The SAS System 14:59 Friday, January 21, 2005 83 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F68F Malpractice Premiums 6041 9.9478248 F68G Malpractice Paid Losses 6041 0.000019573 F68H Malpractice Self Insurance 6041 0 F68L 'If you are claiming ambulance costs, 6041 0.0024522 F68M 'If you are claiming ambulance costs, 6041 0.0035010 F78 Hosp. Adults & Pediatrics Beds (See No 6041 77.5814734 F79 ICU Beds 6041 5.2056625 F80 Coronary Care Unit Beds 6041 2.58642E-10 F81 Burn ICU Beds 6041 1.3088E-13 F82 Surgical ICU Beds 6041 3.241688E-12 F83 Other Special Care Beds 6041 4.5295362E-9 F84 Nursery Beds 6041 5.8001222 F85 Total Hosp. Beds 6041 91.3527916 F86 Sub. Prov. I Beds 6041 0.000113713 F87 Sub. Prov. II Beds 6041 2.1256552E-9 F88 Skilled Nursing Facility Beds 6041 0.0072558 F89 Nursing Facility Beds 6041 2.712872E-12 F89A Intermediate Care Facility/Mental Reta 6041 0 F90 Other Long Term Care Beds 6041 1.4223886E-8 F91 Hospice Beds 6041 1.996779E-11 F92 Total Beds Available in Facility 6041 115.2998835 F93 Hosp. Adults & Pediatrics Bed Days Ava 6041 26661.66 F94 Intensive Care Bed Days Available 6041 1712.88 F95 Coronary Care Bed Days Available 6041 5.1343335E-9 F96 Burn Intensive Care Bed Days Available 6041 2.388559E-11 F97 Surgical Intensive Care Bed Days Avail 6041 4.391748E-7 F98 Other Special Care Bed Days Available 6041 1.9779112E-7 F99 Nursery Bed Days Available 6041 2106.61 F100 Total Hosp. Bed Days Available 6041 30919.74 F101 Sub. Prov. I Bed Days Available 6041 0.0591327 F102 Sub. Prov. II Bed Days Available 6041 9.8613998E-8 F103 Skilled Nursing Facility Bed Days Avai 6041 3.1965048 F104 Nursing Facility Bed Days Available 6041 3.746577E-10 F104A Intermediate Care Facility/Mental Reta 6041 0 F105 Other Long Term Care Bed Days Availabl 6041 0.000024761 F106 Hospice Bed Days Available 6041 7.3039751E-9 F107 Medicare Hosp. Adults & Pediatrics Day 6041 4628.67 F107A Title XVIII Inpatient Days (HMO) 6041 4.1392814E-8 F108 Medicare Swing Bed SNF Days 6041 0.0029614 F109 Total Medicare Routine Days 6041 4965.48 F110 Medicare ICU Days 6041 327.4998982 F111 Medicare Coronary Care Unit Days 6041 2.890176E-7 F112 Medicare Burn ICU Days 6041 5.958245E-13 F113 Medicare Surgical ICU Days 6041 3.3658453E-8 F114 Medicare Other Special Care Unit Days 6041 4.1309E-11 F115 Medicare Inpatient Days- Total Hosp. 6041 5446.55 F116 Medicare RPCH Visits 6041 0 F117 Medicare Sub. Prov. I Days 6041 0.000119848 F118 Medicare Sub. Prov. II Days 6041 1.9534798E-7 F119 Medicare Skilled Nursing Facility Days 6041 0.2927397 F120 Medicare Home Health Agency Visits 6041 0.0030490 F121 Medicare Hospice Days 6041 2.998944E-10 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 84 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F122 Medicare RHC/FQHC Outpt. Visits 6041 1.8442764E-8 F122A Ambulance Trips 6041 5.3922405E-6 F123 Medicaid Hosp. Adults & Pediatrics Day 6041 768.8128990 F124 Medicaid HMO Days 6041 0.000026812 F125 Medicaid Swing Bed SNF Days 6041 1.035603E-10 F126 Medicaid Swing Bed NF Days 6041 1.6670095E-8 F127 Total Medicaid Routine Days 6041 796.3318272 F128 Medicaid ICU Days 6041 1.3261073 F129 Medicaid Coronary Care Unit Days 6041 6.6360713E-8 F130 Medicaid Burn ICU Days 6041 3.423741E-13 F131 Medicaid Surgical ICU Days 6041 3.499581E-10 F132 Medicaid Other Special Care Days 6041 5.8906054E-8 F133 Medicaid Nursery Days 6041 9.5470710 F134 Medicaid Inpatient Days- Total Hosp. 6041 1004.46 F135 Medicaid RPCH Visits 6041 0 F136 Medicaid Sub. Prov. I Days 6041 0.000016779 F137 Medicaid Sub. Prov. II Days 6041 4.526336E-9 F138 Medicaid Skilled Nursing Facility Days 6041 3.4394818E-6 F139 Medicaid Nursing Facility Days 6041 1.427528E-10 F139A Intermediate Care Facility/Mental Reta 6041 0 F140 Medicaid Home Health Agency Visits 6041 1.6043564E-6 F141 Medicaid Hospice Days 6041 0 F142 Medicaid RHC/FQHC Outpt. Visits 6041 3.860975E-13 F143 Total Adults & Pediatrics Days 6041 10872.38 F144 Total Swing Bed SNF Days 6041 0.0032499 F145 Total Swing Bed NF Days 6041 0.000688812 F146 Total Routine Days 6041 11091.26 F147 Total ICU Days 6041 628.8783986 F148 Total Coronary Care Unit Days 6041 7.7413748E-9 F149 Total Burn ICU Days 6041 1.450247E-11 F150 Total Surgical ICU Days 6041 5.107792E-8 F151 Total Other Special Care Unit Days 6041 1.0133387E-6 F152 Total Nursery Days 6041 197.5196913 F153 Total Inpatient Days - Hosp. 6041 12866.99 F154 Total RPCH Visits 6041 0 F155 Total Sub. Prov. I Days 6041 0.000411543 F156 Total Sub. Prov. II Days 6041 3.5250905E-8 F157 Total Skilled Nursing Facility Days 6041 2.5976906 F158 Total Nursing Facility Days 6041 1.025363E-8 F158A Total Intermediate Care Facility/Menta 6041 0 F159 Total Other Long Term Days 6041 0.000013951 F160 Total Home Health Agency Visits 6041 0.0011861 F161 Total Hospice Days 6041 2.3048066E-9 F162 Total RHC/FQHC Outpt. Visits 6041 1.7337429E-8 F163 Total Observation Bed Days 6041 184.1891183 F163A Total Observation Bed Days (Off Site S 6041 0 F163B Employee Discount Days 6041 3.544229E-10 F164 Interns & Residents - Total Hosp. 6041 2.5505885E-6 F165 Interns & Residents - Total Facility 6041 5.4300569E-7 F166 Net Interns & Residents Replacing Non- 6041 2.871917E-6 F167 Net Interns & Residents Replacing Non- 6041 1.1390372E-6 F168 Full Time Employees - Total Hosp. 6041 27682.13 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 85 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F169 Full Time Employees - Total Facility 6041 30975.02 F170 Nonpaid Workers - Total Hosp. 6041 1.438619E-11 F171 Nonpaid Workers - Total Facility 6041 2.380145E-10 F172 Medicare Discharges - Total Hosp. 6041 854.7858000 F173 Medicare Sub. Prov. I Discharges 6041 3.6897021E-6 F174 Medicare Sub. Prov. II Discharges 6041 1.914391E-8 F175 Medicaid Discharges - Total Hosp. 6041 207.1528596 F176 Medicaid Sub. Prov. I - Discharges 6041 1.7072756E-8 F177 Medicaid Sub. Prov. II - Discharges 6041 1.7914158E-8 F178 Total Discharges - All Patients - Hosp 6041 2113.22 F179 Total Discharges - All Patients - Sub. 6041 0.000079417 F180 Total Discharges - All Patients - Sub. 6041 4.4472597E-8 F181 Total Salaries 6041 9431806.03 F182 Non-Physician Anesthetist Part A 6041 7.4250045E-6 F183 Non-Physician Anesthetist Part B 6041 0.0011898 F184 Physician - Part A 6041 3.3264567 F184A Teaching Physician 6041 0.000327064 F185 Physician - Part B 6041 0.6826337 F186 Interns & Residents (Approved Program) 6041 0.000013777 F187 Home Office Personnel 6041 1.6324126E-7 F188 Skilled Nursing Facility 6041 300.2716534 F189 Excluded Areas 6041 701492.34 F190 Contract Labor 6041 70356.08 F190A Pharmacy Services Under Contract 6041 0.000019213 F190B Laboratory Services Under Contract 6041 2.5641546E-6 F191 Contract Labor: Physician - Part A 6041 7.3768785 F191A Teaching Physician Under Contract 6041 0.000022137 F192 Home Office Salaries & Wage-Related Co 6041 0.0019437 F193 Home Office: Physician Part A 6041 0.000149983 F193A Salaries and Wage Related Costs for Te 6041 0 F194 Wage- Related Costs (Core) 6041 1241835.04 F195 Wage- Related Costs (Other) 6041 0.000209674 F196 Excluded Areas 6041 149678.02 F197 Non-Physician Anesthetist - Part A 6041 8.7928255E-8 F198 Non-Physician Anesthetist - Part B 6041 0.0029301 F199 Physician Part A 6041 0.0010418 F199A Part A Teaching Physicians 6041 0.000144922 F200 Physician Part B 6041 0.0101692 F201 Interns & Residents (Approved Program) 6041 2.4169994E-7 F202 Employee Benefits 6041 41844.89 F203 Administrative & General 6041 1153645.93 F204 Maintenance & Repairs 6041 0.6035361 F205 Operation of Plant 6041 102375.50 F206 Laundry & Linen Service 6041 9039.03 F207 Housekeeping 6041 204377.15 F208 Dietary 6041 257288.79 F209 Cafeteria 6041 0.000131880 F210 Maintenance of Personnel 6041 6.1574804E-7 F211 Nursing Administration 6041 262245.50 F212 Central Services & Supply 6041 31247.17 F213 Pharmacy 6041 82631.19 F214 Medical Records & Medical Records Libr 6041 211938.80 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 86 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F215 Social Service 6041 13467.91 F216 Other General Service 6041 0.0231822 F217 Total Salaries 6041 7992588.85 F218 Non-Physician Anesthetist Part A 6041 1.6653914E-6 F219 Non-Physician Anesthetist Part B 6041 0.0041299 F220 Physician - Part A 6041 2.8951936 F220A Teaching Physician 6041 0.000060817 F221 Physician - Part B 6041 9.9764198 F222 Interns & Residents (Approved Program) 6041 2.601627E-6 F223 Home Office Personnel 6041 8.4747648E-8 F224 Skilled Nursing Facility 6041 56.3123703 F225 Excluded Areas 6041 620575.13 F226 Contract Labor 6041 68159.44 F226A Pharmacy Services Under Contract 6041 0.000022807 F226B Laboratory Services Under Contract 6041 2.2055079E-6 F227 Contract Labor: Physician - Part A 6041 5.6112593 F227A Teaching Physician Under Contract 6041 0.000199000 F228 Home Office Salaries & Wage-Related Co 6041 0.0434780 F229 Home Office: Physician Part A 6041 0.000150730 F229A Salaries and Wage Related Costs for Te 6041 0 F230 Wage- Related Costs (Core) 6041 1201803.18 F231 Wage- Related Costs (Other) 6041 0.000211692 F232 Excluded Areas 6041 146916.33 F233 Non-Physician Anesthetist - Part A 6041 2.0945194E-7 F234 Non-Physician Anesthetist - Part B 6041 0.000656227 F235 Physician Part A 6041 0.8669581 F235A Part A Teaching Physicians 6041 0.000028841 F236 Physician Part B 6041 0.0155203 F237 Interns & Residents (Approved Program) 6041 9.4462122E-6 F238 Employee Benefits 6041 32527.86 F239 Administrative & General 6041 959998.96 F240 Maintenance & Repairs 6041 25.4217585 F241 Operation of Plant 6041 84414.17 F242 Laundry & Linen Service 6041 7511.25 F243 Housekeeping 6041 177614.21 F244 Dietary 6041 184178.63 F245 Cafeteria 6041 18.7435404 F246 Maintenance of Personnel 6041 1.2228494E-8 F247 Nursing Administration 6041 232917.95 F248 Central Services & Supply 6041 26473.87 F249 Pharmacy 6041 53662.82 F250 Medical Records & Medical Records Libr 6041 188957.83 F251 Social Service 6041 5793.58 F252 Other General Service 6041 0.000817515 F253 Paid Hours Related to Adjusted Salarie 6041 54142831.04 F254 Non-Physician Anesthetist Part A 6041 0.000072946 F255 Non-Physician Anesthetist Part B 6041 0.0014886 F256 Physician - Part A 6041 0.0216712 F256A Teaching Physician 6041 0.0013322 F257 Physician - Part B 6041 52.7736163 F258 Interns & Residents (Approved Program) 6041 0.0090241 F259 Home Office Personnel 6041 6.5542782E-7 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 87 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F260 Skilled Nursing Facility 6041 925.7073379 F261 Excluded Areas 6041 4069610.86 F262 Contract Labor 6041 171498.86 F262A Pharmacy Services Under Contract 6041 9.3818252E-7 F262B Laboratory Services Under Contract 6041 0.000030361 F263 Contract Labor: Physician - Part A 6041 13.2461557 F263A Teaching Physician Under Contract 6041 0.0010171 F264 Home Office Salaries & Wage-Related Co 6041 16.8246885 F265 Home Office: Physician Part A 6041 2.0609458E-9 F265A Salaries and Wage Related Costs for Te 6041 0 F266 Employee Benefits 6041 192373.82 F267 Administrative & General 6041 6414866.76 F268 Maintenance & Repairs 6041 132.7838301 F269 Operation of Plant 6041 636404.51 F270 Laundry & Linen Service 6041 83140.23 F271 Housekeeping 6041 2256345.80 F272 Dietary 6041 2066135.27 F273 Cafeteria 6041 151.8183167 F274 Maintenance of Personnel 6041 8.4416579E-7 F275 Nursing Administration 6041 1046250.22 F276 Central Services & Supply 6041 271815.02 F277 Pharmacy 6041 255006.37 F278 Medical Records & Medical Records Libr 6041 1616350.09 F279 Social Service 6041 36231.20 F280 Other General Service 6041 0.0019717 F281 Average Hourly Wage Related to Total A 6041 1533.26 F282 Non-Physician Anesthetist Part A 6041 5.4707522E-7 F283 Non-Physician Anesthetist Part B 6041 0.000010348 F284 Physician - Part A 6041 0.2973229 F284A Teaching Physician 6041 4.0447155E-8 F285 Physician - Part B 6041 0.0043528 F286 Interns & Residents (Approved Program) 6041 0.000053891 F287 Home Office Personnel 6041 2.4546016E-8 F288 Skilled Nursing Facility 6041 0.2447718 F289 Excluded Areas 6041 1480.80 F290 Contract Labor 6041 2706.51 F290A Pharmacy Services Under Contract 6041 6.2520002E-8 F290B Laboratory Services Under Contract 6041 2.1534559E-8 F291 Contract Labor: Physicians Part A 6041 2.1145485 F291A Teaching Physician Under Contract 6041 9.1613249E-7 F292 Home Office Salaries & Wage Related Co 6041 0.5710255 F293 Home Office: Physician Part A 6041 8.707199E-12 F293A Salaries and Wage Related Costs for Te 6041 0 F294 Employee Benefits 6041 1029.32 F295 Administrative & General 6041 1465.26 F296 Maintenance & Repairs 6041 0.1109675 F297 Operation of Plant 6041 1098.73 F298 Laundry & Linen Service 6041 547.8860513 F299 Housekeeping 6041 779.0246178 F300 Dietary 6041 868.7193180 F301 Cafeteria 6041 0.2014251 F302 Maintenance of Personnel 6041 1.8200332E-9 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 88 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F303 Nursing Administration 6041 2089.28 F304 Central Services & Supply 6041 805.0189118 F305 Pharmacy 6041 1283.64 F306 Medical Records & Library 6041 1136.14 F307 Social Services 6041 191.4990702 F308 Other General Service 6041 7.2439584E-6 F309 Net Salaries 6041 9216970.14 F310 Excluded Area Salaries 6041 947097.63 F311 Subtotal Salaries 6041 8010325.83 F312 Subtotal Other Wages & Related Costs 6041 292088.32 F313 Subtotal Wage-Related Costs 6041 1248892.11 F314 Total (Sum of Lines 3-5) 6041 9912664.41 F315 Net Salaries 6041 2.126432E-9 F316 Excluded Area Salaries 6041 9.0316853E-8 F317 Subtotal Salaries (Line 7 minus Line 8 6041 2.009456E-9 F318 Subtotal - Other Wages & Related Costs 6041 0 F319 Subtotal Wage Related Costs 6041 1.070272E-6 F320 Total (Sum of Lines 9-11) 6041 2.2061279E-9 F321 Total Overhead Costs 6041 2827404.16 F322 Net Salaries 6041 9224973.76 F323 Excluded Area Salaries 6041 968225.51 F324 Subtotal Salaries 6041 7911267.10 F325 Subtotal Other Wages & Related Costs 6041 293285.00 F326 Subtotal Wage-Related Costs 6041 1259183.43 F327 Total (Sum of Lines 3-5) 6041 9908085.56 F328 Net Salaries 6041 2.126432E-9 F329 Excluded Area Salaries 6041 4.7905437E-7 F330 Subtotal Salaries (Line 7 minus Line 6041 2.0044737E-9 F331 Subtotal - Other Wages & Related Costs 6041 0 F332 Subtotal Wage Related Costs 6041 1.070272E-6 F333 Total (Sum of Lines 9-11) 6041 2.2011457E-9 F334 Total Overhead Costs 6041 2809863.84 F335 Net Salaries 6041 53459703.58 F336 Excluded Area Salaries 6041 6130829.46 F337 Subtotal Salaries 6041 45315646.24 F338 Subtotal Other Wages & Related Costs 6041 664165.43 F339 Subtotal Wage-Related Costs 6041 0 F340 Total (Sum of Lines 3-5) 6041 46774521.05 F341 Net Salaries 6041 7.0767113E-6 F342 Excluded Area Salaries 6041 1.5267295E-8 F343 Subtotal Salaries (Line 7 minus Line 8 6041 1.8179101E-7 F344 Subtotal - Other Wages & Related Costs 6041 0 F345 Subtotal Wage Related Costs 6041 0 F346 Total (Sum of Lines 9-11) 6041 1.8235134E-7 F347 Total Overhead Costs 6041 18327236.47 F348 Net Salaries 6041 1490.33 F349 Excluded Area Salaries 6041 1465.02 F350 Subtotal Salaries 6041 1505.53 F351 Subtotal Other Wages & Related Costs 6041 3395.26 F352 Subtotal Wage-Related Costs 6041 18.9515831 F353 Total (Sum of Lines 3-5) 6041 1868.35 F354 Net Salaries 6041 2.918462E-10 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 89 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F355 Excluded Area Salaries 6041 2.375747E-10 F356 Subtotal Salaries (Line 7 minus Line 8 6041 4.086251E-12 F357 Subtotal - Other Wages & Related Costs 6041 0 F358 Subtotal Wage Related Costs 6041 0 F359 Total (Sum of Lines 9-11) 6041 5.274343E-12 F360 Total Overhead Costs 6041 1302.40 F361 Employee Benefits 6041 46086.45 F362 Administrative & General 6041 1206000.06 F363 Maintenance & Repairs 6041 0.8174428 F364 Operation of Plant 6041 106533.31 F365 Laundry & Linen Service 6041 10011.12 F366 Housekeeping 6041 211061.75 F367 Dietary 6041 266036.53 F368 Cafeteria 6041 0.000065857 F369 Maintenance of Personnel 6041 5.0645187E-7 F370 Nursing Administration 6041 271865.28 F371 Central Services & Supply 6041 34834.42 F372 Pharmacy 6041 93107.38 F373 Medical Records & Medical Records Libr 6041 215768.43 F374 Social Service 6041 18551.20 F375 Other General Service 6041 0.000831975 F376 Nonphysician Anesthetists 6041 0.000052189 F377 Nursing School 6041 2.6242089E-6 F378 Interns & Residents in Approved Progra 6041 0.0010122 F379 Interns & Residents in Approved Prog - 6041 0.000253919 F380 Paramedical Education Program 6041 3.3602373E-6 F381 Adults & Pediatrics - (General Routine 6041 1701369.13 F382 ICU 6041 275990.80 F383 Coronary Care Unit 6041 0.000230427 F384 Burn ICU 6041 1.0337243E-9 F385 Surgical ICU 6041 4.4413818E-6 F386 Other Special Care 6041 2.5509523E-7 F387 Sub. Prov. I 6041 0.0879054 F388 Sub. Prov. II 6041 0.000017166 F389 Nursery 6041 147.9808593 F390 Skilled Nursing Facility 6041 239.9189526 F391 Nursing Facility 6041 3.751345E-7 F391A Intermediate Care Facility/Mental Reta 6041 0 F392 Other Long Term Care 6041 0.000047040 F393 Operating Room 6041 423981.03 F394 Recovery Room 6041 15.0219633 F395 Delivery Room & Labor Room 6041 347.9640171 F396 Anesthesiology 6041 44.3605946 F397 Radiology - Diagnostic 6041 372546.81 F398 Radiology - Therapeutic 6041 0.000098950 F399 Radioisotope 6041 0.000270119 F400 Laboratory 6041 353649.38 F401 Whole Blood & Packed Red Blood Cells 6041 5.1505451E-6 F402 'Blood Storing, Processing, & Trans.' 6041 0.000098338 F403 Intravenous Therapy 6041 3.0673148E-7 F404 Respiratory Therapy 6041 204239.89 F405 Physical Therapy 6041 148923.60 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 90 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F406 Occupational Therapy 6041 4.2767477 F407 Speech Pathology 6041 0.0047852 F408 Electrocardiology 6041 17376.85 F409 Electrocephalography 6041 0.0015074 F410 Medical Supplies Charged to Patients 6041 0.6188037 F411 Drugs Charged to Patients 6041 2.9658875 F412 Renal Dialysis 6041 0.000084202 F413 ASC (Non-Distinct Part) 6041 0.000083952 F414 Other Ancillary 6041 3.8230209 F415 Clinic 6041 23.1422860 F416 Emergency 6041 448334.12 F416A Distinct Observation Bed Unit 6041 0 F417 Other Outpt. Services 6041 0.000536856 F417A Rural Health Clinic 6041 0.000139983 F417B Federally Qualified Health Center 6041 0 F418 Home Program Dialysis 6041 4.0993619E-9 F419 Ambulance Services 6041 0.0022834 F420 Durable Medical Equipment - Rented 6041 3.8477689E-8 F421 Durable Medical Equipment - Sold 6041 0 F422 Other Reimbursable 6041 1.6571655E-8 F423 Outpt. Rehabilitation Provider - CORF 6041 2.8829218E-6 F424 Outpt. Rehabilitation Provider -CMHC 6041 0 F425 Outpt. Rehabilitation Provider - OPT 6041 0 F426 Outpt. Rehabilitation Provider - OOT 6041 0 F427 Outpt. Rehabilitation Provider - OSP 6041 0 F428 Interns & Residents (Non Approved Prog 6041 3.4935371E-9 F429 Home Health Agency 6041 941.3705641 F430 Lung Acquisition 6041 0 F431 Kidney Acquisition 6041 2.7124972E-6 F432 Liver Acquisition 6041 0 F433 Heart Acquisition 6041 0 F433A Pancreas Acquisition 6041 0 F434 Other Organ Acquisition 6041 1.7079572E-9 F435 Utilization Review - SNF 6041 0 F436 ASC (Distinct Part) 6041 0 F437 Hospice 6041 0.000689308 F438 Other Special Purpose 6041 0.000067733 F439 Non-Reimbursable Cost Centers 6041 76440.39 F440 Total Salaries - Facility 6041 9731635.94 F441 Old Capital-Related Costs - Buildings 6041 62399.32 F442 Old Capital-Related Costs - Movable Eq 6041 0.0212380 F443 New Capital-Related Costs - Buildings 6041 50558.17 F444 New Capital-Related Costs - Movable Eq 6041 11026.47 F445 Employee Benefits 6041 964664.97 F446 Administrative & General 6041 2168116.69 F447 Maintenance & Repairs 6041 0.2066125 F448 Operation of Plant 6041 370821.52 F449 Laundry & Linen Service 6041 62630.88 F450 Housekeeping 6041 83792.38 F451 Dietary 6041 297999.98 F452 Cafeteria 6041 0.000103191 F453 Maintenance of Personnel 6041 1.963716E-8 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 91 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F454 Nursing Administration 6041 24593.80 F455 Central Services & Supply 6041 48760.75 F456 Pharmacy 6041 222046.36 F457 Medical Records & Medical Records Libr 6041 78562.25 F458 Social Service 6041 651.9676111 F459 Other General Service 6041 -0.000383063 F460 Nonphysician Anesthetists 6041 0.000224628 F461 Nursing School 6041 8.2574658E-6 F462 Interns & Residents - Salaries & Fring 6041 0.000307831 F463 Interns & Residents - Other Program Co 6041 0.0012231 F464 Paramedical Education Program 6041 0.000031212 F465 Adults & Pediatrics - (General Routine 6041 262362.74 F466 ICU 6041 22671.37 F467 Coronary Care Unit 6041 1.0303684E-6 F468 Burn ICU 6041 6.075241E-10 F469 Surgical ICU 6041 0.000076266 F470 Other Special Care 6041 -3.859431E-6 F471 Sub. Prov. I 6041 1.3507640 F472 Sub. Prov. II 6041 0.000053355 F473 Nursery 6041 26.8606542 F474 Skilled Nursing Facility 6041 41.9970642 F475 Nursing Facility 6041 1.8073823E-6 F475A Intermediate Care Facility/Mental Reta 6041 0 F476 Other Long Term Care 6041 0.000022312 F477 Operating Room 6041 321626.93 F478 Recovery Room 6041 1.8633224 F479 Delivery Room & Labor Room 6041 37.9642653 F480 Anesthesiology 6041 24813.82 F481 Radiology - Diagnostic 6041 469148.15 F482 Radiology - Therapeutic 6041 2.5477102E-6 F483 Radioisotope 6041 0.0038211 F484 Laboratory 6041 534915.44 F485 PBP Clinical Laboratory Service (Progr 6041 0 F486 Whole Blood & Packed Red Blood Cells 6041 0.000014946 F487 'Blood Storing, Processing, & Trans.' 6041 0.2630280 F488 Intravenous Therapy 6041 0.000070063 F489 Respiratory Therapy 6041 84642.57 F490 Physical Therapy 6041 93379.54 F491 Occupational Therapy 6041 58.4896344 F492 Speech Pathology 6041 8.8990784 F493 Electrocardiology 6041 22404.07 F494 Electrocephalography 6041 2.2417396 F495 Medical Supplies Charged to Patients 6041 982.8007300 F496 Drugs Charged to Patients 6041 9695.89 F497 Renal Dialysis 6041 6.4725168 F498 ASC (Non-Distinct Part) 6041 0.3114861 F499 Other Ancillary 6041 6.1075312 F500 Clinic 6041 66.3954613 F501 Emergency 6041 326927.11 F501A Distinct Observation Bed Unit 6041 0 F502 Other Outpt. Services 6041 0.0026762 F502A Rural Health Clinic 6041 0.0011885 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 92 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F502B Federally Qualified Health Center 6041 0 F503 Home Program Dialysis 6041 5.088629E-10 F504 Ambulance Services 6041 0.0023245 F505 Durable Medical Equipment - Rented 6041 7.4445897E-8 F506 Durable Medical Equipment - Sold 6041 0 F507 Other Reimbursable 6041 3.6443561E-9 F508 Outpt. Rehabilitation Provider - CORF 6041 0.000010759 F509 Outpt. Rehabilitation Provider -CMHC 6041 0 F510 Outpt. Rehabilitation Provider - OPT 6041 0 F511 Outpt. Rehabilitation Provider - OOT 6041 0 F512 Outpt. Rehabilitation Provider - OSP 6041 0 F513 Interns & Residents (Non Approved Prog 6041 0 F514 Home Health Agency 6041 360.5061516 F515 Lung Acquisition 6041 0 F516 Kidney Acquisition 6041 6.2264799E-7 F517 Liver Acquisition 6041 0 F518 Heart Acquisition 6041 5.9846412E-8 F518A Pancreas Acquisition 6041 0 F519 Other Organ Acquisition 6041 4.015679E-10 F520 Interest Expense 6041 43670.39 F521 Utilization Review - SNF 6041 0 F522 Other Capital-Related Costs 6041 13027.16 F523 ASC (Distinct Part) 6041 0 F524 Hospice 6041 0.000446610 F525 Other Special Purpose 6041 0.000061971 F526 Nonreimbursable Cost Centers 6041 72820.08 F527 Total Other Costs - Facility 6041 11839112.77 F528 Old Capital-Related Costs - Buildings 6041 101638.33 F529 Old Capital-Related Costs - Movable Eq 6041 13950.13 F530 New Capital-Related Costs- Buildings 6041 453770.55 F531 New Capital-Related Costs - Movable Eq 6041 525911.17 F532 Employee Benefits 6041 1219562.77 F533 Administrative & General 6041 2937242.60 F534 Maintenance & Repairs 6041 116.3332210 F535 Operation of Plant 6041 509631.84 F536 Laundry & Linen Service 6041 111962.45 F537 Housekeeping 6041 333611.89 F538 Dietary 6041 435176.69 F539 Cafeteria 6041 29.2405444 F540 Maintenance of Personnel 6041 -0.000018921 F541 Nursing Administration 6041 302672.09 F542 Central Services & Supply 6041 65098.60 F543 Pharmacy 6041 188753.34 F544 Medical Records & Medical Records Libr 6041 306911.51 F545 Social Service 6041 29471.46 F546 Other General Service 6041 0.000252968 F547 Nonphysician Anesthetists 6041 0.000273152 F548 Nursing School 6041 -0.000061732 F549 Interns & Residents - Salaries & Fring 6041 -0.000041047 F550 Interns & Residents - Other Program Co 6041 -0.000822889 F551 Paramedical Education Program 6041 0.000055369 F552 Adults & Pediatrics - (General Routine 6041 1923322.29 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 93 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F553 ICU 6041 310992.66 F554 Coronary Care Unit 6041 1.0829539E-7 F555 Burn ICU 6041 7.975886E-9 F556 Surgical ICU 6041 1.005601E-8 F557 Other Special Care 6041 0.000062533 F558 Sub. Prov. I 6041 11.2223134 F559 Sub. Prov. II 6041 0.000027085 F560 Nursery 6041 11101.80 F561 Skilled Nursing Facility 6041 354.8355691 F562 Nursing Facility 6041 0.000022131 F562A Intermediate Care Facility/Mental Reta 6041 0 F563 Other Long Term Care 6041 0.0012588 F564 Operating Room 6041 653872.73 F565 Recovery Room 6041 21.6977183 F566 Delivery Room and Labor Room 6041 16115.45 F567 Anesthesiology 6041 8987.70 F568 Radiology - Diagnostic 6041 821270.41 F569 Radiology - Therapeutic 6041 0.000182726 F570 Radioisotope 6041 0.0139144 F571 Laboratory 6041 888099.90 F572 PBP Clinical Lab Services (Program Onl 6041 0 F573 Whole Blood & Packed Red Blood Cells 6041 0.000603520 F574 'Blood Storing, Processing, & Trans.' 6041 0.2104620 F575 Intravenous Therapy 6041 0.000164483 F576 Respiratory Therapy 6041 282232.16 F577 Physical Therapy 6041 337208.79 F578 Occupational Therapy 6041 520.9982023 F579 Speech Pathology 6041 132.6206447 F580 Electrocardiology 6041 44830.61 F581 Electroencephalography 6041 2.0514134 F582 Medical Supplies Charged to Patients 6041 345974.11 F583 Drugs Charged to Patients 6041 447252.53 F584 Renal Dialysis 6041 0.000041222 F585 ASC (Non-Distinct Part) 6041 -0.0017298 F586 Other Ancillary 6041 0.1147849 F587 Clinic 6041 51.6401397 F588 Emergency 6041 565568.59 F588A Distinct Observation Bed Unit 6041 3.4298043E-7 F589 Other Outpt. Services 6041 0.0048254 F589A Rural Health Clinic 6041 0.0010433 F589B Federally Qualified Health Center 6041 0 F590 Home Program Dialysis 6041 8.5654056E-8 F591 Ambulance Services 6041 0.0049007 F592 Durable Medical Equipment - Rented 6041 1.1873529E-7 F593 Durable Medical Equipment - Sold 6041 0 F594 Other Reimbursable 6041 2.4524624E-6 F595 Outpt. Rehabilitation Provider - CORF 6041 6.6688829E-6 F596 Outpt. Rehabilitation Provider - CMHC 6041 0 F597 Outpt. Rehabilitation Provider - OPT 6041 0 F598 Outpt. Rehabilitation Provider - OOT 6041 0 F599 Outpt. Rehabilitation Provider - OSP 6041 0 F600 Intern & Resident Service (Non-Approve 6041 7.6600807E-8 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 94 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F601 Home Health Agency 6041 1318.20 F602 Lung Acquisition 6041 0 F603 Kidney Acquisition 6041 0.000585471 F604 Liver Acquisition 6041 1.3918077E-7 F605 Heart Acquisition 6041 2.6483426E-8 F605A Pancreas Acquisition 6041 0 F606 Other Organ Acquisition 6041 1.3406479E-9 F607 ASC (Distinct Part) 6041 0 F608 Hospice 6041 0.000729509 F609 Other Special Purpose 6041 0.000042836 F610 Nonreimbursable Cost Centers 6041 270518.88 F611 Total Cost Before Allocation - Facilit 6041 20629274.89 F612 Nonphysician Anesthetists 6041 0.000644736 F613 Nursing School 6041 4.8016431E-6 F614 Interns & Residents - Salary & Fringes 6041 0.000091599 F615 Interns & Residents - Program Costs (A 6041 -0.0010685 F616 Paramedical Education 6041 -0.000118749 F617 Adults & Pediatrics - (General Routine 6041 4729254.91 F618 ICU 6041 605875.73 F619 Coronary Care Unit 6041 0.000041882 F620 Burn ICU 6041 1.2867409E-8 F621 Surgical ICU 6041 1.7284455E-8 F622 Other Special Care 6041 0.0012043 F623 Sub. Prov. I 6041 0.0914389 F624 Sub. Prov. II 6041 0.000142054 F625 Nursery 6041 36967.49 F626 Skilled Nursing Facility 6041 521.9017235 F627 Nursing Facility 6041 0.000048047 F627A Intermediate Care Facility/Mental Reta 6041 0 F628 Other Long Term Care 6041 0.000218952 F629 Operating Room 6041 1338908.89 F630 Recovery Room 6041 21.6219215 F631 Delivery Room and Labor Room 6041 49988.45 F632 Anesthesiology 6041 50669.03 F633 Radiology - Diagnostic 6041 1387093.99 F634 Radiology - Therapeutic 6041 0.000340705 F635 Radioisotope 6041 0.0220026 F636 Laboratory 6041 1341196.89 F637 PBP Clinical Lab Services (Program Onl 6041 0 F638 Whole Blood & Packed Red Blood Cells 6041 0.000083698 F639 'Blood Storing, Processing, & Trans.' 6041 0.0170553 F640 Intravenous Therapy 6041 0.0010471 F641 Respiratory Therapy 6041 467066.97 F642 Physical Therapy 6041 564691.94 F643 Occupational Therapy 6041 794.4626328 F644 Speech Pathology 6041 165.5160933 F645 Electrocardiology 6041 79999.39 F646 Electroencephalography 6041 3.8809256 F647 Medical Supplies Charged to Patients 6041 721518.94 F648 Drugs Charged to Patients 6041 1149264.26 F649 Renal Dialysis 6041 1.8794988 F650 ASC (Non-Distinct Part) 6041 0.000444939 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 95 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F651 Other Ancillary 6041 11.3391351 F652 Clinic 6041 178.1112297 F653 Emergency 6041 1031955.27 F653A Distinct Observation Bed Unit 6041 2.1779424E-7 F654 Other Outpt. Services 6041 0.0091896 F654A Rural Health Clinic 6041 0.0014175 F654B Federally Qualified Health Center 6041 0 F655 Home Program Dialysis 6041 6.4573685E-8 F656 Ambulance Services 6041 0.0070560 F657 Durable Medical Equipment - Rented 6041 1.6700083E-7 F658 Durable Medical Equipment - Sold 6041 0 F659 Other Reimbursable 6041 1.6368407E-6 F660 Outpt. Rehabilitation Provider - CORF 6041 8.4112395E-6 F661 Outpt. Rehabilitation Provider - CMHC 6041 0 F662 Outpt. Rehabilitation Provider - OPT 6041 0 F663 Outpt. Rehabilitation Provider - OOT 6041 0 F664 Outpt. Rehabilitation Provider - OSP 6041 0 F665 Interns & Residents Service (Non-Appro 6041 7.3894779E-8 F666 Home Health Agency 6041 2061.17 F667 Lung Acquisition 6041 0 F668 Kidney Acquisition 6041 0.000021417 F669 Liver Acquisition 6041 2.6387939E-7 F670 Heart Acquisition 6041 2.8512508E-9 F670A Pancreas Acquisition 6041 0 F671 Other Organ Acquisition 6041 4.7138031E-9 F672 ASC (Distinct Part) 6041 0 F673 Hospice 6041 0.0021500 F674 Other Special Purpose 6041 0.000021774 F675 Nonreimbursable Cost Centers 6041 602698.17 F676 Cross Foot Adjustments 6041 0 F677 Negative Cost Centers 6041 -1.109488E-7 F678 Total Costs - Facility 6041 20613402.56 F679 Respiratory Therapy Limit Adjustment 6041 0 F680 Physical Therapy Limit Adjustment 6041 8.0908164E-8 F680A Occupational Therapy Limit Adjustment 6041 3.0651529E-7 F680B Speech Pathology Therapy Limit Adjustm 6041 2.6574444E-7 F681 Adults & Pediatrics - (General Routine 6041 2997316.37 F682 ICU 6041 548216.52 F683 Coronary Care Unit 6041 0.000306888 F684 Burn ICU 6041 1.2831927E-8 F685 Surgical ICU 6041 9.0514481E-9 F686 Other Special Care 6041 0.000040554 F687 Sub. Prov. I 6041 0.2877083 F688 Sub. Prov. II 6041 0.000271595 F689 Nursery 6041 35766.58 F690 Skilled Nursing Facility 6041 5.1925691 F691 Nursing Facility 6041 3.0155603E-7 F691A Intermediate Care Facility/Mental Reta 6041 0 F692 Other Long Term Care 6041 0.000064425 F693 Operating Room 6041 1249170.07 F694 Recovery Room 6041 14.5140404 F695 Delivery Room & Labor Room 6041 48436.93 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 96 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F696 Anesthesiology 6041 46844.91 F697 Radiology - Diagnostic 6041 1321571.57 F698 Radiology - Therapeutic 6041 0.000178089 F699 Radioisotope 6041 0.0074523 F700 Laboratory 6041 1252289.46 F701 PBP Clinical Lab Services (Program Onl 6041 0 F702 Whole Blood & Packed Red Blood Cells 6041 0.000049821 F703 'Blood Storing, Processing, Trans.' 6041 0.0203695 F704 Intravenous Therapy 6041 0.000678705 F705 Respiratory Therapy 6041 390476.49 F706 Physical Therapy 6041 474361.43 F707 Occupational Therapy 6041 164.4592685 F708 Speech Pathology 6041 35.4827892 F709 Electrocardiology 6041 65994.83 F710 Electroencephalography 6041 1.4444177 F711 Medical Supplies Charged to Patients 6041 648122.96 F712 Drugs Charged to Patients 6041 996766.41 F713 Renal Dialysis 6041 0.0168146 F714 ASC (Non-Distinct Part) 6041 0.000240959 F715 Other Ancillary 6041 19.6832284 F716 Clinic 6041 185.4856161 F717 Emergency 6041 1011975.63 F718 Non Distinct Observation Bed Unit 6041 88345.88 F718A Distinct Observation Beds 6041 0 F719 Other Outpt. Services 6041 0.000508976 F719A Rural Health Center 6041 0.000433148 F719B Federally Qualified Health Center 6041 0 F720 Home Program Dialysis 6041 6.447714E-7 F721 Ambulance Services 6041 0.0081216 F722 Durable Medical Equipment - Rented 6041 3.3279721E-7 F723 Durable Medical Equipment - Sold 6041 0 F724 Other Reimbursable Costs 6041 4.184164E-8 F725 Subtotal 6041 15157814.96 F726 Less: Observation Beds 6041 88345.88 F727 Total Costs - Facility (Line 101 minus 6041 14985707.53 F728 Total Capital Reduction - Facility 6041 66563.29 F728A Inpatient Capital Reduction Factor 6041 0 F728B Outpt. Capital Reduction Factor 6041 100000.00 F729 Total Operating Cost Reduction - Facil 6041 440761.65 F729A Outpt. Operating Cost Reduction Factor 6041 58000.00 F730 Adults & Pediatrics - (General Routine 6041 4780942.07 F731 ICU 6041 512023.49 F732 Coronary Care Unit 6041 0.000189784 F733 Burn ICU 6041 2.9878839E-8 F734 Surgical ICU 6041 8.3532036E-6 F735 Other Special Care 6041 0.000248256 F736 Sub. Prov. I 6041 0.0311571 F737 Sub. Prov. II 6041 0.000228643 F738 Nursery 6041 34381.94 F739 Skilled Nursing Facility 6041 500.1247140 F740 Nursing Facility 6041 4.8889793E-6 F740A Intermediate Care Facility/Mental Reta 6041 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 97 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F741 Other Long Term Care 6041 0.000258199 F742 Operating Room 6041 916480.34 F743 Recovery Room 6041 8.2902732 F744 Delivery Room & Labor Room 6041 39808.56 F745 Anesthesiology 6041 66898.41 F746 Radiology - Diagnostic 6041 864494.93 F747 Radiology - Therapeutic 6041 0.000771845 F748 Radioisotope 6041 0.0055133 F749 Laboratory 6041 1524371.50 F750 PBP Clinical Lab Services (Program Onl 6041 0 F751 Whole Blood & Packed Red Blood Cells 6041 0.000585489 F752 'Blood Storing, Processing, Trans.' 6041 6.3236692 F753 Intravenous Therapy 6041 0.000506105 F754 Respiratory Therapy 6041 1115071.90 F755 Physical Therapy 6041 289159.34 F756 Occupational Therapy 6041 333.4332836 F757 Speech Pathology 6041 75.6232698 F758 Electrocardiology 6041 128364.55 F759 Electroencephalography 6041 0.3151423 F760 Medical Supplies Charged to Patients 6041 1225877.99 F761 Drugs Charged to Patients 6041 2381436.83 F762 Renal Dialysis 6041 7.9059246 F763 ASC (Non-Distinct Part) 6041 0.0011057 F764 Other Ancillary 6041 0.9514889 F765 Clinic 6041 0.2968553 F766 Emergency 6041 182648.50 F767 Non Distinct Observation Beds 6041 1.3341727 F767A Distinct Observation Bed Unit 6041 0 F768 Other Outpt. Services 6041 0.000051179 F768A RHC 6041 0 F768B FQHC 6041 0 F769 Home Program Dialysis 6041 1.9429148E-8 F770 Ambulance Services 6041 0.0022999 F771 Durable Medical Equipment - Rented 6041 0 F772 Durable Medical Equipment - Sold 6041 0 F773 Other Reimbursable Costs 6041 2.8937535E-7 F774 Operating Room 6041 1254084.57 F775 Recovery Room 6041 10.4281942 F776 Delivery Room & Labor Room 6041 408.1669792 F777 Anesthesiology 6041 83337.87 F778 Radiology - Diagnostic 6041 2441159.97 F779 Radiology - Therapeutic 6041 0.000165438 F780 Radioisotope 6041 0.000949225 F781 Laboratory 6041 1681890.09 F782 PBP Clinical Lab Services (Program Onl 6041 0 F783 Whole Blood & Packed Red Blood Cells 6041 0.000012370 F784 'Blood Storing, Processing, Trans.' 6041 0.0037772 F785 Intravenous Therapy 6041 0.0013130 F786 Respiratory Therapy 6041 159509.69 F787 Physical Therapy 6041 399912.79 F788 Occupational Therapy 6041 48.4838563 F789 Speech Pathology 6041 21.9432647 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 98 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F790 Electrocardiology 6041 156253.72 F791 Electroencephalography 6041 0.0049882 F792 Medical Supplies Charged to Patients 6041 504522.68 F793 Drugs Charged to Patients 6041 772734.63 F794 Renal Dialysis 6041 0.000102844 F795 ASC (Non-Distinct Part) 6041 0.000126722 F796 Other Ancillary 6041 10.9832596 F797 Clinic 6041 35.0508954 F798 Emergency 6041 835088.08 F799 Non Distinct Observation Beds 6041 60945.47 F799A Distinct Observation Bed Unit 6041 1.0270376E-8 F800 Other Outpt. Services 6041 0.0050507 F800A RHC 6041 0.000011023 F800B FQHC 6041 0 F801 Home Program Dialysis 6041 1.0552692E-7 F802 Ambulance Services 6041 0.0167587 F803 Durable Medical Equipment - Rented 6041 1.8866171E-7 F804 Durable Medical Equipment - Sold 6041 0 F805 Other Reimbursable Costs 6041 0 F806 Operating Room 6041 467247.33 F807 Recovery Room 6041 110.6949382 F808 Delivery Room & Labor Room 6041 386952.93 F809 Anesthesiology 6041 106952.85 F810 Radiology - Diagnostic 6041 389432.79 F811 Radiology - Therapeutic 6041 0.000544115 F812 Radioisotope 6041 24.7788330 F813 Laboratory 6041 389396.98 F814 PBP Clinical Lab Services 6041 0 F815 Whole Blood & Packed Red Blood Cells 6041 0.0140913 F816 'Blood Storing, Processing, Trans.' 6041 31.9735048 F817 Intravenous Therapy 6041 0.0050829 F818 Respiratory Therapy 6041 264141.04 F819 Physical Therapy 6041 619616.84 F820 Occupational Therapy 6041 3536.89 F821 Speech Pathology 6041 2463.85 F822 Electrocardiology 6041 193684.36 F823 Electroencephalography 6041 7.9118296 F824 Medical Supplies Charged to Patients 6041 355395.23 F825 Drugs Charged to Patients 6041 353425.74 F826 Renal Dialysis 6041 27.6952480 F827 ASC (Non-Distinct Part) 6041 0.1029697 F828 Other Ancillary 6041 101.0301177 F829 Clinic 6041 61962.69 F830 Emergency 6041 685013.22 F831 Non Distinct Observation Beds 6041 590846.95 F831A Distinct Observation Bed Unit 6041 0.6863091 F832 Other Outpt. Service 6041 3.3302840 F832A RHC 6041 0.0278213 F832B FQHC 6041 0 F833 Home Program Dialysis 6041 0.000036406 F834 Durable Medical Equipment - Rented 6041 2.3266296E-6 F835 Durable Medical Equipment - Sold 6041 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 99 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F836 Other Reimbursable Costs 6041 3.3239550 F837 Operating Room 6041 440512.78 F838 Recovery Room 6041 24.0838056 F839 Delivery Room & Labor Room 6041 364450.61 F840 Anesthesiology 6041 100646.43 F841 Radiology - Diagnostic 6041 369914.19 F842 Radiology - Therapeutic 6041 0.0062946 F843 Radioisotope 6041 43.8541774 F844 Laboratory 6041 367007.33 F845 PBP Clinical Lab Services (Program Onl 6041 0 F846 Whole Blood & Packed Red Blood Cells 6041 0.0018642 F847 'Blood Storing, Processing, Trans.' 6041 29.5381499 F848 Intravenous Therapy 6041 0.000447139 F849 Respiratory Therapy 6041 249920.87 F850 Physical Therapy 6041 577487.44 F851 Occupational Therapy 6041 3329.13 F852 Speech Pathology 6041 2478.57 F853 Electrocardiology 6041 182327.26 F854 Electroencephalography 6041 17.0456500 F855 Medical Supplies Charged to Patients 6041 337874.52 F856 Drugs Charged to Patients 6041 335919.64 F857 Renal Dialysis 6041 25.8377649 F858 ASC (Non-Distinct Part) 6041 0.0835084 F859 Other Ancillary 6041 116.2610153 F860 Clinic 6041 59012.80 F861 Emergency 6041 643943.72 F862 Non Distinct Observation Beds 6041 582709.39 F862A Distinct Observation Bed Unit 6041 0.6459647 F863 Other Outpt. Services 6041 0.0321908 F863A RHC 6041 0.0694564 F863B FQHC 6041 0 F864 Home Program Dialysis 6041 0.000034048 F864A Ambulance Services 6041 0.0023816 F865 Durable Medical Equipment - Rented 6041 2.1595196E-6 F866 Durable Medical Equipment - Sold 6041 0 F867 Other Reimbursable Costs 6041 9.0618239E-6 F868 Adults & Pediatrics - (General Routine 6041 1679562.65 F869 ICU 6041 107637.17 F870 Coronary Care Unit 6041 3.2123149E-6 F871 Burn ICU 6041 0 F872 Surgical ICU 6041 2.1162277E-6 F873 Other Special Care Unit 6041 4.199512E-6 F874 Operating Room 6041 318262.92 F875 Recovery Room 6041 5.6778104 F876 Delivery Room & Labor Room 6041 0.1287151 F877 Anesthesiology 6041 13852.00 F878 Radiology - Diagnostic 6041 434022.33 F879 Radiology - Therapeutic 6041 4.9594755E-6 F880 Radioisotope 6041 0.000060758 F881 Laboratory 6041 815588.92 F882 PBP Clinical Lab Services (Program Onl 6041 0 F883 Whole Blood & Packed Red Blood Cells 6041 0.000077482 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 100 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F884 'Blood Storing, Processing, Trans.' 6041 0.8157885 F885 Intravenous Therapy 6041 0.000077957 F886 Respiratory Therapy 6041 498917.66 F887 Physical Therapy 6041 98293.06 F888 Occupational Therapy 6041 14.1992710 F889 Speech Pathology 6041 8.5505756 F890 Electrocardiology 6041 79694.02 F891 Electroencephalography 6041 3.2731443 F892 Medical Supplies Charged to Patients 6041 690110.76 F893 Drugs Charged to Patients 6041 1191753.49 F894 Renal Dialysis 6041 0.0136787 F895 ASC (Non-Distinct Part) 6041 0.0079274 F896 Other Ancillary 6041 0.000247071 F897 Clinic 6041 0.1643393 F898 Emergency 6041 95276.04 F899 Non Distinct Observation Beds 6041 508.5459034 F899A Distinct Observation Bed Unit 6041 0 F900 Other Outpt. Service 6041 6.0388822E-6 F900A RHC 6041 0 F900B FQHC 6041 0 F901 Home Program Dialysis 6041 0 F902 Durable Medical Equipment - Rented 6041 0 F903 Durable Medical Equipment - Sold 6041 0 F904 Other Reimbursable Costs 6041 0.000047940 F905 Total Medicare Part A Ancillary Charge 6041 5568971.13 F906 Net Medicare Part A Ancillary Charges 6041 5568971.13 F907 Operating Room 6041 179586.71 F908 Recovery Room 6041 3.6493986 F909 Delivery Room & Labor Room 6041 0.0128949 F910 Anesthesiology 6041 4160.96 F911 Radiology - Diagnostic 6041 173306.20 F912 Radiology - Therapeutic 6041 4.0615559E-6 F913 Radioisotope 6041 0.0012427 F914 Laboratory 6041 311751.71 F915 PBP Clinical Lab Services (Program Onl 6041 0 F916 Whole Blood & Packed Red Blood Cells 6041 0.000042741 F917 'Blood Storing, Processing, Trans.' 6041 0.0032122 F918 Intravenous Therapy 6041 0.000100438 F919 Respiratory Therapy 6041 166454.73 F920 Physical Therapy 6041 66532.23 F921 Occupational Therapy 6041 13.3227845 F922 Speech Pathology 6041 6.0281562 F923 Electrocardiology 6041 16627.90 F924 Electroencephalography 6041 0.0305269 F925 Medical Supplies Charged to Patients 6041 233955.77 F926 Drugs Charged to Patients 6041 388981.06 F927 Renal Dialysis 6041 0.0016133 F928 ASC (Non-Distinct Part) 6041 9.2870802E-6 F929 Other Ancillary 6041 0.000884487 F930 Clinic 6041 0.0784512 F931 Emergency 6041 92867.62 F932 Non Distinct Observation Beds 6041 390.3691655 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 101 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F932A Distinct Observation Bed Unit 6041 0 F933 Other Outpt. Service 6041 0.000023738 F933A RHC 6041 0 F933B FQHC 6041 0 F934 Home Program Dialysis 6041 0 F935 Durable Medical Equipment - Rented 6041 0 F936 Durable Medical Equipment - Sold 6041 0 F937 Other Reimbursable Costs 6041 4.4508788E-9 F938 Total Medicare Part A Costs - Hosp. 6041 2084837.00 F939 Total Swing-Bed Cost 6041 0.5256775 F940 General Inpatient Routine Service 6041 4724345.88 F941 General Inpatient Routine Service Cost 6041 4651509.19 F942 General Inpatient Routine Service 6041 1979353.86 F943 ICU - Medicare Cost 6041 331665.82 F944 Coronary Care Unit - Medicare Cost 6041 0.000337284 F945 Burn ICU - Medicare Cost 6041 6.875213E-10 F946 Surgical ICU - Medicare Cost 6041 0.000102845 F947 Other Special Care Unit - Medicare Cos 6041 2.8813166E-8 F948 Medicare Inpatient Ancillary 6041 2075737.73 F949 'Total Medicare Inpatient Operating Co 6041 4497262.09 F950 Pass Through Costs - Program Inpatient 6041 234259.02 F951 Pass Through Costs - Program Inpatient 6041 147871.02 F952 Total Program Excludable Costs 6041 382818.98 F953 Total Program Inpatient Operating Cost 6041 4008737.46 F954 TEFRA Target Amount per Discharge 6041 0.4525649 F955 Target Amount 6041 0.6955630 F956 Difference Between Target Amount and 6041 0.000598902 F957 Incentive / Bonus Payment 6041 0.000106718 F957A Relief Payment 6041 6.3006979E-6 F958 Inpatient Cost Plus Incentive Payment 6041 0.4223607 F959 Operating Room 6041 0.0021145 F960 Recovery Room 6041 1.004604E-6 F961 Delivery Room & Labor Room 6041 1.4111477E-7 F962 Anesthesiology 6041 1.7141538E-6 F963 Radiology - Diagnostic 6041 0.000796844 F964 Radiology - Therapeutic 6041 3.2011246E-6 F965 Radioisotope 6041 1.9415229E-6 F966 Laboratory 6041 0.0156448 F967 PBP Clinical Lab Services (Program Onl 6041 0 F968 Whole Blood & Packed Red Blood Cells 6041 7.329899E-10 F969 'Blood Storing, Processing, Trans.' 6041 1.2907401E-6 F970 Intravenous Therapy 6041 1.3503715E-7 F971 Respiratory Therapy 6041 5.477178E-6 F972 Physical Therapy 6041 0.000189711 F973 Occupational Therapy 6041 0.000013300 F974 Speech Pathology 6041 2.595132E-6 F975 Electrocardiology 6041 0.000055488 F976 Electroencephalography 6041 1.3789478E-7 F977 Medical Supplies Charged to Patients 6041 0.000315117 F978 Drugs Charged to Patients 6041 0.0010541 F979 Renal Dialysis 6041 2.095657E-6 F980 ASC (Non-Distinct Part) 6041 1.8831021E-7 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 102 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F981 Other Ancillary 6041 0.000013638 F982 Clinic 6041 6.8868285E-8 F983 Emergency 6041 0.000063698 F984 Non Distinct Observation Beds 6041 0 F984A Distinct Observation Bed Unit 6041 0 F985 Other Outpt. Services 6041 4.2251323E-8 F985A RHC 6041 0 F985B FQHC 6041 0 F986 Home Program Dialysis 6041 0 F987 Durable Medical Equipment - Rented 6041 0 F988 Durable Medical Equipment - Sold 6041 0 F989 Other Reimbursable Costs 6041 0 F990 Total Medicare Part A Ancillary Costs 6041 0.0034641 F991 General Inpatient Routine Service Cost 6041 0.2732906 F992 General Inpatient Routine Service Cost 6041 0.1641745 F993 Total Program General Inpatient Routin 6041 0.0739848 F994 Medicare Inpatient Ancillary Cost 6041 0.0346195 F995 Total Medicare Inpatient Operating Cos 6041 0.0537853 F996 Pass Through Costs - Program Inpatient 6041 0.000116871 F997 Pass Through Costs - Program Inpatient 6041 0.000475292 F998 Total Program Excludable Costs 6041 0.0068006 F999 Total Program Inpatient Operating Cost 6041 0.0221339 F1000 TEFRA Target Amount Per Discharge 6041 0.0029490 F1001 Target Amount 6041 0.0907602 F1002 Difference Between Target Amount and 6041 0.0183274 F1003 Incentive / Bonus Payment 6041 0.0010268 F1003A Relief Payment 6041 4.116092E-8 F1004 Inpatient Cost Plus Incentive Payment 6041 0.0030054 F1005 Operating Room 6041 2.7318692E-6 F1006 Recovery Room 6041 7.5225936E-7 F1007 Delivery Room & Labor Room 6041 0.000038126 F1008 Anesthesiology 6041 4.8764999E-7 F1009 Radiology - Diagnostic 6041 2.4022588E-7 F1010 Radiology - Therapeutic 6041 1.5317692E-8 F1011 Radioisotope 6041 7.7958162E-7 F1012 Laboratory 6041 1.8611661E-6 F1013 PBP Clinical Lab Services (Program Onl 6041 0 F1014 Whole Blood & Packed Red Blood Cells 6041 7.7213253E-9 F1015 'Blood Storing, Processing, Trans.' 6041 5.3736821E-8 F1016 Intravenous Therapy 6041 1.7556408E-9 F1017 Respiratory Therapy 6041 4.2690055E-7 F1018 Physical Therapy 6041 4.4383674E-6 F1019 Occupational Therapy 6041 6.1005841E-6 F1020 Speech Pathology 6041 5.6277793E-7 F1021 Electrocardiology 6041 9.9047085E-7 F1022 Electroencephalography 6041 2.2053629E-8 F1023 Medical Supplies Charged to Patients 6041 8.3503353E-7 F1024 Drugs Charged to Patients 6041 1.8664927E-6 F1025 Renal Dialysis 6041 7.149354E-8 F1026 ASC (Non-Distinct Part) 6041 2.439563E-10 F1027 Other Ancillary 6041 0.000138666 F1028 Clinic 6041 4.039561E-11 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 103 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1029 Emergency 6041 5.1639938E-6 F1030 Non Distinct Observation Beds 6041 0 F1030A Distinct Observation Bed Unit 6041 0 F1031 Other Outpt. Services 6041 0 F1031A RHC 6041 0 F1031B FQHC 6041 0 F1032 Home Program Dialysis 6041 0 F1033 Durable Medical Equipment - Rented 6041 0 F1034 Durable Medical Equipment - Sold 6041 0 F1035 Other Reimbursable Costs 6041 0 F1036 Total Medicare Part A Ancillary Costs 6041 0.000092498 F1037 General Inpatient Routine Service Cost 6041 0.000533420 F1038 General Inpatient Routine Service Cost 6041 0.000533420 F1039 Total Program General Inpatient Routin 6041 0.000497203 F1040 Medicare Inpatient Ancillary Cost 6041 0.000206680 F1041 Total Medicare Inpatient Operating Cos 6041 0.000023121 F1042 Pass Through Costs - Program Inpatient 6041 0.000012524 F1043 Pass Through Costs - Program Inpatient 6041 7.5524044E-6 F1044 Total Program Excludable Costs 6041 1.3023699E-6 F1045 Total Program Inpatient Operating Cost 6041 0.000028151 F1046 TEFRA Target Amount Per Discharge 6041 0.000037890 F1047 Target Amount 6041 0.000071341 F1048 Difference Between Target Amount and 6041 -0.000073667 F1049 Incentive / Bonus Payment 6041 6.7875842E-7 F1049A Relief Payment 6041 0 F1050 Inpatient Cost Plus Incentive Payment 6041 0.000158902 F1051 Operating Room 6041 271533.60 F1052 Recovery Room 6041 1.6252361 F1053 Delivery Room & Labor Room 6041 4.359681E-13 F1054 Anesthesiology 6041 6655.28 F1055 Radiology - Diagnostic 6041 0.000028247 F1056 Radiology - Therapeutic 6041 5.3386393E-9 F1057 Radioisotope 6041 0.000033667 F1058 Laboratory 6041 0.000014285 F1059 PBP Clinical Lab Services (Program Onl 6041 0 F1060 Whole Blood & Packed Red Blood Cells 6041 1.9986335E-6 F1061 'Blood Storing, Processing, Trans.' 6041 1.0817693E-6 F1062 Intravenous Therapy 6041 2.0199715E-6 F1063 Respiratory Therapy 6041 0.000011605 F1064 Physical Therapy 6041 1.2654551E-7 F1065 Occupational Therapy 6041 3.073199E-11 F1066 Speech Pathology 6041 0 F1067 Electrocardiology 6041 5.3322281E-6 F1068 Electroencephalography 6041 0.000897553 F1069 Medical Supplies Charged to Patients 6041 80524.03 F1070 Drugs Charged to Patients 6041 55049.10 F1071 Renal Dialysis 6041 0.000010683 F1072 ASC (Non-Distinct Part) 6041 0.000181378 F1073 Other Ancillary 6041 1.0304024E-6 F1074 Clinic 6041 0.000210521 F1075 Emergency 6041 1411.60 F1076 Non Distinct Observation Beds 6041 0.0906454 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 104 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1076A Distinct Observation Bed Unit 6041 0 F1077 Other Outpt. Services 6041 3.9088449E-8 F1077A RHC 6041 0 F1077B FQHC 6041 0 F1078 Home Program Dialysis 6041 0 F1079 Ambulance 6041 0 F1080 Durable Medical Equipment - Rented 6041 0 F1081 Durable Medical Equipment - Sold 6041 0 F1082 Other Reimbursable Costs 6041 0 F1083 CRNA Charges 6041 0.000048301 F1084 Total ASC Medicare Part B Charges - Ho 6041 653293.24 F1085 Operating Room 6041 2.0410666E-7 F1086 Recovery Room 6041 0 F1087 Delivery Room & Labor Room 6041 0 F1088 Anesthesiology 6041 7.4930335E-8 F1089 Radiology - Diagnostic 6041 604147.59 F1090 Radiology - Therapeutic 6041 0.000089083 F1091 Radioisotope 6041 0.0086706 F1092 Laboratory 6041 5.0858528E-7 F1093 PBP Clinical Lab Services (Program Onl 6041 0 F1094 Whole Blood & Packed Red Blood Cells 6041 0 F1095 'Blood Storing, Processing, Trans.' 6041 0 F1096 Intravenous Therapy 6041 0 F1097 Respiratory Therapy 6041 0 F1098 Physical Therapy 6041 0 F1099 Occupational Therapy 6041 0 F1100 Speech Pathology 6041 0 F1101 Electrocardiology 6041 0.000017350 F1102 Electroencephalography 6041 0 F1103 Medical Supplies Charged to Patients 6041 0.000082397 F1104 Drugs Charged to Patients 6041 12.2468594 F1105 Renal Dialysis 6041 0 F1106 ASC (Non-Distinct Part) 6041 0 F1107 Other Ancillary 6041 1.5770872E-7 F1108 Clinic 6041 4.187429E-6 F1109 Emergency 6041 0 F1110 Non Distinct Observation Beds 6041 0 F1110A Distinct Observation Bed Unit 6041 0 F1111 Other Outpt. Services 6041 0 F1111A RHC 6041 0 F1111B FQHC 6041 0 F1112 Home Program Dialysis 6041 0 F1113 Ambulance 6041 0 F1114 Durable Medical Equipment - Rented 6041 0 F1115 Durable Medical Equipment - Sold 6041 0 F1116 Other Reimbursable Costs 6041 0 F1117 Total ASC Medicare Part B Charges - Ho 6041 643478.88 F1118 Operating Room 6041 8.156809E-6 F1119 Recovery Room 6041 2.8267739E-9 F1120 Delivery Room & Labor Room 6041 1.344204E-11 F1121 Anesthesiology 6041 9.573231E-10 F1122 Radiology - Diagnostic 6041 430.4786826 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 105 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1123 Radiology - Therapeutic 6041 7.6507667E-6 F1124 Radioisotope 6041 2.2165867E-7 F1125 Laboratory 6041 0.000086737 F1126 PBP Clinical Lab Services (Program Onl 6041 0 F1127 Whole Blood & Packed Red Blood Cells 6041 0 F1128 'Blood Storing, Processing, Trans.' 6041 0 F1129 Intravenous Therapy 6041 0 F1130 Respiratory Therapy 6041 13468.10 F1131 Physical Therapy 6041 3.034452E-6 F1132 Occupational Therapy 6041 1.3434448E-9 F1133 Speech Pathology 6041 0.000011919 F1134 Electrocardiology 6041 57645.55 F1135 Electroencephalography 6041 0.2085156 F1136 Medical Supplies Charged to Patients 6041 0.000024787 F1137 Drugs Charged to Patients 6041 0.000052848 F1138 Renal Dialysis 6041 0 F1139 ASC (Non-Distinct Part) 6041 9.442137E-10 F1140 Other Ancillary 6041 0.000036150 F1141 Clinic 6041 3.0229752E-6 F1142 Emergency 6041 0.000146490 F1143 Non Distinct Observation Beds 6041 1.2110181E-7 F1143A Distinct Observation Bed Unit 6041 0 F1144 Other Outpt. Services 6041 1.7118927E-8 F1144A RHC 6041 0 F1144B RHC 6041 0 F1145 Home Program Dialysis 6041 0 F1146 Ambulance 6041 0 F1147 Durable Medical Equipment - Rented 6041 0 F1148 Durable Medical Equipment - Sold 6041 0 F1149 Other Reimbursable Costs 6041 0 F1150 Total ASC Medicare Part B Charges - Ho 6041 194535.18 F1151 Operating Room 6041 60908.53 F1152 Recovery Room 6041 1.5713888 F1153 Delivery Room & Labor Room 6041 6.3878564E-6 F1154 Anesthesiology 6041 3010.88 F1155 Radiology - Diagnostic 6041 7921.09 F1156 Radiology - Therapeutic 6041 0.000154749 F1157 Radioisotope 6041 5.8929456E-6 F1158 Laboratory 6041 33744.40 F1159 PBP Clinical Lab Services (Program Onl 6041 0 F1160 Whole Blood & Packed Red Blood Cells 6041 1.9147775E-6 F1161 'Blood Storing, Processing, Trans.' 6041 0.000393086 F1162 Intravenous Therapy 6041 0.000064160 F1163 Respiratory Therapy 6041 11705.52 F1164 Physical Therapy 6041 76965.32 F1165 Occupational Therapy 6041 6.9774548 F1166 Speech Pathology 6041 0.8423258 F1167 Electrocardiology 6041 473.6684371 F1168 Electroencephalography 6041 3.3272542E-6 F1169 Medical Supplies Charged to Patients 6041 77485.25 F1170 Drugs Charged to Patients 6041 139410.71 F1171 Renal Dialysis 6041 1.9910769E-7 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 106 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1172 ASC (Non-Distinct Part) 6041 0.000012925 F1173 Other Ancillary 6041 0.0026080 F1174 Clinic 6041 0.2014646 F1175 Emergency 6041 137479.08 F1176 Non Distinct Observation Beds 6041 20877.43 F1176A Distinct Observation Bed Unit 6041 0 F1177 Other Outpt. Services 6041 0.000369688 F1177A RHC 6041 5.2105193E-8 F1177B FQHC 6041 0 F1178 Home Program Dialysis 6041 0 F1179 Ambulance 6041 0.0019721 F1180 Durable Medical Equipment - Rented 6041 0 F1181 Durable Medical Equipment - Sold 6041 0 F1182 Other Reimbursable Costs 6041 2.0343907E-8 F1183 CRNA Charges 6041 0.000120810 F1184 PBP Other Part B Charges 6041 0 F1185 Total Other Medicare Part B Charges - 6041 1064580.76 F1186 Operating Room 6041 1.4845213E-8 F1187 Recovery Room 6041 1.5259743E-6 F1188 Delivery Room & Labor Room 6041 5.1213184E-6 F1189 Anesthesiology 6041 2.5626828E-9 F1190 Radiology - Diagnostic 6041 2.4065154E-8 F1191 Radiology - Therapeutic 6041 0 F1192 Radioisotope 6041 2.5008218E-6 F1193 Laboratory 6041 0.000015448 F1194 PBP Clinical Lab Services (Program Onl 6041 0 F1195 Whole Blood & Packed Red Blood Cells 6041 0 F1196 'Blood Storing, Processing, Trans.' 6041 2.6204701E-6 F1197 Intravenous Therapy 6041 6.3819499E-7 F1198 Respiratory Therapy 6041 4.1346686E-8 F1199 Physical Therapy 6041 1.07572E-7 F1200 Occupational Therapy 6041 2.4122472E-8 F1201 Speech Pathology 6041 2.2239328E-9 F1202 Electrocardiology 6041 1.151973E-7 F1203 Electroencephalography 6041 7.360533E-10 F1204 Medical Supplies Charged to Patients 6041 2.748458E-10 F1205 Drugs Charged to Patients 6041 1.075365E-10 F1206 Renal Dialysis 6041 1.7110347E-6 F1207 ASC (Non-Distinct Part) 6041 0 F1208 Other Ancillary 6041 0 F1209 Clinic 6041 1.19728E-10 F1210 Emergency 6041 4.541593E-12 F1211 Non Distinct Observation Beds 6041 0 F1211A Distinct Observation Bed Unit 6041 0 F1212 Other Outpt. Services 6041 0 F1212A RHC 6041 0 F1212B FQHC 6041 0 F1213 Home Program Dialysis 6041 0 F1214 Ambulance 6041 0 F1215 Durable Medical Equipment - Rented 6041 0 F1216 Durable Medical Equipment - Sold 6041 0 F1217 Other Reimbursable Costs 6041 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 107 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1218 CRNA Charges 6041 0 F1219 PBP Clinical Lab Charges 6041 0 F1220 Total Other Medicare Part B Charges - 6041 1.199489E-6 F1221 Operating Room 6041 4.0064253E-9 F1222 Recovery Room 6041 4.9741214E-7 F1223 Delivery Room & Labor Room 6041 1.0483229E-6 F1224 Anesthesiology 6041 9.054742E-10 F1225 Radiology - Diagnostic 6041 7.1026703E-8 F1226 Radiology - Therapeutic 6041 0 F1227 Radioisotope 6041 3.2431966E-7 F1228 Laboratory 6041 9.7154044E-8 F1229 PBP Clinical Lab Services (Program Onl 6041 0 F1230 Whole Blood & Packed Red Blood Cells 6041 0 F1231 'Blood Storing, Processing, Trans.' 6041 9.1464472E-7 F1232 Intravenous Therapy 6041 1.2457423E-7 F1233 Respiratory Therapy 6041 6.989698E-10 F1234 Physical Therapy 6041 3.6639816E-7 F1235 Occupational Therapy 6041 4.1579185E-8 F1236 Speech Pathology 6041 1.009031E-8 F1237 Electrocardiology 6041 2.3967946E-8 F1238 Electroencephalography 6041 4.7404411E-8 F1239 Medical Supplies Charged to Patients 6041 2.1995519E-6 F1240 Drugs Charged to Patients 6041 0 F1241 Renal Dialysis 6041 6.461283E-10 F1242 ASC (Non-Distinct Part) 6041 0 F1243 Other Ancillary 6041 0 F1244 Clinic 6041 0 F1245 Emergency 6041 0 F1246 Non Distinct Observation Beds 6041 0 F1246A Distinct Observation Bed Unit 6041 0 F1247 Other Outpt. Services 6041 0 F1247A RHC 6041 0 F1247B FQHC 6041 0 F1248 Home Program Dialysis 6041 0 F1249 Ambulance 6041 0 F1250 Durable Medical Equipment - Rented 6041 0 F1251 Durable Medical Equipment - Sold 6041 0 F1252 Other Reimbursable Costs 6041 0 F1253 CRNA Charges 6041 0 F1254 PBP Clinical Lab Charges 6041 0 F1255 Total Other Medicare Part B Charges 6041 2.561322E-7 F1256 Operating Room 6041 140541.50 F1257 Recovery Room 6041 0.7566902 F1258 Delivery Room & Labor Room 6041 6.809367E-10 F1259 Anesthesiology 6041 1725.39 F1260 Radiology - Diagnostic 6041 2.2798304E-6 F1261 Radiology - Therapeutic 6041 1.2500524E-8 F1262 Radioisotope 6041 7.102651E-11 F1263 Laboratory 6041 0.000013192 F1264 PBP Clinical Lab Services (Program Onl 6041 0 F1265 Whole Blood & Packed Red Blood Cells 6041 1.7308822E-6 F1266 'Blood Storing, Processing, Trans.' 6041 1.6228751E-7 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 108 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1267 Intravenous Therapy 6041 3.8839795E-6 F1268 Respiratory Therapy 6041 1.682286E-6 F1269 Physical Therapy 6041 8.6659458E-7 F1270 Occupational Therapy 6041 7.981474E-12 F1271 Speech Pathology 6041 0 F1272 Electrocardiology 6041 4.3883491E-7 F1273 Electroencephalography 6041 0.000241177 F1274 Medical Supplies Charged to Patients 6041 25836.10 F1275 Drugs Charged to Patients 6041 17666.13 F1276 Renal Dialysis 6041 4.4777975E-6 F1277 ASC (Non-Distinct Part) 6041 0.000068668 F1278 Other Ancillary 6041 1.6915949E-6 F1279 Clinic 6041 0.000090720 F1280 Emergency 6041 1141.84 F1281 Non Distinct Observation Beds 6041 0.0072174 F1281A Distinct Observation Bed Unit 6041 0 F1282 Other Outpt. Services 6041 2.3500121E-8 F1282A RHC 6041 0 F1282B FQHC 6041 0 F1283 Home Program Dialysis 6041 0 F1284 Ambulance 6041 0 F1285 Durable Medical Equipment - Rented 6041 0 F1286 Durable Medical Equipment - Sold 6041 0 F1287 Other Reimbursable Costs 6041 0 F1288 CRNA Costs 6041 0.000015627 F1289 Total ASC Medicare Part B Charges - Ho 6041 279912.97 F1290 Operating Room 6041 1.6572573E-8 F1291 Recovery Room 6041 0 F1292 Delivery Room & Labor Room 6041 0 F1293 Anesthesiology 6041 0.000018215 F1294 Radiology - Diagnostic 6041 214768.26 F1295 Radiology - Therapeutic 6041 0.000108735 F1296 Radioisotope 6041 5.1261338E-6 F1297 Laboratory 6041 5.3788995E-7 F1298 PBP Clinical Lab Services (Program Onl 6041 0 F1299 Whole Blood & Packed Red Blood Cells 6041 0 F1300 'Blood Storing, Processing, Trans.' 6041 0 F1301 Intravenous Therapy 6041 0 F1302 Respiratory Therapy 6041 0 F1303 Physical Therapy 6041 0 F1304 Occupational Therapy 6041 0 F1305 Speech Pathology 6041 0 F1306 Electrocardiology 6041 2.6628338E-7 F1307 Electroencephalography 6041 0 F1308 Medical Supplies Charged to Patients 6041 0.000023467 F1309 Drugs Charged to Patients 6041 3.1525127 F1310 Renal Dialysis 6041 0 F1311 ASC (Non-Distinct Part) 6041 0 F1312 Other Ancillary 6041 1.6000054E-8 F1313 Clinic 6041 0.0134654 F1314 Emergency 6041 0 F1315 Non Distinct Observation Beds 6041 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 109 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1315A Distinct Observation Bed Unit 6041 0 F1316 Other Outpt. Services 6041 0 F1316A RHC 6041 0 F1316B FQHC 6041 0 F1317 Home Program Dialysis 6041 0 F1318 Ambulance 6041 0 F1319 Durable Medical Equipment - Rented 6041 0 F1320 Durable Medical Equipment - Sold 6041 0 F1321 Other Reimbursable Costs 6041 0 F1322 Total ASC Medicare Part B Charges - Ho 6041 230999.34 F1323 Operating Room 6041 1.9245007E-6 F1324 Recovery Room 6041 8.172616E-10 F1325 Delivery Room & Labor Room 6041 9.125757E-12 F1326 Anesthesiology 6041 4.3600893E-9 F1327 Radiology - Diagnostic 6041 171.4266919 F1328 Radiology - Therapeutic 6041 3.8137396E-6 F1329 Radioisotope 6041 0.000412189 F1330 Laboratory 6041 1.7175601E-6 F1331 PBP Clinical Lab Services (Program Onl 6041 0 F1332 Whole Blood & Packed Red Blood Cells 6041 0 F1333 'Blood Storing, Processing, Trans.' 6041 0 F1334 Intravenous Therapy 6041 0 F1335 Respiratory Therapy 6041 3963.18 F1336 Physical Therapy 6041 2.7699009E-7 F1337 Occupational Therapy 6041 2.5378689E-6 F1338 Speech Pathology 6041 2.398207E-6 F1339 Electrocardiology 6041 11548.41 F1340 Electroencephalography 6041 0.0861501 F1341 Medical Supplies Charged to Patients 6041 5.1462694E-7 F1342 Drugs Charged to Patients 6041 0.000016474 F1343 Renal Dialysis 6041 0 F1344 ASC (Non-Distinct Part) 6041 9.6049197E-9 F1345 Other Ancillary 6041 0.000010147 F1346 Clinic 6041 1.4827487E-6 F1347 Emergency 6041 9.4664579E-6 F1348 Non Distinct Observation Beds 6041 7.9110488E-7 F1348A Distinct Observation Bed Unit 6041 0 F1349 Other Outpt. Services 6041 1.6509768E-8 F1349A RHC 6041 0 F1349B FQHC 6041 0 F1350 Home Program Dialysis 6041 0 F1351 Ambulance 6041 0 F1352 Durable Medical Equipment - Rented 6041 0 F1353 Durable Medical Equipment - Sold 6041 0 F1354 Other Reimbursable Costs 6041 0 F1355 Total ASC Medicare Part B Charges - Ho 6041 55799.33 F1356 Operating Room 6041 32624.57 F1357 Recovery Room 6041 0.3804616 F1358 Delivery Room & Labor Room 6041 7.4221371E-7 F1359 Anesthesiology 6041 663.3629968 F1360 Radiology - Diagnostic 6041 3388.75 F1361 Radiology - Therapeutic 6041 0.000029832 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 110 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1362 Radioisotope 6041 9.8659502E-7 F1363 Laboratory 6041 13529.81 F1364 PBP Clinical Lab Services (Program Onl 6041 0 F1365 Whole Blood & Packed Red Blood Cells 6041 3.8260856E-6 F1366 'Blood Storing, Processing, Trans.' 6041 0.0021480 F1367 Intravenous Therapy 6041 2.7591681E-6 F1368 Respiratory Therapy 6041 3512.65 F1369 Physical Therapy 6041 48025.88 F1370 Occupational Therapy 6041 3.2796455 F1371 Speech Pathology 6041 0.7213912 F1372 Electrocardiology 6041 56.4813127 F1373 Electroencephalography 6041 2.1223979E-6 F1374 Medical Supplies Charged to Patients 6041 25588.39 F1375 Drugs Charged to Patients 6041 42630.34 F1376 Renal Dialysis 6041 6.7639215E-6 F1377 ASC (Non-Distinct Part) 6041 1.2952308E-6 F1378 Other Ancillary 6041 0.0031201 F1379 Clinic 6041 10.7104047 F1380 Emergency 6041 119976.79 F1381 Non Distinct Observation Beds 6041 18620.28 F1381A Distinct Observation Bed Unit 6041 0 F1382 Other Outpt. Services 6041 0.000142330 F1382A RHC 6041 1.9076871E-7 F1382B FQHC 6041 0 F1383 Home Program Dialysis 6041 0 F1384 Ambulance 6041 0.0025489 F1385 Durable Medical Equipment - Rented 6041 0 F1386 Durable Medical Equipment - Sold 6041 0 F1387 Other Reimbursable Costs 6041 0.000232694 F1388 CRNA Costs 6041 2.2471139E-6 F1389 Total Other Medicare Part B Costs - Ho 6041 594478.92 F1390 Operating Room 6041 1.8228819E-9 F1391 Recovery Room 6041 1.4344982E-6 F1392 Delivery Room & Labor Room 6041 4.7957231E-6 F1393 Anesthesiology 6041 2.2971544E-9 F1394 Radiology - Diagnostic 6041 5.240053E-8 F1395 Radiology - Therapeutic 6041 0 F1396 Radioisotope 6041 6.7974759E-8 F1397 Laboratory 6041 1.4391669E-6 F1398 PBP Clinical Lab Services (Program Onl 6041 0 F1399 Whole Blood & Packed Red Blood Cells 6041 0 F1400 'Blood Storing, Processing, Trans.' 6041 2.4552196E-6 F1401 Intravenous Therapy 6041 6.0089103E-7 F1402 Respiratory Therapy 6041 2.868824E-10 F1403 Physical Therapy 6041 2.6445768E-6 F1404 Occupational Therapy 6041 1.9267299E-7 F1405 Speech Pathology 6041 6.0512377E-9 F1406 Electrocardiology 6041 8.128641E-8 F1407 Electroencephalography 6041 3.250682E-10 F1408 Medical Supplies Charged to Patients 6041 2.714613E-9 F1409 Drugs Charged to Patients 6041 3.976276E-11 F1410 Renal Dialysis 6041 1.0352058E-6 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 111 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1411 ASC (Non-Distinct Part) 6041 0 F1412 Other Ancillary 6041 0 F1413 Clinic 6041 1.556022E-10 F1414 Emergency 6041 6.04888E-10 F1415 Non Distinct Observation Beds 6041 0 F1415A Distinct Observation Bed Unit 6041 0 F1416 Other Outpt. Services 6041 0 F1416A RHC 6041 0 F1416B FQHC 6041 0 F1417 Home Program Dialysis 6041 0 F1418 Ambulance 6041 0 F1419 Durable Medical Equipment - Rented 6041 0 F1420 Durable Medical Equipment - Sold 6041 0 F1421 Other Reimbursable Costs 6041 0 F1422 CRNA Costs 6041 0 F1423 Total Other Medicare Part B Costs - Su 6041 9.0413136E-6 F1424 Operating Room 6041 1.7714097E-9 F1425 Recovery Room 6041 4.6775171E-7 F1426 Delivery Room & Labor Room 6041 9.862945E-7 F1427 Anesthesiology 6041 8.902035E-10 F1428 Radiology - Diagnostic 6041 2.774244E-9 F1429 Radiology - Therapeutic 6041 0 F1430 Radioisotope 6041 5.1227936E-9 F1431 Laboratory 6041 6.978419E-8 F1432 PBP Clinical Lab Services (Program Onl 6041 0 F1433 Whole Blood & Packed Red Blood Cells 6041 0 F1434 'Blood Storing, Processing, Trans.' 6041 8.5696091E-7 F1435 Intravenous Therapy 6041 1.1729143E-7 F1436 Respiratory Therapy 6041 2.175733E-10 F1437 Physical Therapy 6041 9.7971872E-8 F1438 Occupational Therapy 6041 4.6425151E-9 F1439 Speech Pathology 6041 5.353098E-10 F1440 Electrocardiology 6041 1.3416131E-9 F1441 Electroencephalography 6041 2.5374488E-8 F1442 Medical Supplies Charged to Patients 6041 6.565759E-7 F1443 Drugs Charged to Patients 6041 0 F1444 Renal Dialysis 6041 5.429674E-10 F1445 ASC (Non-Distinct Part) 6041 0 F1446 Other Ancillary 6041 0 F1447 Clinic 6041 0 F1448 Emergency 6041 0 F1449 Non Distinct Observation Beds 6041 0 F1449A Distinct Observation Bed Unit 6041 0 F1450 Other Outpt. Services 6041 0 F1450A RHC 6041 0 F1450B FQHC 6041 0 F1451 Home Program Dialysis 6041 0 F1452 Ambulance 6041 0 F1453 Durable Medical Equipment - Rented 6041 0 F1454 Durable Medical Equipment - Sold 6041 0 F1455 Other Reimbursable Costs 6041 0 F1456 CRNA Costs 6041 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 112 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1457 Total Other Medicare Part B Costs - Su 6041 3.7030265E-7 F1458 Land 6041 15765.87 F1459 Land Improvements 6041 8339.14 F1460 Buildings and Fixtures 6041 1688924.54 F1461 Building Improvements 6041 0.0031620 F1462 Fixed Equipment 6041 45.7410233 F1463 Movable Equipment 6041 1047782.47 F1464 Subtotal 6041 4342333.59 F1465 Total Assets - Facility 6041 4309460.83 F1466 Land 6041 0 F1467 Land Improvements 6041 1.872999E-10 F1468 Buildings and Fixtures 6041 0.0402117 F1469 Building Improvements 6041 0.0040564 F1470 Fixed Equipment 6041 1.1436059E-8 F1471 Movable Equipment 6041 7.7950951E-8 F1472 Subtotal 6041 -7.093473E-6 F1473 Total Purchases - Facility 6041 -9.211504E-6 F1474 Land 6041 0 F1475 Land Improvements 6041 0 F1476 Buildings and Fixtures 6041 0 F1477 Building Improvements 6041 0 F1478 Fixed Equipment 6041 0 F1479 Movable Equipment 6041 0 F1480 Subtotal 6041 3.7893688E-7 F1481 Total Donations - Facility 6041 3.7893688E-7 F1482 Land 6041 7.5760687E-7 F1483 Land Improvements 6041 2.1092961E-9 F1484 Buildings and Fixtures 6041 7.8619947E-6 F1485 Building Improvements 6041 2.6599018E-9 F1486 Fixed Equipment 6041 0.000014244 F1487 Movable Equipment 6041 0.8399607 F1488 Subtotal 6041 9.6970689 F1489 Total Disposals & Retirements - Facili 6041 5.0200957 F1490 Land 6041 1.1440365E-9 F1491 Land Improvements 6041 0.0013425 F1492 Buildings and Fixtures 6041 0.000077128 F1493 Building Improvements 6041 4.2295816E-6 F1494 Fixed Equipment 6041 0.000115532 F1495 Movable Equipment 6041 0.0013863 F1496 Subtotal 6041 0.2332173 F1497 Total Fully Depreciated Assets - Facil 6041 0.2343078 F1498 Land 6041 15120.61 F1499 Land Improvements 6041 77691.88 F1500 Buildings and Fixtures 6041 3091058.98 F1501 Building Improvements 6041 0.5910447 F1502 Fixed Equipment 6041 181794.40 F1503 Movable Equipment 6041 4082753.23 F1504 Subtotal 6041 10722456.00 F1505 Total Assets - Facility 6041 10529902.98 F1506 Land 6041 0.0011160 F1507 Land Improvements 6041 52.2437597 F1508 Buildings and Fixtures 6041 60220.70 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 113 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1509 Building Improvements 6041 0.0059411 F1510 Fixed Equipment 6041 925.0301909 F1511 Movable Equipment 6041 502466.78 F1512 Subtotal 6041 1126308.11 F1513 Total Purchases - Facility 6041 1087102.16 F1514 Land 6041 0 F1515 Land Improvements 6041 0 F1516 Buildings and Fixtures 6041 0 F1517 Building Improvements 6041 0 F1518 Fixed Equipment 6041 1.3028183E-7 F1519 Movable Equipment 6041 3.3193102E-7 F1520 Subtotal 6041 5.2630519E-7 F1521 Total Donations - Facility 6041 3.7407737E-7 F1522 Land 6041 -5.349498E-6 F1523 Land Improvements 6041 1.2292076E-6 F1524 Buildings and Fixtures 6041 0.000778070 F1525 Building Improvements 6041 0.000054318 F1526 Fixed Equipment 6041 0.000331460 F1527 Movable Equipment 6041 862.2246067 F1528 Subtotal 6041 3652.28 F1529 Total Disposals & Retirements Facility 6041 2791.63 F1530 Land 6041 0 F1531 Land Improvements 6041 2.5566715E-6 F1532 Buildings and Fixtures 6041 0.0014475 F1533 Building Improvements 6041 0.000014087 F1534 Fixed Equipment 6041 0.000179160 F1535 Movable Equipment 6041 0.000161261 F1536 Subtotal 6041 0.0126966 F1537 Total Fully Depreciated Assets - Facil 6041 0.0562742 F1538 Old Capital-Related Cost - Building & 6041 1.4280179 F1539 Old Capital-Related Cost - Movable Equ 6041 0.1008773 F1540 New Capital-Related Cost - Building & 6041 2379.98 F1541 New Capital-Related Cost - Movable Equ 6041 1727.02 F1542 Total Insurance Costs - Facility 6041 9588.17 F1543 Old Capital-Related Cost - Building & 6041 -0.000082353 F1544 Old Capital-Related Cost - Movable Equ 6041 -5.856248E-7 F1545 New Capital-Related Cost - Building & 6041 0.0012390 F1546 New Capital-Related Cost - Movable Equ 6041 0.000038262 F1547 Total Taxes - Facility 6041 0.3205589 F1548 Old Capital-Related Cost - Building & 6041 -3.599949E-7 F1549 Old Capital-Related Cost - Movable Equ 6041 1.2608753E-6 F1550 New Capital-Related Cost - Building & 6041 0.000039265 F1551 New Capital-Related Cost - Movable Equ 6041 5.2652545E-6 F1552 Total Other Capital-Related Costs - Fa 6041 1.2952889E-6 F1553 Old Capital-Related Cost - Building & 6041 69682.45 F1554 Old Capital-Related Cost - Movable Equ 6041 8130.38 F1555 New Capital-Related Cost - Building & 6041 295582.47 F1556 New Capital-Related Cost - Movable Equ 6041 400081.66 F1557 Total Depreciation - Facility 6041 1146400.23 F1558 Old Capital-Related Cost - Building & 6041 0.000237663 F1559 Old Capital-Related Cost - Movable Equ 6041 -1.576245E-7 F1560 New Capital-Related Cost - Building & 6041 0.0010521 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 114 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1561 New Capital-Related Cost - Movable Equ 6041 1.2739749 F1562 Total Lease Costs - Facility 6041 23.2335096 F1563 Old Capital-Related Cost - Building & 6041 0.0808133 F1564 Old Capital-Related Cost - Movable Equ 6041 0.000219150 F1565 New Capital-Related Cost - Building & 6041 8.7053027 F1566 New Capital-Related Cost - Movable Equ 6041 0.0370830 F1567 Total Interest Costs - Facility 6041 24725.49 F1568 Old Capital-Related Cost - Building & 6041 101336.31 F1569 Old Capital-Related Cost - Movable Equ 6041 14011.66 F1570 New Capital-Related Cost - Building & 6041 453585.40 F1571 New Capital-Related Cost - Movable Equ 6041 525781.33 F1572 Total Capital-Related Costs - Facility 6041 1583912.94 F1573 Total Directly Assigned Old Capital Re 6041 0.1360163 F1574 Adults and Pediatrics (General Routine 6041 40732.65 F1575 ICU 6041 83.2088990 F1576 Coronary Care Unit 6041 4.7145525E-6 F1577 Burn ICU 6041 0 F1578 Surgical ICU 6041 1.8355632E-6 F1579 Other Special Care Unit 6041 0.000031469 F1580 Sub. Prov. I 6041 0.000526506 F1581 Sub. Prov. II 6041 0.000012302 F1582 Nursery 6041 2.4015218 F1583 Skilled Nursing Facility 6041 0.0042879 F1584 Nursing Facility 6041 3.8572075E-9 F1584A Intermediate Care Facility 6041 0 F1585 Other Long Term Care 6041 9.3509822E-6 F1586 Operating Room 6041 11065.22 F1587 Recovery Room 6041 0.0716820 F1588 Delivery Room and Labor Room 6041 2.8704214 F1589 Anesthesiology 6041 5.2372341 F1590 Radiology - Diagnostic 6041 8876.57 F1591 Radiology - Therapeutic 6041 6.7796104E-8 F1592 Radioisotope 6041 0.000063647 F1593 Laboratory 6041 6416.83 F1594 Whole Blood and Packed Red Blood Cells 6041 2.31953E-6 F1595 'Blood Storing, Processing, Trans.' 6041 0.000035116 F1596 Intravenous Therapy 6041 0.000019320 F1597 Respiratory Therapy 6041 1771.90 F1598 Physical Therapy 6041 3451.78 F1599 Occupational Therapy 6041 0.000140523 F1600 Speech Pathology 6041 0.000025701 F1601 Electrocardiology 6041 10.6309566 F1602 Electroencephalography 6041 0.000282492 F1603 Medical Supplies Charged to Patients 6041 2542.49 F1604 Drugs Charged to Patients 6041 2967.48 F1605 Renal Dialysis 6041 1.3661259E-6 F1606 ASC (Non-Distinct Part) 6041 0.000017976 F1607 Other Ancillary 6041 0.000048078 F1608 Clinic 6041 0.6750658 F1609 Emergency 6041 6052.95 F1609A Distinct Observation Bed Unit 6041 0 F1610 Other Outpt. Services 6041 0.000030354 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 115 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1610A RHC 6041 3.1658955E-7 F1610B FQHC 6041 0 F1611 Home Program Dialysis 6041 4.1742525E-8 F1612 Ambulance 6041 8.743102E-6 F1613 Durable Medical Equipment - Rented 6041 6.142514E-10 F1614 Durable Medical Equipment - Sold 6041 0 F1615 Other Reimbursable Costs 6041 3.729811E-10 F1616 Outpt. Rehabilitation Providers (Total 6041 2.3786678E-6 F1617 Intern - Resident Service (not in appr 6041 0 F1618 Home Health Agency 6041 0.2563513 F1619 Lung Acquisition 6041 0 F1620 Kidney Acquisition 6041 4.325446E-11 F1621 Liver Acquisition 6041 0 F1622 Heart Acquisition 6041 2.748105E-11 F1622A Pancreas Acquisition 6041 0 F1623 Other Organ Acquisition 6041 0 F1624 Ambulatory Surgical Center (Distinct P 6041 0 F1625 Hospice 6041 2.5182782E-6 F1626 Other Special Purpose 6041 5.891115E-10 F1627 Nonreimbursable Costs 6041 2263.45 F1628 Cross Foot Adjustments 6041 0.000043065 F1629 Negative Cost Centers 6041 -0.000012239 F1630 Total Old Capital Related Costs - Faci 6041 158146.63 F1631 Total Directly Assigned New Capital Re 6041 1666.39 F1632 Adults & Pediatrics (General Routine C 6041 325352.08 F1633 ICU 6041 26677.26 F1634 Coronary Care Unit 6041 6.2388646E-7 F1635 Burn ICU 6041 8.551272E-10 F1636 Surgical ICU 6041 2.5890531E-6 F1637 Other Special Care Unit 6041 6.2682822E-8 F1638 Sub. Prov. I 6041 0.0170153 F1639 Sub. Prov. II 6041 0.000016939 F1640 Nursery 6041 2552.55 F1641 Skilled Nursing Facility 6041 5.8575566 F1642 Nursing Facility 6041 3.6366993E-6 F1642A Intermediate Care Facility 6041 0 F1643 Other Long Term Care 6041 0.000010900 F1644 Operating Room 6041 105757.41 F1645 Recovery Room 6041 1.6281164 F1646 Delivery Room & Labor Room 6041 3901.62 F1647 Anesthesiology 6041 1001.28 F1648 Radiology - Diagnostic 6041 105856.50 F1649 Radiology - Therapeutic 6041 3.3376899E-6 F1650 Radioisotope 6041 0.0012253 F1651 Laboratory 6041 50865.38 F1652 Whole Blood & Packed Red Blood Cells 6041 3.8949122E-7 F1653 'Blood Storing, Processing, Trans.' 6041 0.0173890 F1654 Intravenous Therapy 6041 0.000024447 F1655 Respiratory Therapy 6041 19493.26 F1656 Physical Therapy 6041 30563.42 F1657 Occupational Therapy 6041 13.3713702 F1658 Speech Pathology 6041 2.8266614 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 116 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1659 Electrocardiology 6041 3522.40 F1660 Electroencephalography 6041 0.0010549 F1661 Medical Supplies Charged to Patients 6041 23604.61 F1662 Drugs Charged to Patients 6041 25109.97 F1663 Renal Dialysis 6041 0.000309256 F1664 ASC (Non-Distinct Part) 6041 0.000035566 F1665 Other Ancillary 6041 1.4014811 F1666 Clinic 6041 15.8371913 F1667 Emergency 6041 45159.34 F1667A Distinct Observation Bed Unit 6041 5.6800536E-8 F1668 Other Outpt. Services 6041 0.000171230 F1668A RHC 6041 8.2863858E-6 F1668B FQHC 6041 0 F1669 Home Program Dialysis 6041 2.6589745E-9 F1670 Ambulance 6041 0.000619367 F1671 Durable Medical Equipment - Rented 6041 2.0134857E-8 F1672 Durable Medical Equipment - Sold 6041 0 F1673 Other Reimbursable Costs 6041 3.3038302E-9 F1674 Outpt. Rehab Providers (Total) 6041 2.8066426E-6 F1675 Intern - Resident Service (not in appr 6041 2.3627986E-9 F1676 Home Health Agency 6041 53.5217759 F1677 Lung Acquisition 6041 0 F1678 Kidney Acquisition 6041 8.3756178E-6 F1679 Liver Acquisition 6041 1.0088695E-8 F1680 Heart Acquisition 6041 9.1385439E-8 F1680A Pancreas Acquisition 6041 0 F1681 Other Organ Acquisition 6041 1.0078137E-9 F1682 Ambulatory Surgical Center 6041 0 F1683 Hospice 6041 0.000103595 F1684 Other Special Purpose 6041 0.000014264 F1685 Nonreimbursable Costs 6041 33997.45 F1686 Cross Foot Adjustments 6041 0.0046352 F1687 Negative Cost Centers 6041 -0.000014485 F1688 Total New Capital Related Costs - Faci 6041 1283769.73 F1689 Adults & Pediatrics (General Routine C 6041 19814.77 F1690 ICU 6041 0.5269300 F1691 Coronary Care Unit 6041 2.4418074E-6 F1692 Burn ICU 6041 0 F1693 Surgical ICU 6041 7.6597383E-7 F1694 Other Special Care Unit 6041 2.6917645E-8 F1695 Sub. Prov. I 6041 1.3366012E-7 F1696 Sub. Prov. II 6041 8.249537E-6 F1697 Nursery 6041 0 F1698 Total Medicare Part A Inpatient Routin 6041 8032.07 F1699 Adults & Pediatrics (General Routine C 6041 132975.73 F1700 ICU 6041 13793.41 F1701 Coronary Care Unit 6041 8.0289953E-6 F1702 Burn ICU 6041 3.345216E-11 F1703 Surgical ICU 6041 3.8271485E-6 F1704 Other Special Care Unit 6041 5.346225E-10 F1705 Sub. Prov. I 6041 0.0012527 F1706 Sub. Prov. II 6041 0.000010849 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 117 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1707 Nursery 6041 0 F1708 Total Medicare A Inpatient Routine New 6041 120866.12 F1709 Operating Room 6041 1236.36 F1710 Recovery Room 6041 0.0107333 F1711 Delivery Room & Labor Room 6041 4.2836233E-6 F1712 Anesthesiology 6041 0.2703508 F1713 Radiology - Diagnostic 6041 1055.12 F1714 Radiology - Therapeutic 6041 1.5033177E-6 F1715 Radioisotope 6041 2.61248E-6 F1716 Laboratory 6041 1351.41 F1717 Whole Blood & Packed Red Blood Cells 6041 2.3959876E-7 F1718 'Blood Storing, Processing, Trans.' 6041 0.0024271 F1719 Intravenous Therapy 6041 3.6420145E-7 F1720 Respiratory Therapy 6041 568.4961576 F1721 Physical Therapy 6041 193.2178439 F1722 Occupational Therapy 6041 0.000136679 F1723 Speech Pathology 6041 0.000015810 F1724 Electrocardiology 6041 0.8793934 F1725 Electroencephalography 6041 4.053534E-7 F1726 Medial Supplies Charged to Patients 6041 746.6187708 F1727 Drugs Charged to Patients 6041 932.2115523 F1728 Renal Dialysis 6041 4.06521E-7 F1729 ASC (Non-Distinct Part) 6041 2.8479777E-7 F1730 Other Ancillary 6041 4.8897343E-6 F1731 Clinic 6041 5.3989449E-7 F1732 Emergency 6041 446.5094217 F1733 Non Distinct Observation Beds 6041 0.0014419 F1733A Distinct Observation Bed Unit 6041 0 F1734 Other Outpt. Services 6041 8.6627653E-9 F1734A RHC 6041 0 F1734B FQHC 6041 0 F1735 Home Program Dialysis 6041 0 F1736 Durable Medical Equipment - Rented 6041 0 F1737 Durable Medical Equipment - Sold 6041 0 F1738 Other Reimbursable Costs 6041 1.846082E-7 F1739 Total Medicare Part A Ancillary Old Ca 6041 10851.19 F1740 Operating Room 6041 13523.89 F1741 Recovery Room 6041 0.0898829 F1742 Delivery Room & Labor Room 6041 0.0030948 F1743 Anesthesiology 6041 49.5016097 F1744 Radiology - Diagnostic 6041 13656.38 F1745 Radiology - Therapeutic 6041 0.000010008 F1746 Radioisotope 6041 0.000058647 F1747 Laboratory 6041 11941.85 F1748 Whole Blood & Packed Red Blood Cells 6041 1.2183349E-6 F1749 'Blood Storing, Processing, Trans.' 6041 0.000056555 F1750 Intravenous Therapy 6041 6.3263401E-7 F1751 Respiratory Therapy 6041 6643.59 F1752 Physical Therapy 6041 3376.72 F1753 Occupational Therapy 6041 0.1123072 F1754 Speech Pathology 6041 0.0504613 F1755 Electrocardiology 6041 646.8073671 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 118 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1756 Electroencephalography 6041 0.0780884 F1757 Medial Supplies Charged to Patients 6041 7757.99 F1758 Drugs Charged to Patients 6041 8430.20 F1759 Renal Dialysis 6041 0.000042267 F1760 ASC (Non-Distinct Part) 6041 0.000010003 F1761 Other Ancillary 6041 0.000150217 F1762 Clinic 6041 0.000017534 F1763 Emergency 6041 3846.55 F1764 Non Distinct Observation Beds 6041 12.1105574 F1764A Distinct Observation Bed Unit 6041 0 F1765 Other Outpt. Services 6041 3.5001401E-6 F1765A RHC 6041 0 F1765B FQHC 6041 0 F1766 Home Program Dialysis 6041 0 F1767 Durable Medical Equipment - Rented 6041 0 F1768 Durable Medical Equipment - Sold 6041 0 F1769 Other Reimbursable Costs 6041 1.0363193E-6 F1770 Total Medicare Part A Ancillary New Ca 6041 102798.11 F1771 Total Medicare Part A Ancillary Old C 6041 8.3484692E-6 F1772 Total Medicare Part A Ancillary New C 6041 0.000032750 F1773 Total Medicare Part A Ancillary Old C 6041 8.4149857E-8 F1774 Total Medicare Part A Ancillary New C 6041 1.3541589E-6 F1775 Adults & Pediatrics (General Routine C 6041 0.000048184 F1776 ICU 6041 3.1820785E-7 F1777 Coronary Care Unit 6041 5.6385449E-9 F1778 Burn ICU 6041 0 F1779 Surgical ICU 6041 2.1158774E-9 F1780 Other Special Care Unit 6041 0 F1781 Sub. Prov. I 6041 6.8761499E-9 F1782 Sub. Prov. II 6041 1.667084E-10 F1783 Nursery 6041 0 F1783A SNF 6041 0.000015061 F1783B NF 6041 0 F1783C ICF/MR 6041 0 F1784 Total Medicare Part A Inpatient Routin 6041 0.000027234 F1785 Operating Room 6041 6.9459626E-6 F1786 Recovery Room 6041 9.983377E-12 F1787 Delivery Room & Labor Room 6041 1.673673E-9 F1788 Anesthesiology 6041 0.000096465 F1789 Radiology - Diagnostic 6041 3.9138666E-6 F1790 Radiology - Therapeutic 6041 3.257906E-10 F1791 Radioisotope 6041 3.6111198E-9 F1792 Laboratory 6041 1.632431E-10 F1793 Whole Blood & Packed Red Blood Cells 6041 0 F1794 'Blood Storing, Processing, Trans.' 6041 0 F1795 Intravenous Therapy 6041 0 F1796 Respiratory Therapy 6041 0.000014524 F1797 Physical Therapy 6041 3.8747983E-8 F1798 Occupational Therapy 6041 0 F1799 Speech Pathology 6041 0 F1800 Electrocardiology 6041 3.2088179E-8 F1801 Electroencephalography 6041 1.4820507E-9 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 119 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1802 Medial Supplies Charged to Patients 6041 2.2126936E-8 F1803 Drugs Charged to Patients 6041 2.3003544E-8 F1804 Renal Dialysis 6041 3.06275E-10 F1805 ASC (Non-Distinct Part) 6041 2.106865E-12 F1806 Other Ancillary 6041 1.247798E-11 F1807 Clinic 6041 4.036377E-10 F1808 Emergency 6041 6.3654299E-7 F1809 Non Distinct Observation Beds 6041 3.2095965E-8 F1809A Distinct Observation Bed Unit 6041 0 F1810 Other Outpt. Services 6041 0 F1810A RHC 6041 0 F1810B FQHC 6041 0 F1811 Home Program Dialysis 6041 0 F1812 Durable Medical Equipment - Rented 6041 0 F1813 Durable Medical Equipment - Sold 6041 0 F1814 Other Reimbursable Costs 6041 0 F1815 Total Medicare Part A Ancillary Other 6041 0.0013079 F1816 Total Medicare Part A Ancillary Other 6041 1.8296201E-6 F1817 Total Medicare Part A Ancillary Other 6041 2.9609971E-8 F1818 Other than Outlier Payments 6041 3239943.52 F1819 Outlier Payments 6041 49693.21 F1819B Additional amount received or to be re 6041 2.7605658E-7 F1820 Indirect Medical Education Adjustment 6041 0.000064081 F1821 Disproportionate Share Adjustment 6041 0.0816291 F1822 Additional Payment - High Percentage E 6041 0 F1823 Subtotal of Above Lines 6041 3456199.55 F1824 Hosp. Specific Payments (SCH or MDH 6041 3.2352227 F1825 Total Payment for Inpatient Operating 6041 3547956.83 F1826 Payment for Inpatient Program Capital 6041 306646.26 F1827 Exceptive Payment for Inpatient Progra 6041 0.000022039 F1828 Direct Graduate Medical Education Paym 6041 0.000333853 F1829 Net Organ Acquisition Cost 6041 3.7462961E-8 F1830 Cost of Teaching Physicians 6041 1.5013155E-9 F1831 Medicare Part A Inpatient Routine Serv 6041 0.000029353 F1832 Medicare Part A Ancillary Service Othe 6041 0.0012988 F1833 Total Payments (Lines 8 -15) 6041 3877913.38 F1834 Primary Payer Payments 6041 619.5666255 F1835 Total Amount Payable for Program Benef 6041 3870486.97 F1836 Deductibles Billed to Program Benefici 6041 435690.69 F1837 Coinsurance Billed to Program Benefici 6041 5118.41 F1838 Reimbursable Bad Debts 6041 15730.13 F1838A Reimbursable Bad Debt Adjustment 6041 11715.63 F1839 'Subtotal (Line 18 Plus Line 21or 21.0 6041 3427130.31 F1840 Recovery of Excess Depreciation 6041 0 F1841 Other Adjustments 6041 0.000990975 F1842 Amounts Applicable to Prior Cost 6041 0 F1843 Amount Due Provider before Sequestrati 6041 3439515.64 F1844 Sequestration Adjustment 6041 0 F1845 Interim Payments 6041 3558898.94 F1845A Tentative Settlements 6041 0.000011102 F1846 Balance Due Provider (Program) 6041 70.0921918 F1847 Protested Amounts 6041 0.000033799 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 120 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1848 Medical and Other Services 6041 598789.02 F1849 Interns & Residents 6041 1.2325694E-7 F1850 Organ Acquisition Costs 6041 0 F1851 Cost of Teaching Physicians 6041 1.7964148E-7 F1852 Total Costs 6041 602313.26 F1853 Total Customary Charges 6041 1085958.43 F1854 Lesser of Cost or Charges 6041 599395.83 F1855 Deductibles and Coinsurance 6041 213895.07 F1856 'Sum of Worksheets E, Parts C, D, and 6041 95975.80 F1857 Direct Graduate Medical Education Paym 6041 0.000051935 F1858 ESRD Direct Medical Education Costs 6041 0 F1859 Primary Payer Payments 6041 13.3985151 F1860 Composite Rate ESRD Bad Debts 6041 4.7002516E-6 F1861 All Other Bad Debts 6041 11749.52 F1861A Reimbursable Bad Debt Adjustment 6041 8750.43 F1862 Recovery of Excess Depreciation from P 6041 0 F1863 Other Adjustments 6041 -9.184313E-7 F1864 Amounts Applicable to Prior Reporting 6041 3.051941E-10 F1864A Amount Due Provider Before Sequestrati 6041 514799.05 F1865 Sequestration Adjustment 6041 0 F1866 Interim Payments 6041 597070.17 F1866A Tentative Settlement 6041 -0.000078280 F1867 Balance Due Provider (Program) 6041 -22058.78 F1868 Protested Amounts 6041 -6.54958E-6 F1869 Medical and Other Services 6041 7.9293032E-6 F1870 Interns & Residents 6041 0 F1871 Organ Acquisition Costs 6041 0 F1872 Cost of Teaching Physicians 6041 0 F1873 Total Costs 6041 5.729221E-7 F1874 Total Customary Charges 6041 8.7345343E-6 F1875 Lesser of Cost or Charges 6041 4.1560788E-6 F1876 Deductibles and Coinsurance 6041 1.028441E-8 F1877 'Sum of Worksheets E, Parts C, D, and 6041 0 F1878 Direct Graduate Medical Education Paym 6041 0 F1879 ESRD Direct Medical Education Costs 6041 0 F1880 Primary Payer Payments 6041 0 F1881 Composite Rate ESRD Bad Debts 6041 0 F1882 All Other Bad Debts 6041 0 F1882A Reimbursable Bad Debt Adjustment 6041 0 F1883 Recovery of Excess Depreciation from P 6041 0 F1884 Other Adjustments 6041 0 F1885 Amounts Applicable to Prior Reporting 6041 0 F1885A Amount Due Provider Before Sequestrati 6041 0.000027328 F1886 Sequestration Adjustment 6041 0 F1887 Interim Payments 6041 3.8907151E-7 F1887A Tentative Settlement 6041 0 F1888 Balance Due Provider (Program) 6041 -0.000022745 F1889 Protested Amounts 6041 0 F1890 Medical and Other Services 6041 3.7030265E-7 F1891 Interns & Residents 6041 0 F1892 Organ Acquisition Costs 6041 0 F1893 Cost of Teaching Physicians 6041 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 121 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1894 Total Costs 6041 3.7015457E-7 F1895 Total Customary Charges 6041 1.3950788E-6 F1896 Lesser of Cost or Charges 6041 3.7030265E-7 F1897 Deductibles and Coinsurance 6041 5.5386205E-7 F1898 'Sum of Worksheets E, Parts C, D, and 6041 0 F1899 Direct Graduate Medical Education Paym 6041 0 F1900 ESRD Direct Medical Education Costs 6041 0 F1901 Primary Payer Payments 6041 0 F1902 Composite Rate ESRD Bad Debts 6041 0 F1903 All Other Bad Debts 6041 0 F1903A Reimbursable Bad Debt Adjustment 6041 0 F1904 Recovery of Excess Depreciation from P 6041 0 F1905 Other Adjustments 6041 0 F1906 Amounts Applicable to Prior Reporting 6041 0 F1906A Amount Due Provider Before Sequestrati 6041 6.534661E-6 F1907 Sequestration Adjustment 6041 0 F1908 Interim Payments 6041 1.5367457E-6 F1908A Tentative Payment 6041 0 F1909 Balance Due Provider (Program) 6041 -8.561167E-7 F1910 Protested Amounts 6041 0 F1911 ASC Portion of Blend 6041 109269.95 F1913 Hosp. Specific Portion of Blend 6041 115807.35 F1914 ASC Blended Amount 6041 226262.45 F1915 Lesser of Lines 16 or 18 6041 223426.33 F1915A ASC Payment Amount 6041 65120.65 F1916 Blended Charge Proportion 6041 85064.27 F1917 Deductibles and Coinsurance 6041 139403.75 F1918 Cost Proportion 6041 95648.39 F1919 Outpt. Radiology Blended Amount 6041 181826.36 F1920 Lesser of Lines 16 or 18 6041 180895.66 F1920A Radiology Payment Amount 6041 22406.30 F1921 Blended Charge Proportion 6041 20541.78 F1922 Deductibles and Coinsurance 6041 40618.96 F1923 Cost Proportion 6041 27840.29 F1924 Other Outpt. Diagnostic Blended Amount 6041 50029.34 F1925 Lesser of Lines 16 or 18 6041 47549.62 F1925A Diagnostic Payment Amount 6041 3256.56 F1926 Inpatient Hosp. Services 6041 0.3414011 F1927 Organ Acquisition 6041 1.9968079E-6 F1928 Cost of Teaching Physicians 6041 0.000018623 F1929 Sum of Lines 1-3 6041 0.3382736 F1930 Primary Payer Payments 6041 9.9128254E-7 F1931 Deductibles 6041 0.0064241 F1932 Coinsurance 6041 0.0018931 F1933 Reimbursable Bad Debts (Bad Debts for 6041 0.000101722 F1933A Reimbursable Bad Debt Adjustment 6041 0.000052412 F1934 Direct Graduate Medical Education 6041 5.0844039E-7 F1935 Recovery of Excess Depreciation From P 6041 0 F1936 Other Adjustments 6041 8.7569566E-6 F1937 Amounts Applicable to Prior Reporting 6041 0 F1938 Total Amount Payable to Provider 6041 0.3357490 F1939 Sequestration Adjustment 6041 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 122 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1940 Interim Payments 6041 0.7172329 F1940A Tentative Settlement 6041 -0.000047553 F1941 Balance Due Provider (Program) 6041 0.000869801 F1942 Protested Amounts 6041 0.000040509 F1943 Inpatient Hosp. Services 6041 0.000038994 F1944 Organ Acquisition 6041 0 F1945 Cost of Teaching Physicians 6041 0 F1946 Sum of Lines 1-3 6041 0.000038994 F1947 Primary Payer Payments 6041 -2.038604E-6 F1948 Deductibles 6041 0.0024242 F1949 Coinsurance 6041 0.000040087 F1950 Reimbursable Bad Debts (Bad Debts for 6041 -3.306277E-6 F1950A Reimbursable Bad Debt Adjustment 6041 -4.050764E-6 F1951 Recovery of Excess Depreciation From P 6041 0 F1952 Other Adjustments 6041 0 F1953 Amounts Applicable to Prior Reporting 6041 0 F1954 Total Amount Payable to Provider 6041 0.0056386 F1955 Sequestration Adjustment 6041 0 F1956 Interim Payments 6041 0.0017816 F1956A Tentative Settlement 6041 0.000011122 F1957 Balance Due Provider (Program) 6041 0.000556427 F1958 Protested Amounts 6041 2.0862677E-7 F1959 Inpatient Hosp. Services 6041 0.000045340 F1960 Organ Acquisition 6041 0 F1961 Cost of Teaching Physicians 6041 0 F1962 Sum of Lines 1-3 6041 0.000045340 F1963 Primary Payer Payments 6041 1.6690973E-8 F1964 Deductibles 6041 2.7407114E-6 F1965 Coinsurance 6041 1.7867172E-6 F1966 Reimbursable Bad Debts (Bad Debts for 6041 1.7447182E-9 F1966A Reimbursable Bad Debt Adjustment 6041 1.3272028E-9 F1967 Recovery of Excess Depreciation From P 6041 0 F1968 Other Adjustments 6041 0 F1969 Amounts Applicable to Prior Reporting 6041 0 F1970 Total Amount Payable to Provider 6041 0.000310759 F1971 Sequestration Adjustment 6041 0 F1972 Interim Payments 6041 0.000074125 F1972A Tentative Settlement 6041 0 F1973 Balance Due Provider (Program) 6041 0.000027334 F1974 Protested Amounts 6041 0 F1975 Inpatient Services 6041 0.000113394 F1976 Organ Acquisition 6041 0 F1977 Cost of Teaching Physicians 6041 0 F1978 Sum of Lines 1-3 6041 0.000113394 F1979 Primary Payer Payments 6041 0 F1980 Excess of Customary Charges Over Reaso 6041 1.1047714E-7 F1981 Excess of Reasonable Cost Over Customa 6041 0 F1982 Direct Graduate Medical Education Paym 6041 0 F1983 Cost of Covered Services 6041 0.000131458 F1984 Deductibles 6041 0.000021252 F1985 Coinsurance 6041 9.5488363E-6 F1986 Reimbursable Bad Debts 6041 1.2974373E-8 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 123 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F1986A Reimbursable Bad Debt Adjustment 6041 4.9900654E-9 F1987 Recovery of Excess Depreciation Result 6041 0 F1988 Other Adjustments 6041 5.2382305E-7 F1989 Amounts Applicable to Prior Reporting 6041 0 F1990 Amount Due Provider Before Sequestrati 6041 0.000053630 F1991 Sequestration Adjustment 6041 0 F1992 Interim Payments 6041 0.0015548 F1992A Tentative Settlement 6041 -3.52893E-6 F1993 Balance Due Provider (Program) 6041 -2.534889E-6 F1994 Protested Amounts 6041 0 F1995 Inpatient Services 6041 0 F1996 Organ Acquisition 6041 0 F1997 Cost of Teaching Physicians 6041 0 F1998 Sum of Lines 1-3 6041 0 F1999 Primary Payer Payments 6041 0 F2000 Excess of Customary Charges Over Reaso 6041 0 F2001 Excess of Reasonable Cost Over Customa 6041 0 F2002 Cost of Covered Services 6041 0 F2003 Deductibles 6041 0 F2004 Coinsurance 6041 0 F2005 Reimbursable Bad Debts 6041 0 F2005A Reimbursable Bad Debt Adjustment 6041 0 F2006 Recovery of Excess Depreciation Result 6041 0 F2007 Other Adjustments 6041 0 F2008 Amounts Applicable to Prior Reporting 6041 0 F2009 Amount Due Provider Before Sequestrati 6041 0 F2010 Sequestration Adjustment 6041 0 F2011 Interim Payments 6041 0 F2011A Tentative Settlement 6041 0 F2012 Balance Due Provider (Program) 6041 0 F2013 Protested Amounts 6041 0 F2014 Inpatient Services 6041 0 F2015 Organ Acquisition 6041 0 F2016 Cost of Teaching Physicians 6041 0 F2017 Sum of Lines 1-3 6041 0 F2018 Primary Payer Payments 6041 0 F2019 Excess of Customary Charges Over Reaso 6041 0 F2020 Excess of Reasonable Cost Over Customa 6041 0 F2021 Cost of Covered Services 6041 0 F2022 Deductibles 6041 0 F2023 Coinsurance 6041 0 F2024 Reimbursable Bad Debts 6041 0 F2024A Reimbursable Bad Debt Adjustment 6041 0 F2025 Recovery of Excess Depreciation Result 6041 0 F2026 Other Adjustments 6041 0 F2027 Amounts Applicable to Prior Reporting 6041 0 F2028 Amount Due Provider Before Sequestrati 6041 0 F2029 Sequestration Adjustment 6041 0 F2030 Interim Payments 6041 0 F2030A Tentative Settlement 6041 0 F2031 Balance Due Provider (Program) 6041 0 F2032 Protested Amounts 6041 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 124 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F2033 Number of FTE Residents for OB/GYN and 6041 0 F2034 Number of FTE Residents for All Other 6041 0 F2035 Updated Per Resident Amount for OB/GYN 6041 0 F2036 Updated Per Resident Amount for All Ot 6041 0 F2037 Aggregate Approved Amount for Resident 6041 0 F2037A FTE Adjustment Cap 6041 2.2042405E-8 F2037B Unweighted Resident FTE Count for allo 6041 1.4490514E-7 F2037B1 Weighted FTE count for primary care ph 6041 1.2012836E-6 F2037B2 Weighted FTE count for all other physi 6041 2.9918754E-7 F2037C Weighted FTE Count for primary care ph 6041 2.4205428E-6 F2037D Weighted Dental and Podiatric Resident 6041 2.8279193E-8 F2037E Total Weighted Resident FTE count for 6041 3.2648811E-6 F2037F Total Weighted Resident FTE count for 6041 1.3685588E-9 F2037G Weighted Number of FTE Residents in th 6041 4.653677E-10 F2037H Weighted Number of FTE Residents in th 6041 7.6448805E-8 F2037I Updated Per Resident Amount for OB/GYN 6041 0.0598279 F2037J Updated Per Resident Amount for All Ot 6041 0.0339671 F2037K Total Primary Care Unadjusted Approved 6041 0.000158730 F2037L Aggregate Approved Amount for Resident 6041 0.000564370 F2037M GME payment for Non Managed Care Days 6041 0.000237325 F2037N GME payment for Managed Care Days (for 6041 -4.252693E-7 F2038 Cash on Hand and in Banks 6041 417524.45 F2039 Temporary Investments 6041 1.3189320 F2040 Notes Receivable 6041 0.000201164 F2041 Accounts Receivable 6041 5565282.61 F2042 Other Receivables 6041 38247.46 F2043 Allowance for Uncollectible Notes and 6041 224956.29 F2044 Inventory 6041 332334.49 F2045 Prepared Expenses 6041 70680.01 F2046 Other Current Assets 6041 116.9352381 F2047 Due From Other Funds 6041 -0.0035000 F2048 Total Current Assets - Facility 6041 6606298.00 F2049 Land 6041 158877.88 F2050 Accumulated Depreciation 6041 0 F2051 Land Improvements 6041 139810.56 F2052 Accumulated Depreciation 6041 4000.26 F2053 Buildings 6041 9226319.33 F2054 Accumulated Depreciation 6041 586287.63 F2055 Leasehold Improvements 6041 0.0185866 F2056 Accumulated Depreciation 6041 -0.0013926 F2057 Fixed Equipment 6041 503081.53 F2058 Accumulated Depreciation 6041 8013.14 F2059 Automobiles and Trucks 6041 0.0031674 F2060 Accumulated Depreciation 6041 -0.000076205 F2061 Major Movable Equipment 6041 4734800.50 F2062 Accumulated Depreciation 6041 756247.08 F2063 Minor Depreciable Equipment 6041 -0.000723790 F2064 Accumulated Depreciation 6041 0.0057157 F2065 Minor Nondepreciable Equipment 6041 0.0021167 F2066 Total Fixed Assets - Facility 6041 10168640.16 F2067 Investments 6041 33686.89 F2068 Deposits on Leases 6041 -0.000236655 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 125 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F2069 Due From Owners/Officers 6041 0.000658469 F2070 Other Assets 6041 441888.23 F2071 Total Other Assets 6041 1947480.88 F2072 Total Assets - Facility 6041 21243221.91 F2073 Accounts Payable 6041 909355.43 F2074 'Salaries, Wages, and Fees Payable' 6041 518810.14 F2075 Payroll Taxes Payable 6041 2.5366804 F2076 Notes and Loans Payable 6041 22345.17 F2077 Deferred Income 6041 0.0018171 F2078 Accelerated Payments 6041 0.000021053 F2079 Due to Other Funds 6041 -0.0022397 F2080 Other Current Liabilities 6041 444560.17 F2081 Total Current Liabilities - Facility 6041 3394723.12 F2082 Mortgage Payable 6041 0.6070414 F2083 Notes Payable 6041 152.2049671 F2084 Unsecured Loans 6041 9.2432298E-8 F2085 Loans From Owners Prior to 7/1/66 6041 0 F2086 Loans From Owners On or After 7/1/66 6041 -0.000017091 F2087 Other Long Term Liabilities 6041 2477.70 F2088 Total Long Term Liabilities 6041 3952917.95 F2089 Total Liabilities - Facility 6041 8586287.11 F2090 General Fund Balance 6041 9110169.34 F2091 Specific Purpose Fund 6041 -0.000211386 F2092 Donor Endowment Fund - Restricted 6041 0.000710510 F2093 Donor Endowment Fund - Unrestricted 6041 1.0825404E-6 F2094 Governing Body Created - Endowment Fun 6041 0 F2095 Plant Fund Balance - Invested in Plant 6041 0.000305123 F2096 'Plant Fund Balance - Reserved for Pla 6041 8.2406687E-7 F2097 Total Fund Balances - Facility 6041 9704809.08 F2098 Total Liabilities and Fund Balances - 6041 21214760.63 F2099 Hosp. 6041 5188855.36 F2100 Sub. Prov. I 6041 4.2884793 F2101 Sub. Prov. II 6041 0.000455034 F2102 Swing Bed SNF 6041 0.0105333 F2103 Swing Bed NF 6041 1.7088452E-6 F2104 Skilled Nursing Facility 6041 363.5772197 F2105 Nursing Facility 6041 0.000015132 F2106 Other Long Term Care 6041 0.0014494 F2107 Total General Inpatient Care - Facilit 6041 6786552.56 F2108 ICU 6041 322568.05 F2109 Coronary Care Unit 6041 0.000375492 F2110 Burn ICU 6041 4.9136078E-9 F2111 Surgical ICU 6041 0.000021774 F2112 Other Special Care Unit 6041 0.000025472 F2113 Total Intensive Care Type Inpatient Ho 6041 459120.18 F2114 Total Inpatient Routine Care Services 6041 7757494.49 F2115 Inpatient Ancillary Services 6041 9654773.17 F2116 Outpt. Ancillary Services 6041 3166372.98 F2117 Outpt. Services Rendered in an Inpatie 6041 3.4324527 F2118 Outpt. Services 6041 1432682.40 F2119 Home Health Agency - Outpt. 6041 1310.85 F2120 Ambulance - Inpatient 6041 0.000777734 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 126 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F2121 Ambulance - Outpt. 6041 0.0104874 F2122 Outpt. Rehabilitation Provider - CORF 6041 0 F2123 Outpt. Rehabilitation Provider - CMHC 6041 0 F2124 Outpt. Rehabilitation Provider - OPT 6041 0 F2125 Outpt. Rehabilitation Provider - OOT 6041 0 F2126 Outpt. Rehabilitation Provider - OSP 6041 0 F2127 ASC Inpatient 6041 0 F2128 ASC Outpt. 6041 0 F2129 Hospice Inpatient 6041 0 F2130 Hospice Outpt. 6041 0.000086913 F2131 All Other Inpatient Revenue 6041 0.0014280 F2132 All Other Outpt. Revenue 6041 0.0069309 F2133 Total Patient Revenue - Inpatient - 6041 20215755.89 F2134 Total Patient Revenue - Outpt. - Fac 6041 13789300.84 F2135 Total Patient Revenue 6041 34001032.90 F2136 Less: Contractual Allowances and Disc 6041 12464227.97 F2137 Net Patient Revenues 6041 19919733.56 F2138 Less: Total Operating Expenses 6041 22279332.50 F2139 Net Income From Service to Patients 6041 -456269.93 F2140 'Contributions, Donations, Etc.' 6041 42.7705331 F2141 Income From Investments 6041 30317.65 F2142 Governmental Appropriations 6041 0.0616644 F2143 Total Other Income 6041 946555.90 F2144 Total (Line 5 Plus Line 25) 6041 390844.76 F2145 Total Other Expenses 6041 -0.0197969 F2146 Net Income or (Loss) for Period (Line 6041 302766.57 F2147 Capital Hosp. Specific Rate Payments 6041 1913.88 F2148 Capital DRG Other than Outlier 6041 10520.74 F2149 Capital DRG outlier Payments for servi 6041 4.9022398 F2150 Total Inpatient Days Divided by Number 6041 0.0122402 F2151 Number of Interns and Residents 6041 3.7387306E-8 F2152 Indirect Medical Education Percentage 6041 1.6424672E-7 F2153 Indirect Medical Education Adjustment 6041 5.4757109E-6 F2154 Percentage of SSI Recipient Patient Da 6041 -6.560751E-6 F2155 Percentage of Medicaid Patient Days to 6041 0.000025318 F2156 Sum of F2154 + F2155 6041 0.000042420 F2157 Allowable Disproportionate Share Perce 6041 6.8213769E-6 F2158 Disproportionate Share Adjustment 6041 1.8678056E-6 F2160 New Capital 6041 1.2057654E-6 F2161 Old Capital 6041 0.0013698 F2162 Total Capital 6041 0.000090068 F2163 Ratio of Old Capital to New Capital 6041 0.0019251 F2164 Total Capital Payments under 100% Fede 6041 0.0292260 F2165 Reduction Factor for Hold Harmless Pay 6041 5.3543628E-7 F2166 Reduced Old Capital Amount 6041 0.000233589 F2167 Hold Harmless Payment for New Capital 6041 0.000232711 F2168 Subtotal (F2166 + F2167) 6041 0.000262775 F2169 Payment Under Hold Harmless 6041 0.0316729 F2170 Program Inpatient Routine Capital Cost 6041 4.323788E-6 F2171 Program Inpatient Ancillary Capital Co 6041 6.6845562E-6 F2172 Total Inpatient Program Capital Cost 6041 0.000013871 F2173 Capital Cost Payment Factor 6041 0 -------------------------------------------------------------------------- The SAS System 14:59 Friday, January 21, 2005 127 Fiscal Year 1998 PPS Medians The MEANS Procedure Variable Label N Median -------------------------------------------------------------------------- F2174 Total Inpatient Program Capital Cost 6041 0.000011791 F2176 Program Inpatient Capital Costs for Ex 6041 0 F2177 Net Program Inpatient Capital Costs 6041 283480.68 F2178 Applicable Exception Percentage 6041 70.0004329 F2179 Capital Cost for Comparison to Payment 6041 207105.01 F2180 Percentage Adjustment for Extraordinar 6041 85.0002729 F2181 Adjustment to Capital Minimum Payment 6041 0 F2182 Capital Minimum Payment Level 6041 207097.93 F2183 Current Year Capital Payments 6041 301659.45 F2184 Current Year Comparison of Capital Min 6041 -57567.54 F2185 Carryover of Accumulated Capital Minim 6041 -71068.16 F2186 Net Comparison of Capital Minimum Paym 6041 -257718.82 F2187 Current Year Exception Payment 6041 0.000022039 F2188 Carryover of Accumulated Capital Minim 6041 -258270.94 --------------------------------------------------------------------------