teaching Physicians 5721 1.7478784E-6 F200 Physician Part B 5721 1.7112732 F201 Interns & Residents (Approved Program) 5721 0.000028653 F202 Employee Benefits 5721 47416.76 F203 Administrative & General 5721 1241470.36 F204 Maintenance & Repairs 5721 14.3644783 F205 Operation of Plant 5721 110818.24 F206 Laundry & Linen Service 5721 8888.71 F207 Housekeeping 5721 215114.64 F208 Dietary 5721 263989.78 F209 Cafeteria 5721 0.000063586 F210 Maintenance of Personnel 5721 4.1944955E-8 F211 Nursing Administration 5721 278595.06 F212 Central Services & Supply 5721 33766.62 F213 Pharmacy 5721 87384.26 F214 Medical Records & Medical Records Libr 5721 225167.22 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 131 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F215 Social Service 5721 13529.56 F216 Other General Service 5721 0.0228912 F217 Total Salaries 5721 8719183.63 F218 Non-Physician Anesthetist Part A 5721 0.000103751 F219 Non-Physician Anesthetist Part B 5721 0.0030244 F220 Physician - Part A 5721 0.6597052 F220A Teaching Physician 5721 0.000313466 F221 Physician - Part B 5721 1.5130508 F222 Interns & Residents (Approved Program) 5721 0.000371518 F223 Home Office Personnel 5721 0.000020088 F224 Skilled Nursing Facility 5721 102.5853081 F225 Excluded Areas 5721 634055.60 F226 Contract Labor 5721 62416.51 F226A Pharmacy Services Under Contract 5721 0.0013579 F226B Laboratory Services Under Contract 5721 0.000044295 F227 Contract Labor: Physician - Part A 5721 27.7503379 F227A Teaching Physician Under Contract 5721 0.000398104 F228 Home Office Salaries & Wage-Related Co 5721 53.9997072 F229 Home Office: Physician Part A 5721 5.2568792E-9 F229A Salaries and Wage Related Costs for Te 5721 0 F230 Wage- Related Costs (Core) 5721 1369233.84 F231 Wage- Related Costs (Other) 5721 0.000637568 F232 Excluded Areas 5721 154537.55 F233 Non-Physician Anesthetist - Part A 5721 7.6512432E-7 F234 Non-Physician Anesthetist - Part B 5721 0.0015887 F235 Physician Part A 5721 0.0024791 F235A Part A Teaching Physicians 5721 0.000138563 F236 Physician Part B 5721 0.9782652 F237 Interns & Residents (Approved Program) 5721 0.000153632 F238 Employee Benefits 5721 42062.77 F239 Administrative & General 5721 1062134.28 F240 Maintenance & Repairs 5721 5.4208120 F241 Operation of Plant 5721 93926.51 F242 Laundry & Linen Service 5721 8483.89 F243 Housekeeping 5721 191847.06 F244 Dietary 5721 200747.86 F245 Cafeteria 5721 15.0161611 F246 Maintenance of Personnel 5721 2.8378134E-9 F247 Nursing Administration 5721 258590.10 F248 Central Services & Supply 5721 30721.81 F249 Pharmacy 5721 63335.19 F250 Medical Records & Medical Records Libr 5721 209206.26 F251 Social Service 5721 8658.27 F252 Other General Service 5721 8.0839154E-6 F253 Paid Hours Related to Adjusted Salarie 5721 55676079.19 F254 Non-Physician Anesthetist Part A 5721 0.000304338 F255 Non-Physician Anesthetist Part B 5721 0.0671702 F256 Physician - Part A 5721 0.0256412 F256A Teaching Physician 5721 0.000099666 F257 Physician - Part B 5721 42.9373147 F258 Interns & Residents (Approved Program) 5721 0.0041266 F259 Home Office Personnel 5721 0.000019426 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 132 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F260 Skilled Nursing Facility 5721 203.5638644 F261 Excluded Areas 5721 3943432.19 F262 Contract Labor 5721 162895.16 F262A Pharmacy Services Under Contract 5721 0.000265037 F262B Laboratory Services Under Contract 5721 2.4760535E-6 F263 Contract Labor: Physician - Part A 5721 35.0205174 F263A Teaching Physician Under Contract 5721 0.000154451 F264 Home Office Salaries & Wage-Related Co 5721 98.8364213 F265 Home Office: Physician Part A 5721 4.6557016E-9 F265A Salaries and Wage Related Costs for Te 5721 0 F266 Employee Benefits 5721 196937.94 F267 Administrative & General 5721 6656559.38 F268 Maintenance & Repairs 5721 43.8279334 F269 Operation of Plant 5721 659797.29 F270 Laundry & Linen Service 5721 89730.18 F271 Housekeeping 5721 2333645.19 F272 Dietary 5721 2101502.59 F273 Cafeteria 5721 208.2775676 F274 Maintenance of Personnel 5721 3.7043128E-8 F275 Nursing Administration 5721 1093375.66 F276 Central Services & Supply 5721 290500.73 F277 Pharmacy 5721 306049.67 F278 Medical Records & Medical Records Libr 5721 1705663.07 F279 Social Service 5721 36097.09 F280 Other General Service 5721 0.0017069 F281 Average Hourly Wage Related to Total A 5721 1571.68 F282 Non-Physician Anesthetist Part A 5721 5.5489087E-6 F283 Non-Physician Anesthetist Part B 5721 3.3979449E-6 F284 Physician - Part A 5721 0.000061044 F284A Teaching Physician 5721 4.8606296E-8 F285 Physician - Part B 5721 0.0202586 F286 Interns & Residents (Approved Program) 5721 0.000040856 F287 Home Office Personnel 5721 6.4403126E-9 F288 Skilled Nursing Facility 5721 0.0867213 F289 Excluded Areas 5721 1583.18 F290 Contract Labor 5721 2811.00 F290A Pharmacy Services Under Contract 5721 9.7670491E-6 F290B Laboratory Services Under Contract 5721 1.8844706E-8 F291 Contract Labor: Physicians Part A 5721 2.1778034 F291A Teaching Physician Under Contract 5721 2.9210032E-7 F292 Home Office Salaries & Wage Related Co 5721 0.3879956 F293 Home Office: Physician Part A 5721 1.021195E-11 F293A Salaries and Wage Related Costs for Te 5721 0 F294 Employee Benefits 5721 1146.69 F295 Administrative & General 5721 1533.87 F296 Maintenance & Repairs 5721 0.000070927 F297 Operation of Plant 5721 1191.21 F298 Laundry & Linen Service 5721 598.3376109 F299 Housekeeping 5721 821.9730158 F300 Dietary 5721 923.6853041 F301 Cafeteria 5721 0.1254124 F302 Maintenance of Personnel 5721 2.527365E-11 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 133 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F303 Nursing Administration 5721 2214.43 F304 Central Services & Supply 5721 845.0705253 F305 Pharmacy 5721 1473.44 F306 Medical Records & Library 5721 1192.45 F307 Social Services 5721 357.1948540 F308 Other General Service 5721 0.0021358 F309 Net Salaries 5721 9736220.32 F310 Excluded Area Salaries 5721 967422.19 F311 Subtotal Salaries 5721 8546051.20 F312 Subtotal Other Wages & Related Costs 5721 302864.66 F313 Subtotal Wage-Related Costs 5721 1396633.12 F314 Total (Sum of Lines 3-5) 5721 10750757.11 F315 Net Salaries 5721 0 F316 Excluded Area Salaries 5721 0 F317 Subtotal Salaries (Line 7 minus Line 8 5721 0 F318 Subtotal - Other Wages & Related Costs 5721 0 F319 Subtotal Wage Related Costs 5721 0 F320 Total (Sum of Lines 9-11) 5721 0 F321 Total Overhead Costs 5721 3008755.90 F322 Net Salaries 5721 9737846.14 F323 Excluded Area Salaries 5721 970561.14 F324 Subtotal Salaries 5721 8478687.00 F325 Subtotal Other Wages & Related Costs 5721 303920.45 F326 Subtotal Wage-Related Costs 5721 1416995.26 F327 Total (Sum of Lines 3-5) 5721 10704434.84 F328 Net Salaries 5721 0 F329 Excluded Area Salaries 5721 0 F330 Subtotal Salaries (Line 7 minus Line 5721 0 F331 Subtotal - Other Wages & Related Costs 5721 0 F332 Subtotal Wage Related Costs 5721 0 F333 Total (Sum of Lines 9-11) 5721 0 F334 Total Overhead Costs 5721 2989786.03 F335 Net Salaries 5721 55332571.55 F336 Excluded Area Salaries 5721 5940586.80 F337 Subtotal Salaries 5721 46851809.16 F338 Subtotal Other Wages & Related Costs 5721 676766.85 F339 Subtotal Wage-Related Costs 5721 0 F340 Total (Sum of Lines 3-5) 5721 48200518.72 F341 Net Salaries 5721 0 F342 Excluded Area Salaries 5721 0 F343 Subtotal Salaries (Line 7 minus Line 8 5721 0 F344 Subtotal - Other Wages & Related Costs 5721 0 F345 Subtotal Wage Related Costs 5721 0 F346 Total (Sum of Lines 9-11) 5721 0 F347 Total Overhead Costs 5721 19103578.22 F348 Net Salaries 5721 1566.03 F349 Excluded Area Salaries 5721 1542.97 F350 Subtotal Salaries 5721 1589.61 F351 Subtotal Other Wages & Related Costs 5721 3481.47 F352 Subtotal Wage-Related Costs 5721 19.1054039 F353 Total (Sum of Lines 3-5) 5721 1968.45 F354 Net Salaries 5721 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 134 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F355 Excluded Area Salaries 5721 0 F356 Subtotal Salaries (Line 7 minus Line 8 5721 0 F357 Subtotal - Other Wages & Related Costs 5721 0 F358 Subtotal Wage Related Costs 5721 0 F359 Total (Sum of Lines 9-11) 5721 0 F360 Total Overhead Costs 5721 1379.76 F361 Employee Benefits 5721 49013.70 F362 Administrative & General 5721 1271649.70 F363 Maintenance & Repairs 5721 16.0044902 F364 Operation of Plant 5721 113324.65 F365 Laundry & Linen Service 5721 9574.08 F366 Housekeeping 5721 218322.71 F367 Dietary 5721 269664.30 F368 Cafeteria 5721 0.000065510 F369 Maintenance of Personnel 5721 1.5997017E-8 F370 Nursing Administration 5721 285416.29 F371 Central Services & Supply 5721 36266.81 F372 Pharmacy 5721 96965.65 F373 Medical Records & Medical Records Libr 5721 229140.18 F374 Social Service 5721 14605.37 F375 Other General Service 5721 0.0033415 F376 Nonphysician Anesthetists 5721 4.5504837E-6 F377 Nursing School 5721 0.000022883 F378 Interns & Residents in Approved Progra 5721 0.000311274 F379 Interns & Residents in Approved Prog - 5721 0.000031078 F380 Paramedical Education Program 5721 0.000024933 F381 Adults & Pediatrics - (General Routine 5721 1766710.14 F382 ICU 5721 287788.96 F383 Coronary Care Unit 5721 0.000065950 F384 Burn ICU 5721 3.5763636E-7 F385 Surgical ICU 5721 0.000035955 F386 Other Special Care 5721 0.000159384 F387 Sub. Prov. I 5721 0.000179625 F388 Sub. Prov. II 5721 3.0268722E-6 F389 Nursery 5721 129.8465819 F390 Skilled Nursing Facility 5721 8.2909506 F391 Nursing Facility 5721 0.0010930 F391A Intermediate Care Facility/Mental Reta 5721 0 F392 Other Long Term Care 5721 0.000020180 F393 Operating Room 5721 464769.21 F394 Recovery Room 5721 1.0490649 F395 Delivery Room & Labor Room 5721 393.5045316 F396 Anesthesiology 5721 107.9684212 F397 Radiology - Diagnostic 5721 408496.00 F398 Radiology - Therapeutic 5721 0.000124982 F399 Radioisotope 5721 0.000546193 F400 Laboratory 5721 372636.21 F401 Whole Blood & Packed Red Blood Cells 5721 4.4245534E-6 F402 'Blood Storing, Processing, & Trans.' 5721 -0.000026731 F403 Intravenous Therapy 5721 5.2248281E-6 F404 Respiratory Therapy 5721 210590.70 F405 Physical Therapy 5721 182205.94 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 135 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F406 Occupational Therapy 5721 11.6172013 F407 Speech Pathology 5721 0.0024795 F408 Electrocardiology 5721 20148.35 F409 Electrocephalography 5721 0.000062695 F410 Medical Supplies Charged to Patients 5721 0.000736356 F411 Drugs Charged to Patients 5721 0.8613968 F412 Renal Dialysis 5721 0.000023699 F413 ASC (Non-Distinct Part) 5721 0.000447248 F414 Other Ancillary 5721 5.4947211 F415 Clinic 5721 20.3836842 F416 Emergency 5721 483638.52 F416A Distinct Observation Bed Unit 5721 1.827494E-8 F417 Other Outpt. Services 5721 0.000122943 F417A Rural Health Clinic 5721 0.0077058 F417B Federally Qualified Health Center 5721 0 F418 Home Program Dialysis 5721 2.482971E-10 F419 Ambulance Services 5721 0.0032848 F420 Durable Medical Equipment - Rented 5721 1.4375148E-7 F421 Durable Medical Equipment - Sold 5721 0 F422 Other Reimbursable 5721 4.291021E-10 F423 Outpt. Rehabilitation Provider - CORF 5721 0 F424 Outpt. Rehabilitation Provider -CMHC 5721 0 F425 Outpt. Rehabilitation Provider - OPT 5721 0 F426 Outpt. Rehabilitation Provider - OOT 5721 0 F427 Outpt. Rehabilitation Provider - OSP 5721 0 F428 Interns & Residents (Non Approved Prog 5721 8.360273E-10 F429 Home Health Agency 5721 475.8689259 F430 Lung Acquisition 5721 0 F431 Kidney Acquisition 5721 4.6362458E-7 F432 Liver Acquisition 5721 0 F433 Heart Acquisition 5721 7.121231E-10 F433A Pancreas Acquisition 5721 0 F434 Other Organ Acquisition 5721 6.267202E-10 F435 Utilization Review - SNF 5721 0 F436 ASC (Distinct Part) 5721 0 F437 Hospice 5721 0.000207415 F438 Other Special Purpose 5721 -3.286947E-6 F439 Non-Reimbursable Cost Centers 5721 80989.62 F440 Total Salaries - Facility 5721 10237498.59 F441 Old Capital-Related Costs - Buildings 5721 34857.28 F442 Old Capital-Related Costs - Movable Eq 5721 0.3783326 F443 New Capital-Related Costs - Buildings 5721 63383.26 F444 New Capital-Related Costs - Movable Eq 5721 10546.28 F445 Employee Benefits 5721 1016257.82 F446 Administrative & General 5721 2247221.50 F447 Maintenance & Repairs 5721 66.9147700 F448 Operation of Plant 5721 383235.96 F449 Laundry & Linen Service 5721 62104.14 F450 Housekeeping 5721 88525.45 F451 Dietary 5721 304873.36 F452 Cafeteria 5721 0.000067820 F453 Maintenance of Personnel 5721 2.9111899E-8 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 136 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F454 Nursing Administration 5721 24371.35 F455 Central Services & Supply 5721 51787.11 F456 Pharmacy 5721 242437.28 F457 Medical Records & Medical Records Libr 5721 88170.50 F458 Social Service 5721 495.8541736 F459 Other General Service 5721 -0.000051176 F460 Nonphysician Anesthetists 5721 0.000027109 F461 Nursing School 5721 -1.545286E-6 F462 Interns & Residents - Salaries & Fring 5721 -0.0017414 F463 Interns & Residents - Other Program Co 5721 0.0011841 F464 Paramedical Education Program 5721 0.000010014 F465 Adults & Pediatrics - (General Routine 5721 283228.81 F466 ICU 5721 22894.70 F467 Coronary Care Unit 5721 0.000010314 F468 Burn ICU 5721 4.9143518E-7 F469 Surgical ICU 5721 -4.300875E-6 F470 Other Special Care 5721 5.0923865E-6 F471 Sub. Prov. I 5721 0.0457204 F472 Sub. Prov. II 5721 -0.000174256 F473 Nursery 5721 31.3066461 F474 Skilled Nursing Facility 5721 47.6979350 F475 Nursing Facility 5721 0.000675231 F475A Intermediate Care Facility/Mental Reta 5721 0 F476 Other Long Term Care 5721 0.000113413 F477 Operating Room 5721 357436.25 F478 Recovery Room 5721 1.9737446 F479 Delivery Room & Labor Room 5721 74.7170529 F480 Anesthesiology 5721 28713.02 F481 Radiology - Diagnostic 5721 529847.62 F482 Radiology - Therapeutic 5721 0.000034865 F483 Radioisotope 5721 8.7801059 F484 Laboratory 5721 559699.95 F485 PBP Clinical Laboratory Service (Progr 5721 0 F486 Whole Blood & Packed Red Blood Cells 5721 0.000013123 F487 'Blood Storing, Processing, & Trans.' 5721 1.0547071 F488 Intravenous Therapy 5721 0.000429940 F489 Respiratory Therapy 5721 87180.11 F490 Physical Therapy 5721 79385.68 F491 Occupational Therapy 5721 50.0150911 F492 Speech Pathology 5721 11.7962784 F493 Electrocardiology 5721 23538.85 F494 Electrocephalography 5721 0.2812982 F495 Medical Supplies Charged to Patients 5721 1502.79 F496 Drugs Charged to Patients 5721 10233.61 F497 Renal Dialysis 5721 0.0314339 F498 ASC (Non-Distinct Part) 5721 0.3292235 F499 Other Ancillary 5721 0.0152444 F500 Clinic 5721 52.3876189 F501 Emergency 5721 356160.64 F501A Distinct Observation Bed Unit 5721 1.4440897E-9 F502 Other Outpt. Services 5721 0.0011380 F502A Rural Health Clinic 5721 0.0047952 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 137 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F502B Federally Qualified Health Center 5721 0 F503 Home Program Dialysis 5721 7.5869993E-7 F504 Ambulance Services 5721 0.0029867 F505 Durable Medical Equipment - Rented 5721 1.0715364E-7 F506 Durable Medical Equipment - Sold 5721 0 F507 Other Reimbursable 5721 1.8779086E-7 F508 Outpt. Rehabilitation Provider - CORF 5721 0 F509 Outpt. Rehabilitation Provider -CMHC 5721 0 F510 Outpt. Rehabilitation Provider - OPT 5721 0 F511 Outpt. Rehabilitation Provider - OOT 5721 0 F512 Outpt. Rehabilitation Provider - OSP 5721 0 F513 Interns & Residents (Non Approved Prog 5721 1.0269694E-9 F514 Home Health Agency 5721 206.8784896 F515 Lung Acquisition 5721 0 F516 Kidney Acquisition 5721 5.6689523E-6 F517 Liver Acquisition 5721 0 F518 Heart Acquisition 5721 1.8472246E-9 F518A Pancreas Acquisition 5721 0 F519 Other Organ Acquisition 5721 5.1366178E-9 F520 Interest Expense 5721 47870.47 F521 Utilization Review - SNF 5721 0 F522 Other Capital-Related Costs 5721 10187.73 F523 ASC (Distinct Part) 5721 0 F524 Hospice 5721 0.000226431 F525 Other Special Purpose 5721 -5.392364E-6 F526 Nonreimbursable Cost Centers 5721 79887.97 F527 Total Other Costs - Facility 5721 12626042.67 F528 Old Capital-Related Costs - Buildings 5721 76760.78 F529 Old Capital-Related Costs - Movable Eq 5721 7664.78 F530 New Capital-Related Costs- Buildings 5721 520685.83 F531 New Capital-Related Costs - Movable Eq 5721 568335.33 F532 Employee Benefits 5721 1330733.19 F533 Administrative & General 5721 3060902.13 F534 Maintenance & Repairs 5721 35.6136565 F535 Operation of Plant 5721 548406.49 F536 Laundry & Linen Service 5721 112090.37 F537 Housekeeping 5721 347688.20 F538 Dietary 5721 445133.34 F539 Cafeteria 5721 21.2473201 F540 Maintenance of Personnel 5721 2.1912375E-6 F541 Nursing Administration 5721 320045.75 F542 Central Services & Supply 5721 70278.25 F543 Pharmacy 5721 199921.89 F544 Medical Records & Medical Records Libr 5721 333574.85 F545 Social Service 5721 26135.93 F546 Other General Service 5721 -0.0014178 F547 Nonphysician Anesthetists 5721 0.000061834 F548 Nursing School 5721 -0.000011038 F549 Interns & Residents - Salaries & Fring 5721 0.000219096 F550 Interns & Residents - Other Program Co 5721 0.0024985 F551 Paramedical Education Program 5721 0.000028994 F552 Adults & Pediatrics - (General Routine 5721 2006938.74 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 138 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F553 ICU 5721 327958.08 F554 Coronary Care Unit 5721 0.000170657 F555 Burn ICU 5721 1.1509499E-7 F556 Surgical ICU 5721 0.000148048 F557 Other Special Care 5721 0.000190278 F558 Sub. Prov. I 5721 14.7162740 F559 Sub. Prov. II 5721 0.000737868 F560 Nursery 5721 14224.34 F561 Skilled Nursing Facility 5721 8.6752562 F562 Nursing Facility 5721 0.000089505 F562A Intermediate Care Facility/Mental Reta 5721 0 F563 Other Long Term Care 5721 0.000038998 F564 Operating Room 5721 728420.67 F565 Recovery Room 5721 10.0599253 F566 Delivery Room and Labor Room 5721 18102.63 F567 Anesthesiology 5721 10527.44 F568 Radiology - Diagnostic 5721 897919.92 F569 Radiology - Therapeutic 5721 0.0030432 F570 Radioisotope 5721 0.0117010 F571 Laboratory 5721 931365.67 F572 PBP Clinical Lab Services (Program Onl 5721 0 F573 Whole Blood & Packed Red Blood Cells 5721 1.7961789E-6 F574 'Blood Storing, Processing, & Trans.' 5721 4.7331612 F575 Intravenous Therapy 5721 -0.000398213 F576 Respiratory Therapy 5721 298382.69 F577 Physical Therapy 5721 358955.39 F578 Occupational Therapy 5721 578.9343912 F579 Speech Pathology 5721 197.1933535 F580 Electrocardiology 5721 47859.71 F581 Electroencephalography 5721 2.4379143 F582 Medical Supplies Charged to Patients 5721 352194.74 F583 Drugs Charged to Patients 5721 505678.89 F584 Renal Dialysis 5721 0.0118222 F585 ASC (Non-Distinct Part) 5721 0.000756588 F586 Other Ancillary 5721 15.0868064 F587 Clinic 5721 114.9690059 F588 Emergency 5721 621703.84 F588A Distinct Observation Bed Unit 5721 1.7710446E-7 F589 Other Outpt. Services 5721 0.0035498 F589A Rural Health Clinic 5721 0.0018445 F589B Federally Qualified Health Center 5721 0 F590 Home Program Dialysis 5721 1.4432369E-6 F591 Ambulance Services 5721 0.0035657 F592 Durable Medical Equipment - Rented 5721 3.374553E-7 F593 Durable Medical Equipment - Sold 5721 0 F594 Other Reimbursable 5721 9.6513089E-6 F595 Outpt. Rehabilitation Provider - CORF 5721 0 F596 Outpt. Rehabilitation Provider - CMHC 5721 0 F597 Outpt. Rehabilitation Provider - OPT 5721 0 F598 Outpt. Rehabilitation Provider - OOT 5721 0 F599 Outpt. Rehabilitation Provider - OSP 5721 0 F600 Intern & Resident Service (Non-Approve 5721 6.6257041E-7 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 139 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F601 Home Health Agency 5721 825.3353204 F602 Lung Acquisition 5721 0 F603 Kidney Acquisition 5721 7.3916554E-6 F604 Liver Acquisition 5721 0 F605 Heart Acquisition 5721 1.8796967E-9 F605A Pancreas Acquisition 5721 0 F606 Other Organ Acquisition 5721 0 F607 ASC (Distinct Part) 5721 0 F608 Hospice 5721 0.000667875 F609 Other Special Purpose 5721 0.000044802 F610 Nonreimbursable Cost Centers 5721 270675.57 F611 Total Cost Before Allocation - Facilit 5721 21621408.91 F612 Nonphysician Anesthetists 5721 0.000027907 F613 Nursing School 5721 0.000143150 F614 Interns & Residents - Salary & Fringes 5721 -0.000180238 F615 Interns & Residents - Program Costs (A 5721 -0.000180599 F616 Paramedical Education 5721 -0.000089312 F617 Adults & Pediatrics - (General Routine 5721 4815655.43 F618 ICU 5721 644536.62 F619 Coronary Care Unit 5721 0.0020898 F620 Burn ICU 5721 8.7387805E-7 F621 Surgical ICU 5721 6.5532594E-7 F622 Other Special Care 5721 0.000028325 F623 Sub. Prov. I 5721 8.1591314 F624 Sub. Prov. II 5721 0.0010016 F625 Nursery 5721 44896.18 F626 Skilled Nursing Facility 5721 255.2714131 F627 Nursing Facility 5721 0.000073740 F627A Intermediate Care Facility/Mental Reta 5721 0 F628 Other Long Term Care 5721 0.000766461 F629 Operating Room 5721 1499037.96 F630 Recovery Room 5721 29.3799825 F631 Delivery Room and Labor Room 5721 56783.58 F632 Anesthesiology 5721 57674.43 F633 Radiology - Diagnostic 5721 1533640.50 F634 Radiology - Therapeutic 5721 0.0023644 F635 Radioisotope 5721 7.8908451 F636 Laboratory 5721 1418456.03 F637 PBP Clinical Lab Services (Program Onl 5721 0 F638 Whole Blood & Packed Red Blood Cells 5721 0.000018440 F639 'Blood Storing, Processing, & Trans.' 5721 5.6122995 F640 Intravenous Therapy 5721 0.000496699 F641 Respiratory Therapy 5721 487820.44 F642 Physical Therapy 5721 603658.47 F643 Occupational Therapy 5721 912.3436713 F644 Speech Pathology 5721 304.9335733 F645 Electrocardiology 5721 89392.75 F646 Electroencephalography 5721 9.0061504 F647 Medical Supplies Charged to Patients 5721 753934.98 F648 Drugs Charged to Patients 5721 1285617.55 F649 Renal Dialysis 5721 0.0152513 F650 ASC (Non-Distinct Part) 5721 0.000631023 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 140 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F651 Other Ancillary 5721 56.8702407 F652 Clinic 5721 307.1893584 F653 Emergency 5721 1143124.81 F653A Distinct Observation Bed Unit 5721 3.500052E-6 F654 Other Outpt. Services 5721 0.0012880 F654A Rural Health Clinic 5721 0.0135353 F654B Federally Qualified Health Center 5721 0 F655 Home Program Dialysis 5721 2.0770143E-6 F656 Ambulance Services 5721 0.0052932 F657 Durable Medical Equipment - Rented 5721 4.5458607E-7 F658 Durable Medical Equipment - Sold 5721 0 F659 Other Reimbursable 5721 0.000015728 F660 Outpt. Rehabilitation Provider - CORF 5721 0 F661 Outpt. Rehabilitation Provider - CMHC 5721 0 F662 Outpt. Rehabilitation Provider - OPT 5721 0 F663 Outpt. Rehabilitation Provider - OOT 5721 0 F664 Outpt. Rehabilitation Provider - OSP 5721 0 F665 Interns & Residents Service (Non-Appro 5721 6.49095E-9 F666 Home Health Agency 5721 1276.75 F667 Lung Acquisition 5721 0 F668 Kidney Acquisition 5721 0.000011773 F669 Liver Acquisition 5721 0 F670 Heart Acquisition 5721 2.4069424E-9 F670A Pancreas Acquisition 5721 0 F671 Other Organ Acquisition 5721 0 F672 ASC (Distinct Part) 5721 0 F673 Hospice 5721 0.0010048 F674 Other Special Purpose 5721 0.000017797 F675 Nonreimbursable Cost Centers 5721 624588.78 F676 Cross Foot Adjustments 5721 0 F677 Negative Cost Centers 5721 0 F678 Total Costs - Facility 5721 21599233.25 F679 Respiratory Therapy Limit Adjustment 5721 0 F680 Physical Therapy Limit Adjustment 5721 1.4903139E-7 F680A Occupational Therapy Limit Adjustment 5721 0 F680B Speech Pathology Therapy Limit Adjustm 5721 6.4644934E-9 F681 Adults & Pediatrics - (General Routine 5721 3322876.77 F682 ICU 5721 603287.40 F683 Coronary Care Unit 5721 0.000232131 F684 Burn ICU 5721 8.668768E-7 F685 Surgical ICU 5721 1.1585208E-6 F686 Other Special Care 5721 0.000168590 F687 Sub. Prov. I 5721 2.7863037 F688 Sub. Prov. II 5721 0.000032799 F689 Nursery 5721 44250.40 F690 Skilled Nursing Facility 5721 309.3851440 F691 Nursing Facility 5721 0.0057046 F691A Intermediate Care Facility/Mental Reta 5721 0 F692 Other Long Term Care 5721 0.000310923 F693 Operating Room 5721 1416624.91 F694 Recovery Room 5721 40.2578981 F695 Delivery Room & Labor Room 5721 55254.12 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 141 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F696 Anesthesiology 5721 53004.14 F697 Radiology - Diagnostic 5721 1489267.09 F698 Radiology - Therapeutic 5721 0.0010198 F699 Radioisotope 5721 6.5425780 F700 Laboratory 5721 1371872.01 F701 PBP Clinical Lab Services (Program Onl 5721 0 F702 Whole Blood & Packed Red Blood Cells 5721 0.000040936 F703 'Blood Storing, Processing, Trans.' 5721 4.3110947 F704 Intravenous Therapy 5721 0.000200096 F705 Respiratory Therapy 5721 430821.26 F706 Physical Therapy 5721 531166.35 F707 Occupational Therapy 5721 433.2834534 F708 Speech Pathology 5721 110.7557542 F709 Electrocardiology 5721 75515.75 F710 Electroencephalography 5721 1.3926019 F711 Medical Supplies Charged to Patients 5721 700853.84 F712 Drugs Charged to Patients 5721 1173503.98 F713 Renal Dialysis 5721 0.0387175 F714 ASC (Non-Distinct Part) 5721 0.000501594 F715 Other Ancillary 5721 3.3778146 F716 Clinic 5721 135.1463925 F717 Emergency 5721 1138787.52 F718 Non Distinct Observation Bed Unit 5721 95636.84 F718A Distinct Observation Beds 5721 0.000015947 F719 Other Outpt. Services 5721 0.0052782 F719A Rural Health Center 5721 0.000460556 F719B Federally Qualified Health Center 5721 0 F720 Home Program Dialysis 5721 2.6523165E-6 F721 Ambulance Services 5721 0.0043895 F722 Durable Medical Equipment - Rented 5721 4.531321E-7 F723 Durable Medical Equipment - Sold 5721 0 F724 Other Reimbursable Costs 5721 8.1894772E-7 F725 Subtotal 5721 17065183.16 F726 Less: Observation Beds 5721 95110.64 F727 Total Costs - Facility (Line 101 minus 5721 16827320.32 F728 Total Capital Reduction - Facility 5721 72188.39 F728A Inpatient Capital Reduction Factor 5721 0 F728B Outpt. Capital Reduction Factor 5721 100000.00 F729 Total Operating Cost Reduction - Facil 5721 483273.16 F729A Outpt. Operating Cost Reduction Factor 5721 58000.00 F730 Adults & Pediatrics - (General Routine 5721 4954570.08 F731 ICU 5721 540904.54 F732 Coronary Care Unit 5721 0.000040208 F733 Burn ICU 5721 1.4039613E-7 F734 Surgical ICU 5721 1.8695953E-7 F735 Other Special Care 5721 0.000026393 F736 Sub. Prov. I 5721 0.0843282 F737 Sub. Prov. II 5721 0.0012030 F738 Nursery 5721 41289.35 F739 Skilled Nursing Facility 5721 37.9911877 F740 Nursing Facility 5721 0.000045592 F740A Intermediate Care Facility/Mental Reta 5721 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 142 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F741 Other Long Term Care 5721 0.0020603 F742 Operating Room 5721 979604.52 F743 Recovery Room 5721 50.3773883 F744 Delivery Room & Labor Room 5721 43960.49 F745 Anesthesiology 5721 64267.67 F746 Radiology - Diagnostic 5721 911603.00 F747 Radiology - Therapeutic 5721 0.0014686 F748 Radioisotope 5721 3.9639884 F749 Laboratory 5721 1604682.09 F750 PBP Clinical Lab Services (Program Onl 5721 0 F751 Whole Blood & Packed Red Blood Cells 5721 0.000658299 F752 'Blood Storing, Processing, Trans.' 5721 0.4325171 F753 Intravenous Therapy 5721 0.000502623 F754 Respiratory Therapy 5721 1158010.56 F755 Physical Therapy 5721 307821.19 F756 Occupational Therapy 5721 462.5705312 F757 Speech Pathology 5721 149.9251593 F758 Electrocardiology 5721 137446.96 F759 Electroencephalography 5721 11.1837111 F760 Medical Supplies Charged to Patients 5721 1238694.46 F761 Drugs Charged to Patients 5721 2619981.59 F762 Renal Dialysis 5721 0.0165588 F763 ASC (Non-Distinct Part) 5721 0.000107869 F764 Other Ancillary 5721 2.1510171 F765 Clinic 5721 0.2633838 F766 Emergency 5721 210368.33 F767 Non Distinct Observation Beds 5721 0.8059818 F767A Distinct Observation Bed Unit 5721 3.9865783E-7 F768 Other Outpt. Services 5721 0.000032502 F768A RHC 5721 0 F768B FQHC 5721 0 F769 Home Program Dialysis 5721 2.901339E-10 F770 Ambulance Services 5721 0.000116479 F771 Durable Medical Equipment - Rented 5721 0.000193881 F772 Durable Medical Equipment - Sold 5721 0 F773 Other Reimbursable Costs 5721 7.2217572E-7 F774 Operating Room 5721 1447343.09 F775 Recovery Room 5721 8.7859740 F776 Delivery Room & Labor Room 5721 679.6375092 F777 Anesthesiology 5721 97039.76 F778 Radiology - Diagnostic 5721 2943571.31 F779 Radiology - Therapeutic 5721 0.0063963 F780 Radioisotope 5721 0.0310159 F781 Laboratory 5721 1969640.09 F782 PBP Clinical Lab Services (Program Onl 5721 0 F783 Whole Blood & Packed Red Blood Cells 5721 0.000280996 F784 'Blood Storing, Processing, Trans.' 5721 2.6891112 F785 Intravenous Therapy 5721 0.000412040 F786 Respiratory Therapy 5721 177492.02 F787 Physical Therapy 5721 460229.06 F788 Occupational Therapy 5721 76.3991286 F789 Speech Pathology 5721 14.2877699 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 143 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F790 Electrocardiology 5721 185073.16 F791 Electroencephalography 5721 0.0251574 F792 Medical Supplies Charged to Patients 5721 587671.01 F793 Drugs Charged to Patients 5721 901438.16 F794 Renal Dialysis 5721 0.000454429 F795 ASC (Non-Distinct Part) 5721 0.000408443 F796 Other Ancillary 5721 6.8493028 F797 Clinic 5721 123.9227687 F798 Emergency 5721 1042815.34 F799 Non Distinct Observation Beds 5721 71457.65 F799A Distinct Observation Bed Unit 5721 7.9622953E-6 F800 Other Outpt. Services 5721 0.0026089 F800A RHC 5721 0.000090639 F800B FQHC 5721 0 F801 Home Program Dialysis 5721 0.000219367 F802 Ambulance Services 5721 0.0070513 F803 Durable Medical Equipment - Rented 5721 6.8029024E-7 F804 Durable Medical Equipment - Sold 5721 0 F805 Other Reimbursable Costs 5721 2.0974237E-6 F806 Operating Room 5721 456396.30 F807 Recovery Room 5721 15.5386775 F808 Delivery Room & Labor Room 5721 388499.51 F809 Anesthesiology 5721 103793.42 F810 Radiology - Diagnostic 5721 369527.38 F811 Radiology - Therapeutic 5721 0.0053656 F812 Radioisotope 5721 15.6641737 F813 Laboratory 5721 375413.81 F814 PBP Clinical Lab Services 5721 0 F815 Whole Blood & Packed Red Blood Cells 5721 0.000190577 F816 'Blood Storing, Processing, Trans.' 5721 27.3338756 F817 Intravenous Therapy 5721 0.000214326 F818 Respiratory Therapy 5721 265344.94 F819 Physical Therapy 5721 594422.03 F820 Occupational Therapy 5721 3601.45 F821 Speech Pathology 5721 3847.19 F822 Electrocardiology 5721 192136.65 F823 Electroencephalography 5721 68.7302313 F824 Medical Supplies Charged to Patients 5721 356391.45 F825 Drugs Charged to Patients 5721 342839.80 F826 Renal Dialysis 5721 0.1108228 F827 ASC (Non-Distinct Part) 5721 0.0891790 F828 Other Ancillary 5721 142.1371404 F829 Clinic 5721 44677.23 F830 Emergency 5721 664251.29 F831 Non Distinct Observation Beds 5721 599292.32 F831A Distinct Observation Bed Unit 5721 3.2508758E-7 F832 Other Outpt. Service 5721 0.1238154 F832A RHC 5721 0.5895877 F832B FQHC 5721 0 F833 Home Program Dialysis 5721 5.794971E-7 F834 Durable Medical Equipment - Rented 5721 0.000017758 F835 Durable Medical Equipment - Sold 5721 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 144 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F836 Other Reimbursable Costs 5721 0.000020414 F837 Operating Room 5721 430323.20 F838 Recovery Room 5721 31.7095412 F839 Delivery Room & Labor Room 5721 365488.36 F840 Anesthesiology 5721 96204.56 F841 Radiology - Diagnostic 5721 350519.73 F842 Radiology - Therapeutic 5721 0.0118450 F843 Radioisotope 5721 18.0212438 F844 Laboratory 5721 354863.52 F845 PBP Clinical Lab Services (Program Onl 5721 0 F846 Whole Blood & Packed Red Blood Cells 5721 0.000035124 F847 'Blood Storing, Processing, Trans.' 5721 0.0577192 F848 Intravenous Therapy 5721 0.000286272 F849 Respiratory Therapy 5721 250535.32 F850 Physical Therapy 5721 561025.49 F851 Occupational Therapy 5721 3457.91 F852 Speech Pathology 5721 3455.47 F853 Electrocardiology 5721 180730.16 F854 Electroencephalography 5721 76.6200675 F855 Medical Supplies Charged to Patients 5721 337503.00 F856 Drugs Charged to Patients 5721 325876.69 F857 Renal Dialysis 5721 12.2898018 F858 ASC (Non-Distinct Part) 5721 0.0614613 F859 Other Ancillary 5721 147.8841551 F860 Clinic 5721 15153.90 F861 Emergency 5721 623407.10 F862 Non Distinct Observation Beds 5721 599208.77 F862A Distinct Observation Bed Unit 5721 3.2034651E-7 F863 Other Outpt. Services 5721 0.0835001 F863A RHC 5721 0.4496675 F863B FQHC 5721 0 F864 Home Program Dialysis 5721 1.3225915E-7 F864A Ambulance Services 5721 0.7468769 F865 Durable Medical Equipment - Rented 5721 0.000016475 F866 Durable Medical Equipment - Sold 5721 0 F867 Other Reimbursable Costs 5721 0.000019229 F868 Adults & Pediatrics - (General Routine 5721 1596253.65 F869 ICU 5721 81022.50 F870 Coronary Care Unit 5721 0.000300649 F871 Burn ICU 5721 0 F872 Surgical ICU 5721 0.000084095 F873 Other Special Care Unit 5721 1.7898382E-6 F874 Operating Room 5721 327423.82 F875 Recovery Room 5721 1.7402820 F876 Delivery Room & Labor Room 5721 0.2207222 F877 Anesthesiology 5721 12305.81 F878 Radiology - Diagnostic 5721 476117.48 F879 Radiology - Therapeutic 5721 0.0020104 F880 Radioisotope 5721 0.000048176 F881 Laboratory 5721 854622.37 F882 PBP Clinical Lab Services (Program Onl 5721 0 F883 Whole Blood & Packed Red Blood Cells 5721 0.000011646 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 145 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F884 'Blood Storing, Processing, Trans.' 5721 0.3518235 F885 Intravenous Therapy 5721 0.000105804 F886 Respiratory Therapy 5721 524153.89 F887 Physical Therapy 5721 107312.17 F888 Occupational Therapy 5721 31.5530376 F889 Speech Pathology 5721 25.3787855 F890 Electrocardiology 5721 87627.11 F891 Electroencephalography 5721 0.1563590 F892 Medical Supplies Charged to Patients 5721 691650.93 F893 Drugs Charged to Patients 5721 1276616.93 F894 Renal Dialysis 5721 0.0018574 F895 ASC (Non-Distinct Part) 5721 0.000044420 F896 Other Ancillary 5721 0.0159820 F897 Clinic 5721 0.0027156 F898 Emergency 5721 113428.93 F899 Non Distinct Observation Beds 5721 517.6716935 F899A Distinct Observation Bed Unit 5721 1.6544017E-7 F900 Other Outpt. Service 5721 0.000199221 F900A RHC 5721 0 F900B FQHC 5721 0 F901 Home Program Dialysis 5721 0 F902 Durable Medical Equipment - Rented 5721 0 F903 Durable Medical Equipment - Sold 5721 0 F904 Other Reimbursable Costs 5721 0 F905 Total Medicare Part A Ancillary Charge 5721 5979568.19 F906 Net Medicare Part A Ancillary Charges 5721 5979568.19 F907 Operating Room 5721 187861.27 F908 Recovery Room 5721 0.1149079 F909 Delivery Room & Labor Room 5721 0.0275011 F910 Anesthesiology 5721 3853.57 F911 Radiology - Diagnostic 5721 180193.08 F912 Radiology - Therapeutic 5721 0.000115596 F913 Radioisotope 5721 0.0025217 F914 Laboratory 5721 319673.22 F915 PBP Clinical Lab Services (Program Onl 5721 0 F916 Whole Blood & Packed Red Blood Cells 5721 0.000025362 F917 'Blood Storing, Processing, Trans.' 5721 0.0096714 F918 Intravenous Therapy 5721 0.000027973 F919 Respiratory Therapy 5721 169999.48 F920 Physical Therapy 5721 69371.33 F921 Occupational Therapy 5721 17.4260608 F922 Speech Pathology 5721 15.9187513 F923 Electrocardiology 5721 17995.50 F924 Electroencephalography 5721 0.7874771 F925 Medical Supplies Charged to Patients 5721 246332.51 F926 Drugs Charged to Patients 5721 425909.36 F927 Renal Dialysis 5721 0.000115175 F928 ASC (Non-Distinct Part) 5721 0.000224603 F929 Other Ancillary 5721 0.000726611 F930 Clinic 5721 0.000871455 F931 Emergency 5721 103138.59 F932 Non Distinct Observation Beds 5721 371.5689833 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 146 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F932A Distinct Observation Bed Unit 5721 0.000037026 F933 Other Outpt. Service 5721 2.7756484E-6 F933A RHC 5721 0 F933B FQHC 5721 0 F934 Home Program Dialysis 5721 0 F935 Durable Medical Equipment - Rented 5721 0 F936 Durable Medical Equipment - Sold 5721 0 F937 Other Reimbursable Costs 5721 0 F938 Total Medicare Part A Costs - Hosp. 5721 2218260.16 F939 Total Swing-Bed Cost 5721 1.2060403 F940 General Inpatient Routine Service 5721 4779928.77 F941 General Inpatient Routine Service Cost 5721 4712175.14 F942 General Inpatient Routine Service 5721 2051938.88 F943 ICU - Medicare Cost 5721 342833.13 F944 Coronary Care Unit - Medicare Cost 5721 0.000012180 F945 Burn ICU - Medicare Cost 5721 8.321581E-8 F946 Surgical ICU - Medicare Cost 5721 0.000059121 F947 Other Special Care Unit - Medicare Cos 5721 2.6524787E-7 F948 Medicare Inpatient Ancillary 5721 2207589.72 F949 'Total Medicare Inpatient Operating Co 5721 4764353.31 F950 Pass Through Costs - Program Inpatient 5721 246496.62 F951 Pass Through Costs - Program Inpatient 5721 154480.07 F952 Total Program Excludable Costs 5721 411589.95 F953 Total Program Inpatient Operating Cost 5721 4251438.51 F954 TEFRA Target Amount per Discharge 5721 0.0041021 F955 Target Amount 5721 0.2396420 F956 Difference Between Target Amount and 5721 0.0017593 F957 Incentive / Bonus Payment 5721 0.000210050 F957A Relief Payment 5721 5.1894968E-7 F958 Inpatient Cost Plus Incentive Payment 5721 0.2134591 F959 Operating Room 5721 0.000122908 F960 Recovery Room 5721 9.2112936E-6 F961 Delivery Room & Labor Room 5721 9.5292169E-7 F962 Anesthesiology 5721 4.1581623E-7 F963 Radiology - Diagnostic 5721 0.000588092 F964 Radiology - Therapeutic 5721 4.773517E-8 F965 Radioisotope 5721 1.8353235E-6 F966 Laboratory 5721 0.0050578 F967 PBP Clinical Lab Services (Program Onl 5721 0 F968 Whole Blood & Packed Red Blood Cells 5721 6.9585218E-8 F969 'Blood Storing, Processing, Trans.' 5721 1.238746E-6 F970 Intravenous Therapy 5721 7.6135367E-7 F971 Respiratory Therapy 5721 0.000049991 F972 Physical Therapy 5721 0.000094232 F973 Occupational Therapy 5721 3.8460362E-6 F974 Speech Pathology 5721 2.8846112E-6 F975 Electrocardiology 5721 0.000022473 F976 Electroencephalography 5721 1.8435986E-6 F977 Medical Supplies Charged to Patients 5721 0.000511836 F978 Drugs Charged to Patients 5721 0.000537789 F979 Renal Dialysis 5721 2.0210878E-7 F980 ASC (Non-Distinct Part) 5721 5.8639301E-7 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 147 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F981 Other Ancillary 5721 9.2068204E-6 F982 Clinic 5721 0.000021096 F983 Emergency 5721 3.988929E-6 F984 Non Distinct Observation Beds 5721 0 F984A Distinct Observation Bed Unit 5721 0 F985 Other Outpt. Services 5721 2.0239315E-7 F985A RHC 5721 0 F985B FQHC 5721 0 F986 Home Program Dialysis 5721 0 F987 Durable Medical Equipment - Rented 5721 0 F988 Durable Medical Equipment - Sold 5721 0 F989 Other Reimbursable Costs 5721 0 F990 Total Medicare Part A Ancillary Costs 5721 0.0139219 F991 General Inpatient Routine Service Cost 5721 0.3607862 F992 General Inpatient Routine Service Cost 5721 0.9380717 F993 Total Program General Inpatient Routin 5721 0.2262971 F994 Medicare Inpatient Ancillary Cost 5721 0.0187277 F995 Total Medicare Inpatient Operating Cos 5721 0.0860124 F996 Pass Through Costs - Program Inpatient 5721 0.000266002 F997 Pass Through Costs - Program Inpatient 5721 0.0023532 F998 Total Program Excludable Costs 5721 0.0016589 F999 Total Program Inpatient Operating Cost 5721 0.0227260 F1000 TEFRA Target Amount Per Discharge 5721 0.0254772 F1001 Target Amount 5721 0.0692856 F1002 Difference Between Target Amount and 5721 -0.0309390 F1003 Incentive / Bonus Payment 5721 0.000223495 F1003A Relief Payment 5721 7.3506496E-6 F1004 Inpatient Cost Plus Incentive Payment 5721 0.0570277 F1005 Operating Room 5721 3.2695717E-6 F1006 Recovery Room 5721 3.5452545E-7 F1007 Delivery Room & Labor Room 5721 9.674863E-11 F1008 Anesthesiology 5721 2.0109174E-7 F1009 Radiology - Diagnostic 5721 0.000020770 F1010 Radiology - Therapeutic 5721 3.950091E-8 F1011 Radioisotope 5721 7.1537031E-9 F1012 Laboratory 5721 6.8311009E-7 F1013 PBP Clinical Lab Services (Program Onl 5721 0 F1014 Whole Blood & Packed Red Blood Cells 5721 4.2397515E-9 F1015 'Blood Storing, Processing, Trans.' 5721 1.3877291E-6 F1016 Intravenous Therapy 5721 1.8889466E-7 F1017 Respiratory Therapy 5721 5.8603823E-7 F1018 Physical Therapy 5721 0.000058411 F1019 Occupational Therapy 5721 1.362064E-6 F1020 Speech Pathology 5721 2.953709E-7 F1021 Electrocardiology 5721 0.000018863 F1022 Electroencephalography 5721 3.1028322E-6 F1023 Medical Supplies Charged to Patients 5721 1.7173461E-6 F1024 Drugs Charged to Patients 5721 0.000015962 F1025 Renal Dialysis 5721 7.8207392E-8 F1026 ASC (Non-Distinct Part) 5721 1.0148817E-8 F1027 Other Ancillary 5721 2.9945351E-6 F1028 Clinic 5721 1.7076743E-7 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 148 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1029 Emergency 5721 1.8233076E-6 F1030 Non Distinct Observation Beds 5721 0 F1030A Distinct Observation Bed Unit 5721 0 F1031 Other Outpt. Services 5721 4.7285085E-8 F1031A RHC 5721 0 F1031B FQHC 5721 0 F1032 Home Program Dialysis 5721 0 F1033 Durable Medical Equipment - Rented 5721 0 F1034 Durable Medical Equipment - Sold 5721 0 F1035 Other Reimbursable Costs 5721 0 F1036 Total Medicare Part A Ancillary Costs 5721 0.000016098 F1037 General Inpatient Routine Service Cost 5721 0.0016253 F1038 General Inpatient Routine Service Cost 5721 0.0016253 F1039 Total Program General Inpatient Routin 5721 0.000137436 F1040 Medicare Inpatient Ancillary Cost 5721 0.000085124 F1041 Total Medicare Inpatient Operating Cos 5721 0.0011976 F1042 Pass Through Costs - Program Inpatient 5721 0.000016154 F1043 Pass Through Costs - Program Inpatient 5721 1.6158019E-7 F1044 Total Program Excludable Costs 5721 0.000084295 F1045 Total Program Inpatient Operating Cost 5721 0.000121052 F1046 TEFRA Target Amount Per Discharge 5721 0.000033110 F1047 Target Amount 5721 0.0023093 F1048 Difference Between Target Amount and 5721 -0.000079239 F1049 Incentive / Bonus Payment 5721 3.0658811E-6 F1049A Relief Payment 5721 0 F1050 Inpatient Cost Plus Incentive Payment 5721 0.000765872 F1051 Operating Room 5721 293885.60 F1052 Recovery Room 5721 4.9809209 F1053 Delivery Room & Labor Room 5721 5.103203E-10 F1054 Anesthesiology 5721 6686.67 F1055 Radiology - Diagnostic 5721 0.000049078 F1056 Radiology - Therapeutic 5721 2.42486E-10 F1057 Radioisotope 5721 0.000028807 F1058 Laboratory 5721 6.5181389E-6 F1059 PBP Clinical Lab Services (Program Onl 5721 0 F1060 Whole Blood & Packed Red Blood Cells 5721 2.6105206E-8 F1061 'Blood Storing, Processing, Trans.' 5721 1.606085E-7 F1062 Intravenous Therapy 5721 3.5525503E-7 F1063 Respiratory Therapy 5721 3.9163865E-6 F1064 Physical Therapy 5721 5.5282649E-7 F1065 Occupational Therapy 5721 5.910428E-11 F1066 Speech Pathology 5721 0 F1067 Electrocardiology 5721 3.6555346E-7 F1068 Electroencephalography 5721 0.000297636 F1069 Medical Supplies Charged to Patients 5721 85513.57 F1070 Drugs Charged to Patients 5721 59223.97 F1071 Renal Dialysis 5721 0 F1072 ASC (Non-Distinct Part) 5721 5.1225714E-6 F1073 Other Ancillary 5721 7.4655306E-6 F1074 Clinic 5721 0.000058895 F1075 Emergency 5721 1619.61 F1076 Non Distinct Observation Beds 5721 0.0568250 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 149 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1076A Distinct Observation Bed Unit 5721 0 F1077 Other Outpt. Services 5721 0.000124985 F1077A RHC 5721 0 F1077B FQHC 5721 0 F1078 Home Program Dialysis 5721 0 F1079 Ambulance 5721 0 F1080 Durable Medical Equipment - Rented 5721 0 F1081 Durable Medical Equipment - Sold 5721 0 F1082 Other Reimbursable Costs 5721 0 F1083 CRNA Charges 5721 -0.000083859 F1084 Total ASC Medicare Part B Charges - Ho 5721 702945.95 F1085 Operating Room 5721 1.4709137E-9 F1086 Recovery Room 5721 0 F1087 Delivery Room & Labor Room 5721 0 F1088 Anesthesiology 5721 9.3538063E-9 F1089 Radiology - Diagnostic 5721 679783.38 F1090 Radiology - Therapeutic 5721 0.000422250 F1091 Radioisotope 5721 0.0024724 F1092 Laboratory 5721 1.6058904E-6 F1093 PBP Clinical Lab Services (Program Onl 5721 0 F1094 Whole Blood & Packed Red Blood Cells 5721 0 F1095 'Blood Storing, Processing, Trans.' 5721 0 F1096 Intravenous Therapy 5721 0 F1097 Respiratory Therapy 5721 3.358396E-11 F1098 Physical Therapy 5721 0 F1099 Occupational Therapy 5721 0 F1100 Speech Pathology 5721 0 F1101 Electrocardiology 5721 0.000028364 F1102 Electroencephalography 5721 0 F1103 Medical Supplies Charged to Patients 5721 0.000263577 F1104 Drugs Charged to Patients 5721 8.5166983 F1105 Renal Dialysis 5721 0 F1106 ASC (Non-Distinct Part) 5721 0 F1107 Other Ancillary 5721 0.000013323 F1108 Clinic 5721 5.7181522E-6 F1109 Emergency 5721 0 F1110 Non Distinct Observation Beds 5721 0 F1110A Distinct Observation Bed Unit 5721 0 F1111 Other Outpt. Services 5721 0 F1111A RHC 5721 0 F1111B FQHC 5721 0 F1112 Home Program Dialysis 5721 0 F1113 Ambulance 5721 0 F1114 Durable Medical Equipment - Rented 5721 0 F1115 Durable Medical Equipment - Sold 5721 0 F1116 Other Reimbursable Costs 5721 0 F1117 Total ASC Medicare Part B Charges - Ho 5721 750000.23 F1118 Operating Room 5721 0.000025237 F1119 Recovery Room 5721 8.5104831E-9 F1120 Delivery Room & Labor Room 5721 3.4458873E-9 F1121 Anesthesiology 5721 4.1742366E-8 F1122 Radiology - Diagnostic 5721 585.8552538 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 150 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1123 Radiology - Therapeutic 5721 0.000030329 F1124 Radioisotope 5721 1.5733593E-7 F1125 Laboratory 5721 0.000057032 F1126 PBP Clinical Lab Services (Program Onl 5721 0 F1127 Whole Blood & Packed Red Blood Cells 5721 0 F1128 'Blood Storing, Processing, Trans.' 5721 0 F1129 Intravenous Therapy 5721 0 F1130 Respiratory Therapy 5721 14693.10 F1131 Physical Therapy 5721 9.3364819E-6 F1132 Occupational Therapy 5721 9.484131E-11 F1133 Speech Pathology 5721 0.000055396 F1134 Electrocardiology 5721 61803.90 F1135 Electroencephalography 5721 0.000810739 F1136 Medical Supplies Charged to Patients 5721 4.3240996E-6 F1137 Drugs Charged to Patients 5721 0.000781748 F1138 Renal Dialysis 5721 0 F1139 ASC (Non-Distinct Part) 5721 5.2795036E-7 F1140 Other Ancillary 5721 1.7856895E-6 F1141 Clinic 5721 8.5519229E-6 F1142 Emergency 5721 0.000013270 F1143 Non Distinct Observation Beds 5721 5.3319674E-7 F1143A Distinct Observation Bed Unit 5721 0 F1144 Other Outpt. Services 5721 3.8776738E-9 F1144A RHC 5721 0 F1144B RHC 5721 0 F1145 Home Program Dialysis 5721 0 F1146 Ambulance 5721 0 F1147 Durable Medical Equipment - Rented 5721 0 F1148 Durable Medical Equipment - Sold 5721 0 F1149 Other Reimbursable Costs 5721 0 F1150 Total ASC Medicare Part B Charges - Ho 5721 219370.09 F1151 Operating Room 5721 69494.22 F1152 Recovery Room 5721 0.2439615 F1153 Delivery Room & Labor Room 5721 8.8545608E-6 F1154 Anesthesiology 5721 3569.18 F1155 Radiology - Diagnostic 5721 9057.08 F1156 Radiology - Therapeutic 5721 0.000636149 F1157 Radioisotope 5721 0.000011828 F1158 Laboratory 5721 38272.81 F1159 PBP Clinical Lab Services (Program Onl 5721 0 F1160 Whole Blood & Packed Red Blood Cells 5721 0.000016458 F1161 'Blood Storing, Processing, Trans.' 5721 0.000023638 F1162 Intravenous Therapy 5721 4.9460527E-6 F1163 Respiratory Therapy 5721 12065.35 F1164 Physical Therapy 5721 2632.41 F1165 Occupational Therapy 5721 0.0087405 F1166 Speech Pathology 5721 0.000644937 F1167 Electrocardiology 5721 631.0686766 F1168 Electroencephalography 5721 1.5307084E-6 F1169 Medical Supplies Charged to Patients 5721 81627.55 F1170 Drugs Charged to Patients 5721 164538.65 F1171 Renal Dialysis 5721 4.2994632E-6 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 151 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1172 ASC (Non-Distinct Part) 5721 1.0822016E-6 F1173 Other Ancillary 5721 0.0083218 F1174 Clinic 5721 0.2144899 F1175 Emergency 5721 164615.04 F1176 Non Distinct Observation Beds 5721 22480.49 F1176A Distinct Observation Bed Unit 5721 1.5276434E-9 F1177 Other Outpt. Services 5721 0.000068666 F1177A RHC 5721 0 F1177B FQHC 5721 0 F1178 Home Program Dialysis 5721 0 F1179 Ambulance 5721 0.0019742 F1180 Durable Medical Equipment - Rented 5721 0 F1181 Durable Medical Equipment - Sold 5721 0 F1182 Other Reimbursable Costs 5721 0 F1183 CRNA Charges 5721 0.000011823 F1184 PBP Other Part B Charges 5721 0 F1185 Total Other Medicare Part B Charges - 5721 1070576.33 F1186 Operating Room 5721 7.1443291E-8 F1187 Recovery Room 5721 1.3949139E-7 F1188 Delivery Room & Labor Room 5721 5.7431726E-9 F1189 Anesthesiology 5721 0 F1190 Radiology - Diagnostic 5721 1.0153715E-7 F1191 Radiology - Therapeutic 5721 0 F1192 Radioisotope 5721 5.383609E-8 F1193 Laboratory 5721 7.8543684E-7 F1194 PBP Clinical Lab Services (Program Onl 5721 0 F1195 Whole Blood & Packed Red Blood Cells 5721 0 F1196 'Blood Storing, Processing, Trans.' 5721 1.5395791E-9 F1197 Intravenous Therapy 5721 1.4163142E-7 F1198 Respiratory Therapy 5721 2.8651378E-9 F1199 Physical Therapy 5721 2.6318833E-8 F1200 Occupational Therapy 5721 1.8174098E-9 F1201 Speech Pathology 5721 1.9848634E-8 F1202 Electrocardiology 5721 1.5656233E-7 F1203 Electroencephalography 5721 7.5046199E-7 F1204 Medical Supplies Charged to Patients 5721 1.136352E-11 F1205 Drugs Charged to Patients 5721 5.4114436E-6 F1206 Renal Dialysis 5721 0 F1207 ASC (Non-Distinct Part) 5721 0 F1208 Other Ancillary 5721 0 F1209 Clinic 5721 0.000089387 F1210 Emergency 5721 0.000011596 F1211 Non Distinct Observation Beds 5721 0 F1211A Distinct Observation Bed Unit 5721 0 F1212 Other Outpt. Services 5721 0 F1212A RHC 5721 0 F1212B FQHC 5721 0 F1213 Home Program Dialysis 5721 0 F1214 Ambulance 5721 0 F1215 Durable Medical Equipment - Rented 5721 0 F1216 Durable Medical Equipment - Sold 5721 0 F1217 Other Reimbursable Costs 5721 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 152 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1218 CRNA Charges 5721 0 F1219 PBP Clinical Lab Charges 5721 0 F1220 Total Other Medicare Part B Charges - 5721 6.6899217E-6 F1221 Operating Room 5721 3.7516854E-9 F1222 Recovery Room 5721 2.8004564E-7 F1223 Delivery Room & Labor Room 5721 7.432489E-10 F1224 Anesthesiology 5721 9.8154579E-9 F1225 Radiology - Diagnostic 5721 1.2915702E-7 F1226 Radiology - Therapeutic 5721 0 F1227 Radioisotope 5721 3.863884E-13 F1228 Laboratory 5721 5.6784651E-7 F1229 PBP Clinical Lab Services (Program Onl 5721 0 F1230 Whole Blood & Packed Red Blood Cells 5721 0 F1231 'Blood Storing, Processing, Trans.' 5721 3.9234286E-9 F1232 Intravenous Therapy 5721 6.5041383E-8 F1233 Respiratory Therapy 5721 8.4086674E-8 F1234 Physical Therapy 5721 6.947426E-10 F1235 Occupational Therapy 5721 9.765198E-10 F1236 Speech Pathology 5721 1.4875843E-8 F1237 Electrocardiology 5721 6.4396848E-9 F1238 Electroencephalography 5721 0 F1239 Medical Supplies Charged to Patients 5721 0 F1240 Drugs Charged to Patients 5721 0 F1241 Renal Dialysis 5721 7.1227567E-9 F1242 ASC (Non-Distinct Part) 5721 0 F1243 Other Ancillary 5721 0 F1244 Clinic 5721 2.6324831E-7 F1245 Emergency 5721 1.0228615E-6 F1246 Non Distinct Observation Beds 5721 0 F1246A Distinct Observation Bed Unit 5721 0 F1247 Other Outpt. Services 5721 0 F1247A RHC 5721 0 F1247B FQHC 5721 0 F1248 Home Program Dialysis 5721 0 F1249 Ambulance 5721 0 F1250 Durable Medical Equipment - Rented 5721 0 F1251 Durable Medical Equipment - Sold 5721 0 F1252 Other Reimbursable Costs 5721 0 F1253 CRNA Charges 5721 0 F1254 PBP Clinical Lab Charges 5721 0 F1255 Total Other Medicare Part B Charges 5721 4.3220241E-7 F1256 Operating Room 5721 149316.74 F1257 Recovery Room 5721 1.8031298 F1258 Delivery Room & Labor Room 5721 2.528666E-10 F1259 Anesthesiology 5721 1576.11 F1260 Radiology - Diagnostic 5721 1.837069E-6 F1261 Radiology - Therapeutic 5721 8.968131E-11 F1262 Radioisotope 5721 0.000011563 F1263 Laboratory 5721 0.000033421 F1264 PBP Clinical Lab Services (Program Onl 5721 0 F1265 Whole Blood & Packed Red Blood Cells 5721 2.1091223E-7 F1266 'Blood Storing, Processing, Trans.' 5721 3.5344693E-6 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 153 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1267 Intravenous Therapy 5721 1.8366837E-6 F1268 Respiratory Therapy 5721 0.000034335 F1269 Physical Therapy 5721 2.6163271E-8 F1270 Occupational Therapy 5721 2.850374E-11 F1271 Speech Pathology 5721 0 F1272 Electrocardiology 5721 0.000013574 F1273 Electroencephalography 5721 0.000066144 F1274 Medical Supplies Charged to Patients 5721 27430.28 F1275 Drugs Charged to Patients 5721 18796.32 F1276 Renal Dialysis 5721 0 F1277 ASC (Non-Distinct Part) 5721 2.6377231E-6 F1278 Other Ancillary 5721 1.4781483E-6 F1279 Clinic 5721 0.000066745 F1280 Emergency 5721 1201.74 F1281 Non Distinct Observation Beds 5721 0.0438346 F1281A Distinct Observation Bed Unit 5721 0 F1282 Other Outpt. Services 5721 5.153017E-7 F1282A RHC 5721 0 F1282B FQHC 5721 0 F1283 Home Program Dialysis 5721 0 F1284 Ambulance 5721 0 F1285 Durable Medical Equipment - Rented 5721 0 F1286 Durable Medical Equipment - Sold 5721 0 F1287 Other Reimbursable Costs 5721 0 F1288 CRNA Costs 5721 -0.000040526 F1289 Total ASC Medicare Part B Charges - Ho 5721 296629.73 F1290 Operating Room 5721 1.0927105E-6 F1291 Recovery Room 5721 0 F1292 Delivery Room & Labor Room 5721 0 F1293 Anesthesiology 5721 1.1726098E-8 F1294 Radiology - Diagnostic 5721 234522.94 F1295 Radiology - Therapeutic 5721 0.000020129 F1296 Radioisotope 5721 0.000025986 F1297 Laboratory 5721 5.7563917E-7 F1298 PBP Clinical Lab Services (Program Onl 5721 0 F1299 Whole Blood & Packed Red Blood Cells 5721 0 F1300 'Blood Storing, Processing, Trans.' 5721 0 F1301 Intravenous Therapy 5721 0 F1302 Respiratory Therapy 5721 9.62558E-12 F1303 Physical Therapy 5721 0 F1304 Occupational Therapy 5721 0 F1305 Speech Pathology 5721 0 F1306 Electrocardiology 5721 1.7106476E-6 F1307 Electroencephalography 5721 0 F1308 Medical Supplies Charged to Patients 5721 0.000098249 F1309 Drugs Charged to Patients 5721 2.4655562 F1310 Renal Dialysis 5721 0 F1311 ASC (Non-Distinct Part) 5721 0 F1312 Other Ancillary 5721 8.0405158E-7 F1313 Clinic 5721 9.261506E-10 F1314 Emergency 5721 0 F1315 Non Distinct Observation Beds 5721 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 154 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1315A Distinct Observation Bed Unit 5721 0 F1316 Other Outpt. Services 5721 0 F1316A RHC 5721 0 F1316B FQHC 5721 0 F1317 Home Program Dialysis 5721 0 F1318 Ambulance 5721 0 F1319 Durable Medical Equipment - Rented 5721 0 F1320 Durable Medical Equipment - Sold 5721 0 F1321 Other Reimbursable Costs 5721 0 F1322 Total ASC Medicare Part B Charges - Ho 5721 253627.09 F1323 Operating Room 5721 0.000016097 F1324 Recovery Room 5721 4.5255672E-9 F1325 Delivery Room & Labor Room 5721 1.6209341E-9 F1326 Anesthesiology 5721 3.3088589E-8 F1327 Radiology - Diagnostic 5721 219.7583122 F1328 Radiology - Therapeutic 5721 0.000039272 F1329 Radioisotope 5721 1.4210126E-7 F1330 Laboratory 5721 3.1955218E-6 F1331 PBP Clinical Lab Services (Program Onl 5721 0 F1332 Whole Blood & Packed Red Blood Cells 5721 0 F1333 'Blood Storing, Processing, Trans.' 5721 0 F1334 Intravenous Therapy 5721 0 F1335 Respiratory Therapy 5721 4120.11 F1336 Physical Therapy 5721 0.000012553 F1337 Occupational Therapy 5721 5.258707E-11 F1338 Speech Pathology 5721 4.3793964E-6 F1339 Electrocardiology 5721 12112.55 F1340 Electroencephalography 5721 0.000199601 F1341 Medical Supplies Charged to Patients 5721 3.0687089E-7 F1342 Drugs Charged to Patients 5721 0.000075115 F1343 Renal Dialysis 5721 0 F1344 ASC (Non-Distinct Part) 5721 2.2033356E-7 F1345 Other Ancillary 5721 0.000010840 F1346 Clinic 5721 0.000071101 F1347 Emergency 5721 0.000034998 F1348 Non Distinct Observation Beds 5721 2.5305504E-9 F1348A Distinct Observation Bed Unit 5721 0 F1349 Other Outpt. Services 5721 1.6393103E-9 F1349A RHC 5721 0 F1349B FQHC 5721 0 F1350 Home Program Dialysis 5721 0 F1351 Ambulance 5721 0 F1352 Durable Medical Equipment - Rented 5721 0 F1353 Durable Medical Equipment - Sold 5721 0 F1354 Other Reimbursable Costs 5721 0 F1355 Total ASC Medicare Part B Charges - Ho 5721 62583.54 F1356 Operating Room 5721 37006.02 F1357 Recovery Room 5721 0.3404559 F1358 Delivery Room & Labor Room 5721 6.7083075E-7 F1359 Anesthesiology 5721 719.1791418 F1360 Radiology - Diagnostic 5721 3457.30 F1361 Radiology - Therapeutic 5721 0.000461839 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 155 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1362 Radioisotope 5721 5.242533E-6 F1363 Laboratory 5721 14617.49 F1364 PBP Clinical Lab Services (Program Onl 5721 0 F1365 Whole Blood & Packed Red Blood Cells 5721 3.3656202E-6 F1366 'Blood Storing, Processing, Trans.' 5721 0.000066634 F1367 Intravenous Therapy 5721 6.6286116E-6 F1368 Respiratory Therapy 5721 3678.49 F1369 Physical Therapy 5721 1568.75 F1370 Occupational Therapy 5721 0.0172835 F1371 Speech Pathology 5721 0.000684073 F1372 Electrocardiology 5721 64.4392160 F1373 Electroencephalography 5721 2.3304903E-6 F1374 Medical Supplies Charged to Patients 5721 28262.28 F1375 Drugs Charged to Patients 5721 49653.48 F1376 Renal Dialysis 5721 3.4865343E-7 F1377 ASC (Non-Distinct Part) 5721 2.8809325E-7 F1378 Other Ancillary 5721 0.0089980 F1379 Clinic 5721 0.1037127 F1380 Emergency 5721 132065.71 F1381 Non Distinct Observation Beds 5721 19489.89 F1381A Distinct Observation Bed Unit 5721 9.427562E-10 F1382 Other Outpt. Services 5721 0.000131681 F1382A RHC 5721 0 F1382B FQHC 5721 0 F1383 Home Program Dialysis 5721 0 F1384 Ambulance 5721 0.0010996 F1385 Durable Medical Equipment - Rented 5721 0 F1386 Durable Medical Equipment - Sold 5721 0 F1387 Other Reimbursable Costs 5721 0 F1388 CRNA Costs 5721 5.0399534E-6 F1389 Total Other Medicare Part B Costs - Ho 5721 585103.80 F1390 Operating Room 5721 6.6946808E-8 F1391 Recovery Room 5721 1.2244382E-7 F1392 Delivery Room & Labor Room 5721 7.4650162E-9 F1393 Anesthesiology 5721 0 F1394 Radiology - Diagnostic 5721 8.7197641E-9 F1395 Radiology - Therapeutic 5721 0 F1396 Radioisotope 5721 2.5384867E-7 F1397 Laboratory 5721 2.4969442E-7 F1398 PBP Clinical Lab Services (Program Onl 5721 0 F1399 Whole Blood & Packed Red Blood Cells 5721 0 F1400 'Blood Storing, Processing, Trans.' 5721 1.4468614E-9 F1401 Intravenous Therapy 5721 1.334967E-7 F1402 Respiratory Therapy 5721 1.5603295E-9 F1403 Physical Therapy 5721 1.21224E-8 F1404 Occupational Therapy 5721 2.9781777E-9 F1405 Speech Pathology 5721 1.0701528E-9 F1406 Electrocardiology 5721 1.0757618E-9 F1407 Electroencephalography 5721 3.334589E-7 F1408 Medical Supplies Charged to Patients 5721 2.83208E-10 F1409 Drugs Charged to Patients 5721 1.621654E-6 F1410 Renal Dialysis 5721 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 156 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1411 ASC (Non-Distinct Part) 5721 0 F1412 Other Ancillary 5721 0 F1413 Clinic 5721 0.000095876 F1414 Emergency 5721 0.000064623 F1415 Non Distinct Observation Beds 5721 0 F1415A Distinct Observation Bed Unit 5721 0 F1416 Other Outpt. Services 5721 0 F1416A RHC 5721 0 F1416B FQHC 5721 0 F1417 Home Program Dialysis 5721 0 F1418 Ambulance 5721 0 F1419 Durable Medical Equipment - Rented 5721 0 F1420 Durable Medical Equipment - Sold 5721 0 F1421 Other Reimbursable Costs 5721 0 F1422 CRNA Costs 5721 0 F1423 Total Other Medicare Part B Costs - Su 5721 2.1878585E-6 F1424 Operating Room 5721 3.5407895E-9 F1425 Recovery Room 5721 2.6350408E-7 F1426 Delivery Room & Labor Room 5721 6.989181E-10 F1427 Anesthesiology 5721 2.9968928E-8 F1428 Radiology - Diagnostic 5721 1.5540848E-9 F1429 Radiology - Therapeutic 5721 0 F1430 Radioisotope 5721 5.1025446E-9 F1431 Laboratory 5721 1.0967327E-7 F1432 PBP Clinical Lab Services (Program Onl 5721 0 F1433 Whole Blood & Packed Red Blood Cells 5721 0 F1434 'Blood Storing, Processing, Trans.' 5721 3.2157765E-9 F1435 Intravenous Therapy 5721 6.1275067E-8 F1436 Respiratory Therapy 5721 7.0155247E-8 F1437 Physical Therapy 5721 1.1631288E-8 F1438 Occupational Therapy 5721 1.7747941E-8 F1439 Speech Pathology 5721 2.6729828E-9 F1440 Electrocardiology 5721 1.4319504E-7 F1441 Electroencephalography 5721 0 F1442 Medical Supplies Charged to Patients 5721 0 F1443 Drugs Charged to Patients 5721 0 F1444 Renal Dialysis 5721 4.021354E-10 F1445 ASC (Non-Distinct Part) 5721 0 F1446 Other Ancillary 5721 0 F1447 Clinic 5721 2.4791275E-7 F1448 Emergency 5721 9.6296451E-7 F1449 Non Distinct Observation Beds 5721 0 F1449A Distinct Observation Bed Unit 5721 0 F1450 Other Outpt. Services 5721 0 F1450A RHC 5721 0 F1450B FQHC 5721 0 F1451 Home Program Dialysis 5721 0 F1452 Ambulance 5721 0 F1453 Durable Medical Equipment - Rented 5721 0 F1454 Durable Medical Equipment - Sold 5721 0 F1455 Other Reimbursable Costs 5721 0 F1456 CRNA Costs 5721 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 157 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1457 Total Other Medicare Part B Costs - Su 5721 8.6812352E-7 F1458 Land 5721 10502.28 F1459 Land Improvements 5721 2118.32 F1460 Buildings and Fixtures 5721 1236188.26 F1461 Building Improvements 5721 0.000092564 F1462 Fixed Equipment 5721 140.7527776 F1463 Movable Equipment 5721 766796.95 F1464 Subtotal 5721 3578555.69 F1465 Total Assets - Facility 5721 3534564.45 F1466 Land 5721 0 F1467 Land Improvements 5721 0 F1468 Buildings and Fixtures 5721 -7.130791E-6 F1469 Building Improvements 5721 0.0044621 F1470 Fixed Equipment 5721 0 F1471 Movable Equipment 5721 0.000010370 F1472 Subtotal 5721 0.000077728 F1473 Total Purchases - Facility 5721 0.000040918 F1474 Land 5721 0 F1475 Land Improvements 5721 0 F1476 Buildings and Fixtures 5721 0 F1477 Building Improvements 5721 0 F1478 Fixed Equipment 5721 0 F1479 Movable Equipment 5721 0 F1480 Subtotal 5721 0 F1481 Total Donations - Facility 5721 0 F1482 Land 5721 2.3432279E-8 F1483 Land Improvements 5721 2.5108722E-7 F1484 Buildings and Fixtures 5721 0.000259211 F1485 Building Improvements 5721 1.0159742E-7 F1486 Fixed Equipment 5721 0.000057321 F1487 Movable Equipment 5721 0.4872833 F1488 Subtotal 5721 12.5398528 F1489 Total Disposals & Retirements - Facili 5721 5.5724128 F1490 Land 5721 0 F1491 Land Improvements 5721 0.000091489 F1492 Buildings and Fixtures 5721 0.000799743 F1493 Building Improvements 5721 0.000014624 F1494 Fixed Equipment 5721 0.000158612 F1495 Movable Equipment 5721 0.0010181 F1496 Subtotal 5721 0.0076051 F1497 Total Fully Depreciated Assets - Facil 5721 0.0256115 F1498 Land 5721 26112.80 F1499 Land Improvements 5721 96664.43 F1500 Buildings and Fixtures 5721 3920313.83 F1501 Building Improvements 5721 86.3566843 F1502 Fixed Equipment 5721 228670.76 F1503 Movable Equipment 5721 4735844.37 F1504 Subtotal 5721 12497945.51 F1505 Total Assets - Facility 5721 12344157.92 F1506 Land 5721 0.000119076 F1507 Land Improvements 5721 1.9540377 F1508 Buildings and Fixtures 5721 44371.89 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 158 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1509 Building Improvements 5721 0.6532017 F1510 Fixed Equipment 5721 805.0826036 F1511 Movable Equipment 5721 505490.96 F1512 Subtotal 5721 1103863.98 F1513 Total Purchases - Facility 5721 1079567.14 F1514 Land 5721 0 F1515 Land Improvements 5721 0 F1516 Buildings and Fixtures 5721 0 F1517 Building Improvements 5721 0 F1518 Fixed Equipment 5721 0 F1519 Movable Equipment 5721 0.000025625 F1520 Subtotal 5721 8.4695674E-8 F1521 Total Donations - Facility 5721 1.1819217E-7 F1522 Land 5721 0.000030358 F1523 Land Improvements 5721 -2.987235E-7 F1524 Buildings and Fixtures 5721 0.0014322 F1525 Building Improvements 5721 0.000014431 F1526 Fixed Equipment 5721 -0.000272887 F1527 Movable Equipment 5721 1391.72 F1528 Subtotal 5721 5430.26 F1529 Total Disposals & Retirements Facility 5721 4270.50 F1530 Land 5721 0 F1531 Land Improvements 5721 0.000095201 F1532 Buildings and Fixtures 5721 0.000025734 F1533 Building Improvements 5721 3.6144169E-6 F1534 Fixed Equipment 5721 0.000040450 F1535 Movable Equipment 5721 0.0106764 F1536 Subtotal 5721 0.0683443 F1537 Total Fully Depreciated Assets - Facil 5721 0.2933512 F1538 Old Capital-Related Cost - Building & 5721 0.2030225 F1539 Old Capital-Related Cost - Movable Equ 5721 0.0464639 F1540 New Capital-Related Cost - Building & 5721 2239.34 F1541 New Capital-Related Cost - Movable Equ 5721 1542.18 F1542 Total Insurance Costs - Facility 5721 8623.28 F1543 Old Capital-Related Cost - Building & 5721 0.000054473 F1544 Old Capital-Related Cost - Movable Equ 5721 -4.526412E-7 F1545 New Capital-Related Cost - Building & 5721 0.000076314 F1546 New Capital-Related Cost - Movable Equ 5721 0.000102190 F1547 Total Taxes - Facility 5721 0.000159368 F1548 Old Capital-Related Cost - Building & 5721 9.4285691E-6 F1549 Old Capital-Related Cost - Movable Equ 5721 8.9815827E-6 F1550 New Capital-Related Cost - Building & 5721 -7.179669E-8 F1551 New Capital-Related Cost - Movable Equ 5721 -0.000024554 F1552 Total Other Capital-Related Costs - Fa 5721 -6.681776E-6 F1553 Old Capital-Related Cost - Building & 5721 48418.20 F1554 Old Capital-Related Cost - Movable Equ 5721 3829.29 F1555 New Capital-Related Cost - Building & 5721 342317.11 F1556 New Capital-Related Cost - Movable Equ 5721 458165.96 F1557 Total Depreciation - Facility 5721 1277695.79 F1558 Old Capital-Related Cost - Building & 5721 -0.000029598 F1559 Old Capital-Related Cost - Movable Equ 5721 -9.74321E-6 F1560 New Capital-Related Cost - Building & 5721 -0.000368186 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 159 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1561 New Capital-Related Cost - Movable Equ 5721 2.1782117 F1562 Total Lease Costs - Facility 5721 36.7048109 F1563 Old Capital-Related Cost - Building & 5721 0.0023384 F1564 Old Capital-Related Cost - Movable Equ 5721 0.000066887 F1565 New Capital-Related Cost - Building & 5721 76.3451136 F1566 New Capital-Related Cost - Movable Equ 5721 0.0273436 F1567 Total Interest Costs - Facility 5721 24015.28 F1568 Old Capital-Related Cost - Building & 5721 76760.78 F1569 Old Capital-Related Cost - Movable Equ 5721 7664.78 F1570 New Capital-Related Cost - Building & 5721 520685.83 F1571 New Capital-Related Cost - Movable Equ 5721 567703.71 F1572 Total Capital-Related Costs - Facility 5721 1715904.66 F1573 Total Directly Assigned Old Capital Re 5721 0.000223094 F1574 Adults and Pediatrics (General Routine 5721 30517.07 F1575 ICU 5721 6.5613448 F1576 Coronary Care Unit 5721 0.000020805 F1577 Burn ICU 5721 3.7901535E-9 F1578 Surgical ICU 5721 4.3361165E-6 F1579 Other Special Care Unit 5721 5.1208376E-6 F1580 Sub. Prov. I 5721 0.000760539 F1581 Sub. Prov. II 5721 1.7443583E-7 F1582 Nursery 5721 1.0500079 F1583 Skilled Nursing Facility 5721 0.000139994 F1584 Nursing Facility 5721 2.8320094E-7 F1584A Intermediate Care Facility 5721 0 F1585 Other Long Term Care 5721 0.000017114 F1586 Operating Room 5721 7748.89 F1587 Recovery Room 5721 0.0439085 F1588 Delivery Room and Labor Room 5721 1.7113333 F1589 Anesthesiology 5721 0.4775346 F1590 Radiology - Diagnostic 5721 6604.42 F1591 Radiology - Therapeutic 5721 2.2155487E-7 F1592 Radioisotope 5721 1.6326359E-6 F1593 Laboratory 5721 4729.90 F1594 Whole Blood and Packed Red Blood Cells 5721 5.2117524E-8 F1595 'Blood Storing, Processing, Trans.' 5721 0.000060185 F1596 Intravenous Therapy 5721 4.2349043E-6 F1597 Respiratory Therapy 5721 1163.26 F1598 Physical Therapy 5721 2554.32 F1599 Occupational Therapy 5721 0.000114428 F1600 Speech Pathology 5721 0.000126752 F1601 Electrocardiology 5721 1.4706703 F1602 Electroencephalography 5721 0.0038216 F1603 Medical Supplies Charged to Patients 5721 1644.48 F1604 Drugs Charged to Patients 5721 2273.95 F1605 Renal Dialysis 5721 0.000010577 F1606 ASC (Non-Distinct Part) 5721 4.5083259E-7 F1607 Other Ancillary 5721 0.000025909 F1608 Clinic 5721 2.8036358 F1609 Emergency 5721 4876.92 F1609A Distinct Observation Bed Unit 5721 2.9271147E-9 F1610 Other Outpt. Services 5721 0.000135971 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 160 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1610A RHC 5721 3.0851116E-6 F1610B FQHC 5721 0 F1611 Home Program Dialysis 5721 3.3963037E-8 F1612 Ambulance 5721 1.7256324E-7 F1613 Durable Medical Equipment - Rented 5721 6.9156627E-9 F1614 Durable Medical Equipment - Sold 5721 0 F1615 Other Reimbursable Costs 5721 8.2349757E-9 F1616 Outpt. Rehabilitation Providers (Total 5721 0 F1617 Intern - Resident Service (not in appr 5721 6.421523E-11 F1618 Home Health Agency 5721 0.0830769 F1619 Lung Acquisition 5721 0 F1620 Kidney Acquisition 5721 6.208147E-10 F1621 Liver Acquisition 5721 0 F1622 Heart Acquisition 5721 0 F1622A Pancreas Acquisition 5721 0 F1623 Other Organ Acquisition 5721 0 F1624 Ambulatory Surgical Center (Distinct P 5721 0 F1625 Hospice 5721 6.507496E-9 F1626 Other Special Purpose 5721 0 F1627 Nonreimbursable Costs 5721 1473.68 F1628 Cross Foot Adjustments 5721 0.000110324 F1629 Negative Cost Centers 5721 -0.000015197 F1630 Total Old Capital Related Costs - Faci 5721 122736.30 F1631 Total Directly Assigned New Capital Re 5721 1471.43 F1632 Adults & Pediatrics (General Routine C 5721 360882.23 F1633 ICU 5721 29894.40 F1634 Coronary Care Unit 5721 0.000063004 F1635 Burn ICU 5721 1.931305E-8 F1636 Surgical ICU 5721 4.2092617E-7 F1637 Other Special Care Unit 5721 1.6193248E-6 F1638 Sub. Prov. I 5721 0.0074538 F1639 Sub. Prov. II 5721 0.000050613 F1640 Nursery 5721 2953.75 F1641 Skilled Nursing Facility 5721 11.5389020 F1642 Nursing Facility 5721 0.000011589 F1642A Intermediate Care Facility 5721 0 F1643 Other Long Term Care 5721 0.000108240 F1644 Operating Room 5721 125189.33 F1645 Recovery Room 5721 0.2654050 F1646 Delivery Room & Labor Room 5721 4495.83 F1647 Anesthesiology 5721 1336.99 F1648 Radiology - Diagnostic 5721 121540.08 F1649 Radiology - Therapeutic 5721 0.000404130 F1650 Radioisotope 5721 0.3351168 F1651 Laboratory 5721 57442.77 F1652 Whole Blood & Packed Red Blood Cells 5721 0.000012969 F1653 'Blood Storing, Processing, Trans.' 5721 0.0056093 F1654 Intravenous Therapy 5721 0.000026237 F1655 Respiratory Therapy 5721 22513.73 F1656 Physical Therapy 5721 34895.95 F1657 Occupational Therapy 5721 18.9186816 F1658 Speech Pathology 5721 3.8026631 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 161 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1659 Electrocardiology 5721 4139.06 F1660 Electroencephalography 5721 0.0262002 F1661 Medical Supplies Charged to Patients 5721 27165.23 F1662 Drugs Charged to Patients 5721 29361.31 F1663 Renal Dialysis 5721 0.000117159 F1664 ASC (Non-Distinct Part) 5721 0.000199760 F1665 Other Ancillary 5721 0.9742641 F1666 Clinic 5721 17.6251725 F1667 Emergency 5721 55241.65 F1667A Distinct Observation Bed Unit 5721 7.0272188E-9 F1668 Other Outpt. Services 5721 0.000065840 F1668A RHC 5721 5.4231675E-6 F1668B FQHC 5721 0 F1669 Home Program Dialysis 5721 1.6339318E-8 F1670 Ambulance 5721 0.000537152 F1671 Durable Medical Equipment - Rented 5721 3.692765E-10 F1672 Durable Medical Equipment - Sold 5721 0 F1673 Other Reimbursable Costs 5721 5.8128728E-7 F1674 Outpt. Rehab Providers (Total) 5721 0 F1675 Intern - Resident Service (not in appr 5721 3.5647287E-8 F1676 Home Health Agency 5721 30.7887862 F1677 Lung Acquisition 5721 0 F1678 Kidney Acquisition 5721 1.0824145E-6 F1679 Liver Acquisition 5721 0 F1680 Heart Acquisition 5721 1.177076E-10 F1680A Pancreas Acquisition 5721 0 F1681 Other Organ Acquisition 5721 0 F1682 Ambulatory Surgical Center 5721 0 F1683 Hospice 5721 8.8574576E-6 F1684 Other Special Purpose 5721 2.4763142E-6 F1685 Nonreimbursable Costs 5721 38463.29 F1686 Cross Foot Adjustments 5721 0.0940405 F1687 Negative Cost Centers 5721 7.9309539E-6 F1688 Total New Capital Related Costs - Faci 5721 1416812.31 F1689 Adults & Pediatrics (General Routine C 5721 14203.24 F1690 ICU 5721 2.3159492 F1691 Coronary Care Unit 5721 6.3751488E-7 F1692 Burn ICU 5721 8.794247E-10 F1693 Surgical ICU 5721 1.3549496E-7 F1694 Other Special Care Unit 5721 0 F1695 Sub. Prov. I 5721 0.000012362 F1696 Sub. Prov. II 5721 0.000017544 F1697 Nursery 5721 0 F1698 Total Medicare Part A Inpatient Routin 5721 3864.01 F1699 Adults & Pediatrics (General Routine C 5721 148365.14 F1700 ICU 5721 14488.72 F1701 Coronary Care Unit 5721 4.0869703E-6 F1702 Burn ICU 5721 2.4560485E-8 F1703 Surgical ICU 5721 0.000014913 F1704 Other Special Care Unit 5721 1.2824139E-8 F1705 Sub. Prov. I 5721 0.0018414 F1706 Sub. Prov. II 5721 0.000010545 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 162 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1707 Nursery 5721 0 F1708 Total Medicare A Inpatient Routine New 5721 112853.21 F1709 Operating Room 5721 747.1748111 F1710 Recovery Room 5721 0.0577347 F1711 Delivery Room & Labor Room 5721 1.0909086E-6 F1712 Anesthesiology 5721 0.0815958 F1713 Radiology - Diagnostic 5721 716.3611593 F1714 Radiology - Therapeutic 5721 2.2174423E-8 F1715 Radioisotope 5721 5.7311881E-7 F1716 Laboratory 5721 881.9406471 F1717 Whole Blood & Packed Red Blood Cells 5721 1.5838003E-6 F1718 'Blood Storing, Processing, Trans.' 5721 0.000030929 F1719 Intravenous Therapy 5721 3.3838466E-7 F1720 Respiratory Therapy 5721 325.2881299 F1721 Physical Therapy 5721 136.6770577 F1722 Occupational Therapy 5721 0.000042272 F1723 Speech Pathology 5721 4.5547098E-6 F1724 Electrocardiology 5721 0.0075814 F1725 Electroencephalography 5721 8.5800998E-8 F1726 Medial Supplies Charged to Patients 5721 426.6015925 F1727 Drugs Charged to Patients 5721 640.9095679 F1728 Renal Dialysis 5721 2.5141658E-7 F1729 ASC (Non-Distinct Part) 5721 1.2659727E-6 F1730 Other Ancillary 5721 1.1598238E-6 F1731 Clinic 5721 6.111907E-7 F1732 Emergency 5721 306.2788919 F1733 Non Distinct Observation Beds 5721 0.0141225 F1733A Distinct Observation Bed Unit 5721 3.9946346E-9 F1734 Other Outpt. Services 5721 3.2621218E-7 F1734A RHC 5721 0 F1734B FQHC 5721 0 F1735 Home Program Dialysis 5721 0 F1736 Durable Medical Equipment - Rented 5721 0 F1737 Durable Medical Equipment - Sold 5721 0 F1738 Other Reimbursable Costs 5721 0 F1739 Total Medicare Part A Ancillary Old Ca 5721 6814.60 F1740 Operating Room 5721 15520.64 F1741 Recovery Room 5721 0.3065863 F1742 Delivery Room & Labor Room 5721 0.0082313 F1743 Anesthesiology 5721 44.7555819 F1744 Radiology - Diagnostic 5721 14814.42 F1745 Radiology - Therapeutic 5721 5.6024471E-6 F1746 Radioisotope 5721 0.0603124 F1747 Laboratory 5721 12769.43 F1748 Whole Blood & Packed Red Blood Cells 5721 2.752818E-7 F1749 'Blood Storing, Processing, Trans.' 5721 0.000060194 F1750 Intravenous Therapy 5721 2.1868444E-6 F1751 Respiratory Therapy 5721 7689.25 F1752 Physical Therapy 5721 3850.37 F1753 Occupational Therapy 5721 0.2145549 F1754 Speech Pathology 5721 0.2351466 F1755 Electrocardiology 5721 830.8350562 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 163 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1756 Electroencephalography 5721 0.0563136 F1757 Medial Supplies Charged to Patients 5721 8539.07 F1758 Drugs Charged to Patients 5721 9750.93 F1759 Renal Dialysis 5721 5.5099571E-7 F1760 ASC (Non-Distinct Part) 5721 0.000037648 F1761 Other Ancillary 5721 0.000052259 F1762 Clinic 5721 0.000231476 F1763 Emergency 5721 4699.04 F1764 Non Distinct Observation Beds 5721 10.6216502 F1764A Distinct Observation Bed Unit 5721 1.5791684E-8 F1765 Other Outpt. Services 5721 6.6781089E-7 F1765A RHC 5721 0 F1765B FQHC 5721 0 F1766 Home Program Dialysis 5721 0 F1767 Durable Medical Equipment - Rented 5721 0 F1768 Durable Medical Equipment - Sold 5721 0 F1769 Other Reimbursable Costs 5721 0 F1770 Total Medicare Part A Ancillary New Ca 5721 117195.95 F1771 Total Medicare Part A Ancillary Old C 5721 4.5329418E-6 F1772 Total Medicare Part A Ancillary New C 5721 0.000820091 F1773 Total Medicare Part A Ancillary Old C 5721 0.000023026 F1774 Total Medicare Part A Ancillary New C 5721 3.2522956E-7 F1775 Adults & Pediatrics (General Routine C 5721 6.694868E-6 F1776 ICU 5721 2.1628549E-7 F1777 Coronary Care Unit 5721 6.9281684E-9 F1778 Burn ICU 5721 0 F1779 Surgical ICU 5721 0 F1780 Other Special Care Unit 5721 0 F1781 Sub. Prov. I 5721 4.0951452E-9 F1782 Sub. Prov. II 5721 5.02673E-10 F1783 Nursery 5721 0 F1783A SNF 5721 1.488998E-9 F1783B NF 5721 0 F1783C ICF/MR 5721 0 F1784 Total Medicare Part A Inpatient Routin 5721 9.2527397E-6 F1785 Operating Room 5721 9.5898765E-7 F1786 Recovery Room 5721 4.870054E-11 F1787 Delivery Room & Labor Room 5721 1.013824E-12 F1788 Anesthesiology 5721 0.000049480 F1789 Radiology - Diagnostic 5721 2.3628095E-6 F1790 Radiology - Therapeutic 5721 4.9883633E-9 F1791 Radioisotope 5721 0 F1792 Laboratory 5721 1.6584528E-9 F1793 Whole Blood & Packed Red Blood Cells 5721 0 F1794 'Blood Storing, Processing, Trans.' 5721 0 F1795 Intravenous Therapy 5721 0 F1796 Respiratory Therapy 5721 6.5441805E-9 F1797 Physical Therapy 5721 1.0498227E-9 F1798 Occupational Therapy 5721 0 F1799 Speech Pathology 5721 0 F1800 Electrocardiology 5721 9.439373E-11 F1801 Electroencephalography 5721 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 164 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1802 Medial Supplies Charged to Patients 5721 0 F1803 Drugs Charged to Patients 5721 8.482301E-11 F1804 Renal Dialysis 5721 2.305731E-11 F1805 ASC (Non-Distinct Part) 5721 0 F1806 Other Ancillary 5721 0 F1807 Clinic 5721 1.3520882E-9 F1808 Emergency 5721 5.4054231E-6 F1809 Non Distinct Observation Beds 5721 2.9163491E-8 F1809A Distinct Observation Bed Unit 5721 0 F1810 Other Outpt. Services 5721 0 F1810A RHC 5721 0 F1810B FQHC 5721 0 F1811 Home Program Dialysis 5721 0 F1812 Durable Medical Equipment - Rented 5721 0 F1813 Durable Medical Equipment - Sold 5721 0 F1814 Other Reimbursable Costs 5721 0 F1815 Total Medicare Part A Ancillary Other 5721 0.0024246 F1816 Total Medicare Part A Ancillary Other 5721 1.8490539E-6 F1817 Total Medicare Part A Ancillary Other 5721 8.8650378E-9 F1818 Other than Outlier Payments 5721 3273702.64 F1819 Outlier Payments 5721 49475.11 F1819B Additional amount received or to be re 5721 3.2582623E-8 F1820 Indirect Medical Education Adjustment 5721 0.0015055 F1821 Disproportionate Share Adjustment 5721 7.1246079 F1822 Additional Payment - High Percentage E 5721 0 F1823 Subtotal of Above Lines 5721 3443807.84 F1824 Hosp. Specific Payments (SCH or MDH 5721 2.4524611 F1825 Total Payment for Inpatient Operating 5721 3519222.95 F1826 Payment for Inpatient Program Capital 5721 322572.29 F1827 Exceptive Payment for Inpatient Progra 5721 1.3150643E-6 F1828 Direct Graduate Medical Education Paym 5721 0.000402458 F1829 Net Organ Acquisition Cost 5721 6.8608187E-7 F1830 Cost of Teaching Physicians 5721 0 F1831 Medicare Part A Inpatient Routine Serv 5721 0.000018515 F1832 Medicare Part A Ancillary Service Othe 5721 0.0022053 F1833 Total Payments (Lines 8 -15) 5721 3896244.57 F1834 Primary Payer Payments 5721 79.9835133 F1835 Total Amount Payable for Program Benef 5721 3882975.50 F1836 Deductibles Billed to Program Benefici 5721 448855.82 F1837 Coinsurance Billed to Program Benefici 5721 4545.27 F1838 Reimbursable Bad Debts 5721 21567.37 F1838A Reimbursable Bad Debt Adjustment 5721 12940.78 F1839 'Subtotal (Line 18 Plus Line 21or 21.0 5721 3454005.66 F1840 Recovery of Excess Depreciation 5721 0 F1841 Other Adjustments 5721 0.000035611 F1842 Amounts Applicable to Prior Cost 5721 4.9307906E-6 F1843 Amount Due Provider before Sequestrati 5721 3462622.91 F1844 Sequestration Adjustment 5721 0 F1845 Interim Payments 5721 3403586.38 F1845A Tentative Settlements 5721 -1.945077E-6 F1846 Balance Due Provider (Program) 5721 318.5777514 F1847 Protested Amounts 5721 0.000126130 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 165 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1848 Medical and Other Services 5721 588906.46 F1849 Interns & Residents 5721 8.8572325E-7 F1850 Organ Acquisition Costs 5721 0 F1851 Cost of Teaching Physicians 5721 0.000331898 F1852 Total Costs 5721 592425.46 F1853 Total Customary Charges 5721 1094195.38 F1854 Lesser of Cost or Charges 5721 586038.51 F1855 Deductibles and Coinsurance 5721 217325.15 F1856 'Sum of Worksheets E, Parts C, D, and 5721 96284.97 F1857 Direct Graduate Medical Education Paym 5721 0.000073601 F1858 ESRD Direct Medical Education Costs 5721 0 F1859 Primary Payer Payments 5721 0.1637906 F1860 Composite Rate ESRD Bad Debts 5721 8.733729E-10 F1861 All Other Bad Debts 5721 14670.35 F1861A Reimbursable Bad Debt Adjustment 5721 8939.87 F1862 Recovery of Excess Depreciation from P 5721 0 F1863 Other Adjustments 5721 6.362372E-7 F1864 Amounts Applicable to Prior Reporting 5721 0 F1864A Amount Due Provider Before Sequestrati 5721 484493.75 F1865 Sequestration Adjustment 5721 0 F1866 Interim Payments 5721 560028.41 F1866A Tentative Settlement 5721 0.000058874 F1867 Balance Due Provider (Program) 5721 -20705.25 F1868 Protested Amounts 5721 2.4862806E-6 F1869 Medical and Other Services 5721 2.20103E-6 F1870 Interns & Residents 5721 0 F1871 Organ Acquisition Costs 5721 0 F1872 Cost of Teaching Physicians 5721 0 F1873 Total Costs 5721 8.6243666E-6 F1874 Total Customary Charges 5721 5.1294425E-7 F1875 Lesser of Cost or Charges 5721 1.0583776E-6 F1876 Deductibles and Coinsurance 5721 5.5270451E-7 F1877 'Sum of Worksheets E, Parts C, D, and 5721 0 F1878 Direct Graduate Medical Education Paym 5721 0 F1879 ESRD Direct Medical Education Costs 5721 0 F1880 Primary Payer Payments 5721 0 F1881 Composite Rate ESRD Bad Debts 5721 0 F1882 All Other Bad Debts 5721 0 F1882A Reimbursable Bad Debt Adjustment 5721 0 F1883 Recovery of Excess Depreciation from P 5721 0 F1884 Other Adjustments 5721 0 F1885 Amounts Applicable to Prior Reporting 5721 0 F1885A Amount Due Provider Before Sequestrati 5721 0.000015913 F1886 Sequestration Adjustment 5721 0 F1887 Interim Payments 5721 -5.604133E-6 F1887A Tentative Settlement 5721 0 F1888 Balance Due Provider (Program) 5721 2.5054678E-7 F1889 Protested Amounts 5721 0.000015225 F1890 Medical and Other Services 5721 8.6812352E-7 F1891 Interns & Residents 5721 0 F1892 Organ Acquisition Costs 5721 0 F1893 Cost of Teaching Physicians 5721 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 166 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1894 Total Costs 5721 8.6753907E-7 F1895 Total Customary Charges 5721 4.3220241E-7 F1896 Lesser of Cost or Charges 5721 8.6812352E-7 F1897 Deductibles and Coinsurance 5721 7.812306E-8 F1898 'Sum of Worksheets E, Parts C, D, and 5721 0 F1899 Direct Graduate Medical Education Paym 5721 0 F1900 ESRD Direct Medical Education Costs 5721 0 F1901 Primary Payer Payments 5721 0 F1902 Composite Rate ESRD Bad Debts 5721 0 F1903 All Other Bad Debts 5721 0 F1903A Reimbursable Bad Debt Adjustment 5721 0 F1904 Recovery of Excess Depreciation from P 5721 0 F1905 Other Adjustments 5721 0 F1906 Amounts Applicable to Prior Reporting 5721 0 F1906A Amount Due Provider Before Sequestrati 5721 -4.106581E-6 F1907 Sequestration Adjustment 5721 0 F1908 Interim Payments 5721 -2.771501E-6 F1908A Tentative Payment 5721 0 F1909 Balance Due Provider (Program) 5721 1.2308295E-6 F1910 Protested Amounts 5721 0 F1911 ASC Portion of Blend 5721 114138.44 F1913 Hosp. Specific Portion of Blend 5721 124005.10 F1914 ASC Blended Amount 5721 242111.21 F1915 Lesser of Lines 16 or 18 5721 240952.41 F1915A ASC Payment Amount 5721 66886.39 F1916 Blended Charge Proportion 5721 98979.49 F1917 Deductibles and Coinsurance 5721 163556.25 F1918 Cost Proportion 5721 105500.18 F1919 Outpt. Radiology Blended Amount 5721 206572.91 F1920 Lesser of Lines 16 or 18 5721 205154.19 F1920A Radiology Payment Amount 5721 22401.58 F1921 Blended Charge Proportion 5721 21997.63 F1922 Deductibles and Coinsurance 5721 45573.12 F1923 Cost Proportion 5721 30901.76 F1924 Other Outpt. Diagnostic Blended Amount 5721 53968.33 F1925 Lesser of Lines 16 or 18 5721 52140.97 F1925A Diagnostic Payment Amount 5721 2746.91 F1926 Inpatient Hosp. Services 5721 0.2174276 F1927 Organ Acquisition 5721 0 F1928 Cost of Teaching Physicians 5721 2.33821E-7 F1929 Sum of Lines 1-3 5721 0.2670571 F1930 Primary Payer Payments 5721 3.2698207E-7 F1931 Deductibles 5721 0.0035229 F1932 Coinsurance 5721 0.0024362 F1933 Reimbursable Bad Debts (Bad Debts for 5721 0.000065222 F1933A Reimbursable Bad Debt Adjustment 5721 0.000038500 F1934 Direct Graduate Medical Education 5721 6.9336314E-6 F1935 Recovery of Excess Depreciation From P 5721 0 F1936 Other Adjustments 5721 -7.621602E-6 F1937 Amounts Applicable to Prior Reporting 5721 0 F1938 Total Amount Payable to Provider 5721 0.2170957 F1939 Sequestration Adjustment 5721 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 167 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1940 Interim Payments 5721 0.1056177 F1940A Tentative Settlement 5721 0 F1941 Balance Due Provider (Program) 5721 0.000023239 F1942 Protested Amounts 5721 1.1249898E-7 F1943 Inpatient Hosp. Services 5721 0.1148633 F1944 Organ Acquisition 5721 0 F1945 Cost of Teaching Physicians 5721 0 F1946 Sum of Lines 1-3 5721 0.0141282 F1947 Primary Payer Payments 5721 2.2363212E-7 F1948 Deductibles 5721 0.0037294 F1949 Coinsurance 5721 2.1042913E-6 F1950 Reimbursable Bad Debts (Bad Debts for 5721 -6.882957E-6 F1950A Reimbursable Bad Debt Adjustment 5721 -2.339399E-6 F1951 Recovery of Excess Depreciation From P 5721 0 F1952 Other Adjustments 5721 0 F1953 Amounts Applicable to Prior Reporting 5721 0 F1954 Total Amount Payable to Provider 5721 0.0575418 F1955 Sequestration Adjustment 5721 0 F1956 Interim Payments 5721 0.0133069 F1956A Tentative Settlement 5721 0 F1957 Balance Due Provider (Program) 5721 0.000287773 F1958 Protested Amounts 5721 9.3689689E-8 F1959 Inpatient Hosp. Services 5721 0.000636668 F1960 Organ Acquisition 5721 0 F1961 Cost of Teaching Physicians 5721 0 F1962 Sum of Lines 1-3 5721 0.000636668 F1963 Primary Payer Payments 5721 3.0562981E-9 F1964 Deductibles 5721 0.000012329 F1965 Coinsurance 5721 4.8050617E-6 F1966 Reimbursable Bad Debts (Bad Debts for 5721 1.3564303E-7 F1966A Reimbursable Bad Debt Adjustment 5721 8.1384916E-8 F1967 Recovery of Excess Depreciation From P 5721 0 F1968 Other Adjustments 5721 0 F1969 Amounts Applicable to Prior Reporting 5721 0 F1970 Total Amount Payable to Provider 5721 3.6254878E-6 F1971 Sequestration Adjustment 5721 0 F1972 Interim Payments 5721 0.0013615 F1972A Tentative Settlement 5721 0 F1973 Balance Due Provider (Program) 5721 3.399695E-6 F1974 Protested Amounts 5721 0 F1975 Inpatient Services 5721 0.000264386 F1976 Organ Acquisition 5721 0 F1977 Cost of Teaching Physicians 5721 0 F1978 Sum of Lines 1-3 5721 0.000264386 F1979 Primary Payer Payments 5721 0.000013495 F1980 Excess of Customary Charges Over Reaso 5721 0 F1981 Excess of Reasonable Cost Over Customa 5721 0 F1982 Direct Graduate Medical Education Paym 5721 0 F1983 Cost of Covered Services 5721 0.000286620 F1984 Deductibles 5721 3.4433923E-6 F1985 Coinsurance 5721 2.302369E-10 F1986 Reimbursable Bad Debts 5721 4.6798548E-8 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 168 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1986A Reimbursable Bad Debt Adjustment 5721 3.8837031E-7 F1987 Recovery of Excess Depreciation Result 5721 0 F1988 Other Adjustments 5721 0 F1989 Amounts Applicable to Prior Reporting 5721 0 F1990 Amount Due Provider Before Sequestrati 5721 0.000729206 F1991 Sequestration Adjustment 5721 0 F1992 Interim Payments 5721 0.000043083 F1992A Tentative Settlement 5721 0 F1993 Balance Due Provider (Program) 5721 3.2522129E-6 F1994 Protested Amounts 5721 0 F1995 Inpatient Services 5721 0 F1996 Organ Acquisition 5721 0 F1997 Cost of Teaching Physicians 5721 0 F1998 Sum of Lines 1-3 5721 0 F1999 Primary Payer Payments 5721 0 F2000 Excess of Customary Charges Over Reaso 5721 0 F2001 Excess of Reasonable Cost Over Customa 5721 0 F2002 Cost of Covered Services 5721 0 F2003 Deductibles 5721 0 F2004 Coinsurance 5721 0 F2005 Reimbursable Bad Debts 5721 0 F2005A Reimbursable Bad Debt Adjustment 5721 0 F2006 Recovery of Excess Depreciation Result 5721 0 F2007 Other Adjustments 5721 0 F2008 Amounts Applicable to Prior Reporting 5721 0 F2009 Amount Due Provider Before Sequestrati 5721 0 F2010 Sequestration Adjustment 5721 0 F2011 Interim Payments 5721 0 F2011A Tentative Settlement 5721 0 F2012 Balance Due Provider (Program) 5721 0 F2013 Protested Amounts 5721 0 F2014 Inpatient Services 5721 0 F2015 Organ Acquisition 5721 0 F2016 Cost of Teaching Physicians 5721 0 F2017 Sum of Lines 1-3 5721 0 F2018 Primary Payer Payments 5721 0 F2019 Excess of Customary Charges Over Reaso 5721 0 F2020 Excess of Reasonable Cost Over Customa 5721 0 F2021 Cost of Covered Services 5721 0 F2022 Deductibles 5721 0 F2023 Coinsurance 5721 0 F2024 Reimbursable Bad Debts 5721 0 F2024A Reimbursable Bad Debt Adjustment 5721 0 F2025 Recovery of Excess Depreciation Result 5721 0 F2026 Other Adjustments 5721 0 F2027 Amounts Applicable to Prior Reporting 5721 0 F2028 Amount Due Provider Before Sequestrati 5721 0 F2029 Sequestration Adjustment 5721 0 F2030 Interim Payments 5721 0 F2030A Tentative Settlement 5721 0 F2031 Balance Due Provider (Program) 5721 0 F2032 Protested Amounts 5721 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 169 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F2033 Number of FTE Residents for OB/GYN and 5721 0 F2034 Number of FTE Residents for All Other 5721 0 F2035 Updated Per Resident Amount for OB/GYN 5721 0 F2036 Updated Per Resident Amount for All Ot 5721 0 F2037 Aggregate Approved Amount for Resident 5721 0 F2037A FTE Adjustment Cap 5721 1.385503E-6 F2037B Unweighted Resident FTE Count for allo 5721 7.799244E-7 F2037B1 Weighted FTE count for primary care ph 5721 2.5406293E-7 F2037B2 Weighted FTE count for all other physi 5721 5.5414353E-7 F2037C Weighted FTE Count for primary care ph 5721 8.3757781E-7 F2037D Weighted Dental and Podiatric Resident 5721 4.3217684E-8 F2037E Total Weighted Resident FTE count for 5721 1.4968211E-7 F2037F Total Weighted Resident FTE count for 5721 7.9366357E-8 F2037G Weighted Number of FTE Residents in th 5721 1.863332E-12 F2037H Weighted Number of FTE Residents in th 5721 1.409572E-12 F2037I Updated Per Resident Amount for OB/GYN 5721 0.1992495 F2037J Updated Per Resident Amount for All Ot 5721 0.000099223 F2037K Total Primary Care Unadjusted Approved 5721 0.0011569 F2037L Aggregate Approved Amount for Resident 5721 0.0013537 F2037M GME payment for Non Managed Care Days 5721 0.000302017 F2037N GME payment for Managed Care Days (for 5721 5.8409897E-6 F2038 Cash on Hand and in Banks 5721 401483.90 F2039 Temporary Investments 5721 0.3215900 F2040 Notes Receivable 5721 5.5381525E-6 F2041 Accounts Receivable 5721 5987104.90 F2042 Other Receivables 5721 45873.84 F2043 Allowance for Uncollectible Notes and 5721 976799.30 F2044 Inventory 5721 361213.12 F2045 Prepared Expenses 5721 76369.50 F2046 Other Current Assets 5721 261.5696134 F2047 Due From Other Funds 5721 -0.0076555 F2048 Total Current Assets - Facility 5721 7069479.31 F2049 Land 5721 163886.19 F2050 Accumulated Depreciation 5721 0 F2051 Land Improvements 5721 148678.99 F2052 Accumulated Depreciation 5721 24699.34 F2053 Buildings 5721 9751425.44 F2054 Accumulated Depreciation 5721 2289479.82 F2055 Leasehold Improvements 5721 0.0052531 F2056 Accumulated Depreciation 5721 0.000123647 F2057 Fixed Equipment 5721 501138.36 F2058 Accumulated Depreciation 5721 37311.50 F2059 Automobiles and Trucks 5721 0.0027999 F2060 Accumulated Depreciation 5721 0.0011194 F2061 Major Movable Equipment 5721 5059160.23 F2062 Accumulated Depreciation 5721 2355429.81 F2063 Minor Depreciable Equipment 5721 0.0052393 F2064 Accumulated Depreciation 5721 0.000824460 F2065 Minor Nondepreciable Equipment 5721 -0.000102122 F2066 Total Fixed Assets - Facility 5721 11113703.80 F2067 Investments 5721 34781.07 F2068 Deposits on Leases 5721 -0.000046976 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 170 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F2069 Due From Owners/Officers 5721 -0.000625151 F2070 Other Assets 5721 382807.58 F2071 Total Other Assets 5721 1849550.32 F2072 Total Assets - Facility 5721 22840511.90 F2073 Accounts Payable 5721 1001186.90 F2074 'Salaries, Wages, and Fees Payable' 5721 527910.60 F2075 Payroll Taxes Payable 5721 2.4076415 F2076 Notes and Loans Payable 5721 21698.19 F2077 Deferred Income 5721 -0.000524457 F2078 Accelerated Payments 5721 0.000204399 F2079 Due to Other Funds 5721 -0.0183844 F2080 Other Current Liabilities 5721 427088.36 F2081 Total Current Liabilities - Facility 5721 3476584.83 F2082 Mortgage Payable 5721 1.3112574 F2083 Notes Payable 5721 701.7733565 F2084 Unsecured Loans 5721 0.000174809 F2085 Loans From Owners Prior to 7/1/66 5721 0 F2086 Loans From Owners On or After 7/1/66 5721 0.000104605 F2087 Other Long Term Liabilities 5721 346.1655422 F2088 Total Long Term Liabilities 5721 4093377.23 F2089 Total Liabilities - Facility 5721 8738774.98 F2090 General Fund Balance 5721 9507001.62 F2091 Specific Purpose Fund 5721 -6.355627E-6 F2092 Donor Endowment Fund - Restricted 5721 0.0030016 F2093 Donor Endowment Fund - Unrestricted 5721 0 F2094 Governing Body Created - Endowment Fun 5721 0 F2095 Plant Fund Balance - Invested in Plant 5721 8.105597E-7 F2096 'Plant Fund Balance - Reserved for Pla 5721 0.000039505 F2097 Total Fund Balances - Facility 5721 9911128.82 F2098 Total Liabilities and Fund Balances - 5721 22828971.50 F2099 Hosp. 5721 5368584.54 F2100 Sub. Prov. I 5721 0.0669734 F2101 Sub. Prov. II 5721 0.000533200 F2102 Swing Bed SNF 5721 0.0681938 F2103 Swing Bed NF 5721 9.0870833E-6 F2104 Skilled Nursing Facility 5721 262.3426923 F2105 Nursing Facility 5721 0.0011439 F2106 Other Long Term Care 5721 0.000035261 F2107 Total General Inpatient Care - Facilit 5721 7004597.57 F2108 ICU 5721 315030.91 F2109 Coronary Care Unit 5721 0.000012423 F2110 Burn ICU 5721 2.5186219E-6 F2111 Surgical ICU 5721 0.000197784 F2112 Other Special Care Unit 5721 0.000158966 F2113 Total Intensive Care Type Inpatient Ho 5721 500460.83 F2114 Total Inpatient Routine Care Services 5721 7829792.24 F2115 Inpatient Ancillary Services 5721 10432067.59 F2116 Outpt. Ancillary Services 5721 3648289.39 F2117 Outpt. Services Rendered in an Inpatie 5721 0.0162213 F2118 Outpt. Services 5721 1537764.98 F2119 Home Health Agency - Outpt. 5721 488.7677558 F2120 Ambulance - Inpatient 5721 0.000461714 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 171 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F2121 Ambulance - Outpt. 5721 0.0053776 F2122 Outpt. Rehabilitation Provider - CORF 5721 0 F2123 Outpt. Rehabilitation Provider - CMHC 5721 0 F2124 Outpt. Rehabilitation Provider - OPT 5721 0 F2125 Outpt. Rehabilitation Provider - OOT 5721 0 F2126 Outpt. Rehabilitation Provider - OSP 5721 0 F2127 ASC Inpatient 5721 0 F2128 ASC Outpt. 5721 0 F2129 Hospice Inpatient 5721 4.7935903E-7 F2130 Hospice Outpt. 5721 0.000483774 F2131 All Other Inpatient Revenue 5721 0.000398078 F2132 All Other Outpt. Revenue 5721 -0.1186201 F2133 Total Patient Revenue - Inpatient - 5721 21277945.75 F2134 Total Patient Revenue - Outpt. - Fac 5721 15649251.69 F2135 Total Patient Revenue 5721 36566576.33 F2136 Less: Contractual Allowances and Disc 5721 14274500.42 F2137 Net Patient Revenues 5721 20992776.36 F2138 Less: Total Operating Expenses 5721 23461084.77 F2139 Net Income From Service to Patients 5721 -588976.89 F2140 'Contributions, Donations, Etc.' 5721 133.3071932 F2141 Income From Investments 5721 30012.75 F2142 Governmental Appropriations 5721 0.3690491 F2143 Total Other Income 5721 977740.41 F2144 Total (Line 5 Plus Line 25) 5721 333507.92 F2145 Total Other Expenses 5721 0.3508381 F2146 Net Income or (Loss) for Period (Line 5721 244015.89 F2147 Capital Hosp. Specific Rate Payments 5721 985.1404150 F2148 Capital DRG Other than Outlier 5721 4676.33 F2149 Capital DRG outlier Payments for servi 5721 0.4564206 F2150 Total Inpatient Days Divided by Number 5721 9.7997330 F2151 Number of Interns and Residents 5721 4.0009236E-8 F2152 Indirect Medical Education Percentage 5721 3.8292752E-7 F2153 Indirect Medical Education Adjustment 5721 1.9542925E-6 F2154 Percentage of SSI Recipient Patient Da 5721 1.0884071E-6 F2155 Percentage of Medicaid Patient Days to 5721 0.000021201 F2156 Sum of F2154 + F2155 5721 0.000052914 F2157 Allowable Disproportionate Share Perce 5721 9.5913553E-6 F2158 Disproportionate Share Adjustment 5721 0.000240072 F2160 New Capital 5721 0.000475742 F2161 Old Capital 5721 0.000635246 F2162 Total Capital 5721 0.0010023 F2163 Ratio of Old Capital to New Capital 5721 0.0604717 F2164 Total Capital Payments under 100% Fede 5721 0.0926985 F2165 Reduction Factor for Hold Harmless Pay 5721 4.5680825E-7 F2166 Reduced Old Capital Amount 5721 0.000144173 F2167 Hold Harmless Payment for New Capital 5721 0.000229886 F2168 Subtotal (F2166 + F2167) 5721 0.000136561 F2169 Payment Under Hold Harmless 5721 0.0766213 F2170 Program Inpatient Routine Capital Cost 5721 0.000021398 F2171 Program Inpatient Ancillary Capital Co 5721 0.000016630 F2172 Total Inpatient Program Capital Cost 5721 0.000027993 F2173 Capital Cost Payment Factor 5721 9.7226394E-9 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 172 Fiscal Year 1999 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F2174 Total Inpatient Program Capital Cost 5721 0.000023794 F2176 Program Inpatient Capital Costs for Ex 5721 0 F2177 Net Program Inpatient Capital Costs 5721 294394.68 F2178 Applicable Exception Percentage 5721 70.0018580 F2179 Capital Cost for Comparison to Payment 5721 213960.49 F2180 Percentage Adjustment for Extraordinar 5721 85.0002482 F2181 Adjustment to Capital Minimum Payment 5721 0 F2182 Capital Minimum Payment Level 5721 213960.49 F2183 Current Year Capital Payments 5721 316472.11 F2184 Current Year Comparison of Capital Min 5721 -62803.09 F2185 Carryover of Accumulated Capital Minim 5721 -0.9449475 F2186 Net Comparison of Capital Minimum Paym 5721 -224494.47 F2187 Current Year Exception Payment 5721 1.3150643E-6 F2188 Carryover of Accumulated Capital Minim 5721 -224075.88 --------------------------------------------------------------------------